LAPORAN KASUS To Tiroid

 

@CWJ^CB HC]Y] QYKJ^ QO^JOA

Aosusub j`il 5 Qjkky (1763>>73>) & ]o`voc Awo K (1763>>733) Wiknoknobd 5 ar. Jjho Bomj Eubojr Euboj r, ]p.N (H) ( H) Jbh HIWCBOQI^CCB HIW CBOQI^CCB H@OBOH O@KY NIACL ^]YA MOCTO WI^OJAI 34 EY@O >734->= ]IWQIKNI^ >734 FCHY@Q FCHY@ QC] HIAJHQI^CB HIAJHQI^C B YBOVI^]OQC] QC^YKCBCDC^C ECHC^QC

 

Oaibtotcs pcsoib •

Bckc 5 By. O

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Ykur 5 =3 tclub

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Eibos hi`ckob 5 Wirikpucb Cdckc 5 Os`ck C`ckct 5 Wirukclcb Moeueub Wirkco ]tctus 5 Kibohcl Qcbddc` kcsuh 5 3? Cdustus >734 Qcbddc` pikirohsccb 5 >> Cdustus >734 ^ucbd 5 Ncbdsc` Cstir

 

Cbckbisos •

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Cbckbisos ao`chuhcb simcrc cutjcbckbisos ao ncbdsc` Cstir ^]YA Mocwo pcac tcbddc` >> Cdustus >734 puhu` 74.19 TON. Hi`ulcb Ytckc 5 Nibej`cb ao `ilir aipcb siech = tclub ycbd `c`u. Hi`ulcb tcknclcb 5 ach cac

 

^owcyct pibychot sihcrcbd •

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Wcsoib aorcwct obcp ao ncbdsc` Cstir ^]YA Mocwo pcac tcbddc` >> Cdustus >734. Ao`chuhcb cutjcbckbisos, pcsoib kikpubyco hi`ulcb utckc nirupc nibej`cb ao `ilir aipcb siech sie ch = tclub ycbd `c`u ]K^]. Wcsoib kibdchu cwc`by cwc`byc c nibej`cb niruhurcb siniscr hi`iribd, `ckc hi`ckccb 6 nu`cb tirchlor nirtckncl niscr siniscr ti`ur cyck. Wcsoib kibdi`ul no`c nibej`cb nibe j`cb aotihcb kchc chcb tircsc byiro. Nibej`cb ach aosirtco aibdcb hi`ulcb byiro ti`cb ctcupub su`ot kibi`cb. Wcsoib kibdi`ul tirhcacbd kircschcb sisch bcpcs no`c tir`c`u `i`cl nirchvotcs.

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Wcsoib eudc kibdctchcb nclwc nono pcsoib eudc pirbcl kiko`oho nibej`cb ao `ilir

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aipcb. Wiburubcb nirct ncacb aoscbdhc`.

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Dikitcr aoscbdhc`, kctc ki`jtjt ach cac, ecbtubd niraincr ach cac, nirhirobdct ncbych ncbych ach cac. NCN acb NCH ach cac hi`ulcb.

 

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Nibej`cb sihcrcbd siniscr ti`ur cyck cyck aockitir 6 mk, cwc`byc cwc`byc siniscr hi`iribd aibdcb aockitir > mk (kikniscr =x `opct), nibej`cb nireuk`cl sctu, tircnc hibyc`, hibyc`, wcrbc sckc aibdcb hu`ot sihotcr, acpct aodirchcb, byiro no`c aotihcb (+), nibej`cb ohut nirdirch scct kibi`cb. Qoach aotikuhcb nibej`cb ao ncdocb tunul `cob. `co b. Wcsoib ach kikpubyco hinocsccb kirjhjh acb ach pirbcl kobuk c`hjlj`. Wcsoib kibddubchcb po` hn siech 9 tclub ycbd `c`u.

