Kua tūtohutia e tō tākuta he whakamātautau toto mō ngā homoni tairoi, me tētahi atu whakamātautau motuhake? Kei te raru rānei koe ki te kimi i te tino pūtake o tō raruraru tairoi? Koinei te wā e kōrerohia ai te mea e kiia nei ko te 'Paturopi Tairoi'. Ahakoa he kupu uaua pea tēnei, he tino māmā noa iho. Me titiro tātou ki te āhua o tēnei whakamātautau me tana e rapu ana.
He aha tēnei paturopi?
He whakarāpopototanga noa iho, ko ngā paturopi te pūnaha ārai mate o tō tātou tinana. Ko tā rātou mahi he kimi me te whakangaro i ngā whakaekenga ke (e kiia nei ko ngā "antigens") pērā i ngā huaketo me ngā huakita e uru mai ana ki te tinana. He wāhanga tino nui tēnei o tō tātou pūnaha ārai mate.
Engari i ētahi wā ka hē tō tātou pūnaha ārai mate. Ka tīmata rātou ki te whakaeke i ngā mea tauhou, tae atu ki ō tātou ake pūtau me ngā kiko hauora. Koinei te huarahi e kīia ai e tātou he 'autoantibodies' ngā paturopi e hanga ana hei patu i ō tātou ake tinana .
He iti noa iho te nui o ēnei paturopi ā-tinana i roto i te tinana o te nuinga o te tangata. He mea noa tēnā. Engari ki te piki ake te rahinga, ko te tikanga he mate pūnaha ārai mate tōu.
Nā, he aha te paturopi tairoi?
Ko ngā paturopi tairoiti tētahi atu momo paturopi-ā-tinana i kōrerotia i mua ake nei. Ko te mea e tupu ana i konei ko te tīmatanga o te whakaekenga hē a tō tātou pūnaha ārai mate i te repe tairoiti i roto i tō tātou kaki. He maha ngā momo paturopi e ngana ana ki te whakaeke i ngā pūtau o te repe tairoiti i tēnei ara. Ka inehia ēnei e te Whakamātautau Paturopi Tairoiti i roto i te toto.
Ko te nuinga o tēnei whakamātautau ka tirohia mēnā he mate tairoi ā-pūnaha tōu. Ko ngā mate e rua ko:
1. Te mate a Hashimoto: I tēnei, ka heke te mahi a te repe tairoiti (Hypothyroidism).
2. Te mate a Kerei: I tēnei, ka nui rawa te mahi a te repe tairoiti (Hyperthyroidism).
| Ngā momo matua o ngā paturopi tairoi | Te āhua hauora e pā pinepine ana |
|---|---|
| Paturopi Peroxidase Thyroid (TPOAb) | Ko te tohu matua mō te mate a Hashimoto. |
| Paturopi Tirokoropulini (TgAb) | Tērā pea he hononga ki te mate a Hashimoto. |
| Te immunoglobulin whakaoho-tairoid (TSI) | Ko te tohu matua mō te mate a Graves. |
| Paturopi kaiwhakawhiwhi TSH (TRAb) | Ko tētahi atu momo paturopi e pā ana ki te mate a Graves. |
Tērā pea he āhua pūtaiao ēnei ingoa, ā, he uaua ki te maumahara. Kāore he aha. Ki te karangahia ēnei mea e tō tākuta ki ētahi atu ingoa, kaua e wehi ki te pātai atu he aha rātou.
He aha te take e taunaki ai te tākuta i tēnei whakamātautau?
I te nuinga o te wā ka whakahaerehia e tō tākuta he whakamātautau toto e kiia nei ko te TSH me te T4 hei tirotiro i ngā taumata o ō homoni tairoi. Mena he rerekē ngā hua o aua whakamātautau , ka whakahaua e ia tēnei whakamātautau paturopi hei kimi i te take tika o te mate.
Hei tāpiritanga, tera pea ētahi atu take:
- I muri i te maimoatanga mō te mate pukupuku tairoi, tirohia mēnā kua hoki mai te mate pukupuku .
- Aroturukihia te āhua o te tairoi i te wā e hapu ana .
Me pēhea taku whakarite mō tēnei whakamātautau?
Koinei te mea pai rawa atu. Kāore e hiahiatia he whakaritenga motuhake mō tēnei whakamātautau toto. Ka taea e koe te kai me te inu noa. Heoi, ki te hoatu e tō tākuta ētahi atu tohutohu ki a koe, me whai koe i aua tohutohu.
Heoi anō, kotahi te mea tino nui. Mena kei te tango koe i ētahi huaora, i ētahi tāpiringa rānei kei roto ko te biotin, me kōrero koe ki tō tākuta mōna. Ka pā kino pea te biotin ki ngā hua o tēnei whakamātautau. Nō reira, pātai atu ki tō tākuta kia hia ngā rā i mua i te whakamātautau me mutu te tango.
Ka mahia tēnei i roto i te taiwhanga, pērā i te whakamātautau toto noa. Ko te tikanga he tango i tētahi toto iti mai i tētahi uaua i tō ringa mā te whakamahi i tētahi ngira iti.
Me pēhea taku mārama ki ngā hua o te pūrongo?
