'O ke kūlana o nā mea'ele'ele i TPO i nā wāhine: nā kumu a me ka lā'au ola

'O ke kinona thyroid ka mea e hua ai i nā homona e ho'oikaika ai i ka ulu'ana o ke kino a me ke kino o ke kanaka, ka ulu'ana o ke kino, e ho'oponopono i ka māmā o ka hana ma'amau i loko o ke kino. I loko o ke kino, ua ho'opili'ia kekahi mau hormones, a he inoa kou - thyroid. 'O ke ola o kou thyroid ka pilikia i ke kino. No ka'ike manawa o nā pathology, ua hana'ia kahi hō'ailona e ho'oholo ai inā'oi aku ka nui a me ke kūpono o nā'ele'ele i ka TPO i nā wāhine a me nā kāne ma ke kino.

He aha ka mana'o o ka hua'ōlelo "hō'emi i TPO"?

'O ka TPO he enzyme i ho'opili'ia e ka thyroid gland, i kapa'ia koureperoxidase a me microxal peroxidase. Ho'ohui'ia ka TPO i nā hopena o ke kūkulu'ia'ana o nā hormones thyroid a he mea ho'okae nui i loko o ke kino. Me nā hō'eha o ka pūnaewele immune a endocrin,'o ka helu o ka hāroonero thyroid he helu diagnost. No laila, i loko o ka ho'ona'auao'ana, ua ho'ohana pinepine'ia ka hua'ōlelo "kūlana o nā mea pale i ka TPO i nā wāhine i loko o nā kāne", a ua hana'ia he lā'au lapa'au no ka'ike'ana i ka ma'i.

'O nā kinipona i ka TPO nā complex protein (immunoglobulins) i synthesi'ia i loko o ke kino o ke kanaka i ka hihia o ka hana o ka pūnaewele immune. A laila, ho'omaka lākou e'ike i ka enzyme thyreperoxidase ma ke'ano he kino'ē. Ma lalo o ka hana o nā mea'ae'a ma ka enzyme, e ho'ēmi iki'ia kāna'oihana, no laila ke kūkulu'ia'ana o nā hormones thyroid, kahi e komo ai, kāpae. No ka hopena, ua ho'opau'ia ka nui o nā TPO, a ua ho'okumu'ia nā homoni thyroid. 'O ka ulu'ana o nā pū'ali'epi i TPO ke alaka'i aku nei i ka hana'ole o ka'ae. No laila, ua ho'onohonoho'ia nā po'e ma'i me ka haumia i kahi ho'ā'o koko e ho'oholo ai inā'oi aku ka nui o nā pū'oko'a i TPO. Hiki i nā wāhine a me nā keiki ke ki'eki'e i nā koina, akā i loko o nā kāne, he mea ki'eki'e paha ka mea hō'ailona ma mua o ka waiwai maoli.

'O ka māmā o nā mea'ele'ele i TPO

'O ka helu kūlohelohe o nā mea'ele'ele i kāu thepeperoxidase he waiwai like kēlā ma nā hui a pau. No laila, i loko o ka hō'ulu'ulu'ana i nā antibodies i ka TPO,'o ka ma'amau i nā wāhine a me nā kāne o nā makahiki like'ole he 35 IU / ml. I ke kumu i ka manawa o ka mea hō'ike ma luna o 35 mau māhele, hiki ke ho'oholo'ia he hopena maika'i'ole ka hopena o ka neoneo thyroid. He mea pono e'ōlelo he 10% o nā wāhine i ho'opa'a'ia he paepae ki'eki'e o ka mea ma'amau a'oi a'e paha ka'oi o nā'elepelu, me ka'ike'ole'ia o nā ma'i kūlohelohe kouroid. No laila, he mea pono e loiloi i kēia'ano me nā ho'ā'o hou a me nā ha'awina o ke kino.

'O nā'ōlelo mua a me nā hopena o ka ho'onui'ana i nā'elepona i TPO

'O ka ulu ikaika'ana o nā mea'ele'ele i kou thyroid peroxidase ke kupu i ka wā e ho'omaka ai ka pūnaewele ma'i e ho'opau i kona mau māhele pono'ī o ka lauroid thyroid. Ma ka manawa ho'okahi, ua ulu nā'ano ma'i like'ole:

• 'O ka līhū o ka momona - ke kūpa'a a me ka lō'ihi (latent) thyroiditis;
• 'O Gipoterioz - kahi hana pilikino e ho'olālā i kahi hemahema o nā hormones thyroid, e alaka'i ana i nā ma'i o nā'ano'ekepope'ē a'e. I nā wahine, he pinepine ia i ka hō'eu'eu'ana o ka momona a me ka momona;
• Ka ho'onui'ana o ke kookoo He hopena ia o ka nele o nā hormones thyroid a me ka iodine.

