He aha nā mea a ka endocrinologist e hana ai a me nā mea āna e hoʻomaʻamaʻa ai
Endocrinologist - ke kaukaʻi i loaʻa ka hoʻoweliweli kūikawā i ka maʻi maʻi, ke kāohi a me ka mālama ʻana i nā mākeke o ka ʻōnaehana endocrine ma kahi limahana, mea noho a i ʻole ke keʻena o ka Institute of Postgraduate Education of Doctors.
E hoʻokaʻawale i ke ʻano a ka poʻe endocrinologists:
- endocrinology o ka lolo (pediatric endocrinologist, pediatric endocrinologist) - nā pilikia o ka pathology o ka ulu a me ka hoʻomohala ʻana o nā keiki a me nā ʻōpio, nā ʻano maʻi diabetes mellitus, ka maʻi insipidus, puberty a me ka dispituitarism ʻōpio, nā pilikia ʻē aʻe o ka synt synt, secretion a me ka hana ʻana i nā hormones i na keiki
- endocrinology (endocrinologist, endocrinologist-surgeon, endocrinologist-gynecologist, endocrinologist-geneticist, diabetologist, thyroidologist) - nā kumuhana (male male and endocrine infertility, gynecomastia in men, mastopathy, nui ka ulu ʻana o ka lauoho i loko o nā wahine (hirsutism, virilization, menstruation) pilikia lactation, menopause) ka pōmaikaʻi, a:
- nā pilikia o ka neuroendocrinology - nā maʻi o ka hypothalamus a me ka kelima pituitary: diabetes insipidus, hypothalamic syndrome, gigantism, acromegaly, prolactinoma, panhypopituitarism a me nā mea'ē aʻe.
- ke ʻano o nā kuʻuna adrenal: piha o ka adrenal (ʻoi a me ke kūpaʻa), ka lima o ka congenital o ka cortex adrenal (adrenogenital syndrome), neoplasm adrenal (benign a me nā hewa) a me nā mea'ē aʻe.
- ʻO kahi maʻa thyroid - ka hele ʻana o ka goiter, thyroiditis, hypothyroidism, thyrotoxicosis, cysts a me nā ʻāpana o ka gland thyroid,
- nā mea no ka maʻi maʻi maʻi diabetes - mellitus, nezidioblastosis,
- nā pilikia ʻē aʻe he osteoporosis, obesity (lipid metabolism disorder), multiple endocrine neoplasia, apudomas a me nā mea'ē aʻe.
Hoʻomaʻamaʻa ka endocrinologist i nā pathology o ka ʻoihana endocrine a, inā pono, e hoʻoponopono ana i nā pilikia o nā kinapo endocrine: hana, hoʻowalewale a hoʻonoho paha i ka hana o nā hormones a me nā mea hana biologically e hoʻoponopono ai i nā hana koʻikoʻi o ke kino.
Nā hana nui
Inā kānalua ka mea loea maʻamau e pili ana i ke kumu nui o ka maʻi me ka hana ʻana o nā hormones, hiki iā ia ke hāʻawi i ka mea maʻi i ka ʻōlelo no ka endocrinologist, he kauka loea i nā kuhi endocrine.
ʻAʻole ia e like me kahi loea maʻamau, ua nānā ka endocrinologist i nā maʻi wale nō a me nā maʻi hormonal. ʻO ka hapa nui o nā loea maʻamau e loaʻa i nā mākau e pono ai e hoʻohālikelike a mālama i lalo o ke ʻano o ka hormonal, akā i kekahi manawa ua pono ke kōkua o ka loea.
Eia nō naʻe, ma waena o nā endocrinologists aia kahi mauʻike. ^ E Ha yM. ʻO kekahi, he kauka i loea i ka maʻi thyroid i kapa ʻia ʻo ka thyroidologist. A eia kekahi mau endocrinologists-gynecologists, endocrinologists-genetics, ke keiki a me nā mea hoʻonaninani endocrinologists a me nā lālā ʻē aʻe o ka endocrinology.
