Momma yensua biribiara fa T4 sɔhwɛ (Thyroxine Test) no ho wɔ ɔkwan a ɛnyɛ den so.

So wo duruyɛfo kyerɛw "T4 Test" wɔ mogya mu nhwehwɛmu a woyɛɛ no ​​so? Anaasɛ wususuw sɛ wowɔ ɔhaw bi wɔ wo thyroid gland no ho? Ebia wo mu duru so retew anaasɛ wo mu duru rekɔ soro wɔ ɔkwan a wontumi nkyerɛkyerɛ mu so, wote nka sɛ woabrɛ bere nyinaa, anaasɛ wo ho nyɛ wo den? Enti ɛnnɛ, momma yɛnka T4 sɔhwɛ yi ne nea ɛka kyerɛ yɛn fa yɛn nipadua ho no ho asɛm tiawa na yɛmfa ayamye nyɛ.

Nea edi kan no, ma yɛnhwɛ, dɛn ne T4 sɔhwɛ yi?

Sɛ yɛbɛka no tiawa a, T4 nhwehwɛmu no yɛ mogya mu nhwehwɛmu a ɛhwɛ sɛnea wo thyroid ntini no reyɛ adwuma.

Fa no sɛ, thyroid gland yɛ akwaa ketewaa bi a ɛte sɛ ntontom a ɛwɔ yɛn kɔn anim, wɔ yɛn kɔn mu dompe no atifi pɛɛ. Eyi yɛ yɛn nipadua no endocrine system , kyerɛ sɛ, hormone nhyehyɛe no fã a ɛho hia yiye. Saa ntini yi yɛ thyroid hormone ahorow na ɛma ɛkɔ mogya no mu. Afei saa nkwaadɔm yi fa mogya no mu fa nipadua no nyinaa mu na ɛkyerɛ akwaa ahorow sɛ "wɔnyɛ eyi ne eyi."

Thyroxine, anaa T4 , ne hormone titiriw a thyroid ntini no yɛ. Enti sɛ T4 hormone no dɔɔso dodo anaasɛ ɛba fam dodo wɔ nipadua no mu a, ɛma yehu sɛ yare bi wɔ thyroid ntini no mu.

Free T4 ne Bound T4: Nsonsonoe bɛn na ɛda abien no ntam?

Nnuruyɛfo de mogya mu nhwehwɛmu hwɛ T4 dodow. Nanso saa T4 hormone yi wɔ yɛn mogya mu wɔ akwan abien so:

• Bound T4: Eyi te sɛ parcel a wɔde nhama akyekyere no denneennen wɔ lɔre so. Saa T4 hormone yi kyekyere protein ahorow ho. Enti, entumi nkɔ yɛn nipadua mu nkwammoaa (nkwaboaa) mu tẽẽ na ɛnyɛ adwuma.
• Free T4: Eyi ne adwuma pɔnkɔ ankasa. Te sɛ nneɛma a woyii fii lɔre no mu, a woyii fii nneɛma a wɔde ahyɛ mu no mu no. Saa T4 hormone ahorow yi "free" wɔ mogya no mu, ɛnkyekyere protein biara. Enti wobetumi akɔ yɛn nkwammoaa mu tẽẽ na wɔayɛ wɔn adwuma.

Esiane nsonsonoe yi nti, sɔhwɛ ahorow pii wɔ hɔ a ɛkyerɛ T4 dodow. Wɔfrɛ sɔhwɛ a ɛsusuw ahorow abien no nyinaa bom no Total T4 sɔhwɛ . Nanso, mpɛn pii no, nnuruyɛfo hwɛ Free T4 dodow no nkutoo. Esiane sɛ ɛyɛ Free T4 yi na ɛka yɛn nipadua ankasa nti, sɛ yɛsusu a, ebetumi ama yɛahu sɛnea thyroid ntini no yɛ adwuma no ho mfonini a edi mu.

Dɛn na saa T4 (thyroxine) hormone yi yɛ nipadua no ankasa?

Sɛnea yɛadi kan aka ho asɛm no, thyroxine (T4) ne hormone titiriw a thyroid ntini no yɛ. Nea ɛka ho no, ɛma triiodothyronine , anaa T3 kakraa bi nso ba. T4 ne T3 bom yɛ adwuma sɛ "thyroid hormone."

