Chirwere Chetachiona Chirwere

Utachiona Kuongorora uye Kuongororwa

Kuongorora chirwere chetachiona inzira inosanganisira mhando dzakasiyana-siyana dzeongororo, kusanganisira kliniki yekuongorora, kuongorora ropa, kuongorora mifananidzo, biopsies, nezvimwe zviedzo. Ngatitarisei pane zvakasiyana-siyana zvehutachiona hutachiona hutano.

Clinical Assessment of the Thyroid

Chinhu chakakosha uye chekutanga chekucherechedza uye kuongororwa chirwere chetachiona ndiyo kliniki yekuongorora.

Chipatori chekuongorora che thyroid yako inofanira kuitwa nemunhu akadzidziswa. Kunyange zvazvo vamwe vashandi vanogona kukwanisa kunyatsoongorora zviongorori zvehutano hwako, endocrinologists inowanzonyatsodzidziswa mune zvimwe zvikamu zvekuongorora uku.

Sechikamu chekuongorora kwekliniki, mushandi wako anowanzoita zvinotevera:

• Thyroid Inokurudzira Hormone: Pamusoro peTSH Test uye Inokakavadzana

• Kunzwisisa Utachiona hweHyroid Maitiro uye Nzira Dzakasiyana

• Inzwa (inozivikanwawo se "palpating") mutsipa wako, uchitsvaga kuwedzera, mazhenje, kana kusakanganiswa mumamiriro ehutachiona hwako.
• Teerera utachiona hwako uchishandisa stethoscope kuona kuti kuwedzerwa ropa kunowedzera.
• Edza mafungiro ako. A hyper-response angave ari chiratidzo chetachiona yakanyanyisa kushandiswa, uye mhinduro yeflex reflex inowanzobatanidzwa ne hypothyroidism.
• Chengetedza mwoyo wako, rhythm, uye ropa . Nhamba yepamwoyo yepamusoro uye / kana kuwedzerwa kweropa kunogona kusanganiswa nehutachiona husingagadziriswi, uye kukwira kwepfungwa yemwoyo uye / kana kuwedzera kweropa zvinowanzobatanidzwa ne hyperthyroidism.
• Ita uremu hwako, uye kurukura nezvekuchinja. Kusafungidzika kuwandisa kuwanda kunowanzobatanidzwa ne hypothyroidism, asi kushaya kurasika kunobatanidza ne hyperthyroidism.

• Enzanisa kusimba kwemuviri. Kushisa kwepamuviri kwepasi kunobatanidza nehutachiona husingaiti, uye kupisa kwepamusoro kunosanganiswa ne hyperthyroidism.
• Ongorora chiso chako nokuda kwezviratidzo zvine chokuita nehutachiona, kusanganisira kurasikirwa kwemaziso ekunze, kuzvikudza mumeso, uye zvisingawanzoitiki.
• Ongorora maziso ako, uchitsvaga zviratidzo zvehutachiona zvekare, kusanganisira kuvhara kwemaziso, kutarisa kwakakurumbira, uye meso akaoma.
• Chengetedza huwandu hwehuwandu hwehutsiro hwako. Kuchinja muhutanda hwebvudzi, pamwe nekurasikirwa kwevhudzi uye kuparara, kunosanganiswa nezvose hyperthyroidism uye hypothyroidism.
• Ongorora ganda rako. Dry, rough skin rinobatanidza ne hypothyroidism, uye chisingawanzoregi ganda rinosanganiswa ne hyperthyroidism.
• Ongorora zvipikiri zvako nemaoko. Dry, brittle misumari inobatanidzwa nehutachiona husingaiti.
• Ongorora zvimwe zvipatara zviratidzo nezviratidzo.

(Dzidza zvakawanda pamusoro pezvinoreva kliniki yekuongorora chirwere chetachiona uye chaunogona kutarisira.)

Utachiona Ropa Ropa

Apo muongorori wako achifungidzira kuti une utachiona hwehutachiona, danho rinokosha nderopa rekuedza kuti ubatsire kusvika kuhutano hwehutano .

Cherechedza: Iwe usati watarisa ropa, iwe unoda kunzwisisa zvaunosarudza, maererano nezvenguva yekuedzwa, uye kuti kutsanya uye / kana kutora mishonga kana kusati kwaedza. Pamusoro pezvakanyorwa, verenga The Optimal Time and Conditions for Thyroid Blood Tests .

