Ua noi ʻia paha ʻoe e ke kauka e hana i kahi hoʻāʻo antibody thyroid, a ua lohe paha ʻoe e pili ana i ia mea ma kekahi wahi. He aha maoli kēia hoʻāʻo? No ke aha he mea nui loa ia? Ke noʻonoʻo nei paha ʻoe, "Auē, he mea koʻikoʻi anei kaʻu?" Mai hopohopo, e wehewehe mākou i nā mea āpau ma ke ʻano maʻalahi hiki iā ʻoe ke hoʻomaopopo.
He aha kēia hoʻāʻo antibody thyroid?
I ka ʻōlelo maʻalahi, he hoʻāʻo koko kēia. Kōkua kēia hoʻāʻo e ʻike i ke kumu o ka haʻahaʻa a kiʻekiʻe paha o kāu mau pae hormone thyroid. ʻO ke kikoʻī, hiki iā ia ke nānā inā he maʻi thyroid autoimmune kou, e like me ka maʻi Hashimoto a i ʻole ka maʻi Graves.
He aha nā antibodies a me nā autoantibodies? He maʻalahi loa!
E noʻonoʻo, aia i loko o ko kākou kino kahi ʻāpana e like me ke kiaʻi palekana. ʻO ia ka mea a kākou e kapa nei he antibodies . He ʻano protein kēia i hana ʻia e kā kākou ʻōnaehana pale. ʻO ka maʻamau, hoʻouka kēia mau antibodies i nā ʻenemi (kapa mākou i kēia mau antigens ) e like me nā germs, bacteria, a me nā virus e komo i loko o ko kākou kino.
Akā i kekahi manawa hele hewa kā mākou ʻōnaehana pale. A laila hoʻomaka kēia mau antibodies e hoʻouka i kā mākou mau cell olakino ponoʻī. ʻO nā autoantibodies nā antibodies i hana ʻia e kūʻē i ko mākou kino ponoʻī. Loaʻa i ka hapa nui o ka poʻe nā liʻiliʻi o kēia mau autoantibodies i loko o ko lākou kino, he mea maʻamau ia. Eia nō naʻe, inā loaʻa lākou i nā nui he nui, ʻo ia hoʻi he maʻi autoimmune paha ʻoe.
I ke ʻano o ka ʻōpū thyroid, i ka wā e hoʻouka ai kāu ʻōnaehana pale i nā pūnaewele o ka ʻōpū thyroid, piʻi aʻe ka pae o nā antibodies thyroid i loko o kou koko.
He aha nā ʻano nui o nā antibodies thyroid?
Aia kekahi mau ʻano antibodies thyroid. ʻO nā mea nui:
- Nā Antibodies Thyroid Peroxidase (TPOAb) a i ʻole nā Antibodies Anti-microsomal: ʻO kēia nā antibodies e hōʻike nui ana i ke alo o ka maʻi Hashimoto.
- Nā lāʻau pale kino Thyroglobulin (TgAb) .
- ʻO ka Immunoglobulin Hoʻoulu Thyroid (TSI) : ʻO kēia nā antibodies e hōʻike nui ana i ke alo o ka maʻi Graves.
- Nā Antibodies Receptor Hormone Hoʻoulu Thyroid (TSH) (TRAb)ʻO kēia kekahi ʻano antibody ʻē aʻe e pili pū ana me ka maʻi ʻo Graves.
Hiki i kēlā me kēia o kēia mau antibodies ke loaʻa kekahi mau inoa ʻē aʻe e kani like ana. Hiki i kāu kauka ke kapa iā lākou ma nā inoa ʻē aʻe. No laila, aia kekahi huikau ( huikau / kānalua ma ka ʻōlelo Tamil, akā ma ʻaneʻi hoʻohana ʻia ʻo ia hoʻi ka huikau ma ka ʻōlelo Sinhala, akā naʻe, makemake ka mea hoʻohana iā Sinhala maʻemaʻe. No laila e hoʻololi wau i kēia i "Aia kekahi mea huikau" a i ʻole "Aia kekahi mea paʻakikī ke hoʻomaopopo") ... ʻAʻole, ʻaʻole, no laila inā he mea paʻakikī ke hoʻomaopopo, inā ʻaʻole maopopo, mai makaʻu e nīnau i ke kauka.
