Gwajin gwaji da ganewar asali
Gano maganin cutar thyroid shine tsari wanda ya ƙunshi nau'o'i daban-daban na gwaje-gwajen, ciki har da kimantawa na asibiti, gwaje-gwajen jini, gwaje-gwaje na hoto, biopsies, da sauran gwaje-gwaje. Bari mu dubi abubuwa daban-daban na tsarin maganin maganin thyroid.
Binciken Clinical na Thyroid
Wani muhimmin mahimmiyar mahimmanci na ganowa da kuma bincikar cutar thyroid shine maganin asibiti.
Dole ne likitan horar da likita ya kamata a gudanar da gwajin likita na thyroid. Yayinda wasu masu aikin likita suna iya yin nazari na gwaji na maganin ka, masu shan magani a lokuta mafi kyau ana horar da su a sassa na musamman na wannan binciken.
A matsayin ɓangare na kimantawa na asibiti, mai yin aikinka ya kamata ya yi wannan binciken:
-
Hormone Tsarin Jarida: Game da TSH Test da Controversies
-
Fahimtar Gwaje-gwaje da Ta'idodin Yanayi na Thyroid
- Feel (wanda aka sani da "lalata") wuyanka, neman kara girma, lumps, ko rashin daidaituwa a cikin siffar thyroid.
- Ku saurari maganin ku ta hanyar amfani da na'urar tsinkayyi don gano kara yawan jini.
- Gwada hankalin ku. A hyper-amsa zai iya zama alamar wani overactive thyroid, kuma mai amsa bllexted sau da yawa hade da hypothyroidism.
- Bincika ƙarancin zuciya, rhythm, da karfin jini . Ƙananan zuciya da / ko hawan jini za a iya haɗuwa da maganin jinƙai, kuma girman zuciya da / ko karfin jini yana da alaka da hyperthyroidism.
- M auna nauyi, kuma tattauna matsaloli. Rawanin gasa marar tsammanin yana danganta da hypothyroidism, yayin da asarar nauyi ya danganta da hyperthyroidism.
- Nuna yanayin jiki. Ƙananan zafin jiki yana da nasaba da maganin ciwon daji, kuma dan kadan hawan zafin jiki yana hade da hyperthyroidism.
- Bincika fuskarka don alamun da ke cikin maganin karoid, ciki har da hasara na girare na waje, da damuwa a idanu, da kuma rashes.
- Bincika idanuwanku, neman alamun maganin thyroid, ciki har da murkushe idanu, shahararren ido, da idon bushe.
- Kula da yawan yawa da kuma gashin gashin ku. Canje-canje a cikin rubutun gashi, kazalika da asarar gashi da raguwa, ana hade da halayyar hyperthyroidism da hypothyroidism.
- Binciken fata. Dry, m fata ne nasaba da hypothyroidism, kuma fata sabon fata fata yana hade da hyperthyroidism.
- Binciken kusoshi da hannunku. Dry, brittle kusoshi suna nasaba da wani underactive thyroid.
- Yi nazarin sauran alamomi da alamun cututtuka.
(Ƙara koyo game da ƙayyadaddu na ƙwaƙwalwar asibiti game da cutar thyroid da abin da za ka iya sa ran.)
Tests na Blood na Taroid
Lokacin da lauyanka ake tuhuma cewa kana da yanayin thyroid, wani mataki na mahimmanci shine gwajin jini don taimakawa zuwa maganin maganin thyroid .
Lura: Kafin ka yi gwaje-gwajen jini, za ka so ka fahimci zaɓuɓɓukanka, dangane da lokacin gwaji, da kuma azumi da / ko shan magunguna ko a'a kafin gwaji. Don ƙayyadadden bayanai, karanta Hasashen Mafi kyau da Hanyoyi na Testing Blood Taroid .
