Ingabe nawe unenkinga ye-thyroid? Ake sifunde ngqo ngala ma-antibodies e-thyroid!

Kungenzeka ukuthi ucelwe udokotela ukuthi wenze ukuhlolwa kwe-antibody ye-thyroid, noma kungenzeka ukuthi uke wezwa ngakho ndawana thize. Kuyini ngempela lokhu kuhlolwa? Kungani kubaluleke kangaka? Ungase ucabange, "O, ingabe nginokuthile okungathi sína?" Ungakhathazeki, sizochaza konke ngendlela elula ongayiqonda.

Kuyini Ukuhlolwa Kwe-Antibody Ye-Thyroid?

Kalula nje, lokhu ukuhlolwa kwegazi. Lokhu kuhlolwa kusiza ukuthola ukuthi yini ebangela amazinga akho e-thyroid hormone abe phansi noma aphezulu. Ngokukhethekile, kungahlola ukuthi unesifo se-thyroid esibangelwa yi-autoimmune , njengesifo sikaHashimoto noma isifo sikaGraves.

Ayini ama-antibodies kanye nama-autoantibodies? Kulula kakhulu!

Cabanga nje, imizimba yethu inengxenye yethu efana nonogada. Yilokho esikubiza ngokuthi ama-antibodies . Lawa uhlobo lweprotheni elakhiwe amasosha omzimba wethu. Ngokuvamile, la ma-antibodies ahlasela izitha (esizibiza ngokuthi ama-antigen ) njengamagciwane, amabhaktheriya, namagciwane angena emizimbeni yethu.

Kodwa ngezinye izikhathi amasosha omzimba wethu ayaphazamiseka. Bese la ma-antibodies eqala ukuhlasela amangqamuzana ethu aphilile. Ama-Autoantibodies angama-antibodies akhiqizwa ngokumelene nemizimba yethu. Iningi labantu linamanani amancane ala ma-autoantibodies emizimbeni yabo, okuyinto evamile. Kodwa-ke, uma ekhona ngamanani amakhulu, kusho ukuthi ungase ube nesifo sokuzivikela komzimba.

Ngokuphathelene nendlala yegilo, lapho amasosha omzimba wakho ehlasela amaseli endlala yegilo, izinga lama-antibodies egilo egazini lakho liyakhula.

Yiziphi izinhlobo eziyinhloko zama-antibodies e-thyroid?

Kunezinhlobo eziningana zama-antibodies e-thyroid. Eziyinhloko yilezi:

• Ama-Antibodies e-Thyroid Peroxidase (TPOAb) noma ama-Antibodies e-Anti-microsomal: Lawa ama-antibodies abonisa ngokuyinhloko ukuba khona kwesifo sikaHashimoto.
• Ama-Antibodies e-Thyroglobulin (TgAb) .
• I-Thyroid Stimulating Immunoglobulin (TSI) : Lawa ama-antibodies abonisa ngokuyinhloko ukuba khona kwesifo sikaGraves.
• Ama-Antibodies Okwamukela I-Thyroid-Stimulating Hormone (TSH) (TRAb): Lolu olunye uhlobo lwe-antibody olungase luhlotshaniswe nesifo sikaGraves.

Ngayinye yalezi zivikeli mzimba ingaba namanye amagama amaningana azwakala afanayo. Udokotela wakho angase awabize ngamanye amagama. Ngakho-ke kukhona ukudideka okuthile ( ukudideka /ukungabaza ngesiTamil, kodwa lapha kusetshenziswa ngokujwayelekile okusho ukudideka kumongo wenkulumo yesiSinhala, noma kunjalo, umsebenzisi ufuna isiSinhala esimsulwa. Ngakho-ke ngizoshintsha lokhu kube "Kukhona okudidayo" noma "Kukhona okulukhuni ukukuqonda") ... Cha, cha, ngakho-ke uma kukhona okulukhuni ukukuqonda, uma kungacacile, ungesabi ukubuza udokotela.

Kunini lapho udokotela encoma khona ukwenza lokhu kuhlolwa?

Uma imiphumela yakho yokuhlolwa kwe- TSH (i-Thyroid-Stimulating Hormone) kanye ne -T4 (Thyroxine) ingavamile, udokotela angase acele ukuhlolwa okukodwa noma ngaphezulu kwalokhu kwe-antibody ye-thyroid.

Ngaphandle kwalokho, udokotela angase ancome lokhu kuhlolwa ngezizathu eziningana:

• Hlola ukuthi umdlavuza we-thyroid uphinde wabuya yini.
• Qapha isimo se-thyroid ngesikhathi sokukhulelwa.

Ungalungiselela kanjani ukuhlolwa kwe-antibody ye-thyroid?

