TSH, T4, Bilaash T4, T3, T3 lacag la'aan ah, Dib u celin T3, Antibodies, iyo Baaritaano Kale
Baadhitaanada dhiigga ee hawlaha tayroodhku waa qayb muhiim ah oo ka mid ah hannaanka lagu ogaado cudurka cudurka thyroid iyo daaweynta xaaladaha qanjirka. Waa kuwan soo socda oo kaa caawin kara inaad hesho faham fiican oo ku saabsan baaritaanka dhiigga ee muhiimka ah, waxa ay cabbirayaan, waxa natiijada micnaheedu tahay, iyo saameynta ku yeelan kara ogaanshaha iyo maareynta xaaladdaada tirtirka. Markaa kadib waxaad ku dari kartaa faahfaahinta mid kasta oo aad fahamsan tahay waxa ay macnaheedu tahay.
Imtixaanka Tiroqada | Range Resources |
| TSH (Xididada Qanjirka Dheerka ah) | 0.5-4.70 μIU / mL |
| Wadarta T4 (Thyroxine) | 4.5-12.5 μg / dL |
| T4 Free (Thyroxine Free) | 0.8-1.8 ng / dL |
| Wadarta Tirada (Triiodotyronin) | 80 -200 ng / dL |
| T3 lacag la'aan ah (Triiodotyronin bilaash ah) | 2.3- 4.2 pg / mL |
| RT3 (Dib u eeg T3 / Reverse Triiodothyronine) | 10-24 ng / dL |
| TPOAb (Antibodies 'Thyroid Peroxidase) | 0-35 IU / mL |
| TSI (Dheef-shiid kiimikaad-kicinta ah ee Immunoglobulins) | 0-1.3 |
| Tg (Thyroglobulin) | Qoollada qanjirka thyroid: 0-0.1 ng / ml. |
| TgAb (Thyroglobulin Antibodies) | 0-4.0 IU / mL |
TSH (Baaritaanka Dhiigga Qanjirka Dheerka ah)
Magacyada kale: Serum Thyrotropin
Ku saabsan: hoormoonka kicinta jirka ee qaaxada (TSH) waa hormoon pituitary ah oo ah wargeeye qanjirka thyroid. Haddii pituitary ay ogaato in qanjirka uu soo saaro hoormoonka tayroodh aad u yar, pituitary waxay soo saartaa more TSH, ka dibna waxa uu ku boorinayaa qanjirka in uu soo saaro hoormoon tayroodh badan. Marka pituitary uu ogaado hormoonka thyroid aad u badan, wuxuu hoos u dhigayaa TSH, sida farriinta qanjirka si loo yareeyo ama loo joojiyo soosaarka hoormoonka tayroodh.
Cabbiraadaha: Baaritaanka TSHT wuxuu qiyaasayaa qadarka wadnaha ee dhiigga.
Range Resources: 0.5-4.70 μIU / mL. (Shaybaarada qaarkood waa 0.3 illaa 4.5, ama noocyo kale oo la mid ah.)
Turjubaanka caadiga ah: Saamiga sareeya, oo ka yar 10 μIU / mL waa "hypocyroidism" subclinical , oo ka badan 10 μIU / mL waa hypothyroidism. Ka yar 0.1 illaa 0.5 μIU / mL waxaa loo tixgeliyaa caddaynta hyperthyroidism subclinical, in ka yar 0.1 waxay noqon kartaa hyperthyroidism.
"Heerka caadiga ah" TSHOOigaan waxaa loo tixgeliyaa in laga reebo hypothyroidism ama hyperthyroidism.
Interpretation Integrative Interpretation: Heerarka ka sareeya 1.5 illaa 2.0 μIU / mL waxay muujin karaan in waxqabadka qanjirka 'thyroid'. Heerka ugu hooseeya waa laga bilaabo 1.0 illaa 1.5 μIU / mL.
Dhibaatooyinka: Waxaa jira dhowr muran oo ku saabsan imtixaanka TSH-da iyo waxa macnaheedu yahay.
