Chii Chaicho Chine Utachiona Peroxidase Antibodies Ane Tshingi Inoreva TSH

Aya Anodei Anogona Kuchinja, asi Asingaregi Kutora Hormone Inotsiviwa

Zvirwere zvepamuviri ndizvo mapurotini anobudiswa nemuviri wako anopindura kana kuedza kuparadza maantigen, izvo zvinhu, zvakadai semavirusi uye mabhakitiriya, ayo muviri unoratidza sevatorwa.

Mune zvimwe zviitiko, muviri wako unonyatsoratidza kuti gland rako, maviri, uye nhengo dzomunyika. Mhando iyi yekuita inhu hunofanana nehutachiona hwemoto , uye izvi zvinopesana, izvo zvinotanga kurwisa kusina kunaka pamuviri womunhu, zvinonzi autoimmune antibodies.

Imwe klasi yemagadzirirwo evanhu anonzi autoimmune anti- thyroid peroxidase (TPO) antibodies , uye kuvapo kwavo ("positivity") kunoratidzira kuvapo kwechirwere chetachiona chemotokari, kazhinji Hashimoto's thyroiditis.

Kunzwisisa Hashimoto's Thyroiditis

MuHashimoto's thyroiditis, maTB antibodies anorwisa utachiona hwetroroid yako.

Nokufamba kwenguva, maTB antibodies anokonzera kugomera uye pakupedzisira anogona kuparadza zvose kana chikamu chetachiona chako. Sezvo utachiona husingakwanisi kubereka hormone yekemikari, iwe unogona kutanga uine hypothyroid. Hashimoto's antibodies inogona kukonzera kuti utachiona hwako huve nehutachiona, kana kuti huri kukurudzirwa, hunozivikanwa sewe goiter.

Kunyangwe zvakadaro, zvinogona kutora nguva yekuparadza kwetachiona yako kuti itaridzike muyero yako ye-thyroid-stimulating hormone (TSH). Hazvisi zvisingazivikanwi, chaizvoizvo, kuva nema positive TPO antibodies kwemwedzi kana makore asati TSH yako ichikwira kusvika pane yaunowanikwa ne hypothyroidism.

Zvakakosha kutaura, zvakare, kuti vamwe vanhu havatombofambira mberi kuva hypothyroid, pasinei nokuti vane maitiro akanaka eT TPO.

Zvakanaka TPO Zvirwere, Anowirirana TSH: Chirwere Chinotenderwa here?

Kazhinji kutaura, kana yako TSH test result ndeyezvakanaka (pakati pe 0,4 ne4,5 milliyoni maundi maundi pamatare, kana mU / L), kurapwa (ane utachiona hwemishonga inoshandiswa zvinodhaka) hazvibvumirwi, kunyange kana TPO zvirwere zvakanaka.

Zvisinei, kana TSH yako ichinge yakakwirira (ngatitaurire hovering inenge 6.0mU / L) uye thyroxine yako (T4) hormone yakajairika, "positivity" ye TPO antibodies inogona kukonzera chiremba wako kuti atange utachiona hweHromone. Izvi ndezvokuti maperembudzi ekutanga anogona kudzivirira kufambira mberi kweiyo inonzi inonzi subclinical hypothyroidism mu overt hypothyroidism.

Chiremba wako angatove akatonyengedzwa kuti aporese yako subclinical hypothyroidism kana iwe une zviratidzo zvakadai sokuneta, kuvhiringidzika, kana kuora mwoyo, kana iwe une imwe chirwere chinogadziriswa, somuenzaniso, chirwere chechiliac.

Age, pamwe chete, ichaita basa mukuita chiremba wako. Kazhinji, pane chikumbaridzo chepamusoro chekutanga utachiona hwemakemikari mushandudzo yemishonga kune vakwegura vakuru, nokuti nheyo yavo yekutanga TSH iri pamucheto wepamusoro wekugara.

Shoko Rinobva

Chinokosha pano ndechekuti utachiona hwakanaka hweproidyrosiidase inoratidzira hutachiona hwemotokari; zvisinei, ivo vanongova rutivi rwechirwere che thyroid uye havawanzoti kana iwe unoda utachiona hweHromone kana kwete. Pane kudaro, vanogona kukukurudzira iwe nechisarudzo chechiremba wako, pakati pezvimwe zvinhu zvakadai sezera rako, nhoroondo yemhuri, uye zviratidzo.

Kakawanda zvakanakisisa kutaura nechiremba wako pamusoro pezviitiko zvako zvakasiyana-siyana zvebhu uye zviratidzo.

Nenzira iyi unogona kuve nechokwadi kuti uri kutarisa utachiona hwako uye hutano hwakakwana.

> Sources:

> Braverman, L, Cooper D. Werner & Ingbar's The Thyroid, 10th Edition. WLL / Wolters Kluwer; 2012.

> Davies TF. Pathogenesis yeHashimoto's thyroiditis (chisinganzwisisiki autoimmune thyroiditis). Ross DS, ed. Kusvika pari zvino. Waltham, MA: UpToDate Inc.

> Garber, J, Cobin, R, Gharib, H, et. al. "Clinical Practice Guidelines for Hypothyroidism muVakuru: Cosponsored neAmerican Association of Clinical Endocrinologists uye American Thyroid Association." Endocrine Dzidzira. Vol 18 Nha. 6 November / December 2012.

> Jonklaas J et al. Mirayiridzo yeUrapa weHypothyroidism: Yakagadzirirwa neAmerican Thyroid Association Task Force paTroroid Hormone Replacement. Thyroid . 2014 Dec 1; 24 (12): 1670-1751.

> Kent, Athol. "Utachiona hweTroyasi Hwakabatanidzwa Nokutora Musha uye Kutangira Kuberekwa." Ongororo muBhostetrics uye Gynecology 4.3-4 (2011): 128-129. 2011.