Tērā pea kua kōrerotia atu e te tākuta he "raruraru tairoi" tōu, he "goiter" rānei tōu, ā, me pokanga. Ina hoki, ko te rongoā pai rawa atu mō ētahi mate e puta ana i roto i ngā repe e whakaputa ana i ngā homoni i roto i tō tātou tinana ko te pokanga. Nō reira, ka kiia ēnei momo pokanga motuhake e pā ana ki ngā repe homoni ko te Pokanga Endocrine. I tēnei rā, ka kōrerohia tēnei me te taipitopito, me te tino māmā.
He aha tēnei pūnaha endocrine?
Ki te kī ngāwari, ko te pūnaha endocrine he whatunga o ngā repe i roto i tō tātou tinana. Ka whakaputahia e ēnei repe ngā matū motuhake e kiia nei ko ngā homoni, ā, ka tukuna tika atu ki roto i te toto. He rite ēnei homoni ki ngā karere i roto i tō tātou tinana. Ka haere rātou i roto i te toto, ka tohutohu i ngā momo okana me ngā kiko ki te aha me mahi.
Whakaarohia, ko te tipu o te tinana, ko te whanaketanga ā-ira tangata, ko te pākia o te tinana, arā, ko te huri i te kai e kainga ana e tātou hei pūngao, ko ēnei katoa e whakahaeretia ana e ēnei homoni. Nō reira, ki te kore e mahi pai te repe, arā, ki te nui rawa, ki te iti rawa rānei te homoni e whakaputaina ana, ka ngaro te taurite o tō tātou tinana, ā, ka puta mai ngā momo mate.
Ko ēhea ngā repe e arohia ana e te pokanga endocrine?
Ahakoa he maha ngā repe i roto i te tinana, e toru ngā repe matua e aro nui ana ki te pokanga endocrine. Me titiro tātou ki te aha rātou.
| Ingoa o te repe | Mahi matua |
|---|---|
| Repe Tairoiro | Kei mua o te kaki tēnei repe āhua pūrerehua, e whakahaere ana i te pākia o te tinana, arā, te tere o te whakamahinga o te pūngao e te tinana. |
| Ngā repe parathyroid | E whā ngā repe iti nei kei muri i te repe tairoi. Ko tā rātou mahi matua he whakahaere i te nui o te konupūmā me te whākōkī i roto i te tinana. He mea nui tēnei mō te kaha o ngā wheua. |
| Ngā Repe Adrenal | Ko ēnei repe, e rua ngā taupoki kei runga ake i ngā whatukuhu, e whakaputa ana i ngā homoni pēnei i ngā homoni ira tangata me te cortisol, e whakahaere ana i te tinana i ngā wā ahotea. Ka āwhina hoki rātou ki te whakahaere i te toto toto. |
Ngā āhuatanga hauora noa e arahi ana ki te pokanga
Tērā pea e hiahiatia he pokanga ki ēnei repe nā runga i ngā āhuatanga hauora maha.
Ngā raruraru tairoi
- Te mate puku: Te whakanui ake i te repe tairoiti.
- Te mate taikaha nui: Ka nui rawa te mahi a te repe taikaha, ā, ka nui rawa ngā homoni e whakaputaina ana.
- Te mate a Graves: He mate anō tēnei e hua ai te hyperthyroidism.
- Ngā pona tairoi: He rite te tipu ki te pukupuku i runga i te repe. Ko ētahi o ēnei he mate pukupuku.
- Matepukupuku tairoi: Ngā āhuatanga matepukupuku e puta ana i roto i te repe.
Ngā raruraru e pā ana ki ngā repe parathyroid
- Hyperparathyroidism: Te pikinga o te taumata konupūmā i roto i te toto nā te nui rawa o te hanga homoni e ēnei repe.
- Ngā adenoma parathyroid: Ngā pukupuku kore-matepukupuku e whanake ana i roto i ēnei repe.
- Matepukupuku parathyroid: He matepukupuku tino onge.
Ngā raruraru e pā ana ki ngā repe adrenal
- Ngā pukupuku adrenal: Ngā pukupuku e puta ana i roto i ēnei repe.
- Te mate a Cushing: He mate e puta mai ana i te nui rawa o te homoni cortisol i roto i te tinana.
- Pheochromocytoma: He momo pukupuku e hua ai te toto toto tiketike.
Ko ēnei momo pokanga me te āhua o tā rātou mahi
Titiro mai, e toru ngā huarahi matua e whakahaerehia ai ēnei pokanga. Mā te tākuta e whiriwhiri te tikanga tino tika i runga i tō āhua.
