Indlela ukukhangela le ndlala lengqula? Yeyiphi ugqirha uhlola le ndlala lengqula?

I yonyango ndlala inkulu emzimbeni womntu le ndlala lengqula. Le ibekwe ngaphambili entanyeni kwaye imbonakalo ufana ibhabhathane. It iqulathe thyroid nobubovu of isithinzi ezimbini zirhuqwe ukudibanisa kuwo.

umsebenzi lengqula

Qonda ukuba kukho imiba ekufuneka benze endocrinologist yedwa akakwazi ukwenza yonke into. Esweni imeko umzimba kuyimfuneko. Ngapha koko, le ndlala lengqula kwakhona ukusebenza hormone ezifana triiodothyronine kunye thyroxine. Kananjalo ngokuba T3 kunye T4, ngokulandelelana kwazo.

Velisa hormone inxaxheba kummiselo lonikezelo amandla kuzo zonke izihlunu zomzimba, nto leyo kudliwe isondlo sobomi. Uya ukubonelela ukuphefumla, izihlunu intliziyo, igazi, thermoregulation.

Kodwa loo nto zonke umsebenzi lengqula. Kwakhona uvelisa calcitonin, a hormone. UMthetho nethe kwi zomziba ezifana phosphorus kunye calcium. Unoxanduva ekukhuleni esiqwini bone kwaye kuchaphazela calcium ukutya, kunabela ngaphakathi kwiseli.

Iimpawu iingxaki

Ukuba ngaba ungathanda ukuya koogqirha kwaye kunqabile ukuba uye kudliwano-endocrinologist ukuze uhlole, ngoko ke kufuneka ukwazi oko ngezizathu kufuneka urhanela ingxaki. Qala yokujonga lento phandle ukuba batshekishe indlela nobubovu lengqula, kuhlolwa kufuneka Kwathi ngelo xesha, kwezi meko zilandelayo.

Ukuba uphawula ukuba baye baba kakhulu axakane, bakhale, ukubila ngokugqithiseleyo, uye waphawula lingcangcazela ezandleni zakhe, iyangongoza paroxysmal, zokulala, lo gama kungakuhle ukuba utyelele i endocrinologist. Ezi iimpawu hyperthyroidism - ukunxila izixa ngokugqithiseleyo hormone.

A hypothyroidism ayikwazi bangaboniswa. Kodwa ke kaninzi nge function lengqula laneleyo kuqatshelwe yehle yokusebenza, ukudinwa, eziva ibonakala ebandayo, isikhumba uba ezomileyo kunye luthuthu. Kwakhona, abantu baya unokuphawula ukuhla ukutya, bubunzima kodwa kwangaxesha nye iqala ukwandisa.

siphande

Ukuba ubona kakuhle umzimba wakho, kufuneka ucinge ukuba kutyelela ngayo ugqirha. Kuba Okokuqala, ungaya eyingcali, uya kukuxelela into ethethwe ngugqirha liyalihlola nobubovu lengqula, kwaye, ukuba kuyimfuneko, umnike ulwalathiso. iingxaki okhankanywe i endocrinologist.

Yingcali kusenokufuneka aqhube uphando ezele le ndlala lengqula. Kuthathela uhlolo eziqhelekileyo Ngokucofa entanyeni ndlala utshilo. Hi ndlela leyi, le sifundo angayisebenzisa ekhaya. Kubalulekile kuphela ukuqonda ukuba batshekishe indlela kwidlala lengqula yedwa. Oko obungqingqwa phezu entanyeni, ukuba ibekwe kufuphi ndlala intlala ye kwingqula. Ukuvakalelwa yinto ekhoyo kunokwenzeka, ukuba ubeka iminwe yakho kwindawo ekhankanyiweyo kumacala omabini emqaleni alibeke uhlikihla. Soft nelaphu elastic - le ingaba lengqula. Ngokuqhelekileyo oku kumele kube ubungakanani isikhonkwane yokuhlasela ze ubhontsi.

