Iingcamango ezivela kuRichard Shames, MD
Ndihlala ndifaka ulwazi oluvela kuDkt. Richard Shames, umbhali-mbhali kunye nomfazi wakhe uKarilee Shames, uRN, Ph.D., yeencwadi ezininzi kwiimpawu ze-thyroid, kunye nodokotela odibanisayo osebenze ngezigulane ze-thyroid iminyaka emininzi. UDkt Shames uyancika ngokuxhomekeka kwii-capillary fingerprick / test blood spot kwizinga le-thyroid, kunokuba uphononongo lwegazi lwezonyango kunye nohlalutyo olwenziwa ngama-laboratories amaninzi.
Le Q & A ibhekisela kwiingcamango zikaDkt Shames malunga nale fomu yokuvavanya, okubhekiswa njengento ephikisanayo kwihlabathi lezonyango.
Umbuzo: Kutheni ukhetha ukukhetha ukuhlolwa kwegazi kwiimvavanyo ze-thyroid, kunokuba uzihlole iimvavanyo zeebhanki zegazi?
URichard Shames, MD: Into endiyithethayo kuzo zombini izigulane kunye nabalingane kukuba isizathu esilula. Nangona u vavanyo oluqhelekileyo lwenza umsebenzi omhle kubantu abaninzi, abanye (ngakumbi iimeko ezilukhuni-ukuxilonga), ezi zivavanyo ezintsha kwaye zibhetele, ezinamaxesha amaninzi zifumaneke ngaphandle komyalelo wonyango, ovavanya la ma hormone iinkqubo ngokuthe ngempumelelo nangaphezulu ngokupheleleyo kwimbono yam.
Emva kokuvavanya i-thyroid ngegazi eliqhelekileyo legazi elidlulayo kule minyaka yokugqibela eyi-25 ye-hormone practice, ndize ndibone ukuphakama kwetheknoloji entsha ebonakala kwiminyaka elishumi ezayo. I-Osteopaths, izondlo zokutya, izigulane kunye noogqirha be-naturopathic babesebenzisa i-teknoloji entsha baze bacebisa ngezinye iindibano zethu ze-hormone ukuzama.
Into endiyifumeneyo, njengogqirha wezokwelapha, kukuba ukuhlolwa kwendawo yegazi ukusuka kwi-capillary fingerprick kwanika iziphumo ezicacileyo kwiimeko zam i -roid.
Ngokomzekelo, xa isigulane esineemvavanyo zeebhanki zegazi rhoqo sasingenakulungeleka ngaphandle kweziphumo eziqhelekileyo, ndiza kwenza uhlalutyo lwamanqaku omnwe.
(Ndisebenzisa iimvavanyo kwiLebhu ye-ZRT.) Ukuvavanywa kwamanye amaxesha kwandibonisa ukuba lesi sigulane "esiqhelekileyo" siphezulu kakhulu okanye siphantsi kakhulu kwi-hormone ye-thyroid . Xa ndandilandela isikhokelo esicetyiswa yimvavanyo emitsha ngokwenza utshintsho kwimiyalelo yesigulane, isigulane ekugqibeleni siqala ukuziva singcono.
Kwakhona, xa ndibe nesigulane esasibona ngaphambili abanye oogqirha, kuquka i-endocrinologists, kwaye bexelelwe ngokuphindaphindiweyo ukuba babengenayo ingxaki ye-thyroid ngenxa yokuba iimvavanyo zabo zegazi ziqhelekileyo, ndabanika aba bantu uvavanyo olutsha lwamanqamu uhlalutyo lwamabala. Ngokuqhelekileyo ndabona amaninzi e-thyroid apho kwakungekho nanye ngaphambili, okanye ndabona ixabiso elingaqhelekanga le- TSH kuvavanyo olutsha oluqhelekileyo lweemvavanyo zegazi oluye lwaboniswa njengesiqhelo, kwaye lusetyenziswa olutsha uluhlu oluqhelekileyo .
Ukuvavanywa okunjalo kubonakala kunceda kakhulu kwizigulane zam ezinzima ukuba ndiqalise ukusebenzisa le mvavanyo kwizigulane zam ezininzi. Ndandifuna ukuqonda ukuba kutheni lo vavanyo luphezulu.
