Tus kws endocrinologist ua dab tsi thiab kho cov plab hnyuv siab raum twg
Endocrinologist - tus kws kho mob uas tau txais kev tshwj xeeb hauv kev kuaj mob, kev tiv thaiv thiab kev kho mob ntawm pathology ntawm endocrine system hauv kev xyaum ua haujlwm, nyob hauv lossis hauv lub chaw haujlwm ntawm Lub Tsev Haujlwm ntawm Kev Kawm Ntawv Qib Siab ntawm Cov Kws Kho Mob.
Txheeb xyuas qhov tshwj xeeb ntawm cov kws kho mob endocrinologist:
- cov kab mob endocrinology (menyuam yaus endocrinologist, tus kabmob endocrinologist) - cov teebmeem ntawm pathology ntawm kev loj hlob thiab kev sib deev ntawm menyuam yaus thiab cov hluas, hom 1 mob ntshav qab zib mellitus, ntshav qab zib insipidus, pub nkauj thiab hluas hluas tsis sib haum, lwm yam kev cuam tshuam ntawm kev tsim hluav taws xob, kev zais thiab kev ua haujlwm ntawm cov tshuaj hormones, nrog rau cov kab mob endocheune thiab oncology. hauv menyuam yaus
- endocrinology (endocrinologist, endocrinologist-kws phais neeg, endocrinologist-gynecologist, endocrinologist-caj hlav, kws kho mob ntshav qab zib, thyroidologist) - cov teeb meem txog kev muaj me nyuam (txiv neej thiab poj niam endocrine ntxiv lawm, gynecomastia hauv txiv neej, mastopathy, plaub hau kev loj hlob ntawm cov poj niam (hirsutism, virilization, kev coj khaub ncaws) lactation teeb meem, lawm,) raws li zoo raws li:
- teeb meem ntawm neuroendocrinology - kab mob ntawm hypothalamus thiab pituitary caj pas: mob ntshav qab zib insipidus, hypothalamic syndrome, gigantism, acromegaly, prolactinoma, panhypopituitarism thiab lwm tus,
- pathology ntawm cov qog adrenal: cov qog adrenal tsis txaus (mob thiab mob ntsws ntev), mob qog ntshav ntawm adrenal cortex (adrenogenital syndrome), adrenal neoplasms (benign thiab malignant) thiab lwm tus,
- cov thyroid pathology - diffuse goiter, thyroiditis, hypothyroidism, thyrotoxicosis, hlwv thiab ntsia ntawm cov thyroid caj pas,
- teeb meem ntawm ntshav qab zib - ntshav qab zib mellitus, nezidioblastosis,
- lwm cov teeb meem yog osteoporosis, kev rog (lipid metabolism tsis meej), ntau endocrine neoplasia, apudomas thiab lwm tus.
Tus endocrinologist kuaj tus kab mob pathology ntawm endocrine system thiab, yog tias tsim nyog, kho cov kev cuam tshuam ntawm cov qog endocrine: inhibits, txhawb lossis hloov pauv ntau lawm cov tshuaj hormones thiab cov tshuaj lom biologically uas tswj txoj haujlwm tseem ceeb ntawm lub cev.
Lub luag haujlwm tseem ceeb
Yog tias tus kws kho mob feem ntau xav tias qhov tseem ceeb ntawm tus kabmob muaj feem cuam tshuam nrog kev tsim cov tshuaj hormones, nws tuaj yeem muab tus neeg mob xa mus rau tus kws kho endocrinologist, tus kws kho mob tshwj xeeb hauv cov qog endocrine.
Tsis zoo li tus kws kho mob dav dav, tus kws kho keeb endocrinologist tsuas kuaj cov tshuaj hormones thiab kab mob hormonal xwb. Feem ntau ntawm cov kws kho mob feem ntau muaj cov txuj ci xav tau los soj ntsuam thiab kho qhov mob ntshav qab ntsev, tab sis qee zaus kev pab ntawm tus kws tshaj lij xav tau.