Emva kokuba sifundo, nakuba kwakungekho makhwiniba, ugqirha ingenza isindululo ngenyameko ngakumbi khangela le ndlala lengqula. Ziziphi mvavanyo iyafuneka kweli candelo, uya kukuxelela ngokuqinisekileyo. Ngoko ke, kufuneka unikele ngegazi ukuze hormone T3 kunye T4. Kwakhona uphando sokuxilonga kukuqinisekisa isixa lengqula-ekuvuseleleni hormone posa - TTG. Akuyi ezinxulumene lengqula, kodwa kusenokuba kubonisa yeengxaki ezithile kunye kwidlala lengqula.

iimvavanyo zegazi

Iimvavanyo ukuvumela ukuba siqonde ukuba kukho ingxaki kwinkqubo yonyango lomzimba. Ukuze oku ngokwaneleyo ukuze ukwazi i endocrinologist, indlela ukuvavanya umsebenzi lengqula. Yena, ke, kufuneka akunike ulwalathiso ukunikezelwa TSH, T3 kunye T4. Kodwa, isimiso, ukuqinisekisa inqanaba incindi yedlala lengqula-ushukumisa kakhulu ulwazi. Oveliswa ukuphendula kwimali T3 kunye T4. Ngoko ke, ukuba TSH eziqhelekileyo, loo nto ibonisa ukuba umgangatho nezinye iihomoni akufuneki zonakaliswa.

Kodwa kwiimeko ezininzi, oogqirha bacebisa ukuba athathe onke hormone isakhiwo. Enyanisweni, kwimeko ezingaqhelekanga TSH akunyanzelekanga ukuba-ukufumana kwakhona ukuba batshekishe indlela nobubovu lengqula, uye ukunikela ngegazi kwakhona.

nokutolikwa iziphumo

Xa zonke i hormone kuwa phakathi kwemida eziqhelekileyo, ngoko asikho isizathu sokuba ukhathazeke. Kodwa ngokuphambuka kancinane ukusuka umda omnye ubuncinane kweziphumo kufuneka uqaphele. Kulo mzekelo, uze kuphela bana phandle ukukhangela indlela nobubovu yakho lengqula, kodwa kwakhona ndwendwela i endocrinologist. oyingcaphephe kuphela ungenza sifo, nokuhlola iziphumo lezifundo elebhu.

Umzekelo, ukuba T3 okanye amanqanaba T4 iphantsi kakhulu, ngoko ukunyuka TSH. Ingqondo yebhinqa kukuba ngendlela ezama ukukhuthaza esinobubovu lengqula, ebangela ukuba ukwandisa imveliso ezi hormone. Kodwa ke amazinga overvalued of hormone, phezu koko, kukhokelela yokuncipha kwenani amaxabiso TSH. Ngokwemigaqo T3 kunye nogqirha T4 sele ukuxelela ukuba yintoni na umthetho kuni; hyperthyroidism okanye hypothyroidism. Ukongeza, kunikwa amaxabiso kulinganiswa ifunyenwe kwi ubukhali ukuphazamiseka ze ingaba lengqula. Ezi zikhombisi nazo zinika ithuba lokuvavanya impembelelo zonyango emiselweyo umntu ngamnye. Umzekelo, ukuba ilawulwa ukuvala hyperthyroidism, ngoko ngexesha ngenyanga yokuqala TSH abe sezantsi, kodwa imilinganiselo T3 kunye T4 nciphisa bawe phakathi eqhelekileyo.

izifo ezithile

Njengoko sele kukhankanyiwe ngentla apha, kukho imithetho abathile ubuhlobo hormone emzimbeni. Ukuba sele ndicinge phandle apho khangela indlala yakho, sadlula zonke iimvavanyo eziyimfuneko ukufumana iziphumo, unga zama ulityhilayo.

Malunga ukuncipha umsebenzi esinobubovu lengqula kukuthi yindibaniselwano zamanqanaba asezantsi okanye eqhelekileyo T3 kunye hormone T4 kunye nokwanda TSH. Le ndlela ezaqala ngayo hypothyroidism zaseprayimari.

Kwakhona, ukuvuthuluka kule ndlala uthe kuncitshiswa kwinqanaba T3 okanye T4 ngokusebenzisana ne ekuncipheni TSH. Oku kwenzeka xa hypothyroidism yesibini.

Kodwa ukuba inani T3 kunye T4 ziphakamile kunesiqhelo, lo gama ixabiso TSH lifinyele, ngoko sithetha hyperthyroidism nokwandisa umsebenzi lengqula.

