E aʻo kākou e pili ana i ka Hoʻāʻo Koko Thyroxine (T4), kahi e haʻi iā ʻoe e pili ana i nā pae o ka hormone thyroid.

Ke manaʻo nei ʻoe i kekahi manawa i ka luhi loa me ke kumu ʻole? A i ʻole, ke emi nei kou kaumaha me ka nānā ʻole i ka nui o kāu ʻai ʻana, a ke piʻi nei paha kou kaumaha ʻoiai ʻoe e ʻai iki ana? Malia paha ʻaʻole hiki iā ʻoe ke kū i ke anu. Ma hope o kēia mau mea, aia paha kahi pilikia me kahi ʻāpana liʻiliʻi akā koʻikoʻi loa i loko o ko mākou kino. ʻO ia ka thyroid gland. No laila i kēia lā ke kamaʻilio nei mākou e pili ana i ka hoʻāʻo koko thyroxine (T4), ka mea e haʻi mai iā mākou i ka ʻike koʻikoʻi e pili ana i ka hana o ka thyroid gland.

I ka ʻōlelo maʻalahi, he aha ka thyroxine (T4)?

ʻO Thyroxine (T4) kahi hormone nui i hana ʻia e ka thyroid gland , kahi ʻano pepeke e kū ana ma ke alo o ko kākou ʻāʻī, ma kahi o ka ʻōpū hanu. Hoʻomalu kēia gland liʻiliʻi i nā kaʻina hana koʻikoʻi he nui i loko o ko kākou kino.

• ʻO ka wikiwiki o ka hoʻololi ʻana i ka meaʻai a mākou e ʻai ai i ka ikehu ( Metabolism )
• ʻO ka wikiwiki o ka neʻe ʻana o ka meaʻai ma o ka ʻōnaehana hoʻoheheʻe
• ʻO ka helu o ko mākou puʻuwai a me ka mahana o ke kino
• Ka ulu ʻana o ka lolo i nā keiki ʻōpio
• Pehea e ʻaelike ai nā ʻiʻo
• ʻO ka wikiwiki o ka make ʻana o nā pūnaewele i loko o ke kino a me ka hoʻokumu ʻia ʻana o nā pūnaewele hou

ʻO T4 ka hormone nui i hana ʻia e ka thyroid gland. Eia naʻe, ʻaʻole kēia he hana pololei (ʻano hana ʻole). I mea e hoʻohana ai nā ʻōpū o ko mākou kino iā ia, pono e hoʻololi ʻia ka hormone T4 i ka hormone hana triiodothyronine (T3) . Loaʻa i nā cell i loko o nā ʻōpū e like me ko mākou ake, nā puʻupaʻa, a me ka lolo ka hiki ke hoʻololi i kēia T4 i T3.

E ke kauka, no ke aha ʻoe e noi mai nei iaʻu e hana i kahi hoʻokolohua T4?

Aia kekahi mau kumu e hiki ai i kāu kauka ke ʻōlelo aku i kahi hoʻāʻo koko T4.

• Hoʻomaopopo i nā maʻi thyroid : He mea nui kēia hoʻāʻo e ʻike i nā kūlana e like me ka hypothyroidism a i ʻole hyperthyroidism a e nānā i ke kūlana i ka wā o ka mālama ʻana.
• E ʻike i nā pilikia me ka pituitary gland: Hoʻopuka ka pituitary gland i loko o ko kākou lolo i kahi hormone i kapa ʻia ʻo TSH (Thyroid-Stimulating Hormone). Hōʻike kēia hormone TSH i ka thyroid gland i ka nui o ka T4 a me T3 e hana ai. No laila, kōkua pū ka hoʻāʻo T4 e ʻike inā he pilikia me ka pituitary gland.
• Nā kumu ʻē aʻe: Nā mea ʻē aʻe e like me TSH a i ʻole T3Inā he mau mea ʻē i nā hoʻokolohua thyroid, inā he nodule i loko o ka thyroid gland, inā pehu ka gland, a inā pilikia ʻoe i ka hāpai ʻana i kahi keiki, e noi ʻia paha ʻoe e hana i kahi hoʻokolohua T4 e hoʻoholo pono ai pehea e hana ai kāu thyroid.

