6 tijaabooyin oo lagu qiimeeyo qanjirka 'thyroid'

Qanacsan

• 1. Qiyaasta hormoonnada tayroodhka
• 2. Qiyaasta difaaca jirka
• 3. Ultrasound ee qanjirka 'thyroid'
• 4. Thyroid scintigraphy
• 5. Cad ka-qaadista tayroodhka
• 6. Baaritaanka qanjirka 'Thyroid'
• Markaad u baahato in lagaa qaado baaritaanka tayroodhka

Si loo aqoonsado cudurrada saameeya qanjirka 'thyroid', dhakhtarku wuxuu dalban karaa dhowr baaritaan si loo qiimeeyo cabirka qanjidhada, jiritaanka burooyinka iyo shaqada tayroodhka. Sidaa awgeed, dhakhtarku wuxuu kugula talin karaa qiyaasta hoormoonka ee sida tooska ah ugu xiran shaqeynta qanjirka 'thyroid', sida TSH, T4 bilaash ah iyo T3, iyo sidoo kale baaritaanka sawirka si loo hubiyo jiritaanka qanjirro, sida tayroodh ultrasound, tusaale ahaan .

Si kastaba ha noqotee, baaritaanno gaar ah oo dheeraad ah ayaa sidoo kale la codsan karaa, sida scintigraphy, biopsy ama antibody test, oo laga yaabo inuu kugula taliyo dhakhtarka endocrinologist marka la baarayo cudurrada qaarkood, sida tayroodhka ama burooyinka tayroodhka, tusaale ahaan. Eeg calaamadaha muujin kara dhibaatooyinka tayroodh.

Baaritaanka dhiigga

Imtixaanada ugu badan ee la codsado si loo qiimeeyo qanjirka 'thyroid' waa:

1. Qiyaasta hormoonnada tayroodhka

Cabbiraadda hormoonnada tayroodhka iyada oo loo marayo baaritaanka dhiigga waxay u oggolaaneysaa dhakhtarka inuu qiimeeyo shaqada qanjidhada, iyadoo ay suurtagal tahay in la hubiyo haddii qofku leeyahay isbeddello soo jeedinaya hypo ama hyperthyroidism, tusaale ahaan.

In kasta oo qiimayaasha tixraaca ay ku kala duwanaan karaan da'da qofka, jiritaanka uurka iyo shaybaarka, qiyamka caadiga ah guud ahaan waxaa ka mid ah:

Kadib markuu cadeeyo isbedelka shaqada tayroodhka, dhakhtarku wuxuu qiimeyn doonaa baahida loo qabo in la dalbado baaritaano kale oo gacan ka geysta in la ogaado sababta keentay isbadaladaan, sida ultrasound ama antibody cabirka, tusaale ahaan.

Fahmaan natiijooyinka suurtagalka ah ee imtixaanka TSH

2. Qiyaasta difaaca jirka

Baadhitaanka dhiigga ayaa sidoo kale la samayn karaa si loo cabbiro unugyada difaaca jirka ee qanjirka 'thyroid', oo jidhku soo saari karo qaar ka mid ah cudurrada isdifaaca jirka, sida Hashimoto's thyroiditis ama cudurka Graves, tusaale ahaan. Kuwa ugu waaweyn waa:

• Anti-peroxidase antibody (anti-TPO): waxaa ku jira inta badan kiisaska qanjirka 'Hashimoto's thyroiditis', cudur sababa dhaawac unugyada iyo tartiib tartiib u luminta shaqada qanjirka 'thyroid';
• Anti-thyroglobulin antibody (anti-Tg): waxay ku jirtaa xaalado badan oo ah qanjirka 'Hashimoto's thyroiditis', si kastaba ha noqotee, waxaa sidoo kale laga helaa dadka iyada oo aan wax isbeddel ah ku dhicin qanjirka 'thyroid', sidaa darteed, ogaanshaheeda markasta ma muujinayo in cudurku horumarin doono;
• Kahortaga anti-TSH antibody (anti-TRAB): waxaa laga yaabaa inuu jiro xaaladaha hyperthyroidism, badanaa waxaa sababa cudurka Graves. Soo ogow waxa ay tahay iyo sida loo daaweeyo cudurka qabriyada.

Nidaamka jirka ee 'thyroid' waa in ay codsadaan dhakhaatiirtu keli ah marka hoormoonka tayroodhka la beddelo, ama haddii cudurka qanjirka 'thyroid' laga shakiyo, si looga caawiyo in la caddeeyo sababta.

