Ko enei Angapera Kia Meihana, engari Kaua e Whakamahia te Whakakotahinga o te Hone Honeke
Ko nga huapiro ko nga paanga e huaina ana e to tinana e urupare ana ki te whakangaro i nga antigens, he mea matū, penei i te huaketo me te huakita, e tohu ana te tinana he tangata ke.
I etahi wa, ka whakaaturia e to tinana nga tihi, ngeru, me nga taakaa hei tangata ke. Ko te ahua o te tauhohenga ko te ahua o nga mate a te mate autoimmune, a , ko enei taupatupatu, e whakatairanga ana i te whakaeke whanoke i te tinana o te tangata, e kiia ana he potae autoimmune.
Ko tetahi o nga raupapaku o te antibodies he thyroid peroxidase (TPO) , me to ratou aroaro ("positivity") e whakaatu ana i te aroaro o te mate o te materoka autoimmune, te nuinga o te thyroiditis o Hashimoto.
Te mohio ki te Thyroiditis Hashimoto
I roto i te herroiditis o Hashimoto, ko te TPO te patu i to taone.
I te wa o te wa, ka tukuna e te ngarara TPO te mimiti me te mutunga ka whakangaro i te katoa, i te waahanga ranei o to kiriu. I te mea kaore e taea e te takaroka te whakaputa i te hiroone hukaroki, ka riro pea koe hei hypothyroid. Ka taea ano e nga hopi o Hashimoto te hanga i to thyroid ki te hanga i nga nodules, ki te whakanui ranei, e mohiotia ana ko te goiter.
Waihoki, ka taea e te waahi mo te painga kino ki to taero te whakaatu i roto i to taumata hiro-whakaongaonga hormone (TSH). Ehara i te mea noa, kia whai koiora TPO pai mo nga marama, mo nga tau ranei i mua i te piki ake o to taumata TSH ki tetahi waahi ka tohua koe ki te hypothyroidism.
He mea nui ki te whakahua, me etahi, kaore i te haere tonu etahi ki te noho ki te hypothyroid, ahakoa he pai nga TPO.
Nga Tipipu TPO Tino, TSH Tangata: He Tohu Whakaoatanga Tohu?
I te nuinga o te korero, mehemea ko te hua whakamatautau TSH he mea noa (i waenga i te 0.4 me te 4.5 miriona-tau mo te rita, mo te MU / L ranei), kaore i te whakamanahia te maimoatanga (me te tarukino whakakapi hiroone mate), ahakoa he pai nga potae TPO.
Engari, ki te piki ake to TSH (me korero ki te 6.0mU / L) me te kawa o te thyroxine (T4), ko te "painga" o nga kapi TPO ka kaha ki te tarai i to taakuta ki te whakauru i te maimoatanga o te hiroone taika. Ko te mea tenei na te mea kaore e taea e te hauora wawe te aukati i te haere tonu o tenei hypothyroidism kaore e kiihia ana ki te hypothyroidism.
Tërä pea ka kaha ake to tö täkuta ki te hamani i to hipothyroidism përä mehemea kei a koe nga tohu e rite ana ki te ngoikore, te kahakaha, te pouri ranei, kei a koe ano tetahi mate autoimmune, hei tauira, te mate celiac.
Ko te taangata, ka mahi i roto i te whakatau a to taakuta. I te nuinga o te waa, he kounga teitei ake mo te whakauru i nga rongoā hopi reroropi whakakapi i roto i nga pakeke pakeke, no te mea ko to raatau TSH kei runga i nga waahanga o runga.
He Kupu Mai i
Ko te raina raro i konei ko te pai o te materoki peroxidate thyroid e whakaatu ana i te tukanga autoimmune; Heoi, he mea noa noa iho te painga o te hukarere takaroka, a kaore i te tohutohu noa mehemea kaore e hiahiatia ana e koe te maimoatanga o te homone thyroid. Engari, ka awhina koe ia koe me to whakatau a to taakuta, i roto i era atu mea ka rite ki to tau, hitori o te whanau, me nga tohu.
Ko te nuinga o te korero he pai ki te korero ki to taakuta mo o hua me to tohu tohu ahurei.
Ko tenei ara ka taea e koe te whakarite kei te pai koe i to takaro me te hauora katoa.
> Mahinga:
> Braverman, L, Cooper D. Werner & Ingbar Ko te Thyroid, 10th Edition. WLL / Wolters Kluwer; 2012.
> Davies TF. Te pathogenesis o thyroiditis o Hashimoto (heu-tairoiditis autoimmune). Ross DS, ed. UpToDate. Waltham, MA: UpToDate Inc.
> Garber, J, Cobin, R, Gharib, H, et. al. "Ngā Aratohu Mahi Mahi Hauora mo te Hypothyroidism i roto i nga Paari: I tautokohia e te American Association of Clinical Endocrinologists me te American Thyroid Association." Mahi Whakamutunga. Vol 18 No. 6 Noema / Hakihea 2012.
> Jonklaas J et al. He Aratohu mo te Maimoatanga o te Hypothyroidism: I whakaritea e te American Task Force Thyroid Association i runga i te Hormone Replacement. Thyroid . 2014 Hakihea 1; 24 (12): 1670-1751.
> Kent, Athol. "Nga Whero Hiropi e Whakaritea ana ki te Paanui me te Whakanohoatanga Mua." Ko nga korero i roto i te Obstetrics me te Gynecology 4.3-4 (2011): 128-129. 2011.