Koj tus kws kho mob puas tau pom zoo kom kuaj ntshav rau cov tshuaj hormones thyroid, nrog rau lwm qhov kev kuaj tshwj xeeb? Los yog koj puas muaj teeb meem nrhiav qhov ua rau koj muaj teeb meem thyroid? Yog thaum ntawd peb tham txog yam hu ua 'Thyroid Antibody.' Txawm hais tias qhov no yuav zoo li lo lus nyuaj, nws yeej yooj yim heev. Cia peb saib seb qhov kev kuaj no yog dab tsi thiab nws nrhiav dab tsi.
Cov tshuaj tiv thaiv kab mob no yog dab tsi?
Hais yooj yim xwb, cov tshuaj tiv thaiv kab mob yog peb lub cev txoj kev tiv thaiv. Lawv txoj haujlwm yog nrhiav thiab rhuav tshem cov neeg txawv teb chaws uas nkag los (hu ua "antigens") xws li cov kab mob thiab cov kab mob me me uas nkag mus rau hauv lub cev. Qhov no yog ib feem tseem ceeb heev ntawm peb lub cev tiv thaiv kab mob.
Tiamsis qee zaum peb lub cev tiv thaiv kab mob ua yuam kev. Lawv pib tawm tsam tsis yog cov neeg txawv teb chaws xwb tab sis kuj tawm tsam peb cov hlwb thiab cov nqaij noj qab haus huv. Nov yog li cas peb hu cov tshuaj tiv thaiv kab mob uas tsim tawm tsam peb lub cev 'autoantibodies' .
Feem ntau cov neeg muaj cov tshuaj tiv thaiv kab mob no me me hauv lawv lub cev. Qhov ntawd yog ib txwm muaj. Tab sis yog tias lawv nce ntxiv ntau, nws txhais tau tias koj yuav muaj tus mob autoimmune.
Yog li ntawd, cov tshuaj tiv thaiv thyroid yog dab tsi?
Cov tshuaj tiv thaiv kab mob thyroid yog lwm hom autoantibody uas peb tau hais ua ntej. Qhov tshwm sim ntawm no yog tias peb lub cev tiv thaiv kab mob pib tawm tsam cov thyroid caj pas hauv peb lub caj dab tsis raug. Muaj ntau hom tshuaj tiv thaiv kab mob uas sim tawm tsam cov hlwb ntawm cov thyroid caj pas hauv txoj kev no. Kev Ntsuas Thyroid Antibody ntsuas cov no hauv cov ntshav.
Qhov kev kuaj no feem ntau yog xyuas seb koj puas muaj kab mob thyroid autoimmune. Ob yam kab mob yog:
1. Kab mob Hashimoto: Hauv qhov no, kev ua haujlwm ntawm cov qog thyroid txo qis (Hypothyroidism).
2. Kab mob Graves: Hauv qhov no, cov qog thyroid ua haujlwm ntau dhau (Hyperthyroidism).
| Cov hom tshuaj tiv thaiv thyroid tseem ceeb | Feem ntau muaj feem cuam tshuam nrog mob nkeeg |
|---|---|
| Cov Tshuaj Tiv Thaiv Thyroid Peroxidase (TPOAb) | Lub cim qhia tseem ceeb rau Hashimoto tus kab mob. |
| Thyroglobulin Antibody (TgAb) | Tej zaum nws yuav muaj feem cuam tshuam nrog Hashimoto tus kab mob. |
| Cov tshuaj immunoglobulin uas ua rau cov thyroid ua haujlwm (TSI) | Qhov cim qhia tseem ceeb rau tus kab mob Graves. |
| TSH receptor antibody (TRAb) | Lwm hom tshuaj tiv thaiv kab mob uas cuam tshuam nrog Graves' kab mob. |
Cov npe no yuav zoo li me ntsis txog kev tshawb fawb thiab nyuaj rau nco qab. Tsis ua li cas. Yog tias koj tus kws kho mob hu cov no los ntawm lwm lub npe, tsis txhob ntshai nug lawv tias lawv yog dab tsi.
Vim li cas tus kws kho mob thiaj pom zoo kom ua qhov kev kuaj no?
