6 kev ntsuam xyuas uas ntsuas cov thyroid

Zoo Siab

• 1. Ua mauv cov thyroid hormones
• 2. Muab cov tshuaj tiv thaiv
• 3. ultrasound ntawm lub qog
• 4. Lub qog ua scintigraphy
• 5. Lub qog ua ntshav
• 6. Kev ntsuas tus kheej qog
• Thaum koj yuav tsum tau kuaj cov thyroid

Txhawm rau txheeb xyuas cov kab mob uas cuam tshuam rau cov thyroid, tus kws kho mob yuav yuam kom kuaj ob peb zaug txhawm rau ntsuas seb qhov qog loj npaum li cas, muaj cov qog thiab cov thyroid ua haujlwm. Yog li, tus kws kho mob tuaj yeem pom zoo ntau npaum li cas ntawm cov tshuaj hormones uas cuam tshuam ncaj qha rau kev ua haujlwm ntawm lub qog, xws li TSH, pub dawb T4 thiab T3, nrog rau kev ntsuam xyuas cov duab txhawm rau kuaj seb puas muaj cov nodules, xws li cov thyroid ultrasound, piv txwv li Cov.

Txawm li cas los xij, tseem muaj cov kev kuaj tshwj xeeb kuj tseem yuav tau thov, xws li scintigraphy, kuaj ntshav los yog kuaj ntsuas lub cev, uas tej zaum yuav pom zoo los ntawm tus kws endocrinologist thaum tshawb xyuas qee yam kab mob, xws li mob qog lossis thyroid hlav, piv txwv. Pom cov phiajcim uas qhia tau tias muaj teebmeem muaj cov thyroid.

Kuaj ntshav

Cov kev ntsuam xyuas uas tau thov ntau tshaj plaws los soj ntsuam cov thyroid yog:

1. Ua mauv cov thyroid hormones

Qhov ntsuas ntawm cov thyroid hormones los ntawm kev kuaj ntshav tso cai rau tus kws kho mob los ntsuas lub qog ua haujlwm ntawm lub caj pas, ua tau kom muaj peev xwm kuaj xyuas yog tias tus neeg muaj kev hloov siab qhia ntawm hypo lossis hyperthyroidism, piv txwv.

Txawm hais tias qhov kev siv muaj nuj nqis yuav txawv raws tus neeg lub hnub nyoog, qhov muaj cev xeeb tub thiab kuaj, qhov tseem ceeb muaj xws li:

Tom qab paub qhov hloov pauv ntawm cov thyroid ua haujlwm, tus kws kho mob yuav soj ntsuam qhov yuav tsum tau txiav txim rau lwm yam kev xeem uas pab txhawm rau paub qhov ua rau muaj kev hloov pauv, xws li ntsuas qhov ntsuas ultrasound lossis tshuaj tiv thaiv kab mob.

Nkag siab txog qhov tshwm sim tau ntawm TSH xeem

2. Muab cov tshuaj tiv thaiv

Kev kuaj ntshav kuj tseem tuaj yeem ua tiav los ntsuas cov tshuaj tiv thaiv cov thyroid, uas tuaj yeem tsim los ntawm lub cev hauv qee cov kab mob autoimmune, xws li Hashimoto's thyroiditis lossis Graves 'tus kab mob, piv txwv. Lub ntsiab yog:

• Anti-peroxidase tshuaj (tiv thaiv TPO): nyob rau hauv feem ntau ntawm cov neeg mob Hashimoto's thyroiditis, tus kab mob uas ua rau puas tsuaj ntawm tes thiab maj mam poob cov thyroid muaj nuj nqi;
• Anti-thyroglobulin antibody (anti-Tg): nws yog nyob rau hauv ntau ntawm Hashimoto's thyroiditis, txawm li cas los xij, nws kuj tseem pom muaj nyob hauv cov neeg tsis muaj kev hloov pauv ntawm cov thyroid, yog li ntawd, nws txoj kev tshawb nrhiav tsis ib txwm qhia tias tus kab mob yuav loj hlob;
• Anti-TSH receptor antibody (tiv thaiv TRAB): tej zaum yuav nyob rau hauv cov mob hyperthyroidism, feem ntau yog tshwm sim los ntawm Graves 'kab mob. Tshawb nrhiav nws yog dab tsi thiab yuav ua li cas kho Graves 'kab mob.

Cov thyroid autoantibodies yuav tsum tsuas yog thov los ntawm cov kws kho mob hauv cov xwm txheej uas cov thyroid hormones raug hloov, lossis yog xav tias muaj cov thyroid mob, yog ib txoj hauv kev pab qhia meej txog qhov ua rau.

