Ese nawe ufite ikibazo cya tiroyide? Reka twige neza kuri izi antibodies za tiroyide!

Ushobora kuba warasabwe na muganga gukora ikizamini cy’uturemangingo tw’umubiri twa tiroyide, cyangwa ushobora kuba warigeze kubyumva ahantu runaka. Iki kizamini ni iki koko? Kuki ari ingenzi cyane? Ushobora kuba urimo kwibaza uti "Ese hari ikintu gikomeye mfite?" Ntugahangayike, tuzagusobanurira byose mu buryo bworoshye ushobora kumva.

Ikizamini cya Antibody ya Tiroyide ni iki?

Muri make, iki ni ikizamini cy'amaraso. Iki kizamini gifasha kumenya icyaba gitera urugero rw'imisemburo ya tiroyide (thyroid) kuba hasi cyangwa hejuru. By'umwihariko, gishobora gusuzuma niba ufite indwara ya tiroyide iterwa n'ubwiyongere bw'umubiri , nka Hashimoto's disease cyangwa Graves' disease.

Antibodies na autoantibodies ni iki? Biroroshye cyane!

Tekereza, imibiri yacu ifite igice cyacu kimeze nk'umurinzi. Ibyo ni byo twita antibodies . Izi ni ubwoko bwa poroteyine ikorwa n'ubudahangarwa bwacu bw'umubiri. Ubusanzwe, izi antibodies zitera abanzi (tuzita antigens ) nk'udukoko, bagiteri, na virusi byinjira mu mibiri yacu.

Ariko rimwe na rimwe ubudahangarwa bw'umubiri wacu bugenda nabi. Hanyuma izi antibodies zitangira kwibasira uturemangingo twacu twiza. Autoantibodies ni uturemangingo dukorerwa ku mubiri wacu. Abantu benshi baba bafite uturemangingo duto tw'izi autoantibodies mu mibiri yabo, ibi bikaba ari ibisanzwe. Ariko, iyo zihari ari nyinshi, bivuze ko ushobora kuba ufite ikibazo cy'ubwiyongere bw'umubiri.

Ku bijyanye n'ingirabuzimafatizo ya tiroyide, iyo ubudahangarwa bw'umubiri bwawe bwibasiye uturemangingo twa tiroyide, urugero rw'uturemangingo tw'umubiri twa tiroyide mu maraso yawe ruriyongera.

Ni ubuhe bwoko bw'ingenzi bw'uturemangingo tw'umubiri dukingira indwara ya tiroyide?

Hariho ubwoko butandukanye bw'uturemangingo tw'umubiri dukingira indwara ya tiroyide. Iy'ingenzi ni iyi:

• Antibodies za Thyroid Peroxidase (TPOAb) cyangwa Antibodies za Anti-microsomal: Izi ni antibodies zigaragaza cyane cyane ko Hashimoto afite indwara.
• Utunyangingo twa Thyroglobulin (TgAb) .
• Indwara ya Thyroid itera imbaraga mu mubiri (TSI) : Izi ni zo antibodies zigaragaza cyane cyane ko hari indwara ya Graves.
• Utunyangingo tw’umubiri dutuma umuntu arushaho kugira imisemburo itera thyroid (TSH) (TRAb): Ubu ni ubundi bwoko bw'umubiri ushobora kuba ufitanye isano n'indwara ya Graves.

Buri antibodies ishobora kugira andi mazina menshi asa. Muganga wawe ashobora no kuyita andi mazina. Rero hari urujijo ( urujijo / gushidikanya mu rurimi rwa Tamil, ariko hano hakoreshejwe imvugo isanzwe isobanura urujijo mu mvugo ya Sinhala, ariko, umukoresha ashaka Sinhala nziza. Rero nzahindura ibi nka "Hari ikintu giteye urujijo" cyangwa "Hari ikintu kitoroshye kumva") ... Oya, oya, rero niba hari ikintu kitoroshye kumva, niba kitarasobanuka neza, ntugatinye kubaza muganga.

Ni ryari muganga agira inama yo gukora iki kizamini?

Niba ibisubizo by'ibizamini byawe bya TSH (Hormone-Stimulating Hormone) na T4 (Thyroxine) bidakunze kugaragara, muganga ashobora gutegeka kimwe cyangwa byinshi muri ibi bizamini by'umubiri w'uturemangingo twa tiroyide.

Uretse ibyo, muganga ashobora gusaba iki kizamini kubera izindi mpamvu nyinshi:

• Reba niba kanseri ya tiroyide yongeye kugaruka.
• Genzura uko tiroyide ihagaze mu gihe utwite.

Ni gute wakwitegura ikizamini cy’umubiri urwanya indwara ya tiroyide?