Feem ntau koj tus kws kho mob yuav ua cov kev kuaj ntshav hu ua TSH thiab T4 los xyuas koj cov tshuaj hormones thyroid. Yog tias cov txiaj ntsig ntawm cov kev kuaj ntawd tsis zoo , lawv yuav hais kom kuaj cov tshuaj tiv thaiv kab mob no kom paub tseeb tias yog dab tsi ua rau nws.
Tsis tas li ntawd xwb, tej zaum yuav muaj ntau lwm yam laj thawj:
- Tom qab kho mob qog noj ntshav hauv thyroid, xyuas seb puas tau rov qab los .
- Saib xyuas cov mob thyroid thaum cev xeeb tub .
Kuv yuav tsum npaj li cas rau qhov kev xeem no?
Qhov no yog qhov zoo tshaj plaws. Feem ntau qhov kev kuaj ntshav no tsis tas yuav muaj kev npaj tshwj xeeb . Koj tuaj yeem noj thiab haus dej li qub. Txawm li cas los xij, yog tias koj tus kws kho mob muab lwm cov lus qhia rau koj, koj yuav tsum ua raws li lawv.
Txawm li cas los xij, muaj ib qho tseem ceeb heev. Yog tias koj noj cov vitamins lossis cov tshuaj ntxiv uas muaj biotin, koj yuav tsum qhia rau koj tus kws kho mob txog qhov ntawd. Biotin tuaj yeem cuam tshuam rau cov txiaj ntsig ntawm qhov kev kuaj no. Yog li nug koj tus kws kho mob tias koj yuav tsum tsis txhob noj pes tsawg hnub ua ntej qhov kev kuaj.
Qhov no ua tiav hauv chav kuaj ntshav, ib yam li kev kuaj ntshav ib txwm muaj. Nws suav nrog kev rho me me ntawm cov ntshav los ntawm cov leeg ntshav hauv koj txhais caj npab siv ib rab koob me me.
Kuv nkag siab li cas txog cov txiaj ntsig ntawm daim ntawv qhia?
Daim ntawv qhia uas koj tau txais feem ntau yuav muaj cov hauv qab no:
- Lub npe ntawm qhov kev xeem
- Koj cov txiaj ntsig ntawm kev kuaj ntshav
- Qhov ntau yam ib txwm muaj ntawm qhov kev xeem
- Txawm koj qhov tshwm sim yog "Zoo" lossis "Tsis Zoo", lossis siab lossis qis.
Feem ntau, cov txiaj ntsig ntawm daim ntawv qhia txog cov tshuaj tiv thaiv thyroid yog teev tias 'Tsis zoo' lossis 'Zoo' .
- Qhov tshwm sim tsis zoo txhais tau tias qib ntawm cov tshuaj tiv thaiv kab mob hauv koj lub cev nyob hauv qhov ntau thiab tsawg ib txwm muaj.
- Qhov tshwm sim zoo txhais tau tias qib antibody siab dua qhov ib txwm muaj.
Cov nqi ib txwm yog dab tsi?
Cov nqi no yuav txawv me ntsis ntawm chav kuaj mus rau chav kuaj, yog li ntawd ib txwm muab piv rau 'Normal Range' uas teev nyob rau hauv koj daim ntawv qhia. Feem ntau, cov nqi ib txwm yog raws li nram no:
| Hom tshuaj tiv thaiv kab mob | Tus nqi nruab nrab (kwv yees li) |
|---|---|
| Cov tshuaj tiv thaiv kab mob thyroid peroxidase (TPOAb) | Yuav tsum tsawg dua 5.6 IU / ml |
| Cov tshuaj tiv thaiv thyroglobulin (TgAb) | Yuav tsum tsawg dua 4 IU / ml |
| TSH receptor antibodies (TRAb) | Yuav tsum tsawg dua 1.75 IU/L (tej zaum yuav txawv nyob ntawm hom kev kuaj) |
| Cov tshuaj immunoglobulin uas ua rau cov thyroid ua haujlwm zoo (TSI) | Yuav tsum tsawg dua 0.55 IU / ml |
Nco ntsoov, tsis txhob ntshai thaum koj pom cov txiaj ntsig ntawm daim ntawv qhia. Koj tus kws kho mob yog tus neeg zoo tshaj plaws los piav qhia meej tias nws txhais li cas.
