Ukwelashwa Kwezifo Ze-Endocrine

Ukwelashwa Kwezifo Ze-Endocrine e-Hyderabad, India

Izifo ze-Endocrine yizimo ezithinta uhlelo lwe-endocrine. Uhlelo lwe-endocrine lukhiqiza amahomoni emzimbeni ngokuthumela amasignali egazini. Ama-hormone abalulekile ukulawula izinqubo ezihlukahlukene zomzimba nokulawula isifiso sokudla, ukuphefumula, ukukhula, ibhalansi yoketshezi, nomzimba. isisindo. 

Uhlelo lwe-endocrine lunezindlala ezilandelayo:

• Izindlala ze-pituitary kanye ne-hypothalamus zobuchopho

• Izindlala ze-adrenal ezinso 

• I-thyroid entanyeni

• I-Pancreas

• Amaqanda namasende

Izifo ze-Endocrine zivame ukubonakala kumanyikwe, i-pituitary, i-thyroid kanye nezindlala ze-adrenal ngenxa yokungasebenzi kahle kwazo. 

Izinkinga zihlanganisa:

• Isifo sikashukela i-mellitus - ngenxa yehomoni ye-insulin ekhiqizwa amanyikwe

• I-Acromegaly - ngenxa ye-hormone yokukhula ekhiqizwa indlala ye-pituitary

• Isifo sika-Addison - ngenxa yokuntuleka kokukhiqizwa kwamahomoni nge-adrenal gland

• I-Cushing's syndrome - ngenxa yamazinga aphezulu e-cortisol ekhiqizwa indlala ye-adrenal

• Isifo se-Graves - ngenxa yokusebenza ngokweqile kwe-thyroid gland

• I-Hashimoto's thyroiditis - isifo se-autoimmune esithinta indlala yegilo

• I-Hyperthyroidism - i-thyroid engasebenzi ngokweqile

• I-Hypothyroidism - i-thyroid engasebenzi

• I-Prolactinoma - isimila esikhiqiza i-hormone ye-pituitary gland

Isifo ngasinye sinesethi yaso yezimpawu nezimpawu ezingase zithinte umzimba wonke futhi zibangele ukwehluleka kwezitho eziningi- lezi zingasukela kokuncane kuye kokunzima kakhulu. 

Ukwelashwa Kwe-Endocrine Disorder e-Hyderabad Ezibhedlela ze-CARE e-India kuhlinzekwa ngesisekelo salesi sifo futhi sihlose ukulungisa ukungalingani kwama-hormone ngokusebenzisa ama-steroids nemithi ngendlela yama-hormone okwenziwa.

Izinhlobo Zokuphazamiseka Kwe-Endocrine

Kunezinhlobo ezahlukahlukene zokuphazamiseka kwe-endocrine, ngayinye ethinta izindlala ezithile namahomoni ohlelweni lwe-endocrine. Nazi ezinye izinhlobo ezijwayelekile zokuphazamiseka kwe-endocrine:

