Waa maxay nooca dhakhtarkaaga qaaxada ee aad u baahan tahay?
Dad badan ayaa u maleynaya in dhakhtarka ugu wanaagsan ee lagu daweeyo xaalad kasta oo tayroodh ah uu yahay cilmi-nafsi yaqaan.
Endocrinology waa takhasuska bixiya tababbar heer sare ah oo lagu sameeyo habdhiska qanjirada - oo ay ku jiraan qanjidhada iyo xubnaha kala duwan sida qanjirada, beeryarada, ugxan-yarta, tijaabooyinka, iyo qanjirrada adrenal, iyo kuwo kale. Inta badan dadka loo yaqaan 'endocrinologists' ayaa ku takhasusay daaweynta sonkorowga.
Xilliga dhow, tirada sii kordheysa waxay ku takhasusaan qaybta faa'idada ee taranka cudurada taranka (oo sidoo kale loo yaqaan "dhakhtarrada bacriminta.") Dadka da'da ah, dadka ku takhasusay endocrinologists ayaa sidoo kale loo yaqaan si loo caawiyo maaraynta osteoporosis.
Waxaa la yaab leh, inkasta oo uu cudurku ku badan yahay cudurka qaaxada, dhowr dhakhtarro yaryar oo loo yaqaan 'endocrinologists' ayaa doorta in ay diiradda saaraan shaqada ay ku leeyihiin cudurka qanjirka 'thyroid' iyo daaweynta. Kuwa ku shaqeynaya bukaannada qanjirka thay ayaa waxay u badan yihiin inay xoogga saaraan sidii loo xakamayn lahaa xaaladaha tayroodhka ah ee ba'an sida kansarka thyroid , duufka qanjidhada , iyo cudurka Graves. Qeyb yar oo ka mid ah dhakhtarka indhaha ayaa doonaya in uu is-bedelo, lana tixgeliyo naftiisa "khubaro badan." Dhakhaatiirta thyroid-ka waxay u muuqdaan inay yihiin xirfado dhaqameedyo fara badan.
Haddii aad qabtid xaalad tayo leh oo lagaa shakiyey ama lagaa helay, ma u baahan tahay dhakhtarka indhaha? Jawaabta: bukaannada badan ee tirokoobka uma baahna dhakhtarka indhaha. Waxay u egtahay mid iska soo horjeeda arrintan, laakiin mararka qaarkood, dhakhtarka indhaha ama takhtarka cilmi-nafsiga ayaa xitaa noqon kara doorashada ugu fiican.
Goorma ayaad tahay inaad isticmaasho dhakhtarka indhaha?
Marka hore, haddii aad qabtid kansar tiibisho ah, waa in aad aragto dhakhtarka indhaha. Maskaxda ku hay in aadan kaliya ka soo qaadan karin dhakhtarka indhaha ku takhasusay liiska. Waxaad u baahan tahay oo kaliya hal qof oo khibrad u leh daaweynta bukaanka kansarka qanjirka. Maadaama cudurka qanjirka 'thyroid' uusan ahayn mid caadi ah - qiyaastii 50,000 kiis oo sanadkiiba ayaa laga helaa Maraykanka-badan oo ku takhasusay qanjidhada 'endokurologists' ayaa laga yaabaa inaysan waligood helin ama lagu daaweyn kansarka tayroodh.
(Ilaha wanaagsan ee lagu helo dhakhaatiirta ku takhasusay baadhitaanka iyo daaweynta kansarka qanjirka 'thyroid' waa ururada ka hortagga uur-qaadida kansarka).
Marka labaad, haddii aad qabtid cudurka ba'an ee daran , qanjirada qanjirada, ama goosaar, fiiri dhakhtarka indhaha. Laakiin mar labaad, waxaad u baahan doontaa dhakhtarka indho-indefirin oo leh khibrad gaar ah oo ku saabsan daaweynta bukaannada tayroodh. Uma baahnid qof takhasus u leh cudurka sonkorowga ee daaweeya bukaanka tayroodhka halkan iyo halkaan. The American Thyroid Association "Soo hel Dhakhtar takhasus leh" ama dhakhtarka indhaha ee ku qoran liistada Thyroid Top Docs waa ilo wanaagsan.
Saddexaad, haddii aad uur leedahay oo aad qabtid xaalad qanjirka 'thyroid' , ama aad leedahay ilmo dhasha ama cunug yar oo lagaa helay cudurka qanjirka 'thyroid', fiiri khabiir ku takhasusay 'endocrinologist'. Aad ayey muhiim u tahay in aad maareysid qanjirkaaga inta aad uurka leedahay, maxaa yeelay daaweynta liidata waxay halis gelin kartaa uurkaaga wuxuuna dhalin karaa dhibaatooyin dhalaanka cusub. Maareynta arrimaha tirakoobka ee dhalaanka iyo carruurta yaryar waxaa si fiican uula dhaqmaa cilmi-baarista dhakhtarka indhaha iyo maaha wax caadi ah in lagaga tago dhaqtarka caruurta.
