Mina míasrɔ̃ nu tso Thyroxine (T4) Ʋudodokpɔ, si gblɔa wò lãkusi me lãmetsiŋusẽ ƒe agbɔsɔsɔ ŋu na wò.

Ðe ɖeɖi tea ŋuwò ale gbegbe ɣeaɖewoɣi le susu aɖeke manɔmeea? Alo, ɖe nèɖea wò lolo dzi kpɔtɔna eɖanye aleke kee nèɖua nu oa, alo ɖe nèlolona ɖe edzi ne èɖu nu vi aɖe gɔ̃ hã? Ðewohĩ màte ŋu anɔ te ɖe vuvɔa nu o. Le nusiawo megbe la, kuxi aɖe ate ŋu anɔ míaƒe ŋutilã ƒe ŋutinu sue aɖe si le vevie ŋutɔ la ŋu. Emae nye lãkusi si woyɔna be thyroid. Eyata egbea míele nu ƒom tso thyroxine (T4) ʋudodokpɔ, si gblɔa nyatakaka veviwo na mí tso ʋumenugbagbeviɣidɔ ƒe dɔwɔwɔ ŋu.

Kpuie ko la, nukae nye thyroxine (T4)?

Thyroxine (T4) nye lãmetsi vevi aɖe si thyroid gland , si nye ŋutinu aɖe si le abe kpakpaluʋui ene si le míaƒe kɔ ƒe ŋgɔgbe, si ƒo xlã yaƒoƒomɔ̃a koŋ, wɔna. Lãmetsi sue sia kpɔa ŋusẽ ɖe nu vevi geɖe siwo yia edzi le míaƒe ŋutilã me dzi.

• Alesi míetrɔa nuɖuɖu si míeɖuna wòzua ŋusẽ ( Metabolism ) .
• Alesi nuɖuɖu zɔna kabakaba to nuɖuɖumeŋusẽ me
• Míaƒe dzi ƒe tsotso kple míaƒe ŋutilã ƒe dzoxɔxɔ
• Ahɔhɔ̃ ƒe tsitsi le ɖevi suewo me
• Alesi lãmekawo ƒoa ƒui
• Alesi lãmenugbagbevi siwo le ŋutilãa me kuna eye lãmenugbagbevi yeyewo dzɔna

T4 ye nye lãmetsiŋusẽ vevitɔ si lãkusi si woyɔna be thyroid gland wɔna. Gake esia menye nusi wɔa dɔ tẽ o (inactive form). Be míaƒe ŋutilã ƒe ŋutinuwo nate ŋu azãe la, ele be woatrɔ lãmetsi T4 la wòazu lãmetsi si wɔa dɔ si nye triiodothyronine (T3) . Ŋutete le lãmenugbagbevi siwo le ŋutinuwo abe míaƒe aklã, ayiku, kple ahɔhɔ̃ ene me be woatrɔ T4 sia wòazu T3.

Ðɔkta, nukatae nèle biabiam tso asinye be mawɔ T4 dodokpɔ?

Susu geɖe li siwo tae wò ɖɔkta ate ŋu aɖo aɖaŋu be nàdo ʋu si nye T4 kpɔ ɖo.

• De dzesi thyroid dɔlélewo: Dodokpɔ sia le vevie be woatsɔ anya nɔnɔmewo abe hypothyroidism alo hyperthyroidism ene eye woalé ŋku ɖe nɔnɔmea ŋu le atikewɔwɔ me.
• De dzesi kuxi siwo le ƒunukpeƒetetedɔ ŋu: Aɖuɖɔtoe si le míaƒe ahɔhɔ̃ me wɔa lãmetsi aɖe si woyɔna be TSH (Thyroid-Stimulating Hormone). TSH lãmetsi sia gblɔa T4 kple T3 agbɔsɔsɔme si wòle be thyroid gland nawɔ. Eyata, T4 dodokpɔa hã kpena ɖe ame ŋu be woakpɔe ɖa be kuxi aɖe le pituitary gland ŋu hã.
• Nu bubu siwo gbɔ wòtsona: Bubuwo abe TSH alo T3 eneNe nusiwo mesɔ o le lãkusi dodokpɔwo me, ne lãkusi aɖe le lãkusi me, ne lãkusia vuvu, alo ne vifɔfɔ le sesẽm na wò la, woate ŋu abia tso asiwò be nàwɔ T4 dodokpɔ atsɔ anya alesi tututu wò lãkusi le dɔ wɔm.

