Nekutaridzika kwezviratidzo zvisingafadzi, zviratidzo zvezvirwere zvegadziriro ye endocrine, varwere vanodzokera kumurapi anokwanisa kuisa zvakare kune anopocrinologist. Vakawanda vanoziva chiremba uyu kwenguva yekutanga uye vanobvunzwa nemubvunzo: "Chii chinonzi chirwere chekupedzisira chekare?". Mumunda wake webasa pane zvirwere zvezvikamu zvinokonzera kusunungurwa kwehomoni muviri, uye kwete chete.
Endocrinologist - ndiani uyu uye chii chinoporesa?
Izvozvo zvinogadzirisa hutano pakati pemasukisi nemasero uye, nekubatsirwa nemahomoni, rinotungamirira basa ravo. Imabasa eyanzvi mundima iyi ndeyekuti ione kushanda uye kusinganzwisisiki kushanda kwegadziriro uye kuwana nzira dzinobatsira dzekubvisa kukanganisa kwakaitika. Izvozvo zvinogadzirisa zvirwere zvekupedzisira, zvinotora matanho ekudzivirira kwechiitiko chekukundikana kudzokorora.
Endocrinologist - ndiani uyu?
Uyu mushandi wezvokurapa anogona kuve akafanirwa kune dzakawanda zvevanyori. Kunyange zvazvo achigona kungoita mubasa rimwe chete, somuenzaniso, wekupedzisira we-endocrinologist-gynecologist anobata zvirwere zvehomoni zvemadzimai emudzimai, uye mupotopinologist anoita mabasa pahutachiona . Asi nenzira yakazara, anopocrinologist ndeye chiremba anozorodza uye anoronga zviratidzo zvakasiyana-siyana zvinosanganiswa nhengo kwete kwete chete ye endocrine, asiwo yeimwe hurongwa, kana kukanganiswa mune imwe kuchikonzera matambudziko eumwe. Mukuwedzera, zvikamu zve endocrinology zvinosanganisira:
- chirwere cheshuga;
- vana endocrinology.
Chirwere cheshuga mellitus ndechimwe chezvinetso zvinowanzoitika uye zvinowanzoenda kune unyanzvi wehuwandu huno. Mukuwedzera, anodzidza uye anobata hutano hwezviviri uye glands: chirwere chetachiona, chirwere chinonzi adrenal gland, chirwere chepituitary, hypothalamus, nezvimwe. Kuzvirwere nemamiriro ezvinhu anogadzirisa magumo ekupedzisira, anosanganisira:
- acromegaly (kugadzirwa kwehuwandu hwekuwedzera hormone);
- chirwere cheshuga insipidus ;
- autoimmune diseases;
- pancreatitis ;
- adrenal insufficiency, kusanganisira chirwere chaItenko-Cushing ;
- dzidzo muhutano hwetachiona;
- kutyora kwehupombwe hwemetabolism, nezvimwewo.
Endocrinologist - chii chinoporesa vakadzi?
Chii chinonzi chirwere chekupedzisira chekare chinogadzirisa mune zvepabonde zvakanakisa? Zvirwere zvechikadzi zvemukondocrine system dzinowanzobatanidzwa nehutachiona gland. Izvi ndizvo zvirwere zvakadai se hypothyroidism uye thyrotoxicosis, autoimmune thyroiditis, diffuse-toxic, nodular uye endemic goiter, matumbo. Zvinetso neavoctation, kuwedzerwa kwehomoni dzevarume - izvi zvinetso zvinogadziriswa nachiremba. Dzimwe nguva mukadzi anoratidza kutyora kwezvinyorwa zvepabonde, zvinoratidzwa nekunonoka pakuenda kumwedzi, kupera uye mapurocystic ovaries.
Asi pane kugamuchirwa kuna chiremba kuuya uye kune zvimwe zvikonzero, zvisina kubatana nezvirwere. Muhupenyu hwose, mukadzi angada rubatsiro kubva kunyanzvi:
- Zvinokurudzirwa kuti zvigadzirise pachitambo chekuita pamuviri .
- Kukurukurirana nachiremba kunowanzotarisirwa panguva yekutakura kwomwana (kurongwa kwechirongwa uye kunyanya kana kune kudarika kupi zvako).
- Kudzivirira kudzivirira kunoitwa nevakadzi munguva yekupera kwemwedzi.
- Kusarudzwa kwemakemikari ekudzivirira zvirwere kunogona kuchengetedzwa kunopotoriko.