Ubusanzwe, nta myiteguro yihariye isabwa kuri iki kizamini cy’umubiri urwanya indwara ya tiroyide. Ushobora kurya no kunywa bisanzwe keretse muganga wawe abigutegetse ukundi.

Ariko, niba ufata izindi nyongeramusaruro zirimo biotin, menya neza ko ubaza muganga wawe igihe ugomba guhagarika kuzifata mbere yo gupimwa, kuko gufata biotin bishobora kugira ingaruka ku bisubizo by'ibi bizamini.

Iki ni ikizamini cyoroheje cyane cy'amaraso. Ushobora kugisuzuma igihe icyo ari cyo cyose cy'umunsi muri laboratwari. Umuntu uzafata ikizamini cy'amaraso (phlebotomist) azakoresha urushinge ruto kugira ngo akuremo amaraso make mu mutsi uri mu kuboko kwawe. Nguko uko biri.

Ni gute wasobanukirwa ibyavuye muri raporo y'ibizamini?

Raporo z'ibipimo by'amaraso, kimwe n'ibipimo by'uturemangingo tw'amaraso ya tiroyide, ubusanzwe ziba zikubiyemo ibi bikurikira:

• Izina ry'ikizamini cy'amaraso, cyangwa icyapimwe mu maraso yawe.
• Umubare cyangwa igipimo cy'ibyavuye mu isuzuma ry'amaraso yawe.
• Ingano isanzwe yo gupima kuri icyo kizamini.
• Amakuru yerekeye niba igisubizo cyawe ari "Negative" cyangwa "Positive", cyangwa niba ari hejuru cyangwa hasi.

Ibisubizo by'ibizamini bya Antibody ya Tiroyide akenshi bivugwa ko ari "Negative" cyangwa "Positive ". Ibisubizo "Negative" bivuze ko urwego rw'abasirikari ruri mu rugero rusanzwe. Ibisubizo "Positive" bivuze ko urwego rw'abasirikari ruri hejuru y'urugero rusanzwe.

Ni izihe ngano zisanzwe z'abasirikari b'umubiri ba thyroid?

Muri rusange, urwego rusanzwe rw'abasirikari b'umubiri ba thyroid ni uru rukurikira:

• Ubudahangarwa bwa Tiroyide Peroxidase Antibody (TPOAb) : < 5.6 IU/ml (Ibice Mpuzamahanga kuri mililitiro)
• Utunyangingo twa Thyroglobulin (TgAb) : < 4 IU/ml
• Antibodies za receptor ya thyroid-stimulating hormone (TRAb) : < 1.75 IU/L (Ibice Mpuzamahanga kuri litiro) cyangwa < 3.3 IU/L, bitewe n'ubwoko bw'ikizamini
• Immunoglobulin itera imbaraga za tiroyide (TSI) : < 0.55 IU/ml

Igikuru ni uko iyo ubonye raporo, izagaragaza ingano isanzwe y’iyo laboratwari. Izi ngano zisanzwe zishobora gutandukana bitewe na laboratwari. Kubwibyo, ntugereranye agaciro kavuye muri laboratwari imwe n’ingano isanzwe y’indi laboratwari. Niba ufite ikibazo ku bisubizo byawe, menya neza ko wabaza muganga wawe.

Bisobanura iki niba raporo yawe igaragaza ko hari abasirikare barinda indwara ya tiroyide?

Kuba "ufite" ubudahangarwa bwa tiroyide akenshi bivuze ko ufite ikibazo cya tiroyide. Ariko, si ko bigenda buri gihe. Hari abantu bashobora kuba "bafite" ubudahangarwa bwa tiroyide ariko badafite indwara ya tiroyide.

Ushobora kuba "ufite" ubwoko burenze bumwe bwa antibody ya tiroyide. Icyo izi ngano zo hejuru z'antibody bivuze biratandukanye bitewe n'ubwoko bwa antibody. Reka turebe uko bikora.

Bite se niba mfite utunyangingo twa thyroid peroxidase (TPO)?

Niba "ufite" (bivuze ko ufite urugero rwo hejuru) rw'uturemangingo twa TPO, bishobora gusobanura ibi bikurikira:

• Niba urugero rwawe rwa TSH ruri hejuru , ushobora kuba ufite indwara ya Hashimoto .
• Niba urugero rwawe rwa TSH muri iki gihe rumeze neza cyangwa ruri hafi kuba rusanzwe , ushobora kuba ufite ibyago byo kurwara hypothyroidism (imisemburo mike ya tiroyide) mu gihe kizaza.

Ariko, niba ubudahangarwa bwa TPO bwawe ari "negative" ariko urugero rwa TSH rwawe rukaba ruri hejuru, bivuze ko hashobora kuba hari indi mpamvu itera hypothyroidism yawe.