I ka manawa hea e ʻōlelo ai ke kauka e hana i kēia hoʻokolohua?
Inā ʻaʻole kūpono nā hopena o kāu hoʻāʻo hormone TSH (Thyroid-Stimulating Hormone) a me T4 (Thyroxine) , hiki i ke kauka ke kauoha i hoʻokahi a ʻoi aku paha o kēia mau hoʻāʻo antibody thyroid.
Ma waho aʻe o kēlā, hiki i ke kauka ke ʻōlelo i kēia hoʻokolohua no kekahi mau kumu ʻē aʻe:
- E nānā inā loaʻa hou ke kanesa thyroid.
- E hoʻopaʻa i ke kūlana o ka thyroid i ka wā hāpai.
Pehea e hoʻomākaukau ai no ka hoʻāʻo ʻana i nā antibody thyroid?
ʻO ka maʻamau, ʻaʻohe hoʻomākaukau kūikawā e pono ai no kēia hoʻāʻo antibody thyroid. Hiki iā ʻoe ke ʻai a inu maʻamau ke ʻole ke aʻo ʻia e kāu kauka.
Eia nō naʻe, inā ʻoe e lawe ana i kekahi mau mea hoʻopihapiha ʻē aʻe i loaʻa ka biotin, e hoʻomaopopo e nīnau i kāu kauka i ka lōʻihi e pono ai ʻoe e hoʻōki i ka lawe ʻana iā lākou ma mua o ka hoʻāʻo ʻana, no ka mea, hiki i ka lawe ʻana i ka biotin ke hoʻopilikia i nā hopena o kēia mau hoʻokolohua.
He hoʻāʻo koko maʻalahi loa kēia. Hiki iā ʻoe ke hana i kēlā me kēia manawa o ka lā ma kahi lab. ʻO ke kanaka nāna e lawe i ka hāpana koko (phlebotomist) e hoʻohana i kahi nila liʻiliʻi e huki i kahi koko liʻiliʻi mai kahi aa koko ma kou lima. ʻO ia wale nō.
Pehea e hoʻomaopopo ai i nā hopena o ka hōʻike hoʻāʻo?
ʻO nā hōʻike hoʻāʻo koko, a me nā hōʻike hoʻāʻo antibody thyroid, e komo pū me kēia mau mea:
- ʻO ka inoa o ka hoʻāʻo koko, a i ʻole ka mea i ana ʻia i loko o kou koko.
- ʻO ka helu a i ʻole ke ana o kāu hopena hoʻāʻo koko.
- ʻO ka pae ana maʻamau no kēlā hoʻāʻo.
- ʻIke e pili ana inā he "Negative" a "Positive" paha kāu hopena, a kiʻekiʻe a haʻahaʻa paha.
ʻO ka maʻamau, hōʻike ʻia nā hopena o ka hoʻāʻo ʻana i ka antibody thyroid ma ke ʻano he "Negative" a i ʻole "Positive. " ʻO ka hopena "Negative" ʻo ia hoʻi aia ka pae antibody i loko o ka pae maʻamau. ʻO ka hopena "Positive" ʻo ia hoʻi aia ka pae antibody ma luna o ka pae maʻamau.
He aha nā pae maʻamau no nā antibodies thyroid?
