Kws kho mob endocrinologist - yuav kho dab tsi thiab thaum twg yuav tiv tauj
Yog tias koj nug cov lus nug txog dab tsi tus kws kho mob endocrinologist kho, ntau tus neeg yuav qhia npe cov thyroid kab mob thiab ntshav qab zib sai sai, thiab lawv yuav yog lawm. Txawm li cas los xij, txoj haujlwm ntawm kev tshaj lij ntawm cov kws kho mob no tau dav dua. Hauv cov ntaub ntawv no koj yuav pom tag nrho cov pov thawj tsim nyog rau qhov no.
Tus kws endocrinologist yog tus kws kho mob koom nrog kev txheeb xyuas, kev kho mob thiab kev tiv thaiv txhua yam kabmob cuam tshuam nrog kev ua haujlwm ntawm cov kabmob endocrine thiab nws cov kabmob, tso tawm cov tshuaj hormones ncaj qha mus rau hauv cov ntshav lossis lymph.
Lub luag haujlwm ntawm tus kws kho mob endocrinologist yog los nrhiav cov kev daws teeb meem zoo rau kev ua haujlwm ntawm endocrine tag nrho thiab txiav txim siab cov kev ua haujlwm zoo tshaj plaws rau kev tshem tawm cov teeb meem thiab kev ua tsis tiav rau txhua tus neeg.
Yog tias peb txheeb xyuas cov haujlwm ntawm cov kws tshaj lij ntawm no ntau dua, tom qab ntawd nws koom nrog cov hauv qab no:
- Ua ib qho kev kawm ntawm cov kab ke endocrine,
- Kev kuaj mob uas twb muaj lawm pathologies,
- Nrhiav kev kho
- Tshem tawm cov kev mob tshwm sim thiab cov kab mob ntsig txog.
Yog li, tus kws kho mob endocrinologist kho txhua yam kab mob uas tshwm sim los ntawm kev tsis txaus ntseeg los ntawm hormonal. Cov tshuaj hormones yog cov cim taw qhia uas tsim los ntawm qee yam kabmob thiab kis los ntawm cov hlab ntshav thoob plaws lub cev. Feem ntau lawv nqa tawm "kev sib txuas lus" ntawm cov kabmob nrog ib leeg. Ua ke nrog cov leeg hlwb, cov tshuaj hormones tswj cov txheej txheem tseem ceeb hauv tib neeg lub cev - los ntawm kev loj hlob thiab kev loj hlob ntawm lub cev mus rau cov metabolism thiab kev tsim kom muaj kev sib deev. Cov kab mob endocrine yog qhov nyuaj ua rau muaj teeb meem hauv nws tuaj yeem raug qhia hauv ntau yam kabmob - los ntawm ntshav qab zib, rog thiab txha caj qaum ua rau kev muaj menyuam, alopecia, thiab cuam tshuam ntawm lub hlwb-lub siab ntsws.
Endocrinology Cov Kev Cais
Endocrinology, zoo li ntau qhov chaw tshuaj, nws muaj nws ntu. Cov no suav nrog:
Cov me nyuam endocrinology. Seem no tshuaj xyuas txhua yam teeb meem ntsig txog kev pub dawb, kev loj hlob ntawm menyuam yaus, qhov tshwm sim thiab pathologies nrog cov txheej txheem no. Tsis tas li, tus menyuam yaus endocrinologist txhim kho cov hau kev thiab cov txheej txheem kho mob rau cov pab pawg hnub nyoog no, suav nrog txhua tus yam ntxwv.
Mob ntshav qab zib Los ntawm lub npe nws yog qhov tseeb tias ntu no kawm tag nrho cov teeb meem cuam tshuam nrog ntshav qab zib mellitus thiab cov pathologies cuam tshuam nrog nws.
Andrology kuj yuav tsum hais txog, vim hais tias endocrinologist nrog rau urologists koom nrog hauv kev kho dua tshiab ntawm txiv neej kev noj qab haus huv.
Tus kws kuaj mob endocrinologist yuav tsum tsis yog tsuas yog tuaj yeem paub txog cov tsos mob thiab kuaj ntau yam mob, tab sis kuj tseem nres kev txhim kho tus kabmob thiab tiv thaiv kev tsim cov kab mob sib kis, thiab yog tias tsim nyog, xaiv qhov kev tiv thaiv zoo tshaj plaws.
Lub sijhawm no, diabetology (coj mus rau hauv tus lej ntau ntawm cov kev tshawb fawb thiab tshawb pom hauv tshooj lus ntawm endocrinology no) twb tau txiav txim siab cais kev cais.
Yog tias peb coj mus rau hauv tus yam ntxwv ntawm tus kab mob xws li mob ntshav qab zib mellitus, qhov mob ntev ntawm nws cov chav kawm thiab cov kev kho mob nyuaj, nyuaj, uas ib txwm xav ua ib tus neeg mus kom ze, qhov no yog qhov tshwm sim ntuj tag.
Yog li ntawd, tus kws kho mob yog tus kws kho mob endocrinologist, nyob ntawm seb nws kho dab tsi, nws tuaj yeem yog tus menyuam yaus, laus lossis neeg mob ntshav qab zib.
Cov kabmob dab tsi nkag mus rau qhov endocrine system
- Hypothalamus (seem ntawm lub diencephalon no kuj yog lub luag haujlwm tswj lub cev kub, tshaib plab thiab nqhis dej),
- Lub caj pas pituitary (qis dua ntawm lub hlwb pob txha caj qaum, nws qhov loj tsis dhau taum pauv, tab sis qhov no tsis tiv thaiv nws los ntawm lub cev tseem ceeb ntawm cov kab mob endocrine thiab zais cov tshuaj hormones tsim nyog rau kev loj hlob, metabolism thiab fertility),
- Lub caj pas pineal, lossis lub caj pas pineal (nyob hauv qhov zawj ntawm cov tubercles sab sauv ntawm lub ru tsev midbrain phaj, tso tawm cov tshuaj uas ua kom qeeb qeeb ua ntej ua tiav nkauj tiav nraug),
- Cov thyroid caj pas (tsim cov tshuaj hormones uas cuam tshuam rau txhua lub cev thiab cov nqaij ntawm lub cev),
- Cov txiav (tsim cov tshuaj insulin thiab lwm yam tshuaj rau lub plab zom mov),
- Cov qog adrenal (pab tswj ntshav siab, metabolism, tiv thaiv kev ntxhov siab thiab cov tshuaj hormones poj niam txiv neej,
Txoj haujlwm ntawm tus kws kho mob yog kom tshem tawm txhua yam kev ua tsis zoo hauv lawv txoj haujlwm.
Cov kab mob endocrinologist kho zoo li cas?
Cov npe ntawm cov kab mob uas tus kws kho mob kho no muaj ntau yam. Ntawm no yog qhov tseem ceeb:
- Ntshav qab zib mellitus yog ib yam kab mob uas tawm tsam tiv thaiv keeb kwm ntawm insulin tsis txaus nyob rau hauv lub cev.
- Ntshav qab zib insipidus yog ib qho kab mob los ntawm kev ua haujlwm ntawm lub sijhawm ua haujlwm ntawm lub caj pas thiab hypothalamus, uas tus neeg mob yws tias muaj kev pheej nqhis dej, nquag tso zis.
- Autoimmune thyroiditis yog ib qho kab mob uas cov thyroid caj pas ntxiv vim muaj cov iodine tsis txaus nyob hauv lub cev.
- Acromegaly yog ntau dhau lawm ntawm kev loj hlob hormone.
- Tus kab mob Itsenko-Cushing yog tus mob endocrine los ntawm kev ua haujlwm tsis txaus ntawm lub qog adrenal.
- Kev tsis sib haum xeeb hauv cov calcium metabolism - hauv cov ntshav cov ntshav, lub siab ntawm cov kab kawm no yog ob qho dhau los lossis qis dua.
Yog tias peb tham txog lwm yam kev cuam tshuam uas tshwm sim tiv thaiv keeb kwm ntawm cov kab mob saum toj no, tus endocrinologist tseem kho:
- Kev pham
- neuropsychiatric kev ntshawv siab
- leeg tsis muaj zog
- gynecomastia (mob mis hauv txiv neej),
- hypogonadism (kev tsis txaus ntawm kev tsim ntawm cov txiv neej pw ua ke, ua qauv qhia los ntawm kev tsis paub meej ntawm tus qau),
- kev hloov ua poj niam txiv neej ua ke, piv txwv li, Turner syndrome, Klinefelter syndrome,
- ua txhaum cai ntawm poj niam txiv neej tus kheej,
- impotence thiab erectile kawg nyob hauv cov txiv neej,
- txo qis libido
- ntxiv lawm tshob
- alopecia
- coj khaub tsis xwm yeem,
- PCOS (polycystic ovary syndrome hauv cov poj niam),
- hyperhidrosis.
Muaj dab tsi tshwm sim thaum kuaj endocrinologist
Yog tias tus neeg mob tuaj ntsib tus kws kho mob thawj zaug, ces tus kws kho mob yuav xub mloog nws cov lus tsis txaus siab thiab sau txog keeb kwm kev kho mob (keeb kwm kev kho mob), uas tus neeg mob tam sim no thiab nws cov tsos mob yuav pom tseeb.
Tom qab ntawd tus kws kho mob yuav kuaj tus neeg mob, palpate nws lub qog ntshav ntawm lub qog, thiab yog tias tsim nyog, tus qau yuav tseem tshuaj xyuas. Feem ntau yuav yog, tus kws kho mob tseem yuav sau ntawv xa mus kuaj ntshav: lawv yuav pab tshem tawm lossis paub meej tias muaj mob dabtsi. Cov npe yuav suav nrog kev kuaj ntshav biochemical, kuaj ntshav rau cov thyroid hormones, cov tshuaj hormones poj niam txiv neej. Cov poj niam tseem yuav tau txais cov ntaub ntawv nyob rau hnub twg ntawm lub voj voog nws yog ib qho tsim nyog yuav tsum tau tso ntshav.
Yog tias tsis ua tiav, lub siab yuav mloog thiab ntsuas ntshav siab. Tom qab ntawd, nyob ntawm seb qhov kev tshuaj xyuas tau tshwm sim thiab qhov txiaj ntsig ntawm kev soj ntsuam, nws yuav txiav txim siab seb puas yuav tsum tau tshawb fawb ntxiv - MRI, ultrasound, CT, puncture.
Thaum twg tus endocrinologist tshwm sim?
Yuav ua li cas txhawm rau txiav txim siab dab tsi yuav sab laj nrog tus kws kho mob no? Muaj qee qhov cim qhia tias tsis muaj kev ua tsis zoo thiab ua haujlwm tsis zoo hauv lub endocrine system. Lawv yog qhov tseeb tshwj xeeb, tab sis ntau thiab dav heev. Yog li no, feem ntau kuaj mob ntawm cov kab mob ntawm cov kab mob endocrine nyuaj.
Deterioration ntawm kev noj qab haus huv yog ntaus nqi rau lwm yam kab mob lossis banal qaug zog. Feem ntau cov tsos mob uas yooj yim pom tau yog:
- Kev tswj tsis tau qhov ua tau zoo ntawm lub nqua.
- Kev coj khaub ncaws tsis xwm yeem, tsis muaj poj niam coj khaub ncaws, lossis hais lus saib tsis taus dhau lawm, ntev mus.
- Mob ua rau lub cev tsis muaj zog thiab lub cev tsis muaj pa vim qhov tsis pom tseeb.
- Tachycardia.
- Kev tiv thaiv tsis zoo ntawm qhov hloov ntawm qhov kub, txias txias lossis cua sov.
- Tawm hws zoo heev.
- Kev hloov pauv sai hauv qhov hnyav hauv ib qho kev qhia tseem tsis pom tseeb.
- Tsis qab los noj mov.
- Qhov tab kaum, lub cim xeeb tsis zoo.
- Kev nkees nkees lossis sab nraud, pw tsis tsaug zog.
- Feem ntau muaj kev ntxhov siab, tsis quav ntsej, mob siab.
- Cem quav, xeev siab.
- Ntsig ntsia hlau, plaub hau, tawv nqaij tsis zoo.
- Ntxiv lawm tshob vim tsis paub hais tias yog vim li cas.