Maitiro ekujairika eropa ejecha anosanganisira zvinotevera:

• Thyroid Inokurudzira Hormone (TSH) Test
• Zvose T4 / Total Thyroxine
• Free T4 / Free Thyroxine
• Zvose T3 / Total Triiodothyronine
• Free T3 / Free Triiodothyronine
• Kudzorera T3
• Thyroglobulin / Thyroid Binding Globulin / TBG
• Thyroid Peroxidase Antibodies (TPOAb) / Antithyroid Peroxidase Antibodies
• Thyroglobulin Antibodies / Antithyroglobulin Antibodies
• Thyroid Receptor Antibodies (TRAb)
• Utachiona-Kukurudzira Immunoglobulins (TSI)

Kutaridzira Matambudziko Ako eTroroid

Kunzwisisa mitezo yakasiyana-siyana, zvinorevei, uye kushandura zvinowanikwa zvakakosha kune mumwe munhu ane ruzivo, ane simba rehutachiona. Kuti uwane mamwe mashoko uye kunzwisisa, verenga:

• Kuongorora zvirwere zvehutano nemayero eropa
• Ndezvipi Zvawakaita Zviratidzo Zvoutachiona Rwechiro Zvinoreva?

• Nzira Yokutsanangurira Nhamba Dzenyu dzeTyroid
• Utachiona Yebasa Maitiro Emuedzo uye Lab Maitiro

Tsh Test TSH

Chiyero cheTSH chinofungidzirwa nevashandi vanowanzogadzirwa se "gold standard" thyroid test. Pane, zvisinei, kusagamuchirwa pakati pevamwe vezvechiremba vezvechiremba pamusoro pezvakanyorwa zvinongororwa nekuda kwemuedzo. Uku kusabvumirana kunogona kuchinja kana kana kuti kwete chiremba anokuongorora nehutachiona hwehutachiona, kana kuti asiye utachiona hutachiona. Kuti udzidze zvakawanda nezvekuedza kweTSH, iwe unoda kuverenga:

• Utachiona Kuedzwa: Chii Chirongwa cheTSH Chinodiwa?
• Iyo TSH Yakazara Range: Sei Kune Chiri Kurwisana?
• Iko TSH Yako "Yakasikwa" Asi Unofunga Kuti Uri Hypothyroid?

Chiroji Kufananidza Kuedzwa

Kana utachiona hwako hwawedzerwa, kana hunove hunoitwa atrophied, uye kana mazamu akaonekwa kana kuti akafungidzirwa, zviratidzo zvakasiyana-siyana zvekufungidzira zvingaitwa kuti zvibatsire pakuongororwa kwemamiriro ako ehutachiona . Aya maedzo anosanganisira:

• Nyukemu Scan / Mishonga Inodhaka Iodine Uptake. Uyu muedzo, unozivikanwawo se RAI-U, unogona kutaurira kana une maGerva 'chirwere, cheseic multinodular goiter, kana thyroiditis. (Cherechedza: haisi kuitwa panguva yekuzvitakura.)

• Nei Chirwere Changu cheHitori Hwangu Chichiderera?

• Nzira Yokuita Nayo Girasi Yekotori Tarisai: Nhungamiro Nhanho-Nhanho

• CT Scan . A CT scan inogona kubatsira kuona uye kuongorora goiter, kana kuti majekesi makuru ehutachiona .
• MRI / Magnetic Resonance Imaging. MRI inogona kubatsira kuongorora ukuru uye chimiro chetachiona yako
• Thyroid Ultrasound . Utachiona ultrasound inogona kuongorora mutsindo, maziso, uye kuwedzera kweglande rako. Ultrasound inogonawo kutaura kana chirwere chako chetroroid chiri krisiti yakazadzwa nemvura, kana uwandu hwezvigunwe zvakasimba.

Tsvaga zvakawanda pamusoro pezviitiko zvekufungidzira zvechirwere chetachiona.

Utachiona Bhupi / Zvakanaka Sendipi Yemafuta Aspiration (FNA) Biopsy

Nete ​​rejopi, iyo inozivikanwawo seyakanaka inoshuva inoda (FNA) biopsy, inoshandiswa kubatsira kubatsira kuongororwa kwemakumbo ematokisi uye mazinga. Mune nenyuchi bhiopsy, neta inopinza inowanikwa zvakananga mumudule, mamwe masero anodzingwa uye anoongororwa nekenza. (Vamwe vashandi vanoshandisa ultrasound pavanenge vachiita biopsy kuti vaone kuti nenyuchi inopinda munzvimbo yakakodzera.) Kunyange zvazvo 95 muzana yemavhuturo ehutachiona haaisi kenza, FNA, pamwe chete nedzimwe mimwe miedzo yakadai seVeracyte Afirma test, inogona kuita migumisiro yehupopi yako yakajeka kwazvo, uye kazhinji inogona kukuchengetedza unyanzvi husingadikanwi hwezviputi zvinenge zvichinyanya kuchena.

