Cudurka cudurka qanjirka 'thyroid' waa nidaam u diyaari kara arrimo badan, oo ay ku jirto qiimeynta kiliinikada, tijaabooyinka dhiigga ee kala duwan, tijaabooyinka sawirada, biopsies, iyo baaritaano kale. Maqaalkan, waxaad baran doontaa wax badan oo ku saabsan baaritaanka dhiigga ee kala duwan ee loo isticmaalo qeyb ka mid ah cudurka cudurka qaaxada , daaweynta, iyo dabagalka iyo maamulka socda.
TSH Baaritaan
Baaritaanka ugu badan ee tayroodhka waa baaritaanka dhiigga ee cabbira xaddiga hormoonka kor u kaca ee hormoonka (TSH) ee dhiiggaaga.
Baaritaanka waxaa mararka qaarkood loo yaqaan 'thyrotropin-hormone stimulating hormone'.
TSH in uu yahay mid sareeya, ama ka sarreeya caadi, waxaa loo tixgeliyaa tilmaamidda hypothyroidism. TSH oo ah "la xakameyn" ama ka hooseeyo sida caadiga ah, waxaa loo tixgeliyaa caddaynta hyperthyroidism.
Waqtigan xaadirka ah, qiyaasta tixraaca waxay socotaa ilaa 0.5 ilaa 5.0. Heerarka ka sareeya 3.0 waxay caddayn u yihiin suurtogalnimada hypothyroidism, iyo heerarka ka hooseeya 0.5 waa caddaynta hyperthyroidism suurto gal ah. Ogsoonow in kala duwanaanta tixraaca ay ka duwan tahay haweenka uurka leh .
Faahfaahin dheeraad ah oo ku saabsan baaritaanka Qiimeeynta.
T4 Free / Thyroxine bilaash ah
Thyroxine, hormoon uu soo saaro thyroid, ayaa sidoo kale loo yaqaan T4. T4 oo bilaash ah ayaa cabbiraya heerarka tayriska ee bilaashka ah, ee ku jira dhiiggaaga. T4 oo bilaash ah ayaa caadi ahaan kor u kacda hyperthyroidism, waxaana lagu dhejiyaa hypothyroidism.
Heerarka T4 oo bilaash ah ama aan xaddidnayn ayaa ka dhigan heerka hoormoon ee loo heli karo kor u kaca iyo isticmaalka unugyada. Heerarka xaddidan ayaa u taagan hormoon aan laga yaabo in dhammaantood la heli karo, sababtoo ah waxa saameynaya daroogooyinka kale, jirada, iyo isbeddel jirka ah sida uurka.
Sababtoo ah heerarka T4 ee xor ah waxay u dhigan tahay xaddiga dhabta ah ee hormoonka la heli karo, T4 lacag la'aan ah ayaa loo maleynayaa in uu ka tarjumayo heerka hormoonka bukaanka ee guud ahaan T4 (hoos).
Wadarta Tirada / Wadarta Thyroxine / Serum Thyroxine
Baadhitaankani wuxuu qiyaasayaa wadarta qiyaasta tirakoobka ku jirta dhiiggaaga. Qiime sare ayaa tilmaamaya hyperthyroidism, qiimo hooseeya wuxuu muujin karaa hypothyroidism.
Wadarta Wadarta T4 waa la siyaadin karaa sababtoo ah uurka, iyo xaaladaha kale ee estrogen, oo ay ku jirto isticmaalka beddelka estrogen ama kiniinka ilaalinta dhalmada .
T3 lacag la'aan ah / Triiodotyronin bilaash ah
Triiodotyronin waa hoormoonka tayroodh firfircoon , oo sidoo kale loo yaqaan T3. T3 oo bilaash ah ayaa cabbiraya heerarka bilaashka ah oo aan xaddidneyn ee triiodotyronin ku jira dhiiggaaga. T3 lacag la'aan ah ayaa loo tixgeliyaa in ka badan saxda T3. T3 oo bilaash ah ayaa caadi ahaan kor u kacda hyperthyroidism, waxaana hoos u dhaca hypothyroidism.
Wadarta Tirada / Wadarta Triiodotyronin
Wadarta Tirada guud ahaan waxay sare u kacday hyperthyroidism, waxayna hoos u dhigtay hypothyroidism.
T3 Resin Uptake (T3RU) / T7
Marka tijaabada dhiigga la sameeyo T3 iyo T4, baaritaanka T3 ee tijaabada (T3RU) waxaa mararka qaarkood loogu yeeraa imtixaanka T7. Tijaabadani waxay qiyaastaa xaddiga goobaha ciriiriga ah ee ku xiran gaadiidka (qabashada) hormoonnada. T3RU-da sareeya ayaa badanaa lagu arkaa hyperthyroidism.
Thyroglobulin / Tg
Thyroglobulin (Tg) waa borotiin ay soo saarto thyroid. Heerka Tg waa mid hooseeya ama aan la ogaan karin waxqabadka tayroodhka caadiga ah laakiin wuxuu ku kici karaa kor u kaca thyroiditis, cudurka Graves ', ama kansarka qanjirka' thyroid '. Kormeerka heerarka Tg waxaa badanaa loo isticmaalaa si loo qiimeeyo waxtarka daaweynta kansarka tayroodhka iyo in la kormeero dib-u-kicinta kansarka thyroid.
