Tiyeni tiphunzire zambiri za mayeso a Thyroid Antibody.

Kodi dokotala wanu adakulangizanipo kuti muyesedwe magazi kuti muwone ngati muli ndi mahomoni a chithokomiro, komanso mayeso ena apadera? Kapena mukuvutika kupeza chomwe chimayambitsa vuto lanu la chithokomiro? Pamenepo ndi pomwe timalankhula za zomwe zimatchedwa 'Chithokomiro Choletsa Matenda a Chithokomiro.' Ngakhale kuti izi zingamveke ngati mawu ovuta, kwenikweni ndi osavuta. Tiyeni tiwone chomwe mayesowa ndi omwe akuyang'ana.

Kodi antibody iyi ndi chiyani?

Mwachidule, ma antibodies ndi chitetezo cha thupi lathu. Ntchito yawo ndi kupeza ndi kuwononga olowa m'thupi (otchedwa "antigens") monga mavairasi ndi mabakiteriya omwe amalowa m'thupi. Ichi ndi gawo lofunika kwambiri la chitetezo chathu chamthupi.

Koma nthawi zina chitetezo chathu chamthupi chimalakwitsa. Chimayamba kuukira osati anthu akunja okha komanso maselo ndi minofu yathu yathanzi. Umu ndi momwe timatchulira ma antibodies omwe amapanga motsutsana ndi matupi athu kuti 'autoantibodies' .

Ndiye kodi antibody ya chithokomiro ndi chiyani?

Ma antibodies a chithokomiro ndi mtundu wina wa ma antibodies omwe tatchula kale. Chomwe chimachitika apa ndi chakuti chitetezo chathu cha mthupi chimayamba molakwika kuukira chithokomiro chomwe chili m'khosi mwathu. Pali mitundu ingapo ya ma antibodies omwe amayesa kuukira maselo a chithokomiro mwanjira iyi. Kuyesa kwa Chithokomiro kumayesa izi m'magazi.

Kuyezetsa kumeneku kumafufuza makamaka ngati muli ndi matenda a chithokomiro omwe amayambitsa chitetezo chamthupi. Matenda awiriwa ndi awa:

1. Matenda a Hashimoto: Pachifukwa ichi, ntchito ya chithokomiro imachepa (Hypothyroidism).

2. Matenda a Graves: Pachifukwa ichi, chithokomiro chimayamba kugwira ntchito mopitirira muyeso (Hyperthyroidism).

Mayina awa angawoneke ngati asayansi pang'ono komanso ovuta kuwakumbukira. Palibe vuto. Ngati dokotala wanu atchula zinthuzi ndi mayina ena, musaope kuwafunsa mwachindunji kuti ndi chiyani.

N’chifukwa chiyani dokotala angalimbikitse mayeso amenewa?

Dokotala wanu nthawi zambiri amachita mayeso a magazi otchedwa TSH ndi T4 kuti aone kuchuluka kwa mahomoni a chithokomiro chanu. Ngati zotsatira za mayesowo sizili bwino , adzalamula mayeso a antibody kuti adziwe chomwe chikuyambitsa matendawa.

Kuphatikiza apo, pakhoza kukhala zifukwa zina zingapo:

• Mukalandira chithandizo cha khansa ya chithokomiro, yang'anani ngati khansayo yabwerera .
• Yang'anirani matenda a chithokomiro panthawi ya mimba .

Kodi ndiyenera kukonzekera bwanji mayesowa?

Ichi ndiye chinthu chabwino kwambiri. Kuyezetsa magazi kumeneku nthawi zambiri sikufuna kukonzekera kwapadera . Mutha kudya ndi kumwa mwachizolowezi. Komabe, ngati dokotala wanu akukupatsani malangizo ena, muyenera kuwatsatira.

Izi zimachitika mu labu, monga momwe magazi amayezedwera nthawi zonse. Zimaphatikizapo kutenga magazi ochepa kuchokera mumtsempha womwe uli m'dzanja lanu pogwiritsa ntchito singano yaying'ono.

