Ib yam mob uas muaj ntau tshaj cov thyroid hormones synthesis hu ua thyrotoxicosis lossis hyperthyroidism. Yog li ntawd, tag nrho cov txheej txheem uas cov thyroid caj pas yog lub luag haujlwm tau nrawm dua, thiab qhov no ua rau muaj kev nce ntxiv ntawm tus neeg lub cev. Kab lus yuav tham txog qhov ua rau, cov tsos mob, kev kho mob thiab kev tiv thaiv ntawm thyrotoxicosis hauv cov txiv neej, poj niam, menyuam yaus.
cov ntaub ntawv dav dav
Hauv cov neeg sawv cev ntawm ob tus poj niam txiv neej, kev txhim kho ntawm thyrotoxicosis tuaj yeem tiv thaiv keeb kwm ntawm pathology ntawm lub caj pas pituitary lossis cov qog endocrine nws tus kheej, uas cuam tshuam rau cov txheej txheem metabolic, cuam tshuam rau cov pob txha thiab cov leeg nqaij, lub plawv ua haujlwm, tswj cov qib roj cholesterol hauv cov ntshav. cov hlab ntsha thiab ntau ntxiv. Nrog rau kev quab yuam ntawm cov txheej txheem tshwm sim hauv lub cev, tus neeg pib poob ceeb thawj sai, lub plawv dhia nrawm, muaj zog tawm hws, chim siab.
Qhov kev ua tau zoo ntawm kev kho yog nyob ntawm kev tshawb pom lub sijhawm ntawm pathology. Kev kho mob raws sij hawm yuav tso cai rau kev ua haujlwm sai duathyroid caj pas thiab txo qhov kev pheej hmoo ntawm qhov tshwm sim loj thiab teeb meem. Txwv tsis pub, cov kab mob ntawm cov hlab plawv loj hlob, lub cev pob txha raug cuam tshuam, uas thaum kawg ua rau muaj teeb meem thyrotoxic.
Kev faib tawm
Cov tsos mob thiab kev kho mob ntawm thyrotoxicosis ntawm cov thyroid caj pas yog nyob ntawm qhov ua rau ua rau tus kab mob. Qhov txawv ntawm hyperthyroidism:
- Pib. Lub provoking yam nyob rau hauv cov ntaub ntawv no yog pathological hloov nyob rau hauv lub caj pas nws tus kheej. Txoj kev loj hlob ntawm tus kab mob no tshwm sim tawm tsam keeb kwm ntawm toxic adenoma, nodular goiter, noj tshuaj uas muaj iodine nyob rau hauv ntau qhov ntau.
- Secondary. Qhov tshwm sim ntawm qhov tshwm sim yog ib qho pathology ntawm lub caj pas pituitary, vim qhov kev sib txuas ntawm cov thyroid-stimulating hormone nce.
- Tertiary. Nws txhim kho thaum lub hypothalamus ua tsis tiav, uas yog ua ntej los ntawm neuroses.
Ntau hom thyrotoxicosis raug kuaj pom:
- Subclinical. Cov tsos mob tsis tuaj los yog nyuam qhuav qhia. Yog li ntawd, nws yog qhov nyuaj heev los txheeb xyuas nws. TSH theem qis, thiab triiodothyronine thiab thyroxine yog qhov qub.
- Txhob. Nrog rau cov kab mob sib xws: lub raum thiab lub plawv tsis ua haujlwm, atrial fibrillation, kev puas siab puas ntsws, hnyav hnyav.
- Qhia lossis qhia meej. Nyob rau hauv cov ntaub ntawv no, lub tsev kho mob yog classical. Muaj qhov txo qis hauv qib TSH, thiab qhov concentration ntawm triiodothyronine thiab thyroxine yog overestimated.
Signs of disease
Cov ntsiab lus ntau dhau ntawm triiodothyronine (T3) thiab thyroxine (T4) cuam tshuam rau ntau lub cev thiab lub cev, ua rau muaj kev hloov pauv ntau yam hauv tib neeg lub cev. RauCov tsos mob tseem ceeb ntawm thyrotoxicosis muaj xws li cov hauv qab no:
- tawm hws ntau dhau;
- sov thiab noo rau qhov kov dermis;
- tev rau tes uas nrog mob;
- plaub hau thiab tawv nqaij nyias;
- siab nce;
- lub plawv pib ntaus tsis tu ncua;
- lub plawv dhia nce;
- puffiness ntawm daim tawv muag;
- qhov muag pom;
- ua tsis taus pa tshwm;
- ua pa nyuaj;
- kev ua lub cev poob qis;
- hnyav zuj zus;
- ntuav, raws plab, xeev siab, raws plab;
- tso zis ntau ntxiv;
- ntshai, ntxhov siab, ntxhov siab tshwm sim;
- npau suav phem;
- hais lus nrawm heev;
- excitability pom;
- poj niam muaj kev coj khaub ncaws tsis zoo, ua rau qaug zog, ua npaws.
