Antibody ga TSH tsoka mai amsa sigina: analysis

Idan ka zo asibitin da gunaguni da} arfin irritability da kuma tashin hankali, m on nauyi riba ko asara, na gajiya, da kuma likita ta zayyana ku jarraba ga antibodies da TSH tsoka mai amsa sigina, don haka sai ya so ya duba matsayi na your thyroid. Mene ne dangantakar da nan? Gaskiyar cewa TSH tsoka mai amsa sigina "rayuwa" a cikin thyroid gland shine yake da ne lãmuni game da shi za'ayi da kira na da muhimmanci hormones. Duk wani take hakkin wannan tsari na iya haifar da matsaloli kamar yadda aka bayyana a sama, da kuma wasu matsaloli. Saboda haka, da farko abubuwan da farko.

Mene ne TTG

TSH tsaye a matsayin thyrotropin, ko thyroid haramta motsa hormone. Samar da kananan yanki na baƙin ƙarfe pituitary gland shine yake dake kusa da kwakwalwa. By aiki a kan takamaiman rabe located a farfajiya na thyroid gland shine yake, TSH hormones ta da samar da thyroxine (T4), wanda a nuna rinjayar da karuwa a amfani da aidin da thyroid gland shine yake. Daga bisani TTG shafi kira na T4 da T3 (triiodothyronine). Wadannan biyu hormones ne da muhimmanci sosai ga ci gaban da kuma ci gaban mutum Kwayoyin aiki yadda ya kamata narkewa kamar fili, zuciya, jini, haihuwa da kuma juyayi tsarin. Lokacin da sanya analysis "TSH tsoka mai amsa sigina antibody" ana zargin take hakkin hormone samar, wanda zai iya haifar da rashin lafiya, irin su:

• Hyperthyroidism (kaburbura 'cuta ko kabari ta cutar).
• hypothyroidism.
• thyrotoxicosis.

A antibodies da kuma rabe

Rabe - wadannan tsarin a cikin abin da jijiya endings aka saka, azanci shine neurons, wasu barbashi intercellular abu, tana mayar da kara kuzari a cikin jijiyar. Su ne a cikin jiki da yawa. A musamman, TSH rabe amsa hormones da wannan sunan, da kuma ta da su samar da zama dole ga al'ada aiki na da yawa mutum tsarin.

Antibodies - wani takamaiman irin sunadaran (glycoproteins) wanda ake selectively da alaka da wani unusually takamaiman iri kwayoyin. Wannan dukiyar amfani da mutum rigakafi da tsarin. A kasawa a cikin shi zai fara samar da antibodies da TSH tsoka mai amsa sigina. Sun zo a dama iri, abin da ya bambanta a cikin ayyuka.

1. TSH tarewa aiki da kansu fara mimic su effects a kan thyroid (rura ta aiki). A sakamakon haka, matakin T3 da T4 da aka girma da kuma tasowa hyperthyroidism.
2. Wuya fiye da TSH hormones kisa to rabe. Sa'an nan T3 da T4 matakan girma a kan wani dogon lokaci, a matsayin thyroid Kwayoyin kara kuzari ci gaba.
3. Kada toshe, amma rage TSH hormone aiki, a sakamakon thyroid gland shine yake zama m zuwa gare su (atrophy). Hypothyroidism faruwa.

A lokacin da ka bukata za a gwada wa antibody ga TSH tsoka mai amsa sigina

Irin wannan kima aka sanya a cikin wadannan alamomi:

1. Alamun hyperthyroidism, wanda sun hada da irritability, ta ƙara ji na ƙwarai to zafi, tashin hankali, wanton nauyi asara, matsaloli na zuciya, oligoamenoreya.
2. Alamun hypothyroidism: rashin ci da nauyi riba, lethargy, drowsiness, gajiya, hypersensitivity zuwa sanyi.
3. Kaburbura 'cuta (ganowa, monitoring magani).
4. Ciki ko wani shirin daukar ciki, suka yi zargin kaburbura 'cuta ko wasu munanan na TSH nagartacce.

Wani lokaci akwai bukatar ba wani jini samfurin for kwayar cututtuka, kamar yadda raba kungiyoyin na ƙwayoyin cuta iya daura da rabe.

Yadda za a gwada

An sani cewa taro na TSH a cikin jini dabam a ko'ina cikin yini. A mafi matakan da shi yana 3-4 ƙarfe, mafi ƙasƙanci - a kusa 5-7 pm. Yawanci, da bincike a kan antibodies da TSH tsoka mai amsa sigina an gama tattaunawa tare da da safe. Kafin cewa, ba za ka iya sha (sai ruwa), ci, hayaki. Tun da na karshe abinci dole ne a kalla 8 hours, kuma m abinci amfani ne sosai a ke so. Idan gwaje-gwaje suna da za'ayi domin sanin muhimmancin da yawan antibody canji, shi wajibi ne ya dauki su kowane lokaci a cikin wannan lokaci. Jini ne kõma daga jannayẽnsa. Amsar ya zama a shirye domin gobe.