Susuw ho hwɛ, T4 yɛ 'inactive' kakra, a ɛkyerɛ sɛ ɛnyɛ adwuma pii. Nanso sɛ ɛkɔ yɛn mmerɛbo ne asaabo mu a, T4 yi mu dodow no ara dan T3, a ɛyɛ ‘active’, a ɛkyerɛ sɛ ɛyɛ odwumayɛni ankasa. Enti ɛyɛ T3 na ɛkɔ yɛn nkwammoaa mu ankasa na enya nkɛntɛnso kɛse.

T4 ne T3 bom di yɛn nipadua no dwumadi ahorow pii a ɛho hia so:

• Metabolic rate: Sɛ yɛbɛka no tiawa a, sɛnea yɛdan aduan a yedi no ma ɛbɛyɛ ahoɔden. Sɛ eyi kɔ soro a, yɛn mu duru so tew; sɛ ɛso tew a, yɛn mu duru yɛ kɛse.
• Koma ne aduan mu nhyehyɛe yɛ adwuma: Ahoɔhare a yɛn koma bɔ ne ɔkwan a yɛn dwensɔtwaa yɛ adwuma no nya eyi so nkɛntɛnso.
• Ntini a wɔhwɛ so: Ɛho hia ma ntini ahoɔden ne dwumadi.
• Amemene mu nkɔso: Hormone a ɛho hia ma amemene no nyin, titiriw wɔ mmofra nkumaa mu.
• Nnompe akwahosan: Ɛboa ma nnompe mu yɛ den.

Thyroxine a wɔde yɛ nneɛma

Nnipa binom thyroid ntini no ntumi nyɛ T4 hormone a ɛdɔɔso. Yɛfrɛ tebea yi hypothyroidism . Nnuruyɛfo ma saa nkurɔfo yi aduru bi a ɛwɔ T4 hormone a wɔayɛ no. Wɔfrɛ no levothyroxine . Wɔde di dwuma nso wɔ oprehyɛn akyi ma thyroid kokoram ahorow bi.

Dɛn nti na ɛsɛ sɛ meyɛ T4 sɔhwɛ?

Nneɛma pii nti na ebia wo duruyɛfo bɛhyɛ sɛ wɔnyɛ T4 nhwehwɛmu. Wɔtaa yɛ eyi na ama wɔanya sɛnea wo thyroid no reyɛ adwuma yiye ho adwene.

Nneɛma atitiriw a enti ɛte saa no bi ni:

• Sɛ wunya TSH amanneɛbɔ a ɛnyɛ ne kwan so a: Sɛ wo TSH nhwehwɛmu a atwam no mu aba no nni nea ɛfata mu a, wɔbɛyɛ T4 nhwehwɛmu de ahu nea ɛde ba.
• Hwehwɛ thyroid nyarewa: Saa sɔhwɛ yi ho hia na ama woahu hyperthyroidism, tebea a ɛma thyroid ntini no yɛ adwuma boro so, anaasɛ hypothyroidism, thyroid ntini a ɛnyɛ adwuma yiye .
• Sɛnea ɛbɛyɛ a wobɛhwɛ ayaresa no so: Sɛ worenom aduru a wɔde si hormone ananmu dedaw ama thyroid yare bi a, wo duruyɛfo no bɛtaa ayɛ nhwehwɛmu yi de ahwɛ sɛ ebia nnuru dodow a wonom no fata wo nipadua anaa.
• Wɔ mmofra a wɔawo wɔn foforo fam: Ɛtɔ mmere bi a wɔyɛ nhwehwɛmu yi de hwɛ sɛ thyroid no ntumi nyɛ adwuma yiye wɔ mmofra a wɔawo wɔn foforo mu anaa.
• Wɔ tebea afoforo ho no:Saa sɔhwɛ yi betumi aboa ma wɔahu tebea horow a wosusuw sɛ ɛwɔ hɔ te sɛ goiter , thyroid nodules , pituitary anaa hypothalamus haw ahorow.

Mɛyɛ dɛn asiesie me ho ama sɔhwɛ no? Sɛ mede mogya ma a, dɛn na ɛba?

Mpɛn pii no, ahosiesie titiriw biara nni hɔ a ɛho hia ma T4 sɔhwɛ. Wubetumi adidi na woanom sɛnea ɛsɛ ansa na wode mogya ama. Nanso, nnuru anaa vitamin ahorow bi a worenom betumi aka nea efi nhwehwɛmu no mu ba no. Enti, ɛho hia paa sɛ woka nnuru a worenom nyinaa ho asɛm kyerɛ wo duruyɛfo.

