I-Endocrinologists, ii-Internists, ii-Osteopathic Physicians, i-Naturopaths, i-Chiropractors
Inkqubo yokwenza isigqibo sokuba yiziphi iintlobo zezigulana zokubona ukuxilongwa kwakho kwe-thyroid kunye nokunyamekela kunokuba nzima kwaye kunzima. Kwezinye iimeko, izikhalazo zokuqala, ukuxilongwa okanye unyango lwemoji ye-thyroid zingenziwa ngugqirha wakho wokunyamekela, ugqirha okanye umgqirha wezonyango, ongasichazela ukuba awudingi noluphi uphando oluthile.
Okanye, ugqirha wakho unokukhawuleza akuthumele kwi-endocrinologist okanye okanye ugqirha. Kwezinye iimeko, usenokuba sele ubone uluhlu olude lwagqirha-oogqirha abaqhelekileyo, i-endocrinologists, i-otolaryngologists, oogqirha, oogqirha, ama-naturopaths, abagqirha, kunye nabangqongqo-kwaye abaqinisekanga ukuba ngubani oya kuba ngumntu ongcono kakhulu wokunyamekela kwakho kwixesha elide.
Nazi izikhokelo zokuqwalasela.
I-Cancer Cancer okanye i-Nodules esisigxina, Njalo ubone I-Cancer ye-Cancer Specialist
Nangona, ngokutsho kweMerika Cancer Society, umdlavuza we-thyroid ungenye yezinto eziqhelekileyo ezinomdlavuza e-US, enye yeyona ndlela yodwa yomhlaza okwenyukayo. Ngabantu abangama-60,000 kuphela ngonyaka abanokufumana umdlavuza we-thyroid, nangona kunjalo, oogqirha-mhlawumbi be-endocrinologists-abazange bafumane okanye baphathe isigulane somdlavuza we-thyroid. Ukuxilongwa, unyango kunye nokulandelelana komdlavuza we-thyroid uhlala uguquka, ngoko ke kubalulekile ukubona i-endocrinologist egxile kumdlavuza we-thyroid.
Oku kungadinga ukuhamba kwiziko lezonyango elikufuphi elikufutshane elilawula umthamo wezigulane zomdlavuza we-thyroid, kodwa kulungele ixesha lokubonisana nomntu onolwazi kunye nolwazi olusondeleyo malunga neendlela zakutshanje zokufuna inaliti (FNA) i-biopsy, kunye nomhlaza we-thyroid.
Ngokomzekelo, kungekudala nje, oogqirha banokufumana uhlalutyo olutsha ngokutsha lwe-FNA, i- Afirma Thyroid Analysis evela eVeracyte , enokuthi ikwazi ukuphelisa iziphumo ze-FNA ezingenakunqanda nokukhusela ukuhlinzwa okwenyathelo olungadingekile. Kodwa oogqirha abaninzi abangabalulekanga kumdlavuza we-thyroid abaqapheli lo vavanyo, kwaye kunoko bathumele izigulane zabo kwii-biopsies zemveli. Emva koko, xa i-nodules engagqibekanga ifunyenwe, ezi zi gulane zithunyelwa ukuhlinzwa ukuze zisuse i-thyroid, kwaye ezinye zifumanisa ukuba izidumbane zazingekho mhlaza.
Isiqalo esihle sokuqala kubani na abaneengqungquthela ze-thyroid okanye ukuxilongwa komhlaza we-thyroid ngumbutho we-Thyroid Survivor's Association. Eli qela liline-intanethi kunye neenkxaso zamaqela, ayenziweyo ngamagqirha asemgangathweni womhlaza we-thyroid, kwakunye neenlist ze-endocrinologists kunye nezinye iingcali ezigxila kwizenzo zabo kumdlavuza we-thyroid.
Xa Ufuna Unyango Lwe-Thyroid, khetha Umculi we-Thyroid
Nangona oogqirha abaqhelekileyo, oogqirha bamathambo / impumlo / emqaleni, kunye nezinye iintlobo zagqirha banokwenza kwaye benze i-thyroidectomies, izibalo zibonisa ukuba iziphumo eziphambili, kunye nomngcipheko ophantsi kunako nayiphi na ingxaki ekusebenzisweni kwe-thyroid , ziyafumaneka xa oogqirha baye benza inombolo eninzi otyando lwe-thyroid, kwaye ngubani owenza utyando lwe-thyroid inxalenye ebalulekileyo yezenzo zabo.
