Kodi inunso muli ndi vuto la chithokomiro? Tiyeni tiphunzire bwino za ma antibodies a chithokomiro awa!

Mwina dokotala anakufunsirani kuti muyese mayeso a chitetezo cha mthupi cha thyroid, kapena mwina munamvapo za izi kwinakwake. Kodi mayesowa ndi otani kwenikweni? N’chifukwa chiyani ndi ofunikira kwambiri? Mwina mukuganiza kuti, “Kodi ndili ndi vuto lalikulu?” Musadandaule, tidzafotokoza zonse m’njira yosavuta yomwe mungamvetse.

Kodi mayeso a Antibody a Chithokomiro ndi chiyani?

Mwachidule, iyi ndi mayeso a magazi. Kuyesa kumeneku kumathandiza kudziwa chomwe chikuchititsa kuti mahomoni a chithokomiro chanu akhale otsika kapena okwera. Makamaka, kungayang'ane ngati muli ndi matenda a chithokomiro omwe amadzipangira okha , monga matenda a Hashimoto kapena matenda a Graves.

Kodi ma antibodies ndi ma autoantibodies ndi chiyani? Zosavuta kwambiri!

Tangoganizirani, matupi athu ali ndi gawo la ife lomwe lili ngati mlonda. Ndicho chimene timatcha ma antibodies . Awa ndi mtundu wa mapuloteni opangidwa ndi chitetezo chathu cha mthupi. Kawirikawiri, ma antibodies amenewa amaukira adani (omwe timawatcha ma antigen ) monga majeremusi, mabakiteriya, ndi mavairasi omwe amalowa m'thupi lathu.

Koma nthawi zina chitetezo chathu chamthupi chimasokonekera. Kenako ma antibodies amenewa amayamba kuukira maselo athu athanzi. Ma antibodies a autoantibodies ndi ma antibodies omwe amapangidwa motsutsana ndi thupi lathu. Anthu ambiri amakhala ndi ma antibodies ochepa m'thupi lawo, zomwe ndi zachilendo. Komabe, ngati alipo ambiri, zikutanthauza kuti mungakhale ndi vuto la autoimmune.

Ponena za chithokomiro, chitetezo cha mthupi chanu chikaukira maselo a chithokomiro, kuchuluka kwa ma antibodies a chithokomiro m'magazi anu kumawonjezeka.

Kodi mitundu ikuluikulu ya ma antibodies a chithokomiro ndi iti?

Pali mitundu ingapo ya ma antibodies a chithokomiro. Ofunika kwambiri ndi awa:

• Ma Antibodies a Thyroid Peroxidase (TPOAb) kapena Ma Antibodies a Anti-microsomal: Awa ndi ma antibodies omwe makamaka amasonyeza kukhalapo kwa matenda a Hashimoto.
• Ma antibodies a Thyroglobulin (TgAb) .
• Matenda a Thyroid Stimulating Immunoglobulin (TSI) : Awa ndi ma antibodies omwe amasonyeza makamaka kukhalapo kwa matenda a Graves.
• Ma antibodies a hormone yolimbikitsa chithokomiro (TSH) (TRAb): Uwu ndi mtundu wina wa ma antibodies omwe angagwirizane ndi matenda a Graves.

Ma antibodies onsewa akhoza kukhala ndi mayina ena angapo omwe amamveka ofanana. Dokotala wanu angawatchenso mayina ena. Chifukwa chake pali chisokonezo ( chisokonezo /kukayika mu Chitamil, koma apa amagwiritsidwa ntchito kutanthauza chisokonezo mu chilankhulo cha Chisinhala, komabe, wogwiritsa ntchito akufuna Chisinhala choyera. Chifukwa chake ndisintha izi kukhala "Pali china chake chosokoneza" kapena "Pali china chake chovuta kumvetsetsa") ... Ayi, ayi, kotero ngati pali china chake chovuta kumvetsetsa, ngati sichikumveka bwino, musaope kufunsa dokotala.

Kodi dokotala amalangiza kuti achite mayeso awa nthawi yanji?

Ngati zotsatira za mayeso anu a TSH (Chithokomiro Cholimbikitsa Hormone) ndi T4 (Thyroxine) sizili bwino, dokotala angapereke mayeso amodzi kapena angapo a ma antibodies a chithokomiro.

Kupatula apo, dokotala angakulimbikitseni mayesowa pazifukwa zina zingapo:

• Yang'anani ngati khansa ya chithokomiro ikubwereranso.
• Yang'anirani momwe chithokomiro chilili panthawi ya mimba.

Kodi mungakonzekere bwanji mayeso a antibody a chithokomiro?