Txhua tus ntawm cov tsos mob saum toj no hais tias qee qhov kabmob ntawm cov kab mob endocrine tsis ua haujlwm.
Feem ntau, qhov laj thawj nyob hauv qhov tsis muaj tshuaj txaus los yog ua txhaum ntawm cov txheej txheem hauv metabolic.
Yuav kom paub txog ntshav qab zib li cas
Tus kab mob no yog qhov tseem ceeb tshaj plaws rau kev mus ntsib kws kho mob endocrinologist, thiab txaus ntshai tshaj plaws. Cov tsos mob thiab kev tshwm sim hauv qab no yuav coj koj mus rau lub tswv yim uas koj yuav tsum mus ntsib tus kws kho mob no:
- Qhuav ntawm daim tawv nqaij thiab tas li nqhis dej,
- Khaus khaus khaus nrog mob ntshav qab zib ntawm cov tawv nqaij thiab mob ntsws.
- Cov tawv nqaij o, tsis zoo rau lub qhov txhab,
- Kev ceev ceev tso zis
- Qaug zog, leeg tsis muaj zog,
- Mob taub hau cuam tshuam nrog kev tshaib plab tsis nqhis,
- Ib qho kev nce ntxiv hauv qab los noj mov, txawm hais tias poob phaus,
- Pom kev tsis pom kev.
Kev tsis xis nyob ntawm cov leeg nqaij nyuj qee zaum sau tseg - qhov mob thiab cramps.
Thaum twg thiaj qhia tau kws kho mob rau menyuam yaus
Hmoov tsis zoo, kev cuam tshuam ntawm cov endocrine system hauv cov menyuam yaus pom muaj ntau npaum li cov neeg laus. Qhov zoo yog lawv tau txais kev kho mob zoo. Nqa ib tug menyuam yaus rau cov kws saib xyuas menyuam yaus yog tias:
Nws tseem pom qab hauv kev loj hlob ntawm lub cev thiab lub hlwb.
Nws muaj kev tiv thaiv tsis muaj zog - nws feem ntau mob, tiv thaiv kev ua xua.
Puberty proceeds nrog pathologies - ntau dhau ntawm qhov hnyav nce lossis ntse poob ceeb thawj yog sau tseg, kev sib deev theem ob yam ntxwv tsis zoo, thiab lwm yam.
Feem ntau, cov teeb meem tau ua tiav zoo los ntawm ib tus kws kho mob tshwj xeeb thaum tseem ntxov, tswj kev tsis khov kho keeb kwm ntawm tus tub hluas.
Hauv lwm qhov xwm txheej dab tsi koj xav tau mus ntsib tus kws endocrinologist
Txawm tias tsis muaj qhov kev ntxhov siab thiab cov tsos mob, tus kws kho mob no tseem yuav tsum tshwm sim ntau zaus hauv nws lub neej. Qhov no yog qhov tsim nyog yog tias:
Nws yog npaj xeeb tub thiab muaj menyuam,
Koj yuav tsum tau xaiv kev tswj kom tsis txhob muaj menyuam yaus,
Thaum muaj hnub nyoog 40+, tsis hais tus txiv neej thiab tus poj niam rau lub hom phiaj prophylactic yuav tsum mus ntsib tus kws endocrinologist ib xyoos ib zaug.
Thaum hu rau tus kws kho mob endocrinologist
Cov teeb meem endocrine cuam tshuam zoo rau kev ua haujlwm ntawm tag nrho lub cev, qhov taw qhia rau kev mus ntsib kws kho mob yog txawv, feem ntau lwm tus kws kho mob xa mus rau tus kws tshaj lij hauv kev tsis txaus siab hauv lub cev. Nws yog ib qho tsim nyog yuav tau mus ntsib tus kws kho mob endocrinologist thaum cev xeeb tub - nyob rau lub sijhawm no, tawm tsam keeb kwm ntawm kev hloov pauv keeb kwm, mob ntshav qab zib hauv lub cev, kev hloov pauv ntawm txoj hlab ntab, thiab kev ua kom tsis muaj zog ntawm cov pob txha thiab cov leeg. Cov teeb meem no tsis zoo cuam tshuam rau tus txheej txheem ntawm kev yug tus me nyuam hauv plab thiab yug menyuam, tuaj yeem hloov mus rau cov kab mob ntev.
Cov lus tsis txaus siab raug daws rau tus kws endocrinologist
- Kev ua kom rog, ua kom lub cev tsis muaj zog, qhov mob, mob nkees hauv cov nyuj
- Muaj zog, tsis tuaj yeem nqhis dej, tshwj xeeb tshaj yog thaum tsaus ntuj, lub qhov ncauj qhuav, pheej yaum kom zais zis
- Intolerable khaus, ntev kho cov qhov txhab
- Kev tsis ncaj ntawm daim tawv nqaij, plaub hau, ntsia thawv ntsia hlau
- Kev ua txhaum ntawm lub cev ntas, qhia los ntawm PMS, qhov hloov pauv ntawm qhov paug thaum lub sijhawm tseem ceeb, txiv neej hom plaub hau kev loj hlob ntawm cov poj niam
- Ntxiv lawm tshob rau cov txiv neej thiab poj niam, teeb meem nrog potency, libido, loj ntawm qog mammary ua rau txiv neej
- Mob qaug zog mob ntsws ntev, tsis nco qab, nkees, huab cua ua hauj lwm
- Nquag tawm tsam ntawm tachycardia, ua rau pom qhov muag loj heev, nce ntxiv hauv qhov ntim ntawm caj dab
- Muaj hws ntau
- Cov kev hloov pauv qhov hnyav hauv lub cev nce lossis nqis, ua kom tsis meej lossis tsis qab los
- Teeb meem pw tsaug zog, kev nco qab tsis zoo, ua kom tsis muaj zog
- Cem quav, xeev siab tsis muaj lwm yam kev mob plab hnyuv
- Pom kev tsis pom kev
Tus kws endocrinologist rau cov menyuam yuav tsum tau sab laj yog tias tus menyuam pom tias poob qis ntawm kev txhim kho kev xav thiab lub cev, feem ntau tau mob khaub thuas, thiab nquag ua xua.
Thaum muaj neeg hluas, koj yuav tsum mus ntsib tus kws kho mob tshwj xeeb yog tias qhov hloov ntawm lub cev nyhav, cov yam ntxwv ntawm kev sib deev tsis muaj zog. Tus kws kho mob yuav xaiv cov tshuaj muaj txiaj ntsig zoo thiab muaj kev nyab xeeb rau kev sib npaug ntawm cov tshuaj hormones. Txawm hais tias tsis muaj cov cim tshwm sim ntawm kev tsis txaus siab rau lub cev, mus ntsib tus kws kho mob gynecologist-endocrinologist nyob rau theem ntawm kev npaj cev xeeb tub, nrog rau kev pib ua lub cev ntas, tus kws kho mob yuav teb cov lus nug txog kev nyab xeeb ntawm kev tswj kom tsis txhob muaj menyuam, xaiv cov kev tsim nyog los tiv thaiv kev tiv thaiv kev xeeb menyuam tsis raws sijhawm thiab hnub nyoog.
Tus neeg endocrinologist ua dab tsi tom kev txais tos? Thaum kuaj thawj zaug, tus kws kho keeb endocrinologist mloog vim li cas kev kho mob, suav sau ua qhauv, kho txhua qhov tsos mob, lub sijhawm ua lawv pom.
Kev kuaj mob
Txij li nws nyuaj rau kev txiav txim siab qhov tseeb vim li cas ua rau cov tshuaj hormones tsis ua haujlwm los ntawm cov paib sab nraud, ntau txoj kev tshawb fawb tau siv los ua qhov kev kuaj mob tseeb.
- Soj ntsuam tshawb xyuas ntshav thiab zis
- Biochemical, kuaj ntshav kuaj ntshav
- Ntshav thiab zis rau cov tshuaj hormones, qab zib
- Tumor Cim Ntsuas
- Kev tshuaj ntsuam genetic ntsuam xyuas kom paub cov teeb meem endocrine kev muaj keeb
- Kev kuaj mob hormonal kuaj
- Ultrasound scan
- Xoo hluav taws xob ntawm lub Turkish eeb thiab pob txha taub hau, pob txha pob txha thiab pob txha
- Xoo hluav taws xob xoo pob txha thiab lub dab teg rau kev txiav txim siab hnub nyoog pob txha
- CT, MRI
- Txawj Teev Vaj
- Txoj kev kuaj ntshav, kuaj mob laparotomy
Raws li cov txiaj ntsig tau tshawb pom, tus kws kho mob tau sau tshuaj rau, lossis sau ntawv xa mus rau chav endocrinology rau kev kho mob hauv tsev kho mob. Cov kab mob endocrine xav tau kev kuaj mob kim thiab kev kho mob mus ntev, ntau ntawm lawv sai sai ua rau mob ntsws kom tsis txhob muaj qhov no, koom nrog kev tiv thaiv kev tsis txaus siab hauv lub cev hormonal. Yuav ua li cas tiv thaiv kev txhim kho ntawm cov kab mob endocrine: yauv mus kuaj ib zaug ib xyoos ib zaug, ua kev kuaj ntshav ib txwm, tso kev quav yeeb quav tshuaj, txav mus ntxiv, tswj qhov hnyav thiab ntshav siab. Txhua hnub suav nrog hauv cov khoom noj uas muaj khoom noj nrog iodine - nqaij thiab ntses, nqaij ntses, seaweed. Txo cov naj npawb hauv cov zaub mov ntawm cov khoom noj uas muaj cov carbohydrates ceev, rog, qab ntsev, haus luam yeeb, noj zaub thiab txiv hmab txiv ntoo ntau dua. Siv cov vitamin complex kom tshem tawm qhov tsis muaj txiaj ntsig ntawm cov ntsiab lus muaj txiaj ntsig zoo, zam cov xwm txheej ntxhov siab, kho txhua yam kab mob thiab mob sib kis tau raws sijhawm.
Tus naj npawb ntawm cov neeg nrog endocrine pathologies tau loj hlob sai heev txhua xyoo, vim li cas rau qhov no yog khoom noj tsis zoo, kev ntxhov siab, lub neej tsis muaj zog, ua lub neej tsis zoo. Nws tuaj yeem txheeb xyuas kab mob tsuas yog tom qab kuaj mob meej, yog li nws yog ib qho tseem ceeb kom mus ntsib kws kho mob tsis tu ncua thiab ua raws cov cai yooj yim ntawm kev tiv thaiv.
Cov chaw kho mob nyob hauv qhov chaw yooj yim ntawm lub nroog Bryansk, daim duab qhia chaw daim ntawv qhia chaw thiab hom kev thauj mus los yuav ua rau ntawm nplooj ntawv tiv tauj. Muaj cov luv nqi thiab daim npav txo nqi, nrog rau kev nce qib ntxiv mus.
Cov kab mob kho los ntawm endocrinologist
Ntau tus tau hnov txog kev muaj sia nyob ntawm tus kws kho mob no ua tus neeg mob endocrinologist, tab sis tsis yog txhua tus paub txog cov kab mob dab tsi txog kev tshawb nrhiav kab mob. Endocrinology yog daim teb tshuaj uas kawm txog cov kab mob ntawm cov kab mob endocrine. Nws tau muab faib ua 2 txoj haujlwm:
- ntshav qab zib. Ntu yog txhawm rau txheeb xyuas, kho kab mob ntshav qab zib mellitus, cov teeb meem uas nws tuaj yeem ua,
- cov menyuam endocrinology. Nws kawm txog kev muaj pub pub laus thiab loj hlob hauv cov menyuam yaus.
Tus endocrinologist tau koom nrog hauv kev tshawb pom thiab kho cov kab mob ntawm cov kab mob endocrine, nrog rau cov kev cuam tshuam los ntawm hormonal. Tus kws kho mob kuaj thiab kho cov kab mob uas tshwm sim los ntawm kev ua haujlwm ntawm cov thyroid caj pas ua haujlwm, ua kev tiv thaiv kev tshwm sim ntawm txhua lub hnub nyoog.
Kev ua haujlwm ntawm tus kws endocrinologist muaj feem rau kev tswj hwm kev tshuav nyiaj hauv hormonal, nrog rau ntau yam cuam tshuam ntawm kev ua haujlwm hauv hormonal. Nws tshem tawm tsis yog qhov teeb meem, tab sis kuj pom qhov tshwm sim los ntawm kab mob pathological.