Bite se niba mfite antibodies za thyroglobulin (TgAb)?

Niba ubudahangarwa bwawe bwa thyroglobulin (TgAb) "bwarabonetse", bishobora gusobanura ko ufite indwara ya Hashimoto.

Ikindi kintu, wabazwe kanseri ya tiroyide kandi ukorerwa ubuvuzi bwa iyode bukoresha imirasire.Niba wararwaye, muganga wawe ashobora gutegeka ko upimwa TgAb. Ibi biterwa nuko atari byiza kugira thyroglobulin mu maraso yawe nyuma y'ubu buvuzi. Rero, niba ufite TgAb - cyane cyane niba urugero rurimo kwiyongera buhoro buhoro - bishobora kuba ikimenyetso cy'uko kanseri yagarutse (isubiramo).

Bite se niba mfite antibodies za thyroid-stimulating hormone receptor (TRAb)?

Niba TRAb yawe "ifite" kandi urugero rwa TSH rwawe rukaba ruri hasi, birashoboka cyane ko bivuze ko ufite indwara ya Graves . Abantu bagera kuri 95% barwaye indwara ya Graves bafite urugero rwa TRAb ruri hejuru.

Ni gake cyane, ushobora kuba ugifite indwara ya Graves nubwo TRAb yawe yaba "ifite agakoko gatera indwara." Niba ari uko bimeze, isuzuma rya tiroyide rishobora kuyigaragaza.

Bite se niba mfite immunoglobulin itera imbaraga za tiroyide (TSI)?

TSI ni ubwoko bwihariye bwa TRAb. Niba "ufite" TSI, birashoboka cyane ko bivuze ko urwaye indwara ya Graves.

Niba ibisubizo bidasanzwe, ni iki ukurikizaho?

Niba ibisubizo by'ibizamini by'umubiri wawe urwanya indwara ya tiroyide bitameze neza, ntugire ikibazo. Muganga wawe azakubwira icyo ugomba gukora nyuma yaho, harimo n'uburyo bwo gukomeza gukurikirana tiroyide yawe ndetse no kumenya niba ukeneye kuvurwa.

Uburyo bw'ingenzi bwo kuvura indwara ya Hashimoto ni ikinini ufata buri munsi ubuzima bwawe bwose iyo raporo za laboratwari zigaragaje ko ufite hypothyroidism. Hari uburyo butandukanye bwo kuvura indwara ya Graves, harimo ibinini n'uburyo bumwe na bumwe bwo kuvura.

Ni ibisanzwe kumva uhangayitse kandi ufite stress iyo ubonye igisubizo kidasanzwe kuri raporo ya laboratwari. Kandi ushobora gushaka kumenya impamvu yacyo vuba bishoboka. Ariko ibuka ko muganga wawe azagusobanurira neza ibi bisubizo, kandi nibiba ngombwa, akakubwira uburyo bwo kuvura. Niba ufite ikibazo ku bisubizo byawe, ntutindiganye kubaza muganga wawe.

Ubutumwa bwo kujyana mu rugo

Sawa, reka ngufashe kwibuka bimwe mu bintu by'ingenzi twaganiriyeho:

• Ibizamini bya Antibody ya Tiroyide bishobora kugaragaza niba ubudahangarwa bw'umubiri bwacu bwibasiye imvubura ya tiroyide yacu. Ibi byitwa Indwara za Thyroid zirwanya indwara ya tiroyide.
• Ubwoko butandukanye bw'uturemangingo tw'umubiri (nka TPOAb, TgAb, TRAb, TSI) butanga ibimenyetso ku ndwara zitandukanye za tiroyide (nka Hashimoto's, Graves').
• Gupima "kwakira neza" ntibivuze ko ufite indwara ikomeye buri gihe. Hari igihe ushobora kugira ubudahangarwa bw'umubiri budafite ibimenyetso.
• Ntukibagirwe kubwira muganga wawe ibijyanye n'ikoreshwa rya biotin mbere yo gupimwa.
• Ni iki kiri muri raporo ya laboratwari?Ingano zisanzwe zishobora gutandukana bitewe na laboratwari.
• Igikuru ni ukuganira na muganga wawe ku mugaragaro ku bisubizo byawe. Nibo bashobora kuguha inama nyazo.

Ndizera ko aya makuru azaba ingirakamaro. Komeza ugire ubuzima bwiza!

Ubudahangarwa bwa tiroyide , ibizamini bya tiroyide, indwara ya Hashimoto, indwara ya Graves, indwara yo kwirema umubiri, TPOAb, TgAb, TSI, TRAb, imisemburo ya tiroyide