Uhlobo Luni lwe-Thyroid Ugqirha Ngaba Uyawafuna?
Abantu abaninzi bacinga ukuba ugqirha ogqwesileyo ukunyanga yonke imeko ye-thyroid yinto ye-endocrinologist.
I-Endocrinology yinto ekhethekileyo eyinikeza uqeqesho oluphambili kwi- endocrine system- leyo ibandakanya izigulane ezahlukeneyo kunye nezitho ezifana ne-thyroid, i-pancreas, i-ovaries, i-testes, kunye neengqungquthela ze-adrenal, phakathi kwabanye. Uninzi lwabafundi be-endocrinologists baxhomekeke kwisifo sikashukela.
Ngoku kutshanje, inani elinyukayo lixhomekeke kwingingqi enenzuzo yokuphela kwe-endocrinology (eyaziwa nangokuthi "oogqirha bokuzala.") Nangabantu abaguga, i-endocrinologists nayo iyacelwa ukuba ilandelwe ukulawula i-osteoporosis.
Okumangalisa kukuba, naphezu kokusasazeka kwesifo se-thyroid, abambalwa be-endocrinologists bakhetha ukugxila emsebenzini wabo kwi-diagnosis ye-thyroid kunye nonyango. Abo basebenzelana nezigulane ze-thyroid bavame ukugxila ngokubhekiselele kwiimeko ezininzi ze -roid ezifana nomhlaza we-thyroid, isifo se-thyroid nesifo se- Graves. I-subset encinci ye-endocrinologists ifuna ukwahlula ngokwawo, kwaye ibhekisele kubo ngokuthi "i-thyroidologists." I-thyroidologists zivame ukuba yindabuko yemveli ye-endocrinologists.
Ukuba unesifo se-thyroid okanye uxilongwe, ngaba ufuna i-endocrinologist? Impendulo: ezininzi izigulane ze-thyroid azidingi i-endocrinologist. Kuvakala ukuba kungenakuphikisa ukuthetha oku, kodwa kwezinye iimeko, i-endocrinologist okanye i-thyroidologist ayinakukhetha.
Ufanele usebenzise nini i-endocrinologist?
Okokuqala, ukuba unomdlavuza we-thyroid, kufuneka ubone i-endocrinologist. Gcina ukhumbule ukuba awukwazi ukukhetha nayiphi na i-endocrinologist kwiluhlu. Ufuna kuphela umntu onobuchule ekuphatheni izigulane zomhlaza we-thyroid. Ekubeni umdlavuza we-thyroid awuqhelekanga-kuqikelelwa ukuba kukho ama-50 000 matyala ngonyaka afunyaniswa kwi-US-ezininzi ze-endocrinologists zange zange zifumane okanye ziphathe umhlaza we-thyroid.
(Umthombo omuhle ukufumana oogqirha abanobuchule bokufumanisa nokunyanga umdlavuza we-thyroid ngumbutho we-Thyroid of Survivors 'Association).
Okwesibini, ukuba unesifo esibi se - Graves, isifo se- thyroid, okanye i-goiter, khangela i-endocrinologist. Kodwa kwakhona, uya kufuna i-endocrinologist enobuchule obuchanekileyo ekuphatheni izigulane ze-thyroid. Awufuni isifo sikashukela esenza isifo se-thyroid apha nangapha ngapha. Umbutho wase-American Thyroid "Fumana i-Specialist" okanye i-endocrinologists efakwe kwi-Thyroid Top Docs Directory yintsimi efanelekileyo.
Okwesithathu, ukuba ukhulelwe kwaye unesifo se -roid, okanye unayo umntwana osanda kuzalwa okanye umntwana omtsha ofumana unyango lwe-thyroid, bona i-endocrinologist. Kubaluleke kakhulu ukulawula i-thyroid ngexesha lokukhulelwa, kuba unyango olubi lungakubeka ingozi ekukhulelwe kwakho kwaye kubangele iingxaki zintsana. Kwaye ukulawula imicimbi ye-thyroid kwiintsana kunye nabantwana abancinci kubhetele ngokusingathwa yi-endocrinologist kwaye kungekhona into emele ishiywe kwinqanaba labantwana.
Luhlobo luni logqirha kufuneka enze utyando lwe-thyroid?
