Ðe wobia tso asiwò hã be nàwɔ T3 dodokpɔ be nànya nu tso wò lãkusi me lãmetsiwo ŋua? (T3 - Triiodothyronine Dodokpɔ) .

Ðe ɖɔkta aɖe gblɔ na wò kpɔ be nàwɔ T3 dodokpɔa? Ðewohĩ ètsi dzodzodzoe vie esi wogblɔ nya ma na wò, alo? "Nukae nye T3 sia? Nukatae wole esia wɔm?" Ðewohĩ biabia geɖe va susu me nam. Mègatsi dzodzodzoe o. Egbea, míaƒo nu tso T3 dodokpɔ sia ŋu bɔbɔe, le mɔ si gɔme nàte ŋu ase nu. Abe alesi nèle nu ƒom na xɔ̃wò ene.

Nukae nye T3 (triiodothyronine) eye nukae wòwɔna?

Kpuie ko la, T3 nye lãmetsi vevi aɖe ŋutɔ le míaƒe ŋutilã me. Gluvi sue aɖe si le abe kpakpaluʋui ene si le ŋutigbalẽ te le míaƒe kɔ ƒe ŋgɔgbe lae wɔe. Míeyɔa esia be lãkusi si woyɔna be thyroid gland . Enye míaƒe lãmenugbagbeviwo ƒe dɔwɔwɔ ƒe akpa aɖe .

Lãmetsiŋusẽ vevi eve siwo woyɔna be thyroid gland la wɔa lãmetsiŋusẽ vevi eve. Ðekae nye T3, alo triiodothyronine . Bubue nye T4, alo thyroxine . Lãmetsiŋusẽ eve siawo, T3 kple T4, ƒo ƒu kpɔa dɔ vevi geɖe siwo le míaƒe ŋutilã me dzi.

Bu esia ŋu kpɔ: T3 si le míaƒe ʋu me ƒe 80% lɔƒo dona le lãkusi godo, to T4 lãmetsiŋusẽ ƒe tɔtrɔ zu T3 me. Susu mamlɛa tsoa lãkusia ŋutɔ gbɔ tẽ.

Lãmetsiŋusẽwo le abe dɔla siwo le du dzi to míaƒe ŋutilã me ene. Wozɔa mɔ to ʋua me hetsɔa gbedasiwo yia míaƒe ŋutinuwo, lãmekawo, kple lãmenugbagbevi bubuwo gbɔ tsɔ gblɔa nusi woawɔ kple ɣeyiɣi si woawɔe na wo.

Lãmetsi sia, T3, nye `` active`` ƒomevi si le thyroid lãmetsi me. Eyae nye be T3 siae kpɔa ŋusẽ ɖe lãmenugbagbevi siwo le míaƒe ŋutilã me dzi. T4 nye nɔnɔme si nye `` inactive`` si sɔ gbɔ wu. Míaƒe aklã kple ayiku trɔa T4 si lãkusia ɖena ɖe go la ƒe akpa gãtɔ wòzua T3.

Lãmetsiŋusẽ eve siawo siwo nye T3 kple T4 ƒo ƒu kpɔa nusiwo le abe esiawo ene dzi le míaƒe ŋutilã me:

• Míaƒe lãmenugbagbeviwo ƒe dɔwɔwɔ ƒe agbɔsɔsɔme (si nye alesi míetrɔa nuɖuɖu si míeɖuna wòzua ŋusẽ).
• Dzi kple nuɖuɖumeŋusẽ ƒe dɔwɔwɔ.
• Lãmetsiwo dzi ɖuɖu.
• Ahɔhɔ̃ ƒe tsitsi.
• Ƒuwo dzi kpɔkpɔ.

Fifia èse alesi gbegbe T3 le vevie gɔme, alo?

Nukatae wowɔa T3 dodokpɔ?

Ðɔktawo koŋ ɖea gbe be woado T3 kpɔ atsɔ anya dɔléle aɖe si woyɔna be hyperthyroidism , si fia be lãkusia le lãmetsiŋusẽ geɖe wɔm akpa, alo be woatsɔ anya alesi gbegbe dɔlélea nu sẽe.