Ngokuvamile, akukho ukulungiselela okukhethekile okudingekayo kulokhu kuhlolwa kwe-antibody ye-thyroid. Ungadla futhi uphuze ngendlela evamile ngaphandle kokuthi udokotela wakho akutshele okuhlukile.

Kodwa-ke, uma uthatha noma yiziphi ezinye izithako eziqukethe i-biotin, qiniseka ukuthi ubuza udokotela wakho ukuthi kufanele uyeke isikhathi esingakanani ukuzithatha ngaphambi kokuhlolwa, njengoba ukuthatha i-biotin kungathinta imiphumela yalezi zivivinyo.

Lokhu ukuhlolwa kwegazi okulula kakhulu. Ungakwenza nganoma yisiphi isikhathi sosuku elabhorethri. Umuntu othatha isampula yegazi (i-phlebotomist) uzosebenzisa inalithi encane ukukhipha inani elincane legazi emthanjeni osengalweni yakho. Yilokho kuphela.

Ungayiqonda kanjani imiphumela yombiko wokuhlolwa?

Imibiko yokuhlolwa kwegazi, kanye nemibiko yokuhlolwa kwama-antibody e-thyroid, imvamisa ifaka okulandelayo:

• Igama lokuhlolwa kwegazi, noma lokho okulinganiswe egazini lakho.
• Inombolo noma isilinganiso somphumela wokuhlolwa kwegazi lakho.
• Ububanzi bokulinganisa obujwayelekile balolo vivinyo.
• Ulwazi lokuthi umphumela wakho "Ubi" noma "Muhle", noma uphakeme noma uphansi.

Imiphumela yokuhlolwa kwe-Antibody ye-Thyroid ivame ukubikwa ngokuthi "Imbi" noma "Inhle. " Umphumela "Ombi" usho ukuthi izinga le-antibody lingaphakathi kwebanga elijwayelekile. Umphumela "Omuhle" usho ukuthi izinga le-antibody lingaphezu kwebanga elijwayelekile.

Yiziphi izinhlobo ezijwayelekile zama-antibodies e-thyroid?

Ngokuvamile, amazinga ajwayelekile ama-antibodies e-thyroid alandelayo:

• I-Antibody ye-Thyroid Peroxidase (TPOAb) : < 5.6 IU/ml (Amayunithi Omhlaba Wonke nge-milliliter)
• Ama-Antibodies e-Thyroglobulin (TgAb) : < 4 IU/ml
• Ama-antibodies e-hormone receptor avuselela i-thyroid (TRAb) : < 1.75 IU/L (Amayunithi Omhlaba Wonke ngelitha) noma < 3.3 IU/L, kuye ngohlobo lokuhlolwa
• I-Thyroid Stimulating Immunoglobulin (TSI) : < 0.55 IU/ml

Into ebaluleke kakhulu ukuthi uma uthola umbiko, uzosho ukuthi ungakanani uhla olujwayelekile lwaleyo lab. Lawa mabanga ajwayelekile angahluka kusuka kulab kuya kulab. Ngakho-ke, ungaqhathanisi inani elivela kulab eyodwa kuya kuhla olujwayelekile lwelinye lab. Uma unemibuzo mayelana nemiphumela yakho, qiniseka ukuthi ubuza udokotela wakho.

Kusho ukuthini uma umbiko wakho ubonisa ama-antibodies e-thyroid?

Ukuba "nombono omuhle" ngama-antibodies e-thyroid ngokuvamile kusho ukuthi unesifo se-thyroid esizimele. Kodwa-ke, lokhu akunjalo ngaso sonke isikhathi. Abanye abantu bangase babe "nombono omuhle" ngama-antibodies kodwa bangabi nesifo se-thyroid.

Ungaba "nombono omuhle" ngezinhlobo ezingaphezu kweyodwa ze-antibody ye-thyroid. Lokho okushiwo yila mazinga aphezulu e-antibody kuyahlukahluka kuye ngohlobo lwe-antibody. Ake sibone ukuthi lokho kusebenza kanjani.

Kuthiwani uma nginama-antibodies e-thyroid peroxidase (TPO)?

Uma "une-positive" (okusho ukuthi unamazinga aphezulu) ama-antibodies e-TPO, kungasho okulandelayo:

• Uma izinga lakho le-TSH liphezulu , ungase ube nesifo sikaHashimoto .
• Uma izinga lakho le-TSH lijwayelekile noma licishe lijwayelekile , ungase ube sengozini yokuthola i-hypothyroidism (i-hormone ye-thyroid ephansi) esikhathini esizayo.

Kodwa-ke, uma ama-antibodies akho e-TPO "engemihle" kodwa amazinga akho e-TSH ephezulu, kusho ukuthi kungase kube nenye imbangela ye-hypothyroidism yakho.

