Inā ʻoe e nīnau i kahi nīnau e pili ana i ka mea e mālama ai ka endocrinologist, nui nā inoa e kapa inoa i nā maʻi thyroid a me ka maʻi maʻi, a kūpono lākou. Akā, ʻoi aku ka nui o nā makemake o nā kauka nei i kēia mau kauka. Ma kēia kumuhana ʻoe e ʻike ai i nā hōʻike kūpono a pau no kēia.
ʻO kahi endocrinologist he kauka i komo i ka hopena o ka maʻi, ka mālama ʻana a me ka pale ʻana i nā maʻi āpau i pili pū me ka hana o nā ʻoihana endocrine a me kāna mau ʻāpana, e hoʻokuʻu ana i nā hormones i loko o ke koko a i ʻole ka lymph.
ʻO ka hana o ka endocrinologist ʻo ia ka mea ʻike i ka hopena ʻoi loa nā ka hoʻohana piha ʻana o ka ʻoihana endocrine a me ka hoʻoholo ʻana i nā ala kūpono loa no ka hoʻopau ʻana i nā pilikia a me nā hemahema i loaʻa i kēlā me kēia hihia.
Inā mākou e kuhikuhi i nā hana o kēia loea i kaʻoi aku o ka kikoʻī, a laila pili ʻo ia i kēia:
- Ke hana nei i kahi hōʻike o ka ʻōnaehana endocrine;
- Hana i nā hoʻokolohua o nā ala āpau i loaʻa;
- Ke ʻimi nei i nā koho no kā lākou mālama ʻana;
- Hoʻopau i nā hopena pili a me nā maʻi e pili ana.
Pēlā, mālama ka doktor endocrinologist i nā maʻi āpau i kū mai ma muli o ke kaupaona ʻana o ka hormonal. Ke hōʻailona nei nā ʻōiwi i nā mea i hoʻoiho ʻia e kekahi mau okana a laha ma waena o ke kahawai i loko o ke kino. ʻO ka hapanui lawe lākou i ka "kamaʻilio" o nā kino me kekahi me kekahi. Me ka pūnao hooneʻe i waena o nā nīne, ua hoʻokō nā lāʻau i nā hana koʻikoʻi i ke kino o ke kanaka - mai ka ulu a me ka hoʻolālā ʻana i ke kino a ka metabolism a me ka hoʻokumu ʻana o ka makemake pilikino. ʻO ka ʻōnaehana endocrine ka paʻakikī a hiki i kēia mau manawa ke hōʻike ʻia i nā maʻi like ʻole - mai ka maʻi maʻi maʻamau, ka momona a me ka osteoporosis i ka maʻi maʻi, alopecia a me nā maʻi psycho-emotional.
Nā ʻāpana Endocrinology
ʻO Endocrinology, e like me nā wahi o ka lāʻau lapaʻau, loaʻa i kāna mau haʻawina. E pili ana kēia:
Endocrinology ʻo Pediatric. E hōʻike ana kēia ʻāpana i nā pilikia e pili ana i ka wā pahū, ka ulu o nā keiki, nā meaʻeha a me nā pathology me ke ʻano o kēia mau kaʻina. Eia kekahi, hoʻomohala kahi endocrinologist pediatric i nā ʻano a me nā polokalamu lapaʻau no kēia pae makahiki, me ka mālama ʻana i nā hiʻohiʻona a pau.
Naʻi maʻi pūpū Ua mākaʻikaʻi ʻia e ka inoa ka mea i ʻike kēia ʻāpana i nā pilikia a pau e pili ana i ka maʻi mellitus a me nā kuʻuna e pili pū me ia.
Pono e ʻōlelo ʻia ka Andrology, no ka mea, ke komo pū nei nā poʻe endocrinologists me urologists i ka hoʻihoʻi ʻana o ke olakino kāne.
