Koj puas tau raug hais kom ua qhov kev kuaj T3 kom paub txog koj cov tshuaj hormones thyroid? (T3 - Triiodothyronine Test)

Puas muaj ib tug kws kho mob twg hais kom koj mus kuaj T3? Tej zaum koj yuav ntshai me ntsis thaum lawv hais li ntawd rau koj, puas yog? "Qhov no yog dab tsi T3? Vim li cas ho ua li no?" Tej zaum yuav muaj ntau lo lus nug los rau hauv siab. Tsis txhob ntshai. Hnub no, peb yuav tham txog qhov kev kuaj T3 no yooj yim, hauv txoj kev uas koj nkag siab tau. Ib yam li tham nrog ib tug phooj ywg.

T3 (triiodothyronine) yog dab tsi thiab nws ua dab tsi?

Hais yooj yim xwb, T3 yog ib yam tshuaj hormones tseem ceeb heev hauv peb lub cev. Nws yog tsim los ntawm ib lub qog me me zoo li npauj npaim nyob hauv qab daim tawv nqaij ntawm pem hauv ntej ntawm peb lub caj dab. Peb hu qhov no ua lub qog thyroid . Nws yog ib feem ntawm peb lub cev endocrine.

Cov qog thyroid tsim ob lub tshuaj hormones tseem ceeb. Ib qho yog T3, lossis triiodothyronine . Qhov thib ob yog T4, lossis thyroxine . Ua ke, ob lub tshuaj hormones no, T3 thiab T4, tswj ntau yam haujlwm tseem ceeb hauv peb lub cev.

Xav txog qhov no: Kwv yees li 80% ntawm T3 hauv peb cov ntshav yog tsim tawm sab nraud ntawm lub qog thyroid, los ntawm kev hloov pauv ntawm T4 hormone mus rau T3. Tus so yog tsim tawm ncaj qha los ntawm lub qog thyroid nws tus kheej.

Cov tshuaj hormones zoo li cov neeg xa xov uas khiav hla peb lub cev. Lawv taug kev hla cov ntshav thiab nqa cov lus mus rau peb cov kabmob, cov leeg, thiab lwm cov nqaij qhia rau lawv tias yuav ua li cas thiab thaum twg yuav ua.

Cov tshuaj hormones no, T3, yog daim ntawv " active" ntawm cov tshuaj thyroid. Yog li ntawd, nws yog T3 no uas cuam tshuam rau cov hlwb hauv peb lub cev. T4 yog daim ntawv " inactive" uas tsis tshua muaj. Peb lub siab thiab lub raum hloov feem ntau ntawm T4 uas tso tawm los ntawm cov qog thyroid mus rau hauv T3.

Ua ke, ob hom tshuaj hormones T3 thiab T4 no tswj cov yam zoo li no hauv peb lub cev:

• Peb lub zog metabolism (uas yog, lub zog uas peb hloov cov khoom noj uas peb noj mus ua zog).
• Kev ua haujlwm ntawm lub plawv thiab lub plab zom mov.
• Kev tswj cov leeg nqaij.
• Kev loj hlob ntawm lub hlwb.
• Kev saib xyuas pob txha.

Tam sim no koj nkag siab tias T3 tseem ceeb npaum li cas, puas yog?

Vim li cas thiaj ua qhov kev kuaj T3?

Cov kws kho mob feem ntau xaj kom kuaj T3 los kuaj mob hu ua hyperthyroidism , uas txhais tau tias cov thyroid caj pas tsim cov tshuaj hormones ntau dhau, lossis txiav txim siab qhov hnyav ntawm tus mob.

Yog tias koj twb tau noj tshuaj thyroid hormone replacement therapy (THR), koj tus kws kho mob yuav pom zoo kom koj kuaj qhov no tas li los saib xyuas koj cov T3.

Feem ntau, nrog rau kev kuaj T3, cov kev kuaj ntxiv xws li kev kuaj T4 (thyroxine) thiab kev kuaj TSH (thyroid-stimulating hormone) raug ua los ntsuam xyuas ntxiv txog kev ua haujlwm ntawm cov thyroid caj pas.

Lwm lub npe rau kev kuaj T3 yog:

• Kev kuaj mob thyroid
• Tag nrho cov triiodothyronine
• Dawb triiodothyronine
• FT3

Qhov kev kuaj T3 tham txog ob hom T3, puas yog?