| Tikanga pokanga | Whakaahuatanga |
|---|---|
| Pokanga Laparoscopic | Ko te tikanga o tēnei ko te tapahi i ētahi tapahi iti rawa , kaua i te tapahi kotahi, te whakauru i tētahi ngongo angiangi me te kāmera mā roto i tētahi o aua tapahi, me te tango i te repe, i te puku rānei i a koe e mātaki ana i runga i te mata pouaka whakaata. He iti ake te mamae, he iti ake te kōhatu, ā, he tere ake te ora. |
| Pokanga Robotic | He rite tēnei ki te pokanga kōhao kī, engari mā te taote pokanga ka mahi i te pokanga mā te whakamahi i tētahi ringa karetao. Mā tēnei ka nui ake te tika me te tika . |
| Pokanga Tuwhera | I tēnei, ka tapahia te kiri ki runga ake i te repe, ka whakatuwheratia, kātahi ka mahia te pokanga. He maha ngā wā ka whakamahia tēnei tikanga mēnā he nui te pukupuku, he matepukupuku rānei . |
Ko te mea nui, kāore ēnei pokanga e mahia e te tākuta endocrinologist. Ka tātaritatia te mate, ka rongoātia hoki. Mena e hiahiatia ana he pokanga, ka tukuna koe e rātou ki tētahi taote endocrine, ki tētahi taote whānui mātau rānei kua whiwhi whakangungu motuhake mō tēnei kaupapa.
He aha ngā mea ka tupu i mua atu, ā, i muri i te pokanga?
I mua i te pokanga
He mea tino nui kia tino whai koe i ngā tohutohu a tō tākuta.
- Ka tonoa koe kia nohopuku (kia kaua e kai, kia kaua e inu) mō ētahi haora i mua i te pokanga.
- Tērā pea ka tonoa koe kia mutu te tango i ētahi rongoā me ngā huaora mō tētahi wā.
- Ka mahia he whakamātautau toto hei tirotiro i te mahi a te repe.
- Ka mahia ngā matawai (CT scan, ultrasound, MRI rānei) hei whakatau i te rahi me te wāhi tika o te puku.
- Tērā pea ka mahia he koiora ngira hei tirotiro mō ngā pūtau matepukupuku.
I muri i te pokanga me te whakaoranga
Me noho koe ki te hōhipera mō te rā kotahi, e rua rānei i muri i te pokanga. Tērā pea ka mamae tō korokoro, ka mamae hoki te wāhi i tapahia. Kia hoki koe ki te kāinga,
- He mea nui kia okioki mō te wiki kotahi, e rua rānei. Kaua e hiki taumaha.
- Tangohia he wai me ngā kai ngohengohe mō te korokoro mamae.
- Tangohia ngā rongoā whakamamae mamae me ētahi atu rongoā (hei tauira, te konupūmā, ngā pire homoni) i whakaritea e tō tākuta i te wā tika.
- Me pupuri te patunga kia ma.
Ngā painga me ngā mōrearea
Pērā i ngā pokanga katoa, he painga, he mōrearea hoki tō tēnei pokanga.
Ngā Painga:
- He maha ngā mate ka taea te whakaora rawa .
- Kua kore ngā tohu, ā, ka taea e koe te ora i tētahi oranga kounga pai ake.
- Ka taea e ia te tiaki i a koe mai i ētahi atu mate ka pā mai ā muri ake nei, pērā i te toto toto tiketike, te mate manawa, ngā kōhatu tākihi, me te mate huka.
Ngā Tūponotanga:
- Te mate urutā.
- Te toto.
- Te kino ki ngā io, ki ngā uaua toto, ki ētahi atu okana rānei e karapoti ana i te wāhi i pokangahia ai (hei tauira, te pāorooro o te reo mō te wā poto mēnā ka pakaru ngā io o ngā taura reo i te wā e pokangahia ana te tairoi).
- Te iti o te taumata konupūmā i muri i te pokanga parathyroid (Hypoparathyroidism).
Kaua e manukanuka. He tino onge ēnei mōrearea ki tētahi taote pokanga mātau. Mā tō tākuta koe e whakamārama i ngā mea katoa i runga i tō āhuatanga.
Āhea te wā tika kia kite tonu i te tākuta
Mena ka pāngia koe e tētahi o ēnei tohu i muri i te hokinga ki te kāinga i muri i te pokanga, me waea atu koe ki tō tākuta tonu atu.
- Mena he whero te wāhi i whara, he pupuhi, he turuturu te wai kōwhai, he kirika rānei ( he tohu mate ēnei).
- Mena kei te uaua tonu tō manawa, kei te rerekē rānei tō reo.
- Ki te mea ka rongo koe i te mākūkū , i te ngau rānei i tō mata, i ō ngutu, i ō ringaringa, i ō waewae rānei (he tohu pea tēnei nō te iti o te konupūmā).
- Neke atu i te wiki te roa o te patunga e maru ana.
Karere Tangohia ki te Kāinga
- Ko te pokanga endocrine he momo pokanga motuhake e mahia ana hei rongoā i ngā mate o ngā repe homoni, pērā i te tairoi.
- Mā ngā taote pokanga mātau ēnei pokanga e mahi. Nā ngā hangarau hou, pērā i te tikanga kī-pō, kua haumaru ake, kua tere ake hoki te whakaora mai i ēnei pokanga.
- He mea tino nui kia whai i ngā tohutohu a te tākuta i mua atu, ā, i muri hoki i te pokanga.
- Ahakoa he mōrearea kei roto i ia pokanga, he nui ake ngā painga. Ka taea e ia te whakaora katoa i te mate.
- Ki te pāngia koe e ētahi tohu rerekē i muri i te pokanga, kaua e mataku, ā, me whakamōhio tonu atu ki tō tākuta.
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