Puas muaj tej lub sij hawm koj xav tias koj nkees heev yam tsis muaj laj thawj? Los yog, koj puas poob phaus txawm tias koj noj ntau npaum li cas los xij, los yog koj puas nce phaus txawm tias koj noj me ntsis los xij? Tej zaum koj tsis tuaj yeem sawv ntsug qhov txias. Tom qab tej yam no, tej zaum yuav muaj teeb meem nrog ib lub cev me me tab sis tseem ceeb heev hauv peb lub cev. Ntawd yog lub qog thyroid. Yog li hnub no peb tab tom tham txog kev kuaj ntshav thyroxine (T4), uas qhia peb cov ntaub ntawv tseem ceeb txog kev ua haujlwm ntawm lub qog thyroid.
Hauv lwm lo lus, thyroxine (T4) yog dab tsi?
Thyroxine (T4) yog ib yam tshuaj hormones tseem ceeb uas tsim los ntawm
lub qog thyroid , ib lub cev zoo li npauj npaim nyob rau pem hauv ntej ntawm peb lub caj dab, tshwj xeeb tshaj yog nyob ib puag ncig lub raj cua. Lub qog me me no tswj ntau yam txheej txheem tseem ceeb hauv peb lub cev.
T4 yog cov tshuaj hormones tseem ceeb uas lub qog thyroid tsim tawm. Txawm li cas los xij, qhov no
tsis yog qhov ua haujlwm ncaj qha (daim ntawv tsis ua haujlwm). Yuav kom peb lub cev cov kabmob siv nws, cov tshuaj hormones T4 yuav tsum tau hloov mus ua cov tshuaj hormones
triiodothyronine (T3) . Cov hlwb hauv cov kabmob xws li peb lub siab, lub raum, thiab lub hlwb muaj peev xwm hloov T4 no mus ua T3.
Kws kho mob, vim li cas koj thiaj hais kom kuv ua qhov kev kuaj T4?
Muaj ntau yam ua rau koj tus kws kho mob pom zoo kom kuaj ntshav T4.
Tam sim no cia peb saib seb cov tsos mob yuav tshwm sim li cas yog tias T4 qib qis thiab siab.
| Mob thyroid | Cov tsos mob uas pom ntau zaus |
|---|
| Cov theem T4 qis (Hypothyroidism) Ua rau lub cev ua haujlwm qeeb | Kev nyuaj siab heev, tsis nco qab thiab tsis mloog zoo, o ntawm ib ncig ntawm lub qhov muag, plaub hau poob, o ntawm cov qog thyroid (goiter), qaug zog heev, tsis muaj peev xwm tiv taus qhov txias, nce phaus, tsis xav noj mov, tawv nqaij qhuav thiab txias, lub plawv dhia qeeb, ua pa nyuaj, cem quav, thiab cov poj niam lub hlis tsis xwm yeem. |
| Cov theem T4 nce ntxiv (Hyperthyroidism) Ua haujlwm sai dua ntawm lub cev | Ntau zaus chim siab thiab tsis nyob twj ywm, pw tsis tsaug zog, qhov muag loj (Graves' eye disease), poob phaus, tshaib plab heev, tsis kam noj cua sov, tawm hws ntau dhau, ntiv tes, taub hau, lossis lub ntsej muag tshee hnyo, lub plawv dhia ceev lossis dhia ceev, ntshav siab, raws plab. |
Tej yam yuav tsum paub txog kev kuaj ntshav T4
T4 Dawb thiab T4 Uas Tau Txhaj Yog Dab Tsi?
Muaj ob hom tshuaj T4 hauv peb lub cev.
- T4 Dawb: Qhov no yog T4 uas ncig tau yooj yim hauv cov ntshav, tsis khi rau dab tsi. Cov no yog T4 uas tuaj yeem nkag mus rau hauv cov hlwb thiab siv tau txhua lub sijhawm.
- T4 khi: Cov no khi rau cov protein thiab mus ncig hauv cov ntshav. Cov protein no pab cov tshuaj hormone T4 kom raug thauj mus rau qhov chaw uas nws xav tau kom muaj kev nyab xeeb, yam tsis raug nqus los ntawm lwm cov hlwb. Feem ntau ntawm T4 hauv peb lub cev yog khi T4.
Cov kws kho mob feem ntau saib qib T4 Dawb vim nws yog qhov ntau npaum li cas ntawm T4 uas lub cev siv tau, thiab nws muab lub tswv yim zoo tshaj plaws ntawm seb lub thyroid ua haujlwm zoo li cas.
Tej yam yuav tsum xav txog ua ntej qhov kev xeem
Ua ntej koj yuav kuaj ntshav, nws yog ib qho tseem ceeb uas yuav tsum qhia rau koj tus kws kho mob txog
cov tshuaj, cov vitamins, lossis cov tshuaj ntxiv uas koj tab tom noj. Qee cov tshuaj, xws li cov tshuaj tiv thaiv kev qaug dab peg, cov tshuaj plawv, thiab cov tshuaj tswj kev yug menyuam, tuaj yeem cuam tshuam rau koj cov txiaj ntsig T4. Tshwj xeeb tshaj yog tias koj tab tom noj cov
tshuaj biotin ntxiv, nws tuaj yeem ua rau koj cov qib T4 zoo li siab dua li qhov lawv muaj tiag. Qhov no tuaj yeem ua rau koj tus kws kho mob tsis nco qab txog qhov teeb meem thyroid. Qhia rau koj tus kws kho mob yog tias koj cev xeeb tub lossis muaj lwm yam mob, xws li kab mob raum.