Yog lawm, yog lawm. Triiodothyronine, lossis T3, muaj nyob hauv peb cov ntshav ua ob hom tseem ceeb:

• T3 Dawb : Qhov no yog yam uas nkag mus rau hauv peb cov nqaij ntawm peb lub cev thiab ua nws txoj haujlwm tsim nyog.
• Bound T3: Qhov no yog khi rau cov protein, yog li nws tsis tuaj yeem nkag mus rau hauv cov ntaub so ntswg yooj yim.

Yog li ntawd, muaj ntau hom kev kuaj uas ntsuas cov theem T3. Kev kuaj ntshav uas ntsuas ob qho tib si T3 dawb thiab T3 khi hu ua kev kuaj T3 tag nrho . Lwm qhov kev kuaj tsuas yog ntsuas cov theem T3 dawb xwb. Txawm li cas los xij, kev kuaj T3 dawb feem ntau tuaj yeem tsis raug me ntsis dua li kev kuaj T3 tag nrho.

Leej twg ua qhov kev kuaj T3 no? Ua li cas?

Nws yooj yim heev. Cia peb saib.

Leej twg ua qhov kev kuaj T3?

Feem ntau cov ntshav kuaj yog coj los ntawm ib tus neeg uas tau kawm tiav hu ua tus kws kho mob ntshav . Txawm li cas los xij, txhua tus neeg ua haujlwm kho mob uas tau kawm tiav los ntshav tuaj yeem ua qhov no. Cov ntshav kuaj ces raug xa mus rau chav kuaj mob. Nyob ntawd, ib tus kws tshawb fawb hauv chav kuaj mob muab cov ntshav kuaj rau hauv cov khoom siv ntsuas thiab kuaj nws.

Kuv puas yuav tsum npaj dab tsi ua ntej kev kuaj T3?

Feem ntau, tsis tas yuav npaj tshwj xeeb rau kev kuaj ntshav T3. Txawm li cas los xij, nyob ntawm seb yog vim li cas koj thiaj kuaj, tej zaum koj yuav tsum tsis txhob noj qee yam tshuaj lossis tshuaj ntxiv rau ib ntus. Txawm li cas los xij, koj tus kws kho mob yuav muab cov lus qhia tshwj xeeb rau koj txog qhov no.

Yuav muaj dab tsi tshwm sim thaum koj ua qhov kev kuaj ntshav T3?

Kev kuaj ntshav yooj yim heev thiab ceev heev. Nov yog qhov tshwm sim:

1. Koj yuav zaum saum lub rooj zaum. Tus neeg ua haujlwm kho mob mam li nrhiav ib txoj hlab ntshav hauv koj txhais caj npab uas yooj yim nrhiav. Feem ntau, txoj hlab ntshav raug xaiv rau sab hauv ntawm koj txhais caj npab, rau sab tod ntawm koj lub luj tshib.

2. Thaum pom ib txoj leeg ntshav lawm, ces yuav tsum ntxuav qhov chaw ntawd kom huv si thiab siv tshuaj tua kab mob.

3. Tom qab ntawd muab ib rab koob me me ntxig rau hauv cov leeg ntshav thiab coj cov ntshav mus kuaj. Thaum lub sijhawm no, koj yuav xav tias zoo li muaj ib tug ntsaum me me tom koj.

4. Tom qab muab koob txhaj rau hauv, yuav muaj ib co ntshav me me raug sau rau hauv ib lub raj kuaj.

5. Tom qab muab cov ntshav kuaj tas, ces muab rab koob rho tawm thiab muab ib daim paj rwb los yog daim ntaub qhwv qhov txhab tso rau ntawm qhov chaw ntawd thiab nias me ntsis kom tsis txhob los ntshav.

6. Tom qab ntawd, ib daim plaster raug siv rau thaj chaw thiab txoj haujlwm tiav lawm.

Tag nrho cov txheej txheem no siv sijhawm tsawg dua tsib feeb. Sai heev, puas yog?

Tom qab kuaj T3 tas, yuav muaj dab tsi tshwm sim?

Tom qab koj cov ntshav raug coj mus kuaj, nws raug xa mus rau chav kuaj mob kom kuaj. Thaum cov txiaj ntsig ntawm kev kuaj muaj, koj tus kws kho mob yuav qhia rau koj txog cov txiaj ntsig.

Puas muaj kev pheej hmoo rau kev kuaj ntshav T3?

Kev kuaj ntshav yog ib feem tseem ceeb heev ntawm kev kuaj mob thiab kev kuaj mob. Kev pheej hmoo ntawm kev kuaj ntshav T3 yog tsawg heev. Tej zaum koj yuav muaj qhov mob me me lossis mob qhov twg cov ntshav raug rub tawm, tab sis qhov no yuav kho tau sai. Yog li ntawd, tsis muaj dab tsi yuav tsum txhawj txog.

