Ngā mea katoa e hiahia ana koe ki te mōhio mō te whakamātautau thyroxine (T4)!

Kua rongo koe i te repe tairoiti? Tērā pea kua tono tō tākuta kia mahia e koe he whakamātautau e kiia nei ko te T4. Nā, he aha tēnei T4? He aha i mahia ai tēnei whakamātautau? Tērā pea he pātai pēnei āu. I tēnei rā, ka kōrerohia e tātou tēnei whakamātautau T4 i roto i tētahi huarahi māmā e mārama ai koe.

He aha te whakamātautau T4 (thyroxine)?

He whakarāpopototanga noa iho, he whakamātautau toto nui te whakamātautau T4 (thyroxine) hei tirotiro i te pai o te mahi a tō repe tairoiti . Ka taea hoki e ia te āwhina ki te tautuhi i ngā mate e pā ana ki te tairoiti.

Whakaarohia, ko te repe tairoiti he repe iti āhua pūrerehua kei mua o tō kaki, i runga ake i tō wheua kaki. He wāhanga ia o te pūnaha endocrine o tō tātou tinana. Ko te repe tēnei e hanga ana i ngā homoni tairoiti, ā, e tuku ana i aua homoni ki roto i te toto. Kātahi ka haere ēnei homoni mā roto i te toto, ka pā ki ngā momo okana o tō tātou tinana.

Ko te Thyroxine, e mōhiotia ana ko te T4 , te homoni tino nui e tukuna ana e tō repe tairoiti. Mena he nui , he iti rānei te nui o te T4 i roto i tō toto, he tohu pea tēnei mō te mate tairoiti.

Ka whakamātautauhia e ngā tākuta ngā taumata T4 mā te tango tauira toto. E rua ngā āhua o tēnei thyroxine (T4):

• Herea T4: Ka herea tēnei ki ngā pūmua, nō reira kāore e taea te uru ngāwari ki ngā kiko o te tinana.
• T4 Koreutu: Koinei te T4 "koreutu" e uru ana ki ngā kiko o te tinana, ā, e mahi ana i tana mahi.

Nō reira, he maha ngā whakamātautau hei ine i ngā taumata T4. Ko te whakamātautau toto e ine ana i te T4 kore utu me te T4 here ka kiia he whakamātautau T4 katoa . Ko ētahi whakamātautau toto ka ine i te T4 kore utu anake. Inaa, he maha ngā wā ka whakamahia e ngā tākuta te whakamātautau T4 kore utu hei tirotiro i te mahi tairoi nā te mea he tika ake i te whakamātautau T4 katoa.

Tērā pea ka whakahaerehia hoki e tō tākuta he whakamātautau TSH (Hōmona Whakaoho Thyroid) me tō whakamātautau T4. Ko te TSH he homoni e hangaia ana e tō repe pituitary . Ka whakaohokia e tēnei TSH tō repe thyroid kia whakaputa i ngā homoni T4 me te T3 (triiodothyronine) .

Ko te huarahi pai rawa atu ki te aromatawai i te mahi a te tairoi ko te whakamātautau TSH. Ina honoa ki te whakamātautau TSH, ka taea e ngā whakamātautau T4 te whakarato i tētahi pikitia tika ake mō te mahi a te tairoi. Kāore pea e hiahiatia te ine i ngā taumata T4 mō ngā mate tairoi katoa.

He maha atu anō ngā ingoa mō te whakamātautau T4:

• Tairokihana kore utu
• Te kukū katoa o te T4
• Mata tirokihini
• Te kukū T4 kore utu
• Taupū T4 Koreutu (FTI)

He aha te thyroxine (T4) ā, he aha tāna mahi?

Ko te Thyroxine (T4), e mōhiotia ana ko te tetraiodothyronine , te homoni matua e tukuna ana ki roto i te toto e tō repe tairoiti. Ka tukuna hoki e te repe tairoiti he iti noa iho o te homoni e kiia nei ko te triiodothyronine (T3) . Nā te mea e mahi tahi ana te T4 me te T3, e kiia ana rāua ko ngā "homoni tairoiti".

