Nea ɛsɛ sɛ wuhu fa T3 Sɔhwɛ no ho

So ɛtɔ mmere bi a wote nka sɛ wo ho popo, wo ho yeraw wo, anaasɛ wowɔ koma a ɛretu mmirika a ntease biara nnim? Anaasɛ wo mu duru so tew bere a woadidi yiye mpo? Sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, ebia wo duruyɛfo ahyɛ sɛ wɔnyɛ wo mogya mu nhwehwɛmu mfa nhwɛ sɛnea wo thyroid hormone dodow te. Sɛ wuhu T3 botae bi wɔ saa amanneɛbɔ no so a, ebia woresusuw ho sɛ, "Dɛn na T3 kyerɛ?" Mma ɛnhaw wo, ɛyɛ mmerɛw yiye. Ɛnnɛ, yɛbɛkyerɛkyerɛ T3 sɔhwɛ no ho biribiara mu wɔ ɔkwan a wobɛtumi ate aseɛ so.

Enti, dɛn ne T3 yi?

Sɛ yɛbɛka no tiawa a, T3 yɛ hormone a ɛho hia yiye wɔ yɛn nipadua mu. Ne din mũ no nyinaa ne Triiodothyronine . Nanso sɛ yɛka ho asɛm a, yɛn nyinaa frɛ no T3 kɛkɛ.

Ntini ketewaa bi a ɛte sɛ ntontom a ɛwɔ honam ani wɔ yɛn kɔn anim no na ɛyɛ saa T3 hormone yi. Yɛfrɛ eyi thyroid ntini . Saa thyroid ntini yi yɛ yɛn nipadua no endocrine nhyehyɛe no fã a ɛho hia yiye.

Thyroid gland no titiriw na ɛyɛ hormone ahorow abien.

1. T3 (triiodothyronine) a ɛwɔ nipadua no mu .

2. T4 (Thyroxine) a ɛwɔ nipadua no mu .

Eyinom abien nyinaa yɛ nkwaadɔm a ɛho hia na ama yɛn nipadua no ayɛ adwuma. T3 nhwehwɛmu kyerɛ sɛnea T3 hormone yi dodow te wɔ wo mogya mu.

Afei hwɛ, saa T3 hormone yi betumi atra yɛn mogya mu wɔ akwan abien so.

• Free T3: Eyi ne T3 fã a ɛyɛ adwuma ankasa, ɔfã a ɛkɔ yɛn nipadua no ntini mu na ɛyɛ n’adwuma.
• Bound T3: T3 fã yi kyekyere protein ahorow, enti entumi nkɔ ntini ahorow mu.

Enti, nnuruyɛfo de nhwehwɛmu ahorow pii di dwuma de hwɛ T3 dodow. ‘Total T3’ sɔhwɛ susuw Free T3 ne Bound T3 nyinaa nyinaa dodow, sɛnea yɛaka wɔ atifi hɔ no. ‘Free T3’ sɔhwɛ susuw T3 dodow a wontua hwee no nkutoo. Nanso, wɔtaa bu Total T3 sɔhwɛ no sɛ ɛyɛ pɛpɛɛpɛ sen Free T3 sɔhwɛ no.

Mpɛn pii no, oduruyɛfo bi bɛkra sɛ wɔnyɛ T4 nhwehwɛmu ne TSH (Thyroid-Stimulating Hormone) nhwehwɛmu nka T3 nhwehwɛmu ho na ama wanya sɛnea thyroid ntini no nyinaa yɛ adwuma ho adwene pa.

Dɛn na T3 hormone no yɛ nipadua no?

T3 ne thyroid hormone abien no mu nea ɛyɛ adwuma kɛse . Ɛne sɛ, ɛyɛ T3 titiriw na ɛka yɛn nipadua mu nkwammoaa na ɛhwɛ nneɛma ahorow so. Wonim T4 sɛ hormone a ɛnyɛ adwuma .

Susuw T4 ho sɛ raw material a wontumi mfa nni dwuma de besi nnɛ. Yɛn mmerɛbo ne yɛn asaabo fa saa T4 yi na ɛdan no ma ɛbɛyɛ T3 hormone a etu mpɔn a ebetumi ayɛ n’adwuma. T3 a ɛwɔ yɛn mogya mu no bɛyɛ 80% pɛ na wonya fi T4 mu wɔ saa kwan yi so. Nea aka no, thyroid ntini no ankasa na ɛyɛ tẽẽ.

Saa T3 ne T4 hormone ahorow yi bom di nneɛma pii a ɛho hia paa wɔ yɛn nipadua mu so.