Tus kws endocrinologist kho tau cov kab mob:
- mob ntshav qab zib mellitus.Cov pab pawg ntawm cov kab mob no suav nrog cov kab mob pathologies uas tshwm sim los ntawm kev tsim khoom ntawm lub cev tsis txaus siab ntawm cov tshuaj insulin los ntawm cov txiav tsis ua kab mob,
- ntshav qab zib insipidus. Nws tshwm sim vim yog kev ua haujlwm tsis zoo ntawm lub caj pas pituitary thiab hypothalamus, tshwm sim los ntawm kev nqhis dej, tso zis heev,
- cov kab mob thyroid: hypothyroidism, hlav qog, iodine tsis txaus,
- Itsenko-Cushing's disease. Nov yog ib qho pathology uas ua rau cov adrenal tsis ua haujlwm,
- rog dhau. Nws ua tau nws tus kheej vim qhov teeb meem metabolic, uas ua rau ntau tshaj ntawm cov ntaub so ntswg adipose,
- calcium calcium los yog tshaj
- zus tau tej cov kev loj hlob lawm.
Ntxiv nrog rau cov kab mob no, tus kws kho mob endocrinologist muaj teeb meem xws li osteoporosis, neuropsychiatric ntshawv siab, kev ua haujlwm ntawm lub cev tsis ua hauj lwm, thiab kev sib daj sib deev. Cov kab kev ntawm cov kev ua ntawm endocrinologist yog qhov dav.
Hauv daim vis dis aus no, tus kws kho mob endocrinologist tau piav txog tus kws kho mob tshwj xeeb no:
Thaum twg thiaj li mus rau kev sab laj nrog tus kws kho mob endocrinologist?
Ntau tus neeg tsis nrhiav kev pab tswv yim ntawm tus kws kho mob endocrinologist vim tias lawv tsis paub txog cov tsos mob tshwm sim yog vim li cas mus ntsib kws kho mob tshwj xeeb. Thiab qhov no tsis zoo, cov kab mob endocrine yog mob ntev. Thaum kuaj tau tus kab mob sai npaum li cas, qhov kho nws yooj yim dua kom kho nws. Txhawm rau tiv thaiv kev txhim kho ntawm cov kev mob nyhav, nws yog ib qho tsim nyog yuav tsum nrhiav kev pab ntawm tus endocrinologist thaum cov tsos mob tshwm sim:
- insatiable nqhis dej, qhov ncauj qhuav, nrog rau tso zis heev lossis tsis tshua pom, yuav qhia tias muaj ntshav qab zib mellitus. Qhov no ntxiv kev qaug zog, txo qis libido thiab ua haujlwm lub cev. Hauv tshwj xeeb, koj yuav tsum tau sab laj rau cov kws paub tshwj xeeb yog tias muaj kev mob khaub thuas, kab mob fungal,
- Lub cev hnyav tuaj yeem nce ntxiv, ua tsis taus pa thiab ua rau txav nyuaj, ntshav siab thiab txo qis hauv kev sib deev yog qhov ua rau kev rog, uas tseem nyob hauv lub peev xwm ntawm tus kws kho mob,
- Kev tsim cov tshuaj hormones tsis txaus los ntawm cov thyroid caj pas yog ua los ntawm kev nkees, txias txias, tsis nco qab, nrog rau kev cem quav thiab txo cov zis tawm hauv cov zis. Cov plaub hau poob, arthralgia,
- ntev li ntawm cov thyroid hormones txaus ua nrog cov tsos mob xws li arrhythmia, poob phaus hnyav, txob taus. Tsis tas li ntawd, muaj kev ntxhov siab ntau dua thiab muaj lub siab xav tsis tu ncua,
- ntxhov siab calcium cov txais tos nyob rau hauv xws li cov tsos mob: tsis muaj qab los noj mov, insomnia, mob plab hnyuv mob plab. Mob pob txha, ua daus no, los yog kub ib ce yuav raug ntxiv rau lawv.
Ntxiv rau cov tsos mob ntawm cov teeb meem tseem ceeb, cov tsos mob ntawm lub qog ua haujlwm lub qog ua haujlwm lossis kev hloov pauv ntawm keeb kwm hormonal yuav qhia tau tias:
- tsis muaj kev nkees,
- nqaj co,
- tawm hws ntau dhau
- ua txhaum ntawm cov quav
- xeev siab
- hnyav lub sijhawm, malfunction ntawm lub cev ntas,
- cuam tshuam, tsis saib xyuas,
- teeb meem pw tsaug zog
- ntxiv lawm tshob tsis muaj laj thawj
- qeeb kev tiav nkauj tiav nraug lossis kev loj hlob hauv cov neeg hluas.
Tag nrho cov cim yuav qhia qhov ua tsis taus ntawm cov kab mob endocrine. Yog tias muaj, nws raug nquahu kom koj teem sijhawm nrog tus kws tshaj lij. Tag nrho cov tsos mob no yog generalized thiab nws yog qhov nyuaj heev rau lawv txuas nrog ib yam kab mob. Yog li, koj yuav tsum mloog lub cev thiab piv rau daim duab dav dav ntawm tus mob txhawm rau txhawm rau paub qhov tsis muaj qhov teeb meem.
Nws raug nquahu kom mus ntsib tus kws tshaj lij thaum npaj lub sijhawm cev xeeb tub, thaum lub sijhawm xeeb tub ntawm tus menyuam raws li kev kuaj mob niaj hnub, nrog lub hom phiaj ntawm kev soj ntsuam ib txwm muaj thaum muaj hnub nyoog 45-50 xyoo rau ob leeg thiab nrog rau kev pib mob lub hnub.
Hauv daim vis dis aus no, tus kws kho mob endocrinologist qhia kom thaum mus cuag kev sab laj:
Txais tos ntawm endocrinologist
Thaum thawj zaug teem caij, tus kws kho mob mloog tus neeg mob cov lus tsis txaus siab thiab sau keeb kwm kev kho mob tiav. Nws yog ib qho tseem ceeb uas yuav tau qhia rau koj tus kws kho mob txog txhua yam tsos mob uas cuam tshuam rau koj kom nws tuaj yeem tau txais cov duab ntawm qhov teeb meem no kom tiav. Tom qab kev tshawb fawb, tus kws kho mob endocrinologist kuaj tus neeg mob kom pom muaj cov yam ntxwv sab nraud, uas suav nrog ua pa tsis xis, pom lub qhov muag tsis pom kev, ua tsis zoo ntawm cov plaub hau thiab rau tes.
Tom qab ntawd nws ntsuas cov mem tes thiab lub siab, mloog rau lub siab, tom qab ntawd ntsuas kev ntsuas ntawm tus neeg mob qhov siab thiab qhov hnyav, ntsuas qhov xwm txheej ntawm nws cov tawv nqaij.
Cov thyroid caj pas thiab cov qog ntshav yog qhov tseem ceeb palpated, qhov chaw mos tau kuaj xyuas, yog tias tsim nyog. Raws li kev tshuaj xyuas thawj zaug, kev ntsuas kev pom tseeb yog ua, ntsuas thiab ntsuas cov cuab yeej tau kuaj. Tus neeg mob yuav tsum tau kuaj ntshav thiab tso zis, ntshav rau cov tshuaj hormones thiab qab zib, yauv mus kuaj ultrasound, MRI, CT scan. Tom qab tau txais cov txiaj ntsig ntawm kev kuaj mob, tus kws kuaj xyuas endocrinologist xaiv cov tshuaj noj thiab tsim tshuaj noj rau noj, yog tias tsim nyog.
Koj yuav tsum hu rau tus kws endocrinologist tsis yog tsuas yog koj xav tias muaj kab mob, tab sis kuj yog thaum cev xeeb tub, thaum lub sijhawm no cov kev hloov hauv keeb kwm tshwm sim uas koj xav tau soj ntsuam.
Tsis yog tsuas yog tus neeg laus xwb, tab sis kuj yog tus kws kho mob menyuam yaus, uas yuav tsum tau sab laj yog tias muaj teeb meem ntawm kev pub menyuam lossis kev loj hlob. Yuav luag thoob plaws hauv kev loj hlob ntawm tus menyuam, kev hloov pauv keeb kwm tshwm sim hauv nws lub cev, uas tuaj yeem ua rau qhov tsos ntawm tus kabmob autoimmune. Nws yog ib qhov tsim nyog yuav tau ua qhov kev ntsuas tiv thaiv ntawm tus menyuam.
Gynecologist-endocrinologist.
Tus kws kho mob poj niam ua haujlwm-endocrinologist yog tus kws tshaj lij uas kuaj thiab kho cov kab mob gynecological uas tshwm sim los ntawm hormonal tsis txaus. Qhov sib txawv ntawm tus kws kho mob thiab tus neeg endocrinologist yog tias tus kws kho mob gynecologist-endocrinologist kho cov kev mob cuam tshuam nrog kev tsis txaus ntawm cov poj niam txiv neej cov tshuaj hormones.
Tus kws kho mob no tau koom nrog hauv kev tshawb nrhiav thiab kho kab mob xws li kev nkauj nraug, muaj menyuam, kev mob kev nkeeg.
Txog rau tus kws kho mob gynecologist-endocrinologist, cov poj niam uas yav tas los nrog tus kws kho mob poj niam tig mus rau qhov kev kuaj mob poj niam, nws tsis pom muaj qhov txawv txav hauv nws feem. Tom qab ntawd tus kws kho mob, raws li cov txiaj ntsig hauv kev ntsuam xyuas, pib saib qhov ua rau hauv qhov tsis haum xeeb hormonal.
Nws raug nquahu kom sab laj ib tus kws tshaj lij tshwj xeeb yog tias pojniam coj khaub ncaws tsis xwm yeem, mob hnyav hnub tseem ceeb lossis lawv tsis tuaj, nrog rau qhov tsis muaj menyuam lossis muaj cov teebmeem ntawm daim tawv nqaij hnyav.
Tsis tas li ntawd, tus kws kuaj mob poj niam-endocrinologist tuaj yeem pab xaiv qhov kev tiv thaiv
Tus kws endocrinologist kho zoo li cas?
Muaj tus nab npawb ntawm cov kabmob uas cov kws tshaj lij no tau koom nrog. Yog li, tus kws kho keeb (endocrinologist) kho:
- Mob ntshav qab zib mellitus. Tshwm sim vim yog cov tshuaj insulin tsis txaus.
- Ntshav Qab Zib Hom II (tsis muaj qab zib). Caw nrog ib tug tsis muaj cov lawm vasopressin. Cov tsos mob tseem ceeb: lub siab xav haus thiab rov qab tso zis kom tso zis.
- Diffuse goiter. Lub qog ua kom loj tuaj.
- Kev Hypothyroidism Nws tshwm sim nrog kev tsis muaj cov thyroid hormones txaus.
- Lub qog hlav qog.
- Itsenko-Cushing's syndrome. Kev ua txhaum yog pom nyob rau hauv kev ua haujlwm ntawm adrenal cortex.
- Tus mob qog ua rau mob qog. Autoimmune lub qog o.
- Kev mob caj dab Pancreatic o.
- Acromegaly. Ntau dhau lawm ntau lawm kev loj hlob hormone.
- Hyperprolactinemia Nce prolactin hauv cov ntshav.
- Mob qaug zog mob ntsws ntev.
- Cov teeb meem calcium metabolic ntshawv siab Cov. Ib yam mob uas muaj calcium ntau dhau lossis ntau dua hauv cov ntshav, lossis nws tsis zoo.
- Rog dhau.
- Kab mob hauv Ib tus kabmob uas thaum cov pob txha ntog tsawg zuj zus, nws yog qhov ua kom tsis muaj pob txha lov.
Thaum twg yuav tsum tau mus ntsib kws kho mob?
