Mayeso 6 omwe amayesa chithokomiro

Zamkati

• 1. Mlingo wa mahomoni a chithokomiro
• 2. Mlingo wa ma antibodies
• 3. Ultrasound cha chithokomiro
• 4. Zolemba za chithokomiro
• 5. Chithokomiro
• 6. Kudziyesa wekha chithokomiro
• Mukafunika kukhala ndi mayeso a chithokomiro

Kuti adziwe matenda omwe amakhudza chithokomiro, adokotala amatha kuyitanitsa mayeso angapo kuti awone kukula kwa zopangitsa, kupezeka kwa zotupa ndi ntchito ya chithokomiro. Chifukwa chake, adotolo amalimbikitsa kuchuluka kwa mahomoni omwe amalumikizidwa mwachindunji ndi momwe chithokomiro chimagwirira ntchito, monga TSH, T4 yaulere ndi T3, komanso kuyesa kuyerekezera kuti mupeze ma vinolo, monga chithokomiro cha ultrasound, mwachitsanzo .

Komabe, mayesero ena amafunikanso kupemphedwa, monga scintigraphy, biopsy kapena antibody test, omwe angalimbikitsidwe ndi endocrinologist mukafufuza matenda ena, monga thyroiditis kapena zotupa za chithokomiro, mwachitsanzo. Onani zizindikiro zomwe zingasonyeze mavuto a chithokomiro.

Kuyezetsa magazi

Mayeso omwe amafunsidwa kwambiri kuti athe kuyesa chithokomiro ndi awa:

1. Mlingo wa mahomoni a chithokomiro

Kuyeza kwa mahomoni a chithokomiro kudzera pakuyesa magazi kumamupatsa dokotala kuti awone momwe gland imagwirira ntchito, kuthekera kuti awone ngati munthuyo ali ndi zosintha zokhudzana ndi hypo kapena hyperthyroidism, mwachitsanzo.

Ngakhale malingaliro omwe atchulidwayo amasiyana malinga ndi msinkhu wa munthu, kupezeka kwa pakati ndi labotale, zomwe zimakhalapo nthawi zambiri zimaphatikizapo:

Pambuyo pozindikira kusintha kwa ntchito ya chithokomiro, adotolo awunika kufunikira koyitanitsa mayeso ena omwe angathandize kudziwa zomwe zasintha, monga mulingo wa ultrasound kapena antibody, mwachitsanzo.

Mvetsetsani zotsatira zotheka za mayeso a TSH

2. Mlingo wa ma antibodies

Kuyezetsa magazi kumathandizanso kuyeza ma antibodies motsutsana ndi chithokomiro, chomwe chimatha kupangidwa ndi thupi m'matenda ena amthupi, monga Hashimoto's thyroiditis kapena matenda a Graves. Mfundo zazikuluzikulu ndi izi:

• Anti-peroxidase antibody (anti-TPO): amapezeka m'matenda ambiri a Hashimoto's thyroiditis, matenda omwe amawononga maselo ndikuwonongeka pang'ono kwa chithokomiro;
• Anti-thyroglobulin antibody (odana ndi Tg): amapezeka nthawi zambiri a Hashimoto's thyroiditis, komabe, imapezekanso mwa anthu osasintha chithokomiro, chifukwa chake, kudziwika kwake sikuwonetsa kuti matendawa ayamba;
• Anti-TSH receptor anti (anti-TRAB): atha kupezeka ngati ali ndi hyperthyroidism, makamaka chifukwa cha matenda a Manda. Dziwani kuti ndi chiyani komanso momwe mungachiritse matenda a Manda.

Ma autoantibodies a chithokomiro ayenera kupemphedwa ndi madokotala ngati mahomoni a chithokomiro asinthidwa, kapena ngati matenda a chithokomiro akuwakayikira, ngati njira yodziwira zomwe zayambitsa.