Ne èle thyroid hormone replacement therapy (THR) zãm xoxo la, wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàwɔ dodokpɔ sia edziedzi be nàlé ŋku ɖe wò T3 ƒe agbɔsɔsɔ ŋu.

Zi geɖe la, wowɔa dodokpɔ bubuwo abe T4 (thyroxine) dodokpɔ kple TSH (thyroid-stimulating hormone) dodokpɔ ene tsɔ kpe ɖe T3 dodokpɔa ŋu be woatsɔ akpɔ thyroid gland ƒe dɔwɔwɔ nyuie wu.

Ŋkɔ bubu siwo wotsɔ na T3 dodokpɔae nye:

• Thyroid ƒe dɔwɔwɔ dodokpɔ
• Triiodothyronine ƒe ƒuƒoƒo
• Triiodothyronine si wozãna femaxee
• FT3

T3 dodokpɔa ƒo nu tso T3 ƒomevi eve ŋu, alo?

Ẽ, esɔ nenema. Triiodothyronine, alo T3, le míaƒe ʋu me le mɔ vevi eve nu:

• Free T3 : Esiae gena ɖe míaƒe ŋutilã ƒe lãkusiwo me eye wòwɔa dɔ si hiã.
• T3 si wobla : Esia bla ɖe proteinwo ŋu, eyata mate ŋu age ɖe lãkusiwo me bɔbɔe o.

Eyata dodokpɔ ƒomevi vovovowo li siwo dzidzea T3 ƒe agbɔsɔsɔ. Woyɔa ʋudodokpɔ si dzidzea T3 si le ablɔɖe me kple T3 si wobla siaa be T3 dodokpɔ bliboa . Dodokpɔ bubu dzidzea T3 ƒe agbɔsɔsɔ si woate ŋu azã faa ko. Gake zi geɖe la, T3 dodokpɔ siwo wowɔna femaxee ate ŋu made pɛpɛpɛ vie wu T3 dodokpɔ bliboa.

Amekae doa T3 dodokpɔ sia kpɔna? Aleke wowɔnɛ?

Ele bɔbɔe ŋutɔ. Na míakpɔe ɖa.

Amekae wɔa T3 dodokpɔa?

Zi geɖe la, ame si wona hehee si woyɔna be ʋuka me ʋu ƒe dɔwɔwɔ ŋuti nunyalae xɔa ʋu . Gake lãmesẽdɔwɔla ɖesiaɖe si wona hehee be wòano ʋu ate ŋu awɔ esia. Emegbe woɖoa ʋua ɖe nudokpɔƒe. Afimae atikewɔƒe ƒe dzɔdzɔmeŋutinunyala aɖe tsɔa kpɔɖeŋua dea numekulawo me hedonɛ kpɔna.

Ðe wòhiã be madzra nane ɖo hafi woawɔ T3 dodokpɔa?

Zi geɖe la, mehiã be woawɔ dzadzraɖo tɔxɛ aɖeke na ʋudodokpɔ si nye T3 o. Gake le susu si ta wodoe kpɔ nu la, ahiã be nàdzudzɔ atike aɖewo alo kpeɖeŋutɔtikewo nono hena ɣeyiɣi aɖe. Gake wò ɖɔkta ana mɔfiame tɔxɛwo wò tso esia ŋu.

Nukae dzɔna ne èdo ʋu si nye T3 kpɔ?

Ʋuɖeɖe le bɔbɔe ŋutɔ eye wòwɔa dɔ kabakaba. Nusi dzɔnae nye esi:

1. Ànɔ zikpui dzi. Emegbe lãmesẽdɔwɔla la adi ʋuka aɖe le wò alɔnu si kpɔkpɔ le bɔbɔe. Zi geɖe la, wotiaa ʋuka aɖe le wò abɔ ƒe akpa si le eme, le wò abɔta ƒe akpa kemɛ.

2. Ne wonya ke ɖe ʋuka aɖe ŋu ko la, wokɔa teƒea ŋu nyuie eye wotsɔa dɔlékuiwutike dea eme.

3. Emegbe wotsɔa aŋe sue aɖe dea ʋukaa me eye woɖea ʋu. Le ɣeyiɣi sia me la, àte ŋu ase le ɖokuiwò me abe anyidi sue aɖe le ye ƒom ene.

