Thyroid stimulating receptor antibody on the high side how to return a responsibility?
summary
Thyroid stimulating hormone receptor antibody (TRAb), also known as membrane receptor antibody, is an antibody that directly acts on TSH receptor on thyroid cell membrane. It belongs to immunoglobulin IgG. According to its function, it can be divided into the following three categories: ① thyroid stimulating antibody (TSAb), also known as thyroid stimulating immunoglobulin (TSI), binds with TSH receptor on thyroid follicular membrane to stimulate goiter, Enhancing its functional activity is the main cause of Graves' disease. ② Thyroid function inhibitory antibody (tfiab): also known as thyroid function inhibitory immunoglobulin (tfii), after binding with TSH receptor, it can inhibit thyroid function and cause hypothyroidism. ③ Thyroid growth stimulating immunoglobulin (TGI): can stimulate goiter, but does not affect its function. Now let's talk about the high level of thyroid stimulating receptor antibody?
Thyroid stimulating receptor antibody on the high side how to return a responsibility?
1. TRAb plays an important role in the diagnosis, treatment and prognosis of Graves' disease. The positive rate of TRAb in patients with Graves' disease is more than 95%, so it can be used as the basis for the diagnosis of Graves' disease. When antithyroid drugs were used, the activity of TRAb decreased significantly with the remission of the disease. When the level of thyroid hormone in the blood was normal, if TRAb gradually decreased and even turned negative, the possibility of recurrence was small after drug withdrawal; If TRAb continues to be positive after treatment, it indicates that the treatment effect is not good, and the possibility of recurrence after drug withdrawal is high.
2. The thyroid antibody is on the high side, which indicates Hashimoto's thyroiditis. If the thyroid function is normal and there is no hypothyroidism, there is no need for drug treatment. Check the thyroid function and thyroid ultrasound regularly.
3. Male may have impotence or breast development, etc. goiter is symmetrical, and some patients are asymmetric. Goiter or goiter will move up and down with swallowing, and some patients with hyperthyroidism have thyroid nodules. There are many types of hyperthyroidism, The most common one is toxic diffuse goiter Graves disease. The pathogenesis of toxic diffuse goiter is related to genetic and autoimmune factors, but the presence of hyperthyroidism symptoms is also related to some inducing factors (environmental factors). If these inducing factors are avoided, hyperthyroidism symptoms may not appear, or delay the occurrence of hyperthyroidism symptoms, or reduce the symptoms of hyperthyroidism
matters needing attention
It is suggested to adjust good mood, strengthen nutrition, pay attention to rest, regular diet, work and rest on time, and enhance physique. To maintain a good mood, ban stimulating food, regular review of a work, if normal nothing. Thyroid stimulating receptor is on the high side. If it's OK, check your thyroid function regularly.