Nā, tirohia, he matū ngā homoni e whakarite ana i ngā mahi maha i roto i ō tātou tinana. Ka haria e rātou ngā karere mā roto i te toto ki ō tātou whekau, uaua, me ētahi atu kiko. Mā ēnei tohu e tohutohu ki ō tātou tinana he aha te mea hei mahi me te wā hei mahi.

Kāore te T4 e tukuna ana e tō repe tairoiro e mahi , arā, kāore e pā tika ki ngā pūtau o tō tinana. Heoi, ka hurihia e tō ate me ō whatukuhu te nuinga o tēnei thyroxine hei triiodothyronine (T3) , he homoni mahi e pā ana ki ngā pūtau o tō tinana.

Ka whakahaerehia ngātahitia e te T4 me te T3 ētahi mahi tino nui i roto i tō tātou tinana. Anei ētahi tauira:

• Te tere o te pākia o te tinana: Koinei te tere o te hurihanga o te kai e kainga ana e koe hei pūngao.
• Te mahi a te ngākau me te pūnaha nakunaku.
• Te whakahaere i ngā uaua.
• Te whanaketanga o te roro.
• Te tiaki i te wheua.

Te tairokina hangai

Ka tohua e ngā tākuta tētahi momo thyroxine hangai e kiia nei ko te levothyroxine hei rongoā i te hypothyroidism , he āhuatanga e kore ai e mahi pai te repe tairoiti. Tērā pea ka tohua tahitia me te pokanga me ētahi atu maimoatanga mō ētahi momo matepukupuku tairoiti.

He aha ahau i hiahia ai ki te whakamātautau T4 (thyroxine)?

Ka whakamahia e ngā tākuta ngā whakamātautau T4 hei aromatawai i te pai o te mahi a tō tairoi. Anei ētahi take ka tonoa ai e tō tākuta he whakamātautau T4 (hei tāpiritanga ki te whakamātautau TSH):

• Mena he rerekē te hua o te whakamātautau homoni whakaoho tairoi (TSH) i a koe, me tirotirohia anō.
• Tāutuhia te hyperthyroidism ( te repe tairoiti kaha rawa) te hypothyroidism rānei (te repe tairoiti kore mahi).
• Mena kei te tango koe i te rongoā whakakapinga homoni tairoi, aroturukihia ō taumata T4.
• Āta tirohia ngā pēpi hou mō te hypothyroidism.
• Arotakehia mēnā he mate kē atu pērā i te puku kaki (goiter ), ngā pona tairoiti ( ngā puku i roto i te repe tairoiti), me ngā raruraru ki tō repe pituitary , hypothalamus rānei.
• Tirohia mēnā he iti te taumata o te homoni tairoi nā te take e pā ana ki te pituitary (hypothyroidism pokapū).

Anō nei, he maha ake ngā wā ka tonoa e ngā tākuta he whakamātautau T4 kore utu i ngā whakamātautau T4 katoa . I ētahi wā motuhake, pērā i te wā e hapu ana, tera pea ka hiahiatia he whakamātautau T4 katoa kaua he whakamātautau T4 kore utu.

Ko wai ka whakahaere i te whakamātautau toto T4 (thyroxine)?

I te nuinga o te wā, ka tangohia te toto e te tohunga toto toto , koinei anō hoki te tango toto mō te whakamātautau toto T4. Heoi, ka taea e tetahi kaimahi hauora kua whakangungua ki te tango toto te mahi i tēnei. Kātahi ka tukuna te tauira toto ki te taiwhanga. I reira, ka whakaritea e te kaipūtaiao taiwhanga hauora te tauira ka whakamātautau mā te whakamahi i ngā mīhini e kiia nei ko ngā kaitātari .

Me pēhea taku whakarite mō te whakamātautau T4 (thyroxine)?

Kāore koe e hiahia ki te mahi i tētahi mea motuhake mō te whakamātautau T4. Heoi, i runga i te take o te whakamātautau, me mutu pea te tango i ētahi rongoā, tāpiringa rānei. Heoi, ka hoatu e tō tākuta he tohutohu motuhake mō tēnei.