Cov tsos mob sab nraud ntawm thyrotoxicosis ntawm cov thyroid caj pas yog qhov tseem ceeb hauv kev kuaj mob, txawm li cas los xij, cov cuab yeej thiab cov kev tshawb fawb hauv chaw soj nstuam yog qhov yuav tsum tau ua.
theem ntawm thyrotoxicosis
Nyob ntawm qhov hnyav ntawm cov kab mob, cov theem hauv qab no yog qhov txawv:
- Easy. Cov tsos mob tsis qhia. Tus neeg mob txhawj xeeb txog kev pw tsaug zog, mob taub hau, chim siab thiab ntxhov siab.
- Average. Tus neeg mob pib poob phaus sai sai, lub plawv dhia nce, ua tsis taus pa hnyav heev.
- Hav. Muaj intoxication thiab loj depletion ntawm tus neeg lub cev, ua hauj lwm ntawm tseem ceeb heevLub cev thiab lub cev tseem ceeb tau tawg.
Cov tsos mob ntawm qhov muag hauv thyrotoxicosis
Sib cais qhov muag pom cov yam ntxwv ntawm cov kab mob no:
- daim tawv muag tshee tshwm sim thaum lub qhov muag npog me ntsis;
- blinking rare;
- qhov muag pom kev zoo;
- daim tawv muag o o;
- palpebral fissures qhib dav heev;
- thaum txav qhov muag, daim tawv muag sab nrauv lags;
- qhov muag txav nrog cov tub kawm;
- tawv darkens ncig daim tawv muag;
- sclerae raug tshwm sim vim qhov hloov ntawm daim tawv muag mus rau sab sauv lossis sab ntug ntawm lub orbit;
- muaj lacrimation thiab photophobia.
Nrog kev kho kom raug, cov tsos mob saum toj no ploj mus.
Yog vim li cas
Cov laj thawj uas ua rau tus kab mob tuaj yeem sib txawv, tab sis qhov laj thawj tseem ceeb yog hyperfunction ntawm cov thyroid caj pas. Pathological tej yam kev mob uas pab txhawb rau txoj kev loj hlob ntawm thyrotoxicosis:
- Graves' disease.
- YToxic adenoma.
- Kab mob, raug mob, kev phais mob ntawm cov thyroid caj pas.
- YPituitary adenoma.
- Kev noj tshuaj ntau dhau (cov tshuaj thyroid hormones).
- Kev kho mob nrog tshuaj muaj iodine.
- Subacute thyroiditis.
YThyrotoxicosis hauv cov neeg laus
Raws li kev txheeb xyuas kev kho mob, cov txiv neej thiab cov poj niam hauv pawg hnub nyoog ntawm 20 txog 50 xyoo yog qhov muaj feem cuam tshuam rau cov kab mob no. Txawm li cas los xij, tom kawg tau mob tsib zaug ntau zaus. Txoj kev loj hlob ntawm tus kab mob yog nyob ntawm qhov xwm txheej hormonal, muaj cov kab mob sib kis, kev xeeb tub thiab lwm yam. Thawj cov tsos mob ntawm thyrotoxicosis hauv cov neeg laus muaj xws li:
- o thiab loj ntawm caj dab;
- xav ib pob hauv caj pas;
- nqhis dej thiab ua pa nyuaj.
Qhov phom sij yog nyob ntawm qhov tseeb tias tus neeg tsis cuam tshuam txog cov tsos mob no thiab ncua sijhawm mus ntsib kws kho mob. Qhov tshwm sim ntawm hyperthyroidism thiab nws qhov hnyav yog nyob ntawm qhov tshwm sim. Ntxiv nrog rau cov tsos mob sab nraud, muaj qhov ua tsis tiav ntawm kev ua haujlwm ntawm lub cev thiab lub cev. Nrog kev kho kom zoo thiab kev noj zaub mov zoo, cov tsos mob ntawm thyrotoxicosis hauv cov poj niam, txiv neej thiab menyuam yaus ploj mus. Txawm li cas los xij, cov tsos mob ntawm pathology muaj qee qhov sib txawv. Xav txog lawv kom ntxaws ntxiv.