Aia kekahi mau hihia ma mua o ka hānau'ana o nā mea'ele'ele i ka TPO ma nā wāhine ma hope o ka hānau'ana. 'O nā ma'i ke kumu'ia e ka ho'oponopono hou'ana o ka'ōnaehana kamepiula a me ka hana o ka'eleocopa ma ka wā o ke kōpū'ana. Hiki iā ia ke hele a ka'awale ma hope o kekahi mau mahina, akā'o ka manawa pinepine i ka endocrinologist e hā'awi'ia i ka hō'aika'i kūpono i'ole e komo ke kaulike i ke'ano lō'ihi.

'O ka immunoglobulin e helu i ka TPO i'oi aku ke ki'eki'e o ka norm a me nā ma'i autoimmune'a'ole pili i ka hana thyroid, no ka la'ana, inā he lupus erythematosus, scleroderma.

'O ka thyroid and latent thyroiditis

'O ka mea nāna e ho'olālā i kāu thyroiditis ka mea ma'i. Ma hope o ka make'ana o ka'ōmaha hauha'i ki'eki'e, he mea palupalu ka'āpana, he malaise, he'eha kūpono i ka'ā'ī, e ho'iho'i ana i ka'ā'ī a me ka waha a me ka ikaika i ka wā e huli ai ke po'o. Ma ke'ano laulā,'a'ole i ho'olaha nui'ia ke ki'i, no laila, he mau pule ma mua o ka hopena a hō'ike'ia o ke kumu kūpono o ke kino o ka ma'i.

Ma nā'ano ha'aha'a, ho'opau'ia nā hō'ailona o ka ma'i ma muli o ke kāpena aspirin. I nā hihia ko'iko'i'oi a'e, pono ka ho'ohana'ana i nā glucocorticoids. Hiki ke mālama'ia ka papahana inflammatory me ke kaona o kouroiditis i nā mahina he nui, akā, ma ke'ano nui loa, a ma hope o ka hopena, ua hoihoi pono'ia nā'oihana.

Me ka thyroiditis hūnā'ia, ua pi'i aku ka nui o nā mea hō'eu'eu i ka TPO ma nā wāhine. 'A'ole i hō'ike'ia nā kumu o ka ma'i. 'A'ole i'ōlelo'ia ka hō'ailona: kahi hō'ike o kāu toloxona a me kahi li'ili'i nui o ke āpau. E kū'ē i ke kūlana o ka ho'omau'ana i kāu kinakona, hiki ke'ike i kēia mau ma'i i loko o 2-5 mahina. Eia nō na'e, i ka nui o nā ma'i he pinepine pinepine i nā ma'i i'ike'ia, a laila hiki ke ho'omaka i ka ma'i hypothyroidism māmā.

'O ka autoquimune kouronicroid thyroiditis (thyroiditis Hashimoto)

I ka hapanui o nā hihia, pili ke kumu o ka hana karoid thyroid i kahi ma'i e like me autoimmune thyroiditis. Me kēia ma'i,'oi a'e ka nui o nā mea'ele'ele i TPO i nā wāhine ma hope o ka 50 mau makahiki. 'O ka hō'ike keu loa o ka ma'i he goiter. Eia kekahi,'o nā ka'ina holo'oko'a o ka gland e ho'omau, akā ma kekahi mau'ano, e hiki paha ke ho'ololi i kekahi mea. 'O ka ha'awina, e like me ka ho'omohala'ana i nā ho'ololi o ka pilikino i loko o ka'ōpū e ulu ana i ke'ano o ka hypothyroidism. I kekahi manawa, me nā hō'ailona o kou thyroiditis, Hashimoto kahi ma'i o ka ma'i ma'i. 'O kēia ka hihia ko'iko'i o kouroiditis.

