So wɔaka akyerɛ wo nso sɛ yɛ T3 nhwehwɛmu na woahu wo thyroid hormone ahorow ho asɛm? (T3 - Triiodothyronine Nhwehwɛmu) .

So oduruyɛfo bi aka akyerɛ wo pɛn sɛ yɛ T3 nhwehwɛmu? Ebia na wo ho yeraw wo kakra bere a wɔka kyerɛɛ wo saa no, ɛnte saa? "Dɛn ne T3 yi? Dɛn nti na wɔreyɛ eyi?" Ebia nsɛmmisa pii baa m’adwenem. Mma wo ho nnyɛ wo hu. Ɛnnɛ, yɛbɛka T3 sɔhwɛ yi ho asɛm tiawa, wɔ ɔkwan a wobɛtumi ate aseɛ so. Te sɛ nea wo ne w’adamfo bi rekasa ara pɛ.

Dɛn ne T3 (triiodothyronine) na dɛn na ɛyɛ?

Sɛ yɛbɛka no tiawa a, T3 yɛ hormone a ɛho hia yiye wɔ yɛn nipadua mu. Wɔde ntini ketewaa bi a ɛte sɛ ntontom a ɛwɔ honam ani wɔ yɛn kɔn anim na ɛyɛ. Yɛfrɛ eyi thyroid ntini . Ɛyɛ yɛn endocrine nhyehyɛe no fã .

Thyroid ntini no yɛ nkwaadɔm atitiriw abien. Biako ne T3, anaa triiodothyronine . Ɔfoforo no ne T4, anaa thyroxine . Sɛ wɔka saa nkwaadɔm abien yi, T3 ne T4, bom di yɛn nipadua mu dwumadi ahorow pii a ɛho hia so.

Susuw eyi ho: T3 a ɛwɔ yɛn mogya mu no bɛyɛ 80% na ɛba wɔ thyroid ntini no akyi, denam T4 hormone no a ɛdan T3 no so. Nea aka no, thyroid ntini no ankasa na ɛyɛ tẽẽ.

Hormone ahorow te sɛ abɔfo a wɔretu mmirika afa yɛn nipadua mu. Wɔnam mogya no mu na wɔde nkrasɛm kɔ yɛn akwaa, ntini, ne ntini afoforo mu a ɛkyerɛ wɔn nea ɛsɛ sɛ wɔyɛ ne bere a ɛsɛ sɛ wɔyɛ.

Saa hormone yi, T3, ne `` active`` kwan a ɛwɔ thyroid hormone no mu. Ɛne sɛ, ɛyɛ saa T3 yi na ɛka nkwammoaa a ɛwɔ yɛn nipadua mu no. T4 yɛ `` inactive`` kwan a wɔfa so yɛ no. Yɛn mmerɛbo ne yɛn asaabo dan T4 a thyroid ntini no gyae no mu dodow no ara ma ɛbɛyɛ T3.

Sɛ wɔka hormone abien T3 ne T4 yi bom di nneɛma a ɛte sɛɛ so wɔ yɛn nipadua mu:

• Yɛn nipadua mu nneɛma a ɛsakra (kyerɛ sɛ, sɛnea yɛdan aduan a yedi no ma ɛbɛyɛ ahoɔden).
• Koma ne aduan a wɔyam no dwumadi.
• Ntini a wɔde di dwuma.
• Amemene no nkɔso.
• Nnompe a wɔhwɛ so yiye.

Seesei woate sɛnea T3 ho hia no ase, ɛnte saa?

Dɛn nti na wɔyɛ T3 sɔhwɛ?

Nnuruyɛfo hyɛ titiriw sɛ wɔnyɛ T3 nhwehwɛmu mfa nhu tebea bi a wɔfrɛ no hyperthyroidism , a ɛkyerɛ sɛ thyroid ntini no reyɛ hormone pii dodo, anaasɛ wɔde ahu sɛnea tebea no mu yɛ den.