Umbuzo: Kutheni ucinga ukuba ubona oko ucinga ukuba kukho iziphumo ezichanekileyo kunye novavanyo olutsha, ngokumalunga neemvavanyo zendabuko?
URichard Shames, MD: Ndathetha noDkt David Zava, umsunguli weZRT Labs, owachaza ukuba igazi le-capillary liyindawo echanekileyo yokulinganisa amanqanaba okwenene ye-hormone ye-thyroid.
Akunjalo nje kuphela ukuhlolwa kwesinyithi esisekelwe ekhaya, kungabibizi, kwaye kuncinci kwesohlwayo kunokuya kwisikhululo sesitishi, kodwa kunakho ukukwazi ukuchaneka ngakumbi ngenxa yegazi apho.
Ukongezelela, kukho inzuzo eyongeziweyo yokuthatha amaconsi ambalwa egazi kunye nokomisa ngemizuzwana kwisiqwenga sephepha lokucoca ngokucatshulwa esicatshulwa ngokusetyenziswa kwezixhobo zanamhlanje (i-chemiluminescence method). Isampula esomileyo isisigxina ngakumbi kunee-hormone ze-thyroid kwifom ye-liquid (ityhubhu ye-serum yegazi) njengoko yenziwa ngama-labs rhoqo. Oku kuyinyani ngokukodwa kwi-hormone ye-TSH ekhubazekayo, ihlola i-standard standard yegolide ye-thyroid.
Iimlekyuli zala ma hormone ziza kuhlaziywa ngokukhawuleza kwifom ye-liquide kunommandla omile omile.
Abantu bafanele bazi ukuba igazi elidityaniswe kusasa malunga nelebhu nganye e-US ayiqhubeki kumatshini ukuhlalutya kude kube ngaloo mini. Ngelo xesha, amahomoni akho, ngakumbi i-TSH ebalulekileyo, anokuphela ekuboniseni ngaphantsi kwesiphumo sakho sokuvavanya kunokuba uchanekile kuwe.
Kukho inkxalabo ebalulekileyo malunga nexabiso le-TSH: ayikho ihomoni eqhelekileyo, i-hormone ye-pituitary ukuba ngokwemigangatho engcono ifanele ifakwe efrijini ngokukhawuleza. Uninzi lwamathala amakhulu anamaziko ase-satellite (izitishi zokudweba) ezithumela iisampula zegazi kubo. Ngaba ezi zigcinwe kwiqondo elifanelekileyo lokushisa? Kunzima kunakuqala. I-TSH serum ayifaneki ifriji.
Yintoni oku kuthetha ukuba unokuba yi-downroid ephantsi ngeTS engaqhelekanga kodwa ekupheleni kosuku olude kwiphubhu yokuvavanya, amazinga akho e-TSH anokukwazi ukulinganiswa ngoku aya kuluhlu oluqhelekileyo. Ukuba oko akubi kakuhle, nantoni into ebaluleke nakakhulu: Ukuba ufumana amanqanaba amachiza angenele xa uthatha iipilisi ze-thyroid, oku kungacwangcisi ukuba ugqirha ugqirha ukuba unokwaneleyo okanye kwaneyeza elininzi, kwaye uya kunciphisa idosi nangona unzima kulona mgangatho.
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Ukuba unomdla kwi-capillary fingerprick / i-blood test test yezinga le-thyroid, kukho iindlela ezimbini onokufumana olu hlobo lokuvavanya. Okokuqala, ugqirha wakho unokuyalela le mivavanyo emitsha kuwe, ukongeza okanye endaweni yeemvavanyo zendabuko, ngokusebenzisa ii-Laboratories zeZRT. Ezi mvavanyo ziyafumaneka ngaphandle komrhumo kubathengi bezempilo kumazwe amaninzi, ngeekiti zokuhlola ekhaya. Ukuba ufuna ukuzenza umyalelo, unako ukulandelelana ngqo ukusuka kwi-ZRT, okanye ugcine imali ngokufumana ubulungu behhala kwiqela elizimelayo lokukhuthaza abathengi, njengeCanary Club, apho unokufumana inzuzo yokuphuhlisa ixabiso leqela. Olunye ulwazi malunga neZRT kunye neKhanari yeCanary iyafumaneka kwinqaku yam ekuzihloleni i-thyroid kunye namahomoni .