YThyrotoxicosis hauv poj niam
Kev xav rau kev loj hlob ntawm tus kab mob no hauv kev sib deev ncaj ncees yog cuam tshuam nrog kev hloov pauv hauv cov tshuaj hormones uas tshwm sim thoob plaws hauv lub neej. Menstruation, cev xeeb tub, yug me nyuam, menopause - tag nrho cov no ua rau poj niam lub cev muaj zog thiab ua rau tsis ua hauj lwm ntawm cov thyroid caj pas. Qhov hnyav ntawm pathology, nws tshwm sim, nrog rau cov cim qhia (sab nrauv thiab sab hauv) yog nyob ntawm qhov ua rau provoked tus kab mob. Hauv cov poj niam, cov tsos mob ntawm thyrotoxicosis yog raws li nram no:
- kev ua haujlwm ntawm lub plawv ua rau muaj ntshav siab, tachycardia;
- palpebral fissure nce, protrusion ntawm lub qhov muag thiab o ntawm cov ntaub so ntswg ntawm lub orbit;
- kev coj khaub ncaws tsis ua haujlwm;
- lub sijhawm dhau los ua tsis xwm yeem, tsis txaus ntseeg thiab nrog raumob thiab ua tsis zoo rau kev noj qab nyob zoo;
- plaub hau hlob dulls thiab ua nkig, nyias.
Txhawm rau tiv thaiv cov kab mob endocrine, nws raug nquahu kom mus ntsib kws kho mob endocrinologist, kuaj ntau hom, suav nrog ultrasound, kuaj ntshav rau cov thyroid hormone tshuaj. Cov poj niam hnub nyoog qis dua 30 xyoo - ib zaug txhua tsib xyoos, los ntawm 30 txog 40 xyoo - ib zaug txhua peb xyoos, tom qab 45 xyoo - ib xyoos ib zaug. Kev kho mob ntawm thyrotoxicosis hauv cov poj niam, cov tsos mob tau piav qhia saum toj no, nyob ntawm qhov ua rau provoked txoj kev loj hlob ntawm tus kab mob.
YThyrotoxicosis thaum cev xeeb tub
Cov poj niam nyob hauv txoj haujlwm nrog cov kab mob zoo li no yuav tsum tau saib xyuas cov thyroid caj pas thiab yuav tsum tau saib xyuas tsis tu ncua los ntawm tus kws kho mob endocrinologist. Txwv tsis pub, hyperthyroidism ua rau muaj kev hem thawj tsis yog rau nws txoj kev noj qab haus huv, tab sis kuj rau lub neej ntawm tus menyuam hauv plab. Rau txoj kev loj hlob thiab tsim tag nrho ntawm tus me nyuam hauv plab, cov tshuaj hormones synthesized los ntawm cov qog endocrine tseem ceeb heev. Cov theem ib txwm muaj ntawm cov tshuaj no yog ib qho ntawm cov xwm txheej los yug tus menyuam noj qab haus huv, thiab kev tsim tawm ntau ntxiv muaj qhov tsis zoo rau tus menyuam hauv plab thiab tus poj niam txoj kev noj qab haus huv. Qhov tshwm sim ntawm cov tsos mob ntawm thyrotoxicosis ntawm cov thyroid caj pas nyob rau hauv cov poj niam thaum cev xeeb tub yog ib tug provocative yam nyob rau hauv kev loj hlob ntawm cov kab mob hauv qab no nyob rau hauv lub fetus thiab yav tom ntej tus me nyuam:
- kev puas tsuaj rau lub paj hlwb;
- goiter formation;
- tsis ua tiav hauv kev tsim cov kabmob endocrine;
- thiab lwm yam xwm txheej uas cuam tshuam kev noj qab haus huv thiab lub neej.
Qhov muaj tus kab mob no ua rau muaj kev pheej hmoo ntawm fetus tsis ua haujlwm, nchuav menyuam thiab tseem yug menyuam. Txhawm rau txo qhov tshwm sim loj, koj yuav tsum ua raws li cov lus pom zoo ntawm cov kws tshaj lij ob qho tib si nyob rau theem ntawm kev npaj yug menyuam, thiab lwm yam.
