Ukuchonga isifo se-thyroid yinkqubo emele ifake iqela lamanyathelo abalulekileyo, kubandakanywa uphononongo olunzulu lwezonyango, iimvavanyo ezahlukeneyo zegazi, iimvavanyo zengqondo, ii-biopsies kunye nokuhlolwa kwezilwanyana, iimvavanyo zofuzo kunye nezinye iimvavanyo ezifanelekileyo kunye nokuvavanywa komsebenzi wakho we-thyroid. Apha, iinkalo ezithile ze-thyroid zezifundo zekliniki zezifo ze-thyroid zijongwa ngokubanzi ngokubanzi ukuze ukwazi oko kufuneka ukulindele kwi-assessment ye-thyroid kunye nomsebenzi wakho wezempilo.
Inxalenye ebalulekileyo yokufumanisa nokuhlola isigulo se-thyroid ngumntu ohlolwayo kwi-klinikhi yonyango eqhutywe ngunyango oqeqeshiwe wezempilo. Njengengxenye yolu vavanyo lwe-thyroid yekliniki, uvavanyo lwakho lusebenza ngokolu vavanyo.
Ziva (eyaziwa nangokuthi "i-palpating") intamo yakho.
Ingcali yakho kufuneka ive intamo yakho, ikhangele naluphi na ukwandiswa kwe-thyroid (goiter), i-lumps, iigununu kunye nemimandla kwindawo ejikeleze i-thyroid yakho. Le nqubo ibhekiselwa "njenge-palpating" ye-thyroid. Abanye ootitshala abaqeqeshiweyo bafuna into eyaziwa ngokuba "yinto evuyisayo" kwi-palpation. Injabulo xa utyhaphaza unokuziva uvakalelwa kwenyuka kwegazi kwi-thyroid yakho.
Mamela i-thyroid usebenzisa i-stethoscope.
Ingcali yakho kufuneka iphulaphule indawo yakho ye-thyroid, ukuyiqonda into eyaziwa ngokuthi "ingxolo." Isingiselo kuthetha ukuba xa ephulaphule i-stethoscope, ugqirha unokuva isandi sokwanda kwegazi kwi-thyroid.
Vavanya zakho iingcamango.
I-Reflexes ichaphazeleka ngumsebenzi we-thyroid. Umniki-nkonzo wakho wezempilo uyakuvavanya iingcamango zakho kunye ne-mallet encinci, uguqa ngamadolo kunye ne-Achilles. Iingcamango ezingaphenduliyo ezinokuziphendulela ezingabonakaliyo zingabonakalisa i -hyperthyroidism , kwaye i-reflexes ephosakeleyo ingabhekisela kwi-hypothyroidism.
Hlola intliziyo yakho, ishyhym kunye noxinzelelo lwegazi.
Udokotela wakho kufuneka ahlole izinga lentliziyo yakho, ishyhym, kwaye wenze ukutshintsha kwegazi.
Inqanaba lentliziyo elincinci (i-bradycardia) lingakhokelela kwi-hypothyroidism, kwaye izinga eliphezulu lentliziyo (i-tachycardia) lingakhokelela kwi-hyperthyroidism. Ezinye izigulane ezine-hypothyroidism zineentliziyo zentliziyo okanye i-mitral valve prolapse. Kwaye abantu abane-hyperthyroidism banamathuba amaninzi okuba neengcamango zesiganeko ezinjenge- fibrillation ye-atrial . Uxinzelelo lwegazi oluncinci lunokudityaniswa ne-hyperthyroidism, ngelixa uxinzelelo lwegazi luqhelekile kwi-hyperthyroidism.
Ukulinganisa ubunzima bakho.
Kufuneka ufike kwizinga ukuze ufumane ubunzima obukhoyo. Ukufumana ubunzima obukhawulezayo ngaphandle kokutshintsha ukutya okanye ukuzivocavoca, kunye nokungakwazi ukunciphisa ubunzima naphezu kokutya nokuzivocavoca, zibonakalisa iimpawu ze-hypothyroidism. Ukulahlekelwa kwesisindo ngaphandle kokutshintsha ekutheni ukutya okanye ukuzivocavoca, okanye nangona xa udla ngaphezulu, kunokubonisa ukuba yi-hyperthyroidism.