Azɔ mina míakpɔ dzesi siwo ate ŋu ado mo ɖa ne T4 ƒe agbɔsɔsɔ le sue eye wòsɔ gbɔ.

Thyroid ƒe nɔnɔme	Dzesi siwo wokpɔna zi geɖe
T4 ƒe agbɔsɔsɔ si bɔbɔ (Hypothyroidism) Ŋutilã ƒe dɔwɔwɔ dzi ɖeɖe kpɔtɔ	Blanuiléle sesẽ, ŋkuɖoɖonudzi kple susu ƒe dɔmawɔmawɔ nyuie, ŋkuwo ƒe vuvu, taɖa ƒe vuvu, lãkusi ƒe vuvu (goiter), ɖeɖiteameŋu si gbɔ eme, vuvɔ mete ŋu doa dzi o, lolo, nuɖuɖu ƒe dzodzro, ŋutigbalẽ si ƒu eye wòfa, dzi ƒe tsotso blewu, gbɔgbɔ sesẽ, dɔmeɖui, dzinukpɔkpɔ si mesɔ o le nyɔnuwo me.
T4 ƒe dzidziɖedzi (Hyperthyroidism) Ŋutilã ƒe dɔwɔwɔ kabakaba	Dzikudodo kple dziɖeleameƒo enuenu, alɔ̃madɔmadɔ, ŋkuwo ƒe ʋuʋu (Graves ƒe ŋkudɔ), lolo dzi ɖeɖe kpɔtɔ, dɔwuame fũ, dzoxɔxɔ ƒe mɔmaɖemaɖeɖenuŋu, fifia fũ, asibidɛwo, ta, alo mo ƒe ʋuʋu, dzi ƒe tsotso kabakaba alo sesẽ, ʋusɔgbɔdɔ, aɖuɖɔtoe.

Nusiwo wòle be nànya tso ʋudodokpɔ si nye T4 ŋu

Nukae nye Free T4 kple Bound T4?

T4 lãmetsiŋusẽ ƒomevi eve le míaƒe ŋutilã me.

• Free T4: Esiae nye T4 si ƒoa xlã ʋua faa, si mebla ɖe naneke ŋu o. Esiawoe nye T4 siwo ate ŋu age ɖe lãmenugbagbeviwo me eye woazãe ɣesiaɣi.
• T4 si wobla: Esiawo blana ɖe proteinwo ŋu eye wozɔa mɔ le ʋua me. Protein siawo kpena ɖe T4 lãmetsiŋusẽa ŋu be woatsɔe ayi afisi wòhiã le dedie, eye lãmenugbagbevi bubuwo maxɔe le mɔa dzi o. T4 si le míaƒe ŋutilã me ƒe akpa gãtɔ nye T4 si wobla.

Zi geɖe la, ɖɔktawo léa ŋku ɖe Free T4 ƒe agbɔsɔsɔ ŋu elabena eyae nye T4 ƒe agbɔsɔsɔ si ŋutilãa ate ŋu azã, eye wònaa susu nyuitɔ kekeake le alesi lãkusia le dɔ wɔm nyuie ŋu.

Nusiwo ŋu wòle be woabu hafi adze dodokpɔa gɔme

Hafi woado ʋu kpɔ la, ele vevie be nàgblɔ atike, vitamin, alo kpeɖeŋutɔ ɖesiaɖe si nèzãna na wò ɖɔkta. Atike aɖewo, abe atike siwo tsia alɔ̃madɔmadɔ nu, dzidɔtikewo, kple vidzidzinutsitikewo ene ate ŋu akpɔ ŋusẽ ɖe wò T4 me tsonu dzi. Vevietɔ ne èle biotin kpeɖeŋutɔ zãm la, ate ŋu ana wò T4 ƒe agbɔsɔsɔ nadze abe ɖe wòsɔ gbɔ wu alesi wòle ŋutɔŋutɔ ene. Esia ate ŋu ana wò ɖɔkta nato thyroid kuxi aɖe ŋu. Gblɔe na wò ɖɔkta hã ne èfɔ fu alo dɔléle bubu aɖe le ŋuwò, abe ayikudɔ ene.

Ðe afɔku aɖewo le ʋudodokpɔ si nye T4 mea?