ʻAʻole kahi hiki i ka endocrinologist ke ʻike i nā hōʻailona a hoʻopaʻa i nā ʻano like ʻole o ka maʻi, akā e pani pū i ka hoʻomohala ʻana o ka maʻi a pale i ka hoʻokumu ʻana o nā ala kūpono, a inā he pono, e koho i nā ʻano maikaʻi loa.
I kēia manawa, hoʻomaka ka maʻi diabetes (e noʻonoʻo ana i kahi helu o nā haʻawina a me nā ʻike i hana i kēia ʻāpana o ka endocrinology) ua noʻonoʻo ʻia kahi hoʻokaʻawale ʻokoʻa.
Inā mākou e noʻonoʻo i nā hiʻohiʻona o ka maʻi e like me ka mellitus maʻi diabetes, ke ʻano kūlohelohe o kāna papa a me ka loaʻa ʻana o ka maʻi paʻakikī, kūlohelohe ʻo ia ka mea maʻamau i kahi ala pilikino, he ʻano kūlohelohe maoli kēia.
No ka mea he endocrinologist ke kauka, ma muli o ka mea e mālama nei iā ia, hiki iā ia ke lilo i kahi maʻi pediatric, mea makua, a i ʻole maʻi maʻi maʻi maʻi.
ʻO nā mea kanu he komo i ka pūnaehana endocrine
- ʻO ka hypothalamus (kēia ʻāpana o ka diencephalon ke kuleana no ka mālama ʻana i ke ʻano o ke kino, pōloli a me ka makewai);
- ʻO ka kelepona pituitary (ka haʻahaʻa cerebral haʻahaʻa, ʻaʻole ka nui o kona nui o ka pīpī, akā ʻaʻole kēia e pale i ke ʻano nui o nā ʻōnaehana endocrine a me nā hoka huna i nā pono e pono ai no ka ulu ʻana, nā hana metabolism a me ka momona);
- ʻO ka mea kūmole pineal, a i ʻole nā pineal kumalā (kahi i loaʻa i ka puʻu ma waena o nā pākuʻi luna o ka papa pāpale midbrain, e hoʻokuʻu ana i nā kumulāʻau e lohi ana i ka hana pituitary ma mua o ka wā o ka wā kamaliʻi);
- ʻO ka gland thyroid (hana i nā hormones e hoʻopilikia i nā pūleʻa a me nā ʻili o ke kino);
- ʻO ka pancreas (hana i ka insulin a me nā mea'ē aʻe no ka digestive tract);
- Nā ʻōkuhi Adrenal (kōkua i ke kaohi o ke koko, ka hana metabolism, ka hopena i ke kaumaha a me nā hormones sex;
ʻO ka hana a ke kauka, ʻo ia ka hoʻopau ʻana i nā kuhi hewa i kā lākou hana.
He aha nā maʻi e mālama ai ka endocrinologist?
ʻO ka papa inoa o nā maʻi e mālama nei e kēia kauka. Eia nā mea nui:
- ʻO kahi maʻi ʻo mellitus ka maʻi kahi e hoʻomohala ma kahi o ke ʻano o ka nele o ka insulin i ke kino.
- ʻO ka maʻi maʻi maʻi insipidus he ala i hoʻoiho ʻia e nā kuhi hewa o ka a me ka hypothalamus, ma ke ʻano o ka mea maʻi e hoʻopiʻi nei i kahi ʻano mau no ka makewai, ka meʻa pinepine.
- ʻO ka Autoimmune thyroiditis kahi maʻi e hoʻonui ai ka nui o ka gland thyroid ma muli o ka koʻi iodine i loko o ke kino.
- ʻO ka Acromegaly kahi hana nui o ka ulu ulu ʻana.
- ʻO ka maʻi Herenko-Cush kahi maʻi endocrine i hoʻonāukiuki ʻia e ka hoʻopiʻi ʻole ʻana i nā hana kelepaʻo adrenal.