Ukulinganisa ukushisa komzimba wakho.
Umniki-nkonzo wakho wempilo kufuneka athathe ubushushu bomzimba wakho. Iqondo lokushisa eliphantsi liqwalaselwa ngabasebenzi abathile njengophawu lwe-thyroid engasebenzi.
Hlola ubuso bakho.
Ukuhlola ngokucophelela ubuso bakho yingxenye ebalulekileyo yovavanyo. Udokotela wakho ujonge ukulahlekelwa kweenwele emaphethelweni angaphandle kweelishi, uphawu oluqhelekileyo lwe-hypothyroidism, kunye nokuzikhukhumeza okanye ukuvuvukala kweentloko zezilwanyana okanye ubuso, enye impawu eziqhelekileyo ze- hypothyroidism .
Hlola amehlo akho.
Amehlo ahlala echaphazelekayo kwizigulane ze-thyroid, kwaye iimpawu eziqhelekileyo zekliniki ziquka: ukukhupha okanye ukukhutshwa kwamehlo; ukhangele emehlweni; ukuhoxiswa kweenkophe ezingaphezulu; ukhangele amehlo; ngokukhawuleza. Unokuthi ufumane into ebizwa ngokuthi "lid lig," xa ijwabu eliphezulu lingahambelani ngokunyanisekileyo ukunyuka kwemehlo xa ukhangela phantsi.
Gcina ubungakanani obuninzi kunye nobungqina bezinwele zakho.
Ukulahleka kweenwele kubonakala kwi-thyroid engasebenzi kwaye ingasebenzi. Izinwele ezinqabileyo, ezinobunzima okanye ezinjengentlobo ezinokuthi zingabhekisela kwi-hypothyroidism. Ukunxiba, iinwele ezigqithiseleyo zingabhekisela kwi-hyperthyroidism.
Hlola isikhumba sakho.
Isifo se-Thyroid , ingakumbi i-hyperthyroidism, sinokubonakalisa kwiimpawu ezinxulumene nolusu ezinokuthi zigcinwe kwiiklinikhi. Ezi zibandakanya i-yellow, jaundiced cast on the skin; isikhumba esilula ngokungaqhelekanga, esikhangela ilutsha; mihlathi; izilonda okanye izilwanyana zesikhumba esiqhekezayo emacaleni (eyaziwa ngokuthi i-myxedema ye-pretibial okanye i-Graves 'dermopathy); okanye i-blister-like bumps on the brow and face (eyaziwa njenge-milaria bumps).
Hlola izipikili zakho nezandla .
Udokotela wakho kufuneka afune iimpawu zeklinikhi ezihlobene ne-hyperthyroidism kwiisoni kunye nezandla zakho, kubandakanya:
- I-onycholysis, ukuhlukana kweesilumko esivela kwibhedlele ye-nail, ebizwa nangokuthi izikhonkwane zikaPlummer
- Ukuguqulwa kwamandla, okubizwa nangokuthi acropachy
Ukuphonononga ezinye iimpawu zeklinikhi.
Udokotela wakho kufuneka ahlole ezinye iimpawu zekliniki ze hyperthyroidism, kuquka:
- Ukugubha
- Izandla ezithembekileyo
- Ukunyakaza kwe-Hyperkinetic - idaylayiti yokugubha, ukubetha kweenyawo, ukunyakaza okunyanzelekileyo
- Ubunzima beethambo, obonwa nge-DEXA ukuskena okanye x-ray
Udokotela wakho kufuneka ahlole ezinye iimpawu zeklinikhi ze-hypothyroidism, kuquka:
- Ukubonakalisa ubuso obunzima
- Ukunyakaza okufutshane
- Ukuthetha okufutshane
- Ukuthotywa kwezwi
- I-Edema (ukukhukhuma) kwezandla kunye / okanye iinyawo
Umthombo:
Braverman, MD, Lewis E., noRobert D. Utiger, MD. UWerner no-Ingbar I-Thyroid: Isicatshulwa esibalulekileyo kunye neZiklinikhi. 9th. , Philadelphia: Lippincott Williams & Wilkins (LWW), 2012.