 

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^owcyct pibychot aclu`u •

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^owcyct pibychot hi`ucrdc •

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^owcyct pibychot tukjr 5 aoscbdhc` ^owcyct a aoojpircso 5 ao aoscbdhc` ^owcyct p pi ibychot ob obfihso 5 ao aoscbdhc` ^owcyct rcaocso 5 aoscbdhc` ^owcyct hikjtircpo 5 aoscbdhc` ^owcyct pibdjnctcb 5 aoscbdhc` Nono pcsoib pirbcl kiko`oho nibej`cb ao `ilir aipcb.

^owcyct jnct ycbd siacbd aohjbsukso 5 ach cac ^owcyct Hinocsccb loaup ycbd nirhcotcb aibdcb hisilctcb hisilctcb 5 •

Kirjhjh (-),

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C`hjlj` (-)

 

Wikirohsccb Fosoh  • • • • • • • • •

]tctus dibirc`os Hicaccb ukuk 5 Qckpch schot siacbd Hiscacrcb 5 Mjkpjs kibtos Qihcbcb acrcl 5 3 337/47 37/47 kkLd  Bcao 5 7 x/kibot ]ulu 5 =6 ·M Qobddo ncacb 5 399 mk Nirct ncacb 5 49 hd

 

Hipc`c

5 ]okitros, bjrkjmiplc`o

Kctc 5 Hjbeubdtovc cbikos (-/-), sh`irc ohtiroh (-/-) Loaubd 5 Aosmlcrdi (-), aivocso siptuk (-) Ku`ut 5 ]ocbjsos (-) Qi`obdc

5 ]okitros, Aosmlcrdi (-)

@ilir 5 O 5 Qiracpct sinucl nibej`cb ao ridoj mj``o cbtirojr, niruhurcb aockitir 6 mk, wcrbc hu`ot pcac nibej`cb sckc aibdcb wcrbc hu`ot sihotcr. sihotcr.

  W 5 Byiro tihcb (+), hjbsostibso hibyc`, kjno`i, nirnctcs tidcs, pikniscrcb HDN ridojbc` (-). Ecbt Ec btu ubd 5 ac`ck nctcs bjrkc`

 

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Wcru 5 ac`ck nctcs bjrkc`

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Cnajkib 5 • • •

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5 Actcr  5 Nosobd usus (+) bjrkc` 5 Qokpcbo

 Wc`pcso

5 Byiro tihcb (-)

Ihstrikotcs •

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 Obspihso  Cushu`tcso  Wirhuso

 ]upirojr 5 hihuctcb kjtjroh (9/9), iaikc (-/-), socbjsos (-/-)  Obfirojr 5 hihuctcb kjtjroh (9/9), iaikc (-/-), socbjsos (-/-)

Dibotc`oc 5 ac`ck nctcs bjrkc`

 

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]tctus `jhc`os c/r mj``o cbtirojr •

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Obspihso 5 tckpch cacbyc nibej`cb uhurcb 6x1x> mk. Qoach cac nihcs `uhc, wcrbc sckc aibdcb cric hu`ot sihotcr. Wc`pcso 5 Byiro tihcb (+), nibej`cb nirnctcs tidcs, kjno`i, hjbsostibso hibyc`, pirkuhccb rctc, ohut nirdirch scct kibi`cb, pikniscrcb HDN ridojbc` (-).

 

^isuki •

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Qi`cl aopirohsc sijrcbd pirikpucb nirukur =3 tclub aibdcb hi`ulcb nibej`cb ao `ilir aipcb siech = tclub ycbd `c`u ]K^]. Nibej`cb siniscr ti`ur ninih ao ridoj mj``o cbtirojr aibdcb aockitir 6 mk, sini`ukbyc lcbyc siniscr hi`iribd aockitir > mk (kikniscr =x `opct), nibej`cb tircnc hibyc`, hibyc`, acpct aodirchcb, wcrbc hu`ot nibej`cb sckc aibdcb wcrbc hu`ot sihotcr acb byiro no`c aotihcb. Acro lcso` pikirohsccb soh stctus dibirc`os aoacpcthcb Qihc ihcbcb bcb acrc acrcl l

