Ngaba ugqirha wakho wakha wacebisa ukuba kwenziwe uvavanyo lwegazi lweehomoni ze-thyroid, kunye nolunye uvavanyo olukhethekileyo? Okanye ngaba unengxaki yokufumana unobangela ochanekileyo wengxaki yakho ye-thyroid? Kulapho sithetha khona ngento ebizwa ngokuba yi-'Thyroid Antibody.' Nangona oku kusenokuvakala njengegama elinzima, eneneni kulula kakhulu. Makhe sijonge ukuba olu vavanyo luyintoni kwaye lujonge ntoni.
Yintoni le antibody?
Ngamafutshane, ii-antibodies ziyindlela yokuzikhusela yomzimba wethu. Umsebenzi wazo kukufumana nokutshabalalisa abahlaseli bamanye amazwe (ababizwa ngokuba yi-"antigens") njengeentsholongwane kunye neebhaktheriya ezingena emzimbeni. Le yinxalenye ebaluleke kakhulu kwinkqubo yethu yokuzikhusela.
Kodwa ngamanye amaxesha amajoni ethu omzimba enza impazamo. Aqala ukuhlasela kungekuphela nje abahlaseli bamanye amazwe kodwa neeseli zethu eziphilileyo kunye nezicubu. Le yindlela esizibiza ngayo ii-antibodies ezilwa nemizimba yethu ngokuthi 'zii-autoantibodies' .
Uninzi lwabantu lunenani elincinci kakhulu lala ma-autoantibodies emizimbeni yabo. Yinto eqhelekileyo leyo. Kodwa ukuba ayanda ngobuninzi, oko kuthetha ukuba usenokuba nesifo sokuzikhusela komzimba.
Ngoko ke yintoni i-antibody ye-thyroid?
Ii-antibodies ze-thyroid lolunye uhlobo lwe-autoantibodies esilukhankanyileyo ngaphambili. Okwenzekayo apha kukuba inkqubo yethu yomzimba iqala ngempazamo ukuhlasela i-thyroid gland entanyeni yethu. Kukho iintlobo ezahlukeneyo zee-antibodies ezizama ukuhlasela iiseli ze-thyroid gland ngale ndlela. Uvavanyo lwe-Thyroid Antibody lulinganisa ezi zinto egazini.
Olu vavanyo lujonga ikakhulu ukuba unesifo se-thyroid esibangelwa kukuzikhusela komzimba. Ezi zifo zimbini zezi:
1. Isifo sikaHashimoto: Kule meko, umsebenzi we-thyroid gland uyehla (i-Hypothyroidism).
2. Isifo sikaGraves: Kule meko, i-thyroid gland iba nefuthe eligqithisileyo (i-Hyperthyroidism).
| Iintlobo eziphambili zee-antibodies ze-thyroid | Imeko yezonyango edla ngokunxulunyaniswa nayo |
|---|---|
| I-Antibody ye-Thyroid Peroxidase (TPOAb) | Isalathisi esiphambili sesifo sikaHashimoto. |
| I-Antibody ye-Thyroglobulin (TgAb) | Isenokuba inxulumene nesifo sikaHashimoto. |
| I-immunoglobulin evuselela i-thyroid (TSI) | Isalathisi esiphambili sesifo sikaGraves. |
| I-antibody ye-TSH receptor (TRAb) | Olunye uhlobo lwe-antibody oluhambelana nesifo sikaGraves. |
La magama asenokubonakala ngathi angokwesayensi kwaye kunzima ukuwakhumbula. Kulungile. Ukuba ugqirha wakho ubiza ezi zinto ngamanye amagama, ungoyiki ukuzibuza ngokuthe ngqo ukuba ziyintoni na.
Kutheni ugqirha angacebisa olu vavanyo?
Ugqirha wakho uhlala esenza uvavanyo lwegazi olubizwa ngokuba yi-TSH kunye ne-T4 ukujonga amanqanaba ehomoni yakho ye-thyroid. Ukuba iziphumo zolu vavanyo aziqhelekanga , uza kuyalela olu vavanyo lwe-antibody ukuze afumanise ukuba yintoni kanye kanye ebangela oko.
Ukongeza, kunokubakho ezinye izizathu ezininzi:
- Emva konyango lomhlaza we-thyroid, jonga ukuba umhlaza ubuyile na .
- Jonga imeko ye-thyroid ngexesha lokukhulelwa .
Ndingazilungiselela njani ezi vavanyo?
Le yeyona nto ilungileyo. Olu vavanyo lwegazi aludingi kulungiswa okukhethekileyo . Ungatya kwaye usele ngokwesiqhelo. Nangona kunjalo, ukuba ugqirha wakho ukunika eminye imiyalelo, kufuneka uyilandele.
Nangona kunjalo, kukho into enye ebaluleke kakhulu. Ukuba uthatha naziphi na iivithamini okanye izongezo ezine-biotin, ngokuqinisekileyo kufuneka uxelele ugqirha wakho ngayo. I-Biotin inokuphazamisana neziphumo zolu vavanyo. Ngoko ke buza ugqirha wakho ukuba zingaphi iintsuku ngaphambi kovavanyo ekufuneka uyeke ukuzithatha.
Oku kwenziwa kwilebhu, njengovavanyo lwegazi oluqhelekileyo. Kubandakanya ukuthatha igazi elincinci kumthambo osengalweni yakho usebenzisa inaliti encinci.
Ndiziqonda njani iziphumo zengxelo?