Dib u celin T3
Marka jidhku ku jiro walaac, halkii laga beddeli lahaa T4 ee T3 - qaabka firfircoon ee hoormoonka thyroid - jidhku wuxuu kaydiyaa tamarta isagoo samaynaya waxa loo yaqaan Reverse T3 (RT3), qaab aan firfircoonayn ee hoormoonka T3. Qiimaha qiimaynta RT3 ee lagu ogaanayo waa muran, sida qaar ka mid ah dhakhaatiirtu u maleynayaan in jidhku sii wado inuu sameeyo RT3 halkii laga heli lahaa T3 firfircoon, taasoo keentay in cilladaha qalliinka ee muhiimka ah ee hormoonka hormoonka T3 ee firfircoon.
Thyroid Peroxidase (TPO) Antibodies (TPOAb) / Antithyroid Peroxidase Antibodies
Daawooyinka Thyroid Peroxidase (TPO), ayaa sidoo kale loo yaqaan Antithyroid Peroxidase Antibodies.
(Waagii hore, unugyada difaaca ayaa sidoo kale loo yaqaan Antithyroid Microsomal Antibodies ama Antimicrosomal Antibodies).
Noocyada difaaca jirka waxay ka hortagaan thyroid peroxidase, enzim oo qayb ka ah qaybta T4-ilaa-T3 iyo geedi socodka qalinjebinta. Noocyada difaaca jirka ee TPO waxay caddayn u yihiin burburinta unugyada, sida cudurka Hashimoto, iyo sida caadiga ah, qaababka kale ee thyroiditis sida kaftanka qaybta ka dib.
Waxaa lagu qiyaasaa in difaaca TPO in lagu ogaan karo qiyaastii boqolkiiba 95 bukaannada qaba Hashimoto 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.
Thyroglobulin Antibodies / Antithyroglobulin Antibodies
Baaritaanka tayroglobulin-ga difaaca jirka (oo loo yaqaan antithyroglobulin antibodies) ayaa loo isticmaalaa in lagu baaro sababo la xidhiidha xaaladaha tayroodh. Haddii horay lagugu ogaaday cudurka Graves ', oo leh heerarka sare ee thyrojlobulin, micnaheedu waa inaad ugu dambeyntii noqotid hypothyroid. Daawooyinka Thyroglobulin waa kuwo wanaagsan oo ku saabsan 60 boqolkiiba bukaanada Hashimoto iyo boqolkiiba 30 bukaanka Graves '.
Qanjirka 'Thyroid-Stimulating Immunoglobulins' (TSI) / TSH Kor u qaadista Antibodies (TSAb)
Daawooyinka difaaca jirka TSH (TRAb) ayaa lagu arkaa bukaanada badankooda taariikhda, ama cidda hadda haysata, Cudurada Graves. Baadhitaanka waxaa badanaa loo sameeyaa nooc gaar ah oo ah kicinta TRAb ee soo gala magacyo kala duwan, oo ay ka mid yihiin:
- Qanjiraha-Dareen-celinta Immunoglobulins (TSI)
- Daaweynta Daaweynta Dabaysha (TSAb)
Daaweynta qanjirka 'thyroid-stimulating immunoglobulins' (TSI) waxaa lagu ogaan karaa inta badan dadka qaba cudurka Graves ', waxaana qiyaastii ay helayaan 75 ilaa 90 boqolkiiba bukaanka cudurka Graves'. Heerarka sare, ayaa aad u firfircoon Cudurka 'Graves' ayaa loo maleynayaa inuu yahay. (Maqnaanshaha unugyada difaaca jirka maaha, si kastaba ha ahaatee, ka saari doonaan cudurka Graves '.)
Inta badan, dadka qaarkood ee qaba cudurka Hashimoto sidoo kale waxay leeyihiin unugyada difaaca jirka, tani waxay sababi kartaa dhacdooyin muddo gaaban ah oo ah hyperthyroidism.
Marka la eego TSI, heerarka sarreeya ayaa laga yaabaa inay caawiyaan saadaasha soo noqoshada cudurka Graves ', waxaana hoos u dhigtay heerarka TSI ay muujinayaan in daaweynta cudurka Graves' ay shaqeyneyso.
Kormeerka TSI wuxuu si gaar ah muhiim ugu yahay muddada uurka, sababtoo ah heerarka sareeya, gaar ahaan xilliga hore ee uurka iyo inta lagu jiro sedexda saddexaad, ayaa ah arrin khatar ah oo ku saabsan cillada thyroid ama neonatal dhimista. Hooyo unugyada unugyada TSI waxay u gudbin kartaa ilamaha aan dhalan iyada oo loo marinayo mandheerta, samaynta ilmaha hyperthyroid ee utero, ama dhalashada. Cilmi-baadhis ayaa muujisay in boqolkiiba 10 dumarka uurka leh ee leh TSI sareeya ay dhalaan ilmo ay ku jiraan hyperthyroidism.
Ilaha:
Braverman, MD, Lewis E., iyo Robert D. Utiger, MD. Werner iyo Ingbar's The Thyroid: Qoraalka Aasaasiga ah iyo Daawada. 9th ed. , Philadelphia: Lippincott Williams & Wilkins (LWW), 2012.
Roti, Elio, et. al. "Qiyaasta Cabirka Qalitaanka Antibody ee Cudurrada iyo Maareynta Cudurka 'Maqnaanshaha Waa Dhif Tahay", " Journal of Endocrinology Clinic & Metabolism, Vol. 83, lambarka 11 3781-3784 http://jcem.endojournals.org/cgi/content/full/83/11/3781
Spencer, Carol. "Baaritaanka Hormoonnada Qaaxada iyo Meelaha la Xidhiidha," Maamulaha Tikidhada . Febraayo 6, 2004. http://www.thyroidmanager.org/chapter/assay-of-thyroid-hormones-and-related-substances/