'O ka ma'i ke ho'oponopono'ia inā he pi'i nui o nā mea'ele'ele i TPO i nā wāhine i ka wā mua. Ho'oma'a'ia nā'ano pilikino e ho'ohana'ia ana me nā'ano o ka lā'au, nā kāpili pani pani, a pēlā nō ho'i e kauoha ai i nā lā'au'ae'a anti-inflammatory.

'O kahi hypothyroidism'ano like'ole - myxedema

'O ka lawa'ole o ka lauroid thyroid, i kahi e ho'olō'ihi ai i nā hana hana kūmole i ke kino, ua kapa'ia'o myxedema. Hā'a pinepine nā wāhine i kēia ma'i. Ho'ohālikelike'ia ka pilina e ke kino wela o ke kino, i ka pane wikiwiki i nā koi kū i waho, ka lelo'ana i ka'ōlelo, ka loli pinepine, pallor o ka'ili. Ho'onui'ia nā kui a me ka'ili. Loa'a ka poho o ka lauoho a me nā maka. I loko o nā wāhine, mālama'ia ka myxedema me ka momona o ka wahine, diabetes and obesity.

Hiki iā lākou ke hele pū me nā'ōlelo hypoteriosis a me nā haunaele i ke kahe circulatory: dyspnea, ka emi'ana o ke kani o ka pu'uwai, ka emi'ana o ke kahe o ke koko, ka ulu wikiwiki o nā loiloi atherosclerotic i loko o nā kī'aha koko, me nā ipu o ka na'au a me ka lolo. Me nā hō'ailona, inā kūpono'ole ka lawelawe'ana i ka lā'au ma'alahi, hiki i ka likelike o ka ho'oulu'ana i ka na'au'ole he ki'eki'e.

'O ka hō'ailona a me ka mālama'ana i ka myxedema

'A'ole i loa'a i ka Myxedema kekahi hō'ailona hō'ike'ike a loa'a i kahi puka ho'omana'o, no laila ua pa'akikī ke'ike. Inā mana'o'oe he ma'i, pono'oe e ho'oka'a'ike i kahi kanaka loea o ka hopena.

'O ka papa hou e lilo ana i mea nui e nānā ai i ke kūmole o ka hilahila. Eia hou, e hiki ke kau i nā mea hō'ailona'ē a'e: ka'ike'ana i ka nui a me ke'ano o ka lauroid thyroid; Ke a'o'ia'ana o kona kaha hana, me ka ho'okomo'ia o ke iodine pākuhi (labele) i loko o ke kino a nānā i ka nui o ia mea e ho'omo'a'ia e nā'oko'a like'ole o ke āpau. I kekahi mau kumu, ua mālama'ia kekahi biopsy - e lawe ana i kahi'āpana kiko'oma'u no nā ho'olālā lehua.

Ma hope o ka hō'oia'ana ua hana'ia ka hormone therapy. I ka manawa pinepine ua wehe loa'ia nā hō'ailona o ka ma'i ma ka lawe'ana i nā hormones thyroid i ke'ano o nā papa.

'O ke kūlana ki'eki'e o nā mea'ele'ele i TPO ma nā wāhine hāpai

I ka wā o ka hānau'ana, hiki ke mālama'ia kahi'oi a'e o nā mea'ele'ele i TPO i nā wāhine. Pono ka wehewehe'ana o ka mea hō'ike inā pono ka ulu'ana o ka lauroid hāmama a, no laila,'o ka ki'eki'e o ka hormone pituitary - TSH, ka mea nāna e mālama i ka hilina'i o nā hormones thyroid - hiki ke ho'onui. 'O ka hopena o nā mea i koe ka mea ma'amau.

Ke kōkua ka hō'ailona antibody e'ike i kahi hypothyroidism latent i loko o ka wahine, hiki ke hō'ike iā ia iho i ka wā o ka hāpai'ana, no ka mea, ma kēlā manawa, ua kaumaha ka hākeke o kou thyroid. 'O ka helu immunoglobulin ho'onui, me ka ulu'ana o TSH, hō'ike i ka ulu'ana o ka momona o ka wahine a me ke kūlana o ka'ōpiopio i kēia wā, no ka nele'ole o nā hormones i kona ulu'ana. I kēia kūlana, e pale i ka make'ana o ka'ōpiopio, hiki i ka hānau'ana o kahi pēpē me nā ma'i o ka wahine hāpai ke kau'ia i ka lā'au hō'ailona.