He mea nui: He tāpiringa ka taea te hoko kore utu te Biotin , ā, ka puta he āhua rerekē o ētahi whakamātautau tairoi, ahakoa he mea noa iho. Nō reira, e taunakihia ana kia mutu te tango i ngā tāpiringa biotin 3 ki te 5 ngā rā i mua i tētahi whakamātautau toto e pā ana ki te tairoi .

He aha ngā mea hei tumanakohia i te wā o te whakamātautau toto T4 (thyroxine)?

Ina whiwhi koe i te whakamātautau toto, i te tango toto rānei, ka taea e koe te tumanako ki ngā mea penei:

• Ka noho koe i runga i tētahi tūru. Kātahi ka tirohia ō ringaringa e te tākuta toto, ka tīpako i tētahi uaua e ngāwari ana te uru atu. Kei roto i tō ringaringa tēnei, i muri tonu i tō tuke.
• Kia kitea he uaua, ka horoia te wāhi, ka patua hoki he huakita.
• Kātahi ka werohia he ngira iti ki roto i tō uaua, ā, ka tangohia he tauira toto. Tērā pea ka rongo koe i te ngau kino i tēnei wā.
• Kia werohia te ngira, ka kohia he iti o te toto ki roto i tētahi ngongo whakamātautau.
• I muri i te kohi toto, ka tangohia te ngira, ā, ka whakatakotoria he miro, he kākahu rānei ki te wāhi i werohia hei whakamutu i te toto.
• Kātahi ka tāpirihia he takai ki te wāhi. Kātahi ka oti tō mahi.

I raro iho i te rima meneti te roa o tēnei tukanga katoa.

He aha ngā mea hei tumanakohia i muri i te whakamātautau T4 (thyroxine)?

Kia tangohia tō tauira toto e te tākuta toto, ka tukuna ki te taiwhanga hei whakamātautau. Kia puta mai ngā hua o te whakamātautau, ka whakamōhiotia e tō tākuta ngā hua.

He aha ngā mōrearea o te whakamātautau toto T4 (thyroxine)?

He wāhanga tino noa, he wāhanga nui hoki o ngā whakamātautau hauora me ngā tirotiro hauora ngā whakamātautau toto. He iti noa iho ngā mōrearea o te whakamātautau toto T4 . Tērā pea ka pāngia koe e te marō, e te mamae rānei i te wāhi e tangohia ana te toto, engari ka tere te memeha haere.

Āhea ahau ka mōhio ai ki ngā hua o taku whakamātautau T4 (thyroxine)?

I te nuinga o te wā, me whiwhi koe i ngā hua o te whakamātautau T4 i roto i te kotahi, i ngā rā pakihi e rua rānei . Heoi, ka roa ake pea.

He aha ngā hua o te whakamātautau T4 (thyroxine)?

Ko ngā pūrongo whakamātautau toto, tae atu ki ngā pūrongo whakamātautau T4, kei roto i ēnei mōhiohio e whai ake nei:

• Te ingoa o te whakamātautau toto, te mea rānei i inehia i roto i tō toto.
• Te tau, te ine rānei o ngā hua o tō whakamātautau toto.
• Koinei te awhe ine noa mō te whakamātautau.
• Ngā mōhiotanga e whakaatu ana mēnā he noa, he rerekē rānei tō hua, he teitei, he iti rānei.

He aha ngā taumata noa o te T4 kore utu?

Ka rerekē ngā taumata noa o te T4 kore utu i runga i tō tau . I te nuinga o te wā, ko ngā awhe noa mō te T4 kore utu i roto i te hunga hauora koia ēnei:

• Tamariki tae atu ki te 5 tau: 0.8 – 2.8 nanograms ia teririta (ng/dL)
• Tamariki 6 ki te 15 tau te pakeke: 0.8 – 2.1 ng/dL
• Ngā taiohi tāne 16 ki te 17 tau te pakeke: 0.8 – 2.8 ng/dL
• Ngā taiohi wahine 16 ki te 17 tau te pakeke: 0.8 – 1.5 ng/dL
• Ngā pakeke neke atu i te 18 tau te pakeke: 0.9 – 1.7 ng/dL

Kia mōhio: Ka rerekē pea ngā awhe noa mō te T4 kore utu i waenga i ngā taiwhanga. Kia mahara ki te tirotiro i te awhe tohutoro mō ō hua, e ai ki te rārangi i runga i tō pūrongo taiwhanga. Mena he pātai āu mō ō hua, pātai atu ki tō tākuta.