Endocrinologist - chii chinoporesa varume?
Nezviratidzo zvinoratidzirwa zvichiratidza hutachiona hweHommon system, varwere vevarume vanotumidzwa kune endocrinologist, dzimwe nguva pamwe chete nekushanyira urologist. Kuwedzerwa kwehomoni dzevakadzi (dzinoratidzwa mukuwedzera kwezvinyama zvinyoro), chirwere chebonde, basa rakawandisa, zvakadaro - zvinetso zvinotaurirwa kuna chiremba. Ndezvipi zvirwere zvinokonzerwa nemagokorognologist kuvanhu?
- kusabereka;
- matumbo eepodoma;
- kukanganisa mukugadzirwa kwezvinyorwa zvepabonde;
- uyerogen kukwana;
- aprostatitis uye prostate adenoma;
- kutyora mumuviri we calcium metabolism.
Endocrinologist - chii chinoporesa vana?
Pediatric endocrinology ndechimwe chezvikamu zvemu munda wemishonga. Muongorori anotarisana nehutano hwepabonde uye akawana zvirwere, anotarisa kushanda kwakakodzera kwezvitsuwa uye nhengo. Kusarurana kweHormonal kunobvira pazera duku. Chinetso chinzvimbo chinotarisa zvirwere zvipi zvinoitwa ne endocrinologist.
- Hypothyroidism - kushayikwa kwehomoni yekemikari - dzimwe nguva inotadzisa kuchera mupfungwa.
- Chigumisiro chekushanda kwakashata kweplandia gland ishoma uye gigantism.
- Kana zvipembenene zvisingabatanidzi zvinoshanda zvisina kunaka, bvisa cortisol shoma uye mamwe mahomoni, chirwere chisingawanzi addison uye chinopararira chinogona kuitika.
- Anomalies mukuvandudzika kwezvinyorwa zvepabonde zvinoratidzwa munguva yekusununguka.
Ko magistrologist anotora sei kugamuchirwa?
Kubvuma kwechigumo chemagokoriro inokurudzirwa kamwechete pagore, kunyanya varume nevakadzi mushure memakore makumi mashanu nemashanu. Asi pasinei nezera, unofanirwa kutarisa utano hwako uye usakanganwa chero shanduko dzinobata endocrine system. Munhu anofanira kungwarira zviratidzo zvakadai sekuwedzera kutuka, kusuruvara kunogara kwenguva refu, kuneta kusingaperi, kudengenyeka, kurwadziwa pamwe chete, nezvimwewo. Vose varwere vakaendeswa kuna chiremba kwenguva yekutanga vanobvunzwa kuti: sei magistrologist anotora musarudzo? Chirongwa chacho chinotevera:
- Kufanana navanachiremba vose, nyanzvi mundima iyi inotanga kugamuchira murwere, kuunganidza anamnesis, kugamuchira zvikwangwani uye kudzidza chiremba wezvechiremba. Zvinonyanya kukosha kuvapo kwezvirwere zvisingaperi.
- Chiremba ari kuongorora.
- Murwere anopfuura miedzo uye anodzoka kechipiri mushure mokunge mhinduro dzagadzirira.
Ndeipi inopfuurira kana kuitika kuongororwa kwegoutocrinologist?
Kuongororwa kwekutanga kwechigumo chechigodhi hakudi kuti kugadziridzwe uye kunenge kwakangofanana. Chiremba anoyera kuwedzerwa kweropa, kuputika, anoongorora ganda kuti aome, anoteerera mwoyo, anotarisa utachiona (hunzvera hwekuvapo kwemaitiro, inofungidzira ukuru uye kufanana kwechimiro) uye lymph nodes. Nhengo ndiyo nzira huru iyo chiremba anoshandisa panguva yekuongorora. Asi dzimwe nguva murwere anoremerwa uye anobvunzwa nezvekuchinja kwekuyera kuti aone kana pane chido chokuwedzera kuderera, kuyera urefu hwake. Uyewo muhofisi yechiremba mune glucometer.
Kubvunzurudzwa kwemugumo wenhau
Kuziva kuti magumo ekupedzisira ekuongorora uye kubata, unogona kutaridzira apo zviratidzo zvekutanga zvekudzivirira zvinoratidzika, zvichiratidza zvinetso zvehomoni, chirwere cheshuga nezvimwe zvirwere. Murwere anofanira kunge akagadzirira kupindura mibvunzo nezvezvirwere zvisingaperi, hutano huripo panguva iyo, zviratidzo zvokutanga zvekuora. Dzimwe nguva mazano e-endocrinologist anodiwa sekudzivirira. Izvi zvinonyanya kukosha kune vakadzi vari kuronga pamuviri, asi vane matambudziko ne endocrine system.