Tsvaga zvakawanda pamusoro pezvaunotarisira kubva kune chakanakidza tsono yekutsvaga (FNA) biopsy yerosiyo munyaya ino ye Q & A.

Mimwe Miedzo yekuongorora uye Nzira

Vashandi dzimwe nguva vanoshandisa dzimwe mimwe miedzo uye nzira dzekutarisa utachiona husingaiti . Kushandiswa kweikuedzwa kunoonekwa sekukakavadzana kune vashandi vakawanda, asi dzimwe dzedzidzo idzi dzinogamuchirwa uye dzinoshandiswa pakati pezvimwe zvekare, zvinoshandiswa, uye zvizere zvechiremba. Aya maedzo anosanganisira:

• Iodine Patch Miedzo
• Saliva Testing
• Urinary Testing
• Basal Body Temperature Testing

Iwe unoda kuverenga zvakanyanya pamusoro pezvizvi zvisingaoneki zvirwere zvechirwere chetachiona usati watendesa pane zvawanikwa.

The Thyroid Neck Check Self-Test

Kunyange zvazvo zvisingafungidzirwe kuongororwa, unogona kuzviita cheko chetsipa rako, kutarisa matanda uye kuwedzera. Kuti uwane mirayiridzo, tapota verenga Sei Kuita Mucheche Yako Chengetedza Kurwara Kwetachiona.

Kuraira Yako pachako Utachiona Ropa Ropa

Iwe unogona kunge usingazivi, asi mune dzimwe nyika muU.S., uye dzimwe nzvimbo kunze kweU.S., unogona kuraira maitiro ako ehutachiona. Vamwe varwere vanoshandisa nzira iyi kuti vaongorore vasati vaona chiremba. Mune zvimwe zviitiko, zvingave zvisingakwanisi kutora kuti zviitike-nechisimba-kuburikidza nechiremba wako. Kana kuti, HMO yako kana inshuwarisi inogona kugadzirisa miedzo iyo chiremba wako anogona kukumbira.

Dzidza zvakawanda pamusoro pekuti ungaronga sei chirwere chako chetachiona cheropa ikozvino.

Kuongorora Matambudziko Ehutano

Kubva pamigumisiro yekliniki yekuongororwa, kuongorora kweropa kunogona kuona hutachiona hwehutano hunokosha, kusanganisira hypothyroidism (hauna kukwana hormone yekemikari) uye hyperthyroidism (yakawanda yekemikari hormone).

An TSH yakakwirira-pamwe nechezasi T4 / free T4, uye pasi T3 / free T3 levels-inosanganiswa ne hypothyroidism. Low TSH-pamwe nepamusoro yeT4 / isina T4, uye yepamusoro T3 / mahwindo eT3 asina-inosanganiswa ne hyperthyroidism.

Zvakawedzerwa zvinowanikwa muongorori hwemapurisa zvinogona kubatsira kuongorora zvirwere zvehutachiona zvisingagoneki izvo zvinogona kukonzera hyperthyroidism, hypothyroidism, nodules, kana goiter. Mune chirwere chaHashimoto, kukwirira kweTPO masimba anowanzoonekwa, uye muGraves 'chirwere, kukwirira muTSI masimba. Uye zvakanyanya kukakavhiringidza T3 kuongororwa kunoona kudengenyeka kwemaitiro asina kushandiswa eT3 hormone, uye inoshandiswa nevamwe vanobatanidza vanachiremba kuti vabatsire kuziva kusagadzikana kwetachiona.

Pamusoro pezviputi uye goiter, miedzo yekufungidzira inogona kubatsira kuziva kana mishonga inokonzera kushungurudza, panguva iyo FNA biopsy inoitwa kuti iongorore mutsvuku nemafungiro anonyunyuta kuti aongorore kana kutonga kunze kwekenza yekameti.

Tsvaga nezvehutano chaihwo hwehutano huongororwo uye kuti hunoshandiswa sei kuongorora hutachiona hwemamiriro ezvinhu.

> Kwakabva:

Braverman MD, Lewis E, Utiger RD. Werner uye Ingbar's The Thyroid: Chimwe Chinokosha uye Chirongwa Chekunyora. 9th ed. , Philadelphia: Lippincott Williams & Wilkins (LWW), 2005.