Usenokuba ucelwe ngugqirha ukuba wenze uvavanyo lwe-thyroid antibody, okanye usenokuba uvile ngalo ndaweni ithile. Luyintoni kanye kanye olu vavanyo? Kutheni lubaluleke kangaka? Usenokuba ucinga, "Owu, ngaba ndinento enzulu?" Ungakhathazeki, siza kuchaza yonke into ngendlela elula onokuyiqonda.
Yintoni uvavanyo lwe-Thyroid Antibody?
Ngamafutshane, olu luvavanyo lwegazi. Olu vavanyo lunceda ekufumaneni ukuba yintoni ebangela ukuba amanqanaba ehomoni ye-thyroid abe phantsi okanye aphezulu. Ngokukodwa, lunokujonga ukuba unesifo se-thyroid esibangelwa kukuzikhusela komzimba , njengesifo sikaHashimoto okanye isifo sikaGraves.
Zithini ii-antibodies kunye nee-autoantibodies? Kulula kakhulu!
Khawucinge nje, imizimba yethu inenxalenye yethu efana nomlindi wokhuseleko. Yiloo nto siyibiza ngokuba zii-antibodies . Ezi luhlobo lweproteni eyenziwa yinkqubo yethu yokuzikhusela komzimba. Ngokwesiqhelo, ezi antibodies zihlasela iintshaba (sizibiza ngokuba zii-antigen ) njengeentsholongwane, iibhaktheriya kunye neentsholongwane ezingena emizimbeni yethu.
Kodwa ngamanye amaxesha inkqubo yethu yomzimba yokuzikhusela iyaphazama. Emva koko la ma-antibodies aqala ukuhlasela iiseli zethu eziphilileyo. Ama-Autoantibodies zii-antibodies eziveliswa emizimbeni yethu. Uninzi lwabantu lunenani elincinci lala ma-autoantibodies emizimbeni yabo, into eqhelekileyo. Nangona kunjalo, ukuba akhona ngamanani amakhulu, oko kuthetha ukuba unokuba nesifo sokuzikhusela komzimba.
Ngokuphathelele i-thyroid gland, xa inkqubo yakho yomzimba ihlasela iiseli ze-thyroid gland, inqanaba le-antibodies ze-thyroid egazini lakho liyakhula.
Ziziphi iintlobo eziphambili zee-antibodies ze-thyroid?
Kukho iintlobo ezahlukeneyo zee-antibodies ze-thyroid. Ezona ziphambili zezi:
- Ii-Antibodies ze-Thyroid Peroxidase (TPOAb) okanye ii-Anti-microsomal Antibodies: Ezi zii-antibodies ezibonisa ngokuyintloko ukuba kukho isifo sikaHashimoto.
- Ii-Antibodies zeThyroglobulin (TgAb) .
- I-Thyroid Stimulating Immunoglobulin (TSI) : La ngama-antibodies abonisa ngokuyintloko ukuba kukho isifo sikaGraves.
- Ii-Antibodies ze-Receptor Receptor ze-Thyroid-Stimulating Hormone (TSH) (TRAb): Olu lolunye uhlobo lwe-antibody olunokuthi ludibaniswe nesifo sikaGraves.
Nganye kwezi antibodies inokuba namanye amagama amaninzi avakala efana. Ugqirha wakho angazibiza ngamanye amagama. Ngoko ke kukho ukudideka ( ukudideka /ukuthandabuza ngesiTamil, kodwa apha kusetyenziswa ulwimi oluthetha ukudideka kumxholo wentetho yesiSinhala, nangona kunjalo, umsebenzisi ufuna isiSinhala esicocekileyo. Ngoko ke ndiza kuyitshintsha le nto ibe "Kukho into edidayo" okanye "Kukho into enzima ukuyiqonda") ... Hayi, hayi, ngoko ke ukuba kukho into enzima ukuyiqonda, ukuba ayicacanga, ungaze woyike ukubuza ugqirha.
Ugqirha ucebisa nini ukwenza olu vavanyo?
Ukuba iziphumo zakho zovavanyo lwe- TSH (iHormone evuselela iThyroid) kunye ne -T4 (iThyroxine) aziqhelekanga, ugqirha unokuyalela olunye okanye ngaphezulu kwezi vavanyo ze-antibody ye-thyroid.
Ngaphandle koko, ugqirha angacebisa olu vavanyo ngenxa yezizathu ezininzi:
- Jonga ukuba umhlaza we-thyroid awuphinde ubuye na.
- Jonga imeko ye-thyroid ngexesha lokukhulelwa.
Ungayilungiselela njani uvavanyo lwe-thyroid antibody?
Ngokwesiqhelo, akukho lungiselelo likhethekileyo elifunekayo kolu vavanyo lwe-thyroid antibody. Ungatya kwaye usele ngokwesiqhelo ngaphandle kokuba ugqirha wakho akucebise ngenye indlela.