ʻO ka nīnau ka mea e hana ai ka endocrinologist, lohe pinepine ʻia nā kauka. Kōkua ka poʻe endocrinologist e koho i kahi lapaʻau e mālama ana i ka hoʻihoʻi ʻana i ka hoʻoponopono o ka hormonal i nā ʻōnaehana o ke kino (Tyrogen pinepine ʻia). Ua nānā pū kekahi kauka i kēia pilikia physiological, e like me ka metabolism maikaʻi, ka hoʻoweliweli ʻana, a me ke kahe ʻana o ke koko, e like me ka hōʻemi ʻana o ka hormonal e hiki ke hopena mai nā kino i waho o ka ʻoihana endocrine (e like me ka ʻōpū, ka puʻuwai, a me nā puʻuwai). E haʻi aku ʻo ia iā ʻoe i nā ala maikaʻi loa e pale ai i nā maʻi endocrine.
Hoʻomaʻamaʻa mau nā Endocrinologists i kēia maʻi:
- maʻi maʻi
- osteoporosis
- maʻi maʻi menopause
- ʻĀhane premenstrual
- huaʻaʻi endocrine gland
- kāne kāne kāne
- nā maʻi hōʻea
- maʻi ʻoe
- ʻO nā maʻi kelepaʻi adrenal e like me ka maʻi a Cush a i ka maʻi Addison paha,
- nā maʻi pituitary, e like me ka uluʻana o ka hormone ulu,
- hoʻōla
ʻO ka hapanui o nā maʻi endocrine ka maʻi a pono ka mālama ola.
He aha nā mea pili i ka mālama
ʻO kēia ka mea a ka endocrinologist i ka wā e hele mai ai i ka maʻi maʻi a me ka mālama ʻana i nā kino kikoʻī o ke kino o ke kanaka:
- Nā kelepaʻi kūmolee pili ana ma ka piko o nā pūlū a kōkua i ka mālama ʻana i nā mea like me ke kahe o ke koko, ka hoʻokūkū o ka naʻau, ke kaumaha a me nā hormones sex.
- Hypothalamus - ka ʻāpana o ka lolo i ka hoʻokele i ka mahana o ke kino, ka pololi a me ka makewai.
- Pancreas, e hana ana i ka insulin a me nā mea ʻilihua ʻē aʻe.
- Nā kīnaka Parathyroid - Nā kelepona liʻiliʻi liʻiliʻi e mālama i ka nui o nā calcium i ke koko.
- Kelepa ʻaila - He keli pīpī pālua, aia ma ka kumu o ka lolo a kāohi i ka pale o nā hormon.
- Kālā ʻO kēia nā ovaries i ka wahine a me ka hōʻike i nā kāne.
- ʻO kou kumupaʻa thyroid - nā kelepona ʻōlelo ʻōwili i loko o ka ʻāʻī e mālama i ka metabolism o ka ikehu a me ka ulu ʻana, a me ka ulu ʻana o ka lolo.
Hoʻomaʻi o ka maʻi Diabetes
Hoʻomaʻi pinepine ʻia nā maʻi maʻamau i kahi mea hoʻomehana ma muli o kāna mau hōʻailona, e maʻalahi ana i ka hoʻopili ʻia i nā maʻi ʻē aʻe ʻē aʻe, a maʻamau ʻole e ʻike ʻia. ʻO ka maʻi diabetes ka mea a ka endocrinologist e hana ai i ka hapa nui o ka hoʻomanawanui, ʻoiai ke kiʻekiʻe ka nui o kēia maʻi ma nā ʻāina like ʻole o ka honua.
ʻO ke ala maikaʻi loa e ʻike ai inā he maʻi maʻi ʻaʻai ʻole a i ʻole ke ana i ke kōpaʻa koko.
Akā inā loaʻa iā ʻoe kēia mau hōʻailona, e hoʻopaʻa inoa no kahi kamaʻilio endocrinologist:
- Piʻi wikiwiki ʻia, makewai nui.
- ʻO ka lilo kaumaha.
- ʻO ka manaʻo mau o ka pōloli.