Biribiara nni hɔ a enti ɛsɛ sɛ wusuro sɛ wode mogya bɛma. Ɛyɛ adeyɛ a ɛyɛ mmerɛw yiye a egye nnu simma anum:

1. Wɔbɛtena akongua so na wɔahu ntini pa, mpɛn pii no wɔ wo nsateaa mu.

2. Wɔde kotoku ketewaa bi tew beae no ho, na wɔde ade ketewaa bi hyɛ ntini no mu. Wobɛte ɛyaw kakra kɛkɛ, te sɛ ntɛtea ketewa bi a wɔreka no.

3. Afei, wɔboaboa mogya dodow a wɔhwehwɛ ano gu afiri ketewaa bi mu.

4. Sɛ wɔtwe mogya no wie a, woyi ade no na wɔde kotoku bi gu beae no so na wɔde mia so. Afei wɔde plaster ketewaa bi gu baabi a ɛhɔ yɛ fɛ. Ɛno ne no!

Wote amanneɛbɔ no ase dɛn?

Mpɛn pii no wubetumi anya w’amanneɛbɔ no wɔ da koro anaa nnanu ntam. Amanneɛbɔ no bɛkyerɛw wo Free T4 botae no, ne "Normal Range/Reference Range" ama saa sɔhwɛ no.

Nea ɛho hia: Nkɔso a ɛyɛ daa a lab ahorow de ma no betumi ayɛ soronko kakra, enti bere nyinaa fa nea efi mu ba no toto dodow a ɛyɛ daa a ɛwɔ w’amanneɛbɔ no so no ho.

Sɛnea ɛsɛ sɛ obi a ɔwɔ apɔwmuden Free T4 dodow yɛ sɛnea ɛte biara ni.

Sɛ T4 dodow no kɔ soro sen sɛnea ɛte daa a (High T4) .

Sɛ wo T4 anaa Free T4 dodow dɔɔso sen sɛnea ɛte daa a, ebetumi akyerɛ sɛ hyperthyroidism , tebea a ɛma thyroid ntini no yɛ adwuma boro so. Ebetumi nso afi thyroiditis anaasɛ sɛ worenom thyroid nnuru pii a.

Wɔ tebea yi mu no, nipadua no mu nneɛma a ɛsakra no kɔ soro kɛse. Ebia sɛnkyerɛnne ahorow no bi ne:

• Sɛ́ wobɛyɛ teateaa a ntease biara nnim.
• Ɛho hia sɛ wɔtaa kɔ aguaree.
• Koma a ɛbɔ ntɛmntɛm anaasɛ ɛnteɛ daa.
• Fifiri a wɔtaa yɛ, ɔhyew a wɔte nka.

Sɛ T4 dodow no sua sen sɛnea ɛte daa (Low T4) .

Sɛ wo T4 dodow no nnu nea ɛfata a, ɛkyerɛ sɛ hypothyroidism , a ɛyɛ thyroid ntini a ɛnyɛ adwuma yiye. Eyi betumi afi nyarewa a nipadua no tumi ko tia nyarewa anaasɛ iodine a enni aduan mu.

Wɔ tebea yi mu no, nipadua no mu nneɛma a ɛsakra no brɛ ase kɛse. Ebia sɛnkyerɛnne ahorow no bi ne:

• Ɔbrɛ ne nna a obi da bere nyinaa.
• Awɔw a wontumi nnyina ano.
• Koma a ɛbɔ brɛoo .
• Ɔyɛ kɛse a ntease biara nnim.
• Ayamtim.

Sɛ wode T4 ne TSH gyinapɛn ahorow toto ho a, dɛn na ɛba?

Eyi ne asɛm a ɛho hia sen biara. Oduruyɛfo bi si gyinae wɔ thyroid haw bi ho denam T4 ne TSH amanneɛbɔ no nyinaa a ɔbom hwɛ so. Efisɛ abusuabɔ a emu yɛ den da abien no ntam.

Wubetumi ate ase afi pon yi so kɛkɛ.

Sɛ nea efi mu ba no nyɛ nea ɛfata a, wo duruyɛfo betumi ahyɛ sɛ wɔnyɛ nhwehwɛmu foforo na aboa ma wɔahu nea ɛde ba. Nhwɛsoɔ:

• T3 hormone nhwehwɛmu bi.
• Sɔhwɛ ahorow a wɔde hwehwɛ tebea horow te sɛ Graves yare .
• Nhwehwɛmu ahorow a wɔyɛ de hwehwɛ tebea horow te sɛ Hashimoto yare no .

Wo ne wo duruyɛfo nka eyinom nyinaa ho asɛm pefee. Bisa nsɛm biara a wowɔ na di wo suro so.