Sɛ worenom thyroid hormone replacement therapy (THR) dedaw a, ebia wo duruyɛfo bɛkamfo akyerɛ sɛ yɛ nhwehwɛmu yi daa na ama woahwɛ wo T3 dodow.

Mpɛn pii no, wɔde T3 sɔhwɛ no ka ho no, wɔyɛ nhwehwɛmu afoforo te sɛ T4 (thyroxine) sɔhwɛ ne TSH (thyroid-stimulating hormone) sɔhwɛ de hwɛ sɛnea thyroid ntini no yɛ adwuma bio.

Edin afoforo a wɔde frɛ T3 sɔhwɛ no ne:

• Thyroid dwumadi ho nhwehwɛmu
• Triiodothyronine a wɔde yɛ adwuma nyinaa
• Triiodothyronine a wɔde ma kwa
• FT3

T3 sɔhwɛ no ka T3 ahorow abien ho asɛm, ɛnte saa?

Yiw, ɛte saa. Triiodothyronine, anaa T3, wɔ yɛn mogya mu wɔ akwan titiriw abien so:

• Free T3 : Eyi ne nea ɛhyɛn yɛn nipadua mu ntini mu na ɛyɛ n’adwuma a ɛho hia.
• Bound T3: Eyi kyekyere protein ahorow ho, enti entumi nkɔ ntini ahorow mu ntɛm.

Enti, sɔhwɛ ahorow pii wɔ hɔ a ɛkyerɛ T3 dodow. Wɔfrɛ mogya mu nhwehwɛmu a wɔde susuw T3 a enni mu ne T3 a wɔakyekyere no nyinaa sɛ total T3 nhwehwɛmu . Sɔhwɛ foforo susuw T3 dodow a wontua hwee nkutoo. Nanso, mpɛn pii no, T3 sɔhwɛ ahorow a wontua hwee no betumi ayɛ nea ɛnyɛ pɛpɛɛpɛ kakra sen T3 sɔhwɛ ahorow a wɔyɛ nyinaa.

Hena na ɔyɛ saa T3 sɔhwɛ yi? Wɔyɛ no dɛn?

Ɛyɛ mmerɛw yiye. Momma yɛnhwɛ.

Hena na ɔyɛ T3 sɔhwɛ no?

Mpɛn pii no obi a wɔatete no a wɔfrɛ no phlebotomist na ɔfa mogya . Nanso, akwahosan ho adwumayɛfo biara a wɔatete no sɛ ɔnnom mogya betumi ayɛ eyi. Afei wɔde mogya no kɔ aduruyɛdan mu. Ɛhɔ no, nyansahufo bi a ɔwɔ aduruyɛdan mu de nhwɛsode no gu mfiri a wɔde hwehwɛ nneɛma mu mu na ɔsɔ hwɛ.

So ɛsɛ sɛ misiesie biribi ansa na wɔayɛ T3 sɔhwɛ no?

Mpɛn pii no, ɛho nhia sɛ wɔyɛ ahosiesie titiriw biara ma T3 mogya mu nhwehwɛmu. Nanso, egyina nea enti a woyɛ nhwehwɛmu no so no, ebia ebehia sɛ wugyae nnuru anaa nnuru bi a wɔde ka ho nom kakra. Nanso, wo duruyɛfo bɛma wo eyi ho akwankyerɛ pɔtee.

Sɛ woyɛ T3 mogya mu nhwehwɛmu a, dɛn na ɛba?

Mogya a wɔbɛfa no yɛ mmerɛw yiye na ɛyɛ ntɛm. Nea ɛba ni:

1. Wɔbɛtena akongua bi so. Afei akwahosan ho dwumayɛni no bɛhwehwɛ ntini bi wɔ wo basa mu a ɛnyɛ den sɛ wubehu. Mpɛn pii no, wɔpaw ntini bi wɔ wo nsa no mu, wɔ wo nsateaa no fã foforo.

