I. Mawu

Nkhani za chithokomiro ndizopambana, zikukhudza mamiliyoni padziko lonse lapansi. Kuzindikira molondola ndikofunikira kuwongolera koyenera. Bukuli likufufuza mayeso ofunikira omwe amachitika kuti ayesetse ntchito ya chithokomiro, kuthandiza anthu ndi akatswiri azaumoyo amayenda bwino kwambiri.

Ii. Kumvetsetsa ntchito ya chithokomiro

A. Chroid mahomoni

Thyroxine (t4): mahomoni opangidwa ndi chithokomiro cha chithokomiro.

Triodioronine (T3): Fomu yogwira ntchito yogwira ntchito kuchokera ku T4.

Makondo olimbikitsa a chithokomiro (Tsh): wopangidwa ndi pituaur gland, yowongolera mahomoni a chithokomiro.

Iii. Mayeso wamba a thyrod

A. Kuyesa kwa THS

CHOLINGA: Njira zochepetsera, kuwonetsa kufunikira kwa thupi kwa mahomoni a chithokomiro.

Mitundu yabwinobwino: nthawi zambiri pakati pa 0,4 ndi 4.0 milli-mayiko pa lita imodzi (miu / l).

B. Kuyesa kwa T4

CHOLINGA: Imaona kuchuluka kwa osasunthika T4, kuwonetsa kupanga kwa mahomoni a chithokomiro.

Mitundu yabwinobwino: nthawi zambiri pakati pa 0,8 ndi 1.8 nanograms pa desilirer (ng / dl).

C. Kuyesa kwa T3 Free

Cholinga: Njira zochepetsetsa T3, kupereka chidziwitso pakupanga metabolic.

Mitundu yabwinobwino: Nthawi zambiri pakati pa 2.3 ndi 4.2 Picigrams pa Milliliter (PG / ml).

Iv. Zowonjezera zowonjezera za chithokomiro

A. Chithokomiro peroxidase (tpoab) kuyesa

Cholinga: Imazindikira ma antibodies omwe akuukira chithokomiro peroxidase, cholumikizidwa ndi chithokomiro cha chithokomiro.

Chizindikiro: Magawo okwezeka amawonetsa chithokomiro cha Hashimoto kapena matenda a Grave.

B. Tyroglobulin antibodies (Tgab) kuyesa

Cholinga: Kuzindikira ma antibodies ozungulira ulroglobulin, mapuloteni omwe amakhudzidwa ndi kupanga chithokomiro.

Chizindikiro: Magawo okwezeka amatha kuwonetsa zovuta za chithokomiro.

Mayeso a V.

A. Thristroid ultrasound

Cholinga: amapanga mwatsatanetsatane zifaniziro za chithokomiro, zindikirani maulendo.

Chizindikiro: Ankakonda kuwunika mawonekedwe a chithokomiro ndikuwona zovuta zomwe zingachitike.

B. Thristroid Scan

Cholinga: Zimaphatikizapo kupaka mbewu zochepa zomwe zimagwiritsidwa ntchito polemba chithokomiro.

Chizindikiro: Zothandiza pozindikiritsa matchulidwe, kutupa, kapena madera ochulukirapo a chithokomiro.

Vi. Chabwino singano (fna) biopsy

A. Cholinga

Kuzindikira: Ankakonda kuwunika maulendo a chithokomiro cha ma enrous kapena mawonekedwe opanda khansa.

Kuwongolera: Edzi posankha kufunika kwa chithandizo kapena kuwunikira.

VII. Mukamayendetsa mayeso

A. Zizindikiro

Kutopa kosawerengeka: kutopa kosalekeza kapena kufooka.

Kulemera kotheratu: Kuchepetsa thupi kapena kutaya thupi.

Kusintha kwa maselo: kusokonezeka kwa maselo kapena kusintha kwa kumveka kwamalingaliro.

B. Zojambulajambula

Ager ndi jenda: akazi, makamaka oposa 60, amatha kugonjetsedwa.

POYAMBA LA BANJA: Chiwopsezo chowonjezeka ngati abale apamtima ali ndi zovuta za chithokomiro.

Kuyendetsa chithokomiro kumaphatikizapo njira yabwino yoyesera kuyesedwa, poganizira onse a mahomoni komanso zinthu zomwe zingachitike. Kumvetsetsa cholinga ndi tanthauzo la kuyesa kulikonse kwa mphamvu ndi akatswiri azaumoyo kuti apangitse zisankho zidziwitso pokhudzana ndi matenda omwe alipo. Zojambula zonse, makamaka kwa iwo omwe ali ndi ziwopsezo, zimathandizira kuzindikiridwa koyambirira kwa nkhani za chithokomiro, ndikuwonetsetsa kuti ali ndi thanzi labwino.