Ka tuyige ebisingawo ku kukebera Thyroid Antibody.

Waliwo omusawo wo akuwadde amagezi okukeberebwa mu musaayi okuzuula obusimu bwa thyroid, awamu n’okukeberebwa okulala okw’enjawulo? Oba olina obuzibu okuzuula ekituufu ekikuviiriddeko ekizibu kya thyroid? Wano we twogera ku kye bayita ‘Thyroid Antibody.’ Wadde kino kiyinza okuwulikika ng’ekigambo ekizibu, mu butuufu kyangu nnyo. Ka tulabe ekigezo kino kye ki ne kye kinoonya.

Antibody eno kye ki?

Mu ngeri ennyangu, antibodies y’enkola y’omubiri gwaffe ey’okwekuuma. Omulimu gwabwe kwe kunoonya n'okusaanyaawo abalumbaganyi abagwira (abayitibwa ``antigens'') nga akawuka ne bakitiriya eziyingira mu mubiri. Kino kitundu kikulu nnyo mu baserikale b’omubiri gwaffe.

Naye oluusi abaserikale baffe abaziyiza endwadde bakola ensobi. Tebatandika kulumba balumbaganyi abagwira bokka wabula n’obutoffaali n’ebitundu byaffe ebiramu. Eno y’engeri gye tuyita obuziyiza obukola ku mibiri gyaffe ‘autoantibodies’ .

Kale ekirungo ekiziyiza obulwadde bwa thyroid kye ki?

Antibodies za thyroid kye kika ekirala ekya autoantibody kye twayogeddeko emabegako. Ekibaawo wano nti abaserikale baffe abaserikale mu nsobi batandika okulumba endwadde ya thyroid mu bulago bwaffe. Waliwo ebika by’obutoffaali obuziyiza endwadde ebiwerako ebigezaako okulumba obutoffaali bw’endwadde z’ekibumba mu ngeri eno. Ekigezo kya Thyroid Antibody Test kipima bino mu musaayi.

Okukebera kuno okusinga kukebera okulaba oba olina obulwadde bwa thyroid obuyitibwa autoimmune thyroid disease. Endwadde zino ebbiri ze zino:

1. Obulwadde bwa Hashimoto: Mu kino, enkola y’endwadde z’ekibumba ekendeera (Hypothyroidism).

2. Obulwadde bwa Graves: Mu kino, endwadde ya thyroid ekola ekisusse (Hyperthyroidism).

Amannya gano gayinza okulabika ng’aga ssaayansi era nga gazibu okujjukira. Ekyo si kibi. Singa omusawo ebintu bino abiyita amannya amalala, totya kubibuuza mu ngeri ey’enjawulo kiki.

Lwaki omusawo yandiwadde amagezi okukebera kuno?

Omusawo wo ajja kutera okukebera omusaayi oguyitibwa TSH ne T4 okukebera obusimu bwo mu thyroid. Singa ebyava mu kukebera okwo biba bya bulijjo , bajja kulagira okukeberebwa kuno okw’obutoffaali obuziyiza endwadde okuzuula ekituufu ekibireeta.

Okugatta ku ekyo, wayinza okubaawo ensonga endala eziwerako:

• Oluvannyuma lw’okujjanjaba kookolo w’ekibumba, kebera olabe oba kookolo akomyewo .
• Londoola embeera za thyroid nga oli lubuto .

Nteeke ntya okugezesebwa kuno?

Kino kye kintu ekisinga obulungi. Okukebera omusaayi kuno ebiseera ebisinga tekyetaagisa nteekateeka yonna ya njawulo . Osobola okulya n’okunywa mu ngeri eya bulijjo. Kyokka singa omusawo akuwa ebiragiro ebirala, olina okubigoberera.

Kino kikolebwa mu laabu, okufaananako n’okukebera omusaayi bulijjo. Kizingiramu okuggya omusaayi omutono mu musuwa oguli mu mukono gwo ng’okozesa empiso entono.

Ntegedde ntya ebyava mu lipoota?