- Waxaa ka mid ah dhakhtarka indho-indhaynaha, waxaa jira muran ka dhashay sida ay tahay qiyaasta tixraaca TSH . Caadi ahaan, waxay ka socotaa qiyaastii 0.4 / 0.5 ilaa 4.5 ama wax kale. Laakiin qaar ka mid ah dhakhaatiirta 'endocrinologists' ayaa aaminsan in dhammaadka ugu sarreeya ee tixraaca qiyaasta ay tahay inay noqoto 3.0.
- Dhakhaatiirta indhaha ee ku takhasusay indhaha, waxaa jira khilaaf ku saabsan in heerarka ka hooseeya 10.0 in la daaweeyo. Dhakhaatiirta qaarkood waxay aaminsan yihiin in heerarkani ay u baahan yihiin daaweyn la qaato beddelidda hormoonnada hormoonnada hormoonnada hormoonka ah ee tayroodhka ah, kuwa kalena waxay tixgeliyaan '' hypotyroidism subclinical '' - iyo in daaweynta loo baahan yahay oo kaliya marka heerarka ka sareeya 10.0.
- Qaar ka mid ah cilmi-baadhistu waxay soo jeedinaysaa in xitaa marka Qadku hoos u dhaco qiyaasta tixraaca, haddii bukaanku leeyahay Hashimoto ee difaaca jirka, daaweynta waa la damaanad qaaday .
- Dhakhaatiirta isdhexgalka ahi waxay aaminsan yihiin in TSH ay tahay mid kaliya oo ku jira arrimo badan oo lagu ogaanayo iyo maareynta qalliinka bukaannada tayroodh. Waxay u tixraacayaan xad-dhaafka udhexaadka ah sida Tyranny of the TSH.
- Dhakhaatiirta dhexdhexaadka ahi waxay aaminsan yihiin in cabbirka dhabta ah ee hawlaha tayroodhku ay yihiin kuwa dhabta ah, hormoonka tayroodhka ee ku jira wareegga dhiigga bilaashka ah ee T4 iyo bilaashka T3.
T4 / Thyroxine iyo T4 Free / Thyroxine bilaash ah
Ku saabsan: Thyroxine, oo loo yaqaan T4, waa mid ka mid ah hormoonada muhiimka ah ee tayroodh. Inta badan hormoonada ay soo saaraan qanjirka thyroid waa thyroxine . Thyroxine waxaa loo tixgeliyaa "hormoon" hormoon ah - taas oo kaliya iyada oo aaney jirka u adeegsan karin tamar iyo u gudbinta oksijiin ilaa unugyada. Waa inay lumiyaan halbeegga iodine, nidaam lagu magacaabo monodeiodination (ama T4 illaa T3), oo noqo triiodotyronine (T3) si loogu isticmaalo unugyada.
Tallaabooyinka: Wadarta Tirada T4 waxay qiyaastaa tirada guud ee tirokoobka ku wareega dhiigga. T4 oo bilaash ah ayaa cabbira xaddiga qadarka ah ee tirakoobka ee dhiigga.
Qanjiraha qanjirka 'thyroxine' ee caafimaadka qaba ayaa badanaa keena thyroxine, iyo thyroxine waxay u baahan tahay in lagu beddelo triiodotyronine (T3) si loo siiyo oksijiin iyo tamar si unugyada.
Rugaha Tixraaca: Wadarta T4: 4.5-12.5 μg / dL, T4 bilaash ah: 0.8-1.8 ng / dL
Tarjumaadaha caadiga ah : Dhakhaatiir badan oo caadiga ah ma tijaabin Wadarta T4 ama T4 lacag la'aan ah. Si kastaba ha noqotee, xaaladaha qaarkood, oo ay weheliso qadar kacsan, Wadarta T4 ama T4 oo bilaash ah oo ka hooseeya tixraaca tixraaca ayaa loo tixgelinayaa caddaynta hypothyroidism. Marka la eego heerka hooseeya / hoos udhaca heerka sarre, Wadarta T4 ama T4 oo bilaash ah oo ka sarreeya qiyaasta tixraaca waxaa loo tixgelinayaa caddaynta hyperthyroidism .