Puas muaj kev pheej hmoo rau kev kuaj ntshav T4?
Qhov no yog kev kuaj ntshav ib txwm muaj, zoo li lwm yam kev kuaj ntshav. Ib tug neeg uas tau kawm tiav siv ib rab koob me me los rho me ntsis ntshav los ntawm cov leeg ntshav hauv koj txhais caj npab thiab tom qab ntawd muab ib daim ntaub nplaum rau thaj chaw ntawd. Cov kev pheej hmoo me me heev, tab sis qee zaum cov hauv qab no tuaj yeem tshwm sim:
- Mob me ntsis qhov twg koob txhaj rau hauv.
- Los ntshav me ntsis
- Kev mob nqaij (ntshav sib sau ua ke hauv qab daim tawv nqaij)
- Yog koj tsis saib xyuas kev huv, koj yuav kis tau kab mob.
- Kiv taub hau los yog tsaus muag
To taub cov txiaj ntsig ntawm kev xeem T4
Cov qib ib txwm rau kev kuaj Free T4 yuav txawv me ntsis nyob ntawm hnub nyoog, poj niam txiv neej, thiab lub chaw kuaj mob uas ua qhov kev kuaj. Txawm li cas los xij, feem ntau, cov nqi ib txwm yog raws li nram no:
Rau cov niam cev xeeb tub
| Pawg hnub nyoog / xwm txheej | Qhov ntau npaum li cas ntawm T4 dawb (ng/dL) |
|---|
| Cov menyuam yaus txog li 5 xyoos | 0.8 - 2.8 |
| Cov menyuam yaus hnub nyoog 6-15 xyoos | 0.8 - 2.1 |
| Cov neeg laus hnub nyoog tshaj 18 xyoo | 0.9 - 1.7 |
| Peb lub hlis thawj zaug | 0.8 - 1.53 |
| Lub sijhawm thib ob thiab thib peb | 0.7 - 1.20 |
Yog li ntawd, nco ntsoov coj daim ntawv qhia thiab mus ntsib koj tus kws kho mob.
Ua rau cov T4 qis (Hypothyroidism)
- Hashimoto's thyroiditis: Qhov no yog ib yam kab mob autoimmune. Qhov no txhais tau tias peb lub cev tiv thaiv kab mob ua yuam kev tawm tsam lub qog thyroid.
- Kev tsis muaj iodine hauv cov khoom noj.
- Cov kab mob luv luv.
- Kev tsis noj zaub mov zoo.
- Qee cov tshuaj.
Cov ua rau muaj T4 ntau ntxiv (Hyperthyroidism)
- Kab mob Graves: Qhov no kuj yog ib qho kab mob autoimmune.
- Kev noj zaub mov ntau dhau ntawm iodine.
- Cov qog uas tsis yog mob qog noj ntshav (cov qog nqaij hlav/cov qog ntshav benign) hauv cov qog thyroid.
- Kev o ntawm cov qog thyroid (Goiter).
- Kev nce qhov koob tshuaj ntawm cov tshuaj hormones thyroid uas siv rau kev kho mob.
Kev ntsuam xyuas ntxiv
Txawm hais tias kev kuaj T4 tuaj yeem qhia tau tias muaj teeb meem nrog koj lub qog thyroid, nws tsis tuaj yeem qhia koj tias yog dab tsi ua rau nws. Yog li, yog tias koj qib T4 tsis zoo, koj tus kws kho mob yuav xaj ntau qhov kev kuaj kom nrhiav tau qhov ua rau.
- Kev kuaj ntshav TSH: Qhov no feem ntau yog thawj zaug kuaj. TSH thiab T4 muaj feem cuam tshuam ncaj qha rau ib leeg.
- Kev kuaj ntshav T3 dawb: Tshawb xyuas qib ntawm lwm cov tshuaj hormones tseem ceeb uas cov qog thyroid tsim tawm.
- Kev kuaj cov tshuaj tiv thaiv kab mob thyroid: Tshawb xyuas seb puas muaj kab mob zoo li Hashimoto lossis Graves'.
- Kev thaij duab txog kev nqus cov tshuaj radioactive iodine: Saib seb cov qog thyroid nqus cov tshuaj iodine li cas.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kev kuaj ntshav T4 yog ib qho kev kuaj tseem ceeb uas xyuas seb koj lub qog thyroid ua haujlwm zoo npaum li cas.
- Cov T4 qis hu ua Hypothyroidism, thiab cov T4 siab hu ua Hyperthyroidism. Ob qho mob no muaj cov tsos mob zoo sib xws.
- Nws yog ib qho tseem ceeb heev uas yuav tsum qhia rau koj tus kws kho mob txog txhua yam tshuaj thiab cov tshuaj ntxiv uas koj noj ua ntej kuaj ntshav.
- Cov theem T4 tsis zoo tuaj yeem tshwm sim los ntawm teeb meem luv luv lossis ntev.
- Nco ntsoov sab laj nrog koj tus kws kho mob nrog koj daim ntawv qhia txog kev kuaj mob kom paub qhov ua rau muaj qhov teeb meem thiab, yog tias tsim nyog, nrhiav kev kho mob kom zoo.
Cov thyroid, kev kuaj T4, Thyroxine, Hypothyroidism, Hypothyroidism, Hyperthyroidism, Cov tsos mob ntawm cov thyroid, Kev kuaj ntshav, TSH
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus