Uvavanyo lwasimahla lwe-T4

I-T4 (thyroxine) yeyona hormone iphambili eveliswa yidlala lengqula. Uvavanyo olwenziwa elebhu lunokwenziwa ukulinganisa isixa se-T4 yasimahla egazini lakho. I-T4 yasimahla yi-thyroxine engaqhotyoshelwanga kwiproteni esegazini.

Isampulu yegazi iyafuneka.

Umboneleli wakho wokhathalelo lwempilo uya kukuxelela ukuba ngaba ufuna ukuyeka ukuthatha nawaphi na amayeza anokuchaphazela iziphumo zovavanyo. Ngokubanzi, iziphumo zovavanyo azichaphazeleki ngamanye amayeza onokuthi uwathathe. Nangona kunjalo, izongezo ezithile kubandakanya i-biotin (ivithamini B7) inokuchaphazela iziphumo. Xelela umboneleli wakho ukuba uthatha i-biotin.

Ukukhulelwa kunye nezinye izifo, kubandakanya isifo sezintso kunye nesibindi, sinokuchaphazela iziphumo zolu vavanyo.

Xa kufakwa inaliti ukutsala igazi, abanye abantu baziva iintlungu eziphakathi. Abanye baziva behlaba okanye behlaba kuphela. Emva koko, kunokubakho ukubetha okanye ukukrala kancinci. Oku kuya kuhamba kungekudala.

Umboneleli wakho unokulucebisa olu vavanyo ukuba uneempawu zesifo se-thyroid, kubandakanya:

• Iziphumo ezingaqhelekanga zolunye uvavanyo lwegazi lwe-thyroid, njenge-TSH okanye i-T3
• Iimpawu ze-thyroid engapheliyo
• Iimpawu ze-thyroid engasebenzi
• I-Hypopituitarism (i-pituitary gland ayivelisi ngokwaneleyo iihomoni zayo)
• Lump okanye nodule kwi-thyroid
• Ukwandiswa okanye ukungaqhelekanga kwe-thyroid gland
• Iingxaki zokukhulelwa

Olu vavanyo lukwasetyenziselwa ukubeka esweni abantu abanyangwa iingxaki ze-thyroid.

Uluhlu oluqhelekileyo oluqhelekileyo li-0.9 ukuya kwi-2.3 nanograms kwidesilitha nganye (ng / dL), okanye i-picomoles ezili-12 ukuya kwezi-30 kwilitha nganye (pmol / L).

Amaxabiso esiqhelo ahluka kancinci phakathi kweelebhu ezahlukeneyo. Ezinye iilabhoratri zisebenzisa imilinganiselo eyahlukeneyo okanye zinokuvavanya iisampulu ezahlukeneyo. Thetha nomboneleli wakho malunga nentsingiselo yeziphumo zakho zovavanyo.

Uluhlu oluqhelekileyo lusekwe kubemi abaninzi kwaye alunyanzelekanga ukuba lube yinto eqhelekileyo kumntu ngamnye. Unokuba neempawu zehyperthyroidism okanye i-hypothyroidism nangona i-T4 yakho yasimahla ikuluhlu oluqhelekileyo. Uvavanyo lwe-TSH lunokukunceda ukuba iimpawu zakho zinxulumene nesifo se-thyroid. Thetha nomboneleli wakho malunga neempawu zakho.

Ukuqonda ngokupheleleyo iziphumo zovavanyo lwe-T4 yasimahla, iziphumo zolunye uvavanyo lwegazi lwe-thyroid, ezinje nge-TSH okanye i-T3, zisenokufuneka.

Iziphumo zovavanyo zinokuchaphazeleka nangokukhulelwa, inqanaba le-estrogen, iingxaki zesibindi, ukugula okunzima kakhulu emzimbeni, kunye notshintsho oluziwe njengelifa kwiproteni ebopha i-T4.

Inqanaba eliphezulu kune-T4 inokubakho ngenxa yeemeko ezibandakanya i-thyroid engasebenzi, kubandakanya:

• Isifo samangcwaba
• Ukuthatha amayeza e-thyroid kakhulu
• Idlala lengqula
• Ityhefu okanye ityhefu
• Ezinye izicubu zeemvavanyo okanye ii-ovari (ezinqabileyo)
• Ukufumana uvavanyo lwe-imaging yonyango ngombala ohlukileyo oqukethe iodine (inqabile, kwaye kuphela ukuba kukho ingxaki nge-thyroid)
• Ukutya ukutya okuninzi okune-iodine (kunqabile, kwaye kuphela xa kukho ingxaki kwi-thyroid)

Umgangatho ongaphantsi kwe-T4 unokubakho ngenxa:

• I-Hypothyroidism (kubandakanya isifo sikaHashimoto kunye nezinye iingxaki ezibandakanya i-thyroid engasebenzi)
• Ukugula kakhulu
• Ukungondleki okanye ukuzila ukutya
• Ukusetyenziswa kwamayeza athile

Akukho mngcipheko ubandakanyekileyo ekuthatheni igazi lakho. Imithambo kunye nemithambo iyahluka ngobukhulu ukusuka komnye umntu ukuya komnye nakwelinye icala lomzimba liye kwelinye. Ukufumana isampulu yegazi kwabanye abantu kunokuba nzima ngakumbi kunabanye.

Eminye imingcipheko enxulumene nokutsalwa kwegazi incinci, kodwa inokubandakanya:

• Ukopha kakhulu
• Ukufa isiqaqa okanye ukuziva ungenantloko
• Ukugqobhoza okuninzi ukufumana imithambo
• I-Hematoma (igazi elakhiweyo phantsi kolusu)
• Usulelo (umngcipheko omncinci nangaliphi na ixesha ulusu lwaphukile)

Uvavanyo olukhululekileyo lwe-thyroxine; Uvavanyo lwe-Thyroxine yi-equilibrium dialysis

• Uvavanyo lwegazi

UGuber HA, uFarag AF. Uvavanyo lomsebenzi we-endocrine. Ku: McPherson RA, Pincus MR, ii-eds. Ukuchongwa kweKlinikhi kaHenry kunye noLawulo ngeendlela zeLebhu. Umhla we-23. ISt Louis, MO: Elsevier; Ngo-2017: isahluko 24.

UHinson J, uRaven P. Endocrinology kunye nenkqubo yokuzala. Ku: Niash J, Syndercombe D, ii-eds. IiSayensi zezoNyango. Ngomhla wesi-3. IPhiladelphia, PA: Elsevier; I-2019: isahluko 10.

USalvatore D, uCohen R, uKopp PA, uLarsen PR. I-thyroid pathophysiology kunye novavanyo lokuqonda isifo. Ku: UMelmed S, uAuchus RJ, uGoldfine AB, uKoenig RJ, uRosen CJ, ii-eds. Incwadi ebhaliweyo kaWilliam ye-Endocrinology. Umhla we-14. IPhiladelphia, PA: Elsevier; 2020: isahl 11.

I-Weiss RE, Refetoff S. Umsebenzi wovavanyo lwe-thyroid. Ku: Jameson JL, De Groot LJ, de Kretser DM, et al, ii-eds. Endocrinology: Abantu abadala kunye nabantwana. Umhla wesi-7. IPhiladelphia, PA: Elsevier Saunders; Ngo-2016: isahluko 78.