Xa udinga ukuhlinzwa ukuba ususe yonke into okanye inxalenye ye-thyroid yakho, khetha udokotela ogqirha onguchwepheshe kwi-optic thyroid.
Gcina ukhumbule ukuba ezininzi iindlebe / impumlo / umphimbo kunye nabagqirha abaqhelekileyo ababheki njengengcali ye-thyroid; kwaye uza kufuna udokotela ogqirha owenza uphando oluninzi lwe-thyroid ngonyaka, ubuncinci. Ukufumana ulwazi oluthe vetshe, funda Ukufumana i-Top Gyrgy Surgeon .)
Ufanele uqwalasele nini ugqirha ngaphandle kwe-endocrinologist?
Ukuba unobunzima ukuxilonga "ukungalingani kwe-thyroid, isifo se-thyroid njengesifo se-Hashimoto, isifo se-thyroid esifundeni," i-TSH "yesiqhelo kodwa iimpawu ze-thyroid, okanye uphathwa nge-hypothyroidism kodwa ungaziva kakuhle, Uninzi lwe-endocrinologists mhlawumbi alulungelekanga kuwe.
Ngoba?
Kukho izizathu ezininzi. Okokuqala, sinesizwe esinzima kwaye siphumelele kunqongophala kwabasebenzi be-endocrinologists , ngoko akunakulungele ukungena ekuboneni i-endocrinologist efanelekileyo. Okwangoku, kukho uqikelelo lwama-endocrinologists angama-4 000 e-United States asebenza ezininzi njengezigidi ezingama-Amerika-nesifo sikashukela, iingxaki zokuzala, i-polycystic ovary syndrome, i-osteoporosis, isifo se-Graves, umdlavuza we-thyroid, i-nodules ye-thyroid, njl. kufuneka ibonwe ngumfundi we-endocrinologist. Leyo yodwa ye-endocrinologist kubantu abangama-25,000 abafuna enye. Kwaye, kuphela ama-endocrinologist kuphela angama-150 okanye atsha ngokuphuma oqeqesho olulodwa ngonyaka.
Okwesibini, enikezwa ngophalazo oluninzi, iinjongo ze-endocrinologists azikwazi ukwenza umsebenzi wokuphengulula ixesha, okanye iinkqubo zonyango zonyango, kunye nezigulane ezingenazo oogqirha abazenzayo "ezijongene nobomi" kwiimeko ze-thyroid. Oko kuthetha ukuba izigulane ezineemeko ezinjengeHashimoto, okanye abaphiliswayo ngenxa ye-hypothyroidism kodwa zihlala zifumana iimpawu, zivame ukubhekwa njengento ephantsi kakhulu kwi-endocrinologists. (Oku akuthethi ukuba i-Hashimoto kunye ne-hypothyroidism ayinakuxhatshazwa kwaye ifanelekile ingqwalasela.) Kodwa i-Endocrinologists ayiboni njengento ephakamileyo, ephakamileyo, okanye ezongela ubomi besifo se-thyroid. isifo sikashukela kunye neengxaki ze-thyroid, ezinye i-endocrinologists zitsho ngokucacileyo ukuba i-Hashimoto kunye ne-hypothyroidism ayifuni i-specialist.)
Okwesithathu, ukufikelela kufumaneka ingqalelo enkulu. Ngokuqhelekileyo kufuneka ulinde iinyanga ukuze uthole ukuqesha kunye ne-endocrinologist. Nangona kunjalo, ukuqeshwa kwakho kunokuhlala kwimizuzu embalwa nje. (Kwezinye iimeko, unokubonwa ngumcebisi wonyango, kwaye ungalokothi ubone i-endocrinologist ngokwayo.) Ukuba ufika ukuza kugqirha ugqirha, ezinye i-endocrinologists zingenza ngathi "uchitha ixesha labo" ukuba uza kunye nemilinganiselo yokuhlola i-thyroid, okanye "uvavanyo" oluqhelekileyo lwe- TSH kodwa iimpawu eziqhubekayo . Uninzi lwe-endocrinologists ludla ngokulandelelana ngokuthe ngqo kwindlela yokwenza unyango olusemthethweni lwemibutho yabo yobungcali, ngoko ke uya kuthi ufumane unyango kwaye uphathwe ngokwezikhokelo zonyango, umzekelo, uMbutho waseMelika we-Endocrinologist Clinic (AACE).