I kēia manawa, e nānā kākou i nā hōʻailona e hiki mai ana inā haʻahaʻa a kiʻekiʻe nā pae T4.

Ke kūlana thyroid	Nā hōʻailona i ʻike pinepine ʻia
Nā pae T4 haʻahaʻa (Hypothyroidism) E hoʻolohi ana i ka hana a ke kino	Kaumaha nui, nalowale o ka hoʻomanaʻo a me ka nānā ʻana, pehu a puni nā maka, hāʻule ka lauoho, pehu o ke kelepa thyroid (goiter), luhi nui, hiki ʻole ke hoʻomanawanui i ke anu, piʻi ke kaumaha, nalowale ka makemake e ʻai, ʻili maloʻo a anuanu, puʻuwai lohi, paʻakikī ka hanu ʻana, paʻa ka ʻōpū, nā pōʻaiapuni menstrual kūpono ʻole i nā wahine.
Hoʻonui ʻia nā pae T4 (Hyperthyroidism) Hoʻolalelale i ka hana o ke kino	Ka huhū pinepine a me ka hoʻomaha ʻole, ka hiamoe ʻole, nā maka puʻupuʻu (ka maʻi maka o Graves), ka emi ʻana o ke kaumaha, ka pōloli nui, ka ʻae ʻole i ka wela, ka hou nui, ka haʻalulu o nā manamana lima, ke poʻo, a i ʻole ka maka, ka puʻuwai wikiwiki a kuʻi paha, ke koko kiʻekiʻe, ka maʻi pākī.

Nā mea e pono ai ʻoe e ʻike e pili ana i ka hoʻāʻo koko T4

He aha nā Free T4 a me Bound T4?

Aia ʻelua ʻano o ka hormone T4 i loko o ko mākou kino.

• T4 Manuahi: ʻO kēia ka T4 e kaapuni manuahi ana i loko o ke koko, me ka ʻole o ka hoʻopaʻa ʻia i kekahi mea. ʻO kēia nā T4 e hiki ke komo i loko o nā pūnaewele a hoʻohana ʻia i kēlā me kēia manawa.
• Hoʻopaʻa ʻia ʻo T4: Hoʻopaʻa ʻia kēia mau mea i nā protein a hele i loko o ke koko. Kōkua kēia mau protein i ka hormone T4 e lawe palekana ʻia i kahi e pono ai, me ka ʻole o ka omo ʻia e nā cell ʻē aʻe ma ke ala. ʻO ka hapa nui o ka T4 i loko o ko mākou kino ua hoʻopaʻa ʻia ʻo T4.

Nānā pinepine nā kauka i ka pae Free T4 no ka mea ʻo ia ka nui o T4 e hiki i ke kino ke hoʻohana, a hāʻawi ia i ka manaʻo maikaʻi loa o ka hana maikaʻi ʻana o ka thyroid.

Nā mea e noʻonoʻo ai ma mua o ka hoʻokolohua

Ma mua o ka loaʻa ʻana o kahi hoʻāʻo koko, he mea nui e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau, nā huaora, a i ʻole nā ​​​​mea hoʻohui āu e lawe nei. ʻO kekahi mau lāʻau lapaʻau, e like me nā lāʻau anti-seizure, nā lāʻau lapaʻau puʻuwai, a me nā pila hoʻomalu hānau, hiki ke hoʻopilikia i kāu mau hopena T4. ʻOiai inā ʻoe e lawe ana i kahi mea hoʻohui biotin , hiki iā ia ke hoʻolilo i kāu mau pae T4 i ʻoi aku ke kiʻekiʻe ma mua o ko lākou ʻano maoli. Hiki i kēia ke kumu i kāu kauka e haʻalele i kahi pilikia thyroid. E haʻi pū i kāu kauka inā hāpai ʻoe a i ʻole he mau maʻi ʻē aʻe, e like me ka maʻi puʻupaʻa.