- ʻO ka ʻili.
- Hōʻōla i nā hōʻeha.
- ʻO nā maʻi ʻehā. Hoʻonui ka maʻi maʻi i ka mahuahua o ka hiki ʻana i nā maʻi like ʻole, ʻoiai naʻe ʻo ka rewena (candida) a me nā maʻi ʻeha ʻē aʻe ka mea maʻamau. Hoʻokumu nā ʻōpū a me nā bakela i loko o kahi kaiʻai i ke kōkō. ʻO nā maʻi anomiasis vaginal i nā wahine me ka maʻi maʻi maʻi maʻamau.
- ʻO ka luhi a me ka huhū.
- Hōʻike Blurry. ʻO ka hiʻona i ʻike ʻole ʻia a i ʻole kekahi mau manawa uila o ke kukui he hopena kumu he nui o ke kō koko kiʻekiʻe. ʻO ka nūhou maikaʻi e hoʻihoʻi kēia hōʻailona ke hoʻi mai ka pae koko koko i ka maʻamau.
- Tingling a ʻāʻī paha i nā lima a me nā wāwae, me ke kuni ʻana a ka ʻī ʻana paha. He mau hōʻailona kēia i hōʻino ʻia nā nort ma muli o ka maʻi maʻi.
ʻO nā mea e hiki ke ʻike ʻia i loko o ke keʻena o ka endocrinologist
Ma kahi kokoke i nā keʻena āpau o kahi endocrinologist, i loko o ke kikowaena a me kahi kikowaena lapaʻau i uku ʻia, aia kahi hoʻonohonoho o nā lāʻau olakino e pono ai no ka noʻonoʻo kino.
Aia kēia mau polokalamu
- nā kaulike
- mīkini mīkini hoʻololi
- mika pumehana koko
- paluahi neurological,
- centimeter tape
- ka hoʻokokoke
- monofilament no ka 'ike' ana i ka maʻi pumehana naʻau,
- Rudel-Seiffer lāʻau lapaʻau lāʻau no ka ʻike ʻana i ka neuropathy maʻi.
ʻO ka koho Endocrinologist: he aha nā hōʻailona e pono ai nā ʻōpiopio a me nā keiki?
Kēlā nā keiki i kahi ʻē aʻe i ka poʻeʻelemakule e hoʻopau i loko o ke keʻena o kahi endocrinologist. ʻO kēia ma muli o ka manaʻo o ka mākua i ka hoʻolohe ʻole i nā pilikia me ka olakino a kā lākou keiki i ka manawa, ke manaʻo nei ʻo ka hoʻoponopono ʻana o ka hormonal i ka wā ʻōpiopio e kīnā i nā mea a pau "a hala ia manawa". Eia nō, ʻaʻole haʻi nā keiki i kā lākou mau mākua e pili me ko lākou olakino maikaʻi.
Eia naʻe, pono e ʻike nā mākua hoʻomanaʻo i nā hōʻailona e pono ai ke koho endocrinologist. Kuhi i kēia: ka ulu ʻana o ke kino a me ka ulu ʻana o ke kino a me ka ulu ʻana o ka naʻau, ka wikiwiki a hōʻemi nui paha i ka paona, hoʻomanawanui ʻole i nā maʻi maʻi, ʻo ia kahi hōʻailona o ka hōʻemi o nā hana pale o ke kino, lohi a ulia paha i ka puberty, a me ka hoʻomau i ka noʻonoʻo.
ʻO nā mea pilikia i ʻōlelo ʻia i ka keʻena endocrinologist
Inā ʻaʻole pilikia o kahi kanaka ma lalo o 45 mau makahiki, a laila ʻaʻohe pono e kipa i ka endocrinologist. Eia naʻe, ke manaʻo nei nā kāne e hoʻohilahila i kahi keiki, nā wahine me nā hoʻopiʻi o ka insomnia, huhū a me nā pilikia ʻē aʻe ma muli o ke menopause, ʻo ka poʻe me he 45 paha kona mau makahiki, pono e ʻike i kahi endocrinologist ma kahi o hoʻokahi makahiki.