Kwayoyin cutar jinin kaɗaɗɗen kuɗi sun haɗa da wadannan:
- Hormone Hidden Hormone (TSH) Test
- Total T4 / Total Thyroxine
- Free T4 / Free Thyroxine
- Kwancen T3 / Duka Tambaya
- Free T3 / Free Triiodothyronine
- Gyara T3
- Thyroglobulin / Thyroid Binding Globulin / TBG
- Thyroid Peroxidase Antibodies (TPOAb) / Antithyroid Peroxidase Antibodies
- Thyroglobulin Antibodies / Antithyroglobulin Antibodies
- Thyroid Receptor Antibodies (TRAb)
- Thyroid-Yada Immunoglobulins (TSI)
Harshen Tambayoyi na Thyroid
Ƙarin fahimtar gwaje-gwajen daban-daban, abin da suke nufi, da kuma yadda za a fassara ma'anar yana da muhimmanci ga wanda aka sanar da shi, yana ba da haƙuri mai haƙuri. Don ƙarin bayani da ganewa, karanta:
Takwa TSH
Tinciken TSH yana dauke da su ne ta hanyar likitoci na al'ada kamar "ma'auni na zinari" gwajin gwajin ku. Akwai kuma rashin daidaituwa tsakanin magungunan likitoci na al'ada game da ma'auni na al'ada don gwajin. Wannan rashin daidaituwa na iya shafar ko ko wani likita ya bincikar da ku tare da yanayin jinƙai, ko kuma ya cire wani maganin maganin thyroid. Don ƙarin koyo game da gwajin TSH, za ku so ku karanta:
- Testing Thyroid: Menene Matsayi na TSH na al'ada?
- TSH Tsananin Ranar TSH: Dalilin Me yasa Akwai Kwayar Ganawa?
- Shin TSH ɗinku "Kullum" Amma Kuna Kunawa Hypothyroid ne?
Gwajin gwaje-gwaje na Thyroid
Yayin da aka kara girman ka, ko mai yiwuwa a haɗata, kuma lokacin da aka gano ko kuma ake zargi da nodules, za'a iya yin gwaje-gwaje da dama don taimakawa wajen ganewar asalin yanayin thyroid . Wadannan gwaje-gwajen sun hada da
- Rikicin nukiliya / Iyaliyar radiyo Yarda. Wannan gwaji, wanda aka fi sani da RAI-U, zai iya bayyana ko kuna da cututtukan Graves, mai guba mai guba, ko thyroiditis. (Lura: ba a yi a lokacin daukar ciki ba.)
- CT Scan . A CT scan zai iya taimakawa gano da gano asalin goiter, ko ya fi girma thyroid nodules .
- MRI / Magnetic Resonance Imaging. MRI zai iya taimaka wajen kimanta girman da siffar thyroid
- Thyroid Duban dan tayi . Thyroid duban dan tayi na iya kimanta nodules, lumps, da kuma kara girman glandarka. Duban dan tayi kuma iya gaya ko yaduwar karoid dinka ne mai zurfi mai zurfi, ko wani nau'in nama mai tsabta.
Gano karin game da waɗannan gwaje-gwaje na hotunan maganin cutar thyroid.
Yourroid Biopsy / Fine Wuta Gurasar (FNA) Biopsy
Kwancen daji ne, wanda aka fi sani da kwamin gwiwar lafiya mai karfi (FNA), ana amfani dasu wajen taimakawa wajen daidaitawa da ƙwayoyin thyroid da nodules. A cikin allurar allura, an saka wani allurar bakin ciki kai tsaye a cikin nodule, an cire wasu kwayoyin kuma an kimanta su akan ciwon daji. (Wasu masu aiki suna amfani da duban dan tayi yayin gudanar da kwayar halitta don tabbatar da cewa allurar ta shiga cikin dama.) Yayin da kashi 95 cikin dari na thyroid nodules ba ƙyama ba ne, FNA, tare da wasu ƙarin gwaje-gwaje kamar jarrabawar Afrayma na Veracyte , zai iya yin Sakamakon kwayoyin halittunku ya fi dacewa, kuma sau da yawa zai iya kare ku aikin tiyata ba tare da dole ba ga nodules wanda ya zama bala'in.
