Ua ʻōlelo anei kāu kauka i kahi hoʻāʻo koko no nā hormones thyroid, me kahi hoʻāʻo kūikawā ʻē aʻe? A i ʻole ke pilikia nei ʻoe i ka loaʻa ʻana o ke kumu pololei o kou pilikia thyroid? ʻO ia ka manawa a mākou e kamaʻilio ai e pili ana i ka mea i kapa ʻia ʻo 'Thyroid Antibody.' ʻOiai paha he huaʻōlelo paʻakikī kēia, he mea maʻalahi loa ia. E nānā kākou i ke ʻano o kēia hoʻāʻo a me kāna mea e ʻimi nei.
He aha kēia antibody?
I ka ʻōlelo maʻalahi, ʻo nā antibodies ka ʻōnaehana pale o ko mākou kino. ʻO kā lākou hana ka ʻimi a luku i nā mea komo hewa (i kapa ʻia ʻo "antigens") e like me nā virus a me nā bacteria e komo i loko o ke kino. He ʻāpana koʻikoʻi loa kēia o kā mākou ʻōnaehana pale.
Akā i kekahi manawa hana hewa kā mākou ʻōnaehana pale. Hoʻomaka lākou e hoʻouka ʻaʻole wale i nā mea komo hewa mai nā ʻāina ʻē akā i ko mākou mau hunaola a me nā ʻiʻo olakino ponoʻī. Penei mākou e kapa ai i nā antibodies e kūʻē i ko mākou kino ponoʻī he 'autoantibodies' .
He liʻiliʻi loa ka nui o kēia mau autoantibodies i loko o ke kino o ka hapa nui o nā kānaka. He mea maʻamau kēlā. Akā inā piʻi aʻe ka nui, ʻo ia hoʻi he maʻi autoimmune paha kou.
No laila he aha ka antibody thyroid?
ʻO nā antibodies thyroid kekahi ʻano autoantibody a mākou i ʻōlelo ai ma mua. ʻO ka mea e hana ʻia ma ʻaneʻi, ʻo ia ka hoʻomaka hewa ʻana o kā mākou ʻōnaehana pale e hoʻouka i ka thyroid gland i loko o ko mākou ʻāʻī. Aia kekahi mau ʻano antibodies e hoʻāʻo nei e hoʻouka i nā cell o ka thyroid gland ma kēia ʻano. Ke ana nei ka Thyroid Antibody Test i kēia mau mea i loko o ke koko.
ʻO ka mea nui, nānā kēia hoʻāʻo inā he maʻi thyroid autoimmune kou. ʻO nā maʻi ʻelua:
1. Ka maʻi o Hashimoto: Ma kēia, emi ka hana o ke kelepa thyroid (Hypothyroidism).
2. Maʻi Graves: Ma kēia, lilo ka ʻōnaehana thyroid i mea hana nui (Hyperthyroidism).
| ʻO nā ʻano nui o nā antibodies thyroid | Nā kūlana olakino e pili pinepine ana |
|---|---|
| ʻO ka lāʻau pale Thyroid Peroxidase (TPOAb) | ʻO ka hōʻailona nui no ka maʻi ʻo Hashimoto. |
| ʻO ka lāʻau pale Thyroglobulin (TgAb) | He pili paha ia i ka maʻi o Hashimoto. |
| ʻO ka immunoglobulin hoʻoulu thyroid (TSI) | ʻO ka maʻi nui ka hōʻailona o ka maʻi ʻo Graves. |
| ʻO ka antibody receptor TSH (TRAb) | ʻO kekahi ʻano antibody e pili ana me ka maʻi ʻo Graves. |
Me he mea lā he ʻano ʻepekema kēia mau inoa a paʻakikī hoʻi e hoʻomanaʻo. ʻAʻole pilikia. Inā kapa kāu kauka i kēia mau mea ma nā inoa ʻē aʻe, mai makaʻu e nīnau pololei iā lākou i ke ʻano o lākou.
No ke aha e ʻōlelo ai ke kauka i kēia hoʻokolohua?
