Zvinokonzera Kuverenga Kwechokwadi paTyroid Test
Nemamiriro mazhinji ezvo kusanganisira chirwere chetachiona, tinotarisa ma laboratory mararamiro kutungamirira kurapwa. Asi maitiro ehutori anogona kuve mukukanganisa kwezvikonzero zvipi zvese. Nehutachiona hwehutachiona, utachiona hunokurudzira hormone (TSH) muedzo wakava iyo inonzi inonzi yegoridhe test test yekuongorora utachiona hunoita asi haisi nguva dzose yakarurama. Uye kubata mutumbi wako kubva pane kuverenga kwenhema kungaita kuti uchinzwa usiri.
Heterophile antibodies inofungidzirwa kuti ndeimwe chikonzero chekuverenga kwenhema pazviedzo izvi. Ndezvipi zvaunofanira kuziva pamusoro pebasa remabasa uye zvisizvo zvisingaiti?
Zvinokonzera Kuongororwa Kunowanzoitwa MuGarire
Apo patinowanzoona kuongorora kwebasa sekusakwanisa kupiwa kunotipa isu nhamba dzezvinangwa, kwete nguva dzose. Muzvokwadi, zvichibva pamusana pekuti iwe pachako iwe unogona kunge wakanga uri nechiitiko chekuedza kana zviviri izvo zvakanga zvisina kururama muupenyu hwako.
Nekutarisa kwetrosi, chikonzero chakanyanya ikozvino chinofungidzirwa kuva heterophile antibodies. Ngatitange nekukurukurirana ma antibodies, funga zvimwe zvikonzero zvinoita kuti uongorore zvisizvo, uye taura pamusoro pezvaunogona kuita uye zvaunofanira kuziva kuti uri mutsigiri wehutano hwako.
Heterophile Antibodies uye Mhinduro Zenhema dzeTyroid
Muna 2011, musangano wegore negore we endocrinologists akaudzwa kuti heterophile antibodies inogona kuisa mungozi yezvikanganiso zvakashata paTSH kuedza.
Heterophile antibodies anozivikanwawo sevanhu vanorwisa mhuka dzinorwisa mhuka uye dzinogadziriswa semugumisiro wekutsvaga kune mhuka-yakagadzirwa nemishonga uye anti-antibody therapies.
Kubudirira kweheterophile antibodies kunowanzoonekwa kana iwe wakagamuchira kuwedzerwa ropa, zvirwere, kana wakambosangana kune dzimwe mhuka (kwete mhuka dzemhuka).
Hazvinyatsozivi kuti hutachiona hunokonzerwa ne heterophile, asi hunofanirwa huri kubva pane imwechete kusvika ku80 muzana yevanhu. Izvi zvakasiyana-siyana mukupararira zvakabatana nekushandurwa kweanoriporo.
Kuwedzera kwekukurumidza muhuwandu hweHeterophile Antibodies
Nhoroondo ndeyokuti kuvapo kwe heterophile antibodies kunowedzera kuwedzera zvinoshamisa muna 2010. Mune imwe nyaya inokurukurwa pamusangano iwoyo, yakawanikwa kuti 4.4 kubva muzana emasera akaedzwa akabatwa neaterophile antibodies. Zvimwe zvaifunganya ndezvokuti TSH isina kukodzera inofanira kutungamirira pakuwedzera kuongororwa, asi kuedza hakuiti nguva dzose. Nokudaro, kuvapo kwezvirwere izvi zvinogona kunge zvakakosha.
Impact yeHeterophile Antibodies
Izvo zvinokonzerwa neheterophile antibodies zvingave zvakakosha mune izvo zvisarudzo zvokurapa zvinowanzoitwa zvichienderana nehuwandu hweTSH . Zviratidzo zvinofungidzirwa, asi mutemo wegoridhe unowanzoramba uri TSH. Izvi zvinorevei kuti vanhu vanorarama nehutano hwehutano vanofanira kuziva nezvekugona kwezviitiko zvisingaiti.
Nguva Yekuti Suspect Heterophile Antibodies
Sezvo TSH ndiyo iyo yegoridhe yekuita mishanduko yemishonga yekirori, ungaziva sei kana iwe unogona kunge une heterophile antibodies inokanganisa mazinga ako?
Zvinoratidzika kuti kukanganisa pakati peTSH uye pachena T4 ndicho chiratidzo. Munhu wose ane zviratidzo zvisingaenderani nezviratidzo zvavo kana kuti zvisingafungiri zvichienderana nenyaya yavo kana kuti chirwere chemazuva ano chemishonga chinofanira kunge chichiedzazve kuedzwa.
Zvimwe Zvingaita Zvinokonzera Kuverenga Kwechokwadi paTyroid Test
Mukuwedzera kune-heterophile antibodies, kune nzira dzakawanda umo maitiro ekuongorora anogona kupa kuverenga kwenhema kubva pane zvikanganiso muropa rako kusvitsa kuisanganiswa mumabhadhi, nekukanganisa mukunyora nhamba. Tinoziva kuti kukanganisa kwezvokurapa kwakajairika, uye chikonzero chikuru chekurwara uye kunyange rufu. Zvichida kuti misoro mitambo inotyisa inoshevedza kukanganisa kwechipatara chechitatu chekutanga chinokonzera rufu chakange chisina kukanganisa, asi sezvo icho chaifungidzirwawo mutsvuku mutsvuku kuti uve mumiriri wako uye utaure kana chimwe chinhu chisingaoneki chakanaka kwauri.