Kev kho mob, siv tshuaj antithyroid, nrog rau cov tshuaj uas muaj iodine hauv lawv cov muaj pes tsawg leeg. Yog tias tsis muaj txiaj ntsig, kev phais raug qhia.
YThyrotoxicosis hauv txiv neej
Cov neeg sawv cev ntawm kev sib deev no raug kev txom nyem tsawg dua los ntawm hyperthyroidism thiab feem ntau lawv tau kuaj pom nrog daim ntawv subclinical. Pathology nyob rau hauv cov txiv neej yog pom heev lig, kev kho mob nyob rau hauv xws li mob tsis ua hauj lwm. Qhov tshwm sim ntawm tus kab mob feem ntau cuam tshuam rau kev ua me nyuam: kev sib deev muaj peev xwm txo qis thiab qhov muaj txiaj ntsig zoo ntawm cov phev hloov vim qhov tshwm sim ntawm hormonal tsis txaus. Cov tsos mob ntawm thyrotoxicosis hauv cov txiv neej yog raws li nram no:
- leeg tsis muaj zog, tshwj xeeb tshaj yog thaum nce ntaiv lossis sawv;
- leeg poob lawv ntim;
- muaj ib txhais tes tshee;
- puag yog ntxhov;
- tawm hws nce;
- kev tshaib plab;
- lub plawv dhia nrawm;
- ntxhov siab, chim siab tshwm;
- possible zawv plab.
Nws yog ib qho tseem ceeb heev los txheeb xyuas cov tsos mob ntawm thyrotoxicosis hauv cov txiv neej kom ntxov li sai tau. Kev kho mob pib nrog kev xaiv cov tshuaj nyob rau hauv ib koob txaus. Hmoov tsis zoo, tom qab kev saib xyuas kev kho mob, kev rov ua dua tshiab yog qhov tshwm sim.
YThyrotoxicosis hauv menyuam yaus
Tus kab mob no tsawg. Feem ntau, ib qho predisposing yam yog diffuse toxic goiter. Tsis tas li ntawd, kev tsim cov tshuaj hormonal ntau dhau tuaj yeem txiav txim siab:
- siv sijhawm ntev ntawm cov tshuaj hormonal thiab iodine-muaj tshuaj;
- overactive thyroid caj pas;
- ua rau cov hlwb ntawm lub cev endocrine, uas yog nrog los ntawm kev tso tawm cov tshuaj hormones ntau dhau rau hauv cov ntshav;
- pathology ntawm pituitary caj pas thiab thyroid caj pas.
Hyperthyroidism feem ntau tshwm sim thaum hluas thiab maj mam nce. Cov cim qhia pom tseeb ntawm tus kab mob tuaj yeem tshwm sim ib xyoos txij li qhov pib ntawm nws txoj kev loj hlob. Capriciousness, ceev ceev excitement, inattention, restlessness thaum pw tsaug zog; chim siab, txo cov kev kawm hauv tsev kawm ntawv - qhov no yog qhov tshwm sim ntawm thawj cov tsos mob ntawm thyrotoxicosis hauv cov menyuam yaus. Nws kuj tau sau tseg:
- tshiav tus ntiv tes ntawm tus menyuam nrog txhais caj npab;
- poob phaus;
- nce qab los;
- nrog thyroid caj pas;
- exophthalmos;
- -noo ntawm daim tawv nqaij;
- tawm hws ntau dhau;
- Hloov thiab clumsiness ntawm gait vim cov leeg tsis muaj zog.
Atrial fibrillation, ntshav siab, thiab systolic yws tuaj yeem hnov txog theem ntawm tus kab mob.
Thyrotoxicosis ntawm cov menyuam yug tshiab
Cov kab mob ntawm cov thyroid caj pas, uas leej niam expectant muaj, tuaj yeem ua rau muaj qhov tsis zoo ntawm cov leeg plawv, xws li hauvfetus thiab yav tom ntej tus me nyuam. Kev xa khoom tuaj ntxov. Cov tsos mob ntawm thyrotoxicosis ntawm cov thyroid caj pas yog raws li nram no:
- tus menyuam hauv plab muaj qhov nce hauv lub cev muaj zog thiab tachycardia;
- tus menyuam yug tshiab muaj tachyarrhythmia, accentuated tones, atrial extrasystoles, nthuav cov ciam teb ntawm cov txheeb ze plawv dullness;
- tremor;
- hyperexcitability;
- txhawj xeeb;
- nrog thyroid caj pas;
- tawm tsam asphyxia;
- qee zaus exophthalmos tshwm sim.