ʻO ka maʻamau, e hana kāu kauka i nā hoʻokolohua koko i kapa ʻia ʻo TSH a me T4 e nānā i kāu mau pae hormone thyroid. Inā ʻano ʻē nā hopena o kēlā mau hoʻokolohua , e kauoha lākou i kēia hoʻokolohua antibody e ʻike pono i ke kumu.
Eia kekahi, aia paha kekahi mau kumu ʻē aʻe:
- Ma hope o ka mālama ʻia ʻana no ke kanesa thyroid, e nānā inā ua hoʻi mai ke kanesa .
- E nānā pono i ke kūlana o ka thyroid i ka wā hāpai .
Pehea e hoʻomākaukau ai au no kēia hoʻokolohua?
ʻO kēia ka mea maikaʻi loa. ʻAʻole pono kēia hoʻāʻo koko i kekahi hoʻomākaukau kūikawā . Hiki iā ʻoe ke ʻai a inu ma ke ʻano maʻamau. Eia nō naʻe, inā hāʻawi kāu kauka iā ʻoe i nā ʻōlelo aʻoaʻo ʻē aʻe, pono ʻoe e hahai iā lākou.
Eia nō naʻe, aia kekahi mea nui loa. Inā ʻoe e lawe ana i kekahi mau huaora a i ʻole nā mea hoʻohui i loaʻa ka biotin, pono ʻoe e haʻi i kāu kauka e pili ana i ia mea. Hiki i ka Biotin ke hoʻopilikia i nā hopena o kēia hoʻāʻo. No laila e nīnau i kāu kauka i ka nui o nā lā ma mua o ka hoʻāʻo e pono ai ʻoe e hoʻōki i ka lawe ʻana.
Hana ʻia kēia ma kahi keʻena hoʻokolohua, e like me ka hoʻāʻo koko maʻamau. Pili ia i ka lawe ʻana i kahi koko liʻiliʻi mai kahi aʻa koko ma kou lima me ka hoʻohana ʻana i kahi nila liʻiliʻi.
Pehea e maopopo ai iaʻu nā hopena o ka hōʻike?
ʻO ka maʻamau, ʻo ka hōʻike āu e loaʻa ai e komo pū me kēia mau mea:
- Inoa o ka hoʻāʻo
- ʻO kāu hopena hoʻāʻo koko
- ʻO ka pae maʻamau o ka hoʻāʻo
- Inā paha he "Positive" a "Negative" paha kāu hopena, a kiʻekiʻe a haʻahaʻa paha.
ʻO ka maʻamau, ua helu ʻia nā hopena o kahi hōʻike antibody thyroid ma ke ʻano he 'Negative' a i ʻole 'Positive' .
- ʻO ka hopena maikaʻi ʻole , ʻo ia hoʻi ke pae o kēlā antibody i loko o kou kino i loko o ka pae maʻamau.
- ʻO ka hopena maikaʻi , ʻo ia hoʻi ua ʻoi aku ka nui o ka antibody ma mua o ka pae maʻamau.
He aha nā waiwai maʻamau?
Hiki ke ʻokoʻa iki kēia mau waiwai mai ka hale hana a i ka hale hana, no laila e hoʻohālikelike mau iā lākou i ka 'Normal Range' i helu ʻia ma kāu hōʻike. Ma ke ʻano laulā, penei nā waiwai maʻamau:
| ʻAno antibody | Ka waiwai awelika (kokoke) |
|---|---|
| ʻO ka antibody thyroid peroxidase (TPOAb) | Pono e emi ma lalo o 5.6 IU/ml |
| Nā antibodies Thyroglobulin (TgAb) | Pono e emi ma lalo o 4 IU/ml |
| Nā antibodies receptor TSH (TRAb) | Pono e emi ma lalo o 1.75 IU/L (hiki ke ʻokoʻa ma muli o ke ʻano o ka hoʻāʻo) |
| ʻO ka immunoglobulin hoʻoulu thyroid (TSI) | Pono e emi ma lalo o 0.55 IU/ml |
E hoʻomanaʻo, mai hopohopo ke ʻike ʻoe i nā hopena o ka hōʻike. ʻO kāu kauka ke kanaka kūpono loa e wehewehe pono i ke ʻano o ia mea.