Txawm li cas los xij, ntawm endocrinologist muaj tshwj xeebCov. Piv txwv li, tus kws kho mob uas ua haujlwm tshwj xeeb hauv cov mob qog yog hu ua tus thyroidologist. Thiab muaj cov endocrinologist-gynecologist, endocrinologist-noob caj noob ces, menyuam yaus thiab cov hluas endocrinologist thiab lwm ceg ntawm endocrinology.
Cov lus nug yog dab tsi kws endocrinologist ua, cov kws kho mob hnov ntau zaus. Tus kws endocrinologist pab xaiv ib txoj kev kho mob los kho kom rov qab cov tshuaj hormones hauv lub cev ua haujlwm (Tyrogen yog feem ntau kho). Tus kws kho mob no tseem tshuaj xyuas lub cev kev mob, xws li cov metabolism hauv lub cev tsis zoo, kev zom zaub mov, lossis ntshav ncig, vim tias tsis txaus tshuaj hormones tuaj yeem tshwm sim los ntawm cov khoom nruab nrog sab nraud ntawm endocrine system (xws li lub hlwb, lub plawv, thiab lub raum). Nws yuav qhia txoj hau kev zoo tshaj plaws rau koj kom tiv thaiv cov kab mob endocrine.
Endocrinologist feem ntau kho cov kab mob hauv qab no:
- mob ntshav qab zib
- txha txha caj qaum
- lawm lawm
- cov tsos mob premenstrual
- endocrine mob qog nqaij hlav
- txiv neej lawm (andropause),
- metabolic ntshawv siab
- cov mob qog
- adrenal mob cuam tshuam xws li Cushing's disease lossis Addison's disease,
- pituitary mob, xws li kev loj hlob hormone tsis txaus,
- ntxiv lawm tshob
Feem ntau cov kab mob endocrine yog mob ntev thiab xav tau kev kho lub neej.
Cov kabmob dab tsi koom nrog hauv kev kho mob
Qhov no yog li cas cov kws kho mob endocrinologist ua thaum hais txog kev kuaj mob thiab kev kho mob yam tshwj xeeb ntawm tib neeg lub cev:
- Adrenal qoguas nyob rau sab saum toj ntawm ob lub raum thiab pab tswj cov khoom xws li ntshav siab, metabolism, kev nyuaj siab thiab cov tshuaj hormones.
- Hypothalamus - ib feem ntawm lub hlwb uas tswj lub cev kub, tshaib plab thiab nqhis dej.
- Qos Yis, uas tsim cov tshuaj insulin thiab lwm yam khoom siv plab zom mov.
- Parathyroid qog - Cov qog ntshav me me uas tswj cov calcium hauv cov ntshav.
- Pituitary caj pas - Cov qog loj npaum li cas ntawm taum mog, nws yog nyob rau ntawm lub hauv paus ntawm lub hlwb thiab tswj cov nyiaj tshuav ntawm cov tshuaj hormones.
- Gonads Cov no yog cov zes qe menyuam rau cov poj niam thiab cov noob qes.
- Lub qog ua haujlwm - npauj npaim npauj npaim hauv caj dab caj dab uas tswj cov metabolism hauv lub zog thiab kev loj hlob, thiab kev txhim kho hlwb.
Cov tsos mob ntawm tus mob ntshav qab zib
Mob ntshav qab zib feem ntau hu ua tus tua neeg uas ntsiag to vim yog nws cov tsos mob, uas cuam tshuam rau ntau yam mob, thiab feem ntau tsis pom. Ntshav qab zib yog dab tsi endocrinologist ua nyob rau hauv feem ntau ntawm kev kho mob neeg mob, txij li thaum kis ntawm tus kab mob no nyob rau txawv teb chaws ntawm lub ntiaj teb no yog heev.
Txoj hauv kev zoo tshaj kom paub seb puas muaj ntshav qab zib lossis tsis yog ntsuas koj cov ntshav qab zib.
Tab sis yog tias koj muaj cov tsos mob no, kos npe rau kev sib tham txog endocrinologist:
- Cov zis nrawm, nqhis dej ntau dhau.