Txhais li cas yog tias cov tshuaj tiv thaiv kab mob zoo?
Feem ntau qhov kev kuaj mob thyroid antibody qhia tias koj muaj tus kab mob autoimmune thyroid. Tab sis qhov ntawd tsis yog li ntawd tas li . Qee tus neeg noj qab haus huv kuj tuaj yeem qhia tias koj muaj cov tshuaj no. Yog vim li ntawd tus kws kho mob yuav saib daim ntawv qhia no nrog rau koj cov tsos mob thiab lwm yam kev kuaj ntshav (xws li TSH).
Yog tias cov tshuaj tiv thaiv TPO zoo:
- Yog tias koj cov TSH hormone kuj nce siab, tej zaum koj muaj tus kab mob Hashimoto .
- Txawm tias koj tus TSH theem tam sim no yog ib txwm muaj, yog tias koj tus TPO antibody zoo, koj yuav muaj feem yuav mob hypothyroidism yav tom ntej .
Yog tias TgAb antibody zoo:
- Qhov no kuj tseem tuaj yeem hais tias yog Hashimoto tus kab mob.
- Yog tias cov theem TgAb siab dua rau ib tus neeg uas tau phais thiab kho mob qog noj ntshav hauv thyroid, nws yuav qhia tau tias muaj kev pheej hmoo ntawm kev rov qab mob qog noj ntshav .
Yog tias cov tshuaj TRAb thiab TSI muaj cov tshuaj tiv thaiv kab mob zoo:
- Yog tias koj cov TSH hormone qis thiab koj muaj cov tshuaj tiv thaiv kab mob no, muaj feem ntau heev uas koj muaj tus kab mob Graves . Kwv yees li 95% ntawm cov neeg uas muaj tus kab mob Graves muaj cov tshuaj tiv thaiv kab mob no.
Yog tias cov txiaj ntsig tsis zoo li qub, yuav ua li cas tom ntej?
Yog tias koj cov txiaj ntsig ntawm kev kuaj mob antibody tsis zoo li qub, tsis txhob txhawj. Koj tus kws kho mob yuav piav qhia txog yam yuav tsum ua tom ntej thiab seb puas xav tau kev kho mob.
Yog tias tus kab mob Hashimoto ua rau muaj hypothyroidism, kev kho mob feem ntau yog noj tshuaj txhua hnub mus tas li. Rau tus kab mob Graves, muaj ntau txoj kev xaiv, suav nrog cov tshuaj thiab kev kho mob hluav taws xob.
Nws yog ib qho ib txwm muaj uas koj yuav ntshai thiab txhawj xeeb thaum koj pom qhov tshwm sim txawv txawv ntawm daim ntawv qhia. Tab sis nco ntsoov, koj tus kws kho mob yuav pab koj los ntawm kev piav qhia txog cov txiaj ntsig thiab tham txog kev kho mob yog tias tsim nyog. Tsis txhob yig nug koj tus kws kho mob txog cov lus nug, kev txhawj xeeb, lossis kev tsis ntseeg uas koj muaj.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kev kuaj mob thyroid antibody feem ntau yog nrhiav seb qhov ua rau koj qhov teeb meem thyroid puas yog tus mob autoimmune.
- Tsuas yog vim qhov tshwm sim yog 'zoo' tsis tau txhais hais tias koj muaj kab mob. Nws yog lub luag haujlwm ntawm tus kws kho mob los piv rau lwm yam kev kuaj xws li TSH thiab koj cov tsos mob, thiab tom qab ntawd los xaus lus.
- Ua ntej koj yuav kuaj, nws yog ib qho tseem ceeb uas koj yuav tsum qhia rau koj tus kws kho mob txog cov vitamins uas koj noj, tshwj xeeb tshaj yog cov uas muaj biotin.
- Tsis txhob ntshai tsuas yog saib cov lej ntawm daim ntawv qhia xwb. Ib txwm nrog koj tus kws kho mob tham txog qhov no thiab piav qhia meej.
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