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Teko ea lithibela-mafu ke eng?

Tlhahlobo ena e lekanya boemo ba lithibela-mafu tsa qoqotho maling a hao. Thyroid ke tšoelesa e nyane e bopehileng joaloka serurubele e haufi le 'metso. Thyroid ea hao e etsa lihomone tse laolang tsela eo 'mele oa hao o sebelisang matla ka eona. E boetse e bapala karolo ea bohlokoa ho laoleng boima ba 'mele oa hau, mocheso oa' mele, matla a mesifa esita le maikutlo a hau.

Masole a mmele ke diprotheine tse entsweng ke masole a mmele ho lwantsha dintho tse kantle jwaloka divaerase le baktheria.Empa ka linako tse ling lithibela-mafu li hlasela lisele tsa ’mele, lisele le litho tsa’ mele ka phoso. Sena se tsejoa e le karabelo e ikemetseng. Ha lithibela-mafu tsa qoqotho li hlasela lisele tsa qoqotho tse phetseng hantle, li ka lebisa ho ferekaneng ha qoqotho. Mathata ana a ka baka mathata a tebileng a bophelo haeba a sa alafuoe.

Ho na le mefuta e fapaneng ea lithibela-mafu tsa qoqotho. Li-antibodies tse ling li senya lisele tsa qoqotho. Tse ling li etsa hore qoqotho e etse lihomone tse ngata tsa qoqotho. Teko ea lithibela-mafu ea qoqotho hangata e lekanyetsa e 'ngoe kapa tse' maloa tsa mefuta e latelang ea lithibela-mafu:


  • Li-antibodies tsa qoqotho ea peroxidase (TPO). Masole a mmele ana e ka ba letshwao la:
    • Lefu la Hashimoto, le tsejoang hape e le Hashimoto thyroiditis. Ena ke lefu le ikemetseng le sesosa se tloaelehileng sa hypothyroidism. Hypothyroidism ke boemo boo qoqotho e sa etseng lihomone tsa qoqotho tse lekaneng.
    • Lefu la mabitla. Hona hape ke lefu le ikemetseng le sesosa se tloaelehileng sa hyperthyroidism. Hyperthyroidism ke boemo boo qoqotho e etsang lihomone tse ngata tsa qoqotho haholo.
  • Li-antibodies tsa Thyroglobulin (TG). Lisireletsi tsena e ka ba sesupo sa lefu la Hashimoto. Batho ba bangata ba nang le lefu la Hashimoto ba na le lithibela-mafu tse ngata tsa Tg le TPO.
  • Moamoheli oa qoqotho e susumetsang qoqotho (TSH). Masole a mmele ana e ka ba sesupo sa lefu la Grave.

Mabitso a mang: li-autoantibodies tsa qoqotho, lesole la qoqotho la peroxidase, TPO, Anti-TPO, qoqotho e susumetsang immunoglobulin, TSI

E sebelisetsoa eng?

Ho sebelisoa liteko tsa lithibela-mafu tsa qoqotho ho thusa ho fumana mafu a qoqotho ea qoqotho.


Hobaneng ha ke hloka tlhahlobo ea lithibela-mafu?

U kanna ua hloka tlhahlobo ena haeba u na le matšoao a bothata ba qoqotho mme mofani oa hau a nahana hore a ka bakoa ke lefu la Hashimoto kapa lefu la Grave.

Matšoao a lefu la Hashimoto a kenyelletsa:

  • Boima ba 'mele
  • Mokhathala
  • Ho hlotheha ha moriri
  • Mamello e tlase bakeng sa mocheso o batang
  • Linako tse sa tloaelehang tsa ho ilela khoeli
  • Ho sokela
  • Ho tepella maikutlo
  • Bohloko bo kopaneng

Matšoao a lefu la Grave a kenyelletsa:

  • Ho fokotsa boima ba 'mele
  • Ho phatloha ha mahlo
  • Ho thothomela letsohong
  • Mamello e tlase bakeng sa mocheso
  • Mathata a ho robala
  • Ho tšoenyeha
  • Ho eketseha ha lebelo la pelo
  • Qoqotho e ruruhileng, e tsejoang e le goiter

U kanna ua hloka teko ena haeba liteko tse ling tsa qoqotho li bontša hore lihormone tsa hau tsa qoqotho li tlase haholo kapa li holimo haholo. Liteko tsena li kenyelletsa litekanyo tsa lihormone tse tsejoang ka hore ke T3, T4, le TSH (hormone e susumetsang qoqotho).

Ho etsahalang nakong ea tlhahlobo ea lithibela-mafu?

Ngaka ea tlhokomelo ea bophelo e tla nka sampole ea mali mothapong o letsohong la hao, e sebelisa nale e nyane. Kamora hore nalete e kenngoe, ho tla bokelloa mali a manyane ka har'a pompo ea liteko. U ka ikutloa u hlaba hanyane ha nale e kena kapa e tsoa. Hangata hona ho nka nako e ka tlase ho metsotso e mehlano.