4. Ne wotsɔ aŋea de eme vɔ la, woƒoa ʋu sue aɖe nu ƒu ɖe dodokpɔmɔ̃ me.

5. Ne woɖe ʋua vɔ la, woɖea aŋea ɖa eye wotsɔa kotoklobo alo gaze kakɛ aɖe dana ɖe teƒea eye wotsɔa nyaƒoɖeamenu sue aɖe dea edzi be ʋua natɔ te.

6. Emegbe, wotsɔa aŋɔ ƒoa teƒea eye wowua dɔa nu.

Dɔwɔwɔ sia katã mexɔa aɖabaƒoƒo atɔ̃ o. Ewɔa dɔ kabakaba ŋutɔ, alo?

Nukae dzɔna le T3 dodokpɔa megbe?

Ne woɖe wò ʋu vɔ la, woɖonɛ ɖe nudokpɔƒe be woadoe kpɔ. Ne dodokpɔa me tsonu va li la, wò ɖɔkta ana nànya nu tso dodokpɔa me tsonu ŋu.

Ðe afɔku aɖewo le ʋudodokpɔ si nye T3 mea?

Ʋudodokpɔ nye atikewɔwɔ me dodokpɔ kple dɔléle didi ƒe akpa si bɔ ŋutɔ eye wòhiã. Afɔku siwo le ʋudodokpɔ si nye T3 me la le sue ŋutɔ. Àte ŋu akpɔ abi alo abi sue aɖe le afisi woɖe ʋua le, gake esia ahaya kaba. Eyata naneke meli si ŋu woatsi dzi ɖo o.

Ɣeyiɣi didi kae wòxɔna hafi wokpɔa T3 dodokpɔa me tsonu?

Zi geɖe la, ele be wò T3 dodokpɔ me tsonu nanɔ anyi le dɔwɔŋkeke ɖeka va ɖo eve me, gake ɣeaɖewoɣi la, ate ŋu axɔ ɣeyiɣi didi vie.

Nukae le dodokpɔ si wowɔ le T3 me ƒe emetsonuwo ŋuti nyatakaka me?

Zi geɖe la, nyatakaka siwo le abe esia ene nɔa ʋudodokpɔ ŋuti nyatakaka, si me T3 dodokpɔ ƒe nyatakaka hã le, me:

• Ʋudodokpɔa ƒe ŋkɔ, alo nusi wodzidze le wò ʋu me.
• Wò ʋudodokpɔ me tsonu ƒe xexlẽme alo dzidzenu.
• Emae nye dzidzenu si sɔ na dodokpɔa.
• Nyatakaka siwo fia nenye be wò dodokpɔa me tsonu sɔ alo mesɔ o, alo lolo alo le sue.

Aleke T3 ƒe agbɔsɔsɔ si sɔ le?

Dodokpɔ ɖesiaɖe ƒe didime si sɔ, si me T3 dodokpɔwo hã le, ate ŋu ato vovo vie le dodokpɔxɔwo dome. Eyata, kpɔ egbɔ be yelé ŋku ɖe nufiame ƒe didime ŋu le wò emetsonuwo ŋuti nyatakaka me. Ne nya aɖe le asiwò ku ɖe wò dɔwɔwɔ me tsonu ŋu la, bia wò ɖɔkta.

Normal Total T3 ƒe agbɔsɔsɔme

T3 ƒe agbɔsɔsɔ si sɔ la toa vovo le ƒe si woxɔ nu. T3 ƒe agbɔsɔsɔme bliboa si sɔ na ame siwo le lãmesẽ me lae nye esi:

• Ðevi siwo xɔ ƒe 1-5: 106 – 203 nanograms le desilita ɖeka me `(ng/dL)`
• Ðevi siwo xɔ ƒe 6-10: 104 – 183 `ng/dL`
• Ðevi siwo xɔ tso ƒe 11-14: 68 – 186 `ng/dL`
• Sɔhɛ siwo xɔ tso ƒe 15-17: 71 – 175 `ng/dL`
• Ame tsitsi siwo xɔ ƒe 18-99: 79 – 165 `ng/dL`

