Matenda a Chithokomiro

Mayeso a Chithokomiro ndi Kuzindikira

Kuzindikira matenda a chithokomiro ndi njira yomwe imaphatikizapo mitundu yosiyanasiyana ya mayeso, kuphatikizapo kuyesa, kuyesa magazi, kuyesa zojambula, zojambula, ndi mayesero ena. Tiyeni tiwone mbali zosiyanasiyana za chida cha chithokomiro.

Kufufuza Kachilombo ka Chithokomiro

Chinthu chofunikira komanso chofunikira kwambiri pakupeza ndi kupeza matenda a chithokomiro ndizofukufuku wa chipatala.

Kafukufuku wodwala wa chithokomiro chanu ayenera kuchitidwa ndi dokotala wophunzitsidwa. Ngakhale kuti madokotala ena amatha kufufuza bwinobwino chithandizo cha chithokomiro chanu, akatswiri otchedwa endocrinologists amaphunzitsidwa bwino kwambiri pazochitika zina zapaderazi.

Monga gawo la kafukufuku wodalirika, dokotala wanu ayenera kuchita zotsatirazi:

• Chithokomiro Chothandizira Kutulutsa Horoni: Pafupi ndi TSH Test and Controversies

• Kumvetsetsa Ntchito za Chithokomiro ndi Mayendedwe Okhazikika

• Penyani khosi lanu (kumatchedwanso "palpating"), kufunafuna kutambasula, ziphuphu, kapena kusayenerera monga momwe chithokomiro chanu chimakhalira.
• Mvetserani chithokomiro chanu pogwiritsa ntchito stethoscope kuti muzindikire kuchuluka kwa magazi.
• Yesani malingaliro anu. Kuyankha mwakuda kungakhale chizindikiro cha chithokomiro chosagwiritsidwa ntchito, ndipo kuyankha kosavuta kumagwirizanitsa ndi hypothyroidism.
• Yang'anani mlingo wa mtima wanu, mgwirizano, ndi kuthamanga kwa magazi . Kuthamanga kwa mtima ndi / kapena kuthamanga kwa magazi kungayambitsidwe ndi chithokomiro chosagwira ntchito, ndipo kuthamanga mtima kwapamwamba komanso / kapena kuthamanga kwa magazi kumagwirizanitsidwa ndi hyperthyroidism.
• Yesani kulemera kwanu, ndipo kambiranani kusintha. Kupindula kosayembekezereka nthawi zambiri kumagwirizanitsidwa ndi hypothyroidism, pamene kulemera kumagwirizana ndi hyperthyroidism.

• Pezani kutentha kwa thupi. Kutentha kwa thupi kumagwirizanitsa ndi chithokomiro chosawonongeka, ndipo kutentha kwapamwamba kumakhudzana ndi hyperthyroidism.
• Yang'anani nkhope yanu chifukwa cha zizindikiro zokhudzana ndi chithokomiro, kuphatikizapo kutayika kwa zisola zakunja, kudzikuza m'maso, ndi misampha yachilendo.
• Yang'anani maso anu, muyang'ane zizindikiro za chithokomiro, kuphatikizapo maso, mawonekedwe otchuka, ndi maso owuma.
• Onetsetsani kuchuluka kwa tsitsi lanu. Kusintha kwa kapangidwe ka tsitsi, komanso kutayika tsitsi ndi kusweka, kumayanjanitsidwa ndi hyperthyroidism ndi hypothyroidism.
• Penyani khungu lanu. Zouma, zowawa khungu zimagwirizanitsidwa ndi hypothyroidism, ndipo khungu losalala bwino limagwirizanitsidwa ndi hyperthyroidism.
• Penyani misomali ndi manja anu. Zouma zowumitsa zimagwirizanitsidwa ndi chithokomiro chopanda mphamvu.
• Onaninso zizindikiro zina za matenda.

(Phunzirani zambiri zachinsinsi za matenda a chithokomiro ndi zomwe mungayembekezere.)

Mayesero a Magazi a Chithokomiro

Ngati dokotala wanu akuganiza kuti muli ndi vuto la chithokomiro, sitepe yofunikira ndiyo kuyesa magazi kuti muthe kudwala matenda a chithokomiro .

Zindikirani: Musanayambe kuyesa magazi, mutha kumvetsa zomwe mungasankhe, malinga ndi nthawi ya kuyezetsa, komanso ngati muthamanga kapena / kapena kumwa mankhwala kapena musanayambe kuyesedwa. Kuti mudziwe zambiri, werengani Optimal Time and Conditions for Tested Blood Tests .