2. Sɛ wohu ntini bi pɛ a, wɔhohoro baabi a ɛwɔ no yiye na wɔde aduru a ekum ɔyare mmoawa gu so.

3. Afei wɔde ade ketewaa bi hyɛ ntini no mu na wɔfa mogya. Saa bere yi de, ebia wobɛte nka sɛ ntɛtea ketewaa bi rebɔ wo.

4. Sɛ wɔde ade no hyɛ mu wie a, wɔboaboa mogya kakraa bi ano wɔ afiri a wɔde sɔ hwɛ mu.

5. Sɛ wɔfa mogya no wie a, woyi ade no na wɔde kotoku anaa gauze bi gu beae no na wɔde nhyɛso kakra gu so na ama mogya no agyae.

6. Afei, wɔde plaster gu beae no na wowie adwuma no.

Saa adeyɛ yi nyinaa gye nea ennu simma anum. Ɛyɛ ntɛm yiye, ɛnte saa?

Dɛn na ɛba wɔ T3 sɔhwɛ no akyi?

Sɛ wofa wo mogya wie a, wɔde kɔ aduruyɛdan mu kɔhwɛ. Sɛ wohu nhwehwɛmu no mu aba a, wo duruyɛfo bɛbɔ wo amanneɛ wɔ nea efii mu bae no ho.

So asiane bi wɔ T3 mogya mu nhwehwɛmu mu?

Mogya mu nhwehwɛmu yɛ ade a abu so na ɛho hia wɔ aduruyɛ mu nhwehwɛmu ne yare a wohu mu. Asiane a ɛwɔ mogya mu nhwehwɛmu a wɔyɛ wɔ T3 mu no sua koraa. Ebia wubenya akuru ketewaa bi anaa ɛyaw wɔ baabi a wɔtwe mogya no, nanso eyi bɛsa ntɛm. Enti biribiara nni hɔ a ɛsɛ sɛ ɛhaw yɛn ho.

Bere tenten ahe na egye ansa na wɔanya T3 sɔhwɛ no mu aba?

Mpɛn pii no, ɛsɛ sɛ wo T3 sɔhwɛ no mu aba no ba wɔ adwuma da biako kosi abien mu, nanso ɛtɔ mmere bi a ebetumi agye bere tenten kakra.

Dɛn na ɛwɔ nea efii T3 sɔhwɛ bi mu bae ho amanneɛbɔ mu?

Mogya mu nhwehwɛmu amanneɛbɔ a T3 nhwehwɛmu amanneɛbɔ ka ho no taa kura nsɛm te sɛ eyi:

• Mogya mu nhwehwɛmu no din, anaa nea wɔsusuu wɔ wo mogya mu.
• Wo mogya mu nhwehwɛmu aba no dodow anaa susuw.
• Ɛno ne susuw a wɔtaa de yɛ sɔhwɛ no.
• Nsɛm a ɛkyerɛ sɛ ebia nea efi mu ba no yɛ nea ɛfata anaasɛ ɛnyɛ nea ɛfata, anaasɛ ɛkɔ soro anaasɛ ɛba fam.

T3 dodow a ɛfata te dɛn?

Nneɛma a ɛfata ma lab sɔhwɛ biara, a T3 sɔhwɛ ahorow ka ho, betumi ayɛ soronko kakra wɔ lab ahorow ntam. Enti, hwɛ hu sɛ wobɛhwɛ reference range wɔ wo results report no so. Sɛ wowɔ nsɛmmisa bi fa nea efi mu ba no ho a, bisa wo duruyɛfo.