T3 ƒe agbɔsɔsɔ si sɔ le ablɔɖe me

Womeka ɖe T3 dodokpɔ femaxee dzi boo o, eyata zi geɖe la, ɖɔktawo mebiaa wo o. Gake àte ŋu alé ŋku ɖe dzidzenu siawo ŋu. T3 ƒe agbɔsɔsɔme si sɔ si woate ŋu azã femaxee na ame siwo le lãmesẽ me lae nye esi:

• Vidzĩwo tso wo dziɣi vaseɖe ŋkeke 3: 1.4 – 5.4 picograms le mililita ɖeka me `(pg/mL)`
• Vidzĩ siwo xɔ ŋkeke 4 va ɖo 30: 2.0 – 5.2 `pg/mL`
• Vidzĩwo tso ɣleti 1 va ɖo ƒe 1: 1.5 – 6.4 `pg/mL`
• Ðevi siwo xɔ ƒe 1-6: 2.0 – 6.0 `pg/mL`
• Ðevi siwo xɔ tso ƒe 7-11: 2.7 – 5.2 `pg/mL`
• Ðevi sue siwo xɔ tso ƒe 12-17: 2.3 – 5.0 `pg/mL`
• Ame tsitsi siwo xɔ ƒe 18-99: 2.3 – 4.1 `pg/mL`

Nukae dzɔna ne T3 ƒe agbɔsɔsɔ dzi ɖe edzi?

T3 ƒe agbɔsɔsɔ si sɔ gbɔ wu esi sɔ la fia be ʋumenugbagbeviɣidɔ le ame ŋu fũu akpa , si fia be ʋumenugbagbeviɣidɔa wɔa dɔ akpa. Nu geɖe li siwo gbɔ ʋumenugbagbeviɣidɔ si gbɔ eme tsona. Kpɔɖeŋu aɖewoe nye Graves ƒe dɔléle (si nye dɔlélenutsiŋutete ƒe dɔléle), ʋumenugbagbeviɣidɔ , kple ʋumenugbagbeviɣidɔ .Nuwo abe `(Thyroiditis)` (ema fia be dɔdzẽ/ʋuʋudedi le lãkusi me).

Lãmetsiŋusẽ si gbɔ eme nana wò lãmenugbagbeviwo ƒe dɔwɔwɔ kabakaba. Esia ate ŋu anye afɔku na wò lãmesẽ. Lãmetsiŋusẽ si gbɔ eme ƒe dzesi aɖewoe nye:

• Lolo dzi ɖeɖe kpɔtɔ susu aɖeke manɔmee.
• Sese le eɖokui me be yele ʋuʋum eye/alo yemeɖe dzi ɖi o.
• Tsileƒe yiyi edziedzi ƒe dzidziɖedzi.
• Dzi ƒe tsotso kabakaba alo esi mesɔ o (arrhythmia) .

Ne dzesi siawo le ŋuwò la, yi wò ɖɔkta gbɔ godoo.

Ne wokpɔe be ʋumenugbagbeviɣidɔ le ŋuwò xoxo la, T3 dodokpɔ ate ŋu anya alesi wò dɔlélea nu sẽe. Le goawo katã me la, zi alesi T3 ƒe agbɔsɔsɔ dzi ɖe edzii la, zi nenemae ʋumenugbagbeviɣidɔa nu sẽnae.

Nukae adzɔ ne T3 ƒe agbɔsɔsɔ dzi ɖe kpɔtɔ?

T3 ƒe agbɔsɔsɔ si bɔbɔ wu esi sɔ ate ŋu afia be hypothyroidism , si nye ʋumenugbagbeviɣidɔ si mewɔa dɔ nyuie o, le ŋuwò. Gake ɖɔktawo meɖoa ŋu ɖe T3 dodokpɔwo ɖeɖeko ŋu be woatsɔ anya ʋumenugbagbeviɣidɔ o. Esia le alea elabena zi geɖe la, T3 ƒe agbɔsɔsɔe nyea nu mamlɛtɔ si mesɔ o le lãkusi ƒe dɔwɔwɔ dodokpɔwo me.