Ingxelo oyifumanayo idla ngokuquka oku kulandelayo:
- Igama lovavanyo
- Iziphumo zovavanyo lwakho lwegazi
- Uluhlu oluqhelekileyo lovavanyo
- Nokuba iziphumo zakho "zilungile" okanye "zimbi", okanye ziphezulu okanye ziphantsi.
Ngokwesiqhelo, iziphumo zengxelo ye-thyroid antibody zidweliswa njenge -'Negative' okanye 'Positive' .
- Isiphumo esibi sithetha ukuba inqanaba le-antibody emzimbeni wakho lingaphakathi komlinganiselo oqhelekileyo.
- Isiphumo esihle sithetha ukuba inqanaba le-antibody lingaphezulu komlinganiselo oqhelekileyo.
Ngawaphi amaxabiso aqhelekileyo?
La maxabiso anokwahluka kancinci kwilabhoratri nganye, ngoko ke soloko uwathelekisa 'noLuhlu oluQhelekileyo' oludweliswe kwingxelo yakho. Ngokubanzi, amaxabiso aqhelekileyo ngala alandelayo:
| Uhlobo lwe-antibody | Ixabiso eliphakathi (eliqikelelweyo) |
|---|---|
| I-antibody ye-thyroid peroxidase (TPOAb) | Ifanele ibe ngaphantsi kwe-5.6 IU/ml |
| Ii-antibodies ze-Thyroglobulin (TgAb) | Ifanele ibe ngaphantsi kwe-4 IU/ml |
| Ii-antibodies ze-TSH receptor (TRAb) | Kufuneka ibe ngaphantsi kwe-1.75 IU/L (ingahluka ngokuxhomekeke kuhlobo lovavanyo) |
| I-immunoglobulin evuselela i-thyroid (TSI) | Kufuneka ibe ngaphantsi kwe-0.55 IU/ml |
Khumbula, ungoyiki xa ubona iziphumo zengxelo. Ugqirha wakho ngumntu ofanelekileyo ukuchaza ngqo ukuba ithetha ukuthini loo nto.
Kuthetha ukuthini ukuba i-antibody ilungile?
Uvavanyo lwe-thyroid antibody olubonisa ukuba une-autoimmune thyroid ludla ngokuthetha ukuba unesifo se-thyroid esihlasela umzimba wakho. Kodwa oko akusoloko kunjalo . Abanye abantu abasempilweni banokuba ne-antibody efanelekileyo. Yiyo loo nto ugqirha eza kujonga le ngxelo kunye neempawu zakho kunye nezinye iimvavanyo zegazi (ezifana ne-TSH).
Ukuba ii-antibodies ze-TPO zilungile:
- Ukuba amanqanaba akho e-hormone ye-TSH nawo aphakanyisiwe, kusenokwenzeka ukuba unesifo sikaHashimoto .
- Nokuba inqanaba lakho le-TSH liqhelekile okwangoku, ukuba i-antibody yakho ye-TPO ilungile, usenokuba sengozini yokufumana i-hypothyroidism kwixesha elizayo .
Ukuba i-antibody ye-TgAb ilungile:
- Oku kunokuthiwa sisifo sikaHashimoto.
- Ukuba amanqanaba e-TgAb anyukile kumntu oye watyandwa kwaye wanyangwa ngemitha yomhlaza we-thyroid, oko kunokubonisa umngcipheko wokuphinda umhlaza .
Ukuba ii-antibodies ze-TRAb kunye ne-TSI zilungile:
- Ukuba amanqanaba akho e-hormone ye-TSH aphantsi kwaye une-antibody positive, kukho ithuba elikhulu lokuba unesifo sikaGraves . Malunga nama-95% abantu abanesifo sikaGraves banale antibody positive.
Ukuba iziphumo aziqhelekanga, kuza kwenzeka ntoni emva koko?
Ukuba iziphumo zovavanyo lwakho lwe-antibody aziqhelekanga, ungakhathazeki. Ugqirha wakho uza kukuchazela into omawuyenze ngokulandelayo kunye nokuba kufuneka unyango okanye hayi.
Ukuba isifo sikaHashimoto sibangela i-hypothyroidism, unyango ludla ngokuba yipilisi yemihla ngemihla ethathwa ubomi bonke. Kwisifo sikaGraves, kukho iindlela ezahlukeneyo, kuquka iipilisi kunye nonyango lwemitha.
Kuqhelekile ukuziva usoyika kwaye ukhathazekile xa ubona iziphumo ezingaqhelekanga kwingxelo. Kodwa khumbula, ugqirha wakho uza kukunceda ngokuchaza iziphumo kunye nokuxoxa ngonyango ukuba kuyimfuneko. Ungaze ungathandabuzi ukubuza ugqirha wakho nayiphi na imibuzo, iinkxalabo, okanye amathandabuzo onokuba nawo.
Umyalezo Wokuya Ekhaya
- Uvavanyo lwe-thyroid antibody lujonga ikakhulu ukuba ingaba imbangela yengxaki ye-thyroid yakho yimeko yokuzikhusela komzimba.
- Ukuba iziphumo zilungile akuthethi ukuba unesifo. Kuxhomekeke kugqirha ukuba asithelekise nezinye iimvavanyo ezifana ne-TSH kunye neempawu zakho, aze afikelele kwisigqibo.
- Kubalulekile ukuba wazise ugqirha wakho ngaphambi kovavanyo malunga nazo naziphi na iivithamini ozithathayo, ingakumbi ezo ziqulethe i-biotin.
- Musa ukoyika ngokujonga nje amanani akwingxelo. Soloko uthetha nogqirha wakho ngayo kwaye uyicacise.
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