Zifukwa Zowonongeka Kwabodza pa Mayeso a Chithokomiro
Ndili ndi zovuta zambiri kuphatikizapo matenda a chithokomiro, timayang'ana pa ma laboratory kulongosola chithandizo. Komabe malemba a lab akhoza kukhala olakwika pa zifukwa zingapo. Ndi matenda a chithokomiro, matenda a chithokomiro otchedwa hormone (TSH) ayesa kukhala otchedwa golidi test test kuti ayese ntchito ya chithokomiro koma nthawi zonse si yolondola. Ndipo kuchitira thupi lanu kuchokera ku kuwerenga kolakwika kungapangitse kumva bwino.
Ma antibodies a heterophile amalingalira kuti ndi chifukwa chimodzi chowerengera zabodza pamayesero awa. Kodi muyenera kudziwa chiyani za zolakwika zabule ndi zotsatira zopanda pake?
Zimayambitsa Zotsatira Zowonongeka Zowonongeka Mwachizolowezi
Ngakhale kuti nthawi zambiri timayesa ma laboni ngati osapereka amatipatsa ziwerengero zolinga, sizinali choncho. Ndipotu, pogwiritsa ntchito mwinamwake nokha mwina mwakhala ndi zotsatira zoyesa kapena ziwiri zomwe zinali zolakwika m'moyo wanu.
Ndi mayesero a chithokomiro, chifukwa chachikulu tsopano chikuwoneka kuti ndi ma antibodies a heterophile. Tiyeni tiyambe kukambirana za ma antibodieswa, ganizirani zifukwa zina zomwe zingayesedwe koyipa, ndikukambirana zomwe mungachite ndi zomwe muyenera kudziwa kuti ndinu wochirikiza thanzi lanu.
Ma antibodies a Heterophile ndi zotsatira zonyenga za chithokomiro
Mu 2011, msonkhano wapachaka wa akatswiri otchedwa endocrinologists adadziwitsidwa kuti ma antibodies a heterophile angapangitse zotsatira zolakwika pa kuyesera kwa TSH.
Mankhwala otchedwa Heterophile antibodies amadziwikanso monga antibodies a anti-nyama ndipo amapangidwa chifukwa chowoneka ndi mankhwala ochiritsidwa ndi zinyama ndi mankhwala opatsirana.
Kukula kwa ma antibodies a heterophile kumakhala kofala ngati mwalandira magazi, katemera, kapena ngati mwapezeka ndi nyama zina (osati ziweto zapakhomo).
Sitikudziwa momwe ma antibodies ambiri omwe amachitidwa ndi heterophile ali, koma chiwerengero chimakhala chimodzimodzi mpaka 80 peresenti ya anthu. Kusiyana kwakukulu kumeneku kufalikira kumagwirizana ndi momwe wodwalayo amadziwira.
Kuwonjezeka kwaposachedwa pa kuchuluka kwa ma antibodies a Heterophile
Zindikirani kuti kukhalapo kwa ma antibodies a heterophile kuwonjezeka kwambiri mu 2010. Mwachidziwitso chomwe chinakambidwa pamsonkhanowo, anapeza kuti 4.4 peresenti ya zitsanzo zambiri anayesedwa anakhudzidwa ndi ma antibodies a heterophile. Chodetsa nkhaŵa kwambiri chinali chakuti TSH yodabwitsa imayambitsa kuyesedwa, koma mayesero samachitika nthawi zonse. Choncho, kupezeka kwa ma antibodies amenewa kungakhudze kwambiri.
Zotsatira za ma antibodies a Heterophile
Zotsatira za mabakiteriya a heterophile angakhale ofunika kwambiri pakusankha kwachipatala kawirikawiri kumapangidwa malinga ndi msinkhu wa TSH . Zizindikiro zimakambidwa, koma ndondomeko ya golide nthawi zambiri imakhalabe TSH. Izi zikutanthawuza kuti anthu omwe ali ndi matenda a chithokomiro ayenera kudziwa zomwe zingatheke chifukwa cha zotsatira zoipa.
Nthawi Yoyenera Kukumana ndi Matenda a Heterophile
Popeza TSH ndiyo ndondomeko ya golide yothetsera mavitamini a chithokomiro, mungadziwe bwanji ngati muli ndi ma antibodies a heterophile omwe akukhudzidwa?
Zikuwoneka kuti kusiyana pakati pa TSH ndi ufulu T4 ndi chizindikiro. Aliyense amene ali ndi zizindikiro zosagwirizana ndi zizindikiro zawo kapena zosayembekezeka malinga ndi mbiri yawo kapena mlingo wamakono wa mankhwala ayenera kuyesedwa.
Zina Zowonjezera Zomwe Zingatheke Kuwerenga Zonyenga pa Mayeso a Chithokomiro
Kuwonjezera pa ma antibodies a heterophile, pali njira zambiri zomwe mayesero angapangire kuwerengera zabodza kuchokera ku zolakwika m'magazi ako kukokera kuti azisakanikirana mu labu, ndi zolakwika polemba manambala. Tikudziwa kuti zolakwika zachipatala ndizofala, ndipo zimayambitsa matenda komanso ngakhale imfa. Zikuoneka kuti mitu yowopsya yomwe imatchula zolakwika zachipatala chifukwa chachitatu chimene chimayambitsa imfa ndi cholakwika, koma popeza kuti ndiyomwe ikugwiritsidwa ntchito ndi mbendera yofiira kuti ukhale wovomerezeka ndi kulankhula ngati chinachake sichikuwoneka bwino.
