Isifo soxilongo lwe-Thyroid

Uvavanyo lweTyroid kunye neNgciliso

Ukuchonga isifo se-thyroid yinkqubo ebandakanya iintlobo ezahlukeneyo zeemviwo, kubandakanya ukuhlolwa kweklinikhi, iimvavanyo zegazi, iimvavanyo zengqondo, ii-biopsies kunye nezinye iimvavanyo. Makhe sijonge kwiinkalo ezahlukeneyo ze-thyroid.

Uvavanyo lweKliniki ye-Thyroid

Isici esibalulekileyo kunye nesiseko esisisiseko sokufumanisa nokuxilongwa kwesifo se-thyroid kukuhlolwa kweklinikhi.

Uvavanyo lwekliniki yakho ye-thyroid kufuneka lwenziwe ngumqeqeshi oqeqeshiwe. Nangona abanye oogqirha abaqhelekileyo bakwazi ukwenza uvavanyo oluchanekileyo lweklinikhi yakho, i-endocrinologists zihlala ziqeqeshwe kakuhle kwiinkalo ezikhethekileyo kule nkqubo yokuxilonga.

Njengengxenye yolu vavanyo lweklinikhi, uvavanyo lwakho lufanele lenze oku kulandelayo:

• IHoridi yokuThuzisa iHormone: malunga novavanyo lwe-TSH kunye neengxabano zalo

• Ukuqonda imiSebenzi yee-Thyroid kunye neeRanges eziqhelekileyo

• Uziva (owaziwa nangokuthi "i-palpating") intamo yakho, efuna ukwandiswa, i-lumps, okanye irregularity in the shape of thyroid yakho.
• Mamela i-thyroid usebenzisa i-stethoscope ukufumana ukunyuka kwegazi.
• Vavanya zakho iingcamango. Impendulo enempembelelo ingabonakalisa i-thyroid engasebenzi, kwaye i-response reflex inempendulo idla ngokuxhomekeka ne-hypothyroidism.
• Khangela izinga lentliziyo yakho, isigqi, kunye negazi . Inqanaba lentliziyo eliphantsi kunye / okanye uxinzelelo lwegazi linokudityaniswa ne-thyroid engasebenzi, kunye nezinga eliphezulu lentliziyo kunye / okanye uxinzelelo lwegazi zixhomekeke kwi-hyperthyroidism.
• Ukulinganisa ubunzima bakho, uze uxubushe utshintsho. Ukufumana ubunzima obungalindelekanga kudla ngokuxhomekeka kwi-hypothyroidism, ngelixa ukulahleka kwesisindo kuxhomekeke kwi-hyperthyroidism.

• Ukulinganisa ubushushu bomzimba. Ubushushu obuncinci bomzimba budibaniswa ne-thyroid engasebenzi, kwaye ukushisa okuphakanyisiwe kunxulumene ne-hyperthyroidism.
• Hlola ubuso bakho ngeempawu ezinxulumene ne-thyroid, kuquka ukulahlekelwa kweelusi zangaphandle, ubuqhophololo emehlweni, kunye nemisundu engavamile.
• Hlola amehlo akho, ukhangele iimpawu ze-thyroid eziqhelekileyo, kuquka ukugquma kwamehlo, ukhangeleliso oluvelele, kunye neamehlo omeleyo.
• Gcina ubungakanani obuninzi kunye nobungqina bezinwele zakho. Utshintsho ekubunjweni kweenwele, kunye nokulahleka kweenwele kunye nokuqhekeka, zidibene kunye ne-hyperthyroidism kunye ne-hypothyroidism.
• Hlola isikhumba sakho. I-dry, isikhumba esinokugqithisa sinxulumene ne-hypothyroidism, kwaye isikhumba esilula ngokuqhelekileyo sidibene ne-hyperthyroidism.
• Hlola izipikili zakho nezandla. Emile, izipikili ezinobumba zixhomekeke kwi-thyroid engasebenzi.
• Ukuphonononga ezinye iimpawu kunye neempawu zeklinikhi.

(Funda kabanzi malunga neenkcukacha zokuhlolwa kweklinikhi yesifo se-thyroid kunye noko ungalindela.)

Uvavanyo lwegazi le-Thyroid

Xa ugqirha wakho egxeka ukuba unesimo se-thyroid, inyathelo elibalulekileyo ukuhlolwa kwegazi kukunceda ufumane unyango lwe - thyroid .

Qaphela: Ngaphambi kokuba uvavanyo lwegazi luyenziwe, uya kufuna ukuqonda iinketho zakho, ngokwexesha lokuvavanya, nokuba ingaba ukukhawuleza kunye / okanye ukuthatha imishanguzo okanye kungekhona ngaphambi kokuvavanya. Ngeenkcukacha ezithile, funda i -Time Optimal kunye neemeko zeTyroid Blood Test .