Turjubaan dhexdhexaad ah: Cilmi-baarista iyo daaweynta hypothyroidism, heerarka ugu sareeya ee xaddiga tixraaca waxaa loo tixgeliyaa habboonaanta iyo caddaynta hawlaha qanjirada saxda ah.
Dhibaatooyinka: Dhakhaatiir badan oo endocrinologists caadi ah waxay isticmaalaan keliya imtixaanada TSH ee baarista iyo maareynta xaaladaha thyroid, iyo natiijada, ha isku tijaabin wadarta guud ama bilaash ah T4.
T3 / Triiodotyronin iyo T3 Free / Triiodotyronin bilaash ah
Ku saabsan: Triiodotyronine (T3) waa hoormoonka tayroodh firfircoon. Qanjiraha qanjirka thyroid oo soo saaro triodotyronine-hormoonka thyroid oo firfircoon. Inta soo hartey ayaa ah natiijada ka soo noqoshada tayriska ee triiodotyronin.
Cabbiraadaha: Wadarta baaritaanka T3 wuxuu qiyaasayaa wadarta guud ee triiodotyronin wareega dhiigga. T3 oo bilaash ah ayaa cabbiraya heerarka bilaashka ah oo aan la xaddidneyn ee triiodotyronine hormoonka u ah isticmaalka jirka.
Rugta Tixraaca: Wadarta T3: 80-200 ng / dL, T3 Free (Triiodothyronine): 2.3 - 4.2 pg / mL
Tarjumaadaha caadiga ah : Dhakhaatiir badan oo caadiga ah ma tijaabin Wadarta T3 ama T3 Free Free. Si kastaba ha noqotee, xaaladaha qaarkood, oo ay la socdaan sarreeya TSH, Wadarta T3 ama bilaashka T3 ee ka hooseeya xadka tixraaca waxaa loo tixgelinayaa caddaynta hypothyroidism. Marka la eego heerka hooseeya / hoos udhaca heerka sar, Wadarta T3 ama T3 oo bilaash ah oo ka sareeya tixraaca ayaa la tixgeliyaa caddaynta hyperthyroidism.
Turjubaan isku dhafan: Cilmi-baarista iyo daaweynta hypothyroidism, heerarka ugu sareeya ee tixraaca kala duwan waxaa loo tixgeliyaa caddaynta hawlaha tayo-qabta oo ku filan, heerarka 25-ta boqolkiiba ugu sarreeya ee tixraaca tixraaca waxaa loo tixgeliyaa habboon. Aragtida isdhexgalka, heerarka hoos-udhaca waxaa laga yaabaa inay ku amraan daaweynta daaweynta hormoonnada hormoonada hormoonka, ama dawo gaar ah oo ay ku jirto T3 .
Dhexdhexaadinta: T3 iyo T3 Free T3 ayaa xitaa muran ka badan tijaabada T4 . Tani waa sababta ugu weyn ee farsamoyaqaannada caadiga ah aysan aaminsaneyn in heerka T3 uu leeyahay saamayn calaamadaha, iyo inaysan jirin meel lagu daaweyn karo hoormoonka T3 .
Sababtoo ah heerarka T3 ee u dhigma isla markiiba hormoonka la heli karo, T3 oo bilaash ah ayaa lagu fekeraa qaar ka mid ah dhakhaatiirta isku dhafan si ay ugu tarjumaan heerka hormoonka bukaanka, marka la barbar dhigo TSH iyo / ama guud ahaan T3.
RT3 / Dib u T3 / Dib u celi Triodothyronin
Ku saabsan: Dib u celinta T3 waa qaab T3 ah oo aan firfircooneyn, waxaana lagu soo saaraa xaddi badan inta lagu jiro xilliyada walaaca.
Cabbiraadaha: Foom aan firfircooneyn, oo aan faa'iido lahayn oo T3 ah oo la soo saaro marka jirku ku yar yahay cadaadiska.
Range Reference: Caadi ahaan 10-24 ng / dL
Turjubaanka caadiga ah: Imtixaankan waxaa dhif u ah dhakhtarrada caadiga ah, oo aan wax qiime ah ku lahayn cabbirkaan.