• Isifo sikashukela i-mellitus: Isifo sikashukela yisimo esingapheli esibonakala ngokukhuphuka kwamazinga kashukela egazini. Kubangelwa ukukhiqizwa kwe-insulin eyanele noma ukungakwazi komzimba ukusebenzisa i-insulin ngempumelelo. Kunezinhlobo ezimbili eziyinhloko: Isifo sikashukela soHlobo loku-1 (i-autoimmune) kanye ne-Type 2 yesifo sikashukela (ukumelana ne-insulin).
• I-Hypothyroidism: I-Hypothyroidism yenzeka lapho indlala yegilo ingakhiqizi amahomoni egilo anele, okuholela ezimpawu ezinjengokukhathala, ukuzuza isisindo, nokungabekezelelani amakhaza.
• I-Hyperthyroidism: I-Hyperthyroidism iwukukhiqizwa ngokweqile kwamahomoni egilo, okubangela izimpawu ezinjengokuncipha kwesisindo, ukushaya kwenhliziyo okusheshayo, nokungabekezelelani ukushisa. Isifo sikaGraves siyimbangela evamile ye-hyperthyroidism.
• I-Hypopituitarism: I-Hypopituitarism ihilela ukukhiqizwa kwamahomoni okwanele yi-pituitary gland. Kungathinta amahomoni ahlukahlukene, okuholela ezimpawini ezinjengokukhathala, i-libido ephansi, nokungahambi kahle kokuya esikhathini.
• I-Cushing's Syndrome: I-Cushing's syndrome ibangelwa ukuchayeka isikhathi eside emazingeni aphezulu e-cortisol. Kungabangelwa ukusetshenziswa ngokweqile kwemithi ye-corticosteroid noma izimila ze-adrenal gland.
• Isifo sika-Addison: Isifo sika-Addison isifo lapho izindlala ze-adrenal zingakhiqizi i-cortisol ne-aldosterone eyanele. Izimpawu zihlanganisa ukukhathala, ukuncipha, nomfutho wegazi ophansi.
• I-Polycystic Ovary Syndrome (PCOS): I-PCOS isifo esivamile samahomoni kwabesifazane abaneminyaka yobudala yokuzala. Kubandakanya ukungalingani kwamahomoni ocansi, okuholela ezimpawini ezifana nokuya esikhathini, izinduna, nama-ovarian cysts.
• I-Hyperparathyroidism: I-hyperparathyroidism ibonakala ngezindlala ze-parathyroid ezisebenza ngokweqile, okuholela emazingeni aphezulu e-hormone ye-parathyroid (PTH) ne-calcium egazini.
• I-Hypoparathyroidism: I-Hypoparathyroidism wukungasebenzi kahle kwezindlala ze-parathyroid, okuholela emazingeni aphansi e-PTH ne-calcium egazini.
• Amaqhuqhuva e-thyroid: Amaqhuqhuva e-thyroid ukukhula okungavamile endlaleni yegilo. Nakuba amaningi enempilo, amanye ama-nodule angabangela ukungalingani kwama-hormone noma aholele kumdlavuza wegilo.
• Ukuntuleka Kwe-hormone Yokukhula: Ukuntuleka kwe-hormone yokukhula kwenzeka lapho indlala ye-pituitary ingakhiqizi i-hormone yokukhula eyanele, okuthinta ukukhula nokuthuthuka kwezingane nakubantu abadala.
• I-Hyperaldosteronism: I-hyperaldosteronism ihilela ukukhiqizwa ngokweqile kwe-aldosterone yizindlala ze-adrenal, okuholela kumfutho wegazi ophakeme kanye nokungalingani kwe-electrolyte.
• I-Multiple Endocrine Neoplasia (MEN): I-MEN syndromes yizinkinga zofuzo ezibangela izimila ezindlaleni eziningi ze-endocrine. Kunezinhlobo ezahlukene, okuhlanganisa uhlobo lwe-MEN 1 kanye nohlobo lwe-MEN 2.
• I-Adrenogenital Syndrome (Congenital Adrenal Hyperplasia): Leli iqoqo lezinkinga zofuzo ezithinta izindlala ze-adrenal futhi eziholela ekungalinganini kwamahomoni, ikakhulukazi kumahomoni ocansi.
• I-Pheochromocytoma: I-Pheochromocytoma iyithumba elingavamile le-adrenal gland elingabangela ukukhululwa ngokweqile kwe-adrenaline, okuholela kumfutho wegazi ophezulu nezinye izimpawu.

Izimpawu

Izimpawu nezimpawu zokuphazamiseka kwe-endocrine zingahluka kusuka ohlotsheni lokuphazamiseka kuye ezingeni lezinkinga. Izimpawu eziningi ziyefana futhi ngenxa yalokho zidinga ukuhlaziya ngokucophelela lesi sifo. 

Uma izimpawu ziphikelela, zitholwe ezibhedlela ze-CARE. Khumbula ukuthi lezi zingathinta izingxenye ezithile zesistimu ye-endocrine ngakho-ke zingahluka kakhulu. 