Pehea ka loiloi ʻōiwi
I ka wā i koho mua ʻia ai, e nīnau ka endocrinologist i ka mea maʻi i kekahi mau nīnau e wehewehe i ka maʻi maʻi. Ke kōkua nei kēia mau nīnau i kāu kauka e hōʻiliʻili i ka ʻike e pili ana i nā lāʻau lapaʻau, nā huaora, a me nā mea momona e ʻai nei i ka mea maʻi e lawe nei, ka mōʻaukala ʻohana o nā maʻi, a me nā kūlana olakino, e komo pū ana i nā maʻi kūlohelohe.
Hiki ke nīnau paha ka endocrinologist e pili ana i nā hōʻailona i ʻike ʻole ʻia e pili ana i ka maʻi lalo, a ʻike ʻia ʻole paha ia i ka mea maʻi. Akā, he mea nui hoʻi kēia ʻikepili no ka mea e pili ana ka kiʻekiʻe o ka hormone i nā ʻōnaehana like ʻole i ke kino. No laila, hiki i nā loli liʻiliʻi i ke kelepona ke hoʻopilikia i kahi hapa o ke kino e mamao loa ana i ka maʻi maʻi.
E nānā pū ke kauka i ke koko o ka mea maʻi a me ka puʻuwai o ke kanaka, ke nānā aku i ke ʻano o kona ʻili, ka lauoho, ka niho a me ka puʻu waha, a e hoʻopili pū kekahi i ka maʻi thyroid e ʻike inā hoʻonui ʻia ia.
Ma hope o ka ʻike maka ʻana, e kuhikuhi ka loea i ka mea maʻi i nā hoʻokolohua hou, a ua noʻonoʻo mau iā lākou, e huki i kahi papahana hoʻolālā.
He aha nā hōʻike a me nā hoʻokolohua e hiki ke koho
Hoʻohana kekahi endocrinologist i nā hoʻokolohua diagnostic no kekahi mau kumu, ʻo ia hoʻi:
- No ke ana ʻana i ka pae o nā kiʻekiʻe o ka hormone i ke kino o ka mea maʻi.
- I mea e ʻike ai inā hana pololei nā kelepona endocrine.
- I mea e hoʻoholo ai i ke kumu o ka pilikia endocrinological.
- I mea e hōʻoia ai i ka maʻi maʻi i hana ma mua.
ʻO ka mea hou aʻe, ma hope o ka hopena mua, e haʻi ka endocrinologist i ka mea maʻi i kahi hoʻāʻo ʻana i ka glucose i loko o ke koko, i ka puna a me ka kolamu.
I kahi hihia o ka maʻi infertility, hiki i ka endocrinologist ke kuhikuhi i kahi hōʻike sperm no ka mea maʻi kāne. ʻO kēia kahi hoʻokolokolo a nānā i ka sperm no ka helu sperm, motility, a me ka helu sela koko keokeo, i hōʻike ʻia kahi maʻi maʻi.
No ka hōʻike ʻana i ka hyperthyroidism, a me ke aʻo ʻana i nā nodules i ka gland thyroid, ua kuhikuhi ʻia kahi scan thyroid. ʻO ia ke kiʻi o ka lāʻau thyroid ma hope o ka mea maʻi i hoʻomau i kahi pailaka (a i hāʻawi ʻia i kahi lāʻau) me ka liʻiliʻi o ka iodine radioaktif.
No ka hoʻohana ʻana o ka gland thyroid iodine e hana i kekahi o kāna mau huaʻenehana, e komo ia i ka mea hoʻonanea. Hōʻike kēia mea i ka ikehu a hiki iā ʻoe ke kiʻi i kahi kiʻi o ka lula. Ka ʻeha nui ʻole ka pā holoʻokoʻa a lawe i ka hapalua hola.
ʻOi aku ka wikiwiki, ʻoi aku ka hemahema, aʻo ke kaʻina hana he ultrasound o ka gland thyroid.