Ophunzira a Endocrinologist, Internists, Osteopathic Physicians, Naturopaths, Chiropractors
Ndondomeko yothetsera mtundu wa adokotala kuti muwone za chithokomiro cha matenda a chithokomiro ndi chisamaliro zingakhale zovuta komanso zovuta. Nthaŵi zina, kukayikira koyamba, matenda a chithokomiro kapena chithandizo cha matenda a chithokomiro kungapangidwe ndi dokotala wanu wamkulu, wogwira ntchito, kapena wodwala wam'banja, amene angakulimbikitseni kuti simukusowa katswiri wotsatila.
Kapena, dokotala wanu akhoza kukuthandizani mwamsanga kwa katswiri wamagetsi kapena dokotala wa opaleshoni. Nthaŵi zina, mwinamwake mwawona mndandanda wautali wa madokotala-madokotala okhazikika, madokotala otchedwa endocrinologists, otolaryngologists, madokotala ochita opaleshoni, madokotala ophatikizana, naturopaths, chiropractors, ngakhale azitsamba-osadziŵa kuti ndani angakhale munthu wabwino kwambiri woti asamalire iwe mu nthawi yayitali.
Nazi mfundo zina zofunika kuziganizira.
Kwa Khansa ya Chithokomiro kapena Makhalidwe Okayikitsa, Nthawizonse Amawona Katswiri wa Khansa ya Chithokomiro
Ngakhale, malinga ndi American Cancer Society, khansa ya chithokomiro ikadali imodzi mwa khansa yofala kwambiri ku US, ndi imodzi mwa mitundu yokhayo ya khansara imene ikukula. Popeza kuti anthu pafupifupi 60,000 pachaka amapezeka ndi khansa ya chithokomiro, madokotala ena, ngakhale akatswiri a sayansi yamakono, sanayambe atulukirapo kapena akudwala khansa ya chithokomiro. Kudziwa, chithandizo, ndi kutsatila khansa ya chithokomiro ikusintha nthawi zonse, ndipo ndikofunika kwambiri kuona katswiri wamagulu a kanema omwe amadziwika kwambiri ndi khansa ya chithokomiro.
Izi zingafunikire kupita kuchipatala chachikulu chapafupi chomwe chimayang'anira odwala khansa ya chithokomiro, koma ndi bwino nthawi yolankhulana ndi munthu wodziwa bwino komanso watsopano za njira zatsopano zakuthandizira bwino za singano (FNA) mankhwala osokoneza bongo, ndi khansa ya chithokomiro.
Mwachitsanzo, posachedwapa, madokotala tsopano akupeza njira yatsopano yowonetsera FNA, Afirma Thyroid Analysis kuchokera ku Veracyte , yomwe ingathe kuthetseratu zotsatira za FNA zomwe zimapangitsa kuti asakhale ndi chithandizo cha chithokomiro chosafunikira. Koma madokotala ambiri omwe samadziwika bwino ndi khansa ya chithokomiro sakudziwa za mayesowa, ndipo m'malo mwake amatumiza odwala awo ku zikhalidwe za FNA. Ndiye, pamene mitsempha yosadziwika imapezeka, odwalawa amatumizidwa kukachita opaleshoni kuchotsa chithokomiro, ndipo ena amazindikira mochedwa kwambiri kuti mitsempha siinali yanseru.
Chiyambi chabwino kwa aliyense amene ali ndi chithokomiro chokayikitsa kapena kansa ya kansa ya kansa ndi Association of Survivor Association's Association. Gululi lili ndi magulu othandizira pa intaneti ndikugwirizanitsa magulu omwe amachititsa chidwi kwambiri ndi madokotala omwe amadziwika kwambiri ndi khansa ya chithokomiro, komanso mndandanda wa akatswiri otchedwa endocrinologists ndi akatswiri ena omwe amawunikira za khansa ya chithokomiro.
