I-T3 kunye ne-T4: ziyintoni, ziyintoni na kwaye luboniswa nini uviwo

Umxholo

• Yintoni efanelekileyo?
• Xa uvavanyo luboniswa
• Usiqonda njani iziphumo

I-T3 kunye ne-T4 ziihomoni eziveliswa yidlala lengqula, phantsi kovuselelo lwehomoni i-TSH, ekwaveliswa yi-thyroid, kwaye ithatha inxaxheba kwiinkqubo ezininzi emzimbeni, ikakhulu ezinxulumene nemetabolism kunye nokunikezelwa kwamandla ukuze kusebenze yomzimba.

Umthamo wezi hormone uboniswa ngugqirha we-endocrinologist okanye ugqirha jikelele ukuze kuvavanywe impilo yomntu ngokubanzi okanye kuphandwe ngonobangela wezinye iimpawu ezinokuthi zihambelane nokungasebenzi kakuhle kwamadlala, njengokudinwa kakhulu, ukudinwa kweenwele, ubunzima bokunciphisa umzimba kunye ukuphelelwa ngumdla, umzekelo.

Yintoni efanelekileyo?

Ihomoni T3 kunye ne-T4 ziveliswa yidlala lengqula kwaye zilawule iinkqubo ezininzi emzimbeni, ikakhulu ezinxulumene nesetabolism yeselula. Eminye yemisebenzi ephambili ye-T3 kunye ne-T4 emzimbeni yile:

• Ukukhula okuqhelekileyo kwezihlunu zobuchopho;
• I-Metabolism yamafutha, ii-carbohydrate kunye neeproteni;
• Umgaqo wokubetha kwentliziyo;
• Ukukhuthazwa kokuphefumla kwamaselula;
• Ummiselo wokuya esikhathini.

I-T4 iveliswa yi-thyroid kwaye ihlala iqhotyoshelwe kwiiprotheni ukwenzela ukuba ihanjiswe kwigazi ukuya kumalungu ahlukeneyo kwaye, ngoko ke, iyakwazi ukwenza umsebenzi wayo. Nangona kunjalo, ukuze isebenze, i-T4 yahlulwe kwiproteni, yasebenza kwaye yaziwa njenge-T4 yasimahla. Funda ngakumbi malunga ne-T4.

Kwisibindi, i-T4 evelisiweyo yenziwe imetabolism ukunika enye indlela esebenzayo, eyi-T3. Nangona i-T3 ubukhulu becala ifunyenwe kwi-T4, idlala lengqula likwavelisa ezi hormone ngezixa ezincinci. Bona ezinye iinkcukacha malunga ne-T3.

Xa uvavanyo luboniswa

Umthamo we-T3 kunye ne-T4 uboniswa xa kukho iimpawu kunye neempawu ezibonisa ukuba idlala lengqula alisebenzi ngokuchanekileyo, kwaye inokuba sisalathiso sehypo okanye i-hyperthyroidism, isifo seMangcwaba okanye iHashimoto's thyroiditis, umzekelo.

Ukongeza, ukusebenza kolu vavanyo kunokubonakaliswa njengesiqhelo ukuze kuvavanywe impilo yomntu ngokubanzi, kuphando lokungachumi kwabasetyhini kunye nokukrokrelwa ngumhlaza wedlala lengqula.

Ke, ezinye zeempawu ezinokuthi zibonise ukuguqulwa kwe-thyroid kunye nokuba umyinge wamanqanaba e-T3 kunye ne-T4 ayacetyiswa:

• Kunzima ukunciphisa umzimba okanye ukufumana ubunzima ngokulula nangokukhawuleza;
• Ukwehla komzimba ngokukhawuleza;
• Ukudinwa kakhulu;
• Ubuthathaka;
• Ukwanda kokutya;
• Ukulahleka kweenwele, ulusu olomileyo kunye neenzipho ezibuthathaka;
• Ukudumba;
• Utshintsho kumjikelo wokuya esikhathini;
• Guqula kwinqanaba lentliziyo.

Ukongeza kumthamo we-T3 kunye ne-T4, ezinye iimvavanyo zihlala zicelwa ukuba zincede ekuqinisekiseni isifo, ngakumbi umlinganiso wehomoni ye-TSH kunye ne-antibodies, kwaye kunokwenzeka ukwenza i-thyroid ultrasound. Fumanisa ngakumbi malunga neemvavanyo ezibonisiweyo zokuvavanya idlala lengqula.

Usiqonda njani iziphumo

Iziphumo zovavanyo lwe-T3 kunye ne-T4 kufuneka zivavanywe ngu-endocrinologist, ugqirha jikelele okanye ugqirha obonise uviwo, kunye nesiphumo sezinye iimviwo ezivavanya idlala lengqula, ubudala bomntu kunye nempilo ngokubanzi kufuneka zithathelwe ingqalelo. Ngokubanzi, amanqanaba e-T3 kunye ne-T4 athathwa njengesiqhelo ngala:

• Iyonke i-T3: 80 kunye ne-180 ng / dL;
• T3 simahla:2.5 - 4.0 ng / dL;
• Iyonke i-T4: 4.5 - 12.6 µg / dL;
• T4 yasimahla: 0.9 - 1.8 ng / dL.

Ke, ngokwexabiso le-T3 kunye ne-T4, kunokwenzeka ukuba wazi ukuba idlala lengqula lisebenza ngokuchanekileyo. Ngokwesiqhelo, amaxabiso e-T3 kunye ne-T4 ngaphezulu kwexabiso lesalathiso abonisa i-hyperthyroidism, ngelixa amaxabiso asezantsi abonisa i-hypothyroidism, nangona kunjalo iimvavanyo ezingaphezulu ziyafuneka ukuqinisekisa isiphumo.