Ndechipi Chechirwere Chine Utachiona Unoda?
Vanhu vazhinji vanofunga kuti chiremba akakodzera kurapa mamiriro ose ehutachiona ndeyekugumira kare.
Endocrinology ndiyo inokosha inopa huro hwekudzidzira mu endocrine system -iyo inosanganisira zvipembenene zvakasiyana-siyana uye nhengo dzakadai sedhiyosi, pancreas, maevaries, testes, uye adrenal glands, pakati pevamwe. Ruzhinji rwema endocrinologist rinoshandiswa mukurapa kwechirwere cheshuga.
Munguva pfupi yapfuura, nhamba inowedzera inonyanya kuwanikwa munzvimbo inobatsira yekubereka kwechido chekubereka vana (inozivikanwawo se "vanachiremba vanobereka.") Nevanhu vakwegura, endocrinologists vari kuwedzerwa kushevedzwa kuti vabatsire kutarisira osteoporosis.
Zvinotyisa kuti, pasinei nekuwanda kwechirwere chetachiona, vashomanana vependocrinologists vanosarudza kuisa basa ravo pahutano kuongororwa uye kurapwa. Avo vanoshanda nevarwere vehutano vanowanzonyanya kufunga nezvekutarisa mamwe maitiro ehutachiona akaoma zvakadai sekenza yekameti , chirwere chetachiona , uye chirwere cheGraves. Chinyorwa chiduku chema endocrinologists chinoda kuzvitsaura ivo pachavo, uye vanozviti pachavo se "thyroidologists." Vanachiroji vepamusoro vanowanzove vane tsika dzezvemagariro ekupedzisira.
Kana iwe unenge uchifungidzirwa kana uchitaridzika chirwere chetachiona, unoda anocrocrinologist here? Mhinduro: vazhinji vane chirwere chetachiona havatsvaki endocrinologist. Zvinonzwika kusinganzwisisiki kutaura izvi, asi mune dzimwe nguva, anocrocrinologist kana thyroidologist angave asina kumbova sarudzo yako yakanakisisa.
Unofanira kunyatsoshandisa rinini magistrologist?
Kutanga, kana iwe une kenza yekenza, iwe unofanirwa kuona anocrocinologist. Ramba uchifunga kuti iwe haugoni kungosarudza chero magumo ekupedzisira kubva pakurongwa. Iwe unongoda chete uyo ane unyanzvi mukurapa varwere vekenza yekenza. Sezvo chirwere chetachiona chisingawanzozivikanwi-inofungidzirwa makumi mashanu emazana gore negore inowanikwa mune veUnited States-dzakawanda endocrinologists dzingave dzisina kumboonekwa kana kuti dzakabata kanzera yekenza.
(Chinhu chakanaka chekuwana vanachiremba vanonyanya kuzivikanwa nekurapa kenza yekemikari ndeyeKirasi yeChroid Cancer 'Association).
Chechipiri, kana uine chirwere chakakomba cheGraves, chirwere chetachiona, kana kuti goiter, ona anopocrinologist. Asi zvakare, iwe unoda endocrinologist uyo ane ruzivo rwakananga mukurapa varwere vetachiona. Iwe haunoda chirwere cheshuga chinoshandisa chirwere chetachiona pano neapo kune rumwe rutivi. IAmerican Thyroid Association "Tsvaga Unyanzvi" shanduro kana kuti endocrinologists yakanyorwa muTroroid Top Docs Directory iyo yakanaka.
Chechitatu, kana uri nepamuviri uye une utachiona hwehutachiona , kana une mwana akazvarwa kana mwana muduku ane chirwere chetachiona, ona anopocrinologist. Zvinonyanya kukosha kutarisira utachiona hwako panguva yekudzivirira, nokuti kurapa kwakashata kunogona kuisa mungozi pamuviri wako uye kunounza matambudziko kune mwana achangoberekwa. Uye kugadzirisa nyaya yehutachiwana muzvitsva uye vana vaduku zviri nani kutaridzirwa ne-endocrinologist uye kwete chimwe chinhu chinowanzofanira kusiyiwa kune vanachiremba.
Ndeupi rudzi rwechiremba anofanira kuita chirwere chetachiona?
