Yaya Abin da kuke Bukata?
Mutane da yawa suna tunanin cewa likita mafi kyau don bi da kowace yanayin thyroid ne mai endocrinologist.
Endocrinology shine ƙwarewa da ke ba da horo a cikin tsarin endocrin- wanda ya haɗa da glandes da gabobi daban-daban irin su thyroid, pancreas, ovaries, testes, da kuma bakin ciki, da sauransu. Yawancin masu binciken likitancin jiki sun kwarewa a cikin ciwon sukari.
Kwanan nan kwanan nan, yawan ƙwayar suna ƙwarewa a yankin da aka samu na ƙwararriyar haihuwa (wanda aka fi sani da "likitoci na haihuwa.") Tare da yawan tsufa, masu binciken endocrinologists suna ci gaba da kira don taimakawa wajen magance osteoporosis.
Abin mamaki, duk da yawancin maganin thyroid, 'yan masu binciken endocrinologists sun za i don mayar da hankali ga aikin su akan maganin maganin maganinka da magani. Wadanda suke yin aiki tare da thyroid marasa lafiya ayan mayar da hankali, yafi a kan handling more m thyroid yanayi irin su thyroid ciwon daji, thyroid hadari , da kuma Graves 'cuta. Ƙananan ƙananan magungunan endocrinologists suna so su bambanta da kansu, kuma suna nuna kansu a matsayin "thyroidologists." Yourroidologists ayan zama sosai gargajiya endocrinologists.
Idan kana da wani abin da ake zargi da damuwa ko yanayin maganin thyroid, kuna bukatar wani likitancin halitta? Amsar: mutane da yawa thyroid marasa lafiya ba su bukatar wani endocrinologist. Yana sauti don ƙwarewa don faɗi wannan, amma a wasu lokuta, endocrinologist ko thyroidologist na iya ba ma kasance mafi kyau zabi.
Yaushe ya kamata kayi cikakken amfani da endocrinologist?
Na farko, idan kana da ciwon maganin ciwon thyroid, ya kamata ka ga likitancin likita. Ka tuna cewa ba za ka iya karɓar wani likitancin likita ba. Kuna so kawai wanda ke da gwaninta a zalunta marasa lafiya na thyroid. Tun da ciwon ciwon maganin ciwon daji ba shi da mawuyacin hali-an kiyasta kimanin 50,000 a kowace shekara ana bincikar da su a Amurka-masu yawancin masu bincike na ƙarshen duniya bazai taba gano ko kuma sun kamu da cutar ciwon thyroid ba.
(Madaidaiciyar hanyar samun likitocin da suka kware a bincikar cutar da maganin ciwon maganin ciwon maganin ciwon daji ne ƙungiyar Thyroid Cancer Survivors).
Na biyu, idan kana da cututtukan cututtuka , thyroid nodules, ko goiter, ga wani likitan gwaji. Amma kuma, za ku buƙaci wani likita wanda yake da kwarewa musamman a zalunta marasa lafiya. Ba ka son likitan ƙwararren ciwon sukari wanda ke kula da ƙwayar thyroid a nan kuma a gefe. Ƙididdigar Ƙwararren Ƙwararren Ƙungiyar Amirka wadda take da "Find a Specialist" ko kuma endocrinologists da aka jera a cikin Thyroid Top Docs Directory suna da kyau hanya.
Na uku, idan kuna da juna biyu kuma kuna da ciwon sanyi , ko kuna da jaririn ko yaron da aka bincikar da ciwon maganin thyroid, ga wani likitancin likita. Yana da mahimmanci a kula da maganin ka a lokacin daukar ciki, saboda rashin lafiya zai iya cutar da ciki da kuma haifar da matsala ga jariri. Kuma kulawa da maganganun maganin karo a cikin jarirai da yara ƙanana sun fi kulawa da su ta hanyar endocrinologist kuma ba wani abu da ya kamata a bar yawancin dan likita ba.
Wani likita ya kamata ya yi aikin tiyata?
Lokacin da kake buƙatar samun tiyata don cire duk ko ɓangare na thyroid, zabi wani likita mai fiɗa wanda yake gwani a tiyata tiyata.
Ka tuna cewa yawan kunne / hanci / makogwaro da likitoci na al'ada ba a la'akari da masu aikin tiyata ba; kuma za ku so likitan likita wanda yake yin yawan ciwon maganin thyroid a shekara, a mafi mahimmanci. Don ƙarin bayani, karanta Neman Topiriyar Thyroid .)
Yaushe ya kamata ka duba likita fiye da likitancin?
Idan kana da "wuya a tantance" rashin maganin thyroid, autoimmune thyroid cuta kamar Hashimoto ta, subclinical / borderline thyroid cuta, wani "al'ada" TSH amma thyroid bayyanar cututtuka, ko kana ana bi da don hypothyroidism amma har yanzu ba ka ji da kyau, Mafi yawancin magungunan aikin likita ba su da kyau a gare ku.
Me ya sa?
Akwai dalilai da yawa. Na farko, muna da mummunar tsanani da kuma tsanantawa kasa da kasa na masu binciken endocrinologists , don haka ba ma sauƙi in shiga don ganin likitaccen likita. A halin yanzu, akwai kimanin kimanin mutane 4,000 wadanda suka kasance a Amurka wanda ke da yawancin Amirkawa miliyan 100-tare da ciwon sukari, matsaloli na haihuwa, cutar polycystic ovary, osteoporosis, cutar Graves, ciwon maganin thyroid, thyroid nodules, da sauransu. ya kamata a gani da wani endocrinologist. Wannan masanin kimiyya ne ga kowane mutum 25,000 da suke bukatar daya. Kuma, kawai kimanin 150 ko sababbin masu binciken likita sun fito daga horo na musamman a kowace shekara.