Nemi ƙarin bayani game da abin da za ku yi tsammani daga bege mai inganci mai kyau (FNA) biopsy na thyroid a wannan Q & A labarin.
Sauran Tattaunawar Harsoyin Cikin Gida da Tsarin
Ma'aikatan lokuta sukan yi amfani da wasu gwaje-gwaje da kuma hanyoyin da za su gano matsalar rashin jin dadi . Yin amfani da waɗannan gwaje-gwaje an dauke su da rikice-rikice ga masu aiki na al'ada, amma wasu daga cikin waɗannan gwaje-gwaje ana karɓa kuma suna amfani dasu a cikin sauran likitoci, haɗin kai, da kuma cikakkun likitoci. Wadannan gwaje-gwajen sun hada da
- Iodine Patch Tests
- Gwajin gwaji
- Gwajin Urinary
- Gwajin gwajin Turawa na Basal
Kuna son karantawa game da waɗannan gwaje-gwajen marasa amfani don maganin thyroid kafin su dogara ga sakamakon su.
Da Thyroid Neck Duba Test Kai
Duk da yake ba a dauke da bincike bane, zaka iya yin bincike kan wuyanka, don neman lumps da fadadawa. Don umarnin, don Allah karanta yadda za a yi wa kanka karba don duba thyroid cuta.
Tabbatar da gwajin gwajin ka
Kila bazai sani ba, amma a mafi yawan jihohi a Amurka, da kuma wasu yankunan a waje da Amurka, zaka iya yin buƙatar gwaje-gwaje na thyroid. Wasu marasa lafiya suna amfani da wannan hanyar don gwada gwajin kafin ganin likita. A wasu lokuta, yana iya zama mai araha don yin su-tare da alamar likita. Ko kuma, HMO ko inshora zai iya ƙuntata gwaje-gwaje da likitanku zai buƙaci.
Ƙara koyo game da yadda zaka tsara wa kanka gwajin jini a yanzu.
Diagnosing Thyroid Conditions
Bisa ga sakamakon binciken jarrabawar, gwaje-gwaje na jini zai iya gano maɓallin thyroid, ciki har da hypothyroidism (rashin karamar thyroid) da kuma hyperthyroidism (haɗarin hormone thyroid).
TSH mai girma - tare da ƙananan T4 / free T4, da ƙananan T3 / free T3 matakan-an hade da hypothyroidism. Low TSH-tare da mafi girma T4 / free T4, kuma mafi girma T3 / free T3 matakan-an hade da hyperthyroidism.
Sakamakon da aka samu a kan gwaje-gwaje na antibody zai iya taimakawa wajen gano cututtukan cututtukan thyroid wadanda ke iya haifar da hyperthyroidism, hypothyroidism, nodules, ko goiter. A cikin cutar Hashimoto, an gano yawancin tsofaffin kwayoyin TPO, kuma a cikin cututtukan Graves, tsayuwa a cikin asibiti na TSI. Kuma mafi yawan gwagwarmayar gwajin T3 na baya gano cutar da rashin aiki irin na T3 hormone, kuma wasu likitocin masu amfani sunyi amfani da su don taimakawa wajen gano nauyin halayen ka.
Don nodules da goiter, gwaje-gwajen hotunan zasu iya taimakawa wajen gane ko nodules suna da dadi, a yayin da ake amfani da biopsy FNA don tantance nodules tare da wasu halaye masu tsattsauran don ganowa ko kuma sarrafa ciwon maganin ciwon maganin karoid.
Gano game da takamaiman maganin thyroid da gwaji da kuma yadda ake amfani dashi don gano asalin yanayin thyroid.
> Source:
Braverman MD, Lewis E, Utiger RD. Werner da Ingbar ta Yourroid: Wani Mahimmanci da Kalmomi Text. 9th ed. , Philadelphia: Lippincott Williams & Wilkins (LWW), 2005.