Aia kekahi mau pilikia i ka hoʻāʻo koko T4?

He hoʻāʻo maʻamau kēia, e like me nā hoʻāʻo koko ʻē aʻe. Hoʻohana kekahi kanaka i aʻo ʻia i kahi nila liʻiliʻi e lawe i kahi koko liʻiliʻi mai kahi aʻa koko ma kou lima a laila e hoʻopili i kahi ʻāpana ma ia wahi. He liʻiliʻi loa nā pilikia, akā i kekahi manawa hiki ke hana ʻia kēia mau mea:

• He ʻeha iki ma kahi i hoʻokomo ʻia ai ke kui.
• He kahe koko iki
• ʻO ka palapū (ka hōʻiliʻili ʻana o ke koko ma lalo o ka ʻili)
• Inā ʻaʻole ʻoe e mālama i ka maʻemaʻe, hiki iā ʻoe ke loaʻa i kahi maʻi.
• Pōʻino a i ʻole ka nawaliwali

Ke hoʻomaopopo nei i nā hopena o ka hoʻāʻo T4

Hiki ke ʻokoʻa iki nā pae maʻamau no kahi hoʻāʻo Free T4 ma muli o ka makahiki, ke kāne, a me ka lab e hana ana i ka hoʻāʻo. Eia naʻe, ma ke ʻano laulā, penei nā waiwai maʻamau: ʻO ka mea nui loa, ʻo kāu kauka wale nō ke hiki ke wehewehe i nā waiwai o kēia hōʻike ma ke ʻano e kūpono i kou kūlana. No laila, e hōʻoia e lawe i ka hōʻike a ʻike i kāu kauka.

Nā kumu o nā pae T4 haʻahaʻa (Hypothyroidism)

• ʻO ka thyroiditis Hashimoto: He maʻi autoimmune kēia. ʻO ke ʻano kēia, ua kuhihewa ko mākou ʻōnaehana pale ponoʻī i ka thyroid gland.
• Ka nele o ka iodine i ka meaʻai.
• Nā maʻi pōkole koʻikoʻi.
• Ka ʻai pono ʻole.
• Kekahi mau lāʻau lapaʻau.

Nā kumu o ka hoʻonui ʻia o nā pae T4 (Hyperthyroidism)

• ʻO ka maʻi Graves: He maʻi autoimmune nō hoʻi kēia.
• ʻOi aku ka nui o ka iodine i ka meaʻai.
• Nā puʻupuʻu ʻaʻole he maʻi kanesa (nā ʻōpū maikaʻi ʻole/nodules) i loko o ka ʻōpū thyroid.
• Ka pehu ʻana o ka ʻōpū thyroid (Goiter).
• ʻO ka hoʻonui ʻana i ka nui o ka lāʻau lapaʻau hormone thyroid i hoʻohana ʻia no ka mālama ʻana.

Nā hoʻokolohua hou aʻe

ʻOiai hiki i kahi hoʻāʻo T4 ke hōʻike he pilikia me kou kelepa thyroid, ʻaʻole hiki iā ia ke haʻi pololei iā ʻoe i ke kumu. No laila, inā ʻokoʻa kou pae T4, e kauoha paha kāu kauka i nā hoʻokolohua hou aʻe e ʻike i ke kumu.

• Hoʻāʻo koko TSH: ʻO kēia ka hoʻāʻo mua i hana ʻia. Pili pono nā pae TSH a me T4 kekahi i kekahi.
• Hoʻāʻo koko T3 manuahi: Nānā i ka pae o ka hormone nui ʻē aʻe i hana ʻia e ka ʻōpū thyroid.
• Hoʻāʻo ʻana i nā antibodies thyroid: E nānā inā he maʻi e like me Hashimoto's a i ʻole Graves'.
• Ke kiʻi ʻana o ka iodine radioactive: E ʻike pehea e omo ai ka thyroid gland i ka iodine.

Thyroid, hoʻāʻo T4, Thyroxine, Hypothyroidism, Hypothyroidism, Hyperthyroidism, Nā hōʻailona thyroid, Nā hoʻāʻo koko, TSH