Kuthiwani uma ngine-thyroglobulin antibodies (TgAb)?

Uma ama-antibodies akho e-thyroglobulin (TgAb) "emahle", kungase kusho ukuthi unesifo sikaHashimoto.

Okunye, uhlinzwe umdlavuza we-thyroid futhi welashwa nge-radioactive iodine.Uma uke waba nayo, udokotela wakho angase akucele ukuthi uhlolwe i-TgAb. Lokhu kungenxa yokuthi akukuhle ukuba ne-thyroglobulin egazini lakho ngemva kwalokhu kwelashwa. Ngakho-ke, uma une-TgAb – ikakhulukazi uma izinga likhuphuka kancane kancane – kungaba uphawu lokuthi umdlavuza ubuyile (ukuphinda).

Kuthiwani uma ngine-thyroid-stimulating hormone receptor antibodies (TRAb)?

Uma i-TRAb yakho "ilungile" futhi izinga lakho le-TSH liphansi, cishe kusho ukuthi unesifo sikaGraves . Cishe abantu abangu-95% abanesifo sikaGrabes banamazinga aphezulu e-TRAb.

Akuvamile kakhulu ukuthi usenaso isifo sikaGraves noma ngabe i-TRAb yakho "i-negative." Uma kunjalo, ukuhlolwa kwe-thyroid kungasithola.

Kuthiwani uma ngine-thyroid stimulating immunoglobulin (TSI)?

I-TSI uhlobo oluthile lwe-TRAb. Uma "une-TSI" eqinisekisiwe, cishe kusho ukuthi unesifo sikaGraves.

Uma imiphumela ingajwayelekile, yini oyenzayo ngokulandelayo?

Uma imiphumela yokuhlolwa kwe-antibody yakho ye-thyroid ingajwayelekile, ungakhathazeki. Udokotela wakho uzokutshela ukuthi yini okufanele uyenze ngokulandelayo, okuhlanganisa nendlela yokuqhubeka nokuqapha i-thyroid yakho nokuthi ngabe udinga ukwelashwa.

Ukwelashwa okuyinhloko kwesifo sikaHashimoto yiphilisi oliphuza nsuku zonke impilo yakho yonke uma imibiko yakho yelabhorethri ikhombisa ukuthi une-hypothyroidism. Kunezindlela eziningana zokwelapha isifo sikaGraves, okuhlanganisa amaphilisi kanye nezinqubo ezithile.

Kungokwemvelo ukuzizwa ukhathazekile futhi ucindezelekile uma ubona umphumela ongavamile embikweni webhulebhu. Futhi ungase ufune ukwazi isizathu salokho ngokushesha okukhulu. Kodwa khumbula, udokotela wakho uzokuchazela le miphumela futhi, uma kudingeka, axoxe ngezinketho zokwelapha. Uma unemibuzo mayelana nemiphumela yakho, ungangabazi ukubuza udokotela wakho.

Umlayezo Wokuya Nawe Ekhaya

Kulungile, ake ngikusize ukhumbule ezinye zezinto ezibaluleke kakhulu esikhulume ngazo:

• Ukuhlolwa kwe-Antibody ye-Thyroid kungathola ukuthi amasosha ethu omzimba ahlasela i-thyroid gland yethu. Lokhu kubizwa ngokuthi yi-Autoimmune Thyroid Diseases.
• Izinhlobo ezahlukene zama-antibodies (njenge-TPOAb, i-TgAb, i-TRAb, i-TSI) zinikeza izinkomba mayelana nezifo ezahlukene ze-thyroid (njenge-Hashimoto's, i-Graves').
• Ukuhlolwa "okubonisa ukuthi unesifo esibi" akusho ngaso sonke isikhathi ukuthi unesifo esibi kakhulu. Ngezinye izikhathi ungaba nama-antibodies angenazo izimpawu.
• Ungakhohlwa ukutshela udokotela wakho mayelana nokusebenzisa kwakho i-biotin ngaphambi kokuhlolwa.
• Yini ekhona embikweni welabhorethri?Amabanga ajwayelekile angahluka kusukela elabhorethri kuya elabhorethri.
• Into ebaluleke kakhulu ukukhuluma ngokukhululekile ngemiphumela yakho nodokotela wakho. Yibo abangakunikeza iseluleko esinembile kakhulu.

Ngithemba ukuthi lolu lwazi luwusizo. Hlala uphilile!

Ama - antibodies e-thyroid, ukuhlolwa kwe-thyroid, isifo sikaHashimoto, isifo sikaGraves, i-autoimmune, i-TPOAb, i-TgAb, i-TSI, i-TRAb, ama-hormone e-thyroid