Ƙwararrun Ƙwararrun da ba a samuwa a Amurka
Akwai gwaji fiye da ɗaya wanda za a iya amfani dasu don kimanta yadda kake aikin aikin thyroid.
Bayan gwajin gwajin kawanci na thyroid (TSH) ko matakin thyroxine (T4), likita zai iya amfani da gwajin gwaji mai tarin kwayar karo (TRH). Wannan ya ce, wannan gwaji ba shi da amfani; a gaskiya, ba a samuwa a Amurka, ko da yake yana samuwa a wasu ƙasashe.
Amince da gwajin TRH
Don fahimtar yadda TRH ta ƙarfafa gwajin gwajin, yana taimakawa da sauri don duba yadda mahaukaran kwakwalwa ke hulɗa da thyroid:
- Your hypothalamus ne gland shine a cikin kwakwalwarka da ke ɓoye ƙwayar cututtukanka (TRH).
- Lokacin da aka saki TRH, hakan yana motsa kwakwalwar kwakwalwarka na kwakwalwarka don saki hormone (TSH).
- TSH yana ƙarfafa thyroid kanta don yin hormones thyroid.
Yawancin likitoci sunyi amfani da gwajin TSH, wanda yayi la'akari da matakin TSH a cikin jini a wani lokaci a lokaci. Ana fassara ma'anar gwajin TSH ; idan matakanka sun fi girma ko žasa fiye da iyakar tunani, an dauke wannan hujja akan cutar mai maganin thyroid.
Tambayar TRH ta bambanta. Na farko, an gwada gwajin TSH na bashi. Sa'an nan kuma an ba ku kashi na TRH ta hanyar dabbar ku wadda ta kara da pituitary don saki TSH. An samo samfurin jini na jini na biyu zuwa kashi 20 zuwa 60 bayan haka, kuma matakin TSH ya nuna.
Wasu likitoci sun ji cewa gwajin TRH zai iya gano ƙananan matsalolin maganin karoid da kuma auna ikon da thyroid zai iya amsawa a ainihin lokacin, idan aka kwatanta da gwajin TSH, wanda shine hoto na thyroid aiki a daya lokaci a lokaci.
Ta yaya Test Testing daga TSH Test
Nuna gwadawar gwajin TRH da jarrabawar TSH yana kama da gwajin gwaji ta zuciya idan aka kwatanta da wani electrocardiogram, ko jarrabawar haƙuri ta glucose idan aka kwatanta da matakin glucose azumi.
A cikin jarrabawar motsa jiki, ƙalubalen na iya bayyana wani rashin lafiya a cikin thyroid.
Duk da haka, yawancin likitoci sunyi la'akari da gwajin TSH sosai tare da buƙatar jini guda ɗaya da ake buƙatar kuma ba kayan aiki na musamman. Bugu da ƙari, TSH ba shi da tsada. Idan aka kwatanta shi, jarrabawar aikin aiki da gwajin TRH mafi mahimmanci yana buƙatar kashi biyu ya raba rabin sa'a, da samun TRH, da kuma sanin yadda za a yi daidai da kuma fassara gwajin.
Amfanin Test na TRH
An yi amfani da gwajin TRH a wasu lokutan don taimakawa wajen gano hypothyroidism na biyu (hypothyroidism ne saboda matsalolin kwance) da kuma hypothyroidism (hypothyroidism saboda cututtukan hypothalamic).
Duk da haka, yayin da TRH za a iya amfani da shi don gano sakandare ko sakandare na tsakiya (wanda ake kira tsakiya hypothyroidism), ba za a iya amfani da shi don rarrabe tsakanin tsinkaye da cutar hypothalamic ba.
Kammalawa
Daga ƙarshe, masu bincike sun nuna cewa ana iya amfani da gwajin TRH na gwaji don gano tsakiyar hypothyroidism daga cututtuka ba dangantaka da thyroid ba.
Binciken da aka rigaya ya nuna cewa gwaji na gwajin TRH zai iya bayyana abin da ake kira a matsayin magungunan hypothyroidism na farko kafin ya nuna a cikin gwajin TSH mafi yawan.
Zai yiwu, za a gudanar da sabon nazarin don ƙayyade amfanin da marasa lafiya na amfani da wannan gwajin.
> Sources:
> Doi SAR, Issac D, Abalkhail S, Al-Qudhaiby MM, Hafez MF, Al-Shoumer KAS. Hanyoyin TRH A lokacin da Basal TSH ke cikin cikin al'ada: Shin akwai "Hydro-Biochemical" Hypothyroidism? Medicine Clinical & Research . 2007; 5 (3): 145-148. Doi: 10.3121 / cmr.2007.756.
> Ross DS. (2017). Babban hypothyroidism. Cooper DS, ed. Na zamani. Waltham, MA: UpToDate Inc.