Txij thaum endocrinologist muaj qhov nqaim tshwj xeeb, tus kws kho mob xa mus rau kev sib tham thaum muaj kev ua haujlwm ntawm pathology hauv cov kab mob endocrine. Koj tuaj yeem ntseeg cov teeb meem endocrinological los ntawm cov tsos mob hauv qab no:
- qaug zog, loog ntawm ob txhais ceg, tsaug zog,
- cov plaub hau poob tawm
- hnyav hws
- ntse jumps hauv tsis nyhav vim tsis pom tseeb
- kev nyuaj siab nkees nkees, kev nyuaj siab ntxhov plawv, tsim kua muag,
- coj khaub tsis xwm yeem,
- xeev siab, cem quav, insomnia,
- nqhis dej ntau dhau, qhov ncauj qhuav, tso zis heev, tshwj xeeb tshaj yog thaum tsaus ntuj,
- arrhythmias, kev xav ntawm sab hauv trembling, tshav kub,
- “Pob” hauv caj pas, tsim los yog nthuav dav hauv caj dab.
Koj yuav tsum tau mus ntsib kws kho mob thaum lub sij hawm tsis coj khaub ncaws rau poj niam, zoo li thaum npaj thiab cev xeeb tub. Tom qab 45 xyoo, rau cov txiv neej thiab cov poj niam, kev mus ntsib kws kho mob yuav tsum npaj tsawg kawg ib xyoos ib zaug rau kev tiv thaiv.
Hauv tsev kho mob lub sijhawm teem
Thaum mus ntsib thawj zaug, tus kws kuaj mob endocrinologist tshuaj xyuas tus neeg mob, hnov cov thyroid caj pas thiab qog ntshav, thiab qee qhov tshuaj xyuas lub qau. Kev tsis txaus siab ntawm cov neeg mob thiab cov ncauj lus tseeb txog keeb kwm kev kho mob raug suav nrog. Tus kws kho mob nug cov lus nug txog kev ua neej, kev coj tsis zoo, ntsuas ntshav siab thiab cov mem tes. Kev mob hauv lub cev yuav luag tsis tuaj yeem kuaj tau tam sim ntawd, yog li tus kws kho mob ib txwm sau ntawv tshuaj xyuas ntxiv.
Cov txee tau nruab nrog cov cuab yeej hauv qab no:
- glucometer nrog kuaj strips rau nws,
- tej nplai
- qhov siab 'meter' thiab daim kab xev ntsuas,
- kuaj cov hlab ntsws rau ketone zis,
- cov khoom siv nco rau ntshav qab zib nephropathy.
Cov me nyuam endocrinologist
Muaj nyias muaj nyias kev lag luam rau kev kho mob ntawm cov menyuam yaus hauv endocrinology. Cov menyuam yaus tus kws khomob tshwj xeeb kho li cas? Feem ntau cov no yog cov teeb meem cuam tshuam nrog kev sib deev lossis kev loj hlob.
Cov tsos mob uas koj yuav tsum coj tus menyuam mus cuag kws kho mob:
- menyuam yaus feem ntau muaj mob, lub cev tiv thaiv tsis muaj zog,
- qeeb nyob rau hauv psychomotor lossis kev loj hlob ntawm lub paj hlwb yog pom tau, kev loj hlob qeeb los yog, hloov dua siab tshiab, nrawm dhau los (gigantism),
- hauv qab lossis dhau heev lawm,
- cov cwj pwm kev sib deev theem ob yog qhov ua tsis zoo, ncua kev sib deev.
Oh, qhov no yog qhov tshwj xeeb tseem ceeb heev. Peb lub cev tag nrho yog ua ib lub caj pas endocrine loj. Koj tseem tsis to taub dab tsi txog tus kws kho mob endocrinologist kho? Tom qab ntawd nyeem kab lus mus txog thaum kawg, kuv paub tseeb tias nws yuav tsis ua rau koj poob siab. Kuv lub npe yog Dilyara Lebedeva, Kuv yog tus kws kho txoj cai endocrinologist thiab yog tus sau daim phiaj no. Kuv yuav zoo siab los qhia koj txog qhov tshwj xeeb zoo kawg no thiab dab tsi cov kws kho kabmob kho.
Endocrinology yog kev tshawb fawb uas kawm txog kev ua haujlwm ntawm cov qog endocrine qog, cov tshuaj hormones lawv tsim, thiab nws cuam tshuam rau tib neeg lub cev. Qhov tseeb los ntawm Greek "endocrinology" txhais tau tias "cov lus qhuab qhia ntawm kev faib tawm sab hauv" (endo - sab hauv, krino - qhov tseem ceeb, lub cim - kev qhia). Thawj tus kws endocrinologist tau yog tus kws paub txog kws kho mob German kws kho mob Johannes Peter Müller, uas thaum xyoo 1830 tau tsim lub tswvyim ntawm "cov caj pas endocrine". Thiab kev sib cais ntawm endocrinology rau hauv kev kawm cais tau tshwm sim me ntsis tom qab - hauv xyoo 19th - thaum pib xyoo pua 20th. Tus kws kho mob uas kho cov plab hnyuv sab hauv lub plab hu ua endocrinologist.
Endocrinology yog qhov kev kawm ntau dua, uas tau muab faib ua ntu, uas cov neeg endocrinologist tseem ua haujlwm, tab sis nrog tus kheej kom pom txoj kev nqaim. Cov haujlwm no suav nrog:
- endocrinology rau cov menyuam yaus (ib qho kev tshawb fawb tshwj xeeb hauv cov kabmob ntawm cov kabmob hauv nruab nrog cev hauv menyuam yaus)
- diabetology (kev kawm txog ntshav qab zib)
- thyroidology (lub qog science)
- endocrinology ntawm kev ua me nyuam (kev kawm txog poj niam thiab txiv neej cov qog)
Hauv cov tshuaj polyclinics zoo tib yam, feem ntau endocrinologist ntawm "kev paub txog tus kheej" ua haujlwm ntau, tej zaum nyob hauv chaw kho mob loj dua tus kws kho mob ntshav qab zib tuaj yeem ua haujlwm. Tab sis feem ntau nqaim-cov kws paub tshwj xeeb ua haujlwm hauv cov chaw endocrinological tshwj xeeb lossis hauv cov tsev haujlwm ntawm tsev kho mob.
Tej zaum koj tsis nkag siab zoo txog cov kabmob twg hauv tib neeg lub cev uas suav hais tias yog endocrine.
Kuv yuav ua qhov chaw seem hauv koj qhov kev paub thiab sau lawv rau hauv kev txiav txim:
- Quav dev
- Lub qog ua haujlwm.
- Parathyroid qog.
- Pituitary caj pas.
- Hypothalamus.
- Lub caj pas pineal.
- Adrenal qog.
- Thymus.
Yuav luag txhua yam kabmob ntawm cov kabmob no tau qhia zoo hauv cov kab lus ntawm no blog. Koj tuaj yeem xaiv cov ntu tsim nyog nyob rau hauv nqe lus hais txog nrog cov qhov rais qhib hauv qab ntawm sab laug ntawm blog, uas sib haum rau ib lossis lwm tus kab mob ntawm ib qho hloov khoom nruab nrog.
Muaj ntau cov kabmob ntawm cov kabmob ntawm cov kabmob hauv nrog, muaj ntau thiab tsis yog ntau. Kuv tsis tuaj yeem muab cov lus qhia luv luv ntawm txhua tus kabmob no, tab sis kuv yuav sim tham txog qhov muaj ntau tshaj plaws.
Feem ntau cov mob endocrine muaj Qab zib ntshav qab zib Cov. Nov yog kab mob pancreatic nyob rau hauv uas muaj ib tus txheeb ze lossis tsis muaj qhov tsis txaus insulin. Yog li ntawd, cov piam thaj kev txhim kho yog qhov ua tsis tau zoo thiab cov ntshav ntawm cov piam thaj nce ntxiv. Mob ntshav qab zib mellitus tuaj yeem yog ntau hom, uas muaj qhov sib txawv hauv cov laj thawj thiab kev kho.
Kuj tseem muaj cov kab mob nquag los kho tus kws endocrinologist yog xam 3cov mob qog , uas tuaj yeem suav hais tias yog teeb meem poj niam, vim hais tias poj niam feem ntau mob. Muaj ntau cov kab mob thyroid, ntawm no yog qhov feem ntau ntawm lawv:
- Cov Kev Mob Ntshav Hlob.
- Thyrotoxicosis mob ntsws.
- Mob qog noj ntshav.
Kab Mob Adrenal muaj ntau yam tsawg dua li yav dhau los pathologies, tab sis los ntawm qhov no lawv tsis ua tsawg txaus ntshai thiab tsis kaj siab rau lub neej. Cov qog adrenal ua cov tshuaj hormones ntau, thiab cov kabmob yog nyob ntawm kev zais ntau dhau los lossis tsis muaj qee yam tshuaj hormones. Ntawm no yog cov kab mob tseem ceeb uas tshwm sim los ntawm kev ua tiav ntawm adrenal:
- Thawj Hyperaldosteronism.
- Adrenal tsis txaus
- Congenital kawg ntawm lub adrenal cortex.
Pituitary caj pas rightfully txiav txim siab tus neeg xyuas pib ntawm endocrine system. Qhov khoom siv no muaj cov kev cai tswj fwm rau yuav luag txhua cov qog endocrine. Kev ua haujlwm ntawm cov thyroid caj pas, thiab lub qog adrenal, thiab cov qog ua haujlwm, thiab lwm tus yog nyob ntawm nws txoj haujlwm kom raug. Cov kab mob Pituitary tuaj yeem txhawb lossis, hloov chaw, thaiv nws txoj haujlwm. Kuv sau qee cov kab mob uas feem ntau cuam tshuam nrog kev ua haujlwm ntawm lub cev no.
- Itsenko-Cushing's disease.
- Hyperprolactinemia Syndrome lossis.
- Lub Khib Turkish Saddle Empty.
- Thib ob hypothyroidism.
- Kev Ntshav Siab.
- Ntshav qab zib insipidus.
Pathology ntawm Gonads , raws li txoj cai, nws yog tus cwj pwm los ntawm ntau hom kev coj khaub ncaws tsis zoo hauv poj niam thiab cov phev tsis txaus hauv txiv neej. Yeej, tus endocrinologist kawg kho tus poj niam thiab tus txiv neej ua rau muaj kabmob ntxiv, vim tias yuav luag txhua hom kev cuam tshuam ntawm cov kab mob no ua rau muaj menyuam yaus. Cov kab mob hauv qab no cuam tshuam nrog pathology ntawm kev muaj me nyuam:
- Polycystic zes qe menyuam mob.
- Cov mob mos mos ua kom muaj mob.
- Ovarian Depletion Syndrome.
- Kev coj khaub ncaws.
- Ncua kev loj hlob ntawm tus txiv neej.
- Thawj qhov hypogonadism rau tus txiv neej.
Ntxiv rau cov kab mob no, tus kws kho mob endocrinologist kho cov osteoporosis, kev rog rog thiab mob plab metabolic syndrome, parathyroid kab mob (hyper- thiab hypoparathyroidism), anorexia nervosa, thiab ntau yam tsis tshua muaj mob polyendocrinopathies.
Leej twg yog tus endocrinologist? Dab tsi ua rau txiv neej thiab poj niam? Cov teeb meem dab tsi cuam tshuam rau kev mob hlwb rau menyuam yaus? Cov no thiab lwm cov lus nug tau nug los ntawm cov neeg mob uas tau qhia tias cov tsos mob tsis ua haujlwm thiab pathological hauv cov qog endocrine.
Kev swb ntawm lub caj pas pituitary, cov thyroid caj pas, lub caj pas pineal, prostate, zes qe menyuam, qog qog, thiab lwm yam ntawm cov kab mob endocrine cuam tshuam cov txheej txheem ntawm lub cev hauv lub cev. Insomnia, rog dhau, goiter, mob ntshav qab zib mellitus, qog, hloov pauv mus ob peb vas, kev ntshaus siab feem ntau pib nrog qhov tsis txaus los yog tshaj ntawm cov tshuaj hormones. Tom qab kawm cov ntaub ntawv, koj tuaj yeem pom ntau cov ntsiab lus tseem ceeb txog kev ua haujlwm ntawm tus kws kho mob endocrinologist, hom kab mob pathologies, kev kho mob thiab kev tiv thaiv kab mob.