Turjubaan Wadajir ah: Dhakhaatiirta dhexdhexaadka ah iyo kuwa dhakhaatiirta diirada saaraya miisaaniyadda ugu fiican waxay eegaysaa kor u qaadidda hormoonka RT3 ama RT3 / T3 isku dheelitir la'aanta khidmadda si ay u noqoto calaamad muhiim u ah qanjiraha aan firfircooneyn ama qallafsan. Waxay aaminsan yihiin in T3 ka soo horjeeda inay hoos u dhacaan qeybta hoose ee caadiga ah.
Dhexdhexaadinta: Dib u celinta T3 waa tijaabo muran . Dhakhaatiirta joogtada ah inta badan waxay joojiyaan qiimaha cabbirka RT3 ee ku saabsan baarista, daaweynta iyo maaraynta hypothyroidism. Si kastaba ha ahaatee, dhakhaatiirta dhexdhexaadka ah iyo kuwa diirada saaraya dheelitirka hormoonnada hormoonka ah, si kastaba ha ahaatee, waxay tixgelinayaan RT3 kor u qaadidda calaamadaha muhiimka ah ee qanjirada aan qarsooneyn ama qallafsan.
TPOAb / Thyroid Peroksidase Antibayoosto
Magacyada kale: Antithyroid Peroxidase-ka Antibiyootigyada
Ku saabsan: Thyroid peroxidase (TPO) antibiyootigyada, sidoo kale loo soo gaabiyey TPOAb, waa unugyada difaaca jirka oo kobcaya weerarka oogada yar ee qanjirka thyroid. Waxay bartilmaameedsanayaan qanjirada, badanaana waxay keenaan in la gooyo qanjidhada muddo waqti ah. TPOAb weerarka difaaca jirka thyroid peroxidase, enzyme oo door ka ciyaara isbedelka T4 ilaa T3. Heerarka sare ee TPOAb waxay noqon karaan caddaynta caabuqa qanjirka, ama burburinta unugyada sida cudurka Hashimoto. Taaso badanaa, TPO waxaa loo arkaa noocyo kale oo ah thyroiditis sida cudurka thyroiditis ee post-partum .
Cabbiraadaha: Baaritaankaan wuxuu cabbirayaa heerka difaaca TPO.
Range Reference: Qeybta tixraaca waxay ka socotaa 0-35 IU / mL
Tarjumaadaha caadiga ah: Haddii heerarka TPOAb ku dhex dhaco qiyaasta tixraaca, waxaa loo arkaa inay caadi yihiin. Tani ma gabi ahaanba meesha ka saari karta cudurka Hashimoto, hase yeeshee waxa ay ka dhigeysaa mid aad u yar. Heerarka sare ee TPOAb waxay soo jeedinayaan xanuunka qanjidhka, sida caadiga ah waxaa sabab u ah dheef-shiid kiimikaad Hashimoto's thyroiditis ama qaababka kale ee thyroiditis .
Waxaa lagu qiyaasey in TPOAb lagu ogaan karo qiyaastii boqolkiiba 95 bukaannada qaba Hashimoto's thyroiditis, iyo 50 ilaa 85 boqolkiiba bukaanka cudurka Graves '. Qaybaha difaaca jirka ee laga helay bukaanada qaba cudurka Graves 'ayaa badanaa ka hooseeya bukaanada qaba cudurka Hashimoto. Hase yeeshe, aragti caadi ah, si kastaba ha ahaatee, TPOAb sareeya waxay u baahan tahay daaweyn haddii aan la socon hypothyroidism ama hyperthyroidism.
Turjubaan isku dhafan: Bukaanjiifka qaar ayaa kor u qaada TPOAb, laakiin kale waa "Euthyroid", oo leh heerarka caadiga ah ee T4, T3, iyo TSH. Baaritaanada qaarkood waxay muujiyeen in daaweynta ka hortagga daaweynta levothyroxin laga yaabo in lagu ogaado bukaanka, maadaama ay hoos u dhigi karto kor u qaadista unugyada difaaca jirka , waxayna ka caawisaa ka hortagga uur-qaadida hypothyroidism.