3. Ultrasound ee qanjirka 'thyroid'

Ultrasound ee tayroodhka ayaa loo sameeyaa si loo qiimeeyo cabirka qanjirka iyo jiritaanka isbeddelada sida burooyinka, burooyinka, goiter ama qanjira. In kasta oo baadhitaankani aanu sheegi karin haddii nabar yahay kansar, haddana aad ayey faa'iido u leedahay in la ogaado astaamaheeda iyo in la hago daloolidda qanjirayaasha ama burooyinka si looga caawiyo baaritaanka.

Qalabka tayroodhka

4. Thyroid scintigraphy

Thyroid scintigraphy waa baaritaan isticmaala qaddar yar oo shucaaca iodine ah iyo kamarad gaar ah si loo helo sawirka qanjirka 'thyroid', loona aqoonsado heerka waxqabadka nodule.

Waxaa badanaa la muujiyaa in la baaro qanjirrada looga shakisan yahay kansarka ama mar kasta oo hyperthyroidism la tuhmo oo ay keento qanjir hormoon-qarinaya, oo sidoo kale loo yaqaanno nodule kulul ama shaqeynaya. Soo ogow sida loo sameeyo qanjirka 'thyroid scintigraphy' iyo sida loogu diyaar garoobo baaritaanka.

5. Cad ka-qaadista tayroodhka

Cad ka-qaadis ama daloolin ayaa loo sameeyaa si loo aqoonsado in qanjirada 'tayroodh nodule' ama 'cyst' ay yihiin wax aan fiicnayn ama xun. Inta lagu guda jiro baaritaanka, dhakhtarku wuxuu irbad fiican ka gelinayaa dhinaca nodule wuxuuna ka saarayaa qadar yar oo ah unug ama dareere ah oo sameeya qanjirkaan, si muunadani loogu qiimeeyo shaybaarka.

Qalliinka qanjirka 'thyroid biopsy' ayaa dhaawici kara ama sababi kara raaxo la'aan maxaa yeelay baaritaankaan laguma sameynin suuxdinta dhaqtarkuna wuxuu dhaqaajin karaa irbadda inta lagu jiro baaritaanka si uu awood ugu yeesho inuu tijaabooyin ka qaado qaybo kala duwan oo qanjirada ka mid ah ama inuu daadiyo qadar dheecaan ah. Imtixaanku waa dhakhso oo wuxuu soconayaa 10 daqiiqo ka dibna qofku waa inuu la joogaa faashad meesha ku jirta dhowr saacadood.

6. Baaritaanka qanjirka 'Thyroid'

Is-baaritaanka qanjirka 'thyroid' waxaa loo samayn karaa si loo aqoonsado joogitaanka qanjidhada ama qanjirrada qanjidhada, iyadoo muhiim u ah in laga caawiyo in la ogaado isbeddellada hore iyo ka hortagga dhibaatooyinka cudurka waana in la sameeyaa, badanaa, dumarka ka weyn 35 ama taariikhda qoyska ee dhibaatooyinka tayroodh.

Si tan loo dhammeeyo, tallaabooyinka soo socda waa in la raacaa:

• Qabo muraayad oo cadee meesha ay tayroodhku ku yaal, oo wax yar ka hooseysa tufaaxa Adam, oo loo yaqaan "gogó";
• Qoortaada gadaal u janjeeri si aad si fiican u soo bandhigto gobolka;
• Cab kabasho biyo ah;
• U fiirso dhaqdhaqaaqa qanjirka 'thyroid' oo cadee haddii ay jiraan wax soo baxa, asymmetry.

Haddii wax aan caadi ahayn oo tayroodh ah la ogaado, waxaa muhiim ah in la raadsado daryeelka dhakhtarka cilminafsiga ama dhakhtarka guud si baadhitaanka loogu sameeyo tijaabooyin laga yaabo ama aan xaqiijin karin isbeddelka qanjirka 'thyroid'.

Markaad u baahato in lagaa qaado baaritaanka tayroodhka

Baadhitaanka qanjirka 'thyroid' waxaa loo muujiyaa dadka da'doodu ka weyn tahay 35 sano ama ka sii horeysa haddii ay jiraan calaamado ama taariikh qoys oo isbeddelada tayroodhka, haweenka uurka leh ama raba inay uur yeeshaan iyo dadka ogaaday isbeddelada inta lagu jiro is-baaritaanka ama baaritaanka caafimaad ee qanjirka 'thyroid'

Intaa waxaa dheer, baaritaannada ayaa sidoo kale la muujiyaa ka dib daaweynta shucaaca ee qoorta ama kansarka madaxa iyo inta lagu jiro daweynta daawooyinka sida lithium, amiodarone ama cytokines, tusaale ahaan, oo faragelin kara howlaha qanjirka 'thyroid'.