Nangona kunjalo, ukuba uthatha naziphi na ezinye izongezo ezine-biotin, qiniseka ukuba ubuza ugqirha wakho ukuba kufuneka uyeke ixesha elingakanani ukuzithatha ngaphambi kovavanyo, njengoko ukuthatha i-biotin kunokuchaphazela iziphumo zezi mvavanyo.
Olu luvavanyo lwegazi olulula kakhulu. Ungenza ngalo naliphi na ixesha losuku kwilabhoratri. Umntu othatha isampuli yegazi (i-phlebotomist) uza kusebenzisa inaliti encinci ukutsala igazi elincinci kumthambo osengalweni yakho. Yiyo leyo.
Ungaziqonda njani iziphumo zengxelo yovavanyo?
Iingxelo zovavanyo lwegazi, kunye neengxelo zovavanyo lwe-thyroid antibody, zihlala ziquka oku kulandelayo:
- Igama lovavanyo lwegazi, okanye oko kwalinganiswa egazini lakho.
- Inani okanye umlinganiselo weziphumo zovavanyo lwakho lwegazi.
- Uluhlu oluqhelekileyo lokulinganisa olo vavanyo.
- Ulwazi malunga nokuba iziphumo zakho "zimbi" okanye "zilungile", okanye ziphezulu okanye ziphantsi.
Iziphumo zovavanyo lwe-Thyroid Antibody zihlala zixelwa njenge "Negative" okanye "Positive. " Iziphumo "Negative" zithetha ukuba inqanaba le-antibody lingaphakathi koluhlu oluqhelekileyo. Iziphumo "Ezilungileyo" zithetha ukuba inqanaba le-antibody lingaphezulu koluhlu oluqhelekileyo.
Zithini iintlobo eziqhelekileyo zee-antibodies ze-thyroid?
Ngokubanzi, uluhlu oluqhelekileyo lwee-antibodies ze-thyroid lulandelayo:
- I-Antibody ye-Thyroid Peroxidase (TPOAb) : < 5.6 IU/ml (Iiyunithi zamazwe ngamazwe nge-milliliter)
- Ii-Antibodies zeThyroglobulin (TgAb) : < 4 IU/ml
- Ii-antibodies ze-hormone receptor ezivuselela i-thyroid (TRAb) : < 1.75 IU/L (Iiyunithi zamazwe ngamazwe ngelitha) okanye < 3.3 IU/L, kuxhomekeke kuhlobo lovavanyo
- I-Thyroid Stimulating Immunoglobulin (TSI) : < 0.55 IU/ml
Eyona nto ibalulekileyo kukuba xa ufumana ingxelo, iya kuchaza ukuba loluphi uluhlu oluqhelekileyo lwaloo labhu. Olu luhlu oluqhelekileyo lunokwahluka ukusuka kwilabhu ukuya kwilabhu. Ngoko ke, musa ukuthelekisa ixabiso elivela kwilabhu enye ukuya kuluhlu oluqhelekileyo lwelabhu enye. Ukuba unemibuzo malunga neziphumo zakho, qiniseka ukuba ubuza ugqirha wakho.
Kuthetha ukuthini ukuba ingxelo yakho ibonisa ii-antibodies ze-thyroid?
Ukuba "ne-positive" kwii-antibodies ze-thyroid kudla ngokuthetha ukuba unesifo se-thyroid esizikhuselayo. Nangona kunjalo, oku akusoloko kunjalo. Abanye abantu banokuba "ne-positive" kwii-antibodies kodwa bangabi nesifo se-thyroid.
Ungaba "ne-positive" kwiintlobo ezingaphezu kwesinye ze-antibody ye-thyroid. Oko kuthethwa ngala manqanaba aphezulu e-antibodies kuyahluka ngokuxhomekeke kuhlobo lwe-antibody. Makhe sibone ukuba oko kusebenza njani.
Kuthekani ukuba ndine-thyroid peroxidase (TPO) antibodies?
Ukuba "une-positive" (oko kuthetha ukuba unamanqanaba aphezulu) kwi-TPO antibodies, oko kunokuthetha oku kulandelayo:
- Ukuba inqanaba lakho le-TSH liphezulu , usenokuba unesifo sikaHashimoto .
- Ukuba inqanaba lakho le-TSH liqhelekile okanye lisondele kwisiqhelo , usenokuba sengozini yokuba ne -hypothyroidism (i-hormone ye-thyroid ephantsi) kwixesha elizayo.
Nangona kunjalo, ukuba ii-antibodies zakho ze-TPO "zingalunganga" kodwa amanqanaba akho e-TSH aphezulu, oko kuthetha ukuba kunokubakho esinye isizathu se-hypothyroidism yakho.
