Kuongorora chirwere chetachiona inzira inofanira kusanganisira matanho anokosha, kusanganisira chirongwa chekliniki yekuongorora, kuongororwa kweropa dzakasiyana-siyana, kuongororwa kwekufungidzira, biopsies uye pathological assess, kuongorora maitiro, uye zvimwe zviedzo zvakakosha uye kuongororwa kwehutachiona hwebasa rako. Pano, chirwere chetachiona-chetachiona chechirwere chekuongorora chirwere chetachiona chinotsvakurudzwa zvakazara kuitira kuti uzive zvaunofanirwa kutarisira kubva kuongorori yehutori pamwe nemushandi wako wehutano.
Chimwe chinonyanya kukosha chokucherechedza uye kuongororwa chirwere chetachiona chiri mu-munhu chiremba chiongorori chakaitwa neanodzidziswa nezvehutano hwehutano. Sezvo chikamu chetachiona chetachiona chekuongorora, chiremba wako anowanzoita magwaro anotevera uye kuongororwa.
Inzwa (inozivikanwawo se "palpating") mutsipa wako.
Mushandi wako anofanira kunzwa mutsipa wako, achitarisa chero upi noupi hwehutachiona (goiter), mashizha, mazuru uye masasa munzvimbo yakapoteredza utachiona hwako. Iyi nzira inonzi "palpating" chirwere chetachiona. Vamwe vadzidzisi vakadzidza vari kutarisa chimwe chinhu chinozivikanwa se "kufara" pane palpation. Mufaro ndiwo apo muongorori anogona kunzwa manzwiro ekuwedzerwa kweropa kudarika muhutori hwako.
Teerera utachiona hwako uchishandisa stethoscope.
Mushandi wako anofanira kuteerera kutonhora yako, kuti aone izvo zvinozivikanwa se "rwiyo." Nhema inoreva kuti kana iye ari kuterera ne stethoscope, muongorori anogona kunzwa kunzwa kwekuwedzerwa kweropa mukati mehutachiona.
Edza mafungiro ako.
Kugadzikana kunobatwa nehutachiona basa. Mutapi wako wehutano anofanirwa kuedza mafungiro ako nediki duku, kuisa mabvi ako uye Achilles. Mafungiro e-hyper-responsive anogona kuva chiratidzo che hyperthyroidism , uye zvishoma nezvishoma mafungiro angareva kune hypothyroidism.
Chengetedza mwoyo wako, rhythm uye ropa.
Mushandi wako anofanira kucherechedza mwoyo wako, rhythm, uye kuita ropa chekuongorora.
Inononoka mwoyo (rate bradycardia) inogona kutaurira hypothyroidism, uye kutengesa kwepamwoyo (tachycardia) kunogona kureva hyperthyroidism. Vamwe varwere vane hypothyroidism vane mapapiro emwoyo kana mitral valve prolapse. Uye vanhu vane hyperthyroidism vanowanzove vane rhythm zvisingaiti sezvinonzi atrial fibrillation . Low blood blood can be linked to hyperthyroidism, while high blood pressure is common in hyperthyroidism.
Edza uremu hwako.
Iwe unofanirwa kusvika pachiyero kuti uwane kuwanda kwemazuva ano. Kukurumidza kuwedzera pfuma pasina kuchinja kune kudya kana kurovedza muviri, pamwe nekushaya kukwanisa kuora muviri pasinei nekudya uye kurovedza muviri, zviratidzo zvinogoneka zve hypothyroidism. Kurasikirwa kwehuwandu pasina kuchinja kune kudya kana kurovedza muviri, kana kunyange kana uchidya zvakawanda, zvinogona kureva hyperthyroidism.
Ita muviri wako wekushisa.
Mutapi wako wehutano anofanirwa kutora kutora muviri wako. Kushisa kwemuviri kwemuviri kunofungidzirwa nevamwe vashandi sechiitiko chinogona kuva nehutachiona husingaiti.
Ongorora chiso chako.
Kunyatsoongorora kwechiso chenyu chikamu chinokosha chekuongorora. Mushandi wako ari kutsvaga kurasikirwa kwebvudzi mumucheto wekunze wemashizha, chiratidzo chinowanzoitwa che hypothyroidism, pamwe nekuzvikudza kana kupfugama kwemaziso kana chiso, imwewo inowanikwa hypothyroidism chiratidzo .
Ongorora meso ako.
Maziso anowanzobatwa nevarwere vehutachiona, uye zviratidzo zvinowanzoonekwa mumakiriniki zvinosanganisira: kukura kana kuputika kwemaziso; kutarisa mumaziso; kudzorera kwemaosi makuru kumusoro; kutarisa kumeso; zvisinganzwisisi kumira. Iwe unogonawo kuva nechimwe chinhu chinonzi "lid," kana maziso ako epamusoro asinganyatsotevedzeri kufamba kwemaziso paunotarisa pasi.
Chengetedza huwandu hwehuwandu hwehutsiro hwako.
Kurasikirwa kwebvudzi kunowanikwa mune zvose zvakanyanyisa uye nehutachiona husingaiti. Tsvete, brittle kana mashizha akafanana nevhu rinogona kureva hypothyroidism. Kunyorera, bvudzi rakanaka rinogona kureva hyperthyroidism.
Ongorora ganda rako.
Chirwere chetachiona , kunyanya hyperthyroidism, inogona kuratidza muzviratidzo zvakasiyana-siyana zveganda zvinogona kuongororwa kuchipatara. Izvi zvinosanganisira kuchena kwegorosi, jaundiced paganda; ganda rinonyatsonaka, ganda rinotarisa; mikoko; zvipembenene kana zvikanda zveganda rakaoma pamakumbo (anozivikanwa sekuti pretibial myxedema kana Graves 'dermopathy); kana blister-kufanana nemakumbo pahuma uye chiso (inozivikanwa semiraira).
Ongorora zvipikiri zvako nemaoko .
Mushandi wako anofanira kutarisa zviratidzo zvemakiriniki zvine chokuita nehupirinirodhi mumakumbo ako nemaoko, kusanganisira:
- Onycholysis, kuparadzaniswa kwembambo kubva pamusara wepachipiki, iyo inonziwo mbambo dzePlummer
- Kupfigira zvigunwe, zvinonziwo acropachy
Ongorora zvimwe zviratidzo zvemakiriniki.
Mushandi wako anofanira kuongorora zvimwe zviratidzo zvemakirini e hyperthyroidism, kusanganisira:
- Kutuka
- Shaky maoko
- Mafungiro e Hyperkinetic - tafura yokudha, kuisa maziso, kufamba kwakasimba
- Kutsika kwepfupa, kuonekwa neDVDA scan kana x-ray
Mushandi wako anofanira kuongorora zvimwe zviratidzo zvechirwere zve hypothyroidism, kusanganisira:
- Chimiro chisina kunaka
- Kufamba kwakaderera
- Kutaura zvishoma
- Hoarseness of voice
- Edema (kubvumira) kwemaoko uye / kana tsoka
Kunobva:
Braverman, MD, Lewis E., naRobert D. Utiger, MD. Werner uye Ingbar's The Thyroid: Chimwe Chinokosha uye Chirongwa Chekunyora. 9th ed. , Philadelphia: Lippincott Williams & Wilkins (LWW), 2012.