Tsɔ kpe ɖe eŋu la, ame aɖewo ate ŋu anye be TSH ƒe agbɔsɔsɔ dzi ɖe edzi, T4 si me woɖea mɔ le ƒe agbɔsɔsɔ si mede o, kple ʋumenugbagbeviɣidɔ sesẽ, gake T3 ƒe agbɔsɔsɔ si sɔ.

Susu bubuwo hã li siwo tae T3 ƒe agbɔsɔsɔ ate ŋu aɖiɖi wu alesi wòle dzɔdzɔmee ɖo. Le kpɔɖeŋu me, atikewo abe steroid kple amiodarone (atike si wozãna tsɔ daa ʋu ƒe sisi ƒe dɔmawɔmawɔ nyuie), kpakple atikewɔwɔ me nɔnɔme sesẽwo. Nu siawo ate ŋu aɖe alesi míaƒe ŋutilã trɔa T4 (lãmetsi si mewɔa dɔ o) wòzua T3 (lãmetsi si wɔa dɔ) dzi akpɔtɔ. Esia ate ŋu ana T3 ƒe agbɔsɔsɔ naɖiɖi.

Ðe wòle be matsi dzi ne nye T3 dodokpɔa me tsonu le sue alo loloa?

Zi geɖe la, T3 dodokpɔa me tsonu bliboa de pɛpɛpɛ. Gake nu aɖewo, abe atike aɖewo, kpeɖeŋutɔtikewo, kple fufɔfɔ ene ate ŋu akpɔ ŋusẽ ɖe emetsonuwo dzi. Wò ɖɔkta abu nu siawo ŋu ne ele wò dɔwɔwɔ me tsonuawo gɔme ɖem.

Enye nusi sɔ be nàtsi dzimaɖi ahanɔ nuteɖeamedzi me ne èkpɔ dodokpɔ me tsonu si mesɔ o. Gake ɖo ŋku edzi be ʋumenugbagbeviɣidɔwo bɔ vie eye woate ŋu ada wo. Wò ɖɔkta agblɔ na wò ne ehiã be nàgawɔ dodokpɔ bubuwo atsɔ anya nusi gbɔ wò T3 ƒe agbɔsɔsɔ si mesɔ o tso. Mègavɔ̃ be yeabia nya wò ɖɔkta o . Ele afima be yeakpe ɖe ŋuwò.

Nu vevitɔ kekeake siwo dzi wòle be woaɖo ŋkui (Take-Home Message) .

Enyo, míeƒo nu geɖe tso T3 dodokpɔa ŋu, alo? Mlɔeba la, nu vevi siwo dzi wòle be nàɖo ŋkui dometɔ aɖewoe nye esi:

• T3 nye lãmetsi si thyroid gland wɔna eye wòle vevie na dɔ geɖe wɔwɔ le míaƒe ŋutilã me.
• Wozãa T3 dodokpɔ koŋ tsɔ dea dzesi hyperthyroidism (thyroid si wɔa dɔ fũu akpa) heléa ŋku ɖe eŋu.
• Esia nye ʋudodokpɔ bɔbɔe aɖe. Afɔku gã aɖeke mele eme o.
• Ne èkpɔ emetsonuwo la, tsɔ wo sɔ kple agbɔsɔsɔ si sɔ.
• Ne wò T3 ƒe agbɔsɔsɔ sɔ gbɔ la, ate ŋu anye nɔnɔme aɖe si woyɔna be hyperthyroidism. Nya nu tso dzesiawo ŋu.
• Ne T3 ƒe agbɔsɔsɔ le sue la, ate ŋu atso ʋumenugbagbeviɣidɔ alo nu bubu aɖe gbɔ.
• Ne ɖikeke alo nya aɖe le ŋuwò le emetsonuwo ŋu la, kpɔ egbɔ be yeƒo nu kple wò ɖɔkta. Mègakpɔ dɔlélea le ɖokuiwò si o.

Mele mɔ kpɔm be nyatakaka sia aɖe vi na wò. Nɔ lãmesẽ me!

` Thyroid, T3 dodokpɔ, triiodothyronine, hyperthyroidism, lãmetsiŋusẽwo, ʋu dodokpɔ, ʋumenugbagbeviɣidɔ