Kana iwe uchida kuvhiyiwa kubvisa zvose kana chikamu chetachiona yako, sarudza chiremba chiremba uyo anyanzvi mukuvhiya kwetroyo.
Ramba uchifunga kuti vazhinji nzeve / mhino / huro uye vanowanzovhiya havazivikanwi kuti vanoongorora chirwere cherosi; uye iwe unoda chiremba anovhiya anoita zvirwere zvakawanda zveroroid gore negore. Kuti uwane mamwe mashoko, verenga Kuwana Top Top Chiremba Chiremba .)
Unofanirwa kuongorora rini chiremba kupfuura wegendocrinologist?
Kana uine "zvakaoma kuti uongorore" kusawirirana kwehutachiona, kuzvipira kwechirwere chetachiona seHashimoto's, subclinical / borderline chronic thyroid, "TORC" yakakwana asi zviratidzo zvehutachiona, kana iwe uri kurapwa ne hypothyroidism asi iwe haunzwi zvakanaka, vazhinji magumo endocrinologists pamwe haisi ivo vakakodzera zvakakwana kwamuri.
Sei?
Pane zvikonzero zvakawanda. Kutanga, tine urombo hwakanyanya uye huri kuwedzera munyika yose kushayikwa kwevashocrinologists , saka hazvirevi nyore kupinda mukati kuti uone munhu anogadzirisa magistrologist. Parizvino, kune inofungidzirwa 4,000 endocrinologists muUnited States iyo inoshumira yakawanda semamiriyoni zana eMamerica-ane chirwere cheshuga, zvinetso zvekubereka, polycystic ovary syndrome, osteoporosis, chirwere cheGraves, kenza yekemikari, chirwere chetachiona, etc. rinofanira kuonekwa nechekugumira kare. Ndiyo imwe nyanzvi yemagokoriki yevanhu vose vane zviuru makumi maviri nezvishanu vanoda imwe. Uye, makumi mapfumbamwe kana mashanu chete magumo endocrinologist ari kuuya kubva mukudzidziswa kwehuwandu hwegore negore.
Chechipiri, paine kushayikwa kwakadaro, vazhinji vepedocinologists havagoni kuita nguva yekupedza basa remucherechedzo, kana zvirongwa zvekuedza-uye-zvisina kukodzera, nevarwere vasina maitiro avo vanachiremba vanoti "upenyu hunotyisa" hutachiona. Izvozvo zvinoreva kuti varwere vane mamiriro akaita saHashimoto, kana kuti vari kubatwa nehana ye hypothyroidism asi vachiri kurwara, vanowanzotaridzirwa sevanonyanya kukoshesa nema endocrinologists. (Izvi hazvirevi kuti Hashimoto's and hypothyroidism hazvisi kukanganisa uye zvakakodzera kutarisirwa zvakanyanya.) Endocrinologists, zvisinei, hazvifungi kuti dzakanyanya, dzakakwirira, kana kuti hutachiona hwehutano hwehupenyu. chirwere cheshuga uye zvinetso zvetachiona zvakanyanya, dzimwe magumo ekupedzisira anotaura zvakananga kuti Hashimoto uye hypothyroidism hazviregi nyanzvi.)
Chechitatu, kuwanika kunewo kukurukurwa. Iwe unowanzofanirwa kumirira mwedzi kuti uwane musangano neyekugumira kare. Kunyange zvakadaro, kusarudzwa kwako kunogona kungopedza maminetsi mashoma. (Mune zvimwe zviitiko, unogona kuonekwa nemubatsiri wechiremba, uye usamboona dhigiriiyo wezvemagariro ega iwe pachako.) Kana iwe ukaenda kunoona chiremba zvakananga, vamwe vepedocinologist vanogona kuita sokunge uri "kuparadza nguva yavo" kana uri kuuya ivo nemiganhu yekeroti yee thyroid test, kana kuti "yekare" TSH kuedza asi kuenderera mberi zviratidzo . Vakawanda vanoita zvekugumira kare vanowanzoita zvakanyatsotevera nzira dzepamutemo dzokurapa dzemasangano avo ehutano, saka iwe unogona kuonekwa uye kuporerwa maererano nemitemo yekurapa, semuenzaniso, American Association of Clinical Endocrinologists (AACE).