Esia nye dodokpɔ si wowɔna edziedzi, abe ʋudodokpɔ bubu ɖesiaɖe ene. Ame si wona hehee zãa aŋe sue aɖe tsɔ ɖea ʋu sue aɖe tso ʋuka aɖe si le wò alɔnu me eye emegbe wòtsɔa aŋe aɖe ƒoa teƒea. Afɔkuawo le sue ŋutɔ, gake ɣeaɖewoɣi la, nusiwo gbɔna ate ŋu adzɔ:

• Vevesese vi aɖe le afisi wotsɔ aŋea de.
• Ʋu si le dodom vie
• Bruising (ʋu ƒe ƒoƒo ɖe ŋutigbalẽ te) .
• Ne mèlé be na dzadzɛnyenye o la, àte ŋu axɔ dɔlékui aɖe.
• Taɖuame alo alɔ̃madɔmadɔ

T4 dodokpɔa me tsonu gɔmesese

Dometsotso siwo sɔ na Free T4 dodokpɔ ate ŋu ato vovo vie le ƒe si woxɔ, ŋutsu alo nyɔnu nyenye, kple dodokpɔxɔ si wɔa dodokpɔa nu. Gake le goawo katã me la, asixɔxɔ siwo sɔ lae nye esiawo: Nu vevitɔe nye be wò ɖɔkta koe ate ŋu aɖe dzidzenu siwo le nyatakaka sia me gɔme le mɔ si sɔ ɖe wò nɔnɔme nu nu. Eyata kpɔ egbɔ be yexɔ nyatakakaa eye yeyi ɖɔkta gbɔ.

Nusiwo hea T4 ƒe agbɔsɔsɔ si bɔbɔ (Hypothyroidism) vɛ .

• Hashimoto ƒe ʋumenugbagbeviɣidɔ: Esia nye dɔléle si dɔlélenutsiŋutete ŋutɔ hena vɛ. Esia fia be mía ŋutɔwo ƒe dɔlélenutsiŋutete dzea lãkusia dzi vodadatɔe.
• Iodine ƒe anyimanɔmanɔ le nuɖuɖu me.
• Dɔléle sesẽ siwo nɔa anyi ɣeyiɣi kpui aɖe.
• Nunyuimakpɔɖui.
• Atike aɖewo.

Nusiwo gbɔ T4 ƒe agbɔsɔsɔ dzina ɖe edzi (Hyperthyroidism) .

• Graves ƒe dɔléle: Esia hã nye dɔléle si dɔlélenutsiŋutete ƒe dɔlélenutsiŋutete wɔna.
• Iodine si sɔ gbɔ ɖe nuɖuɖua me.
• Ƒumelã siwo menye kansa o (dɔdzẽ/nodules nyuiwo) le lãkusi me.
• Lãmetsiŋusẽ ƒe ʋuʋu (Goiter).
• Atike si nye thyroid hormone si wozãna tsɔ daa dɔe ƒe agbɔsɔsɔ dzi ɖeɖe kpɔtɔ.

Dodokpɔ bubuwo

Togbɔ be T4 dodokpɔ ate ŋu aɖee afia be kuxi aɖe le wò lãkusi ŋu hã la, mate ŋu agblɔ nusi tututu gbɔ wòtso na wò o. Eyata ne wò T4 ƒe agbɔsɔsɔ mesɔ o la, anɔ eme be wò ɖɔkta aɖe gbe be woawɔ dodokpɔ geɖe wu atsɔ adi nusi gbɔ wòtso.

• TSH ʋudodokpɔ: Zi geɖe la, esiae nye dodokpɔ gbãtɔ si wowɔna. TSH kple T4 ƒe agbɔsɔsɔ do ƒome kple wo nɔewo tẽ.
• T3 ʋudodokpɔ femaxee: Eléa ŋku ɖe lãmetsi vevi bubu si thyroid gland wɔ la ƒe agbɔsɔsɔ ŋu.
• Thyroid antibodies test: Kpɔ dɔléle aɖe abe Hashimoto alo Graves tɔ ene ɖa.
• Radioactive iodine uptake imaging: Kpɔ alesi lãkusia xɔa iodinee ɖa.

Thyroid, T4 dodokpɔ, Thyroxine, Hypothyroidism, Hypothyroidism, Hyperthyroidism, Thyroid ƒe dzesiwo, Ʋu dodokpɔ, TSH