Kawirikawiri, palibe kukonzekera kwapadera kofunikira pa mayeso a chitetezo cha mthupi a chithokomiro. Mutha kudya ndi kumwa moyenera pokhapokha ngati dokotala wanu akulangizani mwanjira ina.

Komabe, ngati mukumwa mankhwala ena aliwonse okhala ndi biotin, onetsetsani kuti mwafunsa dokotala wanu kuti musiye kumwa mankhwalawa nthawi yayitali bwanji musanayesedwe, chifukwa kumwa biotin kungakhudze zotsatira za mayesowa.

Kuyeza magazi kumeneku ndi kosavuta kwambiri. Mutha kuchita izi nthawi iliyonse ya tsiku ku labu. Munthu amene adzatenga magazi (phlebotomist) adzagwiritsa ntchito singano yaying'ono kuti atenge magazi ochepa kuchokera m'mitsempha yomwe ili m'dzanja lanu. Ndicho chimene chachitika.

Kodi mungamvetse bwanji zotsatira za lipoti la mayeso?

Malipoti oyesa magazi, komanso malipoti oyesa ma antibodies a chithokomiro, nthawi zambiri amakhala ndi izi:

• Dzina la mayeso a magazi, kapena zomwe zinayesedwa m'magazi anu.
• Chiwerengero kapena muyeso wa zotsatira za mayeso anu a magazi.
• Mulingo woyenera wa mayeso amenewo.
• Chidziwitso chokhudza ngati zotsatira zanu ndi "Zoyipa" kapena "Zabwino", kapena zapamwamba kapena zochepa.

Zotsatira za mayeso a Antibody ya Chithokomiro nthawi zambiri zimanenedwa kuti ndi "Zoyipa" kapena "Zabwino. " Zotsatira za "Zoyipa" zikutanthauza kuti mulingo wa antibody uli mkati mwa mulingo woyenera. Zotsatira za "Zabwino" zikutanthauza kuti mulingo wa antibody uli pamwamba pa mulingo woyenera.

Kodi ma antibodies a chithokomiro ndi otani?

Kawirikawiri, mitundu yachibadwa ya ma antibodies a chithokomiro ndi awa:

• Chithokomiro cha Peroxidase Antibody (TPOAb) : < 5.6 IU/ml (Mayunitsi apadziko lonse pa milliliter)
• Ma Antibodies a Thyroglobulin (TgAb) : < 4 IU/ml
• Ma antibodies a hormone receptor antibodies (TRAb) a chithokomiro : < 1.75 IU/L (Mayunitsi apadziko lonse pa lita imodzi) kapena < 3.3 IU/L, kutengera mtundu wa mayeso
• Chithokomiro Cholimbikitsa Immunoglobulin (TSI) : < 0.55 IU/ml

Chofunika kwambiri n’chakuti mukalandira lipotilo, lidzanena kuchuluka kwa mankhwala omwe ali oyenera pa labu imeneyo. Kuchuluka kwa mankhwala amenewa kumatha kusiyana malinga ndi labu ina. Chifukwa chake, musayerekezere kuchuluka kwa mankhwala omwe ali oyenera pa labu ina. Ngati muli ndi mafunso okhudza zotsatira zanu, onetsetsani kuti mwafunsa dokotala wanu.

Kodi zikutanthauza chiyani ngati lipoti lanu likuwonetsa ma antibodies a chithokomiro?

Kukhala ndi "chitsimikizo" cha ma antibodies a chithokomiro nthawi zambiri kumatanthauza kuti muli ndi vuto la chithokomiro lodziyimira pawokha. Komabe, sizili choncho nthawi zonse. Anthu ena akhoza kukhala ndi "chitsimikizo" cha ma antibodies koma alibe matenda a chithokomiro.

Mungakhale ndi "chitsimikizo" cha mitundu yoposa imodzi ya ma antibodies a chithokomiro. Zomwe ma antibodies okwerawa amatanthauza zimasiyana malinga ndi mtundu wa ma antibodies. Tiyeni tiwone momwe zimagwirira ntchito.

Nanga bwanji ngati ndili ndi ma antibodies a thyroid peroxidase (TPO)?

Ngati muli ndi "chilombo" (kutanthauza kuti muli ndi milingo yambiri) ya ma antibodies a TPO, izi zitha kutanthauza izi:

• Ngati mulingo wanu wa TSH uli wokwera , mwina muli ndi matenda a Hashimoto .
• Ngati mulingo wanu wa TSH uli wabwinobwino kapena uli pafupi ndi wabwinobwino , mutha kukhala pachiwopsezo chokhala ndi hypothyroidism (hormone yotsika ya chithokomiro) mtsogolo.