He aha ka manaʻo inā maikaʻi ka antibody?
ʻO ka hoʻāʻo ʻana i ka antibody thyroid maikaʻi pinepine ke ʻano he maʻi thyroid autoimmune kou. Akā, ʻaʻole ia ka hihia i nā manawa a pau . Hiki i kekahi poʻe olakino ke loaʻa ka maikaʻi no kēia mau antibodies. ʻO ia ke kumu e nānā ai ke kauka i kēia hōʻike me kāu mau hōʻailona a me nā hoʻāʻo koko ʻē aʻe (e like me TSH).
Inā maikaʻi nā antibodies TPO:
- Inā kiʻekiʻe aʻe kāu pae hormone TSH, aia paha iā ʻoe ka maʻi Hashimoto .
- ʻOiai inā maʻamau kāu pae TSH i kēia manawa, inā maikaʻi kāu antibody TPO, aia paha ʻoe i ka pilikia o ka hoʻomohala ʻana i ka hypothyroidism i ka wā e hiki mai ana .
Inā maikaʻi ka antibody TgAb:
- Hiki ke ʻōlelo ʻia kēia he maʻi Hashimoto.
- Inā kiʻekiʻe nā pae TgAb i loko o kekahi i hana ʻia i ke ʻoki kino a me ka mālama ʻana i ka radiation no ke kanesa thyroid, hiki paha iā ia ke hōʻike i kahi pilikia o ka hoʻi hou ʻana o ke kanesa .
Inā maikaʻi nā antibodies TRAb a me TSI:
- Inā haʻahaʻa kāu pae hormone TSH a loaʻa iā ʻoe kēia antibody maikaʻi, aia kahi manawa kiʻekiʻe loa e loaʻa iā ʻoe ka maʻi Graves . Ma kahi o 95% o ka poʻe me ka maʻi Graves he antibody maikaʻi kēia.
Inā he ʻano ʻē nā hopena, he aha ka mea e hiki mai ana?
Inā ʻaʻole kūpono nā hopena o kāu hoʻāʻo antibody, mai hopohopo. E wehewehe kāu kauka i ka mea e hana ai aʻe a inā pono ka lāʻau lapaʻau.
Inā hoʻoulu ka maʻi Hashimoto i ka hypothyroidism, ʻo ka lāʻau lapaʻau he pila i kēlā me kēia lā e lawe ʻia no ke ola. No ka maʻi Graves, aia kekahi mau koho, me nā pila a me ka radiation therapy.
He mea maʻamau ka makaʻu a me ka hopohopo ke ʻike ʻoe i kahi hopena ʻē ma kahi hōʻike. Akā e hoʻomanaʻo, e kōkua kāu kauka iā ʻoe ma ka wehewehe ʻana i nā hopena a me ke kūkākūkā ʻana i ka lāʻau lapaʻau inā pono. Mai kānalua e nīnau i kāu kauka i nā nīnau, hopohopo, a kānalua paha āu e loaʻa ai.
Leka Lawe-Home
- ʻO ka hoʻāʻo ʻana i ka antibody thyroid e nānā nui inā paha ke kumu o kou pilikia thyroid he maʻi autoimmune.
- ʻOiai he "maikaʻi" ka hopena, ʻaʻole ia he manaʻo he maʻi kou. Na ke kauka e hoʻohālikelike iā ia me nā hoʻokolohua ʻē aʻe e like me TSH a me kāu mau hōʻailona, a laila e hiki mai i kahi hopena.
- He mea nui e hoʻomaopopo i kāu kauka ma mua o ka hoʻokolohua e pili ana i nā huaora āu e lawe nei, ʻoiai nā mea i loko o ka biotin.
- Mai hopohopo ma ka nānā wale ʻana i nā helu ma ka hōʻike. E kamaʻilio mau me kāu kauka e pili ana i ia mea a wehewehe iā ia.
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