Ka aha mēnā ka tino teitei rawa ngā taumata o te T4 (thyroxine)?

Mena he teitei ake ō taumata T4, T4 kore utu rānei i te mea noa, he tohu pea tēnei nō te mate e kiia nei ko te thyrotoxicosis . He maha ngā take ka pā mai ai tēnei, tae atu ki te hyperthyroidism ( te repe tairoiti kaha rawa), te mumura o te repe tairoiti (thyroiditis) , me te nui rawa o te rongoā tairoiti e tangohia ana.

Ka tere ake te tere o tō pākia e te mate tairoto. Tērā pea he mea mōrearea tēnei ki tō hauora. Ko ētahi o ngā tohu o te tairoto ko:

• Te ngaronga taumaha mō te kore take.
• Te pikinga ake o te haere ki te wharepaku.
• Te tere o te manawa, te koretake rānei o te ngakau (arrhythmia) .

Mena kei a koe ngā tohu o te thyrotoxicosis, he mea tino nui kia whakapā atu koe ki tō tākuta.

Ahakoa he noa ngā taumata T4 kore utu, ko ētahi atu āhuatanga ka piki ake ai ngā taumata T4 katoa ko te hāputanga me teTe tango i ngā pire ārai whānau kei roto te estrogen . I ngā āhuatanga e rua, nā te mea he teitei ngā taumata estrogen. Ka whakanuia e te estrogen te nui o te pūmua e herea ana ki te T4, ka whakanuia te T4 katoa (arā, te herenga o te T4 kore utu + pūmua).

Ka aha mēnā ka tino heke te taumata o te T4 (thyroxine)?

Mena he iti iho ō taumata T4 i te mea noa, he tohu tēnei mō te hypothyroidism (he repe tairoi kāore i te mahi pai). He maha ngā take o te hypothyroidism. Ko ētahi tauira ko ētahi mate pūnaha ārai mate , te kore e nui te iodine i roto i tō kai, me te whakamahinga o ētahi rongoā.

Ka whakaroa te mate pāwera o te tinana i te hypothyroidism. Ko ētahi o ngā tohu ko:

• Te ngenge.
• Te kore e taea te tu atu i te makariri.
• Te tere o te ngakau iti.
• Te pikinga o te taumaha.

Mena kei a koe ngā tohu o te hypothyroidism, he mea tino nui kia kōrero koe ki tō tākuta.

Me āwangawanga ahau mēnā he iti, he teitei rānei te hua o taku whakamātautau T4 (thyroxine)?

He tika tonu ngā hua o te whakamātautau T4 kore utu. Heoi anō, ka pā pea ētahi āhuatanga ki ngā hua. Hei tauira:

• Ko ētahi rongoā, ko ētahi tāpiringa rānei.
• Te haputanga.
• Te mate kino, te kore kai pai rānei.

Ka whakaarohia ēnei āhuatanga e tō tākuta ina whakamāramahia ō hua.

Mena he rerekē ngā hua o tō whakamātautau T4, ka tono pea tō tākuta i ētahi atu whakamātautau tairoi hei āwhina i te tautuhi i te mate. Kei roto i ēnei whakamātautau ko:

• Whakamātautau T3 (Triiodothyronine) (tētahi atu homoni tairoi).
• Whakamātautau TSH (Homoni Whakaoho Tairoiro).
• Ngā whakamātautau hei tautuhi i te mate a Graves (he mate pūnaha ārai mate e puta ai te hyperthyroidism).
• Ngā whakamātautau hei tautuhi i te mate a Hashimoto (he mate pūnaha ārai mate e puta ai te hypothyroidism).

He aha te hononga i waenganui i ngā taumata o te TSH (hormone whakaoho tairoi) me te T4 (thyroxine)?