Kuthekani ukuba ndine-thyroglobulin antibodies (TgAb)?
Ukuba ii-antibodies zakho ze-thyroglobulin (TgAb) "zilungile", oko kuthetha ukuba unesifo sikaHashimoto.
Enye into, wenze utyando lomhlaza we-thyroid waza wafumana unyango lwe-radioactive iodine.Ukuba ukhe wanayo, ugqirha wakho unokuyalela uvavanyo lwe-TgAb. Oku kungenxa yokuba akulunganga ukuba ne-thyroglobulin egazini lakho emva kolu nyango. Ngoko ke, ukuba une-TgAb – ingakumbi ukuba inqanaba liyanda kancinci – kunokuba luphawu lokuba umhlaza ubuyile (ukuphinda ubuye).
Kuthekani ukuba ndine-thyroid-stimulating hormone receptor antibodies (TRAb)?
Ukuba i-TRAb yakho "ilungile" kwaye inqanaba lakho le-TSH liphantsi, kusenokwenzeka ukuba kuthetha ukuba unesifo sikaGraves . Malunga nama-95% abantu abanesifo sikaGraves banamanqanaba aphezulu e-TRAb.
Kunqabile kakhulu, usenokuba nesifo sikaGraves nokuba i-TRAb yakho "ayinazo izifo." Ukuba kunjalo, i-thyroid scan ingasibona.
Kuthekani ukuba ndine-thyroid stimulating immunoglobulin (TSI)?
I-TSI luhlobo oluthile lwe-TRAb. Ukuba "une-TSI" ethile, kusenokwenzeka ukuba oko kuthetha ukuba unesifo sikaGraves.
Ukuba iziphumo aziqhelekanga, yintoni oyenzayo emva koko?
Ukuba iziphumo zovavanyo lwakho lwe-thyroid antibody aziqhelekanga, ungakhathazeki. Ugqirha wakho uza kukuxelela into omawuyenze ngokulandelayo, kuquka nendlela yokuqhubeka nokujonga i-thyroid yakho kunye nokuba uyalufuna na unyango.
Unyango oluphambili lwesifo sikaHashimoto yipilisi oyithatha yonke imihla ubomi bakho bonke ukuba iingxelo zakho zelebhu zibonisa ukuba une-hypothyroidism. Kukho iindlela ezahlukeneyo zonyango lwesifo sikaGraves, kuquka iipilisi kunye nezinye iindlela zonyango.
Kungokwemvelo ukuziva uxhalabile kwaye uxinezelekile xa ubona isiphumo esingaqhelekanga kwingxelo yelebhu. Kwaye unokufuna ukwazi isizathu soko ngokukhawuleza. Kodwa khumbula, ugqirha wakho ngokuqinisekileyo uza kukuchazela ezi ziphumo kwaye, ukuba kuyimfuneko, axoxe ngeendlela zonyango. Ukuba unemibuzo malunga neziphumo zakho, ungathandabuzi ukubuza ugqirha wakho.
Umyalezo Wokuya Ekhaya
Kulungile, mandikuncede ukhumbule ezinye zezona zinto zibalulekileyo esithethe ngazo:
- Uvavanyo lwe-Antibody ye-Thyroid lunokufumanisa ukuba amasosha ethu omzimba ahlasela i-thyroid gland yethu na. Oku kubizwa ngokuba yi-Autoimmune Thyroid Diseases.
- Iindidi ezahlukeneyo zee-antibodies (ezifana ne-TPOAb, i-TgAb, i-TRAb, i-TSI) zibonelela ngezikhokelo malunga nezifo ezahlukeneyo ze-thyroid (ezifana ne-Hashimoto's, i-Graves').
- Uvavanyo "oluqinisekileyo" aluthethi ukuba unesifo esinzulu. Ngamanye amaxesha unokuba nee-antibodies ezingenazo iimpawu.
- Ungalibali ukuxelela ugqirha wakho malunga nokusetyenziswa kwe-biotin ngaphambi kovavanyo.
- Yintoni ekwingxelo yelabhoratri?Uluhlu oluqhelekileyo lunokwahluka ukusuka kwilabhoratri ukuya kwilabhoratri.
- Eyona nto ibalulekileyo kukuthetha ngokukhululekileyo ngeziphumo zakho nogqirha wakho. Ngabo banokukunika icebiso elichanekileyo.
Ndiyathemba ukuba olu lwazi uza kulufumana luluncedo. Hlala usempilweni!
Ii - antibodies ze-thyroid, uvavanyo lwe-thyroid, isifo sikaHashimoto, isifo sikaGraves, i-autoimmune, i-TPOAb, i-TgAb, i-TSI, i-TRAb, iihomoni ze-thyroid
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