Cov ntaub ntawv dav dav
Lo lus "hormone" tshwm sim xyoo 1905.Thaum lub sijhawm tshawb fawb, Fabkis tus kws kho mob Brown-Secart tau sau tseg tias tsis yog cov qog adrenal xwb, tab sis kuj muaj lwm cov qog (hypothalamus, pituitary, thyroid, pineal caj pas) tsim cov tshuaj tshwj xeeb uas tswj lub cev. Txhua hom kev cuam tshuam ntawm cov tshuaj hormones cuam tshuam rau lub chaw haujlwm tshwj xeeb lossis qhov system; muaj cov neeg tswj hwm lub luag haujlwm rau kev ua haujlwm ntawm ntau lub nruab nrog lossis cov qog endocrine.
Tus kws kho mob tshwj xeeb kho li cas?
- txhawm rau kawm tus mob ntawm endocrine system ntawm tus neeg mob,
- sau ntawv rau kev soj ntsuam ntxaws nrog qhov yuav tsum tau muaj kev kuaj mob rau cov tshuaj hormones, mob qog, tiv thaiv kabmob,
- tsim kom muaj hom, hom, cov qauv ntawv thiab theem ntawm tus kabmob, tshem tawm lossis lees paub qhov xwm txheej tsis zoo ntawm cov qog, yog tias muaj kev qhia, xa nws mus sab laj nrog kws kho mob,
- xaiv cov kev kho mob zoo tshaj plaws rau cov kab mob pathologies kev tsim tawm tsam keeb kwm yav dhau los ntawm kev ua haujlwm tsis zoo ntawm cov qog endocrine, kev cuam tshuam los ntawm hormonal,
- Thaum tsis tshua muaj txiaj ntsig zoo ntawm kev saib xyuas txoj kev kho, xa mus rau neurosurgeon rau kev kho mob phais lossis sau ntawv tawm ib txoj hauv kev tsis yog phais - kev kho mob radioiodine rau kev kho mob qog noj ntshav ntawm lub qog,
- tshem tawm cov kev cuam tshuam los tiv thaiv keeb kwm ntawm cov kab mob ntawm cov qog endocrine,
- muab cov txheej txheem ntawm cov txheej txheem tiv thaiv los tiv thaiv exacerbations nyob rau hauv ntev ntev ntawm endocrine pathologies.
- kho hormonal tshuav nyiaj li cas,
- pab rov qab cov metabolism hauv,
- koom rau hauv cov txheej txheem kho mob tsis meej ntawm kev sib daj sib deev thiab kev muaj menyuam.
Lus Cim! Cov kab mob endocrine feem ntau muab cov teeb meem rau ntau yam kabmob thiab cov kab ke. Feem ntau tus neeg mob yuav tsum tau sab laj tsis yog nrog tus kws kho mob endocrinologist nkaus xwb, tab sis kuj tau mus ntsib tus kws paub txog khoom noj khoom haus, endocrinologist, ophthalmologist, tus kws kho mob ENT, kws kho mob hlwb, kws kho mob hlwb lossis urologist, kws kho mob nqaij daim tawv.
Kab mob ntawm cov qog ntawm cov kua nruab nrog sab hauv thiab sab nraud
Nrog rau kev ua haujlwm tsis zoo ntawm cov qog endocrine, cov neeg mob tau ntsib nrog cov kab mob ntawm ntau yam. Cov txheej txheem qog (benign lossis malignant), mob o, nqaij hlav loj tuaj yog qhov tshwm sim ntawm cov teeb meem hauv hypothalamus, cov thyroid caj pas, adrenal cortex, zes qe menyuam, thiab lwm yam ntawm cov qog endocrine. Lwm yam ntawm cov kab mob pathologies: tsis txaus los yog nce qib ntawm cov tshuaj hormones, cov teeb meem hauv lub cev tsis txaus, poob peev xwm ntawm kev txawj ntse, dhia hauv ntshav siab, hnyav hloov pauv, hws, o, o cuam tshuam kev loj hlob, kev txhim kho.
- (Lub qog ntshav Hashimoto)
- (Hom 1 thiab 2),
- diffuse
- ua txhaum ntawm lactation,
- txiv neej thiab poj niam ntxiv lawm tshob
- tshuaj ntshav siab
- rog dhau
- prostate adenoma
- iodine tsis muaj peev xwm
- gigantism thiab dwarfism,
- kev mob hlwb
- adrenal tsis txaus
- mob ntshav qab zib gestational
- poj niam txiv neej tsis muaj zog cov txiv neej thiab poj niam,
- adrenogenital syndrome
- teeb meem ntawm metabolic
- cov tsos mob lawm
- poj niam coj khaub ncaws tsis xwm yeem
- nezidioblastoz,
- txha txha caj qaum
- hypothalamic-pituitary tsis txaus.
Cov tsos mob zoo li cas koj yuav tsum tau ntsib tus kws kho mob nrog
Nws yog ib qho tseem ceeb kom paub cov cim tseem ceeb ntawm pathologies uas tsim nrog kev puas tsuaj rau lub qog pituitary, qog adrenal, cov thyroid caj pas, hypothalamus, zes qe menyuam, thiab lwm yam khoom nrog cov haujlwm zoo sib xws. Koj yuav tsum txaus siab rau cov ntaub ntawv hais txog qhov ua rau, cov tsos mob ntawm endocrine pathologies, tshwj xeeb yog tom qab 35-40 xyoo, nrog kev caj ces tsis zoo, lub cev nyhav, lub cev nyhav dhau los, ua haujlwm hauv kev ua haujlwm tsis zoo lossis tsaus ntuj ua haujlwm.
Cov tsos mob ntawm qhov tsis ua tshuaj hormonal:
- piav qhia kev ntshai ntshai, kev ntxhov siab, kev npau taws,
- poob ntawm lub zog, kev tsis quav ntsej, qaug zog,
- pw tsis tsaug zog los sis tsaug zog, tshwj xeeb yog tom qab noj mov tag,
- sai tso zis ua ke nrog excruciating nqhis dej,
- dryness thiab voos ntawm lub mucous daim nyias nyias,
- tsis zoo ntawm cov xwm txheej ntawm cov ntsia hlau phaj, plaub hau, tawv nqaij,
- cov tsos ntawm kev tshee hauv caj npab, ceg, cramps, ua daus no,
- kev hloov hauv qhov kub thiab txias, ntshav siab, tachycardia,
- hnyav hloov hauv lub sijhawm luv luv, poob qab los noj mov: nce los sis nqis qis dua,
- nce dryness ntawm daim tawv nqaij los yog ntau noo noo ntawm daim tawv nqaij, nce tawm hws,
- "Kub flashes" nrog lub siab kub ntawm thaj chaw ntawm lub ntsej muag, lub hauv siab, liab ntawm lub puab tsaig, palpitations, txob taus, tsis muaj zog.
Muaj lwm cov tsos mob ntawm qhov tsis ua haujlwm hauv hormonal:
- mob hauv cov qog mammary, o ntawm lub mis,
- teeb meem nrog xeeb, tshwm ntawm lub cev ntas,
- teeb meem plab zom mov, pom tsis tau xeev siab, ntuav,
- kev sib deev thaum ntxov los sis hnub pib loj tiav nkauj tiav nraug,
- maj mam lossis nrawm ntawm tus menyuam kev loj hlob,
- zoo li mob taub hau, mob taub hau, ua kom sib haum, kiv taub hau,
- protrusion ntawm eyeballs,
- txo qis libido
- kev nce hauv thaj chaw uas cov thyroid caj pas nyob,
- lub zeem muag dheev ntog, "sis ya" lossis "ya" tshwm rau hauv lub qhov muag,
- tus ntse txo hauv kev tiv thaiv,
- nquag cem quav
- hloov kev loj hlob ntawm lub cev lossis lub hlwb.
Lus Cim! Rau cov poj niam, qhov teeb meem hormonal muaj ntau zaus ntau dua li cov txiv neej. Piv txwv li, hyperthyroidism thiab lwm cov thyroid pathologies hauv cov txiv neej kuaj pom 10 zaug tsawg dua.
Qhov tshuaj dab tsi endocrinologist rau cov txiv neej
Cov teeb meem endocrine thiab qhov tshwm sim ntawm kev cuam tshuam los ntawm hormonal:
- hypoandrogenia,
- ua txhaum ntawm cov metabolism hauv calcium,
- nezidioblastoz,
- prostate adenoma
- apudomas
- kev faib tawm tsis zoo hauv cov hluas thiab cov hluas,
- tsis muaj piam thaj thiab,
- ua txhaum ntawm lipid metabolism hauv,
- nodular formations hauv cov thyroid caj pas,
- autoimmune pathologies,
- adrenal tsis txaus,
- acromegaly
- ua txhaum ntawm nkauj tiav nraug,
Pathologies ntawm endocrine system thiab cov teeb meem: , ntxiv rau hnub twg ntawm lub voj voog mus pub ntshav rau kev tshawb fawb.
Ib nplooj ntawv tau sau txog cov cai ntawm cov ntshav qab zib cov ntshav hauv cov poj niam tom qab 50 xyoo, hais txog qhov ua rau thiab cov tsos mob ntawm kev sib txawv.
Ntawm nplooj ntawv, nyeem txog cov tsos mob ntawm zes qe menyuam ua paug rau cov poj niam, nrog rau qhov yuav tshwm sim ntawm pathology.
Tus kws kho mob endocrinologist kws kho mob nrog rau cov mob yug menyuam thiab tseem kis tau los tawm tsam keeb kwm ntawm kev tsis txaus tshuaj hormonal:
- cerebral gigantism,
- (txog 12 xyoos hauv 90% ntawm cov neeg mob, 1 hom kab mob kev loj hlob),
- hypo- thiab hyperfunction ntawm lub qog gland,
- rog dhau
- diffuse mus,
- tus mob qog ua paug,
- pathology ntawm Itsenko - Cushing,
- gigantism lossis dwarfism.
Cov txuj ci tseem ceeb hauv cov poj niam cev xeeb tub
Nws yog ib qho tseem ceeb uas yuav tau hu rau tus kws kho qhov mob endocrinologist kom tiv thaiv cov teeb meem uas muaj kev phom sij rau cov niam thiab tus menyuam hauv plab. Thaum cev xeeb tub, lub ntsiab tseem ceeb yog kev noj haus, kev ua kom pw tsaug zog thiab lub xeev tsis nco qab, kev siv tshuaj ntsuab: ntau cov tshuaj tua kab mob raug txwv. Nrog rau daim ntawv hnyav ntawm cov kab mob endocrine, nws yog ib qho tseem ceeb kom xaiv cov tshuaj zoo tshaj plaws kom txo qis kev pheej hmoo rau kev tsim kab mob.
- mob ntshav qab zib gestational
- lub qog mob cancer
- mob qog noj ntshav
- hypothyroidism
- cov txheej txheem mob qog hauv lub qhov txhab lossis hypothalamus.
Txog kev tiv thaiv cov kev phom sij txaus ntshai thiab kev cuam tshuam los ntawm hormonal, koj yuav tsum tau kuaj xyuas los ntawm tus kws kho mob endocrinologist thaum lub sijhawm npaj xeeb tub. Kev ncua sij hawm ntawm kev kuaj pom qhov txawv txav txo cov phom sij ntawm endocrine caj ces ua tsis txaus, txwv tsis pub muaj qhov tsis zoo nyob rau hauv tus me nyuam hauv plab thiab cov mob hnyav hauv leej niam, piv txwv li, kev mob qog nqaij hlav pituitary los yog qog nqaij hlav cancer.
Yog tias cov tsos mob ntawm lub cev tsis ua haujlwm thiab tsis txaus siab rau hormonal tshwm sim, koj yuav tsum hu rau tus kws endocrinologist. Nrog kev kuaj pom raws sij hawm ntawm cov kab mob pathologies, coj kev kho mob muaj txiaj ntsig, muaj kev phom sij txaus ntshai thiab cov xwm txheej, xws li mob ko taw mob ntshav qab zib, cov ntaub ntawv qib siab ntawm cov thyroid mob cancer, kev rog loj, thiab ntxiv lawm tshob tuaj yeem zam dhau.
Video hais txog ntawm tus kws kho mob - tus kws kho mob endocrinologist ua dab tsi thiab nws kho kom zoo li cas:
Xyoo tsis ntev los no, cov kab mob tau dhau los ua ib qho kev sib kis ntawm cov tib neeg. Hauv ntau txoj kev sib raug zoo, cov kws tshaj lij koom nrog qhov kev lag luam no, kev noj zaub mov tsis zoo, tsis muaj tshuaj iodine hauv lub cev, thiab lwm yam.