Ntxiv rau, ntxiv rau cov tsos mob ntawm thyrotoxicosis, mob qog nqaij hlav thiab lub plawv tsis ua haujlwm, muaj teeb meem thyrotoxic, uas tuaj yeem ua rau tuag taus, tuaj yeem koom nrog.
Kev kuaj mob thiab kho tus mob thyrotoxicosis neonatal
Lub hauv paus ntawm kev kuaj mob yog kev sau ntawm anamnesis. Thaum txiav txim siab qhov kev soj ntsuam rau cov tshuaj hormonal, qhov txo qis hauv TSH tau pom, nce hauv cov concentration ntawm T3, T4. Raws li cov txiaj ntsig ntawm ECG, cov kev hloov pauv hauv qab no tau sau tseg: taw qhia P nthwv dej, nrawm ntawm atrioventricular conduction, sinus tachycardia, high voltage, impaired myocardial repolarization txheej txheem. Echo KG qhia txog kev ua txhaum ntawm diastolic kev ua haujlwm ntawm sab laug ventricle thiab ntxiv mus, kev nthuav dav ntawm lub plawv kab noj hniav - cov cim no yog harbiners ntawm lub plawv tsis ua hauj lwm.
Adrenergic blockers, sedatives, hormonal, tshuaj antithyroid, nrog rau kev kho infusion yog siv rau hauv kev kho mob. Qhov kev cia siab ntawm tus kab mob no tsis zoo.
kho mob Tyrotoxicosis
Tom qab lees paub qhov kev kuaj mob, lawv xaivKev kho kom zoo, uas ncaj qha nyob ntawm qhov ua rau thiab cov tsos mob ntawm thyrotoxicosis. Kev kho mob yog ua los ntawm cov hauv qab no:
- Nco ntsoov. Xws li kev siv tshuaj: tshuaj antithyroid, glucocorticoids, iodides, beta-blockers.
- Kev phais. Nyob ntawm cov kev qhia kho mob, qhov no, qhov mob ntawm qhov mob, qhov loj ntawm cov kab mob endocrine raug tshem tawm ib nrab, lossis lub caj pas tau raug kho dua.
- Siv ob txoj hauv kev tshwj xeeb tshwj xeeb ntawm qhov tshwm sim ntawm tus kab mob.
- Radioiodine therapy. Nws muaj nyob rau hauv kev siv cov xov tooj cua iodine. Hom kev kho no yog qhia rau qhov tsis muaj txiaj ntsig ntawm thawj txoj kev lossis rov qab ua dua tom qab kev phais
Kev kho mob ntawm subclinical thyrotoxicosis
Cov tsos mob ntawm tus kab mob no tsis tshua pom lossis tsis muaj hlo li. Txhawm rau txiav txim siab txog kev kho mob, nws yog ib qho tsim nyog yuav tsum paub qhov ua rau ntawm qhov pib ntawm tus kab mob. Nyob rau hauv cov xwm txheej zoo li no, ntau npaum li cas nyob ntawm tus neeg mob, ntau npaum li cas nws yuav qhia tus kws kho mob txog kev hloov pauv kev noj qab haus huv nyob rau peb lossis rau lub hlis dhau los. Yam tseem ceeb ntawm cov kev kho mob twg yuav nyob ntawm:
- hnub nyoog ntawm tus neeg mob;
- vim ua rau muaj tus kabmob;
- mob hnyav. Muaj tsuas yog ob ntawm lawv thiab lawv nyob ntawm qib TSH (mIU / ml): los ntawm 0.1 txog 0.39 - thawj, tsawg dua 0.1 - thib ob;
- muaj kev sib haum xeeb.
Thiab tseem paub qhov txawv ntawm qhov pheej hmoo thiab ntu ntu subclinical thyrotoxicosis. Kev kho mob yuav tsum tau pom zoo rau cov pej xeem hauv qab no:
- hnub nyoog qis dua 65 nrogCov tsos mob ntawm hyperthyroidism;
- cov hnub nyoog laus dua li thawj kis, nrog thiab tsis muaj cov tsos mob ntawm thyrotoxicosis, nrog cov kab mob uas twb muaj lawm: kab mob plawv, atrial fibrillation, angina pectoris, tom qab mob stroke, mob pob txha loj;
- muaj pov thawj ua rau muaj mob.