Normal Total T3 dodow a ɛwɔ hɔ

T3 dodow a ɛfata no gu ahorow sɛnea mfe a obi adi. T3 dodow a ɛwɔ hɔ nyinaa a ɛfata ma nnipa a wɔwɔ apɔwmuden ni:

• Mmofra a wɔadi mfe 1-5: 106 – 203 nanograms wɔ deciliter `(ng/dL)` biara mu
• Mmofra a wɔadi mfe 6-10: 104 – 183 `ng/dL`
• Mmofra a wɔadi fi mfe 11-14: 68 – 186 `ng/dL`
• Mmabun a wɔadi fi mfe 15-17: 71 – 175 `ng/dL`
• Mpanyimfo a wɔadi mfe 18-99: 79 – 165 `ng/dL`

T3 dodow a ɛnyɛ hwee a ɛyɛ daa

T3 nhwehwɛmu a wontua hwee no nyɛ nea wotumi de ho to so kɛse, enti nnuruyɛfo ntaa nkra. Nanso wubetumi ahwɛ saa levels yi. T3 a wɔde ma kwa a ɛfata ma nnipa a wɔwɔ apɔwmuden ni:

• Nkokoaa fi awo mu kosi nnafua 3: 1.4 – 5.4 picograms wɔ mililita `(pg/mL)` biara mu
• Nkokoaa a wɔadi nnafua 4 kosi 30: 2.0 – 5.2 `pg/mL`
• Nkokoaa a wɔadi ɔsram biako kosi afe biako: 1.5 – 6.4 `pg/mL`
• Mmofra a wɔadi mfe 1-6: 2.0 – 6.0 `pg/mL`
• Mmofra a wɔadi fi mfe 7-11: 2.7 – 5.2 `pg/mL`
• Mmofra nkumaa a wɔadi fi mfe 12-17: 2.3 – 5.0 `pg/mL`
• Mpanyimfo a wɔadi mfe 18-99: 2.3 – 4.1 `pg/mL`

Sɛ wɔma T3 dodow kɔ soro a, dɛn na ɛba?

T3 dodow a ɛkɔ soro sen sɛnea ɛte daa no kyerɛ sɛ hyperthyroidism , a ɛkyerɛ sɛ thyroid ntini no yɛ adwuma boro so. Nneɛma pii na ɛde hyperthyroidism ba. Nhwɛso ahorow bi ne Graves yare (yare a nipadua no tumi ko tia nyarewa), thyroid nodules , ne thyroiditis .Nneɛma te sɛ `(Thyroiditis)` (ɛno kyerɛ sɛ thyroid ntini no mu yɛ hyew/ɛhohoro).

Hyperthyroidism ma wo nipadua mu nneɛma a ɛsakra no yɛ ntɛmntɛm. Eyi betumi ayɛ asiane ama w’akwahosan. Nsɛnkyerɛnne ahorow bi a ɛkyerɛ sɛ obi anya hyperthyroidism ne:

• Mu duru a ɛso tew a ntease biara nnim.
• Sɛ wote nka sɛ wowosow na/anaasɛ wo ho ntɔ wo.
• Mpɛn dodow a wɔkɔ aguaree a ɛkɔ soro.
• Koma a ɛbɔ ntɛmntɛm anaasɛ ɛnteɛ (arrhythmia) .

Sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, akyinnye biara nni ho sɛ kɔ wo duruyɛfo nkyɛn.

Sɛ wɔahu sɛ wowɔ hyperthyroidism dedaw a, T3 nhwehwɛmu betumi ahu sɛnea wo tebea no mu yɛ den. Mpɛn pii no, dodow a T3 dodow kɔ soro no, dodow no ara na hyperthyroidism no mu yɛ den.

Sɛ T3 dodow so tew a, dɛn na ɛba?

T3 dodow a ɛba fam sen sɛnea ɛte daa no betumi akyerɛ sɛ wowɔ hypothyroidism , thyroid ntini a ɛnyɛ adwuma yiye. Nanso, nnuruyɛfo mfa wɔn ho nto T3 nhwehwɛmu nkutoo so mfa nhu sɛ obi anya hypothyroidism. Eyi te saa efisɛ T3 dodow taa yɛ ade a etwa to a ɛnyɛ ne kwan so wɔ thyroid dwumadi ho nhwehwɛmu mu.