Na ke tla hloka ho etsa eng kapa eng ho itokisetsa tlhahlobo?

Ha ho litokisetso tse khethehileng tse hlokahalang bakeng sa lithibela-mafu tsa qoqotho.

Na ho na le likotsi tsa tlhahlobo?

Ho na le kotsi e nyane haholo ea ho etsa tlhahlobo ea mali. U kanna oa ba le mahlaba a fokolang kapa ho longoa moo nale e kentsoeng teng, empa matšoao a mangata a fela kapele.

Liphetho li bolelang?

Liphetho tsa hau li ka bontša e 'ngoe ea tse latelang:

  • E mpe: ha ho li-antibodies tsa qoqotho tse fumanoeng. Sena se bolela hore matšoao a hau a qoqotho ha a bakoe ke lefu le ikemetseng.
  • E ntle: lithibela-mafu ho TPO le / kapa Tg li fumanoe. Sena se ka bolela hore o na le lefu la Hashimoto. Batho ba bangata ba nang le lefu la Hashimoto ba na le mefuta e phahameng ea mofuta o le mong kapa tse peli tsa lithibela-mafu.
  • E ntle: li-antibodies tsa TPO le / kapa receptor ea TSH li fumanoe. Sena se ka bolela hore o na le lefu la Grave.

Ha u na le lithibela-mafu tse eketsehileng tsa qoqotho, ho ka etsahala hore u be le bothata ba qoqotho bo itšireletsang mafung. Haeba u fumanoa u tšoeroe ke lefu la Hashimoto kapa la Grave, ho na le meriana eo u ka e nkang ho laola boemo ba hau.

Ithute haholoanyane ka liteko tsa laboratori, libaka tsa litšupiso, le liphetho tsa kutloisiso.

Na ho na le eng kapa eng eo ke hlokang ho e tseba ka tlhahlobo ea lithibela-mafu?

Boloetse ba qoqotho bo ka mpefala nakong ea bokhachane. Sena se ka lematsa mme le lesea la hae le e-so hlahe. Haeba o kile oa ba le lefu la qoqotho mme o le moimana, o kanna oa lekoa bakeng sa lithibela-mafu tsa qoqotho le liteko tse lekanyang lihomone tsa qoqotho. Meriana ea ho phekola lefu la qoqotho e bolokehile ho nooa nakong ea bokhachane.