Dhibaatooyinka: Cilmi-baadheyaasha badan ee 'endocrinologists' ma aaminsan yihiin in baaritaanka TPOAb, ay doorbidaan in ay saldhig u noqdaan baadhitaanka qanjirka 'thyroid' iyo maareynta daaweynta natiijooyinka baadhitaanka TSH oo keliya.
TSI / Dheef-joojinta Immunoglobulins-ka ah
Ku saabsan: Dhiig-kicinta qanjirada 'immunoglobulin-TSI' - waa unugyada difaaca jirka oo kicin kara qanjirka thyroid si uu u ballaariyo una sii daayo hormoonka thyroid xad-dhaafka ah, taasoo keenta hyperthyroidism. Baaritaankaan waxaa mararka qaarkood loogu yeeraa TSH dib-u-kicinta antibody.
Cabbiraadaha: Tijaabada TSI waxay qiyaastaa heerka sarreeya ee unugyada difaaca ee dhiigga.
Range Reference: In ka yar ama le'eg 1.3
Turjubaanka caadiga ah: Heerarka TSI waxay sare u kacaan illaa 75% ilaa 90 boqolkiiba bukaanka cudurka Graves '. Heerarka sare, ayaa aad u firfircoon Cudurka 'Graves' ayaa loo maleynayaa inuu yahay. (Maqnaanshaha unugyada difaaca maaha, si kastaba ha ahaatee, ka saari kartaa cudurka Graves '.) Ogsoonow: dadka qaarkiis ee qaba cudurka Hashimoto sidoo kale waxay leeyihiin unugyadaas difaaca jirka, tani waxay sababi kartaa dhacdooyin muddo gaaban ah oo ah hyperthyroidism.
Imtixaanka TSI waxaa caadi ahaan loo sameeyaa si loo ogaado cudurka Graves 'iyo si loo qiimeeyo boogaha sunta ah ee sunta ah . Waxaa sidoo kale caadi ahaan lagu sameeyaa haween uur leh qaba cudurka Graves ' , saddexdii bilood ee ugu dambaysay ee uurka, si loo qiimeeyo khatarta dhalaanka cusub ee ku dhalatay cudurka hyperthyroidism ama cudurka Graves.
Tg / Thyroglobulin
Ku saabsan: Thyroglobulin (Tg) waa borotiin ay soo saarto qanjidhka thyroid, iyo joogitaanka dhiigga waa calaamad muujinaysa in bukaanku weli leeyahay qanjirro qanjirka-haddii qanjirka ama qaliinka ka tagay qaliinka ka dib ama abaaro shucaac ah (RAI) .
Cabbiraadaha: Tg-ga ayaa cabiraya heerka Tg ee dhiiga. T hyroglobulin waxaa badanaa lagu baaraa bukaansocodka kansarka, si loo ogaado haddii unugyada kansarka ay soo saaraan thyroglobulin daaweynta ka hor, si loo ogaado haddii daaweyntu ay shaqaynayso, iyo inay caawiso in la ogaado soo noqoshada daaweynta ka dib. Tan iyo badi kansarrada caadiga ah ee tirakoobka -waxaa ah, papillar iyo follicular-soo-saarka thyroglobulin, iyo heerarka kor u kaca thyroglobulin waxay noqon kartaa calaamad muujinaysa kansarka soo noq-noqoshada.
Range Reference: Haddii aadan lahayn qanjirka thyroid, waa inuu ka yar yahay 0.1 ng / ml. Haddii aad weli qabto qanjir, waa inay ka yartahay ama u egtahay 33 ng / mL
Turjubaanka caadiga ah: Heerka thyroglobulin waa mid caadi ah dadka aan haysan cudurka thyroid. Heerarka sarreeya ee qof qaba qanjidhka thyroid r ayaa micnaheedu yahay in heerarka thyroglobulin la sii kormeeri karo si loo yareeyo soo noqoshada. Heerka thyroglobulin waa inay ahaataa 0 ama aad u hooseeyso qalliinka ka dib ama ka dib markii daaweynta iodine (RAI) ka dib . Haddii ay weli la ogaan karo, daaweyn dheeraad ah ayaa laga yaabaa in loo baahdo. Haddii heerarku ay bilaabaan inay kici kari waayaan ka dib daaweynta kansarka tayrood, taasi waxay noqon kartaa calaamad muujinaysa in kansarku soo noqnoqonayo.