Izikhokelo ze-AACE zithi ukugcina i-thyroid ngokulinganisela kudinga oko bathi "zinyathelo ezintathu ezilula:" (1) ukuvavanya usebenzisa uvavanyo lwe-TSH, (2) ukumisela i-levothyroxine ngoko isigulane "kwindawo eqhelekileyo " kunye (3) elandelayo kunye novavanyo lwe-TSH rhoqo kwiinyanga ezi-6 ukuya kwezi-12. Ininzi ye-endocrinologists ayinakho ukuphucula iyeza levothyroxine kunye neziyobisi ze-T3 , nangona uphando oluthile lubonisa inzuzo kwezinye izigulane . Kwaye iinzi-endocrinologists aziyiki izidakamizwa ze-thyroid ezifana neCarmor okanye Nature-throid.
Ziziphi iindidi ezimbini zeengcali ze-thyroid?
Izigulane ze- thyroid kunye noluntu lwe-thyroid luqala ukuqaphela ukuba ngokwenza oko, isifo se- thyroid sisenokufuna iindidi ezimbini ezahlukeneyo "zeengcali:"
- Ukuxilongwa kunye nokunyangwa kweemeko ezininzi ze-thyroid kufuneka zenziwe ngama-endocrinologists
- Ukuxilongwa kunye nokunyangwa kwe-hypothyroidism epholileyo kunye nokwenza ngcono unyango lwe- hypothyroidism kungenza izigulane ezininzi zenziwe ngcono kwiingcali ze-hormone.
"Iingcali" ze-hormone balance and hypothyroidism zihlala zifumaneka kwiinkalo ezahlukeneyo kunye nezobugcisa, kwaye ziquka:
- oogqirha
- ogqirha osebenzayo
- MDs epheleleyo
- osteopathic
- oogqirha be-naturopathic
- abachasene nokuguga
- bazinzi
- ukuphuma kwindoda kunye neengcali ze-hormone eziphilayo
- abaqeqeshi be-interns kunye noogqirha bezonyango eziphambili ezithatha umdla kwi-thyroid kunye ne-hormone balance in patients.
Ufanele uqwalasele nini utshintshe oogqirha ?
Kukho i-endocrinologists abakholelwa ekunikezeni isifo sikaHashimoto kunye nezigulane ze-hypothyroid ngokubanzi kunye nokukhathalela. Ukuba uphantsi kwengqalelo yempembelelo ye-endocrinologist, uqhubeke wenza oko kusebenzayo.
Nangona kunjalo, ukuba ubona i-endocrinologist kwaye ukhungathekile kwinto ovakalelwa ngayo ukulinganiselwa kwindlela yokuxilonga nokunyanga, unokufuna uncedo oluqwalasela olunye uhlobo logqirha. Funda indlela abagulayo be-Thyroid abangayifumana ngayo uhlobo olulungileyo loGqirha kwi-Thyroid Care ukuze uthole ulwazi olungakumbi.
ILizwi
Isigqibo sokufumana ugqirha omtsha kwiinkonzo zakho ze-thyroid kunzima kunene kuninzi lwethu esinokucinga. Ulwalamano nogqirha lubuqu obubodwa, kwaye akulula ukuthola umdlalo ochanekileyo, ingakumbi xa sikhatywe yi-geography, ii-HMO kunye ne-inshurensi. Khumbula ukuba kubudlelwane nodokotela-gulane , ungumthengi, kwaye ugqirha unikela ngenkonzo. Yaye ukuba loo nkonzo ayinakuhlangabezana neemfuno zakho, into enokuyenza enokwakho impilo ye-thyroid kukufumana ugqirha ofanelekileyo oza kuhlangabezana neemfuno zakho. Kodwa uyayazi njani ukuba ekugqibeleni ixesha logqirha olutsha lwe-thyroid? Nazi izibonakaliso ezi- 10 ozifunayo ugqirha .
> Umthombo:
> Lash, uRobert, MD. "I-Endocrinology: I-Growing Need, Kodwa I-Workers Shrink." I-Endocrine Society Perspective. Juni 2017.