I-Columbia-Presbyterian yaseNew York, enye yeziko eliphambili lobuchopho belizwe, amayeza oogqirha ngolu hlobo lulandelayo, ngokubhekiselele kwinani labafundi be-thyroid / parathyroid.
- Utyando olungaphantsi kwama-200: ongenalwazi
- Utyando lwe-200 ukuya ku-500: oluphakathi
- Uphando olungaphezu kwama-500: amava
- Uphando olungaphezu kwe-1: ingcali
Kwakhona, gcinani engqondweni ukuba kukho iindlela zokucwangcisa ezenziwa ngabagqirha abambalwa kuphela kwilizwe, kubandakanya ukuhlinzwa okwenziwe nge-endoscopic axillary , okuvumela isigulane ukuba sithobele i-thyroidectomy ngaphandle kokunyaniseka entanyeni, amaxesha okubuyisela amancinci.
Khangela Ufumana i-Top Top yeGroyiji yezilwanyana ukuze ufumane izibonelelo kunye nemithombo yokudlulisela i-thyroid.
Xa Unesifo seMangcwaba, Jonga i-Endocrinologist
Isifo seMangcwaba, imeko ehamba ngokuzenzekelayo eyenza i-thyroid ibe yinto engapheliyo, ingaba nzima ukuxilonga nokunyanga. Kwaye izikhokelo zonyango zihlala ziguquka. Ngokomzekelo, oogqirha ngoku bakhetha ukusebenzisa i- antithyroid yezidakamizwa i- methimazole (iTapazole), ngokumelene nepropylthiouracil (PTU), ngenxa yokukhathazeka ukuba i-PTU ingabangela ukulimala kwesibindi. Amagqirha amaninzi ngoku ngokulinganisa i-TSI - i-thyroid eyenza i-immunoglobulins-ukuvavanya isifo soMngcwabo. I-Endocrinologists-kwaye ngokukodwa, abo bagxininisa isenzo sabo ngokugqithiseleyo kwizigulane ze-thyroid-ngokuqhelekileyo bayakwazi ngakumbi ukucinga kwangoku kwi-Graves 'diagnostic and treatment .
Xa unesifo sikaHashimoto okanye i-Hypothyroidism, Qinisekisa Ukujonga I-Endocrinologist kwixesha elihle
Izigulane ezininzi ze-thyroid zikholelwa ukuba xa zifumana isifo sikaHashimoto-isifo esizimele esisenza ukuba i-gland ibhujiswe-okanye i-hypothyroidism-i-thyroid engasebenzi-ukuba akukho sizathu sokubona i-endocrinologist. Kwaye, eneneni, ndandisoloko ndiphikisana ukuba ukunyamekela okuqhubekayo, i-endocrinologist mayingabi yinto ekhethekileyo .
Kubalulekile, nangona kunjalo, kwinqanaba elithile lihlolwe ngu-endocrinologist. (Kodwa ke, phawula ukuba oko kunikwe ukusweleka kwama-endocrinologists e-US , kunokuthatha ixesha lokufumana ukuqeshwa.) I-endocrinologist ingenza uvavanyo oluchanekileyo lweklinikhi , kunye nokuyalela okanye ukwenza iimvavanyo zengqondo ye-thyroid ezingakwazi ukuvavanya isakhiwo i-thyroid gland ukujonga ukuba kukho i-goiter (i-gland eyandisiweyo), ukuba indawo ye-goiter iyonakalisa ukuphefumla okanye ukugwinya, ukuba kukho i-hrophy, xa kukho iigulane, kwaye ukuba kunjalo, ukuba loo maqhuqhuva mvume yokuphanda.
Esinye isizathu esibalulekileyo? Ukuba nesifo sikaHashimoto sandisa umngcipheko wokuba nomdlavuza we-thyroid . Oogqirha abaninzi baphatha nje i-hypothyroidism ephuma kwi-Hashimoto, ngaphandle kokuqwalaselwa komngcipheko womhlaza, okwenza uhlolisiso lwexesha lokugqibela kunye ne-endocrinologist ibaluleke ngakumbi.