Yuav siv sijhawm ntev npaum li cas thiaj li tau txais cov txiaj ntsig ntawm kev xeem T3?

Feem ntau, koj cov txiaj ntsig ntawm kev xeem T3 yuav tsum muaj nyob rau hauv ib mus rau ob hnub ua haujlwm, tab sis qee zaum nws tuaj yeem siv sijhawm ntev me ntsis.

Muaj dab tsi nyob rau hauv daim ntawv qhia txog cov txiaj ntsig los ntawm kev xeem T3?

Daim ntawv qhia txog kev kuaj ntshav, suav nrog daim ntawv qhia txog kev kuaj T3, feem ntau muaj cov ntaub ntawv zoo li no:

• Lub npe ntawm qhov kev kuaj ntshav, lossis yam uas tau ntsuas hauv koj cov ntshav.
• Tus lej lossis qhov ntsuas ntawm koj cov txiaj ntsig ntawm kev kuaj ntshav.
• Qhov ntawd yog qhov ntsuas ib txwm rau qhov kev xeem.
• Cov ntaub ntawv qhia seb koj qhov tshwm sim puas yog ib txwm muaj lossis tsis zoo, lossis siab lossis qis.

Cov theem T3 ib txwm zoo li cas?

Qhov ntau thiab tsawg ib txwm muaj rau txhua qhov kev kuaj hauv chaw kuaj mob, suav nrog kev kuaj T3, tuaj yeem sib txawv me ntsis ntawm cov chaw kuaj mob. Yog li, nco ntsoov xyuas qhov ntau thiab tsawg siv rau hauv koj daim ntawv qhia txog cov txiaj ntsig. Yog tias koj muaj lus nug txog koj cov txiaj ntsig, nug koj tus kws kho mob.

Cov theem T3 tag nrho

Cov theem T3 ib txwm muaj sib txawv raws li hnub nyoog. Nov yog cov theem T3 ib txwm muaj rau cov neeg noj qab haus huv:

• Cov menyuam yaus hnub nyoog 1-5 xyoos: 106 – 203 nanograms ib deciliter '(ng/dL)'
• Cov menyuam yaus hnub nyoog 6-10 xyoo: 104 – 183 `ng/dL`
• Cov menyuam yaus hnub nyoog ntawm 11-14 xyoos: 68 – 186 `ng/dL`
• Cov tub ntxhais hluas hnub nyoog ntawm 15-17 xyoo: 71 - 175 `ng/dL`
• Cov neeg laus hnub nyoog 18-99 xyoo: 79 – 165 `ng/dL`

Cov theem T3 dawb ib txwm muaj

Kev kuaj T3 pub dawb tsis txhim khu kev qha, yog li cov kws kho mob feem ntau tsis xaj lawv. Tab sis koj tuaj yeem kuaj xyuas cov qib no. Nov yog cov qib T3 pub dawb rau cov neeg noj qab haus huv:

• Cov menyuam mos txij thaum yug los txog rau 3 hnub: 1.4 – 5.4 picograms ib milliliter '(pg/mL)'
• Cov menyuam mos hnub nyoog 4 txog 30 hnub: 2.0 – 5.2 `pg/mL`
• Cov menyuam mos 1 hlis txog 1 xyoos: 1.5 – 6.4 `pg/mL`
• Cov menyuam yaus hnub nyoog 1-6 xyoos: 2.0 – 6.0 `pg/mL`
• Cov menyuam yaus hnub nyoog ntawm 7-11 xyoos: 2.7 – 5.2 `pg/mL`
• Cov menyuam yaus hnub nyoog ntawm 12-17 xyoo: 2.3 – 5.0 `pg/mL`
• Cov neeg laus hnub nyoog 18-99 xyoo: 2.3 – 4.1 `pg/mL`

Yuav ua li cas yog tias T3 theem siab dua?

Cov T3 siab dua li qub qhia tau tias muaj hyperthyroidism , uas txhais tau tias cov thyroid gland ua haujlwm ntau dhau. Muaj ntau yam ua rau hyperthyroidism. Piv txwv li suav nrog Graves' kab mob (ib yam kab mob autoimmune), thyroid nodules , thiab thyroiditis .Tej yam zoo li '(Thyroiditis)' (uas txhais tau tias o/o ntawm cov qog thyroid).