Ko te pūrongo ka riro mai i a koe ka whakaurua ēnei e whai ake nei:
- Ingoa o te whakamātautau
- Te hua o tō whakamātautau toto
- Te whānuitanga noa o te whakamātautau
- Ahakoa he "Pai" he "Kino" rānei tō hua, he teitei, he iti rānei.
Ko te tikanga, ko ngā hua o te pūrongo mō te paturopi tairoi ka whakarārangihia he 'Kino' he 'Pai' rānei.
- Ko te tikanga o te hua kino kei roto i te awhe noa te taumata o taua paturopi i roto i tō tinana.
- Ko te tikanga o te hua pai he nui ake te taumata o te paturopi i te awhe noa.
He aha ngā uara noa?
Tērā pea ka rerekē ngā uara nei i ia taiwhanga, nō reira me whakarite tonu ki te 'Awhe Noa' kua whakarārangihia i runga i tō pūrongo. Ko ngā uara noa koia ēnei:
| Momo paturopi | Uara toharite (tata) |
|---|---|
| Paturopi peroxidase thyroid (TPOAb) | Me iti iho i te 5.6 IU/ml |
| Ngā paturopi tiroglobulin (TgAb) | Me iti iho i te 4 IU/ml |
| Ngā paturopi kaiwhakawhiwhi TSH (TRAb) | Me iti iho i te 1.75 IU/L (tērā pea ka rerekē i runga i te momo whakamātautau) |
| Te immunoglobulin whakaohooho tairoi (TSI) | Me iti iho i te 0.55 IU/ml |
Kia maumahara, kaua e mataku ina kite koe i ngā hua o te pūrongo. Ko tō tākuta te tangata pai rawa atu hei whakamārama i te tikanga o tēnei pūrongo.
He aha te tikanga mēnā he pai te hua o te paturopi?
Ko te whakamātautau pai mō te paturopi tairoi he tohu kei a koe he mate tairoi ā-tinana. Engari ehara i te mea koinei tonu te āhua . Ka taea hoki e ētahi tāngata hauora te whai hua mō ēnei paturopi. Koia te take ka tirohia e te tākuta tēnei pūrongo me ō tohu me ētahi atu whakamātautau toto (pēnei i te TSH).
Mena he pai ngā paturopi TPO:
- Mena kei te teitei ake hoki ō taumata homoni TSH, ko te tikanga kei a koe te mate a Hashimoto .
- Ahakoa he noa tō taumata TSH i tēnei wā, ki te pai tō paturopi TPO, tera pea ka tūpono koe ki te pāngia e te hypothyroidism ā muri ake nei .
Mena he pai te paturopi TgAb:
- Ka taea hoki te kī koinei te mate a Hashimoto.
- Mena he teitei ake ngā taumata TgAb i roto i te tangata kua pokangahia, kua rongoatia hoki ki te irahiko mō te mate pukupuku tairoi, tera pea he tohu tēnei kei te hoki anō te mate pukupuku .
Mena he pai ngā paturopi TRAb me TSI:
- Mena he iti ngā taumata o tō homoni TSH, ā, he pai te kitenga o tēnei paturopi, he tino nui te tūponotanga kei te pāngia koe e te mate a Graves . Tata ki te 95% o te hunga e pāngia ana e te mate a Graves he pai te kitenga o tēnei paturopi.
Mena he rerekē ngā hua, he aha te mea ka tupu i muri mai?
Mena he rerekē ngā hua o tō whakamātautau paturopi, kaua e manukanuka. Mā tō tākuta e whakamārama te mea hei mahi i muri mai, me te mea rānei e hiahiatia ana he maimoatanga.
Mena ka puta te hypothyroidism i te mate a Hashimoto, ko te rongoā he pire ia rā e tangohia ana mō te oranga katoa. Mō te mate a Graves, he maha ngā kōwhiringa, tae atu ki ngā pire me te rongoā irahiko.
He mea noa te mataku me te manukanuka ina kite koe i tētahi hua rerekē i runga i tētahi pūrongo. Engari kia mahara, ka āwhina tō tākuta i a koe mā te whakamārama i ngā hua me te matapaki i te maimoatanga mēnā e tika ana. Kaua e mangere ki te pātai ki tō tākuta i ngā pātai, i ngā āwangawanga, i ngā ruarua rānei kei a koe.
Karere Tangohia ki te Kāinga
- Ko te whakamātautau paturopi tairoi te mea nui hei tirotiro mēnā he mate pūnaha ārai mate te take o tō raruraru tairoi.
- Ahakoa he 'pai' te hua, ehara i te mea he mate tōu. Kei te tākuta te kawenga ki te whakarite i tēnei ki ētahi atu whakamātautau pērā i te TSH me ō tohumate, kātahi ka puta he whakatau.
- He mea nui kia whakamōhio koe ki tō tākuta i mua i te whakamātautau mō ngā huaora katoa e tangohia ana e koe, inā koa ko ērā kei roto ko te biotin.
- Kaua e mataku mā te titiro noa ki ngā tau kei runga i te pūrongo. Kōrero tonu ki tō tākuta mō tēnei mea, me te whakamārama anō hoki.
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