- Hōʻeha ka maʻi o ka protein metabolism - i ka serum o ke koko, ke ʻano o ka hoʻowalewale ʻana o kēia huina ʻili i luna a i hoʻohaʻahaʻa ʻia.
Inā mākou e kamaʻilio e pili ana i nā maʻi ʻē aʻe i kū mai i ke ala o nā maʻi i luna, e mālama pū ana nō hoʻi ka endocrinologist:
- Nā ʻilima
- nā maʻi neuropsychiatric;
- nāwaliwali o ke kino;
- gynecomastia (hoʻonui ka umauma i nā kāne);
- hypogonadism (ka hemahema o ka hoʻokumu ʻana o nā sex sex, i hōʻike ʻia e ka underdevelopment o nā ʻōhua);
- hoʻololi i ka hoʻololi ʻana i nā chromosom moena, no ka laʻana, Turner syndrome, Klinefelter syndrome;
- kuʻe o ke ʻano o nā kāne;
- impotence a me ka erectile dysfunction i loko o nā kāne;
- ua hōʻemi i ka libido;
- hoʻōla
- alopecia;
- na kaupalena haehae;
- Nā PCOS (polycystic ovary syndrome i nā wahine);
- hipogekisisis.
He aha ka mea e hoʻokele ai i ka hoʻokolokolo endocrinologist
Inā hele mai ka mea maʻi i ke kauka no ka manawa mua loa, a laila e hoʻolohe mua ke kauka i kāna hoʻopiʻi ʻana a hoʻākoakoa i kahi mōʻaukala (a me nā hanana olakino), i nā kūlana o ka mea maʻi a me nā hōʻailona e hopohopo nei iā ia.
A laila e nānā ke kauka i ka mea maʻi, palpate i kona mau lymph nodes, ka pehu thyroid, a inā pono, e ʻike pū ʻia nā ʻōpio. ʻO ka mea pinepine paha, e kākau nō ke kauka i kahi ʻōlelo pili no nā hoʻokolohua koko: e kōkua lākou e kāpae a hōʻoia paha i nā kānalua o nā maʻi. Hiki i kahi papa inoa ke hōʻike i ke koko koko biochemical, he hōʻike koko no nā hormone thyroid, hormon sex. Hāʻawi ʻia nā wahine i ka lā o kēlā me ke ao e pono ai e hāʻawi i ke koko.
Me ke ʻole ʻole, e hoʻolohe ʻia ka naʻau a ana ʻia ke kahe koko. Ma hope o kēlā, e pili ana i ka mea e hōʻike ai ka hōʻike a me nā hopena o ka hoʻokolokolo, e hoʻoholo ʻia inā makemake ʻia nā haʻawina hou - MRI, ultrasound, CT, puncture.
I ka manawa hea e puka mai ai kahi endocrinologist?
Pehea e hoʻoholo ai i ka mea e kamaʻilio ai me kēia kauka kūikawā? Aia i kekahi mau hōʻailona e hōʻike ana ʻaʻohe malfunctions a me nā hewa i ka ʻoihana endocrine. He kiko kikoʻī kekahi, akā lehulehu a ākea. No laila, paʻakikī ka pinepine ʻana o nā maʻi o ka ʻōnaehana endocrine.
Hōʻike ʻia ka hoʻoholo i nā maʻi ʻē aʻe a i ʻole ka momona ʻoi. ʻO nā hiʻohiʻona maʻamau maʻamau a maʻalahi e ʻike ʻia:
- Kaheʻe ʻole paʻa ʻana i nā wāwae.
- ʻO nā haehae menstrual, nele o ka haʻu ʻana a i ʻole hoʻopōʻino maikaʻi, nā manawa lōʻihi.
- ʻO ka luhi a me ka lethargy no ke kumu ʻike ʻole.
- Tachycardia.
- ʻO ka hoʻohaʻahaʻa maikaʻi o nā loli ʻana, ke anu a me ka wela.
- ʻOno ʻaʻohū.