Me gudanar da wannan bincike

A da ake so magani antibody ga TSH rabe da halayyar alama - suka bayyana, idan wani mutum yana da wani yaxuwa mai guba goiter (kaburbura 'cuta). Kasancewarsu a cikin magani - shi ne mai irin alama, yana tabbatarwa, da gaban da cutar. A 85-100% da marasa lafiya da antibodies haramta motsa da kimanin 96% - tarewa. Wannan shi ne, a mafi yawan marasa lafiya akwai biyu siffofin antibodies cewa bukatar gyara rubũta.

Bugu da kari ga DTZ, wani antibody ga TSH tsoka mai amsa sigina-tabbatacce bincike na harka a 15% na marasa lafiya da thyroiditis Hashimoto (Hashimoto) autoimmune.

da adadin antibodies canjãwa masu kuzarin kawo cikas da aka samu daga lokacin da haƙuri da aka riga karbar magani. Saboda haka, a kan samun antithyroid kwayoyi, antibody taro saukad, wanda zai iya bayar da Yunƙurin zuwa cikakken lõkacin fatara daga magani.

Duk da haka, a wasu lokuta, kaburbura 'cuta da kuma Hashimoto ta thyroiditis ake hada da lupus erythematosus, rheumatoid amosanin gabbai da kuma wasu sauran yanayi. Saboda haka, a lokacin da wani m gwajin, shi ne kyawawa don gudanar da wasu gwaje-gwaje don sarauta daga concomitant cuta.

Antibodies a mata masu juna biyu

Ba dukan mata masu ciki suna wajabta gwaje-gwaje domin antibody ga TSH tsoka mai amsa sigina. Gudu da shi wajibi ne idan:

• Matan da suka yi halartar Hakika na far da rediyoaktif aidin.
• DTZ m magani.
• akwai alamun hyperthyroidism.
• thyreostatics daukan magani.

TSH tsoka mai amsa sigina antibodies iya wuce ta cikin mahaifa zuwa ga tayin da kuma sa shi hyperthyroidism. Bugu da kari ga jini analysis, marasa lafiya da ake zargin DTZ kwashe scintigraphy, wanda aka contraindicated zuwa ciki. Domin su, watakila kawai damar ajiye yaro daga cutar - yin bincike a kan antibodies da TSH tsoka mai amsa sigina. Kullum a cikin daban-daban Categories mutane dabam, amma talakawan ne daga 0 to 0.99 Mu / L.

Yana ba za a gauraye da ƙididdiga a kan TTG. Su kudi a lokacin daukar ciki na iya kara ko rage da kuma isa wani matakin 0,2-3,5 Iu / L. Yana da muhimmanci a gudanar da wani gwaje-gwaje domin antibodies da hormones a lokacin farkon daukar ciki har da tayin thyroid aka ba su aiki da kansa.

sakamakon

Bayan bincike a kan antibody matakin ya jũya cikin furotin ban sha'awa:

• kasa da 1.5 Iu / L - korau.
• daga 1.5 zuwa 1,75 Iu / L - m.
• fiye da 1,75 Iu / L - tabbatacce.

Idan sakamakon bincike a kan antibodies da TSH tsoka mai amsa sigina korau, wannan mai yiwuwa nuna wani matsaloli tare da thyroid, nasara magani sakamako ko da wani dakin gwaje-gwaje kurakurai aikata a lokacin jini karɓarsu ga. Abin baƙin ciki, wani mummunan sakamakon ba dole ba ne nuna al'ada thyroid gland shine yake. A lokuta da shakka likita iya rubũta ƙarin bincike.

A sakamakon tabbatacce yana nufin cewa mutum yana da kaburbura 'cuta ko Hashimoto ta thyroiditis.

magani

A sakamakon bincike ya nuna cewa antibodies tashi zuwa TSH tsoka mai amsa sigina, magani sanya kawai likita, a matsayin dalilin da kin amincewa iya zama daban-daban. Idan wannan DTZ, miyagun ƙwayoyi far ne "Merkazolil" ko "methylthiouracil". A cikin 'yan shekaru, madalla da sakamakon da aka samu tare da radioiodine far. Duk da haka, shi ne contraindicated a ciki mata. A wannan yanayin, yaba kawai "Propylthiouracil." Iko a kan maida hankali antibody bukata.

A wasu lokuta, m magani an wajabta.

Idan wannan shi ne Hashimoto ta autoimmune thyroiditis, magani ne da za'ayi wadannan hormonal jamiái, "Thyroxine", "Tireoidine», «L-thyroxine" da sauransu, kazalika da glucocorticoids. Good sakamakon nuna fari cinquefoil far.

A cikin wani hali, kai-magani ba tare da kulawa na likita ne contraindicated.