• Metabolic rate: Eyi ne sɛnea aduan a yedi no dan ahoɔden. Eyi te sɛ ahoɔhare a kar engine de tu mmirika. Bere a T3 kɔ soro no, saa dodow yi nso kɔ soro, na bere a T3 so tew no, ɛso tew.
• Koma ne aduan mu nneɛma a ɛyɛ adwuma: Saa nkwaadɔm yi ka nneɛma te sɛ sɛnea yɛn koma bɔ ntɛmntɛm ne sɛnea yɛn dwensɔtwaa yɛ adwuma.
• Ntini a wɔhwɛ so: T3 ho hia ma ntini ahoɔden ne dwumadi.
• Amemene mu nkɔso: Thyroid hormone ahorow ho hia yiye ma amemene no nyin, titiriw wɔ mmofra nkumaa mu.
• Nnompe nhyehyɛe a wɔbɛkɔ so akura mu: Saa nkwaadɔm yi nso boa ma nnompe mu yɛ den.

Dɛn nti na oduruyɛfo bɛkamfo akyerɛ sɛ wɔnyɛ T3 nhwehwɛmu?

Ade titiriw nti a oduruyɛfo betumi ahyɛ sɛ wɔnyɛ T3 nhwehwɛmu ne sɛ obesi tebea bi a wɔfrɛ no hyperthyroidism so dua . Hyperthyroidism yɛ bere a thyroid ntini no yɛ adwuma boro so na ɛyɛ nkwaadɔm pii sen sɛnea nipadua no hia.

Ɛnyɛ sɛ T3 sɔhwɛ no betumi ahu sɛ ebia tebea yi wɔ hɔ anaasɛ enni hɔ nko, na mmom sɛnea emu yɛ den nso.

Bio nso, sɛ worenom nnuru a wɔde sa thyroid yare bi dedaw a, ebia wo duruyɛfo bɛka akyerɛ wo sɛ yɛ T3 nhwehwɛmu bere ne bere mu na ama woahu sɛ ebia ayaresa no reyɛ adwuma anaa, na mprempren wɔatumi adi wo hormone dodow so anaa.

Momma yensua mogya a wɔde ma de yɛ T3 nhwehwɛmu no ho ade.

Wɔ Sri Lanka no, yesuro kakra sɛ yɛde mogya bɛma. Nanso eyi yɛ ade ketewaa bi pɛ. Wunni biribiara a enti ɛsɛ sɛ wusuro.

So ɛsɛ sɛ wusiesie wo ho ansa na woayɛ sɔhwɛ no?

Mpɛn pii no, ahosiesie titiriw biara nni hɔ a ɛho nhia na wɔayɛ T3 mogya mu nhwehwɛmu. Wubetumi adidi na woanom sɛnea ɛsɛ. Nanso, sɛ worenom nnuru biara (titiriw hormone) anaa vitamin (te sɛ biotin) a, hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo . Nnuru bi betumi aka nea efi nhwehwɛmu no mu ba no. Enti, ebia wo duruyɛfo bɛka akyerɛ wo sɛ gyae nom da koro anaa nnanu ansa na wɔayɛ nhwehwɛmu no.

Sɛ wode mogya ma a, dɛn na ɛba?

Eyi yɛ adeyɛ a ɛyɛ mmerɛw yiye. Egye nea ennu simma anum.

• Wɔbɛtena akongua so, na lab technician (phlebotomist) behu ntini bi wɔ wo basa mu. Mpɛn pii no, woyi mogya no fi wo nsateaa mu.
• Sɛ wohu ntini no wie a, wɔde kotoku ketewaa bi tew baabi no ho.
• Afei wɔde ade ketewaa bi hyɛ ntini no mu, na wɔde mogya dodow a ɛho hia no gu toa ketewaa bi mu (test tube). Sɛ wɔde ade no hyɛ mu a, ɛte sɛ nea ntɛtea ketewaa bi reka wo.
• Sɛ wɔtwe mogya no wie a, woyi afiri no na wɔde kotoku asinasin bi gu baabi a ɛwɔ hɔ no na wɔde mia so.
• Afei wubetumi de plaster ketewaa bi apete saa beae no na woakɔ.

Mma eyi nhaw wo. Sɛ wode mogya ma wie a, ebia wobɛte akuru ketewaa bi nka wɔ wo basa so. Ɛno ankasa bɛsa yare wɔ da koro anaa nnanu mu.

Ɔkwan bɛn so na yɛbɛte T3 amanneɛbɔ no ase?

Mpɛn pii no, wo nsa bɛka wo T3 sɔhwɛ amanneɛbɔ no wɔ da koro anaa nnanu ntam. Sɛ wo nsa ka amanneɛbɔ no a, mma nɔma a ɛwɔ so no nnyɛ wo hu. Mpɛn pii no, amanneɛbɔ bi de nsɛm a ɛkɔ akyiri te sɛ eyi ka ho:

• Sɔhwɛ Din: Sɔhwɛ no din (e.g. T3 - Total) .
• Nea afi mu aba: Bo a wosusuw fi wo mogya mu.
• Reference Range / Normal Range: Nneɛma a ɛfata a ɛsɛ sɛ obi a ɔwɔ apɔwmuden nya.
• Nkyekyɛmu: Nkyekyɛmu a wɔde susuw boɔ no (e.g. ng/dL anaa pg/mL).