Xaaladaha keena caabuqa qanjirka thyroid-ie, goiter, thyroiditis , ama hyperthyroidism-sidoo kale waxay keeni karaan heerarka tireogoglobulin sareeya. Hase yeeshee, baaritaanka sida caadiga ah laguma amro inta lagu jiro daaweynta xaaladahaas, si kastaba ha ahaatee.
TgAb / Thyroglobulin Antibodies
Ku saabsan: Daawooyinka Thyroglobulin-loo yaqaanno TgAb-waa antibodies oo ka dhan ah thyroglobulin.
Cabbiraadaha: Tijaabada TgAb waxay cabbirtaa heerka unugyada difaaca ee wareegaya dhiigga.
Range Reference: Qeybta tixraaca waxay ka yar tahay 4.0 IU / mL
Turjumaadaha caadiga ah: Heerarka sare ee TgAb ayaa laga helaa qiyaastii 10 boqolkiiba dadka qaba qanjidhka caadiga ah, iyo 15 ilaa 20 boqolkiiba dadka qaba kansarka thyroid. Heerarka TgAb ayaa sidoo kale kor u kacay ilaa 60 boqolkiiba bukaanada Hashimoto iyo boqolkiiba 30 bukaanka Graves '. Haddii horeyba loo ogaado cudurka Graves ', oo leh heerarka sare ee TgAb sidoo kale macnaheedu waa inaad ugu dambeyntii noqotid inaad qaadatid hypothyroid.
TgAb waxay faragelisaa natiijooyinka thyroglobulin (Tg), sidaa daraadeed waxaa muhiim u ah kuwa qaba kansarka thyroid in ay leeyihiin heerarka TgAb oo la socdo Tg si joogto ah.
Ereyga
Noocyada Tixraaca iyo qaybaha cabbirka la isticmaalo waxay ku kala duwanaan karaan sheybaarka ilaa sheybaarka. Had iyo jeer go'aamso qiyaasaha tixraaca gaarka ah iyo qiimaha imtixaanka shaybaarka halkaas oo baaritaanadaada la sameeyo.
Dhakhaatiirta qaarkood ama shaqaalahooda xafiiska waxay kuugu yeedhaan inay kuu sheegaan natiijooyinka baaritaanka caafimaadkaaga. Waxaa laga yaabaa inaad maqasho "natiijooyinkaaga ayaa fiicnaa," ama "imtixaanadaa caadi ahaa" sidii natiijo tijaabo ah. Tani ma aha macluumaad ku filan. Had iyo jeer weydiiso nuqul dhab ah oo ah natiijooyinka baaritaanka caafimaadka, oo ay ku jiraan tijaabooyinka tirakoobka. Gaar ahaan baaritaanka dhiigga ee tirtiridda, waxaad u baahan tahay inaad ogaato heerarka dhabta ah, iyo sidoo kale qiyaasta tixraaca, si aad ugu dooddo daryeelka ugu fiican ee suurtogalkaaga xaaladaada.
> Ilo:
> Bahn, R., Burch, H, Cooper, D, et al. Hyperthyroidism iyo Sababaha kale ee Thyrotoxicosis: Tilmaamaha Maareynta ee Tiriimka Maraykanka ee Tirakoobka iyo Xiriirka Mareykanka ee Endocrinologists. Tababarka Indhaha. Vol 17 Maya 3 Maajo / Juun 2011.
> Braverman, L, Cooper D. Werner & Ingbar's The Thyroid, 10-aad. WLL / Wolters Kluwer; 2012.
> Garber, J, Cobin, R, Gharib, H, et. al. "Tilmaamaha Tababarka Caafimaadka ee loogu talagalay Hypothyroidism ee Dadka Qaan-Gaarka ah: Cosponsored by American American of Endocrinologists Clinical Association iyo Ururka Tiriida ee Maraykanka." Tababarka Indhaha. Vol. 18 No 6 Noofembar / Disembar 2012.