Hyperthyroidism ua rau koj lub cev zom zaub mov sai dua. Qhov no tuaj yeem ua rau koj muaj kev phom sij rau koj txoj kev noj qab haus huv. Qee cov tsos mob ntawm hyperthyroidism suav nrog:

• Poob phaus yam tsis muaj laj thawj.
• Xav tias tshee hnyo thiab/lossis tsis so.
• Mus chav dej ntau zaus dua.
• Lub plawv dhia ceev lossis tsis xwm yeem (arrhythmia) .

Yog koj muaj cov tsos mob no, mus ntsib koj tus kws kho mob.

Yog tias koj twb tau kuaj pom tias koj muaj mob hyperthyroidism lawm, kev kuaj T3 tuaj yeem txiav txim siab qhov hnyav ntawm koj tus mob. Feem ntau, qib T3 siab dua, qhov mob hyperthyroidism hnyav dua.

Yuav ua li cas yog tias T3 theem qis dua?

Qib T3 qis dua li qub tuaj yeem qhia tau tias koj muaj hypothyroidism , uas yog lub qog thyroid tsis ua haujlwm zoo. Txawm li cas los xij, cov kws kho mob tsis tsuas yog siv cov kev kuaj T3 los kuaj mob hypothyroidism xwb. Qhov no yog vim tias cov qib T3 feem ntau yog qhov kawg uas tsis zoo hauv kev kuaj mob thyroid.

Tsis tas li ntawd xwb, qee tus neeg yuav muaj TSH theem siab, T4 theem qis, thiab hypothyroidism hnyav, tab sis T3 theem ib txwm muaj.

Muaj lwm yam ua rau T3 qis dua li qub. Piv txwv li, cov tshuaj xws li steroids thiab amiodarone (ib yam tshuaj siv los kho cov mob plawv dhia tsis xwm yeem), nrog rau cov mob hnyav. Cov yam no tuaj yeem txo qhov nrawm uas peb lub cev hloov T4 (cov tshuaj hormone tsis ua haujlwm) mus rau hauv T3 (cov tshuaj hormone ua haujlwm). Qhov no tuaj yeem ua rau cov theem T3 qis.

Kuv puas yuav tsum txhawj xeeb yog tias kuv qhov kev kuaj T3 qis lossis siab?

Feem ntau cov txiaj ntsig ntawm kev kuaj T3 tag nrho yog qhov tseeb. Txawm li cas los xij, qee yam tseem ceeb, xws li qee cov tshuaj, cov tshuaj ntxiv, thiab cev xeeb tub, tuaj yeem cuam tshuam rau cov txiaj ntsig. Koj tus kws kho mob yuav xav txog cov yam no thaum txhais koj cov txiaj ntsig.

Nws yog ib qho ib txwm muaj uas koj yuav ntxhov siab thiab ntxhov siab thaum koj pom cov txiaj ntsig ntawm kev kuaj mob tsis zoo. Tab sis nco ntsoov tias, cov mob thyroid yog ib qho uas tshwm sim ntau thiab kho tau. Koj tus kws kho mob yuav qhia rau koj yog tias xav tau kev kuaj ntxiv kom paub qhov ua rau koj cov qib T3 tsis zoo. Tsis txhob ntshai nug koj tus kws kho mob cov lus nug . Nws yuav pab koj.

Tej yam tseem ceeb tshaj plaws uas yuav tsum nco ntsoov (Cov Lus Coj Mus Tsev)

Zoo, peb tau tham ntau txog qhov kev kuaj T3 lawm, puas yog? Thaum kawg, ntawm no yog qee yam tseem ceeb tshaj plaws uas koj yuav tsum nco ntsoov:

• T3 yog ib yam tshuaj hormones uas tsim los ntawm cov thyroid caj pas thiab yog qhov tseem ceeb rau ntau yam haujlwm hauv peb lub cev.
• Kev kuaj T3 feem ntau yog siv los kuaj mob thiab saib xyuas hyperthyroidism (overactive thyroid).
• Qhov no yog kev kuaj ntshav yooj yim xwb. Tsis muaj kev pheej hmoo loj.
• Thaum koj tau txais cov txiaj ntsig, muab piv rau qhov ntau thiab tsawg ib txwm muaj.
• Yog koj cov T3 siab, tej zaum nws yog ib yam mob hu ua hyperthyroidism. Yuav tsum paub txog cov tsos mob.
• Yog tias T3 theem qis, nws yuav yog vim hypothyroidism lossis lwm yam ua rau.
• Yog koj muaj lus nug lossis tsis paub meej txog cov txiaj ntsig, nco ntsoov nrog koj tus kws kho mob tham. Tsis txhob kuaj mob koj tus kheej.

Vam tias koj pom cov ntaub ntawv no muaj txiaj ntsig. Nyob kom noj qab nyob zoo!

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