Mayendedwe amagazi ambiri omwe amapezeka m'magazi ndi awa:

• Mayendedwe a Chithokomiro Othandiza Kutentha kwa Hormone (TSH)
• Chiwerengero cha T4 / Total Thyroxine
• Free T4 / Free Thyroxine
• Chiwerengero cha T3 / Total Triiodothyronine
• Free T3 / Free Triiodothyronine
• Bweretsani T3
• Thyroglobulin / Chithokomiro Kumangirira Globulin / TBG
• Matenda a chithokomiro a Peroxidase (TPOAb) / Antithyroid Peroxidase Antibodies
• Matenda a Thyroglobulin / Antithyroglobulin Mankhwala
• Tizilombo toyambitsa matenda a chithokomiro (TRAb)
• Matenda a Immunoglobulins (TSI)

Kutanthauzira Mayeso Anu a Chithokomiro

Kumvetsetsa mayesero osiyanasiyana, zomwe akutanthauza, komanso kutanthauzira zotsatira zake ndizofunikira kwa wodwala wa chithokomiro wodziwa bwino, wothandiza. Kuti mudziwe zambiri komanso kumvetsetsa, werengani:

• Kuzindikira Matenda a Chithokomiro Ndi Mayesero a Magazi
• Kodi Zotsatira Zakuyesedwa kwa Magazi Anu Amatanthauzanji?

• Mmene Mungatanthauzire Mazenera Anu a Chithokomiro
• Ntchito ya Chithokomiro Mipangidwe Yamayeso ndi Malemba a Lab

Mayeso a TSH

Mayeso a TSH amalingaliridwa ndi ochiritsira monga "kachitidwe ka golide" kayendedwe ka chithokomiro. Komabe, pali kusagwirizana pakati pa akatswiri azachipatala ochiritsidwa pa kafukufuku wovomerezeka wa mayesowa. Kusagwirizana kumeneku kungakhudze ngati dokotala akukudziwani kuti ali ndi vuto la chithokomiro, kapena sakulandira matenda a chithokomiro. Kuti mudziwe zambiri za mayeso a TSH, mukufuna kuwerenga:

• Kuyezetsa Chithokomiro: Kodi TSH Yeniyeni Yeniyeni Ndi Chiyani?
• Mtundu wa TSH Wachikhalidwe: N'chifukwa Chiyani Pali Kutsutsanabe?
• Kodi TSH Yanu Ndiyo "Yachibadwa" Koma Mukuganizabe Kuti Ndinu Hyphyothyroid?

Mayesero a Kujambula kwa Chithokomiro

Pamene chithokomiro chanu chikulitsidwa, kapena chitetezo cha atrophied, ndipo pamene mfuti imapezeka kapena mukuyiyikira, mayesero osiyanasiyana ojambula angapangidwe kuti athandizidwe kuti muwone momwe chithokomiro chanu chilili . Mayesero awa ndi awa:

• Nyukiliya / Nyuzipepala ya Iodine Uptake. Mayesowa, omwe amadziwikanso ndi RAI-U, amatha kudziwa ngati muli ndi Matenda a Graves, goigy toxic multinodular goiter, kapena thyroiditis. (Zindikirani: sizinachitike panthawi ya mimba.)

• Chifukwa chiyani mazira anga a chithokomiro a ma chithokomiro amathamanga?

• Mmene Mungachitire Nyerere ya Chithokomiro Yang'anani: Ndondomeko Yothandizira ndi Khwerero

• CT Scan . Kansalu ya CT ingawathandize kupeza ndi kudziwa matenda a chithokomiro .
• MRI / Magnetic Resonance Imaging. MRI ingathandize kuthandizira kukula ndi mawonekedwe a chithokomiro chanu
• Chithokomiro Chokhazikika . Chithokomiro chotchedwa ultrasound chingathe kuyesa mitsempha, mapiko, ndi kutambasula kwa chikopa chanu. Ultrasound ingathenso kudziwa ngati chithokomiro chanu chokhala ndi chithokomiro chimakhala chodzaza ndi madzi, kapena minofu yamphamvu.

Pezani zambiri za zithunzithunzi za matenda a chithokomiro.

Matenda a Chithokomiro / Kutentha Kwambiri Kwambiri (FNA) Biopsy

Chidutswa cha singano, chomwe chimadziwikanso kuti chida chabwino cha singano (FNA) biopsy, chimagwiritsidwa ntchito kuthandizira kufufuza zipsinjo za chithokomiro ndi mitsempha. Mu singano ya singano, singano yopyapyala imalowetsedwa mwachindunji mumtunduwu, maselo ena amachotsedwa ndipo amawerengedwa ndi khansa. (Akatswiri ena amagwiritsanso ntchito ultrasound panthawi yomwe amachititsa kuti singano ikhale yoyenera.) Ngakhale kuti 95 peresenti ya mitsempha ya chithokomiro si ya khansa, FNA, pamodzi ndi mayesero ena monga Veracyte Afirma , akhoza kupanga zotsatira za chidziwitso chanu ndi zolondola kwambiri, ndipo nthawi zambiri zingakupangitseni opaleshoni yosafunika ya mitsempha yomwe imakhala yowononga.