- ʻO ka hoʻololi koke ʻana o ke kaumaha ma ke kuhikuhi ʻana no ke kumu ʻole.
- ʻO ka nele o ka momona.
- Hoʻopilikia, hoʻomanaʻo hoʻomanaʻo.
- Hōʻalo a ʻokoʻa paha, kū palomaʻa.
- ʻO ka manawa pinepineʻole i ke kūlana kaumaha ,ʻeha, nā kaumaha.
- Kānana, hoʻomehana.
- ʻO nā kui palupalu, lauoho, maikaʻi ʻole ka ʻili.
- ʻO ka maʻi no nā kumu ʻike ʻole.
Hōʻike ʻia nā ʻōkuhi āpau o luna ma luna no ke holo pono ʻana o nā lālā o nā pūnaehana endocrine.
ʻO ka pinepine, ʻo ke kumu e waiho nei i ka nele o kahi hormone a i ʻole ke uhaki ʻana o ke kaʻina metabolic.
Pehea e hoʻomaopopo ai i ka maʻi maʻi
ʻO kēia maʻi ke kumu maʻamau loa loa no ka kipa ʻana i kahi endocrinologist, a me nā mea weliweli loa. ʻO nā hōʻailona ma lalo nei a me nā mea e manaʻo ai e noʻonoʻo ʻoe e kipa i kēia kauka.
- ʻO ka ʻili maloʻo a me ka makewai mau ʻole;
- Ka hoʻonāukiuki ʻole ʻole ma ka maʻi o ka ʻili a me nā membrane mucous;
- Hoʻokumu i nā ʻili, hoʻomaikaʻi maikaʻi ʻole i nā hōʻeha;
- Hoʻoikaika pā;
- ʻO ka palupalu, nāwaliwali mānoanoa;
- Nā māhuna e pili pū me ka hoʻouka koke ʻana o ka pōloli;
- ʻO ke hoʻonui hoʻonui i ka momona, ʻoiai me ka nalowale i ke kaumaha;
- Hoʻopiʻi ʻike ʻia.
Hoʻomaʻamaʻa ʻia nā pilikia i nā ʻōpū o ke keiki bipi - nā ʻeha a me nā hōʻeha.
I ka wā e hōʻike ai i ke kauka i kahi keiki
Eia nō naʻe, ʻike ʻia ka mau hōʻino ʻana o ka ʻōnaehana endocrine i loko o nā keiki i ka wā maʻamau. Ua maikaʻi ka hoʻomaʻamaʻa maikaʻi ʻana. E lawe mai i keiki i kahi endocrinologist o nā keiki inā:
Kēia ia ma hope o ka hoʻomohala kino a me ka noʻonoʻo.
He nāwaliwali nāwaliwali o ia - ua maʻi pinepine ʻia ʻo ia, ʻeha i nā maʻi pālima.
Hoʻopuka ka ʻōpala me nā pathologies - ʻoi loa ka loaʻa ʻana o ka paona nui a i ʻole ka momona koʻikoʻi.
ʻO ka pinepine, mālama ʻia nā pilikia e kahi loea i ka wā mua, e hoʻoponopono ana i ka ʻōuli o ka hormonal background e pili ana i kahi ʻōpiopio.
I nā kūlana'ē aʻe e pono ai ʻoe i kahi kipa i kahi endocrinologist
ʻOiai inā ʻaʻohe hiʻohiʻona weliweli a me nā hōʻailona, pono ke hōʻike ʻia nei ke kauka i nā manawa he nui i kona ola. Pono kēia inā:
Hoʻonohonoho ʻia e hāpai a loaʻa i kahi pēpē;
Pono ʻoe e koho i nā contraceptives;
Ua hiki mai ka climax.
I nā makahiki 40+, ʻo nā kāne a me nā wahine no nā kumu prophylactic e kipa i ka endocrinologist i hoʻokahi makahiki i hoʻokahi makahiki.