He pānga tika tā te taumata o te TSH me te T4 tetahi ki tetahi, nā te mea ka whakaohohia e te homoni whakaoho tairoi (TSH) te hanga o te thyroxine (T4), ā, mā te taumata T4 teitei ake mō te wā poto ka aukati i te tukunga o te TSH.

Ina whakamātauhia tō toto hei tirotiro i te mahi a tō tairoi me ngā taumata TSH, ka taea e ngā taumata rerekē o ia homoni te tohu i ngā āhuatanga rerekē. Kia kite tātou me pēhea te mahi a tēnā.

TSH iti me te T4 noa

Ko ngā taumata TSH iti me ngā taumata T4 noa e kiia ana he hyperthyroidism iti-haumanu.Ko te tikanga o te "iti-haumanu" kāore he tohu e puta mai ana i te mate, kāore anō rānei kia tīmata ngā tohu. Kua whakaatuhia e ngā rangahau e pāngia ana e te 16% o te taupori tēnei mate o te hyperthyroidism iti-haumanu.

Mena ka whakaatuhia ēnei hua e ngā hua o tō whakamātautau toto, ka aro turuki tonu pea tō tākuta i ō taumata kia kite ai mēnā ka rerekē, ā, ka arahi atu ki te hyperthyroidism haumanu.

TSH iti me te T4 teitei

Ko te iti o ngā taumata TSH me te teitei o ngā taumata T4 he tohu i te hyperthyroidism . Nā te mea kei te nui rawa te T4 e hangaia ana e tō repe tairoi nā tētahi raruraru. Nā tēnei nui rawa o te T4 ka ārai i tō hypothalamus ki te tuku i te TSH.

TSH iti me te T4 iti

Mena he iti ngā taumata o te TSH me te T4, he tohu tēnei kei te raru tō repe pituitary . Hei tauira, ko tētahi mea pēnei i te adenoma pituitary nui, kāore pea e tuku i te nui o te TSH hei whakaoho i te hanga T4. He huinga hua onge tēnei.

TSH teitei me te T4 noa

Ina teitei ake ngā taumata TSH, ā, he noa ngā taumata T4, ka kiia he hypothyroidism iti-haumanu (e kiia ana hoki he ngoikore o te tairoi ngawari). Ka pāngia tēnei āhuatanga i waenga i te 3% me te 8% o te taupori.

Mena ka whakaatuhia ēnei hua e ngā hua o tō whakamātautau toto, ka aro turuki tonu pea tō tākuta i ō taumata kia kite ai mēnā ka rerekē, ā, ka arahi atu ki te hypothyroidism haumanu.

TSH teitei me te T4 iti

Mena he teitei ngā taumata TSH, ā, he iti ngā taumata T4, he tohu tēnei mō te hypothyroidism ( he ngoikore te mahi a te tairoi nā te raruraru tuatahi o te repe tairoi). Nā te mea he raruraru kei tō repe tairoi e whakaiti ana i te hanga o te T4, ā, kei te urupare tō repe pituitary mā te tuku i te nui rawa o te TSH hei whakaoho i te repe tairoi kia nui ake te hanga T4.

Teitei o te TSH me te teitei o te T4

Mena he teitei ngā taumata o te TSH me te T4, he tohu tēnei kei te raru tō repe pituitary . Ko te tikanga tēnei kei te tukuna e te repe pituitary te nui rawa o te TSH, ā, ka whakaoho i tō repe tairoi kia nui rawa te T4. He huinga hua tino onge tēnei.

Ngā mea hei maumahara māu i ēnei mea katoa (Karere hei tango mā te kāinga)

He mea noa te mataku ina kite koe i tētahi hua whakamātautau rerekē. Kaua e mataku . He mea noa ngā mate tairoi, inā koa te hypothyroidism, ā, ka taea te rongoā.Mā tō tākuta koe e kī atu mēnā e hiahiatia ana ētahi atu whakamātautau hei kimi i te pūtake o te taumata T4 rerekē. Kaua e mangere ki te pātai, ki te whakarite rānei i tētahi wā hui ki tō tākuta hei matapaki anō i ō hua. He mea nui kia mōhio koe ki tō hauora.

` Whakamātautau thyroxine, T4, tairoi, homoni, TSH, hypothyroidism, hyperthyroidism