Litšupiso

  1. Mokhatlo oa Amerika oa qoqotho [Inthanete]. Kereke ea Falls (VA): Mokhatlo oa Amerika oa Thyroid; c2019. Bokhachane le Mafu a Thyroid; [e qotsitsoeng ka la 2019 Pherekhong 2]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: http://www.thyroid.org/thyroid-disease-pregnancy
  2. Mokhatlo oa Amerika oa qoqotho [Inthanete]. Kereke ea Falls (VA): Mokhatlo oa Amerika oa Thyroid; c2019. Liteko tsa Mosebetsi oa Thyroid; [e qotsitsoeng ka la 2019 Pherekhong 2]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://www.thyroid.org/thyroid-function-tests
  3. Liteko tsa Lab Marang-rang [Inthaneteng]. Washington DC: Mokhatlo oa Amerika oa Clinical Chemistry; c2001–2019. Hashimoto Thyroiditis; [e ntlafalitsoeng 2017 Nov 27; e qotsitsoeng ka la 2019 Pherekhong 2]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://labtestsonline.org/conditions/hashimoto-thyroiditis
  4. Liteko tsa Lab Marang-rang [Inthaneteng]. Washington DC: Mokhatlo oa Amerika oa Clinical Chemistry; c2001–2019. Lithibela-mafu tsa qoqotho; [e ntlafalitsoeng 2018 Dec 19; e qotsitsoeng ka la 2019 Pherekhong 2]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://labtestsonline.org/tests/thyroid-antibodies
  5. Mayo Clinic [Inthaneteng]. Motheo oa Mayo oa Thuto ea Bongaka le Patlisiso; c1998–2019. Teko ea antibody ea "peroxidase" ke eng ?; 2018 Mots'eanong 8 [e qotsitsoeng ka 2019 Pherekhong 2]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://www.mayoclinic.org/thyroid-disease/expert-answers/faq-20058114
  6. Mayo Clinic: Mayo Medical Laboratories [Inthaneteng]. Motheo oa Mayo oa Thuto ea Bongaka le Patlisiso; c1995–2019. ID ea Teko: TPO: Thyroperoxidase (TPO) Antibodies, Serum: Clinical and Interpretative; [e qotsitsoeng ka la 2019 Pherekhong 2]; [hoo e ka bang li-skrini tse 4]. E fumaneha ho tsoa ho: https://www.mayocliniclabs.com/test-catalog/Clinical+and+Interpretive/81765
  7. Mayo Clinic: Mayo Medical Laboratories [Inthaneteng]. Motheo oa Mayo oa Thuto ea Bongaka le Patlisiso; c1995–2019. ID ea Teko: TPO: Thyroperoxidase (TPO) Antibodies, Serum: Kakaretso; [e qotsitsoeng ka la 2019 Pherekhong 2]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://www.mayocliniclabs.com/test-catalog/Overview/81765
  8. National Heart, Lung, le Setsi sa Mali [Internet]. Bethesda (MD): Lefapha la Bophelo le Litšebeletso tsa Botho la U.S. Liteko tsa Mali; [e qotsitsoeng ka la 2019 Pherekhong 2]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://www.nhlbi.nih.gov/health-topics/blood-tests
  9. Setsi sa Naha sa Lefu la Ts'oaetso le Mafu a Ts'oaetso le Liphio [Inthanete]. Bethesda (MD): Lefapha la Bophelo le Litšebeletso tsa Botho la U.S. Lefu la Hashimoto; 2017 Sep [e qotsitsoeng ka la 2019 Pherekhong 2]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://www.niddk.nih.gov/health-information/endocrine-diseases/hashimotos-disease
  10. Setsi sa Naha sa Lefu la Ts'oaetso le Mafu a Ts'oaetso le Liphio [Inthanete]. Bethesda (MD): Lefapha la Bophelo le Litšebeletso tsa Botho la U.S. Hyperthyroidism (Thyroid e Feteletseng); 2016 Aug [e qotsitsoeng ka la 2019 Pherekhong 2]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://www.niddk.nih.gov/health-information/endocrine-diseases/hyperthyroidism
  11. Setsi sa Naha sa Lefu la Ts'oaetso le Mafu a Ts'oaetso le Liphio [Inthanete]. Bethesda (MD): Lefapha la Bophelo le Litšebeletso tsa Botho la U.S. Hypothyroidism (Thyroid e sa Sebetseng); 2016 Aug [e qotsitsoeng ka la 2019 Pherekhong 2]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://www.niddk.nih.gov/health-information/endocrine-diseases/hypothyroidism
  12. Setsi sa Naha sa Lefu la Ts'oaetso le Mafu a Ts'oaetso le Liphio [Inthanete]. Bethesda (MD): Lefapha la Bophelo le Litšebeletso tsa Botho la U.S. Liteko tsa qoqotho; 2017 Mots'eanong [e qotsitsoeng ka la 2019 Pherekhong 2]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://www.niddk.nih.gov/health-information/diagnostic-tests/thyroid
  13. Physician’s Weekly [Inthaneteng]. Physician’s Weekly; c2018. Ho Laola Boloetse ba Thyroid Nakong ea Boimana; 2012 Pherekhong 24 [e qotsitsoeng ka la 1 Pherekhong 2]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://www.physiciansweekly.com/thyroid-disease-during-pregnancy
  14. Setsi sa Bongaka sa Rochester [Internet]. Rochester (NY): Setsi sa Bongaka sa Univesithi ea Rochester; c2019. Health Encyclopedia: Lithibela-mafu tsa qoqotho; [e qotsitsoeng ka la 2019 Pherekhong 2]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=167&contentid=thyroid_antibody
  15. Bophelo ba UW [Marang-rang]. Madison (WI): Univesithi ea Wisconsin Lipetlele le Bolaoli ba Litleliniki; c2019. Liteko tsa Antitodyroid Antibody: Litholoana; [e ntlafalitsoeng 2018 Mar 15; e qotsitsoeng ka la 2019 Pherekhong 2]; [li-skrini tse ka bang 8]. E fumaneha ho tsoa ho: https://www.uwhealth.org/health/topic/medicaltest/antithyroid-antibody-tests/abq5900.html#abq5907
  16. Bophelo ba UW [Marang-rang]. Madison (WI): Univesithi ea Wisconsin Lipetlele le Bolaoli ba Litleliniki; c2019. Liteko tsa Antithyroid Antibody Test: Kakaretso ea Teko; [e ntlafalitsoeng 2018 Mar 15; e qotsitsoeng ka la 2019 Pherekhong 2]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://www.uwhealth.org/health/topic/medicaltest/antithyroid-antibody-tests/abq5900.html
  17. Bophelo ba UW [Marang-rang]. Madison (WI): Univesithi ea Wisconsin Lipetlele le Bolaoli ba Litleliniki; c2019. Liteko tsa Antithyroid Antibody: Ke Hobane'ng ha e Etsoa; [e ntlafalitsoeng 2018 Mar 15; e qotsitsoeng ka la 2019 Pherekhong 2]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://www.uwhealth.org/health/topic/medicaltest/antithyroid-antibody-tests/abq5900.html#abq5902

Tlhahisoleseling e fumanehang sebakeng sena sa marang-rang ha ea lokela ho sebelisoa ho nka sebaka sa tlhokomelo ea bongaka le likeletso. Ikopanye le mofani oa tlhokomelo ea bophelo haeba u na le lipotso ka bophelo ba hau.

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