6 bvunzo dzinoongorora utachiona

Zvemukati

• 1. Chiyero chehormone mahormone
• 2. Chipimo chemushonga
• 3. Ultrasound yehutachiona
• 4. Chirwere chetsvo
• 5. Chirwere chetsvo
• 6. Kuzviongorora kwehutachiona
• Paunenge uchifanira kuve neongororo yetachiona

Kuti uone zvirwere zvinokanganisa utachiona, chiremba anogona kuraira bvunzo dzinoverengeka kuti aongorore saizi yezvigunwe, kuvapo kwemamota uye basa rehutachiona. Nekudaro, chiremba anogona kukurudzira kuyerwa kwemahormone ayo akabatana zvakananga nekushanda kweiyo thyroid, senge TSH, yemahara T4 uye T3, pamwe nekuyedza kwekufungidzira kuti utarise kuvapo kwemanyoro, seyroid ultrasound, semuenzaniso .

Nekudaro, mimwe miedzo chaiyo inogona kukumbirwa zvakare, senge scintigraphy, biopsy kana antibody bvunzo, iyo inogona kukurudzirwa naendocrinologist kana uchiongorora zvimwe zvirwere, senge thyroiditis kana utachiona tumota, semuenzaniso. Ona zviratidzo zvinogona kuratidza matambudziko ehutachiona.

Kuongorora ropa

Miedzo inonyanya kukumbirwa kuongorora utachiona ndeiyi:

1. Chiyero chehormone mahormone

Kuyerwa kwemahormone ehutachiona kuburikidza nekuongororwa kweropa kunotendera chiremba kuti aongorore mashandiro egland, zvichiita kuti atarise kana munhu ane shanduko dzinoratidza hypo kana hyperthyroidism, semuenzaniso.

Kunyangwe iwo mareferensi ehunhu achisiyana zvichienderana nezera remunhu, kuvapo kwepamuviri uye rabhoritari, zvakajairika tsika dzinowanzo sanganisira:

Mushure mekuona shanduko muhutachiona basa, chiremba anoongorora kukosha kwekuodha kumwe kuyedza kunobatsira kuziva chinokonzeresa shanduko idzi, senge Ultrasound kana antibody kuyerwa, semuenzaniso.

Nzwisisa zvinogona kuitika zvebvunzo dzeTSH

2. Chipimo chemushonga

Kuongororwa kweropa kunogona kuitwa kuyera masoja ekudzivirira utachiona, ayo anogona kugadzirwa nemuviri mune zvimwe zvirwere zvemuviri, zvakadai seHashimoto's thyroiditis kana chirwere cheGraves, semuenzaniso. Iwo makuru ndeaya:

• Anti-peroxidase antibody (anti-TPO): iripo mune yakawanda kesi yeHashimoto's thyroiditis, chirwere chinokonzera kukuvara kwemasero uye zvishoma nezvishoma kurasikirwa kwehutachiona basa;
• Anti-thyroglobulin antibody (anti-Tg): iripo mune dzakawanda zviitiko zveHashimoto's thyroiditis, zvisinei, inowanikwawo muvanhu vasina shanduko yeiyo thyroid, nekudaro, kuwanikwa kwayo hakuratidze kuti chirwere ichi chinokura;
• Anti-TSH receptor antibody (anti-TRAB): inogona kunge iripo mune zviitiko zve hyperthyroidism, zvinonyanya kukonzerwa nechirwere cheMakuva. Tsvaga kuti chii uye nzira yekurapa chirwere cheMakuva.

Thyroid autoantibodies inongofanirwa kukumbirwa navanachiremba mune zviitiko panoshandurwa mahormone ehutachiona, kana kana chirwere chetachiona chikafungidzirwa, senzira yekubatsira kujekesa chikonzero.

