Diagnosing cudurka qanjirka 'thyroid' waa nidaam laga yaabo inuu ku lug yeesho dhowr tallaabo, oo ay ku jiraan qiimeynta bukaan-eegtada, tijaabada dhiigga, tijaabooyinka sawir-baadhista, iyo biopsies.
Maqaalkani, waxaad baran doontaa wax badan oo ku saabsan imtixaanka sawir-qaadista ee loo isticmaalo qayb ka mid ah cudurka cudurka qaaxada .
Raadsashada Iodine Iodine (RAI-U)
Imtixaanka raajada Iodine (RAI-U) ayaa loo isticmaali karaa si loo ogaado noocyada cudurada thyroid qaarkood, sida hyperthyroidism.
Maadaama qanjirka thyroid uu yahay unugyada keliya ee jirkaada ee ka qaadi kara iodine, baaritaanka RAI-U, qadar yar oo ah Iodine radio 123 (oo la yiraahdo I-123) ayaa lagu siiyaa kiniin ama dareere ah. Iodine Radio 123 wuxuu soo saaraa shucaac, kaas oo lagu ogaan karo sawirada ay qaadatay kamarad ku xiran qoortaada. Sawirada ayaa muujinaya sida iodine-ku u urursan yahay qanjirka.
Waxaa muhiim ah in la sheego in foomkan iodine (I-123) uusan waxyeello u keenin unugyada qanjidhada. Si kastaba ha ahaatee, baaritaankaan waa in aan lagu sameyn dumarka uurka leh ama naas nuujinaya.
Waxaa intaa sii dheer, shucaaca iodine 131 (nooca iodine loo isticmaalo ogaanshaha kansarka iyo soodhoweynta qanjirka) looma isticmaali karo si loo ogaado sababta keenta hyperthyroidism. Rooti-socodka iodine 131 ayaa loo adeegsadaa in lagu ogaado kansarka tayroodh. Waxaa sidoo kale loo isticmaalaa daweynta kansarka tayroodhka laakiin qiyaaso badan oo sarreeya.
Natiijooyinka baaritaanka RAI-U ayaa kaa caawin doona dhakhtarkaaga inuu sameeyo baaritaan.
Guud ahaan, qanjirada qaadata iodine waxaa loo tixgeliyaa "kuleyl," ama mid aan firfircooneyn. Tusaale ahaan, cudurka Graves ', korodhka iodine waa mid sarreeya, sidaas darteed qanjirka oo dhan waa "kulul."
Haddii aad hyperthyroid sabab u tahay nodule kuleyl ah (noodule oo soo saaraya hoormoonka thyroid-ka xad dhaafka ah) ama qanjirro badan (oo loo yaqaan 'gootic goynin multinodular'), korodhka iodine ee nodule (s) ayaa sareeya.
Dhinaca kale, kor u kaca ayaa aad u hooseeya (eber ilaa 2 boqolkiiba) dadka qaba cudurka thyroiditis (caabuqa qanjirka thyroid).
Ultrasound Thyroid
Ultrasound ee qanjirka 'thyroid' ayaa loo sameeyaa si loo qiimeeyo noodullada tayroodhka, oo ay ku jiraan kuwa yaryar oo aan la dareemi karin inta lagu jiro baaritaanka jirka. Isticmaalka mowjadaha dhawaaqa badan ee maskaxda, ultrasound ayaa ka caawin karta dhakhtarka inuu go'aamiyo xajmiga nodule, iyo sidoo kale haddii noodlehu uu yahay unug dheecaan buuxa leh ama tiro badan oo ah unug adag. Marmarka qaarkood ultrasound thyroid-ka ah waxaa loo isticmaalaa in lagu ilaaliyo nodules, sida in la arko iyo haddii ay sii kordhayaan waqtiga iyo / ama soo koraya qaababka shaki laga qabo kansarka .
Siyaabo kale oo loo isticmaalo ultrasound thyroid ayaa loo isticmaali karaa haddii dhakhtarkaagu doonayo inuu qaado muunada noodule (oo lagu magacaabo cirbadda ganaaxa). Dhakhtarkaagu wuxuu isticmaali doonaa ultrasound si uu u hagto meesha cirbadda la geeyo.
Ugu dambeyn, ultrasound thyroid ayaa loo isticmaali karaa sidii loo bedeli lahaa baaritaanka shucaaca iodine ah haddii haweeney uur leedahay ama naas nuujineyso.
CT Scan
Baadhitaanka CT-ga, oo loo yaqaano sawir-qaade la xarriiqay ama "scan cat" waa nooc gaar ah oo raajo ah oo mararka qaarkood loo isticmaalo si loo qiimeeyo thyroid. Baadhitaanka CT-ga ma ogaan karo nodules yar laakiin wuxuu kaa caawin karaa in la ogaado oo lagu baaro goyster, iyo sidoo kale qanjidhada weyn ee tirakoobka .
Magnetic Resonance Imaging (MRI)
MRI waxaa la sameeyaa marka cabbirka iyo qaabka loo baahan yahay in la qiimeeyo. MRI ma sheegi karo sida tayroodhku u shaqeynayo (si kale loo dhigo, ma tilmaami karo hyperthyroidism ama hypothyroidism), laakiin waxay ogaan kartaa ballaarinta tayroodh. MRI mararka qaar waa la door bidaa baaritaanka CT sababtoo ah uma baahna wax cilad ah, oo ay ku jiraan iodine oo fara galin kara taranka shucaaca iodine.
Ereyga
Ugu dambeyntii, imtixaanka ugu horreeya ee sawir-qaadista ayaa loo isticmaalaa in lagu baaro qanjidhada thyroid inta badan waa ultrasound. Ka imid, takhtarkaaga ayaa laga yaabaa inuu hore u socdo baaritaano kale oo sawir ah, oo ku salaysan natiijooyinka baaritaanka ultrasound iyo dhiigga.
Dabcan, haddii aad qabtid wax su'aalo ah oo ku saabsan sida loo isticmaalo qanjiradaada, fadlan ha ka waaban inaad weydiiso dhakhtarkaaga. Ku sii dadaal dhinaca aqoonta iyo caafimaadkaaga.
> Ilo:
> Bulshada Mareykanka ee Kansarka. (nd). Tijaabooyinka Kansarka Tiriinka.
> Ururka Astaamaha Maraykanka. (nd). Qanjirka Nodules.
> Braverman, MD, Lewis E., iyo Robert D. Utiger, MD. Werner iyo Ingbar's The Thyroid: Qoraalka Aasaasiga ah iyo Daawada. 9th ed. , Philadelphia: Lippincott Williams & Wilkins (LWW), 2005.
> Cravets I. Hyperthyroidism: Daaweynta iyo Daaweynta. Am Dr. Dhakhtarka. 2016 Mar 1; 93 (5): 363-70.