Binciken cutar thyroid shine tsarin da ya kamata ya haɗa da matakai masu yawa, ciki har da kimanin binciken ƙwaƙwalwar ƙwayoyin cuta, gwaje-gwajen jini, gwaje-gwaje na hotunan, biopsies da nazarin pathological, gwaje-gwajen kwayoyin, da sauran gwaje-gwaje masu dacewa da kimantawar aikin thyroid. A nan, maganin thyroid-takamaiman ƙwararrun gwaji don thyroid cuta suna bincike ne sosai don haka ka san abin da ya kamata ka yi tsammani daga aikin likitanka da likitanka.
Wani muhimmin ɓangare na ganowa da kuma bincikar cutar thyroid shine ƙwaƙwalwar asibiti mai kula da aikin likita. A matsayin wani ɓangare na ƙwarewar thyroid gwagwarmaya, mai aikinka yana yin nazarin da kuma kimantawa masu zuwa.
Feel (wanda aka fi sani da "lalata") wuyanka.
Dole ne likitanka ya ji wuyanka, neman duk wani ciwon karoid (goiter), lumps, nodules da kuma talakawa a yankin kusa da thyroid. Wannan tsari ana kiranta "palpating" karoid. Wasu masu horar da likitoci suna neman abin da ake kira "marmarin" a kan lakabi. Thrill ne lokacin da mai aiki na jin jin dadin ƙara yawan jini a cikin thyroid.
Ku saurari maganin ku ta hanyar amfani da stethoscope.
Dole ne likitanka ya saurari yankinka na thyroid, don gane abin da aka sani da "kururu." Buru yana nufin cewa lokacin da yake ko sauraron mai sauraron motsa jiki, mai aiki zai iya jin karar ƙara yawan jini a cikin thyroid.
Gwada hankalin ku.
Rashin hankali yana shafi aikin thyroid. Dole ne mai kula da lafiyar ku ya kamata ku jarraba hankalinku tare da karamin mallet, kuyi gwiwoyi da yankin Achilles. Hanyoyin hankulan mahaifa na iya zama alamar hyperthyroidism , kuma jinkirin jinkiri na iya nunawa ga hypothyroidism.
Bincika tayin zuciya, rhythm da karfin jini.
Dole ne likitanka ya kula da ƙwajin zuciya, rhythm, da kuma yin gyaran jini.
Rashin jinkirin zuciya (bradycardia) na iya nunawa ga hypothyroidism, kuma girman zuciya (tachycardia) na iya nunawa ga hyperthyroidism. Wasu marasa lafiya tare da hypothyroidism suna da damun zuciya ko haɓaka bazawar motsi. Kuma mutanen da ke dauke da hyperthyroidism sun fi dacewa su kasance marasa daidaituwa irin su fibrillation . Ƙananan saukar karfin jini zai iya hade da hyperthyroidism, yayin da cutar hawan jini yafi kowa a hyperthyroidism.
Nuna nauyi naka.
Ya kamata ka samu a kan sikelin don samun nauyin halin yanzu. Kyauta mai tsafta mai sauki ba tare da canji ga cin abinci ko motsa jiki ba, da kuma rashin iya rasa nauyi duk da cin abinci da motsa jiki, alamun hypothyroidism ne. Rashin hasara ba tare da canji zuwa cin abinci ko motsa jiki ba, ko ma lokacin cin abinci mafi yawa, na iya nuna wa hyperthyroidism.
Sanya jikinka na jiki.
Dole ne mai kula da lafiyarka ya kamata ya karbi jikinka. Ƙananan yanayin jiki yana dauke da wasu masu aiki kamar alamar yiwuwar maganin kawanci.
Bincika fuskarku.
Yin nazarin fuskarka a hankali yana da muhimmin ɓangare na gwaji. Kwararka yana neman lalacewar gashi a gefen baki na girare, alama ta yau da kullum na hypothyroidism, da kuma rashin tausayi ko kumburi da fatar ido ko fuska, wata alama ta hypothyroidism ta kowa.
Duba idanunku.
Idanunsu sukan shawo kan marasa lafiyar ka, da kuma bayyanar cututtuka na al'ada sun haɗa da: ƙyatarwa ko yunkurin idanu; kallo a idanun; retraction na eyelids babba; wani kullun ido; ba tare da jinkiri ba. Hakanan zaka iya samun wani abu da ake kira "lag," idan eyelid dinku ba zai biyo baya ba yayin da kuka dubi.
Kula da yawan yawa da kuma gashin gashin ku.
Gano asarar da aka gani a duka overactive da underactive thyroid. Ƙarancin ƙwayar jiki, ƙuƙwalwa ko gashin tsuntsaye na iya nunawa ga hypothyroidism. Tashi, gashi mafi kyau zai iya nunawa ga hyperthyroidism.
Binciken fata.
Ƙwayar thyroid , musamman hyperthyroidism, zai iya nunawa a cikin wasu nau'i na fata da ke da alaƙa da za a iya lura da su a asibiti. Wadannan sun hada da launin rawaya, jaundancy zuwa fata; sabon abu mai santsi, fata fata-fata; hives; raunuka ko alamun m fata a kan shins (wanda aka sani da tsohuwar myxedema ko Graves 'dermopathy); ko ƙuƙwalwa-kamar bumps a goshin da fuska (wanda aka sani da milaria bumps).
Binciken kusoshi da hannunku .
Dole ne likitanku ya nema alamun alamun asibiti mai kama da hyperthyroidism a cikin kusoshi da hannunku, ciki har da:
- Ƙunƙarar rigakafi, rabuwa da ƙusa daga gado mai kwakwalwa, wanda ake kiransa kusoshi daga Plummer
- Fusho mai yatsa, wanda ake kira acropachy
Duba wasu alamun asibiti.
Dole ne likitan ku gwada sauran alamun hawan hyperthyroidism, ciki har da:
- Tremors
- Shaky hannun
- Ayyukan Hyperkinetic - drumming table, tapping feet, jerky motsi
- Low kashi mai yawa, gani ta hanyar DEXA scan ko x-ray
Dole ne likitan ku gwada sauran alamun hypothyroidism, ciki har da:
- Bayanin fuska mai ban sha'awa
- Sannu motsi
- Sassaucin magana
- Harshen murya
- Edema (kumburi) na hannun da / ko ƙafa
Source:
Braverman, MD, Lewis E., da Robert D. Utiger, MD. Werner da Ingbar ta Yourroid: Wani Mahimmanci da Kalmomi Text. 9th ed. , Philadelphia: Lippincott Williams & Wilkins (LWW), 2012.