3. Ultrasound yehutachiona

Ultrasound yeiyo thyroid inoitwa kuongorora saizi yegland uye kuvapo kweshanduko senge cysts, tumors, goiter kana nodules. Kunyangwe bvunzo iyi isingakwanise kuziva kana ronda riine cancer, zvinobatsira kwazvo kuona hunhu hwayo uye kutungamira kubonyiwa kwemanundu kana ma cyst kubatsira mukuongororwa.

Utachiona ultrasound

4. Chirwere chetsvo

Thyroid scintigraphy bvunzo inoshandisa shoma yeredhiyo ine iodine uye yakakosha kamera kuwana mufananidzo weiyo thyroid, uye kuziva iro danho rekuita kwe nodule.

Iyo inoratidzirwa zvakanyanya kuongorora ma nodule anofungidzirwa kuti ane cancer kana pese panofungidzirwa hyperthyroidism inokonzereswa nedhimoni-yekuviga nodule, inonziwo inopisa kana kusagadzikana nodule. Tsvaga kuti utachiona scintigraphy inoitwa sei uye kuti ungagadzirira sei bvunzo.

5. Chirwere chetsvo

Bhiopsy kana kubaya kunoitwa kuti uone kana iyo thyroid nodule kana cyst iri yakaipa kana yakaipa. Munguva yekuongorora, chiremba anopinza tsono yakanaka akananga padumbu uye anobvisa chidimbu chidiki chetinyu kana mvura inogadzira nodule iyi, kuti muyedzo uyu uongororwe murabhoritari.

Utachiona hwehutachiona hunogona kukuvadza kana kukonzera kusagadzikana nekuti bvunzo iyi haina kuitwa pasi peanesthesia uye chiremba anogona kufambisa tsono panguva yekuyedza kuti akwanise kutora masampuli kubva kunzvimbo dzakasiyana dzedumbu kana kuda kuwanda kwemvura. Bvunzo dzinokurumidza uye dzinotora maminetsi gumi uyezve munhu wacho anofanira kugara nebhandeji munzvimbo kwemaawa mashoma.

6. Kuzviongorora kwehutachiona

Kuzviongorora kwehutachiona kunogona kuitwa kuti uone kuvapo kwema cysts kana maqhune mune gland, zvichikosha kubatsira kuona chero shanduko nekukurumidza uye kudzivirira kusagadzikana kwezvirwere uye kunofanirwa kuitwa, kunyanya, nevakadzi vanopfuura makumi matatu nemashanu kana nenhoroondo yemhuri yezvinetso zvetachiona.

Kuti uite izvi, anotevera matanho anofanira kuteverwa:

• Bata girazi uye uone nzvimbo inowanikwa utachiona, iri pazasi peapuro raAdamu, rinozivikanwa se "gogó";
• Dzosera mutsipa wako kumashure zvishoma kuti uburitse dunhu zviri nani;
• Inwa sipu yemvura;
• Cherekedza kufamba kwetachiona uye uone kana paine chero chinobuda, asymmetry.

Kana paine chero hutachiona husingawanzoonekwe, zvakakosha kutsvaga kurapwa kweye endocrinologist kana general general kuitira kuti kuferefetwa kuitwe pamwe nemiedzo inogona kana isingasimbise shanduko yehutachiona.

Paunenge uchifanira kuve neongororo yetachiona

Miedzo yehutachiona inoratidzwa kune vanhu vanopfuura makore makumi matatu nemashanu kana apfuura kana paine zviratidzo kana nhoroondo yemhuri yehutachiona shanduko, vakadzi vane nhumbu kana vanoda kuve nepamuviri uye nevanhu vakaona shanduko pakuzviongorora kana kuongororwa kwechiremba kweiyo thyroid.

Uye zvakare, bvunzo dzinoratidzwa zvakare mushure mekurapwa nemwaranzi yekenza yemutsipa kana yemusoro uye panguva yekurapwa nemishonga yakadai setiamu, amiodarone kana cytokines, semuenzaniso, izvo zvinogona kukanganisa basa rehutachiona.