Ntawm qhov kev xav me me ntawm lub siab tsis xis nyob, nws yog qhov yuav tsum tau sab laj nrog ib tus kws tshaj lij, vim tias qhov xwm txheej zoo li no mus ntev yuav muaj kev phom sij heev rau lub xeev kev noj qab haus huv. Endocrinologist tau koom nrog qhov mob nkees. Hauv peb tsab xov xwm, peb yuav sim ua kom pom tseeb txog tus kws kho kabmob endocrinologist kho thiab cov kabmob twg nws yog qhov yuav tsum tau tiv tauj nrog.
Tus endocrinologist ua dab tsi?
Tus kws endocrinologist yog tus kws kho mob tshwj xeeb uas tau koom nrog hauv kev txheeb xyuas, kev kho mob thiab kev tiv thaiv cov kab mob ntawm cov kab mob endocrine. Tsis tas li ntawd, tus kws tshwj xeeb txiav txim siab cov teeb meem hormonal thiab pab cov neeg mob tshem tawm qhov teeb meem no, siv cov kev daws teeb meem zoo tshaj plaws.
Ntxiv nrog rau cov kab mob endocrine, tus kws kho mob muab kev pab nrog lub txim vim los ntawm cov pathologies. Cov no suav nrog kev tshem tawm kev ua haujlwm ntawm kev sib deev, kho kho cov metabolism, thiab lwm yam.
Tus kws kho mob muaj kev sib txuas ncaj qha nrog kev mob rau cov menyuam yaus. Seem no ntawm cov kev kawm daws teeb meem uas tshwm sim thaum tiav hluas thiab cuam tshuam nrog kev sib deev. Txij li thaum ua txhaum ntawm kev sib deev kev loj hlob, raws li txoj cai, cuam tshuam ncaj qha rau kev cuam tshuam ntawm endocrine kev ua haujlwm ntawm lub cev.
Tsis tas li ntawd, thaj chaw ntawm kev ua haujlwm ntawm tus neeg mob endocrinologist suav nrog ib qho ntawm cov ceg ntawm cov tshuaj - ntshav qab zib. Nws suav nrog ib qho mob xws li mob ntshav qab zib. Yog li, tus kws kho mob kho cov ntshav qab zib, thiab tsim cov kev tiv thaiv kab mob uas cuam tshuam rau qhov mob no. Nws yuav tsum raug sau tseg tias tus kab mob no yog cov kab mob hnyav dua, xav tau ib txoj hauv kev tshwj xeeb rau kev kho.
Cov kws kho mob tshwj xeeb kho li cas?
Feem ntau cov kev mob tshwm sim uas cov kws endocrinologist xa mus yog ntshav qab zib mellitus. Qhov no yog ib qho kab mob ntawm lub caj dab thaum muaj qhov tsis txaus ntseeg ntawm insulin. Raws li qhov tshwm sim ntawm kev ua txhaum, cov piam thaj nyob rau ntau zog, uas ua rau cov tsos mob ntawm tus kab mob no. Muaj ntau hom mob ntshav qab zib raug txheeb xyuas, raws li qhov no, ntau txoj kev kho tau siv.
Tus kws endocrinologist tseem kho tus mob qog, uas feem ntau pom muaj hauv kev sib deev ncaj ncees. Xws li mob:
- Tus mob qog ua rau mob qog.
- Diffuse lom goiter.
- Hypothyroidism thiab thyrotoxicosis.
- Ntau cov hlav hlav muaj cov thyroid.
- Nodal thiab.
Kab mob ntawm cov qog adrenal yog qhov tsis ntau, tab sis tau pom tias muaj kev phom sij rau kev noj qab haus huv. Nrog rau qhov mob zoo li no, lawv kuj tig mus rau qhov endocrinologist.
Cov kws tshaj lij no hais txog ntau yam teeb meem cuam tshuam nrog cov qog pituitary. Txij li thaum lub caj pas pituitary caj pas hauv lub hlwb yog hu ua tus thawj coj ntawm endocrine system. Kev ua haujlwm ntawm cov thyroid caj pas, qog adrenal, gonads, thiab lwm yam, kiag li nyob ntawm nws txoj haujlwm ua haujlwm.
Txoj kev ua haujlwm ntawm chaw mos, uas yog tus poj niam lub cev los ntawm polycystic ovary, tawv ncauj qeeb, poj niam zes qe menyuam, rau tus txiv neej - kev sib deev tsis txaus ntseeg, thiab lwm yam, raug xa mus rau endocrinologist thaj chaw kho mob.
Ntxiv rau cov kab mob no, cov kws tshwj xeeb kho kev rog, mob txha caj qaum, mob parathyroid caj pas tsis txaus, tshuaj metabolic, anorexia hlab ntsha hlwb, puas siab puas ntsws, thiab leeg tsis muaj zog.
Tus kws endocrinologist ua dab tsi thiab nws ua dab tsi?
Raws li koj tus kheej koj twb pom, endocrinology yog qhov nyuaj theej thiab voluminous ntu. Yog vim li cas nws yog txoj kev cai los muab faib rau cov tshooj cai:
- Pediatric endocrinology, txij li cov kab ke ntawm cov menyuam yaus yog qhov txawv ntawm cov neeg laus, thiab cov txheej txheem kev kho nrog kev hwm nws txawv dhau,
- Cheeb tsam deev nrog kev sib daj sib deev hauv cov txiv neej thiab poj niam los ntawm kev cuam tshuam los ntawm hormonal,
- Lub qog thyroid yog qhov muaj kev kawm txog endocrinological uas kawm tob txog cov thyroid pathology,
- Diabetology yog ib ceg ntawm endocrinology tsom rau mob ntshav qab zib.
Cov menyuam yaus tus kws kho mob yuav xav tau thaum tiav hluas, nrog ncua sij hawm ntawm kev loj hlob ntawm lub hlwb, cuam tshuam kev loj hlob thiab lub cev nyhav, muaj teeb meem nrog kev pub nkauj.
Cov kws tshaj lij tshwj xeeb xav tau tshwj xeeb:
- nyob rau hauv cov ntaub ntawv ntawm cev xeeb tub npaj,
- Yog tias muaj teeb meem nrog kev xeeb tub lossis menyuam yaus,
- yog tias koj xav hloov mus rau kev tiv thaiv tshuaj hormonal,
- hauv lub sijhawm ua ntej lub cev yuav thiab thaum nws.
Tus kws kho mob thyroid yog yuav tsum muaj kev txhim kho cov thyroid teeb meem, qhia tawm sai sai poob phaus, lossis hloov rov qab hauv kev rog, tawv nqaij tawv, teeb meem nco, mob nkees, thiab lwm yam.
Kev pab ntawm tus kws kho ntshav qab zib yog qhov tsim nyog yog tias ib tus neeg muaj ntshav qab zib lossis muaj cov tsos mob tshwm sim ntawm tus kab mob no. Pathology ua tau nws tus kheej nrog rau tso zis heev, hnov zoo li ua rau nqhis dej, tsis muaj zog ntawm cov leeg, qhov muag plooj thiab ci tsis xis nyob hauv taw.
Cov kab mob endocrine nquag
Txawm hais tias cov twg ntawm cov kab mob endocrine raug cuam tshuam, tus endocrinologist yuav tsum kuaj tus neeg mob, xa nws mus tshuaj ntsuam, thiab tsuas yog tom qab ntawd yuav tsum kho qhov kev kho mob. Kev tiv thaiv ntawm cov kab mob endocrine yog cov kauj ruam paub meej ntawm txoj hauv kev tau txais kev noj qab haus huv, yog li koj tuaj yeem teem sijhawm nrog tus kws kho mob tshwj xeeb los sab laj nrog nws txog qhov no.
Paub txog dab tsi endocrinologist ua, nws tseem nkag siab txhua huvsi yam kab mob nws kho. Muaj ntau ntawm lawv, tab sis cov feem ntau sawv daws yog:
- mob ntshav qab zib mellitus - txhim kho vim tsis muaj cov tshuaj insulin hauv cov ntshav, nrog kev ua txhaum ntawm tus txiav,
- ntshav qab zib insipidus - ib qho kev tsis sib haum xeeb uas tshwm sim nrog pituitary kawg, tshwm sim los ntawm kev nqhis dej thiab nquag tso zis,
- autoimmune thyroiditis yog tus mob qog. Nws yog qhov tsis txaus ntseeg los ntawm iodine tsis txaus nyob rau hauv lub cev, nyob rau hauv uas nws nce loj,
- acromegaly - kab mob tshwm sim los ntawm teeb meem nrog lub caj pas pituitary, lossis theej, nws lub loog pem hauv ntej, ua rau cov pob txha ntawm cov ceg tawv, pob txha taub hau thiab ntsej muag tuab thiab nce rau hauv qhov loj me,
- ntxiv lawm tshob - feem ntau, qhov laj thawj rau qhov sib txawv yog cov tshuaj hormones hauv qhov xwm txheej, yog li yog tias nws tsis tuaj yeem xeeb tub, koj yuav tsum tau kuaj ua ntej los ntawm tus kws kho mob endocrinologist.
Kev mob hauv lub cev tuaj yeem tshwm sim lawv tus kheej hauv kev sib txawv, thiab tshwj xeeb heev. Koj yuav tsum ua tib zoo mloog koj lub cev, thiab saib xyuas cov xwm txheej sab nraud ntawm lub cev. Thaum ib tus neeg muaj cov tsos mob tsis meej meej, nws tuaj yeem mus rau tus kws kho mob, uas, yog tias tsim nyog, yuav xa mus rau tus kws tshaj lij. Txawm li cas los xij, hauv qab no peb yuav nthuav qhia cov lus yws tshaj plaws uas koj tuaj yeem tiv thaiv sijhawm teem sijhawm nrog tus kws kho mob endocrinologist:
- mob ua kom tsis muaj zog, tsis muaj zog thiab lub siab xav pw hauv nruab hnub,
- ntse dhia hauv lub cev nyhav, ob qho nce thiab nqis,
- o rau lub caj dab, nce ntxiv hauv nws cov ntawv,
- kev tawm tsam kub
- lub plawv dhia,
- nquag tso zis
- lub qhov ncauj qhuav, nqhis dej,
- do hau, plaub hau ploj dua 100 pcs. ib hnub
- kev cuam tshuam nyob rau hauv lub cev ntas,
- tsis zoo ntawm cov tawv nqaij thiab cov ntsia hlau,
- mob hauv lub plab zom mov (mob plab, cem quav, thiab lwm yam),
- nkig pob txha fraught nrog pob txha lov thiab lwm yam kev raug mob,
- txhais ceg cramps
- lub siab txias yam tsis tsim nyog, “te rau ntawm daim tawv nqaij” thaum huab cua sov,
- trembling, tingling, qaug zog hauv cov nqua.
Ntawm kev hais lus ntawm tus kws kho mob endocrinologist, hauv kev hno ntawm ntau tus neeg, kab mob xws li tus neeg tso ntshav tawm, cov mob qog thiab ntshav qab zib mellitus tam sim ntawd. Qhov no yog qhov tseeb tiag, tab sis cov npe ntawm cov kab mob endocrine tsis xaus rau ntawd.
Endocrine system yog kev sib txuas ntawm ntau cov qauv thiab cov kabmob hu ua endocrine qog. Lawv qhov haujlwm tseem ceeb yog los tsim qee qhov tshwj xeeb ntawm cov tshuaj yeeb yam tshwj xeeb hu ua hormones. Lawv tsim nyog nyob rau hauv kev tswj hwm thiab txawm tias qee qhov kev tswj hwm kev ua haujlwm ntawm kev ua haujlwm sab hauv. Thaum lawv raug tsim tawm tsawg dua li qhov tsim nyog, lossis ntau dua li ib txwm (uas kuj tau tshwm sim), qhov ua tsis tiav tuaj yeem tshwm sim hauv lwm cov kabmob thiab cov kab ke.Qhov no tuaj yeem cuam tshuam cov metabolism, kev ua me nyuam, kev zom ntawm cov tseem ceeb hauv cov hauv paus thiab ntau dua. Tawm tsam ntawm cov keeb kwm yav dhau los no, cov kev mob hnyav heev twb tau tsim kho uas tuaj yeem ua rau lub neej tsis zoo thiab muaj lub neej zoo.
