Izinto eziningi ezenzeka emizimbeni yethu zilawulwa, noma kunalokho, uhlelo lwamakhemikhali asebenza njengezithunywa. Siwabiza lawa ma-hormone. Lawa ma-hormone ahilelekile ezintweni eziningi ongenakukwazi ngisho nokuzicabanga, njengokukhula komzimba wakho, isimo sengqondo, ikhono lokuba nabantwana, kanye nokusetshenziswa kwe-metabolism. Uma konke emzimbeni kusebenza kahle, asicabangi ngisho nangalawa ma-hormone. Kodwa kunezinhlobo ezingaphezu kuka-50 zama-hormone emzimbeni wethu. Ngakho-ke uma kukhona ngisho nenkinga encane noma ukungalingani kulesi simiso, sidinga usizo lochwepheshe. Yilapho-ke sidinga khona udokotela ochwepheshe bama-hormone, noma isazi se-endocrinologist.
Kalula nje, ngubani lo dokotela we-endocrinologist?
Isazi se-endocrinologist udokotela ogxile ekuxilongeni nasekwelapheni izifo ezithinta ama-hormone emizimba yethu, izindlala ezikhiqiza ama-hormone, kanye nezicubu ezihlobene. Kalula nje, udokotela onolwazi olujulile nganoma iyiphi inkinga ehlobene nama-hormone.
Uhlelo lwe-endocrine emzimbeni wethu luyinethiwekhi eyinkimbinkimbi kakhulu. Umsebenzi oyinhloko walaba ochwepheshe ukuxilonga nokwelapha izifo ezibangelwa izinkinga kulesi simiso, nokusiza iziguli ukuthi ziphile nalezo zifo.
Yiziphi izimo eziyinhloko eziphathwa yi-endocrinologist?
Uma ucabanga ngezifo ezihlobene nama-hormone, into eyodwa noma ezimbili cishe zifika engqondweni. Kodwa laba ochwepheshe belapha izifo eziningi kakhulu kunalokho. Ake sibheke ukuthi ziyini.
| Isimo sezokwelapha | Incazelo elula |
|---|---|
| Isifo sikashukela | Isimo esibangelwa izinkinga ngokusebenza noma ukukhiqizwa kwe-hormone i-insulin. |
| Izifo Ze-thyroid | Izimo ezinjengokukhiqizwa ngokweqile (i-Hyperthyroidism) noma ukukhiqizwa okunganele (i-Hypothyroidism) kwe-hormone ye-thyroid kanye ne-goiter. |
| I-Polycystic ovary syndrome (i-PCOS) | Ukungalingani kwama-hormone okuvamile kwabesifazane. Kungabangela ukuya esikhathini okungajwayelekile, izinduna, ukukhula kwezinwele okungafuneki, kanye nokungabi nabantwana. |
| I-Osteoporosis | Isimo lapho amathambo eba buthakathaka futhi aphuke kalula ngenxa yezinguquko zamahomoni njengoba iminyaka ikhula. |
| Izinkinga ekukhuleni kwengane | Izinkinga zama-hormone okukhula zingabangela ingane ukuba ikhule kakhulu noma ibe mfushane kakhulu. |
| Amazinga e-testosterone anciphile kwabesilisa | Izinkinga ezibangelwa amazinga aphansi ama-hormone wesilisa. |
| Umdlavuza wezindlala zama-hormone | Umdlavuza owenzeka ezindaweni ezifana ne-thyroid, i-pituitary, kanye ne-adrenal glands. |
Udokotela we-Endocrinologist uzalwa kanjani?
Lokhu kubaluleke kakhulu. Ukuba yi-endocrinologist akuyona uhambo olulula. Kuzokunikeza umbono wokuthi laba odokotela banolwazi olujulile kangakanani.
Cabanga nje, ngemva kokuqeda iziqu zabo zezokwelapha ezijwayelekile (MBBS), kufanele badlule eminye iminyaka eminingana yokuqeqeshwa okukhethekile.
- Okokuqala, baqeqeshwa iminyaka eminingana ukuze babe uchwepheshe kwezokwelapha zangaphakathi noma kwezezingane.
- Ngemva kwalokho, uchitha eminye iminyaka emibili noma emithathu uqeqeshwa ngokukhethekile kwi-Endocrinology, Diabetes, kanye neMetabolism.
Kungemva kwalesi sikhathi eside sokuqeqeshwa lapho befaneleka khona ukusebenza njengochwepheshe wama-hormone. Ngakho ungabona ukuthi lolu lwazi ludinga ukuzinikela okungakanani ukuze lutholakale.
Kufanele ubonane nini nodokotela we-endocrinologist?
Ngokuvamile, udokotela womndeni wakho (uDokotela Wokunakekelwa Okuyinhloko / uDokotela Ojwayelekile) nguyena okudlulisela kudokotela we-Endocrinologist uma esola ukuthi unenkinga ehlobene nama-hormone. Ake sibheke ezinye zezimo ezinjalo.