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 Bcao

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^isporcso ]ulu Qobddo ncacb Nirct ncacbg

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5 337/4 37/47 7 kkL kkLd

5 7 x/kibot 5 =6 ·M 5 399 mk 5 49 hd

Acro lcso` pikirohsccb fosoh stctus `jhc`os c/r mj``o cbtirojr aoacpcthcb •

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Obspihso 5 tckpch cacbyc nibej`cb uhurcb 6x1x> mk. Qoach cac nihcs `uhc, wcrbc sckc aibdcb cric hu`ot sihotcr. Wc`pcso 5 Byiro tihcb (+), nibej`cb nirnctcs tidcs, kjno`i, hjbsostibso hibyc`, pirkuhccb rctc, ohut nirdirch scct kibi`cb, pikniscrcb HDN ridojbc` (-).

 

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Wikirohsccb pibubecbd 5 •

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Wikirohsccb @cnjrctjrouk 5 Acrcl `ibdhcp, fubdso lipcr, fubdso dobec`, I`ihtrj`ot, Q]L, Q=, FQ1 Wikirohsccb Y]D mj``o Fjtj tljrchs Wikirohsccb MQ ]mcb aibdcb hjbtrcs

 

Wikirohsccb pibubecbd •

@cnjrctjrouk @cnjrct jrouk (3? Cdustus >734) Wcrckitir

Lcso`

^ueuhcb

Likjd`jnob

3=,1

33.4-39.9

Likctjhrot

17,7

=9-14

@iuhjsot

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7- =9 7- =9

Kcsc Wiracrclcb

>‟77‛

3- 6

Kcsc piknihucb

37‟77‛

,33 7,9-9,77 7,4-3,9=

]DJQ ]DWQ

Q]L FQ1

 

Wikirohsccb pibubecbd •

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Lcso` fjtj tljrcx WC Aishropso 5 • • • •

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Qckpch pctmly ob`trct ao pcrclo`ir pirohcraoc` hcbcb horo Nrjbmljvcsmu`cr pcirb kibobdhct ]obus plribomjmjstc`os hcbcb horo tceck Aocfrcdkc Aocfrcdk c acb tu`cbd-tu`cbd ncoh

Hiscb 5 • •

Nrjbmljpbiukjboc AA/QN pcru Hjri`cso h`obos/`cn

 

Qukjur Ajun`obd Qoki Niracscrhcb cbckbisos aoacpcthcb tukjr ajun`obd ki acro tukjr aibdcb   rukus 5

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^ukus 3 >b;pikniscrcb nircpc hc`o

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^ukus >  Himipctcb tuknul; `ckc lcro/b

Wcac hcsus obo `ckcbyc tukjr cac`cl = tclub. Wikniscrcbbyc acro > mk kibecao 6 mk (=x `opct), ecao tukjr ajun`obd kibyc cac`cl5 ^ukus 3  >b ; =x  b ; =/> •

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^ukus >  Himipctcb tuknul;

 

Aocdbjsc ncbaobd •

Caibjkc rjoa

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]trukc bjau`cr bjb tjxom

 

Aocdbjsc hirec •

Qukjr Mj``o ]obostrc, tch cac kitcstcsos hi`ibecr `okfi ridojbc`, kitcstcsos ecul su`ot aobo`co (Q=b7kx)

 

Qctc`chscbc •

Cknrjxj` =x=7 kd WJ

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Qorjoaihtjko

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Wikirohsccb Wctj`jdo Cbctjko

 

Wrjdbjsos •

Ca votck 5 Njbck

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Ca fubmjbck 5 Aunoc ca njbck

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Ca scbcjbck 5 Aunoc ca njbck

 

QI^OKC HC]OL