Ukulungiselela ukunikezelwa wohlalutyo

Ukuba endocrinologist Ndaninika ekuthunyelwa ukulungiselela uviwo, naye kwakufuneka ukuxelela nje kuphela apho ukukhangela nobubovu lengqula, kodwa ngendlela ukulungiselela uviwo. Kuyimfuneko ukuba yokuphumeza igazi lwemithambo. is he taken kusasa ungatyanga. Ngelo xesha emva kwesidlo lokugqibela kufuneka athathe iiyure eziyi-8. Kodwa ke kubhetele, ukuba ikhefu iya kuba iiyure ezili-12.

Ukuba uhlolo kunye Ngokucofa ugqirha wabona iingxaki ezithile, ngoko ngaxeshanye iimvavanyo yokugunyaziswa i basenako ukwenza uviwo ultrasound le ndlala lengqula. Indlela ehlanganisiweyo iya ukuchonga nangoko naziphi na iingxaki.

Kwakhona kubalulekile ukwazi ukuba ukuthathwa iziyobisi thyroxine akwenzi ngqiqo ukukhangela T3 kunye T4. Kodwa ke inqanaba TSH kuya kuba bhetele. Njengoko kunokwenzeka ukuba ukujonga njani na unyango lomguli.

loviwo ultrasound

Ukuba ufumene iziphumo yaphelelwa iinkcukacha, kuya kufuneka kwakhona ukuba baye ultrasound. Nalo wafunda isakhiwo ndlala, ibonisa ukwakheka okungaqhelekanga, kuqikelelwa ubukhulu bayo. Kubalulekile ukwenza olu viwo amandla, ukuze ubone indlela umzimba uthe uyiphendula unyango emiselweyo.

Ukuhlola bomfanekiso monitor, ugqirha, ehlola nobubovu lengqula, uyakwazi ukubona noba utshintsho engephi ancedisana omzimba sifundo leyo. Ukuba zabonwa utshintsho kwisakhiwo okanye maqhuqhuva libonwa, ngokuqaphela malunga nemiba kuyimfuneko. Oku kuya kunceda ukuthintela iingxaki ezininzi kakhulu. Emva zonke iindawo ibekwe esinobubovu lengqula, ngokudibanisa imiba ezibi inokuba yingozi - zingaphumela ithumba. Ultrasound kuyimfuneko ukuba uye ngokukhawuleza uzive iintlungu okanye uphawula ukwanda umhlaza.

hypothyroidism

Lidla endocrinologists emsebenzini wakhe lijongene ukuhluleka lengqula. Isifo mhlawumbi ekuqaleni kuba nazimpawu, kodwa kwixesha elinye wabona ingqiqo yobuthathaka, silale zokunyanzelisa nobuthongo, ukudumba. Kodwa ke, ngelishwa, akusoloko iimpawu lunokwenza abantu ukuba bacinge, ukukhangela ukuba ingaba lengqula. Babeka isimo esimaxongo yempilo yemozulu, izaqhwithi indawo kunye nezinye izinto.

Kodwa ke ukuba ixesha lokucela uncedo, ngoko zonke ezi ngxaki umzimba ngokukhawuleza alunakupheliswa. Ukukhethwa idosi echanekileyo thyroxine hormone ivumela imbuyekezo ekhawulezayo esi sifo. Ngemihla okuqala inqanaba TSH kuyimfuneko ukuba esweni qho ngenyanga. Ukuba ukungabikho hormone kunokwenzeka ukuba abuyisele, kunye ixesha elaneleyo kunikezela TTG kanye ngonyaka.