Pamene Mukufunika Opaleshoni ya Chithokomiro, Sankhani Opaleshoni ya Chithokomiro
Ngakhale opaleshoni ambiri opaleshoni, opaleshoni ya m'mphuno / m'mphuno, ndi madokotala ena opanga opaleshoni amatha kuchita, ndipo ziŵerengero zimasonyeza kuti zotsatira zabwino kwambiri, komanso chiopsezo chachikulu kwambiri cha opaleshoni ya chithokomiro , zimapezeka pamene opaleshoni achita chiwerengero chachikulu opaleshoni ya chithokomiro, komanso amene amachita opaleshoni ya chithokomiro mbali yaikulu ya zomwe amachita.
Columbia-Presbyterian ya New York, imodzi mwa malo opangira opaleshoni ya chithokomiro, madokotala ochita opaleshoni motere, malinga ndi kuchuluka kwa opaleshoni ya chithokomiro / parathyroid opangidwa:
- Opaleshoni zosakwana 200: osadziŵa zambiri
- Opaleshoni 200 mpaka 500: pakati
- Opaleshoni zopitirira 500: odziwa
- Opaleshoni yoposa 1,000: katswiri
Komanso, kumbukirani kuti pali njira zopangira opaleshoni zoperekedwa ndi madokotala ochipatala ochepa chabe m'dzikoli, kuphatikizapo oposcopic opaleshoni yowopsa ya mankhwala , yomwe imalola wodwalayo kuti adzidwe ndi chithokomiro popanda kutengeka m'khosi, kapena kupweteka, komanso nthawi zachidule.
Onani Kupeza Opaleshoni Yotchuka ya Chithokomiro kuti zipangizo zothandizira komanso zowonjezera zikhale ndi opaleshoni yapamwamba ya chithokomiro.
Pamene Muli ndi Matenda a Manda, onani Wotchedwa Endocrinologist
Matenda a Manda, chikhalidwe chomwe chimayambitsa chithokomiro kuti chisawonongeke, chingakhale chovuta kuchipeza ndi kuchiza. Ndipo ndondomeko zamankhwala zimasintha nthawi zonse. Mwachitsanzo, madokotala tsopano amasankha kugwiritsa ntchito mankhwala otchedwa antithyroid mankhwala methimazole (Tapazole), motsutsana ndi propylthiouracil (PTU), chifukwa cha nkhawa kuti PTU ingayambitse chiwindi. Madokotala ambiri tsopano akuyeza TSI - chithokomiro chomwe chimayambitsa ma immunoglobulins-kuti aone kuopsa kwa matenda a Graves. Othandizira otchedwa Endocrinologists-makamaka makamaka, omwe amaika kwambiri chizoloŵezi cha odwala chithokomiro-amakhala odziwa zambiri za momwe amalingalira panopa ku matenda a Graves 'ndi matenda .
Pamene Muli ndi Matenda a Hashimoto kapena Hypothyroidism, Onetsetsani Kuti Muwone An Endocrinologist pa Nthawi Yovuta Kwambiri
Odwala ambiri a chithokomiro amakhulupirira kuti ngati ali ndi matenda a Hashimoto-matenda omwe amachititsa kuti thupi liwonongeke-kapena hypothyroidism-chithokomiro chosagwiritsidwa ntchito-kuti palibe chifukwa chowona katswiri wamagetsi. Ndipotu, ndakhala ndikutsutsana kuti nthawi zonse, chisamaliro chabwino sichidzakhala chabwino kwambiri .
Ndikofunika, komabe, kuti panthawi inayake tiyesedwe ndi munthu wotchedwa endocrinologist. (Zindikirani, komabe, zomwe zinapereŵera kuchepa kwa akatswiri a zachipatala ku US , zingatenge nthawi kuti mutenge nthawi.) Wotchedwa endocrinologist akhoza kuchita kafukufuku wodalirika , ndikukonza kapena kuchita zowonongeka zowonongeka zomwe zingathe kuwonetsa kapangidwe kake za chithokomiro chanu kuti mudziwe ngati pali goiter (ngati chikopa chofutukuka), ngati malo othera amatha kupuma kapena kumeza, ngati pali atrophy ya gland, ngati pali mitsempha, ndipo ngati ziri choncho, ngati mitsempha akufufuzanso kufufuza kwina.
Chifukwa chimodzi chofunikira? Kukhala ndi matenda a Hashimoto kumawonjezera chiopsezo cha khansa ya chithokomiro . Madokotala ambiri amangotenga mankhwala a hypothyroidism omwe amachokera ku Hashimoto, popanda kuganizira za kuchuluka kwa matenda a khansa, kupanga nthawi yowonongeka ndi katswiri wamaphunziro otchuka kwambiri.
