أسئلة واجابات طبية أمراض الغدد الصماء

Hi. From the description, ur daughter is having a condition called ''Premature adrenarche''. This is considered to be a variant of normal puberty but not a true precocious puberty, high DHEA-S is part of premature activity of the adrenal gland. I suggest to do bone age x-ray of the left wrist and to do baseline blood tests for the master gland of the brain (pituitary gland) for the following hormones:LH. FSH and estradiol. Please do also baseline test for the thyroid gland as well (TSH and T4).Watchful waiting and periodic monitoring is the main stay of treatment.Agents that suppress puberty such as monthly decapeptyl injections are of doubtful benefit in her case but may be needed after sometime.Hope u find it useful.

يرجى مراجعة طبيب الجراحة

يجب ضبط السكر بشكل جيد بتعديل جرعات الانسولين تحت اشراف الطبيب . ثم الطبيب يتابع اية شكاوى متبقية

النتيجة عالية جدا وهذا يدل على حالة سكري مهمل لديك ويجب علاجه بشكل جاد وسريع

كلامك ناقص ومشتت . غير واضح ماهي مشكلتك الان . نحتاج نعرف هل ورم الغدة خبيث ام سليم وكم تأخذين من دواء الغدة وآخر تحليل للغدة . بالنسبة للصورة يجب المتابعة مع طبيب جراحة الصدر

Hi. I first need to the reason of surgery. Was there any tumors in the thyroid gland? Was it just simply enlarged or there was some serious condition? If there was no thyroid cancer then u need reduce the dose to 125 ug per day and repeat the TSH after 6 weeks. Our aim is to keep the TSH in the range of (0.5 to 3). Please do free 

Hi. It looks like he is having overactive thyroid gland. TSH level is inversely proportional to the activity of thyroid gland. He has to do further blood tests to assess the severity and the cause of overactivity such as T3 T4 and TSH receptor antibody titer along with thyroid ultrasound. Hope u find it useful.