Pākuʻi kinikini thyroid

Loaʻa nā microsome i loko o nā hunaola thyroid. Hoʻopuka ke kino i nā mea ʻino i microsome ke loaʻa ka pōʻino i nā hunaola thyroid. Hōʻike ka antithyroid microsomal antibody test i kēia mau mea ʻino i ke koko.

Pono kahi laʻana koko.

Ke hoʻokomo ʻia ke kui kele e huki i ke koko, manaʻo kekahi poʻe i ka ʻeha kaulike. ʻIke wale kekahi i kahi ʻōniʻu a i ʻole kui. Ma hope, loaʻa paha i kahi kūpikipiki a i ʻole ka ʻūlū iki. Hele koke kēia.

Hana ʻia kēia hōʻike e hōʻoia i ke kumu o nā pilikia thyroid, e like me Hashimoto thyroiditis.

Hoʻohana ʻia ka hōʻike e ʻike inā loaʻa kahi maʻi pale a autoimmune paha i ka thyroid.

ʻO kahi hōʻoia maikaʻi ʻole he hopena ka hopena.

Hiki ke loli iki nā pae waiwai maʻamau i waena o nā hale hana ʻokoʻa. Hoʻohana kekahi mau labs i nā ana like ʻole a i ʻole hoʻokolohua i nā hoʻohālikelike like ʻole. E kamaʻilio me kāu mea mālama ola e pili ana i ke ʻano o kāu mau hopena hōʻike kikoʻī.

ʻO kahi hōʻoia maikaʻi ma muli o:

• Granulomatous thyroiditis (kahi hopena pale o ka pona thyroid e ukali pinepine i kahi maʻi hanu luna)
• ʻO ka Hashimoto thyroiditis (kahi hopena o ka ʻōnaehana paleʻaleʻa e kūʻē i ka kelu thyroid)

Ua hoʻohui pū ʻia nā pae kiʻekiʻe o kēia mau mea ʻume he nui me ka hoʻonui i ka makaʻu o:

• Hāʻule hāʻule
• Preeclampsia (ke koko kiʻekiʻe a me ka protein i ka mimi ma hope o ka hebedoma 20 o ka hāpai keiki)
• Hānau hānau ʻole
• Hoka vitro hoʻouluulu

Mea nui: ʻO ka hopena maikaʻi ʻaʻole ia he manaʻo he loaʻa kāu thyroid a i ʻole pono ʻoe i ka lāʻau no kāu thyroid. ʻO ka hopena maikaʻi e manaʻo paha ʻoe he ʻoi aku kou kiʻekiʻe o ka ulu ʻana i ka maʻi thyroid i ka wā e hiki mai ana. Hoʻohui pinepine ʻia kēia me kahi moʻolelo ʻohana o ka maʻi thyroid.

Hiki ke ʻike ʻia nā Antibyroid microsomal antibodies i loko o kou koko inā he mau ʻano autoimmune ʻoe, e like me:

• Anemia hemolytic autoimmune
• ʻO ka hepatitis autoimmune
• ʻO ka maʻi adrenal autoimmune
• Rheumatoid arthritis
• ʻO Sjögren maʻi
• ʻO ka lupus erythematosus ʻōnaehana

ʻAʻohe pilikia iki i ka lawe ʻia ʻana o kou koko. ʻOkoʻa nā aʻa a me nā aʻa i ka nui mai kekahi kanaka a i kekahi ʻē aʻe a mai kekahi ʻaoʻao o ke kino i kekahi. ʻOi aku ka paʻakikī o ka loaʻa ʻana o kahi laʻana koko mai kekahi poʻe ma mua o nā poʻe ʻē aʻe.

ʻO nā pilikia ʻē aʻe e pili ana i ke kau ʻana o ke koko he liʻiliʻi akā hiki ke hoʻopili ʻia:

• Kahe nui ke koko
• Pāleʻale a ʻoluʻolu paha
• Nā punctures he nui e ʻimi i nā uaua
• Hematoma (kūkulu koko ma lalo o ka ʻili)
• Maʻiʻaʻai (i iki kamepiula i kēlā me kēia manawa ka ʻili i haki)

Pākuʻi antimicrosomal thyroid; Antimicrosomal antibody; Pākuʻi mikomiko; Antithyroid microsomal antibody; TPOAb; Pākuʻi anti-TPO

• Hōʻaʻo koko

Chang AY, ʻAuchus RJ. Nā haunaele Endocrine e pili ana i ka hānau hou. I: Strauss JF, Barbieri RL, eds. ʻO Yen & Jaffe's Reproductive Endocrinology. 8th ed. Piladelapia, PA: Elsevier; 2019: chap 24.

Chernecky CC, Berger BJ. ʻO ka thyroid peroxidase (TPO, antimicrosomal antibody, antithyroid microsomal antibody) ʻōpala - koko. I: Chernecky CC, Berger BJ, hua. Nā Hoʻokolohua Laboratory a me nā kaʻina hana Diagnostic. ʻElua huaʻōlelo St Louis, MO: Elsevier Saunders; 2013: 1080-1081.

ʻO Guber HA, Farag AF. ʻO ka loiloi o ka hana endocrine. I: McPherson RA, Pincus MR, hua. ʻO kā Henry's Clinical Diagnosis a me Management e nā Laboratory Methods. 23rd Ed. St Louis, MO: Elsevier; 2017: chap 24.

ʻO Salvatore D, Cohen R, Kopp PA, Larsen PR. ʻO ka thyroid pathophysiology a me ka loiloi diagnostic. I: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. ʻO Williams Textbook of Endocrinology. 14th ed. Piladelapia, PA: Elsevier; 2020: chap 11.

Weiss RE, Refetoff S. Ke hoʻāʻo nei kāu hana thyroid. I: Jameson JL, De Groot LJ, de Kretser DM, et al, eds. Endocrinology: Makua a Pediatric. ʻEpekema 7 Piladelapia, PA: Elsevier Saunders; 2016: chap 78.