Mwachitsanzo, ngati muli ndi zizindikiro za hyperthyroidism ndi mayesero anu a lab labwino mumasonyeza kuti ndinu hypothyroid komanso mosiyana. Nthawi zina chinthu chabwino kwambiri choyenera kuchita ndi kuyambiranso kuyesa kalasi, kapena kupempha mayeso osiyanasiyana omwe angasonyeze kusiyana ndi kusonyeza zolakwika.
Kufunika kwa Vutoli Kungayesedwe
Ngakhale kuti kuyerekezera kukhalapo kwa ma antibodies a heterophile akuwoneka akuwonjezeka, vuto silikhoza kukhala loopsa monga lingaliro loyambirira. Akatswiri ena a ma laboratories amanena kuti masiku ano njira zamakono zothandizira ma antibodies omwe amathetsa vuto la TSH yokhala ndipamwamba kwambiri. Mpaka mutagwirizana, muyenera kudziwa chiyani?
Kodi Izi Zikutanthauza Chiyani Kwa Inu?
Podziwa zonsezi, kodi mungatani kuti mukhale wothandizira pa matenda anu a chithokomiro? Kaya zimagwirizana ndi ma antibodies a heterophile kapena mtundu wina wa vuto la lab, kulankhula ndi dokotala wanu ngati simukumverera bwino. Ngati mwakhala mukuchiritsidwa kwa hypothyroidism kwa kanthaŵi, mumatha kumvetsa mmene mumamvera ngati mankhwala anu akumwa kwambiri kapena otsika kwambiri. Ngati simukumva bwino, pangani msonkhano.
Ngati mukuchiritsidwa ku hypothyroidism ndipo muli ndi TSH yomwe imabwereranso (pamwamba), mwinamwake dokotala wanu angakuwonjezereni mlingo wanu wa mahomoni otere. Ngati makondomu anu okwezeka a TSH ali, komabe, chifukwa cha ma antibodies a heterophile, kuwonjezeka kwa mlingo kungayambitse kuchuluka kwa mankhwala ndi mankhwala omwe amachititsa hyperthyroidism . Nthawi zambiri, izi zachititsa kuti thyrotoxicosis ( chithokomiro cha chithokomiro ) chikhale choopsa.
Ngati mukumverera bwino pazomwe mumalowetsamo, ndipo muli ndi zotsatira zapamwamba zowunikira TSH, muyenera kufunsa dokotala wanu kuti ayendenso kuyesa Free T4 ndi Free T3 , kuti muwone ngati akugwirizana ndi mlingo wokwera wa TSH.
Ngati Simukudwala Matenda a Chithokomiro ndi Kukhala ndi TSH Yokwera
Ngati simunawone kuti muli ndi matenda a chithokomiro ndipo muli ndi TSH yokwera, zingakhale bwino kuti muli ndi hypothyroidism. Ndipotu, matenda a chithokomiro amavuta kwambiri. Pa nthawi yomweyi, mukhoza kukhala ndi ma antibodies a heterophile amene akukwera ndipo kungakhale kulakwitsa.
Ngati izi zikukuchitikirani, funsani dokotala wanu kuti ayambe kumasula T4 ndi ma test T3 kuti athe kutsimikizirani kuti mumapezeka matenda a hypothyroidism. Popanda chekeyi, mungapezeke mwachipatala ndi hypothyroidism ndipo munayamba kumwa mankhwala chifukwa cha mankhwala opangidwa ndi mankhwala.
Pamunsi pa Matenda a Heterophile ndi Matenda Achinyengo a TSH
Sizowonetseratu kuti ma antibodies ambiri amapezeka bwanji, koma pakalipano angayambitse tshinga yapamwamba ya TSH (pamayesero ena osati ena). Kupereka chithandizo chokhazikika pa mlingo wa TSH wokha kungayambitse mankhwala omwe amachititsa mankhwala omwe amagwiritsidwa ntchito kwa hypothyroidism ndi omwe amapezeka molakwika ndi hypothyroidism yochokera pachiyeso.
Ngati TSH yanu ikukwezeka ndipo mulibe zizindikiro za hypothyroidism (ngati mumakhala bwino) funsani dokotala wanu kuti aone ngati pali T4 komanso ufulu wa T3 kuti muwonane nambala yanu ndikuyang'ana zosiyana.
> Zotsatira:
> American Thyroid Association. Msonkhano Wapachaka wa 81. Mfundo 103. 2011.
> Chin, K., ndi Y. Pin. Heterophile Antibody Kusakanikirana ndi Thandizo la Chithokomiro. Internal Medicine . 2008. 47 (23): 2033-7.
> Lewndowski, K. Odd Ntchito ya Chithokomiro Zotsatira Zotsatira: Kusamvana motsutsana ndi Kusagwirizana. Kufufuza kwa Chithokomiro . 2013. 36 (Suppl 2): A37.
> Kutentha Kwambiri, S. Fulminant Kulephera kwa Chiwindi Kuphatikizidwa ndi Kutayika kwa Matenda a Chithokomiro Chifukwa cha Matenda a Heterophile. Kachilombo cha matenda a shuga ndi Endocrinology . 2015. 1:12.
> Srichomkwun, P., Scherberg, N., Jaksic, J., ndi S. Refetoff. Zovuta Zogwiritsira Ntchito Mu Matenda Opanda Chithokomiro Opanda Mavuto Chifukwa cha Kutentha kwa Hormone. Malipoti a Milandu ya AACE . 2017. 3 (1): e22-e25.