I-endocrinologist: into oyenzayo kunye nexesha oya ngalo kwindibano

Umxholo

• Nini ukuya kugqirha wezonyango
• Zeziphi izifo ezinyangiweyo yi-endocrinologist
• Nini ukufuna ugqirha we-endocrinologist ukunciphisa umzimba

I-endocrinologist ngugqirha onoxanduva lokuvavanya yonke inkqubo ye-endocrine, eyinkqubo yomzimba enxulumene nemveliso yehomoni ebalulekileyo kwimisebenzi eyahlukeneyo emzimbeni.

Ke, kunokuba yinto enomdla ukudibana ne-endocrinologist xa kuvela iimpawu ezinokuthi zibonise utshintsho kwimveliso yehomoni, ezinje ngobunzima bokunciphisa umzimba, ukutyeba ngokulula, iinwele ezingaphezulu kwabafazi kunye nokukhula kwamabele kubafana, umzekelo, kuba unxulumene notshintsho lwe-thyroid, isifo sikashukela okanye ukukhuluphala, umzekelo.

Nini ukuya kugqirha wezonyango

Kuyacetyiswa ukuba udibane ne-endocrinologist xa iimpawu okanye iimpawu zibonwa ezinokuthi zibonise utshintsho kwimveliso yehomoni. Ke, ezinye zeemeko ekuboniswe kuzo ukuba zibonane ne-endocrinologist zezi:

• Kunzima ukunciphisa umzimba;
• Ukufumana ubunzima ngokukhawuleza okukhulu;
• Ukudinwa kakhulu;
• Utshintsho kumjikelo wokuya exesheni;
• Ukulibaziseka kokufikisa okanye ukufikisa kwangaphambili;
• Ukwandiswa kwe-thyroid;
• Izinwele ezigqithileyo kwabasetyhini;
• Ukukhula kwamabele kubafana;
• Iimpawu kunye neempawu zokuphuma kunye nokuyeka ukuya exesheni;
• Ubukho beempawu ezinxulumene nesifo seswekile ezinjengokunxanwa okugqithisileyo kunye nokunyusa umdla wokuchama, umzekelo.

Ke, phambi kwezi okanye ezinye iimpawu kunye neempawu, ugqirha we-endocrinologist unokuboniswa, njengoko kunokwenzeka ukwenza uvavanyo lobume bempilo yomntu ngokubanzi kunye nokuvavanywa kwegazi kubonisiwe ukuqinisekisa amanqanaba ehomoni ezithile igazi.

Zeziphi izifo ezinyangiweyo yi-endocrinologist

Njengokuba kukho iihomoni ezininzi eziveliswa ngumzimba, indawo yesenzo se-endocrinologist ibanzi kakhulu kwaye, ke, kunokuboniswana ngayo kunyango lwezifo ezininzi, eziphambili zezi:

• Iingxaki ze-thyroid, njenge-hypo kunye ne-hyperthyroidism, i-goiter kunye ne-Hashimoto's thyroiditis, umzekelo, kwimeko apho i-hormone ye-TSH, i-T3 kunye ne-T4 ibonakaliswe, ezo zi-hormone ezinokunyuswa okanye ukuhla kwemveliso ngokutshintshwa kwe-thyroid gland;
• Seswekile, apho ukukalwa kweglucose yegazi kulinganiswa khona kunye nezinye iimvavanyo ezenziwayo ukuze kuqinisekiswe ukuxilongwa, kuchongwa uhlobo lwesifo seswekile kunye nolona nyango lufanelekileyo lubonisiweyo;
• IHirsutism, Olu lutshintsho lwehomoni olunokwenzeka kubantu basetyhini ngenxa yokunyuka kokuqina kwe testosterone egazini okanye ukuncipha kwemveliso ye-estrogen kwaye oko kunokubangela ukubonakala kweenwele kwiindawo apho kungekho nanye, ezifana nesifuba, ubuso kunye nesisu , umzekelo. umzekelo;
• Ukutyeba kakhulu, oku kungenxa yokuba kuyinto eqhelekileyo ukutyeba kakhulu ukutshintsha idlala lengqula, kwaye kuqhelekile nokuba abantu babe nesifo seswekile;
• Isifo sePolycystic Ovary Syndrome (PCOS), ebonakaliswa kukutshintsha kwamanqanaba eehomoni zabasetyhini ezijikeleza egazini ezinokuthi zithande ukwakheka kwee-cysts kwii-ovari, ezinokubangela utshintsho kumjikelo wokuya exesheni kunye nobunzima bokukhulelwa;
• Isifo sikaCushing, Sisifo sehomoni esibonakaliswa kukunyuka kwenani le-cortisol ejikeleza egazini, ekhokelela ekuzuzeni ubunzima ngokukhawuleza nasekuqokeleleni amafutha kummandla wesisu. Funda ngakumbi malunga neCushing's syndrome;
• Utshintsho ekukhuleni, ezinje ngokuba mfutshane okanye i-gigantism, kuba ezi meko zihambelana namanqanaba ehomoni yeGH emzimbeni.

Ukongeza, ugqirha we-endocrinologist unokunceda ekunciphiseni iimpawu zokuyeka ukuya exesheni, kuba xa kuvavanywa amanqanaba eehomoni i-estrogen, iprogesterone kunye ne testosterone kwigazi lomfazi, kunokubonisa olona nyango lufanelekileyo lonyango lokuthomalalisa iimpawu. Nantsi indlela yokunciphisa iimpawu zokuya exesheni.

Nini ukufuna ugqirha we-endocrinologist ukunciphisa umzimba

Ngamanye amaxesha ubunzima bokunciphisa umzimba bunokunxulumana notshintsho lwehomoni. Ke, kuyanomdla ukufuna ugqirha we-endocrinologist xa umntu engakwazi ukunciphisa umzimba ngaphandle kokutya okunempilo kunye nokutya okunesondlo kunye nokwenza umthambo rhoqo, njengoko iimvavanyo zinokusetyenziselwa ukujonga amanqanaba ehomoni.

Ukongeza, kunokucetyiswa ukuba kukhangele i-endocrinologist ukunceda kwinkqubo yokunciphisa umzimba. Faka iinkcukacha zakho apha ngezantsi kwaye ufumanise ukuba utyebile okanye utyebe kakhulu:

Kuthethwano lokuqala kunye ne-endocrinologist, ugqirha kufuneka avavanye idatha ebalulekileyo njengobunzima, ukuphakama, isinqe kunye nokujikeleza kwesinqe, iminyaka yokwazi ukuba umngcipheko uphethwe yintoni kwiingxaki zentliziyo kwaye uya kubonisa unyango oluyimfuneko ukufikelela ubunzima obulungileyo.

Emva kwenyanga e-1 ukusukela ekuqaleni konyango, ukubonisana okutsha kuhlala kwenziwa ukuze kuphononongwe kwakhona ubunzima kwaye kujongwe ukuba ngaba unyango luneziphumo ezilindelekileyo na. Xa umntu engakwazi ukuphulukana nobunzima abufunayo okanye xa kufuneka ehle ngaphezulu kwe-30kg lo gqirha angabonisa isidingo sotyando ukunciphisa isisu, umzekelo. Funda konke ngotyando lwe-bariatric.

Nangona kunjalo, ukongeza kunyango okanye kunconyelo lotyando, ugqirha wezonyango uya kubonisa ukwenziwa kwemithambo, ngokwendlela umntu anokwenzeka ngayo, kwaye iya kubonisa ukubonisana nesondlo ukuze kulungiswe ukutya ukuze ukwazi ukunciphisa umzimba.