Iimvavanyo zegazi eziqhelekileyo ziquka ezi zilandelayo:

• Uvavanyo lweHroy stimulating Hormone (TSH)
• Iyonke i-T4 / Iyonke i-Thyroxine
• I-Free T4 / Free Thyroxine
• Iyonke i-T3 / Iyonke i-Triiodothyronine
• I-Free T3 / Free Triiodothyronine
• Phindela iT3
• I-Thyroglobulin / I-Thyroid Binding Globulin / TBG
• I-Thyroid Peroxidase Antibodies (TPOAb) / i-Antithyroid Peroxidase Antibodies
• I-Thyroglobulin Antibodies / i-Antithyroglobulin Antibodies
• I-Anti-Receptor Antibodies (TRAb)
• I-Immunoglobulins ye-Thyroid-stimulating (TSI)

Ukutolika Iimvavanyo zakho ze-Thyroid

Ukuqonda iimvavanyo ezahlukeneyo, ukuthini ukuba bathetha njani, kunye nendlela yokuyichaza iziphumo kubalulekile kwi-patient ye-thyroid. Ukufumana ulwazi olongezelelweyo nokuqonda, funda:

• Ukuchonga izifo ze-Thyroid ezinezivivinyo zegazi
• Zithini Iiphulo Lakho Lokuhlolwa Kwegazi le-Thyroid?

• Indlela yokuchazwa ngamanqanaba akho e-Thyroid
• IiNqanaba zoVavanyo lweMisebenzi yeTyroid kunye neemilinganiselo zeBab

Uvavanyo lweTSH

Uvavanyo lwe-TSH luqwalaselwa ngabagqirha abaqhelekileyo njengolu vavanyo lwe-"standard gold" lwe-thyroid. Kukho, nangona kunjalo, ukungavumelani phakathi kweengcali zonyango eziqhelekileyo malunga novavanyo oluqhelekileyo lwolu vavanyo. Oku kungavumelaniyo kungathintela ukuba ngaba ungekho ugqirha onokukufumanisa ngesimo se-thyroid, okanye ungabandakanyi ukuxilongwa kwe-thyroid. Ukuze ufunde kabanzi malunga novavanyo lwe-TSH, uya kufuna ukufunda:

• Uvavanyo lwe-Thyroid: Iyini iNqanaba leTSH eliqhelekileyo?
• Uhlobo lweTSH oluqhelekileyo: Kutheni Kukho ukuphikisana?
• Ngaba I-TSH Yakho "Yesiqhelo" Kodwa Usacinga Ukuba Uyi-Hypothyroid?

Uvavanyo lwe-Thyroid

Xa i-thyroid yakho ikhulisiwe, okanye i-atrophied, kwaye xa ifunyanwe okanye ikhunjulwe, kukho iimvavanyo ezihlukahlukeneyo zokunceda ukuxilongwa kwimeko yakho ye-thyroid . Ezi mvavanyo ziquka:

• Nyukliya Scan / i-Iodine Uptake. Olu vavanyo, owaziwa nangokuthi ngu-RAI-U, unokuxelela ukuba unesifo seMangcwaba, isifo esiyingozi se-goiter, okanye i-thyroiditis. (Qaphela: ayenziwanga ngexesha lokukhulelwa.)

• Kutheni i-Myroid Hormone Level Levels ihamba?

• Indlela yokwenza iNeck ye-Thyroid Hlola: I-A Step-by-Step Guide

• CT Scan . I-CT scan ingakunceda ukufumanisa kunye nokuxilonga i-goiter, okanye i -nodules ezinkulu ze-thyroid .
• I-MRI / Magnetic Resonance Imaging. I-MRI inokukunceda ukuvavanya ubungakanani kunye nesimo sakho se-thyroid
• I-Thyroid Ultrasound . I-thyroid ultrasound ingakwazi ukuhlola iigununu, izibonda kunye nokwandiswa kwengubo yakho. I-Ultrasound inokukwazi ukuba i-nodule yakho ye-thyroid iyisiphithiphithi egcwele amanzi, okanye ubuninzi beethambo eziqinileyo.

Fumana oku ngakumbi malunga nale mvavanyo yokujonga i-thyroid.

I-Thyroid Biopsy / I-Needle Impilisi yokuPhumela (FNA) I-Biopsy

Inyosi ye-biopsy, eyaziwa njenge- aspiration aspiration (FNA) biopsy, isetyenziswe ekuncedeni i-thyroid i-lumps kunye nee-nodules. Inaliti ye-biopsy, inaliti encinci ifakwe ngqo kwi-nodule, ezinye iiseli zihoxiswa kwaye zivavanywa ngomhlaza. (Abanye abasebenzayo basebenzisa i-ultrasound ngelixa beqhuba i-biopsy ukuze kuqinisekiswe ukuba inaliti iya endaweni efanelekileyo.) Nangona iipesenti ezingama-95 zeengqungquthela ze-thyroid azikho umhlaza, i-FNA, kunye nezinye iimvavanyo ezifana novavanyo lwe- Veracyte Afirma , lunokwenza iziphumo ze-biopsy zichaneke ngakumbi, kwaye kaninzi ziyakunceda utyando olungadingekile lweegununu eziya kuba zilungele.