Cov qog endocrine muaj: cov qog adrenal, cov qog pituitary, cov thyroid caj pas thiab parathyroid caj pas, thymus, hypothalamus thiab noob qes. Tab sis cov ntawv xov xwm niaj hnub no yuav yog feem ntau mob siab rau cov poj niam lub qog ua kua - lub zes qe menyuam, vim tias qhov no yog dab tsi cov kws kho endocrinologist kho rau cov poj niam.
Leej twg yog tus endocrinologist?
Endocrinology yog kev kawm txuj tshawb fawb hluas, uas nquag txhim kho thiab txhim kho. Qhov txaus siab nws muaj:
- cov qog endocrine lawv tus kheej, uas yog lawv cov qauv thiab yam haujlwm lawv ua,
- cov tshuaj hormones, lawv hom, txheej txheem tsim thiab cuam tshuam rau lub cev,
- cov kab mob tshwm sim los ntawm kev ua tsis zoo hauv cov plab hnyuv siab raum endocrine,
- cov tshuaj hormonal cuam tshuam, thiab lawv qhov cuam tshuam ntawm lwm qhov hauv nruab nrog.
Tus kws endocrinologist yog tus kws kho mob uas muaj peev xwm ua tau txhua yam ntawm cov teeb meem saum toj no, uas paub txog kev kuaj mob rau txhua tus kabmob endocrine, yuav ua li cas kho nws, thiab nws tiv thaiv li cas.
Cov neeg mob tuaj yeem tig mus rau nws yog tias muaj cov tsos mob tshwj xeeb tshwm sim, lossis txoj kev coj ntawm cov kws kho mob tshwj xeeb, kws kho plawv, kws kho nqaij tawv lossis lwm tus kws tshaj lij. Hais lus tshwj xeeb txog cov poj niam, tom qab ntawd nrog kev ua xyem xyav ntawm tus mob endocrine, tus kws kho mob poj niam muaj peev xwm xa lawv.
Feem ntau, hauv cov chaw kho mob niaj hnub no muaj cov kws kho mob hu ua tus kws kho mob poj niam-endocrinologist. Lawv tshwj xeeb tshwj xeeb hauv cov kab mob gynecological uas tshwm sim los ntawm qhov tsis ua tshuaj hormonal lossis lwm yam kev cuam tshuam endocrine.
Endocrinology yog qhov chaw kho mob siv dav heev, yog li nws tau txiav txim siab kom muaj ntau qhov sib txawv hauv nws:
- Cov menyuam yaus txoj kev mob endocrinology - cuam tshuam nrog cov teeb meem ntawm cov menyuam yaus thiab cov hluas muaj feem xyuam nrog lawv kev loj hlob thiab kev sib deev. Ntxiv rau, tus menyuam yuav tsum tau qhia rau tus kws kho mob no nrog kev ncua ntawm lub hlwb thiab lub cev, kev tiv thaiv kab mob tsis muaj zog thiab ib txwm nyiam ua xua,
- Diabetology yog ib seem ntawm cov endocrinology mob hnyav rau tus mob hnyav - ntshav qab zib. Los ntawm txoj kev, nws cov tsos mob muaj xws li: kev nqhis dej tas li, qhuav ntawm daim tawv nqaij, teeb meem pom kev, tsis muaj zog, mob taub hau, nkees, thiab tsis muaj paus muaj ntsis poob vim yog tsis qab los noj mov,
- Kev muaj me nyuam endocrinology - ua haujlwm nrog cov teeb meem ntawm tus poj niam thiab tus txiv neej lub cev, nrog cov kabmob uas tuaj yeem ua rau endocrine tsis ua haujlwm.
Dab tsi endocrinologist kho cov poj niam: kev sib tsoo khaub ncaws, tsis muaj poj niam coj khaub ncaws, ntxiv lawm tshob thiab hnub coj khaub ncaws. Kev sab laj ntawm Endocrinologist yuav tsim nyog rau cov poj niam, ua ntej kev xeeb tub, thaum cev xeeb tub, hauv kev xaiv qog tshuaj hormonal.
Tej zaum koj twb tuaj yeem kwv yees tau tias tus kws kho mob endocrinologist muaj peev xwm daws tau txhua yam teeb meem ntsig txog tib neeg endocrine system. Tab sis txij li tsab xov xwm no tau mob siab rau poj niam cov teeb meem, peb yuav delve rau hauv cov lus qhia tseeb ntawm endocrinology.
Lub cev ntawm poj niam lub cev yog qhov nyuaj ua rau cov tshuaj hormones tsis txaus. Xws li ib qho tseem ceeb sab hauv lub cev xws li cov zes qe menyuam ua ib txhij ob txoj haujlwm:
- tsim qe tsim nyog rau fertilization,
- Nws ua cov tshuaj hormones, ua ib lub qog endocrine.
Feem ntau, cov ntxhais hluas, cov laus thiab cov poj niam paub tab tsim muaj qee yam teeb meem poj niam cev xeeb tub. Qee qhov ntawm lawv tuaj yeem tshwm sim los ntawm mob o, lwm cov kab mob kas cees, thiab lwm tus los ntawm caj ces. Tab sis feem ntau ntawm cov mob, qhov laj thawj yog qhov cuam tshuam los ntawm hormonal. Qhov kev ua tsis zoo ntawm lub zes qe menyuam yog, lossis tsis txaus ntseeg ntawm cov tshuaj hormones, tsis tas yuav kho tus kws kho mob poj niam, tab sis los ntawm endocrinologist.
Hauv thawj qhov kev teem sijhawm, tus kws kho mob nug tus neeg mob, pom tias cov txheeb ze nyob ze muaj teeb meem nrog cov kab mob endocrine li cas, muaj lwm cov tsos mob twg uas nws txhawj txog. Tom qab ntawd nws yuav tsum tau ntsuas tus kab mob kom raug, rau qhov uas nws tau siv rau kev sim kuaj. Raws li lawv qhov tshwm sim, cov lus xaus tuaj yeem kos txog txoj kev kho mob uas tsim nyog thiab cov tshuaj uas yuav tsum tau. Hauv qhov no, kev tswj hwm tus poj niam yuav tsum nyob rau txhua theem ntawm kev kho tshuaj hormones.
Tus poj niam poj niam txiv neej keeb kwm yav dhau los yog qhov tsis ruaj khov. Hauv cov xwm txheej ib txwm, nws hloov mus los, thiab qhov no hu ua kev coj khaub ncaws. Tab sis muaj cov xeev zoo li no thaum qhov no tshwm sim tawm ntawm lub sijhawm, thiab vim tias qhov no, kev ua txhaum loj heev tshwm sim, mus txog ntog. Mus rau hauv kev ceeb ntshai tsis tsim nyog, koj tsuas yog yuav tsum tau mus rau lub sijhawm nrog tus kws kho keeb. Nws tsis tuaj yeem tso tag nrho cov kab mob uas tus kws kho mob endocrinologist kho rau cov poj niam hauv ib tsab xov xwm, yog li ntawd nws yog qhov zoo dua rau qhov teev cov tsos mob uas qhia tias yuav tsum mus ntsib tus kws tshaj lij ntawm cov ntaub ntawv no:
- ua nkauj tiav nraug ntxov (yog tias tus ntxhais lub sijhawm pib ua ntej 11 xyoo),
- nkauj tiav nraug tsis tshwm sim txawm tias tom qab 15 xyoo,
- kev coj khaub ncaws qhaj ntau lub hlis, tab sis koj tsis tau xeeb tub,
- los ntshav uas tsis cuam tshuam nrog rau lub cev ntas
- muaj teeb meem nrog conception,
- koj tau raug kuaj mob los ntawm kev ua tsis taus txiv
- twb muaj cov xwm txheej no ua me nyuam
- koj raug kev txom nyem los ntawm PMS, raws li nws cov tsos mob tshwm sim lawv tus kheej muaj zog heev ob peb hnub ua ntej qhov pib coj khaub ncaws,
- koj twb pib qhia tias tag lawm,
- lawm nyob rau theem khaus ntawm qhov,
- muaj teeb meem qab los noj mov
- koj muaj lub siab ntsws tsis ruaj khov
- cov xwm txheej ntawm cov plaub hau, rau tes thiab tawv nqaij tau mob ntau dua.
Qhov twg endocrinologist kuaj tau yog qhov tseeb, cov lus nug no nyiam ntau tus neeg uas mus saib xyuas cov tsev kho mob txij ua ke mus ua ke thiab pom cov paib nrog cov ntawv sau rau ntawm lub qhov rooj ntawm ib qho ntawm cov chaw haujlwm.
Tus endocrinologist yog tus kws kho mob uas daws cov teeb meem ntawm kev txheeb xyuas thiab kev tiv thaiv, nrog rau kev kho ncaj qha rau cov kab mob cuam tshuam nrog cov kab mob endocrine.
Nws yog ib nqi tseem ceeb rau cov kev mob nkees uas poob rau hauv kev muaj peev xwm ntawm tus kws endocrinologist:
- Mob qog noj ntshav. Cov no suav nrog hypothyroidism thiab thyrotoxicosis syndromes. Qhov ua rau ntawm thawj yog hypothyroidism ntawm cov thyroid caj pas, thiab cov mob thyrotoxicosis tshwm sim vim yog nce qib ntawm cov tshuaj hormones ntawm tib lub npe hauv cov ntshav,
- Mob ntshav qab zib mellitus. Feem ntau feem ntau, qhov teeb meem tshwm sim vim yog cov tshuaj insulin tsis txaus. Vim li ntawd, ntau lub pathological hloov tshwm sim hauv ntau cov kabmob ntawm tib neeg lub cev,
- Kev pham yog ib qho mob ntawm qhov muaj mob, thaum lub sijhawm muaj kev hloov pauv tsis zoo rau cov txheej txheem kev zom zaub mov. Tus kab mob no yog tus cwj pwm los ntawm kev loj hlob sai heev ntawm cov ntaub so ntswg adipose,
- Cov kab mob ntawm cov hypothalamic-pituitary.
Teb cov lus nug txog dab tsi txog tus endocrinologist tau saib, nws yuav tsum tau hais tias tus kws kho mob kho thiab kuaj mob ntawm cov plab hnyuv siab raum xws li hypothalamus, qog adrenal, lub qog thiab tus txiav.
Thaum twg kuv yuav tsum hu rau tus kws endocrinologist?
Raws li txoj cai, txhua tus kabmob muaj nrog qee yam cim qhia. Yog tias thawj qhov pib ceeb thawj cov tsos mob pib tshwm sim, tom qab ntawd koj yuav tsum nrhiav tus kws kho mob cov lus qhia tam sim ntawd.
Cov tsos mob hauv qab no yog cov yam ntxwv ntawm cov ntshav qab zib: qhov ncauj qhuav, nkees thiab qaug zog, kev nqhis dej tas li, kab mob ntawm daim tawv nqaij, kab mob kis, nce siab los yog tsawg dua hauv lub cev nyhav, thiab ntau dua.
Kev tsis sib haum xeeb hauv kev ua haujlwm ntawm cov thyroid caj pas (thaum nws los ntawm thyrotoxicosis syndrome) dhau nrog cov cim xws li kev tawm hws ntau dhau, txo kev tiv thaiv, tiv thaiv tsis txaus, nce siab, thiab malfunctions ntawm lub cev ntas. Tsis tas li ntawd, lub siab lub plawv yuav dhau los ua ntau, lub cev tsis tuaj yeem tiv taus lub cua sov, qee yam fussiness tshwm. Hypothyroidism mob nrog cov tawv nqaij qhuav, plaub hau daj, tsis nco qab, lub cev kub tsis ua hauj lwm, thiab cem quav.
Txog kev rog, cov phiajcim no muaj tus xeeb ceem - txo qis ntawm potency thiab libido, lub plawv dhia heev, lub cev tsis muaj zog, thiab nce phaus sai.
Ua ntej pib txoj kev kho mob, tus kws kho mob endocrinologist yuav tsum ua qhov kev kuaj mob. Tshwj xeeb yog nrov yog MRI, CT thiab ultrasound. Kev siv tshuaj radionuclide kuj tseem siv, nyob ntawm seb dab tsi cov endocrinologist kuaj xyuas thiab yam kab mob twg yog yam uas xav tias tsis muaj.