- Lub cev yuag.
- Ib qho kev xav ntawm kev tshaib plab.
- Cov tawv nqaij khaus.
- Kho kho tej qhov txhab zoo.
- Poov xab kis mob. Ntshav qab zib ua rau muaj kev cuam tshuam ntau yam mob, txawm hais tias cov poov xab (candida) thiab lwm yam kab mob fungal yog qhov tshwm sim ntau tshaj. Cov nceb thiab kab mob nyob hauv ib puag ncig muaj suab thaj ntau. Vaginal candidiasis mob heev rau cov poj niam uas mob ntshav qab zib.
- Ntev heev ua rog thiab kev npau taws.
- Qhov muag plooj. Distitions tsis pom kev lossis qee lub teeb pom kev zoo yog qhov tshwm sim ncaj qha ntawm cov ntshav qab zib. Qhov xwm zoo yog tias qhov tsos mob no thim rov qab thaum cov ntshav qab zib cov ntshav rov qab li qub.
- Mob caj dab los yog loog hauv caj npab thiab ceg, nrog rau kev kub taub hau lossis o. Cov no yog cov cim qhia tau tias cov hlab ntsha puas tau txav vim muaj ntshav qab zib.
Dab tsi tuaj yeem pom nyob hauv chaw ua haujlwm ntawm tus neeg endocrinologist
Yuav luag txhua qhov chaw ua haujlwm ntawm tus kws endocrinologist, ob leeg hauv tsev kho mob thiab hauv qhov chaw them nqi, muaj cov cuab yeej kho mob tsim nyog rau kev kuaj mob lub cev.
Cov cuab yeej no suav nrog:
- nplai
- siab ntsuas ntaus ntawv
- ntshav qab zib 'meter'
- neurological rauj,
- centimeter daim kab xev
- stadiometer
- monofilament rau ntes tactile rhiab heev mob,
- Rudel-Seiffer kho mob kho lub rawg kom kuaj ntshav qab zib neuropathy.
Kev teem sijhawm rau tus kws khomob Endocrinologist: tus neeg laus thiab menyuam yaus yuav tsum coj tus yam ntxwv zoo li cas?
Cov menyuam yaus tsis tshua muaj siab dua li cov neeg laus mus xaus rau hauv chav ua haujlwm ntawm tus kws endocrinologist. Qhov no yog ib feem vim niam txiv tsis quav ntsej txog teeb meem nrog lawv tus menyuam txoj kev noj qab haus huv lub sijhawm, ntseeg hais tias kev rov tsim cov tshuaj hormones thaum tseem tiav nkauj tiav nraug yog qhov yuav raug txim rau txhua yam thiab "nws yuav dhau mus sai sai". Tsis tas li, menyuam yaus tsis qhia lawv niam lawv txiv txog lawv txoj kev noj qab haus huv tsis zoo.
Txawm li cas los xij, cov niam txiv tau ceev faj yuav pom cov cim qhia tias yuav tsum tau teem sij hawm endocrinologist. Cov no suav nrog: kev loj hlob tsis zoo thiab kev loj hlob ntawm lub cev thiab hauv kev xav, nce ceev lossis poob hauv lub cev nyhav, cov kabmob sib kis uas tsis tu ncua, uas yog lub cim ntawm kev poob qis hauv lub cev tiv thaiv kev ua haujlwm, ncua lossis nrawm rau kev nkauj nraug, thiab kev hnov qab hauv lub hlwb.
Cov teeb meem dab tsi raug muab daws rau tus kws endocrinologist chav ua haujlwm
Yog tias ib tus neeg nyob rau hauv 45 tsis muaj cov tsos mob uas cuam tshuam, ces tsis tas yuav mus ntsib tus kws kho qhov muag endocrinologist. Txawm li cas los xij, cov khub niam txiv npaj yuav xeeb menyuam, cov poj niam muaj teeb meem tsis txaus siab txog insomnia, txob taus thiab lwm yam teeb meem vim yog lub hnub, nrog rau cov neeg muaj hnub nyoog tshaj 45 xyoos, yuav tsum tau mus ntsib tus kws kho mob endocrinologist tsawg kawg ib xyoos ib zaug.