3. ultrasound ntawm lub qog

Ultrasound ntawm cov ua cov thyroid yog ua tiav los ntsuas qhov loj ntawm caj pas thiab qhov muaj cov hloov pauv xws li hlwv, qog, goiter lossis nodules. Txawm hais tias qhov kev ntsuas no tsis tuaj yeem qhia tau tias qhov mob txhab yog mob qog nqaij hlav, nws yog qhov tseem ceeb heev rau kev kuaj pom nws cov yam ntxwv thiab coj cov haujlwm ntawm qhov hnoos qeev los yog hlwv rau kev pab hauv kev kuaj mob.

Cov thyroid ultrasound

4. Lub qog ua scintigraphy

Cov thyroid scintigraphy yog qhov tshuaj ntsuam uas siv me me ntawm cov tshuaj loog iodine thiab lub koob yees duab tshwj xeeb kom tau txais cov duab ntawm lub qog, thiab txhawm rau txheeb xyuas theem ntawm kev ua si ntawm nodule.

Nws yog qhia feem ntau los soj ntsuam cov nodules xav tias muaj mob qog nqaij hlav lossis thaum twg hyperthyroidism xav tias yog mob los ntawm cov leeg-zais tso lub taub hau, tseem hu ua kub lossis hyperfunctioning nodule. Tshawb nrhiav seb thyroid scintigraphy tiav li cas thiab yuav npaj li cas rau kev kuaj mob.

5. Lub qog ua ntshav

Yuav tso ib qho nqaij mus kuaj los yog txhaws txhawm rau txhawm rau txheeb xyuas seb puas muaj cov thyroid nodule lossis hlwv txhaws yog mob lossis qog. Thaum lub sijhawm kuaj mob, tus kws kho mob nkag ib rab koob zoo ntawm lub hnoos qeev thiab tshem tawm ib qho me me ntawm cov ntaub so ntswg lossis kua uas tsim cov hnoos qeev no, kom cov qauv no raug ntsuas hauv qhov chaw kuaj mob.

Kev ua haujlwm ntawm lub qog ua rau mob los yog ua rau tsis xis nyob vim qhov kev ntsuas no tsis ua nyob rau hauv tshuaj loog thiab tus kws kho mob tuaj yeem txav rab koob thaum lub sijhawm kuaj yuav tuaj yeem ua qhov hnoos qeev los ntawm ntau qhov chaw ntawm lub taub hau lossis kom ua kom lub qhov dej ntau dua. Qhov kev kuaj mob sai thiab kav ntev txog 10 feeb thiab tom qab ntawd tus neeg yuav tsum nyob nrog daim ntaub qhwv rau hauv qhov chaw rau ob peb teev.

6. Kev ntsuas tus kheej qog

Kev kuaj tus kheej lub qog yuav ua tau txhawm rau txhawm rau txhawm rau txhawm rau txhaws lossis qau hauv lub caj pas, ua qhov tseem ceeb los pab txhawm rau txhawm rau hloov pauv thaum ntxov thiab tiv thaiv tus kab mob tsis txaus ntseeg thiab yuav tsum ua, feem ntau, cov poj niam muaj hnub nyoog 35 lossis tsev neeg muaj keeb kwm muaj cov thyroid teeb meem.

Yuav kom ua tiav qhov no, yuav tsum ua raws li cov theem hauv qab no:

• Tsa daim iav thiab txheeb xyuas qhov chaw uas muaj cov qog nyob hauv qis, uas qis hauv qab ntawm lub txiv apple, lub npe hu ua "gogó";
• Qaij koj lub caj dab rov qab me ntsis kom ua rau thaj chaw zoo dua;
• Haus ib khob dej;
• Tshawb xyuas qhov txav ntawm cov thyroid thiab txheeb xyuas yog tias muaj kev tawm tsam, asymmetry.

Yog tias muaj cov thyroid txawv txav tau sau tseg, nws yog ib qho tseem ceeb kom nrhiav kev saib xyuas ntawm tus kws endocrinologist lossis tus kws kho mob kom ua kev tshawb xyuas tuaj yeem ua nrog kev tshuaj ntsuam uas tuaj yeem lossis tsis paub tseeb tias muaj kev hloov kho cov thyroid.

Thaum koj yuav tsum tau kuaj cov thyroid

Kev soj ntsuam cov thyroid yog qhia rau cov neeg uas muaj hnub nyoog 35 dua lossis ntxov dua yog tias muaj cov tsos mob lossis tsev neeg keeb kwm ntawm cov thyroid hloov, cov poj niam cev xeeb tub lossis xav tau cev xeeb tub thiab rau cov neeg uas pom muaj kev hloov lub sijhawm kuaj tus kheej lossis kev kuaj mob ntawm cov thyroid.

Tsis tas li ntawd, kev ntsuam xyuas kuj tseem qhia tau tom qab hluav taws xob kev kho mob caj dab lossis mob taub hau thiab thaum kho nrog cov tshuaj xws li lithium, amiodarone lossis cytokines, piv txwv li, uas tuaj yeem cuam tshuam cov thyroid muaj nuj nqi.