Abu na biyu, saboda irin wannan kasawa, mafi yawan masu binciken likita ba za su iya yin aiki mai kula da lokaci ba, ko magungunan gwajin gwagwarmaya da rashin kuskure, tare da marasa lafiya wadanda ba su da abin da likitoci suka dauka a matsayin yanayin "yanayin rayuwa". Wannan na nufin marasa lafiya wadanda ke da yanayi kamar Hashimoto, ko wanda ake bi da su don hypothyroidism amma har yanzu suna fuskantar bayyanar cututtuka, ana ganin su sun zama mafi girman fifiko ga endocrinologists. (Wannan ba wai a ce Hashimoto da hypothyroidism ba su da haushi da cancantar yin hankali sosai. Amma masu binciken endocrinologists basu yarda da su zama mummunan matsayi, mai girma, ko yanayin rayuwa mai hadarin gaske ba. da ciwon sukari da kuma matsalolin maganin karoid, wasu masu binciken endocrinologists sun bayyana cewa Hashimoto's da hypothyroidism basu da tabbacin gwani.)
Abu na uku, samun dama shi ne muhimmiyar la'akari. Kullum kuna jira watanni don yin alƙawari tare da likitancin likita. Har ma a lokacin, alƙawarinka zai iya wucewa kawai 'yan mintoci kaɗan. (A wasu lokuta, mataimakan likita na iya ganin ku, kuma ba za ku iya ganin likitan likitancin ba.) Idan kuna ganin likitan likita, wasu masu binciken endocrinologists zasuyi aiki kamar "kuna lalata lokaci" idan kuna zuwa suna tare da matakan gwajin maganin thyroid, ko kuma "al'ada" TSH gwajin amma ci gaba da bayyanar cututtuka . Yawancin masu binciken likita sunyi bin tsarin kulawa da kamfanonin masu sana'a, saboda haka ana iya gano ku da kuma bi da ku bisa ka'idodin kulawa, misali, Ƙungiyar Ƙwararrun Magunguna na Ƙasar Amirka (AACE).
Jagoran AACE sun ce adadin thyroid a ma'auni yana buƙatar abin da suke faɗa "matakai ne guda uku:" (1) gwaji ta yin amfani da gwajin TSH, (2) da ke rubuta levothyroxine don haka mai haƙuri yana cikin " al'ada " kuma (3) tare da gwajin TSH kowace watanni 6 zuwa 12. Yawancin masu binciken likitancin jiki ba su da dadi wajen kara magungunan levothyroxine tare da kwayoyi T3 , duk da wasu binciken da ke ba da shawara ga wasu marasa lafiya . Kuma mafi yawan masu binciken likitancin halitta ba su rubuta ka'idodin maganin thyroid kamar Armor ko Nature-throid ba.
Mene ne nau'i nau'i nau'i na thyroid?
Thyroid marasa lafiya da kuma thyroid al'umma suna fara don gane cewa a cikin aikin, thyroid cuta na iya ainihin bukatar biyu daban-daban na "kwararru:"
- Sanin asali da kuma lura da m thyroid yanayin ya kamata a yi by endocrinologists
- Sanin asali da kuma maganin magungunan hypothyroidism da mahimmanci da maganin kulawa da hypothyroidism na iya yi wa marasa lafiya marasa lafiya mafi kyau.
"Kwararru" don daidaita ma'auni na hormone da kuma hypothyroidism na yau da kullum ana samun su a cikin nau'o'in tarbiyya da fannoni, kuma sun haɗa da:
- masu likita
- likitocin magani
- cikakken MDs
- likitocin osteopathic
- likitoci na halitta
- masu tsufa masu tsufa
- gynecologists
- menopause da masana nazarin hormone
- internists da kuma na farko kula da likitoci da suka riƙi sha'awa a thyroid da hormone balance a cikin marasa lafiya.
Yaushe ya kamata ka yi la'akari da canza likitoci ?
Akwai masu binciken endocrinologists waɗanda suka yi imani da bada cutar Hashimoto da hypothyroid marasa lafiya da zurfin hankali da kulawa. Idan kana karkashin kulawar mai jin tausayi kuma mai tasiri mai tasiri, ci gaba da yin abin da ke aiki.
Duk da haka, idan kana ganin likitan kwaminisanci kuma suna damuwa da abin da kake jin cewa yana da iyakancewa a cikin binciken da kulawa, zaka iya buƙatar taimako idan ka duba wani likita. Karanta yadda masu lafiyar thyroid zasu iya gano likitan likitancin su don Kula da Thyroid don ƙarin bayani.
Kalma daga
Shawarwarin neman sabon likita don maganin thyroid ne ainihin mafi wuya fiye da mafi yawan mu iya tunani. Abota da likita yana da mahimmanci na sirri, kuma baya da sauƙi don samun daidaito, musamman lokacin da yanayinmu ya ƙare, HMOs da inshora. Ka tuna cewa a cikin haɗin likita-haƙuri , kai ne abokin ciniki, kuma likita yana samar da sabis. Kuma idan wannan sabis ɗin ba ta sadu da bukatunku ba, abin mafi kyau da za ku iya yi don lafiyar ku na likitan ku shine neman likitan likita wanda zai biyan bukatunku. Amma ta yaya ka san lokacin da ta ƙarshe ne don sabon likitan thyroid? Ga waɗannan alamomi guda 10 da ke buƙatar sabon likita .
> Source:
> Lash, Robert, MD. "Endocrinology: Bukatar Turawa, Amma Masu Kwarewa." Endocrine Harkokin Sassa. Yuni 2017.