Txhua yam kab mob endocrine ua rau muaj kev cuam tshuam los ntawm hormonal. Cov niam txiv koom nrog qee qhov kev tshwm sim uas tshwm sim thaum cov kab ke no puas hauv me nyuam yaus, nrog tus xeeb ceem, noob caj noob ces, lossis kev hws ntau dhau, yam tsis muaj qhov tseem ceeb tshwj xeeb.
Tsis muaj kev kho kom raws sijhawm yuav ua rau muaj kev mob hnyav. Yog vim li cas nws yog qhov tseem ceeb kom paub nrog dab tsi qhia koj yuav tsum tau hu rau tus kws kho qhov muag endocrinologist, nws yog leej twg thiab muaj hom mob dab tsi uas kws kho mob kho.
Science endocrinology - kev tshawb fawb dab tsi?
Thaj teb ntawm cov tshuaj uas kawm ntau yam kev cuam tshuam thiab pathologies ntawm endocrine system yog endocrinology. Cov qog nyob hauv lub cev tas li tsim cov tshuaj hormones uas cuam tshuam rau cov txheej txheem hauv cov hlwb thiab kev ua haujlwm ntawm yuav luag txhua yam kabmob.
Endocrinology kawm txog kev ua haujlwm:
- pituitary caj pas
- hypothalamus
- cov qog (txiav ntshav, thymus, mob qog thiab parathyroid),
- cov qog adrenal
- zes qe menyuam thiab txiv neej qog ua ntshav.
Kev ua haujlwm ntawm cov tshuaj endocrine txiav txim siab lub sijhawm ua kom muaj peev xwm ntawm tus menyuam hauv plab, kev loj hlob ntawm tus menyuam tom qab yug thiab tus neeg mob thoob plaws lub sijhawm tag nrho ntawm nws lub neej.
Tus kws kho mob endocrinologist kho dab tsi?
Ib tus kws kho mob hauv qhov tshwj xeeb no suav nrog ob qhov tseem ceeb:
- Kev Kuaj Mob Tom Qab Cov. Qhov kev taw qhia no hais txog qeb ntawm cov hluas, cov menyuam kawm ntawv thiab cov menyuam yau uas muaj kev tsis txaus siab hauv kev sib deev vim muaj kev tsis txaus rau hormonal.
- Mob ntshav qab zib Cov. Thaj chaw no suav nrog kev tshuaj xyuas thiab kev kho mob ntawm cov menyuam muaj ntshav qab zib thiab muaj teeb meem uas tshwm sim los ntawm tus kab mob no. Pathology tuaj yeem nrhiav tau los yog mob caj dab thiab tsis yooj yim los kho.
Kev hais plaub kom kws kho mob rau cov kws kho mob tshwj xeeb rau koj kom:
- paub qhov txawv cov yam ntxwv hauv kev muaj kab mob loj zuj zus los ntawm qhov hloov pauv,
- txheeb xyuas cov kab mob tshwm sim los ntawm cov teeb meem hormonal,
- tshem tawm cov organic endocrine kev txawv txav uas twb txiav txim siab tsis tuaj yeem cuam tshuam rau cov neeg laus,
- paub teeb meem cuam tshuam nrog kev pub dawb,
- tsim kev ua txhaum ntawm hypothalamic-pituitary system.
- nqhis dej heev
- nquag tso zis,
- khaus khaus muaj nyob rau ntawm daim tawv nqaij
- cov txheej txheem cuam tshuam rau cov tawv nqaij,
- mob hauv plab hlaub lossis taub hau.
Raws li kev txheeb cais, kev noj zaub mov tsis txaus noj, txo qis kev qoj ib ce los ntawm kev siv cov khoom siv niaj hnub los ntawm cov menyuam yaus, qhov tsis txaus ntseeg ntawm kev sib raug zoo ua rau lub cev hnyav dhau ntawm tus menyuam, uas tom qab ntawd ua rau kev rog.
Raws li cov kws kho mob, cov niam txiv, vim tias lawv txoj haujlwm tsis txaus siab, tsis saib xyuas, pom qhov xwm txheej no lig dhau lawm, yog li ntawd, ntau yam kab mob phom sij loj hlob tuaj, suav nrog kev kub siab, ntshav qab zib, teeb meem metabolic thiab lwm yam.
Yog li, txhua qhov kev hloov pauv hauv kev txhim kho menyuam yaus yuav tsum muaj kev pom zoo los ntawm niam txiv. Qhov tshwm sim ntawm pathology cuam tshuam rau kev ua haujlwm ntawm tsawg kawg ib lub endocrine caj ces ua rau lub cev tsis ua haujlwm ntawm lwm yam hauv cov kab ke no. Qhov no ua rau muaj kev tsis tuaj yeem hloov kho tau, tshwj xeeb nrog kev kho mob lig.
Endocrinologist
Kev ua teb ntawm kev ua haujlwm ntawm endocrinologist tsuas yog muaj kev txwv, kev kho thiab tiv thaiv cov kab mob ntawm cov kab mob endocrine. Tus kws kho mob xaiv cov hau kev ntawm kev kho cov kev cai hormonal rau txhua tus neeg mob tshwj xeeb, tshaj tawm txoj kev kho mob kom tshem tawm cov kab mob uas suav nrog.
Tsis tas li ntawd, tus kws kho mob koom nrog kev kawm txog kev ua haujlwm ntawm cov kabmob endocrine, ntxiv rau kev kawm txog cov haujlwm etiological uas ua rau muaj kev ua haujlwm tsis zoo hauv nws cov haujlwm. Qhov no tso cai rau peb los nrhiav cov hauv kev tshiab ntawm kev kho pathologies. Ntawd yog, tus kws kho mob endocrinologist tau koom nrog kev kho mob ntawm kev cuam tshuam thiab tshem tawm lawv lub txim. Qhov no yog, ua ntej ntawm txhua yam, kev tsis tu ncua ntawm cov tshuaj hormones, cov txheej txheem hauv lub cev, kev ua haujlwm ntawm lub cev tsis sib deev thiab lwm cov teeb meem.
Cov seem tseem ceeb ntawm endocrinology
Endocrinology, uas yog ib ceg ntawm cov tshuaj, suav nrog thaj chaw xws li:
Endocrinology yog menyuam yaus. Cov ceg no tau kawm txog cov teeb meem cuam tshuam nrog cov kab ke endocrine thaum tiav nkauj tiav nraug thiab menyuam yaus.
Mob ntshav qab zib Cov ceg no tau koom nrog hauv kev txheeb xyuas, kho thiab tiv thaiv mob ntshav qab zib thiab nws cov teeb meem. Txij li ntau qhov kev tshawb pom tau tsim hais txog tus kabmob no, kabmob ntshav qab zib nyob rau lub sijhawm no tau dhau los ua ib qho kev coj tus kheej. Qhov tseeb yog mob ntshav qab zib yog ib qho mob uas nyuaj thiab nws yog ib qho teeb meem heev los kho nws nyob rau hauv lub moj khaum ntawm ib ceg ntawm cov tshuaj.
Yuav kuaj li cas nrog tus kws kho mob endocrinologist?
Thaum mus ntsib kws kho mob, tus neeg mob yuav mus ntsib ntau yam txheej txheem:
Yuav pib nrog, tus kws kho mob yuav tshawb pom tus neeg mob cov lus tsis txaus siab thiab sau tus mob anamnesis.
Palpation thiab kev kuaj pom ntawm tus neeg mob yog theem tom ntej ntawm kev kuaj mob. Nws yog tau tias kev tshuaj xyuas ntxiv ntawm tus qau yuav tsim nyog.
Kev ntsuas ntshav siab thiab mloog cov lus qhia hauv lub plawv.
Raws li qhov tsim nyog, tus neeg mob xa mus rau hauv cov txheej txheem ntxiv rau kev kuaj mob, xws li CT, MRI, duab hluav taws xob, ntu laj kab, thiab lwm yam.
Thaum mus ntsib tus kws tshuaj endocrinologist
Muaj ntau cov kab mob uas tau dhau los ntawm cov kws tshaj lij no. Hauv qhov no, cov tsos mob ntawm tus kabmob kuj tau zoo.
Yog li, koj tuaj yeem sau tsuas yog cov phiajcim tseem ceeb uas qhia tias koj xav ntsib tus kws kho mob:
Lub plawv nce ntxiv.
Kev tsim txom ua rau cov nqaj, ob qho qis dua thiab sab saud.
Kev coj khaub ncaws tsis xwm yeem, nws qeeb lossis lub sijhawm ntev.
Hyperhidrosis, kev ntxhov siab nyob hauv thermoregulation, ntau dhau kev ua haujlwm ntawm cov qog sebaceous.
Kev hloov pauv qhov hnyav hauv lub cev hauv cov taw qhia nce los yog qis dua, tsis muaj laj thawj dabtsi.
Nyuaj tsis yooj yim mloog, tsis tshua muaj siab.
Kev txiav tawm qhov xwm txheej ntawm cov ntsia hlau thiab plaub hau.
Qee zaus rov ua dua tawv ncauj, teeb meem tsis tsaug zog, xeev siab.
Tag nrho cov tsos mob no yog qhov qhia tias ib tus neeg muaj teeb meem nyob rau hauv endocrine system. Nws yog qhov ua tau tias cov ntsiab lus ntawm calcium nyob rau hauv cov ntshav tau nce los yog tsawg dua, los yog muaj kev cuam tshuam nyob rau hauv cov thyroid caj pas lossis lwm cov pathologies.
Cov tsos mob ntawm tus mob ntshav qab zib
Nws yog ib qho tseem ceeb kom tsis txhob nco ntsoov cov tsos mob ntawm tus kab mob txaus siab no thiab nrhiav kev pab kom tsim nyog raws sijhawm:
Nquag yaum tso zis rau zais zis.
Cov tsos ntawm khaus ntawm daim tawv nqaij thiab cov qog ua kua.
O ntawm daim tawv nqaij.
Tas li kev xav ntawm kev nqhis dej.
Cov tsos ntawm cov leeg tsis muaj zog, qaug zog tom qab ua haujlwm luv.
Cov teeb meem tsis pom kev.
Qhov tshwm sim ntawm mob taub hau thaum lub siab xav txog kev tshaib plab.
Mob plab hlaub.
Lub cev hnyav dua vim qhov qab los noj mov.
Qhov xav tau ntawm tus kws endocrinologist mus ntsib tus menyuam yaus
Qee zaum cov menyuam yaus tseem xav tau kev pab ntawm tus kws tshaj lij no, qhov no tshwm sim thaum:
Nws tau txo cov kev tiv thaiv tiv thaiv kab mob.
Muaj cov lags lossis kev nce qib hauv kev txhim kho lub cev thiab lub hlwb.
Muaj kev ntxhov siab hauv kev nkauj nraug, piv txwv li, kev txhim kho ntawm tus yam ntxwv ntawm kev sib deev theem ob lossis lub cev hnyav.
Thaum twg kuv yuav tsum hu rau tus kws endocrinologist thawj zaug?
Koj tuaj yeem ua yam tsis tas yuav tau teem sijhawm mus ntsib ib tus kws khomob tshwjxeeb yog tias cov tsos mob saum toj saud raug qhaj.
Txawm li cas los xij, nws tsim nyog mus ntsib kws kho mob yog tias:
Lub sijhawm yug menyuam yog npaj ua ntej.
Ib tug poj niam twb xeeb tus menyuam lawm.
Lo lus nug yog kev xaiv ntawm kev tswj kom tsis muaj menyuam.
Muaj hnub nyoog tshaj 45 xyoos. Ntxiv mus, txoj cai no siv rau ob hom poj niam thiab tsis nyob ntawm seb ib tug neeg xav li cas. Tom qab lub hnub nyoog tsis pub dhau no, koj yuav tsum tuaj ntsib kev tiv thaiv kev tiv thaiv ib xyoos ib zaug nrog ib tus kws tshwj xeeb.
Tus Kws Tshaj Lij Tshaj Tawm: Pavel A. Mochalov | D.M.N. cov kws qhia dav dav
Kev Kawm: Moscow Lub Tsev Kawm Ntawv Kho Mob I. Sechenov, tshwj xeeb - "Kev kho mob ua lag luam" hauv xyoo 1991, xyoo 1993 "Cov Kab Mob Haujlwm", hauv xyoo 1996 "Kev Kho Mob".