Hlola isifo sikashukela-

• Ukoma ngokweqile noma indlala

• Ukukhathala

• Ukuvuthwa njalo

• I-nausea

• Ukuvota

• Ukwehla kwesisindo okungazelelwe noma ukuzuza

• Umbono uyashintsha

Hlola i-acromegaly-

• Izindebe ezinkulu ezingavamile, ikhala noma ulimi

• Izandla noma izinyawo ezingajwayelekile nezivuvukele

• Ukwakheka kwethambo lobuso okuhlukile

• Ubuhlungu bomzimba namalunga

• Izwi elijulile

• Ukukhathala

• Ukungabi namandla

• Ukuphathwa yikhanda

• Ukukhula ngokweqile kwamathambo noqwanga

• Ukuqina kwesikhumba

• Ukukhubazeka ngokocansi

• I-apnea yokulala

• Ukukhubazeka kombono

Hlola isifo sika-Addison-

• Ukucindezeleka

• Uhudo

• Ukukhathala

• bekhanda

• Hyperpigmentation kwesikhumba

• kungakhuphula izinga likashukela

• Ukulahlekelwa kwesifiso

• Umfutho wegazi ophansi 

• Ukuphuthelwa yizikhathi zokuya esikhathini

• I-nausea

• Izifiso zikasawoti

• Ukulahlekelwa kwesisindo esingachaziwe

• Ukungabi namandla 

Bheka i-Cushing Syndrome-

• I-Buffalo hump 

• Ukuguquguquka kwebala njengemihuzuko

• Ukukhathala

• Ukuzwa ukoma kakhulu

• Ukuncipha kwamathambo

• ukuqina kwamathambo

• Ukuvuthwa njalo

• Ushukela ophakeme wegazi 

• Umfutho wegazi ophezulu 

• Ukucasuka nokushintsha kwemizwa

• Ukukhuluphala 

• Ubuso obuyindilinga

• Ukungabi namandla 

Bheka isifo sikaGraves-

• Amehlo aqhumile 

• Uhudo

• Kunzima ukulala

• Ukukhathala noma ubuthakathaka

• I-Goitre 

• Ukungabekezelelani kokushisa

• Ukushaya kwenhliziyo okungajwayelekile

• Ukucasuka noma ukushintsha kwemizwa

• Ukushaya kwenhliziyo okusheshayo 

• Isikhumba esiwugqinsi noma esibomvu 

• ukundindizela

• Ukwehla kwesisindo kungazelelwe

Bheka i-hyperthyroidism-

• Uhudo

• Kunzima ukulala

• Ukukhathala

• I-Goitre

• Ukungabekezelelani kokushisa

• Ukucasuka noma ukushintsha kwemizwa

• Ukushaya kwenhliziyo okusheshayo (tachycardia)

• ukundindizela

• Ukwehla kwesisindo kungazelelwe

Bheka i-hypothyroidism -

• Ukungabekezelelani okubandayo

• ukuqunjelwa

• Ukukhiqizwa kwezithukuthuku eziphansi

• Izinwele ezomile

• Ukukhathala

• I-Goitre

• Ubuhlungu obuhlangene nobomzimba

• Ukuphuthelwa yizikhathi zokuya esikhathini

• Izinga lokushaya kwenhliziyo elehlisiwe

• Ubuso obuvuvukile

• Ukuzuza kwesisindo kungazelelwe

Kunezinye izimpawu ezisongela ukuphila ezihlanganisa ukulahlekelwa ukwazi, umfutho wegazi ophansi ngokuyingozi noma ukushaya kwenhliziyo, ukuphelelwa amanzi emzimbeni, ukucindezeleka noma ukukhathazeka, izinkinga zokuphefumula, izinkinga zamehlo, ukukhathala okukhulu, ubuthakathaka, ikhanda elibuhlungu, isifo sohudo noma ukuphazamiseka kokulala.

Izimbangela

Ukuphazamiseka kwe-endocrine kungabangelwa yizimbangela ezihlukahlukene, okuhlanganisa izici zofuzo, imvelo, kanye nendlela yokuphila. Nazi ezinye izimbangela ezivamile zokuphazamiseka kwe-endocrine:

• Izakhi Zofuzo: Ukuguqulwa kofuzo okuzuzwe njengefa noma okungavamile kungase kubeke abantu phambili ezinkingeni ezithile ze-endocrine. Lezi zici zofuzo zingathinta ukwakheka noma ukusebenza kwezindlala noma amahomoni.
• I-Autoimmune Conditions: Izifo ezizimele, lapho amasosha omzimba ehlasela ngephutha izicubu zomzimba, angakhomba izindlala ze-endocrine. Izimo ezifana ne-Hashimoto's thyroiditis nesifo sikashukela sohlobo loku-1 ziyizibonelo zokuphazamiseka kwe-autoimmune endocrine.
• Izimila kanye nokukhula: Izimila, zombili ezimbi futhi ezimbi, zingakhula ezindlala ze-endocrine. Lezi zicubu zingase ziphazamise ukukhiqizwa kwama-hormone nokulawulwa. Isibonelo, i-pituitary adenomas noma izimila ze-adrenal zingaholela ezinkingeni ze-endocrine.
• Ukutheleleka: Ukutheleleka okuthinta izindlala ze-endocrine kungaphazamisa ukukhiqizwa nokusebenza kwama-hormone. Izifo ezithile ezibangelwa amagciwane noma amagciwane zingase zibhekise izindlala ezithile, okuholela ezinkingeni ezifana ne-viral thyroiditis.
• Izimbangela ze-Iatrogenic: Ukuphazamiseka kwe-Endocrine kwesinye isikhathi kungabangelwa ukungenelela kwezokwelapha noma ukwelashwa. Ngokwesibonelo, ukususwa ngokuhlinzwa kwendlala yegilo noma ukwelashwa ngemisebe ekhanda nasentanyeni kungathinta ibhalansi yehomoni.
• Izici Zemvelo: Ukuchayeka ezintweni ezithile zemvelo, amakhemikhali, noma ubuthi kungase kube nomthelela ekwakhiweni kokuphazamiseka kwe-endocrine. Amakhemikhali aphazamisa i-Endocrine-disrupting (EDCs) atholakala kwezinye izibulala-zinambuzane, amapulasitiki, nemikhiqizo yezimboni angaphazamisa ukusebenza kwamahomoni.
• Izinguquko Ezihlobene Neminyaka: Ukuguga kungaba nomthelela ekusebenzeni kwezindlala ze-endocrine. Ukukhiqizwa kanye nokulawulwa kwama-hormone kungase kwehle ngokuya ngeminyaka, okuholela ezimeni ezifana nokunqamuka kokuya esikhathini noma i-andropause.
• Izici Zendlela Yokuphila: Izinketho zendlela yokuphila engenampilo, njengokungadli kahle, ukungazivocavoci, kanye nokucindezeleka okungapheli, kungaba nomthelela ekuphazamisekeni kwe-endocrine. Lezi zici zingathonya isisindo somzimba, ukuzwela kwe-insulin, kanye nokulinganisela okuphelele kwama-hormone.
• Ukuntuleka Kokudla Okunempilo: Ukungadli ngokwanele kwezakhi ezibalulekile, njenge-iodine, kungaholela ezinkingeni ze-endocrine. Ukuntuleka kwe-iodine, isibonelo, kungabangela izimo ezihlobene ne-thyroid njenge-goiter.
• Ukuhlukumezeka noma Ukulimala: Ukuhlukumezeka ngokomzimba noma ukulimala kwezindlala ze-endocrine kungaphazamisa umsebenzi wazo ojwayelekile. Ukulimala ekhanda, isibonelo, kungase kuthinte indlala ye-pituitary futhi kuthinte ukukhiqizwa kwamahomoni.
• Izifo Ezingamahlalakhona: Izimo ezithile ezingapheli, njengesifo sezinso esingamahlalakhona noma ukuvuvukala okungapheli, zingaphazamisa uhlelo lwe-endocrine futhi ziholele ekungalinganini kwamahomoni.

Izici zengozi 

Kunezici eziningi eziyingozi ezihambisana nokuphazamiseka kwe-endocrine futhi zihlanganisa:

• Amazinga aphezulu e-cholesterol

• Izakhi zofuzo zomndeni noma umlando wokuphazamiseka kwe-endocrine

• Ukungasebenzi 

• iziyaluyalu sokuhlasela kwamasosha omzimba

• Ukudla okubi 

• ukukhulelwa 

• Ukuhlinzwa kwakamuva, ukuhlukumezeka, ukutheleleka noma yikuphi ukulimala okubi kakhulu

Sifo 

Ngemva kokuhlolwa ngokomzimba (ukwazi isimo sokushaya kwenhliziyo yakho, umfutho wegazi, isisindo, nezinhlelo zezitho zomzimba) odokotela bazobhala ukuxilongwa kwakho kokuqala futhi baqhube ukuxilongwa okuqinisekisayo kwezifo ze-endocrine. Kudingeka futhi ukuthi utshele konke ngomlando wakho wezokwelapha nomndeni ngaphambi kokuxilongwa.

