Te whakamātautau o te Hypothyroidism, Canroid Cancer and More
I tua atu i te aromatawai hauora-taikaha- taikaha, e hiahia ana nga tikanga o te tairoi ki nga whakamatautau me nga tukanga motuhake hei whakauru i te taatai. Ko te tuhinga e whai ake nei ko te arotake i nga paearu rereke mo te taatai.
Hypothyroidism
Hei awhina i te tautuhi me te whakahaere i te hipothyroidism, ka tīmata nga kaitoi i te whakamatautau toto e whakatau ana i te hormone thyroid-stimulating (TSH).
I te Spring 2003, ko te nuinga o nga whare taiwhenua Amerika he momo noa mai i te 0.5 ki te 5.5. Heoi, ko te American Association of Clinical Endocrinologists kua korero tata nei kia whakahoutia te waahi noa ki te 0.3 ki te 3.0. Ki te 5.5 hei pito pito o te awhe noa , he TSH kei runga ake ko taua reanga he hypothyroid. I raro i nga aratohu hou, Heoi, ka taea te whiwhia te TSH ki runga ake i te 3.0 hei hypothyroid.
Tuhipoka: Ko etahi o nga kaiwhakaako e whakapono ana kia tika nga taumata TSH i raro i te wa e hapu ana. (Tirohia He aha nga Rangi TSH Tangata i Nga Waainga Tuatahi o te Maputanga? )
Ko ētahi atu whakamātautau toto e taea ana hei āwhina i te tautuhi i te hypothyroidism:
- Ko te T4 katoa (Taeroxine Tae) - ko te taumata T4 teitei me te TSH tiketike e tohu ana i te hypothyroidism.
- Free T4 (Thyroxine Free) - he taumata iti T4 noa me te TSH tiketike e tohu ana i te hypothyroidism.
- Tapeke T3 ( Tapekerotoronini katoa ) - te taumata T3 katoa me te TSH tiketike e tohu ana i te hypothyroidism.
- Free T3 (Free Triiodothyronine) - he iti T3 taumata me te TSH tiketike e tohu tohu hypothyroidism.
Te mate o Hashimoto
Ko te thyroiditis Hashimoto ko te mate autoimmune ko te take tino nui o te hypothyroidism. Ko te manawanui o te Hashimoto o to mate o te Hertimoto he nui nga uara TSH me nga taumata T3 me T4 (ranei T3 me Free T4).
He nui te kukume o nga autoantibodies thyroid - Ko nga momo anti-TPO tino - he ahua ano hoki mo te mate a Hashimoto.
Nga mate me te Hyperthyroidism
Ko te whakamatautau i te hyperthyroidism he aromatawai haumanu katoa, i te wa e tirotirohia ana e te taote te manawanui me te taiu. Ka taea te whakauru i te Hyperthyroidism i te whakamahinga o te TSH, T4 (T4 ranei T4 ), T3 (ranei T3 T3) me te Whakaaturanga Iodine Update (RAI-U). Ko te whakamatautau Iodine Update (RAI-U), e whakaatu ana i te warota me tona kaha ki te tango i te iodine, ka whakamahia hoki ki te taatai i te hyperthyroidism, me te awhina mehemea kua puta te materoto i te mate o Graves. Ko te maimoatanga o te mate o te Wheehe he maha nga taunakitanga o te Hiranga Receptor Antibodies (TRAb) / Thyroid-Stimulating Immunoglobulins (TSI).
Ko te tirohanga whānui o te maimoatanga o te mate a te Kerei me te hyperthyroidism kei roto i tenei tuhinga: Te whakamatau i te mate o te Whero / Hyperthyroidism .
Haere
He maha nga takahanga e whai wāhi ana ki te tirotiro i te kaiwhakahaere:
- Te tirotiro me te matakitaki i to nui o te kaki
- He whakamātautau toto ki te whakatau mēnā kei te whakaputahia e to thyroid he nui o te hironone thyroid
- Te whakamatautau i nga tohu tawhito, ki te whakapumau i te mate o te mate autoimmune e ahei ai te take o to kaipara
- He whakamātautau ultrasound hei aromatawai i te rahi o te whakawhānui
- Ko te tootopito heotope thyroid scan ki te whakaputa i te ahua o te tairoi me te whakarato i nga korero ataata e pā ana ki te ahua o te whakawhitinga o te takaroka (note: no te mea he kino pea te mate o te pepeke, kaore i te mahi i roto i te wa hapu me te whāngai)
Nodules
Ka aromatawaihia nga Nodules e nga tikanga e whai ake nei:
- He whakamātautau toto, ki te whakatau mehemea ka whakaputahia e to nodules te hiroone hukarere
- Iodine Uptake (RAI-U)
- He ultrasound of your thyroid, ki te whakatau mehemea he kaha, he waipiro ranei te nodule
- Ko te wawata pai-tii me te koiora o te koiora o ou nodules, ki te aromatawai mehemea ka pakaru te nodule (s)
Mai i te tau 2011, kua tohua he tukanga moanui pai mo te koirai, ka whakakore i nga hua o te koiora FNA. Ko tenei tohu ka kiia ko te Veracyte Afirma Thyroid Analysis .
Cancer Cancer
Ka taea e te mate pukupuku mate pukupuku te whakauru i te maha o nga tukanga me nga whakamatautau, tae atu ki te whakamatautau tinana, te koiora, te whakamatautau whakaahua , me nga whakamatautau toto. Kei roto i tenei tuhinga he tirohanga whānui mo te tukanga whakamatau.
I te nuinga o te mea, mo te katoa, ko te hunga mate anake, ka mahia he RAI-U hei awhina i te tautuhi mehemea he makariri te nodules, ko te tikanga he nui atu te kaha ki a ratau ki te pakaru.
Mena kei te whakapaehia he nodule ki te wero, ka whakahaerea he koiora pairati (FNA) . Ka tangohia te wai me nga kamera mai i nga waahanga o te nodule, a, ka aromatawaiia enei tauira e te kaimatai. I waenganui i te 60 me te 80 ōrau o ngā whakamātautau FNA e whakaatu ana he pai te nodule. Kotahi noa iho i te 20 nga whakamātautau FNA e whakaatu ana i te mate pukupuku. Ko nga toenga o nga take e kiia ana ko "he whakamahara." Ko te tikanga, ka whakakorehia nga nodules mo te koiora, hei whakaputa i te mate pukupuku ranei.
Puna
Braverman, MD, Lewis E., me Robert D. Utiger, MD. Ko te Thyroid: Werner me Ingbar. 9th ed. , Philadelphia: Lippincott Williams & Wilkins (LWW), 2005.