Kev phais mob yog nqa tawm thaum muaj cov tsos mob hauv qab no ntawm thyrotoxicosis: compression, goiter loj loj thiab xav tias muaj qog nqaij hlav qog nqaij hlav. Nrog txoj kev saib xyuas kev kho mob, cov tshuaj raug xaiv ib tus zuj zus.
Kev nyuaj siab
Thaum tsis muaj kev kho mob txaus lossis thaum muaj kev ntxhov siab, nrog rau kev sib ntxiv ntawm cov kab mob sib kis los yog tom qab kev phais mob, qhov teeb meem ntawm thyrotoxic tshwm sim. Tus mob no suav hais tias yog qhov txaus ntshai tshaj plaws, xav tau kev kho mob sai, nrog rau cov tsos mob hauv qab no:
- nce kub rau qhov tseem ceeb;
- mob plawv tsis ua hauj lwm;
- tachycardia;
- nauseous;
- ntua;
- mob plab;
- nce ntshav siab.
Kev noj haus rau thyrotoxicosis
Vim yog cov txheej txheem metabolic nrawm uas tshwm sim tawm tsam keeb kwm yav dhau los ntawm cov tsos mob ntawm thyrotoxicosis, khoom noj khoom haus hauv cov poj niam thiab cov txiv neej yuav tsum yog feem ntau thiab ib qho kev noj haus. Nrog rau tus kab mob no, kev tawg ntawm carbohydrates, proteins thiab rog yog qhov ua haujlwm zoo hauv lub cev. Lub zog xav tau nce ntxiv, cov khoom siv glycogen hauv cov leeg nqaij thiab daim siab txo qis, txheej ntawm cov rog ua thinner. Tus neeg mob poob lub cev hnyav sai, yog li yuav tsum muaj cov khoom noj khoom haus, kua dej, nrog rau cov vitamins thiab minerals. Cov ntawv qhia zaub mov yuav tsum muaj cov khoom hauv qab no:
- Y mis nyuj, kefir, ntuj yogurt, curdled mis nyuj, qaub cream;
- qes-rog thiab tsis ntsev;
- savory pastries, biscuits;
- oatmeal, nplej thiab rye bread;
- txhua yam khoom noj; mov me me kom txhob cem quav;
- nqaij npuas kib, stewed lossis steamed nqaij;
- compotes, txiv hmab txiv ntoo haus, tshuaj yej chamomile, rosehip broth;
- freshwater lean ntses.
Ntsev yuav tsum txwv rau 10 grams ib hnub. Qhov ntim ntawm cov kua pom zoo yog kwv yees li ob litres.
Kev kho mob nrog pej xeem tshuaj
Kev siv lwm txoj hauv kev yuav tsum tau pom zoo nrog tus kws kho mob. Cov khoom uas pom zoo:
- Hawthorn txiv hmab txiv ntoo. Ib qho infusion yog npaj, uas yog noj peb tablespoons peb zaug ib hnub twg. Chav kawm yog tsawg kawg peb lub lis piam. Tom qab ntawd so rau 14 hnub.
- Yarrow. Cawv tincture yog noj thaum sawv ntxov thiab yav tsaus ntuj peb caug feeb ua ntej noj mov, 10 tee txhua.
- Nyob zoo ib tsoom niam txiv kwv tij neej tsa phooj ywg sawv daws. Thawj peb hom tshuaj raw cov ntaub ntawv yog noj nyob rau hauv sib npaug proportions, thiab zaum kawg - ob zaug ntau npaum li cas thiab ib tug decoction yog npaj. Noj ib nrab khob ob zaug ib hnub ua ntej noj mov.
- Beets. Noj ib daim zaub nyoos txhua hnub.
ntsuas kev tiv thaiv
Txhawm rau kom tsis txhob muaj kab mob hnyav los ntawm cov kab mob endocrine, nws raug pom zoo: tsis txhob haus cawv, tsis txhob haus luam yeeb, ua raws li kev noj haus, kev tawm dag zog, mus ntsib kws kho mob endocrinologist tsis tu ncua thiab kuaj xyuas qhov tsim nyog. Tsis tas li ntawd, nrog cov teeb meem uas twb muaj lawm nrog cov thyroid caj pas, tau txais kev soj ntsuam txhua xyoo thiab ultrasound ntawm lub cev.