Ndezvipi zvinongororwa zvakasarudzwa kana kusarudzwa nemagariro ekupedzisira?
Kubva pamigumisiro yekuongororwa uye kubvunzurudzwa kwemurwere, chiremba anorayira kuitisa kuongororwa kwebhroreta iyo ichagadzira mufananidzo wakajeka wechirwere. Kuongororwa kwegoutocrinologist kunogona kusanganisira:
- ropa biochemistry;
- Ultrasound yenhengo dzomukati, thyroid;
- kuongororwa kwakawanda kwemuti neropa;
- kuburitsa ropa kune mahomoni;
- tsvakurudzo nezvehuga, nezvimwewo.
Ndeipi nguva yekukurukura ne-endocrinologist?
Vongai zvipembenene zvemukati secretion, mahomoni anobatsira muviri kuti ushande nenzira yakarurama. Kuwedzerwa kana kushayikwa kwehomoni (imwe kana yakasiyana) inoita kuti uone zviratidzo zvisingafadzi, asi kwete nguva dzose. Kusava nehanya zviratidzo zvezvirwere zvinokanganiswa nenzira isina kukonzerwa nechando, chepfu uye zvishoma zvishoma, kunyangwe kuzvirongedza pachavo kugovera ivo mushonga. Zvinongowedzera hupenyu hwehutano. Asi pane zviitiko apo zvakakosha kuonana ne-endocrinologist pakarepo. Zviratidzo zvisingagoni kuregererwa:
- Nguva dzose marwadzo uye kuvhunga mumutsipa, zvinoshandiswa mumutsara wezwi. Zvichida, mhosho murosi yeganda ndiyo yekupa mhosva.
- Maitiro anofamba, kuchema, kusagadzikana. Nokudaro hurongwa hwehutano hunotarisana nezvinetso zvehomoni.
- Kudha nokukurumidza kana kuderedza uremu. Kuchinja kwakasimba mumuviri wepanyama kunoratidza kuvapo kwezvinetso zve endocrine.
- Kuratidza bvudzi kukura kana kurasikirwa nemvere. Pano, kururamiswa kwehomoni kunodiwa.
- Zviratidzo zve hypothyroidism - kuderedzwa kwekucherechedza, kurara, kuneta.
Mazano eEntocrinologist
Pachinyore kana kuti zvisina kujeka, mupotopinologist anowirirana nedzimwe nzira dzezvehutano. Inogona kutumirwa kwaari mushure mekuongororwa kwechiremba, chiremba wevana, gynecologist. Munguva pfupi yapfuura, basa rakabatanidzwa rekupedzisira-nestistist-nutritionist riri kuwana mukurumbira, iyo inobatsira kuisa tsika yekudya, kuwedzera kuwanda kana kuideredza. Basa rayo guru nderokuratidza kushungurudzika kwemagadzirirwo emagetsi anokonzera kuneta. Mazano endocrinologist maitiro ekurasikirwa nekurema kunosanganisira kurondedzera kudya uye kuita muviri. Zvichipa murnesis ane murwere, nzira yega yega inonyatsosarudzwa.
Mazano makuru, anouya kumuongorori, ane hanya nebasa retachiona gland, kusimbisa kwayo uye kudzivirira zvirwere.
Zvirongwa izvo chiremba anopa zvinotevera:
- Gwaro rutsigiro rwemuviri - kurara kwakanaka, kurovedza muviri, kudya kwakakodzera.
- Kuramba kunwa doro uye kusvuta.
- Kudzivisa kutonhora zvakanyanya (kutonhora, kupisa).
- Iodine kupa muviri muviri kunoshandiswa kwezvokudya zvakazara iodine.
- Kuderedza kudengenyeka kunotyisa.
- Kushanyirwa kwegore negore kune endocrine.
Chero chirwere chiri nyore kukudzivisa pane kuti chibvise gare gare. Kunzwisisa zvinogadziriswa ne-endocrinologist, iwe unogona kunyora kune uyu nyanzvi kana iwe une zviratidzo zvinokuvadza uye unofungidzira hutachiona hwegadziriro ye endocrine. Kuratidzira murwere achabatsira chiremba mubasa kana kuti mushonga muchechi, anonyora kuendesa kune endocrinologist.