Yuav tshuaj ntsuam li cas
Thaum lub sijhawm teem mus kuaj mob thawj zaug, tus kws kho mob endocrinologist yuav nug tus neeg mob kom muaj cov lus kom meej meej rau kev kuaj mob. Cov lus nug no pab koj tus kws kho mob sau cov ntaub ntawv hais txog cov tshuaj tam sim no, cov vitamins, thiab cov zaub mov zoo uas tus neeg mob noj, tsev neeg muaj mob, thiab lwm yam mob, suav nrog kev fab tshuaj noj.
Tus kws kuaj xyuas endocrinologist yuav nug txog cov tsos mob uas tsis zoo li cuam tshuam nrog tus kab mob tseem ceeb, thiab uas tuaj yeem pom qhov tsis txaus ntseeg rau tus neeg mob. Txawm li cas los xij, cov ntaub ntawv tseem yog ib qho tseem ceeb vim tias cov qib hormone yuav cuam tshuam rau ntau qhov sib txawv hauv lub cev. Yog li, kev hloov me me hauv ib lub qog tuaj yeem cuam tshuam ib feem ntawm lub cev uas nyob deb ntawm lub qog mob.
Tus kws kho mob tseem yuav kuaj tus neeg mob ntshav siab thiab lub plawv dhia, saib nws cov tawv nqaij, plaub hau, hniav thiab qhov ncauj ntawm qhov ncauj, thiab nws tseem yuav kov cov thyroid caj pas seb nws puas loj dua.
Tom qab kuaj pom tseeb, tus kws kho mob tshwj xeeb yuav xa tus neeg mob mus rau kev sim ntxiv, thiab twb tau coj lawv mus rau hauv tus account, yuav tsim cov phiaj xwm kho.
Dab tsi kev xeem thiab kev xeem tuaj yeem teem
Tus kws endocrinologist siv cov kev kuaj mob tawm rau ntau qhov laj thawj, suav nrog:
- Txhawm rau ntsuas qib ntawm ntau cov tshuaj hormones hauv tus neeg mob lub cev.
- Txhawm rau kom paub seb lub qog endocrine ua haujlwm tau li cas.
- Txhawm rau txiav txim siab qhov ua rau muaj teeb meem endocrinological.
- Txhawm rau kom paub meej cov kev kuaj mob ua ntej.
Feem ntau yuav yog, tom qab txhaj thawj koob, endocrinologist yuav xa tus neeg mob mus tshuaj ntsuam ntawm cov piam thaj hauv cov ntshav, zis thiab roj cholesterol.
Yog tias muaj kev kho mob ntxiv lawm tshob, endocrinologist tuaj yeem sau ntawv coj mus kuaj phev rau tus txiv neej tus neeg mob. Nov yog kev ntsuam xyuas uas kuaj cov phev rau cov phev suav, kom qhov muaj zog, thiab cov qe ntshav dawb, uas tuaj yeem qhia tus kab mob.
Rau kev kuaj mob hyperthyroidism, thiab kawm ntawm nodules hauv lub qog ua haujlwm nrog cov thyroid caj pas, cov thyroid scan tau tshuaj. Nws yog cov duab ntawm cov thyroid caj pas tom qab tus neeg mob tau nqos ntsiav tshuaj (lossis tau txhaj tshuaj) nrog me me ntawm cov tshuaj radioactive iodine.
Txij li cov thyroid caj pas siv iodine los tsim qee cov tshuaj hormones, nws yuav nqus cov tshuaj radioactive. Cov tshuaj no radiates lub zog thiab tso cai rau koj kom tau txais ib cov duab ntawm lub qog. Cov scan tag nrho yog qhov tsis mob thiab siv sijhawm li ib nrab ib teev.
Qhov sai dua, txawm tias tsis tshua paub txog, txheej txheem yog ib qho ultrasound ntawm cov thyroid caj pas.