Nzira dzeAACE dzinotaura kuti kuchengetedza utachiona muhutano kunoda izvo zvavanotaura kuti "matanho matatu ari nyore:" (1) kuedza kushandisa shanduro yeTSH, (2) kurondedzera levothyroxine kuitira kuti murwere ari mu " zvakarongeka " uye (3) inotevera zvichikwira neTSH kuedza mwedzi yese kusvika pamwedzi gumi nemaviri. Vakawanda ve endocrinologists havakwanisi kuwedzera kuvepa levothyroxine mishonga nemurairo T3 mishonga , pasinei nedzimwe dzidzo dzinoratidza kubatsira kune vamwe varwere . Uye vazhinji vezvemagokororiko havagadziri maitiro ezvisikwa akashandiswa nemishonga yehutano yakadai seHondo kana Hupenyu-hutachiona.
Ndeapi mapoka maviri eyanzvi yehutano?
Vachirwere chekemikari uye yevanhu vane utachiona vanotanga kuziva kuti muchiito, chirwere chetachiona chinogona kunyatsoda miviri miviri yakasiyana ye "nyanzvi:"
- Kuongororwa uye kurapwa kwemamiriro ehutachiona akaoma kunofanirwa kuitwa nema endocrinologists
- Kuongororwa uye kurapwa kwehupenzi hypothyroidism nekugadzirisa hypothyroidism kurapwa kungave kune varwere vazhinji vanogona kunyatsoitwa nemaongorori ehomoni.
Iyo "nyanzvi" yeHommone balance uye isingaperi hypothyroidism inowanzowanikwa mumhando dzakasiyana-siyana dzedzidzo uye dzinokosha, uye dzinosanganisira:
- vanobatana navanachiremba
- mushonga unoshanda vanachiremba
- MDs
- osteopathic vanachiremba
- naturopathic physicians
- vanopesana nokukwegura
- gynecologists
- kumisa kumwedzi uye bioidentical hormone nyanzvi
- vanachiremba uye vanachiremba vanonyanya kutarisira avo vakafarira chiroyi uye hormone muyero muvarwere vavo.
Unofanira kufunga rini kuchinja vanachiremba ?
Kune magumo ekupedzisira ekutenda mukupa Hashimoto's disease uye hypothyroid varwere zvakadzika uye zvakanyatsocherechedza uye kutarisirwa. Kana iwe uri pasi pekutarisirwa kwechirwere chemakorokota, ramba uchiita zvinoshanda.
Zvisinei, kana iwe uchiona nyanzvi yezvekupedzisira uye unonetseka pane zvaunofunga kuti zvinokanganisa muhutano hwekutsvaga uye hwekurapa, ungada kubatsirwa uchifunga rumwe rudzi rwechiremba. Verenga Maitiro Evanhu Vanokonzera Utachiona Vanokwanisa Kuwana Mhando Yakanaka yechiremba nokuda kwehutano hwavo hwehutano kuti uwane mamwe mashoko.
Shoko kubva
Chisarudzo chekuwana chiremba chitsva chekuchengetedzwa kwetachiona chako chinonyanya kuoma pane vazhinji vedu tingafunga. Ukama nachiremba ndewomunhu oga, uye hazvisi nyore kuwana mamiriro akakodzera, kunyanya patinenge tisingakwanisi kutarisana ne geography, HMOs uye inshuwarisi. Yeuka kuti mune ukama hwechiremba-murwere , imi muri mutengi, uye chiremba ari kupa basa. Uye kana shumiro iyo isingasangane nezvido zvako, chinhu chakanakisisa chaunogona kuitira utano hwako hwehutano ndechokuwana chiremba akakodzera uyo achazadzisa zvaunoda. Asi iwe unoziva sei kuti inguva yekupedzisira yechiremba mutsva wehutano? Heino zviratidzo gumi zvaunoda mutsva weTroroid .
> Kwakabva:
> Lash, Robert, MD. "Endocrinology: Kukura Kudiwa, Asi Kuderera Kwevashandi." Endocrine Society Maonero. June 2017.