Waa maxay nooca dhakhtarku sameynayo qalliinka tayroodh?
Markaad u baahato inaad qalliin ku sameyso dhammaan ama qayb ka mid ah qanjirkaaga, dooro dhakhtar qalliin oo khabiir ku ah qalliinka tayroodh.
Maskaxda ku hay in dhagaha / sanka / dhuunta iyo dhakhtarrada guud aan loo tixgelin khubarada qalliinka qalliinka; oo waxaad u baahan doontaa dhakhtar qalliin ah oo qaata qadar qalliin oo qanjidho qadar ah sanadkiiba, ugu yaraan. Wixii macluumaad dheeraad ah, akhri Raadinta Qalitaanka Daawada Qodobka Dheer .)
Goorma ayaad u tixgelineysaa takhtar ka badan dhakhtarka indhaha?
Haddii aad qabtid "adag tahay in lagaa baaro" istiraatiijiyad la'aan "thyroid", "autoimmune thyroid disease" sida Hashimoto's, cudurka qanjidhka / xuduudaha qaaxada, "caadi ah" TSH laakiin calaamadaha thyroid, ama lagu daaweynayo hypothyroidism laakiin weli ma dareemaysid fiicnaan, badanaa endocrinologists ayaa laga yaabaa inaysan ku habboonayn adiga.
Waa maxay sababta?
Waxaa jira dhowr sababood. Ugu horreyntii, waxaan leenahay xaalad halis ah oo ka sii daraysa waddanka oo dhan oo ku yaraada dhakhtarka endocrinologists , sidaa daraadeed ma sahlana in la helo si loo arko qof takhasus leh. Waqti xaadirkan, waxaa jira qiyaastii 4,000 oo ah qanjidhada 'endocrinologists' ee Maraykanka oo u adeegaya in ka badan 100 milyan oo Maraykan ah - qaba sonkorow, dhibaatooyinka bacriminta, cudurrada ugxan-yare ee jooniska, osteoporosis, cudurada Graves ', kansarka tayroodh, qanjidhada thyrules, iwm. waa in lagu arko cilmi-baarista endocriniga. Taasi waa hal loo yaqaan 'endocrinologist for 25,000 qof oo u baahan hal. Iyo, 150 oo kaliya oo ah kuwa cusub ee loo yaqaan 'endocrinologists' ayaa ka soo baxaya tababar khaas ah sannad kasta.
Marka labaad, marka loo eego sida gabaabsiga ah, badanaa endocrinologists ma awoodi karaan in ay sameeyaan shaqo waqti-xad-dhaaf ah, ama nidaamyada daaweynta qalad-iyo-qalad, oo leh bukaanno aan haysan waxa ay dhakhaatiirtu u maleynayaan inay yihiin "xaalad nafta halis gelineysa" xaaladaha thyroid. Taasi macnaheedu waa in bukaanada qaba xaalado sida Hashimoto, ama kuwa lagu daaweeyo hypothyroidism laakiin weli la kulma calaamadaha, waxaa badanaa loo tixgeliyaa in ay tahay mid aad u hooseeya oo loo yaqaan 'endocrinologists'. (Tani maaha in la yiraahdo Hashimoto iyo hypothyroidism ma ahan kuwa ka horjoogsanaya oo u qalma dareenka dhabta ah.Dhaqaatiirta Endocrinologists, si kastaba ha ahaatee, uma tixgelinayaan inay noqdaan kuwo ba'an, heer sarreeya ama xaalad nololeed oo halis ku ah xaalad tayroodh. sonkorowga iyo dhibaatooyinka ba'an ee qanjirada, qaar ka mid ah dhakhaatiirta loo yaqaan 'endocrinologists' ayaa si cad u sheegay in Hashimoto iyo hypothyroidism aysan u baahnayn khabiir.)
Seddexaad, helitaanka sidoo kale waa tixgelin weyn. Inta badan waa inaad sugto bilo si aad ballan uga hesho dhakhtarka ku takhasusay indhaha. Xitaa markaa, ballantaadu waxay u badan tahay inay socoto dhowr daqiiqo oo keliya. (Xaaladaha qaarkood, waxaa laga yaabaa in uu kuu arko kaaliyaha dhakhtar, oo waligiis ma arko dhakhtarka indhaha ah.) Haddii aad si toos ah u aragto dhakhtarka, qaar ka mid ah dhakhtarka indhaha ayaa ku dhaqmi kara sidii "inaad wakhti wakhti lumin" haddii aad timaadid iyaga oo leh heerarka baaritaanka qanjidhka xuduudaha, ama "tijaabo" caadi ah " TSH " laakiin calaamadaha sii socda . Inta badan qanjidhada 'endocrinologists' waxay u muuqdaan kuwo raacsan hababka daweynta rasmiga ah ee ururrada xirfadlayaasha ah, sidaas awgeed waxaa suurtogal ah in lagugu daaweeyo laguna daaweeyo sida ku xusan tilmaamaha daaweynta, tusaale ahaan, American Association of Endocrinologists (AACE).