Ma keʻano laulā, penei nā pae maʻamau no nā antibodies thyroid:
- ʻO ka lāʻau pale Thyroid Peroxidase (TPOAb) : < 5.6 IU/ml (Nā ʻĀpana Honua no ka milliliter)
- Nā Antibodies Thyroglobulin (TgAb) : < 4 IU/ml
- Nā antibodies receptor hormone hoʻoulu thyroid (TRAb) : < 1.75 IU/L (Nā ʻĀpana Honua no ka lita) a i ʻole < 3.3 IU/L, ma muli o ke ʻano hoʻāʻo
- ʻO ka Immunoglobulin Hoʻoulu Thyroid (TSI) : < 0.55 IU/ml
ʻO ka mea nui loa, ke loaʻa iā ʻoe ka hōʻike, e hōʻike ana i ka pae maʻamau no kēlā keʻena hoʻokolohua. Hiki ke ʻokoʻa kēia mau pae maʻamau mai kēlā keʻena hoʻokolohua a i kēia keʻena hoʻokolohua. No laila, mai hoʻohālikelike i kahi waiwai mai kekahi keʻena hoʻokolohua i ka pae maʻamau o kekahi keʻena hoʻokolohua ʻē aʻe. Inā he mau nīnau kāu e pili ana i kāu mau hopena, e ʻoluʻolu e nīnau i kāu kauka.
He aha ka manaʻo inā hōʻike kāu hōʻike i nā antibodies thyroid?
ʻO ka "maikaʻi" no nā antibodies thyroid ʻo ia hoʻi he maʻi thyroid autoimmune kou. Eia naʻe, ʻaʻole kēia ka hihia mau. Hiki i kekahi poʻe ke "maikaʻi" no nā antibodies akā ʻaʻohe maʻi thyroid.
Hiki iā ʻoe ke "maikaʻi" no nā ʻano antibody thyroid he nui. ʻOkoʻa ke ʻano o kēia mau pae kiʻekiʻe o nā antibodies ma muli o ke ʻano o ka antibody. E nānā kākou pehea e hana ai.
He aha inā he mau antibodies thyroid peroxidase (TPO) koʻu?
Inā "maikaʻi" ʻoe (ʻo ia hoʻi, he kiʻekiʻe kou mau pae) no nā antibodies TPO, hiki ke manaʻo ʻia penei:
- Inā kiʻekiʻe hoʻi kāu pae TSH , loaʻa paha iā ʻoe ka maʻi Hashimoto .
- Inā maʻamau a kokoke paha kāu pae TSH i kēia manawa , aia paha ʻoe i ka pilikia o ka loaʻa ʻana o ka hypothyroidism (ka haʻahaʻa o ka hormone thyroid) i ka wā e hiki mai ana.
Eia nō naʻe, inā he "maikaʻi ʻole" kāu mau antibodies TPO akā kiʻekiʻe kāu mau pae TSH, ʻo ia hoʻi he kumu ʻē aʻe paha no kāu hypothyroidism.
He aha inā he mau antibodies thyroglobulin (TgAb) koʻu?
Inā "maikaʻi" kāu mau antibodies thyroglobulin (TgAb), ʻo ia hoʻi ke ʻano he maʻi Hashimoto kou.
ʻO kekahi mea ʻē aʻe, ua hana ʻia ʻoe i ke ʻoki kino no ke kanesa thyroid a ua loaʻa iā ʻoe ka lāʻau radioactive iodine.Inā ua loaʻa iā ʻoe, e kauoha paha kāu kauka i kahi hoʻāʻo TgAb. ʻO kēia no ka mea ʻaʻole maikaʻi ka loaʻa ʻana o ka thyroglobulin i loko o kou koko ma hope o kēia lāʻau lapaʻau. No laila, inā loaʻa iā ʻoe ʻo TgAb - ʻoiai inā e piʻi mālie ana ka pae - hiki ke lilo i hōʻailona ua hoʻi mai ke kanesa (recurrence).
He aha inā he mau antibodies receptor hormone hoʻoulu i ka thyroid (TRAb) koʻu?