• CT Scan- ngokuhlanganiswa kwezithombe ze-X-ray ezithathwe emagumbini ahlukene omzimba kuzovumela odokotela base-CARE Hospitals bazi isimo sezitho kanye nanoma yiziphi izimpawu ezingase zihlobene nesifo se-endocrine.

• I-Dual-energy X-ray absorptiometry noma i-DXA- lezi zinquma ukuminyana kwamathambo ngaphakathi futhi zisetshenziswa ngosizo lwe-X-ray. Ezinye izici eziyingozi kanye ne-osteoporosis ziyahlolwa kulokhu kuxilongwa.

• Izifundo ze-Nuclear medicine- iyingxenye ye-radiology esebenzisa izinto ezikhipha imisebe ngamanani amancane. Lezi zihlola ukwakheka kwezitho nokusebenza kwazo.

• I-Parathyroid ultrasound odokotela bazofunda ukwakheka nokusebenza kwegilo noma indlala ye-parathyroid ngaphakathi. Kuyindlela ye-ultrasound.

• I-post-thyroidectomy ultrasound i-nodal esolwayo kanye nezinye izinkinga ezihlobene ne-thyroid zingahlaziywa ngosizo lwe-Post-thyroidectomy ultrasound. Yenziwa entanyeni futhi inikeza ukulungiswa okuphezulu kwe-ultrasound.

• Izifundo zokulingisa i-Thyroglobulin- isetshenziswa kakhulu ukuthola umdlavuza kanye ne-nodal okusolwayo (uma ikhona). Isetshenziswa esifundeni se-thyroid ukwenza ukuhlaziya kokugcina kokusebenza kwegland yegilo.

• I-Thyroid ultrasound - amaza omsindo asetshenziselwa ukunikeza izithombe ze-thyroid futhi ungasebenzisi noma yimiphi imisebe ye-ionizing. Lezi izindlela ezilula ze-ultrasound.

• I-Ultrasound enenaliti enhle - kuwuhlobo lwe-biopsy ukuze kutholwe amaqhuqhuva nanoma yikuphi okunye okungavamile endlaleni yegilo.

Ukwelashwa

• Nakuba izinkinga eziningi ze-endocrine zithambile futhi azidingi ukwelashwa ngemva kokuxilongwa.

• Odokotela bavamise ukusebenzisa imithi futhi bahlinzeke ngokwelashwa kwe-Endocrine Disorder e-Hyderabad ukuze kulungiswe noma yikuphi ukungalingani kwamahomoni. Lokhu kwenziwa ngama-synthetic hormone technologies. 

• Odokotela bangasebenzisa nokuhlinzwa noma ukwelashwa ngemisebe ukuze belaphe izimila ezingenawo umdlavuza njenge-prolactinoma. 

• Okokuqala udinga ukwazi mayelana nokuxilongwa kwakho okuqinisekisiwe ukuze uqhubeke ukhethe ukwelashwa okufanele.

• Ukucindezelwa kweHormone- uma izindlala zakho zisebenza ngokweqile zingabangela izimo ezifana ne-gigantism, hyperthyroidism, noma isifo sikaCushing. Lezi zingaphathwa noma zelashwe ngemithi ebekiwe- odokotela bazohlinzeka ngohlelo lokunakekelwa kwezempilo oluhlelekile olungasiza iziguli ekugcineni ukufana kokujwayelekile. Izonikeza izinga eliphezulu lempilo uma ulandela ukwelashwa ngendlela efanele.

• Ukwelashwa kwe-hormone esikhundleni kungasiza labo abanokuntuleka kwamahomoni kanye nokukhiqizwa kwawo. 

Kungani ukhethe Izibhedlela ze-CARE?

Ithimba lochwepheshe ku CARE Izibhedlela eNdiya igxile ekuxilongeni nasekwelapheni izifo nezinkinga ezihlobene ne-adrenal kanye ne-endocrine. Odokotela basezibhedlela ze-CARE bangakusiza uhlole izimpawu zakho futhi bakusize uphile impilo enempilo, enempumelelo kakhudlwana ngokubambisana nochwepheshe bezokwelapha abanekhono. Vakashela ingosi yethu yesiguli ukuze wenze i-aphoyintimenti yokwelashwa okuthuthukile kwe-Endocrinology.