Pamene Mukufunikira Chithandizo Choyenera cha Hypothyroidism, ganizirani mankhwala ophatikizana kapena ogwira ntchito MD, DO kapena Kufotokozera Naturopath Kwa Mahomoni Otsogolera Omwe Akugwiritsidwa Ntchito
Odwala ambiri a chithokomiro amatha kutulutsa tizilombo toyambitsa matenda, pogwiritsa ntchito mankhwala osokoneza bongo, osagwira ntchito, kapena opaleshoni. M'madera ano kumene mankhwala ophatikizana, ogwira ntchito, ophatikizapo MDs, odwala osteopathic (DOs) ndi naturopaths (omwe ali ndi chilolezo choti apereke mankhwala), angakhale othandiza pa chisamaliro chanu.
Madokotalawa ali ofunitsitsa kuyendetsa mayesero onse a chithokomiro osati a TSH okha, koma a Free T4, Free T3, mabakiteriya a chithokomiro, ndi Matembenuzidwe a T3-kuthandizira kupeza ndi kusamalira chithandizo cha chithokomiro. Amakhalanso okonzeka kugwira ntchito ndi mankhwala osiyanasiyana a chithandizo cha chithokomiro (ie, levothyroxine mankhwala monga Synthroid ndi Levoxyl), mankhwala a T3 monga Cytomel, chithokomiro chodziwika ngati Zida ndi Zachilengedwe, komanso mankhwala osokoneza bongo, monga nthawi -T3 yosangalatsa. Akatswiri a zachipatala omwe amagwiritsa ntchito mankhwala otchedwa "endocrinologists" ndi othandizira anzawo nthawi zambiri amangodalira kokha kuyesedwa kwa TSH, ndipo amangochita ndi mankhwala a levothyroxine okha. Kuwonjezera apo, madokotalawa nthawi zambiri amayang'ana chithunzi chonse cha mahomoni, kugonana kwa mahomoni , ndi shuga / insulini ya magazi -ndipo amapereka njira zachibadwa, kusintha kwa moyo, komanso nthawi zina, mankhwala opatsirana pofuna kuthandiza kubwezeretsa thanzi labwino.
Kuti muone momwe akatswiri amatha kuona mankhwala abwino kwambiri a hypothyroidism, onani Ogwira Ntchito Agawane Njira Zake Zochiritsira Optimal Hypothyroidism .
Ganizirani Ophunzira Ena Kuti Akuthandizeni
Mukatha kutopa zonse zomwe opereka madokotala ambiri amapanga ndi madokotala ophatikizana, ganizirani kuyang'ana kwa ena amene angakulangize za njira zakuthupi zozunzirako zizindikiro, kuthandizira chitetezo cha m'mimba kapena matumbo, ndi njira zina zowonjezereka. Pano, mungafune kubweretsa naturopath , dokotala wamagazi , katswiri wathanzi, katswiri wodziŵa za matenda okhudza chilakolako cha zakudya , kapena katswiri wa maganizo . (Ndiponso, kumbukirani kuti m'mayiko ambiri, naturopaths silingathe kupereka mankhwala aliwonse, ndipo ku US, chiropractors ndi lamulo saloledwa kupereka mankhwala aliwonse a mankhwala, choncho sangathe kupereka mankhwala odzozako amadzimadzi a chithokomiro.)
Kumbukirani kuti malangizo awa si ovuta komanso omveka. Nthaŵi zina mumapeza dokotala wamkulu wa chisamaliro kapena wodwala wotchedwa endocrinologist yemwe ali ndi chidwi chachikulu ndi chidwi cha matenda a chithokomiro ndipo amachita ntchito yabwino yosamalira hypothyroidism, mwachitsanzo. Kukhulupirira chiweruzo chanu, pamodzi ndi mauthenga abwino ndi dokotala wanu , zidzakuthandizani kuti mukhale ndi chitsimikizo cha chithokomiro.
Chitsime:
American Cancer Society, "Kodi ziwerengero zazikulu bwanji za khansa ya chithokomiro."