Hypothyroidism kubantwana

Ukuba abadala idodobalisa umsebenzi lengqula yimeko embi yempilo, iintsana, ezi emzimbeni banoxanduva uphuhliso emzimbeni nasengqondweni. Ngoko ke, ukuba uphawula utshintsho kwindlela yokuziphatha somntwana, uyacebiswa ukuba ufumanise ukuba batshekishe indlela hormone ebantwaneni, kwaye ubambe kwimeko uphando enjalo kuyimfuneko. Kodwa kuqala, Kakade ke, kufuneka kutyelela i endocrinologist. Kusenokwenzeka isindululo ukwenza cardiogram. Ngenxa yokuba ukungaphumeleli esinobubovu lengqula kukhokelela utshintsho vuhlayiseki kuphuhliso engqondweni nasemzimbeni imvuthuluka, ngoko esweni imeko yakhe kuyimfuneko. Kubalulekile ukuba uqaphele hypothyroidism naso.

thyrotoxicosis

Kwemfuneko ihomoni akukho iyingozi ngaphantsi yokunqongophala kwabo. Ukuqaphela ukunyuka nochuku, ukunyuka kweqondo intliziyo, ukubila kakhulu, kungcono uye i endocrinologist ukuba ibhunga kwaye uhlole izinga hormone. Ukuba uvukile, kubalulekile ukufumana umsebenzi ofanelekileyo oyaziyo irejimeni yonyango, apho unako ukubuyisela hyperthyroidism.

Le meko nzima kukuba Pharmacology yanamhlanje akakafiki livelise ebubuvuvu, nto leyo ukuphelisa ntlekele thyrotoxic - yimeko apho urhulumente ubeka imali ebonakalayo hormone ukunyuka egazini. Unyango kulo mzekelo ngenjongo ubuthi. Kakade ke, xa usaqala usenalo ithuba ukuvala esi sifo, kodwa imeko inzima ngakumbi ukuba sele isebenza.

Iindlela zonyango obugqithisileyo ihomoni

Ukuba unengxaki, ngoko ngaphandle unyango ngexesha elichanekileyo akakwazi ukwenza umsebenzi kwinkqubo yonyango. Kungenxa yoko le nto kubaluleke kakhulu ukwazi ukuba batshekishe indlela nobubovu lengqula, kwaye ugqirha ukuya ukuba unengxaki.

Iindlela ezintathu kuba unyango lwe hyperthyroidism:

• thyreostatics ukwamkelwa, umzekelo, ichiza "Merkazolil" okanye analogue yalo;
• kokususa le ndlala lengqula;
• radioiodine ukutshatyalaliswa kwithishyu.

Drug "Merkazolil" uncedo kuphela xa sifo kubonakele ku usaqala. Ngapha koko, uyakwazi ukuvala ukuveliswa iihomoni ezintsha, kodwa ayikwazi Sukuzikhupha i ngaphambili eyabelwe. Xa kabi isibindi kwaye kunokukhokelela kwesibindi. Ngoko ke, njengendlela "Merkazolil" lisetyenziswa kuphela ukuze kubuyekezelwe esi sifo. Emva koko, kwiimeko ezininzi, sekunjalo kuphakamisa umbuzo imfuneko ukususa le ndlala lengqula. kuphela angenelele ngotyando kwenziwa ngomhla kwintsimi kumazwe eyayisakuba yiSoviet.

Iindawo ezithile ingaba lengqula

Enye yeengxaki ezinkulu ejongene izigulane abasisigxina endocrinologist kukuqinisekisa amaqhinga inyathelo inkangeleko nayiphi na amaqela nezihlunu le ndlala lengqula. Ukuba ibonakele ultrasound eqhelekileyo.

Kwiimeko ezininzi, i-ofisi kagqirha, izigulane bayazi ukuba ezalathelwe ebubonisayo. Kodwa ukuze ufumanise ukuba ingaba baya ngokutsha akunakwenzeka amabi. Yiloo nto oogqirha bacebisa ukuba, kwezinye iimeko ukuze ususe kubo. Kakade ke, loo nto ayenzi ingqiqo ukuya phantsi ngesitshetshe ngoogqirha abangenamfundo, kwiimeko ezinjalo kubhetele ukuba utyelele i-ofisi US kwaye ukhumbule ukuba batshekishe indlela kwidlala lengqula. Kodwa ukuba esiludumbo ngaphezulu kwe-3 cm ububanzi, oku kuphakamisa umbuzo yemfuneko utyando. Ukongeza kubungakanani, ugqirha kufuneka ukuba nazo zizivandlakanye lexinene ixesha ubomi. Kodwa nayiphi na imeko, akukho namnye unako ukunyanzela umguli ukususa nangezilonda nabungozi, le ngxaki iya kusonjululwa ugqirha kunye isigulane.