Somuenzaniso, kana iwe une zviratidzo zve hyperthyroidism uye rako rekuongorora maitiro rinoratidza iwe uri hypothyroid uye pamwe chete. Dzimwe nguva chinhu chakanakisisa chaunofanira kuita ndechokare kumhanya chiedza chekuongorora, kana kukumbira muedzo wakasiyana unogona kuratidzira kusawirirana uye kuratidzira kukanganisa kunogona.
Kukosha kweDambudziko Rinogona Kuongororwa
Kunyange zvazvo kuongororwa kwehupo hwe heterophile antibodies inofungidzirwa iri kuwedzera, dambudziko racho haringave rakakura sezvinofungwa pakutanga. Dzimwe nyanzvi dzebhroatori dzinotaura kuti mazamu mazhinji emazuva ano ane masimba anodzivirira anokwanisa kubvisa dambudziko reTSH yakakura kwazvo. Kusvikira pane kubvumirana chii chaunofanira kuziva?
Izvi Zvinorevei Kwauri
Kuziva zvose izvi, chii chaungaita kuti uve wako mumutsigiri muhutano hwehutachiona hwako? Ingave yakabatana ne-heterophile antibodies kana imwe nzira yebasa risiri, kutaura nachiremba wako kana iwe usinganzwi zvakanaka zvakakosha. Kana iwe wakarapwa kwe hypothyroidism kwenguva yakati, unogona kunge unonzwisisa kuti unonzwa sei kana mishonga yako yemishonga yakakwirira kana kuti yakadzika. Kana iwe usinganzwisisi zvakanaka, ita nguva.
Kana iwe uri kurapwa nokuda kwe hypothyroidism uye une TSH inodzoka yakakwirira (yakakwirira), zvichida kuti chiremba wako awedzere mazamu ako ehutori hupenyu huri panzvimbo. Kana yako yakakwirira yeTSH mazinga, zvisinei, nekuda kweheterophile antibodies, kuwedzerwa kwechiyero kunogona kukonzera kudarika uye mishonga-inokonzerwa hyperthyroidism . Pazviitiko zvisingawanzoitiki, izvi zvakaguma nehosha thyrotoxicosis ( thyroid ).
Kana iwe uchinzwa zvakanaka pachinzvimbo chako chekutsvaga, uye iwe une chikwata chepamusoro cheTSH chekuedza, unofanirwa kubvunza chiremba wako kuti ashandise zvakare Free T4 uye Free T3 miedzo , kuti aone-chengetedza kana achibatanidza neTSH yakakwirira.
Kana Iwe Usingave Nehutano Hwezvirwere uye Uve neKwakakwirira TSH
Kana usina kumboonekwa nehutachiona uye uine TSH yakakwirira, zvingava zvakanaka kuti une hypothyroidism. Mushure mezvose, chirwere chetachiona chinowanzoitika. Panguva imwecheteyo, unogona kunge une heterophile antibodies inokonzera kukwirira uye inogona kunge yakakanganisa kufungidzirwa.
Kana izvi zvikaitika kwauri, bvunza chiremba wako kuti asunungure T4 uye usasununguka T3 miedzo kuti uone kuti unozivikanwa nezve hypothyroidism. Pasina cheki iyi, unogona kuwanikwa nenzira isina kururama ne hypothyroidism uye wakatanga pakurapwa zvichiita mishonga-induced hypothyroidism.
Pasi pepamusoro paHeterophile Antibodies uye Nhema TSH Miedzo
Hazvisi pachena kuti mahedheni akawanda anokonzerwa neheterophile ari munharaunda yakawanda, asi kana iripo inogona kukonzera kukanganisa kwepamusoro kweTSH yepamusoro (pane mamwe maitiro asi kwete vamwe). Kurapa kunobva pachirongwa cheTSH chete kunogona kuita kuti mishonga-inokonzerwa hyperthyroidism yevaya vari kurapwa nokuda kwe hypothyroidism uye avo vanofungidzirwa zvisina kururama vane hypothyroidism yakabva pachiedza.
Kana iwe TSH yako yakakwirira uye iwe hauna zviratidzo zve hypothyroidism (kana iwe uchinzwa zvakanaka) bvunza chiremba wako kuti aongorore T4 yakasununguka uye isingabhadharwi T3 yenhamba yekubatanidza nhamba dzako uye kutarisa kusawirirana.
> Sources:
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> Soleimanpour, S. Fulminant Kusakundikana Kwechiropa Kubatanidzwa Nokuderedzwa Kuzivikanwa kweTyroid Dutu Pamusana peHeterophile Antibodies. Clinical Diabetes uye Endocrinology . 2015. 1:12.
> Srichomkwun, P., Scherberg, N., Jaksic, J., uye S. Refetoff. Kuongorora Dickyma muItachiona Utachiona Basa Rinoshandiswa Kurwisana neTroroid Hormone Autoantibodies. AACE Clinical Case Reports . 2017. 3 (1): e22-e25.