Komabe, ngati ma antibodies anu a TPO ali "oipa" koma milingo yanu ya TSH ili pamwamba, zikutanthauza kuti pakhoza kukhala chifukwa china cha hypothyroidism yanu.

Nanga bwanji ngati ndili ndi ma antibodies a thyroglobulin (TgAb)?

Ngati ma antibodies anu a thyroglobulin (TgAb) ali "abwino", zingatanthauze kuti muli ndi matenda a Hashimoto.

Chinanso, munachitidwa opaleshoni ya khansa ya chithokomiro ndipo munalandira chithandizo cha ayodini chochokera ku radioactive.Ngati mwakhalapo ndi vutoli, dokotala wanu angakupatseni mayeso a TgAb. Izi zili choncho chifukwa si bwino kukhala ndi thyroglobulin m'magazi mwanu mutalandira chithandizochi. Choncho, ngati muli ndi TgAb - makamaka ngati kuchuluka kwake kukukwera pang'onopang'ono - kungakhale chizindikiro chakuti khansa yabwerera (kubwereranso).

Nanga bwanji ngati ndili ndi ma antibodies a thyroid-stimulating hormone receptor antibodies (TRAb)?

Ngati TRAb yanu ili ndi "chilolezo" ndipo TSH yanu ili yochepa, mwina zikutanthauza kuti muli ndi matenda a Graves . Pafupifupi 95% ya anthu omwe ali ndi matenda a Graves ali ndi TRAb yokwera.

Kawirikawiri, mungakhalebe ndi matenda a Graves ngakhale TRAb yanu ili "yoipa." Ngati ndi choncho, thyroid scan ingazindikire.

Nanga bwanji ngati ndili ndi thyroid stimulating immunoglobulin (TSI)?

TSI ndi mtundu winawake wa TRAb. Ngati muli ndi "chilombo" cha TSI, mwina zikutanthauza kuti muli ndi matenda a Graves.

Ngati zotsatira zake sizili bwino, kodi muchita chiyani kenako?

Ngati zotsatira za mayeso anu a thyroid antibody sizili bwino, musadandaule. Dokotala wanu adzakuuzani zomwe mungachite kenako, kuphatikizapo momwe mungapitirire kuyang'anira thyroid yanu komanso ngati mukufunikira chithandizo.

Chithandizo chachikulu cha matenda a Hashimoto ndi piritsi lomwe mumamwa tsiku lililonse kwa moyo wanu wonse ngati malipoti anu a labu akusonyeza kuti muli ndi hypothyroidism. Pali njira zingapo zochiritsira matenda a Graves, kuphatikizapo mapiritsi ndi njira zina zochiritsira.

Ndizachibadwa kukhala ndi nkhawa komanso kupsinjika maganizo mukawona zotsatira zachilendo pa lipoti la labu. Ndipo mungafune kudziwa chifukwa chake mwachangu momwe mungathere. Koma kumbukirani, dokotala wanu adzakufotokozerani zotsatira izi ndipo, ngati kuli kofunikira, adzakambiranani njira zina zothandizira. Ngati muli ndi mafunso okhudza zotsatira zanu, musazengereze kufunsa dokotala wanu.

Uthenga Wopita Nawo Kunyumba

Chabwino, ndikuthandizeni kukumbukira zina mwa zinthu zofunika kwambiri zomwe takambirana:

• Mayeso a Antibody a Chithokomiro amatha kuzindikira ngati chitetezo chathu chamthupi chikuukira chithokomiro chathu. Izi zimatchedwa Matenda a Chithokomiro Odziteteza Kuthupi.
• Mitundu yosiyanasiyana ya ma antibodies (monga TPOAb, TgAb, TRAb, TSI) imapereka chidziwitso chokhudza matenda osiyanasiyana a chithokomiro (monga Hashimoto's, Graves').
• Kuyezetsa "koyenera" sikutanthauza kuti nthawi zonse muli ndi matenda aakulu. Nthawi zina mungakhale ndi ma antibodies opanda zizindikiro.
• Musaiwale kuuza dokotala wanu za momwe mumagwiritsira ntchito biotin musanayesedwe.
• Kodi mu lipoti la labu muli chiyani?Mayeso abwinobwino amatha kusiyana malinga ndi labu.
• Chofunika kwambiri ndikulankhulana momasuka za zotsatira zanu ndi dokotala wanu. Iwo ndi omwe angakupatseni upangiri wolondola kwambiri.

Ndikukhulupirira kuti izi zikuthandizani. Khalani ndi thanzi labwino!

---

Ma antibodies a chithokomiro, mayeso a chithokomiro, matenda a Hashimoto, matenda a Graves, autoimmune, TPOAb, TgAb, TSI, TRAb, mahomoni a chithokomiro