Kodi ndimamvetsa bwanji zotsatira za lipotilo?

Lipoti lomwe mumalandira nthawi zambiri limakhala ndi izi:

• Dzina la mayeso
• Zotsatira za mayeso anu a magazi
• Mtundu wabwinobwino wa mayeso
• Kaya zotsatira zanu ndi "Zabwino" kapena "Zoipa", kapena zapamwamba kapena zochepa.

Kawirikawiri, zotsatira za lipoti la ma antibodies a chithokomiro zimalembedwa ngati 'Negative' kapena 'Positive' .

• Zotsatira zoyipa zikutanthauza kuti mulingo wa antibody m'thupi lanu uli mkati mwa mulingo woyenera.
• Zotsatira zabwino zimatanthauza kuti mulingo wa ma antibodies uli pamwamba pa mulingo wabwinobwino.

Kodi miyezo yachibadwa ndi iti?

Ma mtengo awa akhoza kusiyana pang'ono kuchokera ku labu kupita ku labu, choncho nthawi zonse muwayerekezere ndi 'Normal Range' yomwe yalembedwa pa lipoti lanu. Kawirikawiri, mitengo yabwinobwino ndi iyi:

Kodi zikutanthauza chiyani ngati antibody ili ndi kachilombo?

Kuyezetsa kwa ma antibodies a chithokomiro nthawi zambiri kumatanthauza kuti muli ndi matenda a chithokomiro omwe amadziyimira pawokha. Koma sizili choncho nthawi zonse . Anthu ena athanzi amathanso kukhala ndi ma antibodies amenewa. Ichi ndichifukwa chake dokotala adzayang'ana lipotili limodzi ndi zizindikiro zanu ndi mayeso ena a magazi (monga TSH).

Ngati ma antibodies a TPO ali ndi zotsatira zabwino:

• Ngati muli ndi TSH yambiri, mwina muli ndi matenda a Hashimoto .
• Ngakhale mutakhala kuti mulingo wa TSH wanu uli wabwinobwino pakadali pano, ngati antibody yanu ya TPO ili ndi kachilombo, mutha kukhala pachiwopsezo chokhala ndi hypothyroidism mtsogolo .

Ngati antibody ya TgAb ili ndi kachilombo:

• Izi zitha kunenedwanso kuti ndi matenda a Hashimoto.
• Ngati kuchuluka kwa TgAb kwakwera mwa munthu amene wachitidwa opaleshoni ndi kulandira chithandizo cha radiation cha khansa ya chithokomiro, izi zitha kusonyeza chiopsezo chobwereranso kwa khansa .

Ngati ma antibodies a TRAb ndi TSI ali ndi zotsatira zabwino:

• Ngati muli ndi TSH hormone yotsika ndipo muli ndi antibody iyi, pali mwayi waukulu kuti muli ndi matenda a Graves . Pafupifupi 95% ya anthu omwe ali ndi matenda a Graves ali ndi antibody iyi.

Ngati zotsatira zake sizili zachilendo, nchiyani chimachitika pambuyo pake?

Ngati zotsatira za mayeso anu a antibody sizili bwino, musadandaule. Dokotala wanu adzakufotokozerani zomwe mungachite kenako komanso ngati chithandizo chikufunika kapena ayi.

Ngati matenda a Hashimoto amayambitsa hypothyroidism, chithandizo nthawi zambiri chimakhala piritsi la tsiku ndi tsiku lomwe limatengedwa moyo wonse. Pa matenda a Graves, pali njira zingapo, kuphatikizapo mapiritsi ndi chithandizo cha radiation.

Ndizachibadwa kuchita mantha komanso kuda nkhawa mukaona zotsatira zachilendo pa lipoti. Koma kumbukirani kuti dokotala wanu adzakuthandizani pofotokoza zotsatira zake ndikukambirana za chithandizo ngati pakufunika kutero. Musazengereze kufunsa dokotala wanu mafunso, nkhawa, kapena kukayikira kulikonse komwe mungakhale nako.