Bio nso, ebia nnipa binom wɔ TSH dodow a ɛkɔ soro, free T4 dodow a ɛba fam, ne hypothyroidism a emu yɛ den, nanso T3 dodow a ɛfata.

Nneɛma afoforo wɔ hɔ a enti ebia T3 dodow no bɛba fam sen sɛnea ɛte daa. Sɛ nhwɛso no, nnuru te sɛ steroid ne amiodarone (aduru a wɔde sa apɔw-mu-teɛteɛ a ɛnyɛ den), ne aduruyɛ mu tebea horow a emu yɛ den. Saa nneɛma yi betumi atew sɛnea yɛn nipadua no dan T4 (hormone a ɛnyɛ adwuma) ma ɛbɛyɛ T3 (hormone a ɛyɛ adwuma) no so. Eyi betumi ama T3 dodow a ɛba fam aba.

So ɛsɛ sɛ mehaw me ho sɛ me T3 sɔhwɛ mu aba no sua anaasɛ ɛkɔ soro a?

Mpɛn pii no, T3 sɔhwɛ mu aba nyinaa yɛ nokware. Nanso, nneɛma bi te sɛ nnuru bi, nnuru a wɔde ka aduan ho, ne nyinsɛn betumi aka nea efi mu ba no. Wo duruyɛfo besusuw saa nneɛma yi ho bere a ɔrekyerɛ nea afi mu aba no ase no.

Ɛyɛ ade a ɛfata sɛ wobɛte dadwen ne adwennwen nka bere a wuhu sɔhwɛ bi a ɛnyɛ ne kwan so no. Nanso kae sɛ thyroid tebea horow abu so kakra na wotumi sa. Wo duruyɛfo bɛkyerɛ wo sɛ ɛho hia sɛ woyɛ nhwehwɛmu foforo na ama woahu nea ɛde wo T3 dodow a ɛnteɛ no ba anaa. Nsuro sɛ wubebisa wo duruyɛfo nsɛm . Ɔwɔ hɔ sɛ ɔbɛboa wo.

Nneɛma a ɛho hia sen biara a ɛsɛ sɛ wokae (Take-Home Message) .

Okay, yɛaka T3 sɔhwɛ no ho asɛm pii, ɛnte saa? Nea etwa to no, nneɛma a ɛho hia paa a ɛsɛ sɛ wokae no bi ni:

• T3 yɛ hormone a thyroid gland no yɛ na ɛho hia ma yɛn nipadua no dwumadi pii.
• Wɔde T3 nhwehwɛmu di dwuma titiriw de hu hyperthyroidism (thyroid a ɛyɛ adwuma boro so) na wɔhwɛ so.
• Eyi yɛ mogya mu nhwehwɛmu a ɛnyɛ den. Asiane kɛse biara nni hɔ.
• Sɛ wunya nea efi mu ba no a, fa toto nea ɛyɛ daa no ho.
• Sɛ wo T3 dodow kɔ soro a, ebetumi ayɛ tebea bi a wɔfrɛ no hyperthyroidism. Hwɛ yare no ho sɛnkyerɛnne ahorow no yiye.
• Sɛ T3 dodow no sua a, ebetumi afi hypothyroidism anaa biribi foforo a ɛde ba.
• Sɛ wowɔ adwenem naayɛ anaa nsɛmmisa bi wɔ nea ebefi mu aba no ho a, hwɛ hu sɛ wo ne wo duruyɛfo bɛkasa. Mma wo ho nnyɛ wo ho nhwehwɛmu.

Mewɔ anidaso sɛ wubehu sɛ mfaso wɔ saa nsɛm yi so. Kɔ so nya apɔwmuden!

` Thyroid, T3 nhwehwɛmu, triiodothyronine, hyperthyroidism, hormone, mogya mu nhwehwɛmu, thyroid ntini