Fumana okunye malunga noko ungalindela kwiphilisi ye-needle (FNA) ye-biopsy ye-thyroid kule nqaku ye-Q & A.

Ezinye iiNvavanyo kunye neNkqubo

Ngamanye amaxesha basebenzisa ezinye iimvavanyo kunye neenkqubo zokuchonga ukungasebenzi kwe-thyroid . Ukusetyenziswa kwezi mvavanyo kuthathwa njengengxabano kubasebenzi abaqhelekileyo, kodwa ezinye zezi mvavanyo zamukelwa kwaye zisetyenziselwa ezinye izigulane, ezibandakanyekayo kunye nezigulane ezipheleleyo. Ezi mvavanyo ziquka:

• Uvavanyo lweIodine Patch
• Uvavanyo lweSaliva
• U vavanyo lweeUrinary
• Ukuhlolwa kobushushu beMzimba

Uya kufuna ukufunda ngaphezulu malunga nale mivavanyo engavumelekiyo kwisifo se-thyroid ngaphambi kokuba uthembele kwiziphumo zazo.

I-Thyroid Neck Hlola Ukuzivocavoca

Nangona kungakhange kuthathelwe ingxaki yokuhlola, unokwenza uhlolisiso lwentamo yakho, ukukhangela izibonda kunye nokwandiswa. Ukuze ufumane imiyalelo, nceda funda indlela ozenza ngayo umxokezi wakho uhlole i-Thyroid Disease.

UkuLawulwa kweeTysi zegazi zeTyroid

Akunakukwazi, kodwa kwiindawo ezininzi e-US, nakwezinye iindawo ezingaphandle kwe-US, unokuzilawula iimvavanyo zakho ze-thyroid. Ezinye izigulane zisebenzisa le ndlela yokufumana uvavanyo ngaphambi kokuba ubone ugqirha. Kwamanye amaxesha, kunokuba lunakho ukuhlawuleka kakhulu ukuba kwenziwe-ngomdaka-ugqirha wakho. Okanye, i-HMO yakho okanye i-inshurensi inganciphisa iimvavanyo ugqirha wakho angazicela.

Funda kabanzi malunga nendlela yokulawula iimvavanyo zegazi le-thyroid ngoku.

Ukuchonga izimo zeTyroid

Ngokusekelwe kwiziphumo zoviwo lweklinikhi, iimvavanyo zegazi ziyakwazi ukubona iimeko eziphezulu eziphezulu ze -roid, kubandakanya i-hypothyroidism (i-hormone engapheleleyo ye-thyroid) kunye ne-hyperthyroidism (i-hormone ye-thyroid engaphezulu).

I-TSH ephakamileyo kunye ne-T4 ephantsi / i-T4 ekhululekile, kunye ne-T3 ephantsi / i-T3 level free-idibene ne-hypothyroidism. I-TSH ephantsi-kunye ne-T4 ephezulu / i-T4 ekhululekile, kunye ne-T3 ephezulu / ii-T3 zamahhala-idibene ne-hyperthyroidism.

Iziphumo eziphakamileyo kwiimvavanyo ze-antibody ziyakunceda ukufumanisa izifo ze-thyroid ezizimeleyo ezingabangela i-hyperthyroidism, i-hypothyroidism, i-nodules, okanye i-goiter. Kwimeko yesifo sikaHashimoto, ukuphakama kwama-antibodies aseTTO kubonakala ngokubonakalayo, kwaye kwiSifo se-Graves, ukuphakama kwama-anti-TB. Kwaye ukuphonononga okuthe kratya kwe- T3 kuvimba ukuchithwa kwe-hormone ye-T3 engasebenzi, kwaye isetyenziswe ngamagqirha athile okudibanisa ukunceda ukungena ukungalingani kwe-thyroid.

Iigulane kunye ne-goiter, iimvavanyo zengcamango zinokukunceda ukuchonga ukuba iigulane ziyakrokraza, apho i-FNA biopsy yenzelwa ukuvavanya i-nodules ngeziganeko ezikhanyelayo ukuxilonga okanye ukulawula umdlavuza we-thyroid.

Fumana ngeemvavanyo ezithile ze-thyroid kunye nendlela esetyenziswa ngayo ukuxilonga imeko ye-thyroid.

> Umthombo:

I-Braverman MD, uLee E, u-Utiger RD. UWerner no-Ingbar I-Thyroid: Isicatshulwa esibalulekileyo kunye neZiklinikhi. 9th. , Philadelphia: Lippincott Williams & Wilkins (LWW), 2005.