Lipoota gy’ofuna ebiseera ebisinga ejja kubaamu bino wammanga:

• Erinnya ly’okugezesebwa
• Ebyava mu kukeberebwa omusaayi gwo
• Obuwanvu obwa bulijjo obw’okugezesebwa
• Oba ebyavaamu byo "Positive" oba "Negative", oba waggulu oba wansi.

Mu budde obutuufu, ebiva mu lipoota y’obutafaali obuziyiza obulwadde bwa thyroid biwandiikibwa nga ‘Negative’ oba ‘Positive’ .

• Ekivaamu ekibi kitegeeza nti omutindo gw’ekiziyiza ekyo mu mubiri gwo guli mu bbanga erya bulijjo.
• Ekivaamu ekirungi kitegeeza nti omutindo gw’obutafaali obuziyiza endwadde guli waggulu w’ekigero ekya bulijjo.

Miwendo ki egya bulijjo?

Emiwendo gino giyinza okwawukana katono okuva ku laabu okudda ku ndala, kale bulijjo gigeraageranya ku ‘Normal Range’ ewandiikiddwa ku lipoota yo. Okutwaliza awamu, emiwendo egya bulijjo giri bwe giti:

Kitegeeza ki singa antibody eba positive?

Okukeberebwa obutoffaali obuziyiza obulwadde bwa thyroid obulungi kitera okutegeeza nti olina obulwadde bwa thyroid obuva ku busimu obuziyiza endwadde. Naye ekyo si bwe kiri bulijjo . Abantu abamu abalamu nabo basobola okuba nga balina obutoffaali buno obuziyiza endwadde. Eno y’ensonga lwaki omusawo ajja kutunuulira lipoota eno wamu n’obubonero bwo n’okukeberebwa omusaayi okulala (nga TSH).

Singa obuziyiza bwa TPO buba bulungi:

• Singa obusimu bwo obwa TSH nagwo buba bungi, kirabika olina obulwadde bwa Hashimoto .
• Ne bwe kiba nti mu kiseera kino omutindo gwa TSH gwo guli gwa bulijjo, singa ekirungo kyo ekiziyiza TPO kiba kirungi, oyinza okuba mu bulabe bw’okulwala obulwadde bwa hypothyroidism mu biseera eby’omu maaso .

Singa ekiziyiza kya TgAb kiba kirungi:

• Kino era kiyinza okugambibwa nti bulwadde bwa Hashimoto.
• Singa emiwendo gya TgAb girinnya mu muntu eyalongoosebwa n’obujjanjabi obw’amasannyalaze ku kookolo w’ekibumba, kiyinza okulaga nti alina akabi k’okuddamu okulwala kookolo .

Singa obutoffaali obuziyiza endwadde bwa TRAb ne TSI buba bulungi:

• Singa obusimu bwo obwa TSH buba wansi era ng’olina antibody eno positive, emikisa mingi nnyo nti olina obulwadde bwa Graves . Abantu nga 95% abalina obulwadde bwa Graves balina antibody eno positive.

Singa ebyavaamu biba si bya bulijjo, kiki ekiddako?

Singa ebyava mu kukebera obutoffaali bwo obutali bwa bulijjo, teweeraliikiriranga. Omusawo ajja kukunnyonnyola ekiddako n’okumanya oba kyetaagisa obujjanjabi oba nedda.

Singa obulwadde bwa Hashimoto buleeta obulwadde bwa hypothyroidism, obujjanjabi butera kuba ddagala lya buli lunaku erimira obulamu bwonna. Ku bulwadde bwa Graves, waliwo engeri eziwerako omuli empeke n’obujjanjabi obw’amasannyalaze.

Kya bulijjo okuwulira ng’otya n’okweraliikirira ng’olaba ekivuddemu ekitali kya bulijjo ku lipoota. Naye jjukira nti omusawo ajja kukuyamba ng’akunnyonnyola ebinaavaamu n’okukubaganya ebirowoozo ku bujjanjabi bwe kiba kyetaagisa. Tolonzalonza kubuuza musawo wo bibuuzo byonna, ebikweraliikiriza, oba okubuusabuusa kwonna kw’oyinza okuba nakwo.