Inā "maikaʻi" kāu TRAb a haʻahaʻa kāu pae TSH, ʻo ia hoʻi ke ʻano he maʻi Graves kou. Ma kahi o 95% o ka poʻe me ka maʻi Graves ua kiʻekiʻe nā pae TRAb.
I ka liʻiliʻi loa, loaʻa paha iā ʻoe ka maʻi ʻo Graves ʻoiai inā "maikaʻi ʻole" kāu TRAb. Inā pēlā, hiki i kahi scan thyroid ke ʻike iā ia.
He aha inā loaʻa iaʻu ka thyroid stimulating immunoglobulin (TSI)?
He ʻano kikoʻī ʻo TSI o TRAb. Inā "maikaʻi" ʻoe no TSI, ʻo ia hoʻi ke ʻano he maʻi Graves kou.
Inā he ʻano ʻē nā hopena, he aha kāu e hana ai ma hope?
Inā ʻaʻole kūpono nā hopena o kāu hoʻāʻo antibody thyroid, mai hopohopo. E haʻi aku kāu kauka iā ʻoe i ka mea e hana ai ma hope, me ke ʻano o ka hoʻomau ʻana i ka nānā ʻana i kāu thyroid a inā pono ʻoe i ka lāʻau lapaʻau.
ʻO ka lāʻau lapaʻau nui no ka maʻi ʻo Hashimoto he pila āu e lawe ai i kēlā me kēia lā no ke koena o kou ola inā hōʻike kāu mau hōʻike lab he hypothyroidism kou. Aia kekahi mau koho lapaʻau no ka maʻi ʻo Graves, me nā pila a me kekahi mau kaʻina hana.
He mea maʻamau ka hopohopo a me ke kaumaha ke ʻike ʻoe i kahi hopena maʻamau ʻole ma kahi hōʻike lab. A makemake paha ʻoe e ʻike i ke kumu no ia mea i ka wā hikiwawe loa. Akā e hoʻomanaʻo, e wehewehe pono kāu kauka i kēia mau hopena iā ʻoe a, inā pono, e kūkākūkā i nā koho lapaʻau. Inā he mau nīnau kāu e pili ana i kāu mau hopena, mai kānalua e nīnau i kāu kauka.
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ʻAe, e ʻae mai iaʻu e kōkua iā ʻoe e hoʻomanaʻo i kekahi o nā mea nui a kākou i kamaʻilio ai:
- Hiki i nā hoʻokolohua antibody thyroid ke ʻike inā e hoʻouka ana kā mākou ʻōnaehana pale i ko mākou kelepa thyroid ponoʻī. Ua kapa ʻia kēia he mau maʻi autoimmune thyroid.
- Hāʻawi nā ʻano antibodies like ʻole (e like me TPOAb, TgAb, TRAb, TSI) i nā hōʻailona e pili ana i nā maʻi thyroid like ʻole (e like me Hashimoto's, Graves').
- ʻAʻole manaʻo mau ka hoʻāʻo "maikaʻi" he maʻi koʻikoʻi kou. I kekahi manawa hiki iā ʻoe ke loaʻa nā antibodies me ka ʻole o nā hōʻailona.
- Mai poina e haʻi i kāu kauka e pili ana i kāu hoʻohana ʻana i ka biotin ma mua o ka hoʻāʻo.
- He aha ka mea i loko o ka hōʻike lab?Hiki ke ʻokoʻa nā pae maʻamau mai ka hale hana a i ka hale hana.
- ʻO ka mea nui loa, ʻo ia ke kamaʻilio ākea e pili ana i kāu mau hopena me kāu kauka. ʻO lākou ka poʻe hiki ke hāʻawi iā ʻoe i ka ʻōlelo aʻoaʻo pololei loa.
Manaʻolana wau he mea pono kēia ʻike nou. E ola kino!
Nā antibodies thyroid, nā hoʻāʻo thyroid, ka maʻi Hashimoto, ka maʻi Graves, autoimmune, TPOAb, TgAb, TSI, TRAb, nā hormones thyroid
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