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Kā izskaidrot vairogdziedzera hormonu analīzes?

Kā izskaidrot vairogdziedzera hormonu analīzes?

kristīne_venta 2010. gada 10. septembrī

Labdien,

Nodevu asins analīzes uz vairogdziedzera hormoniem pavasarī - T3,T4, TSH visi normās.

Tā kā ir šādas, tādas gremošanas sistēmas problēmas, daktere nozīmēja man pārbaudi uz vairogdziedzera hormoniem.

Saņēmu atbildes un esmu šokā, varbūt kāds var izskaidrot nozīmi, izpratnei ko tas nozīmē, kamēr tieku pie ārsta - antivielas pret tireoglobulīnu 188 (norma līdz 50); antivielas pret tireoperoksidāzi 2070 (norma līdz 35).

Paldies.

Atbildes:

  • 2012. gada 27. martā
    Labdien,

    autoimuns tireoidīts ir paša pacienta agresīvas imūnās sistēmas radīts vairogdziedzera iekaisums (nav sakara ar baktērijām vai vīrusiem).

    Spriežot pēc augstā auto antivielu līmeņa, pret Jūsu pašas vairogdziedzeri, jādomā, ka Jums ir autoimuns tireoidīts, kas sācies nesen un vēl nav radījis vairogdziedzera funkcijas traucējumus.

    Tāpēc arī T3, T4, kas ir vairogdziedzera producētie vielmaiņas hormoni un TSH, kas ir vairogdziedzera darbību stimulējošs hormons (izdalās smadzenēs) ir normas robežās.

    Procesam turpinoties, vairogdziedzera audu vietā aug rētaudi un sāk mazināties T3, T4 daudzums. To ātri fiksē smadzenes un lai panāktu līdzsvaru, ražo vairāk TSH.

    Ja TSH sāk celties virs normas, ārsts izrakstīs jau gatavus vairogdziedzera hormonus tabletēs, kas būs jālieto visu mūžu, periodiski kontrolējot asins analīzes un pielāgojot devu.

    Papildu parasti tiek veikta arī ultrasonoskopija vairogdziedzerim. Diemžēl apstādināt šo procesu nevar un speciālas ārstēšanas nav. Lai Jūs nomierinātu, jāsaka, ka ar šo slimību slimo daudz sieviešu un nekādu ļaundabīgu seku šim procesam parasti nav.

    Arī slimība iet viļņveidīgi, ar paasinājumiem un remisijām.

    Parasti pacientēm nekādu pašsajūtas traucējumu nav, ja tiek lietota vairogdziedzera hormonu aizvietojošā terapija.

    Anda Kariņa, Kariņas A. ģimenes ārsta prakse

Komentāri

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