Ase hɔ no yɛ adwene a ɛyɛ mmerɛw a ɛfa T3 gyinapɛn ahorow a ɛfata ma mfe ahorow ho.

Sɛ T3 dodow no ‘kɔ soro’ (T3 a ɛkorɔn) a, dɛn na ɛba?

Sɛ wo T3 dodow boro nea ɛfata so a, ɛtaa kyerɛ sɛ wowɔ hyperthyroidism , anaasɛ thyroid gland a ɛyɛ adwuma dodo. Eyi kyerɛ sɛ wo nipadua no mu nneɛma a ɛsakra no yɛ ntɛmntɛm a ɛho nhia.

Ebia nneɛma pii nti na ɛte saa.

• Graves yare: Eyi ne bere a yɛn nipadua no ankasa nipadua mu tumi a ɛko tia nyarewa no tow hyɛ thyroid ntini no so, na ɛkanyan no ma ɛyɛ hormone pii dodo.
• Thyroid nodules: Nkuruwa bi a ɛba ntini no mu nso tumi ma hormone ahorow a ɛboro so ba.
• Thyroiditis: Eyi yɛ thyroid ntini a ɛyɛ hyew.

Sɛ T3 dodow kɔ soro a, sɛnkyerɛnne ahorow te sɛ:

• Mu duru a wɔtew so a ntease biara nnim ɛmfa ho sɛ wodidi yiye no.
• Koma a ɛbɔ ntɛmntɛm anaasɛ ɛnteɛ daa.
• Sɛ wote nka bere nyinaa sɛ wo ho ntɔ wo, wo ho yeraw wo, na wo nsa ho popo.
• Fifiri a ɛboro so, ɔhyew a wontumi nnyina ano.
• Ɛho hia sɛ wɔtaa kɔ aguaree.
• Mmea brayɛ a ɛnkɔ so daa.

Oduruyɛfo no betumi agyina sɛnea T3 bo no yɛ kɛse so ahu sɛnea yare no mu yɛ den.

Dɛn na T3 dodow a ‘ɛba fam’ kyerɛ?

T3 dodow a ɛba fam sen nea ɛfata no betumi ayɛ hypothyroidism , anaasɛ thyroid ntini a ɛnyɛ adwuma yiye ho sɛnkyerɛnne. Nanso, nnuruyɛfo mfa wɔn ho nto T3 nhwehwɛmu no so titiriw mfa nhu sɛ obi anya hypothyroidism. Eyi te saa efisɛ TSH ne T4 dodow taa yɛ nea edi kan sesa wɔ tebea yi mu. Wɔ hypothyroidism a emu yɛ den bi mu no, ebia TSH dodow bɛkɔ soro yiye na T4 dodow a ɛba fam, nanso T3 dodow betumi ayɛ nea ɛfata.

Ebia nneɛma afoforo wɔ hɔ a enti T3 dodow a ɛba fam no wɔ hɔ.

• Nnuru bi te sɛ steroid a wɔde di dwuma .
• Nnuru te sɛ Amiodarone, a wɔde sa komayare.
• Nyarewa afoforo a emu yɛ den wɔ nipadua no mu.

Wɔ tebea horow a ɛte sɛɛ mu no, ɔkwan a nipadua no fa so dan T4 hormone no ma ɛbɛyɛ T3 no sɛe, na ɛma T3 dodow a ɛwɔ mogya no mu no so tew.

So ɛsɛ sɛ mehaw me ho sɛ botae bi a ɛwɔ amanneɛbɔ no mu asesa a?

Ɛnyɛ saa koraa. Ɛyɛ ade a ɛfata sɛ wobɛte ehu nka bere a wuhu lab amanneɛbɔ a ɛkyerɛ bo a ɛsom a ɛboro nea ɛfata so no. Nanso ade a ɛho hia sen biara a ɛsɛ sɛ wote ase ne sɛ wuntumi nnyina nɔma biako pɛ a ɛwɔ amanneɛbɔ no so so nhu yare bi.

T3 dodow betumi asesa bere a woanyinsɛn anaasɛ esiane nnuru afoforo a worenom nti. Wo duruyɛfo no besusuw eyinom nyinaa ho bere a ɔde nkyerɛkyerɛmu rema wo no.

Thyroid nyarewa abu so kɛse nnansa yi. Na ayaresa ahorow a etu mpɔn yiye wɔ hɔ ma wɔn. Enti mma amanneɛbɔ no nhaw wo ho a ɛho nhia. Bisa wo duruyɛfo no nsɛm anaa adwenem naayɛ biara a ebia wowɔ. Ɔyɛ krado bere nyinaa sɛ ɔbɛboa wo.