Uma isifo sikashukela sinzima ukusilawula
Ngokuvamile ungathola ukwelashwa kwesifo sikashukela kudokotela womndeni wakho. Kodwa uma amazinga kashukela egazini lakho engalawulwa ngemithi nokwelashwa okunikezwayo, udokotela wakho angakudlulisela kudokotela we-endocrinologist. Lochwepheshe angabheka ezinye izindlela ezithile nokwelashwa ukusiza ukulawula isifo sakho sikashukela.
Uma unenkinga ye-thyroid
Uma uqala ukutholwa unesifo se-thyroid, ungathunyelwa kudokotela we-endocrinologist ukuze uthuthukise uhlelo lokwelashwa. Ngezinye izikhathi, uma ukhulelwe noma uhlela ukuba nomntwana, usizo lwalochwepheshe lubalulekile ekulawuleni kahle amazinga akho e-thyroid hormone. Futhi, uma i-goiter yakho ikhulisiwe, unamaqhubu e-thyroid gland yakho, noma uma isimo sakho singathuthuki ngokwelashwa, kungadingeka ukuthi ubone udokotela we-endocrinologist futhi.
Isimo se-Osteoporosis
Uma udokotela wakho esola ukuthi izinguquko zama-hormone zinegalelo ekulahlekelweni kwamathambo, angakudlulisela kudokotela we-endocrinologist ukuze aphenye ngale nkinga futhi athuthukise uhlelo lokwelashwa.
I-Polycystic Ovary Syndrome (PCOS)
I-PCOS, isimo esivame kakhulu kwabesifazane abasebasha namuhla, sibangelwa ukungalingani kwama-hormone. Kubalulekile ukubonisana nodokotela we-endocrinologist ukuze ayelaphe kahle futhi alawule imiphumela yayo emibi (isib. isifo sikashukela, i-cholesterol ephezulu).
Amazinga e-testosterone anciphile
Kunezizathu eziningana zokuthi kungani i-testosterone, i-hormone eyinhloko yabesilisa, ingancipha. Udokotela we-endocrinologist ungumuntu ongcono kakhulu ukuthola imbangela, aqale ukwelashwa ngama-hormone (Testosterone Therapy) uma kudingeka, futhi akuqaphe.
Yini okufanele uyilindele uma ubona udokotela we-endocrinologist?
Okokuqala, akukho okufanele ukwesabe. Lokhu kufana nokuya komunye udokotela.
1. Ubuza imibuzo: Okokuqala, udokotela uzokhuluma nawe ngokuphelele. Uzokubuza imibuzo eminingi mayelana nezimpawu zakho, ukuthi usunesikhathi esingakanani uzisebenzisa, ukuthi uthatha yiphi imithi, nokuthi ngabe kukhona yini emndenini wakho oke waba nezifo ezifanayo. Uzophinde abukeze imibhalo ethunyelwe udokotela womndeni wakho.
2. Ukuhlolwa komzimba: Okulandelayo, kuzohlolwa izinga lokushaya kwenhliziyo yakho, izinga lokushaya kwenhliziyo, kanye nomfutho wegazi. Izindawo ezifana nesikhumba sakho, izinwele, nomlomo nazo zingahlolwa, njengoba lezi yizindawo lapho izimpawu zezinkinga ezithile zama-hormone zingabonakala khona.
3. Ukuhlolwa kwama-oda: Uma kudingeka, ukuhlolwa kwegazi, ukuhlolwa komchamo, ukuhlolwa kwe-biopsy, ukuhlolwa kwe-ultrasound noma i-CT/MRI kungacelwa.
4. Uhlelo lokwelapha: Ngemva kwakho konke lokhu, isimo sakho sezokwelapha sizohlolwa futhi kuzokwakhiwa uhlelo lokwelapha olukufanele kakhulu.
Khumbula, udokotela we-endocrinologist akayona indawo kadokotela womndeni wakho. Ngokuvamile, bobabili basebenza ndawonye njengeqembu ukuze bakhe uhlelo lokwelashwa olungcono kakhulu kuwe.
Ezinye iziguli kuzodingeka ziqhubeke nokwelashwa yi-Endocrinologist (isb. isifo sikashukela). Kwabanye, ngemva kokuthola ukuthi isifo sikhona yini kanye nohlelo lokwelashwa, okunye kungenziwa nodokotela womndeni. Kuya ngesimo sakho.
Umlayezo Wokuya Nawe Ekhaya
- I-endocrinologist udokotela ogxile ezifweni ezihlobene nama-hormone kanye nezindlala zama-hormone emzimbeni wethu.
- Ukusekelwa kwabo kubaluleke kakhulu ekwelapheni izimo ezifana nesifo sikashukela, izinkinga ze-thyroid, i-PCOS, kanye ne-osteoporosis.
- Uma udokotela womndeni wakho ekudlulisela kudokotela we-endocrinologist, ungesabi ukulandela leso seluleko. Kuzoba usizo olukhulu empilweni yakho.
- Udokotela we-endocrinologist udokotela oqeqeshwe kakhulu futhi onolwazi olujulile ngalo mkhakha. Ngakho-ke, landela imiyalelo yakhe ngqo.
- Bavame ukusebenza nodokotela womndeni wakho ukuze baniphathe njengeqembu.
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