3. Ultrasound cha chithokomiro

Ultrasound cha chithokomiro chimachitika kuti mufufuze kukula kwa gland komanso kupezeka kwa kusintha monga zotupa, zotupa, zotupa kapena zopindika. Ngakhale kuti mayesowa sangadziwe ngati chotupa chili ndi khansa, ndikofunikira kuzindikira mawonekedwe ake ndikuwongolera kuphulika kwa ma nodule kapena ma cyst kuti athandizire.

Chithokomiro ultrasound

4. Zolemba za chithokomiro

Chithokomiro scintigraphy ndikuwunika komwe kumagwiritsa ntchito ayodini yocheperako pang'ono ndi kamera yapadera kuti mupeze chithunzi cha chithokomiro, ndikuzindikira kuchuluka kwa ntchito ya nodule.

Amawonetsedwa makamaka kuti afufuze ma nodule omwe akukayikira kuti ali ndi khansa kapena paliponse pomwe hyperthyroidism ikuganiziridwa kuti imayambitsidwa ndi chotupa chobisa mahomoni, chomwe chimadziwikanso kuti nodule yotentha kapena yosagwira ntchito. Pezani momwe scintigraphy ya chithokomiro imachitikira komanso momwe mungakonzekerere mayeso.

5. Chithokomiro

Kutsekemera kapena kupopera kumachitika kuti mudziwe ngati chithokomiro chotupa kapena chotupa ndichabwino kapena choipa. Pakuyesa, adotolo amaika singano yabwino kumutu ndipo amachotsa pang'ono minofu kapena madzi omwe amapanga mutuwu, kuti zitsanzozi ziwunikidwe mu labotale.

Chithokomiro chimatha kupweteketsa kapena kusokoneza chifukwa kuyesaku sikuchitidwa pogwiritsa ntchito mankhwala ochititsa dzanzi ndipo adotolo amatha kusuntha singano poyeserera kuti athe kutenga zitsanzo kuchokera kumadera osiyanasiyana a nodule kapena kufunafuna madzi ambiri. Mayesowa ndi achangu ndipo amatenga pafupifupi mphindi 10 kenako munthuyo amakhala ndi bandeji m'malo mwake kwa maola ochepa.

6. Kudziyesa wekha chithokomiro

Kudziyesa kwa chithokomiro kumatha kuchitika kuti muzindikire kupezeka kwa zotupa kapena zopindika m'mimba, ndikofunikira kuthandiza kuzindikira zosintha zilizonse koyambirira ndikupewa zovuta zamatenda ndipo ziyenera kuchitidwa, makamaka, ndi azimayi opitilira 35 kapena omwe ali ndi mbiri yabanja yamatenda a chithokomiro.

Kuti mukwaniritse izi, zotsatirazi muyenera kutsatira:

• Gwirani galasi ndikutulukira komwe kuli chithokomiro, chomwe chili pansipa pamtengo wa Adam, wotchedwa "gogó";
• Pendeketsani khosi lanu pang'ono kuti muwulule dera lanu bwino;
• Imwani madzi pang'ono;
• Onetsetsani kayendedwe ka chithokomiro ndikuzindikira ngati pali kutuluka kulikonse, asymmetry.

Ngati vuto lililonse la chithokomiro ladziwika, ndikofunikira kufunafuna chisamaliro cha endocrinologist kapena dokotala wamkulu kuti akafufuze ndi mayeso omwe angatsimikizire kapena sangatsimikizire kusintha kwa chithokomiro.

Mukafunika kukhala ndi mayeso a chithokomiro

Mayeso a chithokomiro amawonetsedwa kwa anthu azaka zopitilira 35 kapena kupitilira apo ngati pali zizindikiro kapena mbiri yakusintha kwa chithokomiro, azimayi omwe ali ndi pakati kapena akufuna kukhala ndi pakati komanso anthu omwe awona kusintha pakudziyesa kapena kukayezetsa chithokomiro.

Kuphatikiza apo, kuyezetsa kumawonetsedwanso pambuyo pochizira ma radiation khansa ya khosi kapena yamutu komanso pochiza mankhwala monga lithiamu, amiodarone kapena cytokines, mwachitsanzo, zomwe zingasokoneze chithokomiro.