Pezani zambiri za zomwe mungayembekezere kuchokera ku chithandizo chabwino cha singano (FNA) biopsy ya chithokomiro mu nkhani ya Q & A.

Zoyezetsa Zina ndi Machitidwe

Nthawi zina akatswiri amagwiritsa ntchito mayesero ndi njira zina zowonongeka kwa chithokomiro . Kugwiritsa ntchito mayesowa kumayesedwa kukhala wotsutsana ndi madokotala, koma ena mwa mayeserowa amavomerezedwa ndipo amagwiritsidwa ntchito pakati pa madokotala ena, ophatikizana, ndi oposa onse. Mayesero awa ndi awa:

• Mayeso a Chizindikiro cha Iodine
• Mayeso a Saliva
• Kuyesedwa kwa Urinary
• Kuyesedwa kwa Kutentha kwa Thupi

Mufuna kuwerenga zambiri za mayesero awa osagwirizana ndi matenda a chithokomiro musanadalire zotsatira zawo.

Matenda a Chithokomiro Ayeseni Kudziyesa

Ngakhale kuti sichiganiziridwa kuti ndi matenda, mungathe kudziyesa khosi lanu, kuti muyang'ane ziphuphu ndi kukulitsa. Kuti mudziwe zambiri, chonde werengani Mmene Mungagwiritsire Ntchito Ng'ombe Yanu Pofufuza Matenda a Chithokomiro.

Kulamulira Mayeso Anu a Magazi a Thyroid

Mwina simukudziwa, koma m'mayiko ambiri ku US, ndi madera ena kunja kwa US, mungathe kuyesa mayendedwe anu a chithokomiro. Odwala ena amagwiritsa ntchito njirayi kuti apeze mayeso asanaone dokotala. Nthawi zina, zikhoza kukhala zotsika mtengo kuti zitheke-podutsa-kudutsa kuchipatala chanu. Kapena, HMO yanu kapena inshuwalansi ingachepetse mayesero omwe dokotala angakufunseni.

Phunzirani zambiri za momwe mungayankhire mayeso anu a chithokomiro tsopano.

Kuzindikira Mavuto a Chithokomiro

Malingana ndi zotsatira za kafukufuku wa kuchipatala, mayesero a magazi amatha kupeza chinsinsi cha chithokomiro, kuphatikizapo hypothyroidism (mahomoni osakwanira a chithokomiro) ndi hyperthyroidism (mahomoni ambiri a chithokomiro).

TSH yokwera-pamodzi ndi T4 / T4 yopanda malire, ndi kuchepetsa T3 / ma T3 maulendo-amagwirizanitsidwa ndi hypothyroidism. Low TSH-pamodzi ndi apamwamba T4 / free T4, ndi apamwamba T3 / free T3 ngazi-akugwirizana ndi hyperthyroidism.

Zotsatira zapamwamba pa mayesero a antibody zingathandize kuzindikira kuti matenda a chithokomiro omwe amachititsa kuti thupi lanu likhale lopweteka lomwe lingayambitse hyperthyroidism, hypothyroidism, nodules, kapena goiter. Mu matenda a Hashimoto, kukwera kwa ma antibodies a TPO kumawonekera, komanso ku Matenda a Graves, kukwera m'magulu a TSI. Ndipo mchitidwe wotsutsana kwambiri wa T3 umayesa kuwonjezereka kwa mawonekedwe osadziwika a hormone ya T3, ndipo amagwiritsidwa ntchito ndi madokotala ena othandizira kuthandizira kusamvana kwa chithokomiro.

Mavitamini ndi goiter, mayesero amalingaliro angathandize kudziwa ngati mitsempha imakhala yokayikira, pomwe FNA biopsy imayesedwa kuti ione ngati mchere uli ndi zifukwa zokayikitsa kuti azindikire kapena kuti asatuluke khansa ya chithokomiro.

Dziwani za mayesero omwe ali ndi matenda a chithokomiro komanso momwe amagwiritsira ntchito kuti apeze matenda a chithokomiro.

> Chitsime:

Braverman MD, Lewis E, Utiger RD. Werner ndi Ingbar's The Thyroid: Mawu Ofunika ndi Otsogolera. 9th ed. , Philadelphia: Lippincott Williams & Wilkins (LWW), 2005.