Tilmaamaha AACE waxay yiraahdaan in lagu ilaaliyo dheelitirnaanta dheelitirka waxay u baahan tahay waxa ay yiraahdaan "saddex tallaabo oo sahlan:" (1) baaritaanka iyadoo la adeegsanayo baaritaanka TSH, (2) daaweynta levothyroxine sidaas darteed bukaanku wuxuu ku jiraa " caadiga ah " iyo (3) ilaa 6 ilaa 12 bilood mar kasta oo tijaabada ah baadhitaanka TSH. Dhakhaatiirta ugu badan ee ku takhasusay cilmi-nafsiyadu maaha kuwo daaweyn ah oo lagu daaweyn karo levothyroxine oo leh daawooyinka T3 ee daawada , inkastoo qaar ka mid ah daraasado lagu soo jeediyo faa'iido bukaanjiifka ah . Dhakhaatiirta ugu badan ee ku takhasusay cilmi-baaristu ma qoraan dawooyinka tayroodh ee dabiiciga ah sida Armor ama Nature-throid.
Waa maxay labada nooc ee takhasuska tayada?
Bukaannada qanjirada ku jira iyo bulshada tayroodh waxay bilaabayaan inay aqoonsadaan in ficil ahaan, cudurada qanjidhka laga yaabo inay u baahdaan laba nooc oo kala duwan oo ah "takhasus:"
- Ciladeynta iyo daaweynta xaaladaha qanjirada ba'an waa inay sameeyaan cilmi-baarayaasha endocrinologists
- Ciladeynta iyo daweynta hypothyroidism iyo daaweynta daaweynta hypothyroidism waxaa loogu talagalay bukaanno badan oo si fiican u qabta hormoonada hormoonka ah.
"Takhasusayaasha" ee dheellitirka hormoonada iyo hypothyroidis waayeelka ah waxaa laga helaa noocyo kala duwan iyo takhasusyo, waxaana ka mid ah:
- dhakhaatiirta isdhexgalka ah
- dhakhaatiirta daawada leh
- MDs oo dhan
- dhakhtarrada osteopathic
- dhakhaatiirta dabiiciga ah
- dhakhaatiirta da 'yarta ah
- dhaqaatiirta haweenka
- menopause iyo khabiirada hormoonnada hormoonka ah
- waayeelka iyo takhaatiirta daryeelka aasaasiga ah ee ka soo horjeeday dheef-shiid kiimikaadka iyo hormoonka hormoonka bukaankooda.
Goorma ayaad ka fikireysaa inaad beddesho dhakhaatiirta ?
Waxaa jira dhakhaatiir ku takhasustay endocrinologists kuwaas oo aaminsan in ay bixiyaan cudurka Hashimoto iyo bukaan-socodka hypothyroid oo si qoto dheer iyo taxaddar leh oo taxaddar leh iyo daryeel leh. Haddii aad daryeesho farsamoyaqaan ku takhasusay indho-indheyn iyo firfircoon, sii wad wax qabadka.
Si kastaba ha noqotee, haddii aad aragto dhakhtarka qanjirada 'endocrinologist' oo aad ku niyadjabto waxa aad dareensan tahay in ay xadidan tahay habka cudurka dabiiciga ah iyo daaweynta, waxaad u baahan kartaa caawimaad la xiriirta nooc kale oo dhakhtar ah. Akhri sida Bukaanjiifka Bukaansocodku u heli karo Nooca Dhaqtarka saxda ah ee loogu talagalay Daaweynta Dheeraadka ah wixii macluumaad dheeraad ah.
Ereyga ka
Go'aanka lagu helayo dhakhtar cusub ee daryeelkaaga tirtirka dhab ahaantii way ka adag tahay inta badan ee aan ka fakarno. Xidhiidhka dhakhtarku waa mid shakhsiyan ah, oo ma fududa in la helo cayaarta saxda ah, gaar ahaan marka la yareeyo joqraafiyada, HMOs iyo caymiska. Xasuuso in xiriirka dhakhtar-bukaanka , aad tahay macmiilka, dhakhtarkuna wuxuu bixinayaa adeeg. Haddii adeegyadani aysan daboolin baahiyahaaga, waxa ugu fiican ee aad sameyn kartid caafimaadkaaga thyroid waa inaad hesho dhakhtarka saxda ah kaas oo dabooli doona baahiyahaaga. Laakiin sidee baad ku ogaan kartaa marka ugu dambeyntahay dhakhtarka qanjiriga cusub? Halkan waxaa ku yaal 10 Calaamadood oo aad ubaahan tahay Dhakhtar Cusub oo Cusbitaal ah .
> Isha:
> Lash, Robert, MD. "Endocrinology: Baahida Kordhinta, Laakin Shaqaalaynta Shaqada." Bulshadda Indocrine-ka. Juun 2017.