Xa ufuna Uncedo lwe-Hypothyroidism olugqibeleleyo, Cinga i-Integrated or Functional Medicine MD, YENZA okanye ibeka i-Naturopath kwi-Hormone Management Management
Uninzi lwezigulane ze-thyroid ziphelisa i-hypothyroid-kunye ne-thyroid engasebenziyo, engekho ukusebenza, okanye ikhutshwe ngokugqithiseleyo-kwaye iya kufuna i- thyroid ye-hormone yokuguqula imithi . Kule ndawo apho ukudibanisa, amayeza asebenzayo, ii-MDs ezongezelelweyo kunye ezipheleleyo, oogqirha be-osteopathic (ii-DOs) kunye ne- naturopaths (kwimeko apho banelayisenisi yokunikezela ngamachiza), ingaba yimpahla ekunakekeleni kwakho.
La magqirha ngokuqhelekileyo azimisele ukuqhuba ipaneli epheleleyo yeemvavanyo ze-thyroid - kungekhona nje i-TSH, kodwa i-T4 yamahhala, i-Free T3, i-thyroid antibodies, kunye ne-Reverse T3-ukukunceda ukuxilonga nokulawula unyango lwe-thyroid. Kananjalo nabo bazimisele kakhulu ukusebenza kunye nohlu olupheleleyo lweyeza zonyango lwe-thyroid-oko kukuthi, izidakamizwa ze-levothyroxine ezifana ne-Synthroid neLevoxyl), izidakamizwa ze-T3 ezifana ne-Cytomel, i-thyroid echongiwe njenge-Armor kunye ne-Nature-Thyroid, kwaye ixube i-thyroid, njengexesha - T3. I-endocrinologists yendabuko kunye nabaqeqeshi bezikolo bahlala bexhomekeke kuphela kuvavanyo lwe-TSH, kwaye baya kuphatha kuphela ngeyeza levothyroxine. Ukongezelela, aba oogqirha bahlala bejonge i-hormonal epheleleyo- imisebenzi ye-adrenal , ibhalansi ye-hormone , ne- sugar sugar / insulin- kwaye inikezela iindlela zendalo, utshintsho lwendlela yokuphila, kunye nakwezinye iimeko, imishanguzo yemithi yokunceda ukubuyisela impilo kunye nokulinganisela.
Ukujonga indlela abatsha abasebenzayo abajonga ngayo unyango olungcono lwe-hypothyroidism, jonga abaSebenzi Belana Ngeendlela Zabo zokunyanga kwe-Hypothyroidism .
Cinga ngamanye aBasebenzi ukuba bazalise ukuNakekela kwakho
Xa ukhathele zonke iinketho ezinikezwa ngabasebenzi bezonyango abaninzi kunye noogqirha bezobugqirha abadibeneyo, cinga ukujonga kwabanye abakwaziyo ukucebisa malunga neendlela zemvelo zokuncedisa impawu, ukuxhasa amajoni omzimba okanye amathumbu, kunye nezinye iindlela ezingaphezulu. Apha, unokuba unqwenela ukungenisa i- naturopath , ugqirha we- osteopathic , ingcali yondlo, isicrotractor ngokugxila kwiindlela zokutya , okanye ingcali yengqondo . (Kwakhona, khumbula ukuba kumazwe amaninzi, i-naturopaths ayikwazi ukumisela nayiphi na imishanguzo, kwaye e-US, i-chiropractors ngokomthetho ayinakuvunyelwa ukuba imisele nayiphi na imithi yeziyobisi, ngoko ke ayikwazi ukunika imithi ye-hormone ye-thyroid.
Khumbula ukuba ezi zikhokelo azizinzima kwaye zikhawuleza. Ngamanye amaxesha ufumana ugqirha ogqithisileyo okanye ugqirha we-endocrinologist ocinga ngokugqithiseleyo kunye nomdla kwisifo se-thyroid kwaye wenza umsebenzi omhle wokulawula i-hypothyroidism, umzekelo. Ukuthembela isigwebo sakho, kunye nokunxibelelana okulungileyo kunye neengcali zakho , kuya kuhamba ixesha elide ekukugcineni kwindlela eya kwi-thyroid.
Umthombo:
I-American Cancer Society, "Ziziphi iinani ezibalulekileyo malunga nomhlaza we-thyroid."