I tuhia e tō tākuta tētahi "Whakamātautau T4" ki runga i te whakamātautau toto i mahia e koe? Kei te whakaaro rānei koe he raruraru tōu ki tō repe tairoi? Tērā pea kei te ngaro tō taumaha, kei te piki haere rānei tō taumaha i runga i te āhua kāore i te mārama, kei te ngenge tonu koe, kei te kore rānei e pai te hauora? Nō reira, i tēnei rā, me kōrero ngāwari, me te atawhai hoki mō tēnei whakamātautau T4 me āna kōrero mō ō tātou tinana.
Tuatahi, kia kite tātou, he aha tēnei whakamātautau T4?
He whakarāpopototanga noa iho, he whakamātautau toto te whakamātautau T4 e tirotiro ana i te mahi a tō repe tairoi .
Whakaarohia, ko te repe tairoiti he okana iti āhua pūrerehua kei mua o tō tātou kaki, i runga ake i te wheua kaki. He wāhanga tino nui tēnei o te pūnaha endocrine o tō tātou tinana, arā, te pūnaha whakaputa homoni. Ka hangaia e tēnei repe ngā homoni tairoiti ka tukuna ki roto i te toto. Kātahi ka haere ēnei homoni puta noa i te tinana mā roto i te toto, ka tohutohu i ngā okana ki te "mahi i tēnei me tēnā."
Ko te Thyroxine, T4 rānei, te homoni matua e whakaputaina ana e te repe tairoiti. Nō reira, ki te nui rawa, ki te iti rawa rānei te homoni T4 i roto i te tinana, he tohu tēnei kei te pāngia te repe tairoiti e tētahi momo mate.
T4 Koreutu me te T4 Here: He aha te rerekētanga i waenganui i ngā mea e rua?
Ka tirohia e ngā tākuta ngā taumata T4 mā te whakamahi i ngā whakamātautau toto. Engari kei roto i ō tātou toto tēnei homoni T4 i roto i ngā āhua e rua:
- Herea T4: He rite tēnei ki tētahi kete e herea pūmau ana ki ngā taura i runga i tētahi taraka. Ka herea tēnei homoni T4 ki ngā pūmua. Nō reira, kāore e taea te haere tika ki roto i ngā pūtau (ngā kiko) o tō tātou tinana, me te mahi.
- T4 Koreutu: Koinei te tino mahi. Pērā i te mea i tangohia mai i te taraka, i tangohia mai i te kete. He "koreutu" ēnei homoni T4 i roto i te toto, kāore e herea ki tētahi pūmua. Nō reira ka taea e rātou te haere tika ki roto i ō tātou pūtau me te mahi i tā rātou mahi.
Nā tēnei rerekētanga, he maha ngā momo whakamātautau e ine ana i ngā taumata T4. Ko te whakamātautau e ine ana i ngā momo e rua ka kiia ko te whakamātautau T4 Katoa . Heoi, i te nuinga o te wā, ka tirohia noa e ngā tākuta te taumata T4 Koreutu . Nā te mea ko tēnei T4 Koreutu te mea tino pā ki ō tātou tinana, mā te ine ka taea te homai he pikitia tika ake mō te mahi a te repe tairoi.
I te nuinga o te wā ka tonoa e tō tākuta he whakamātautau TSH (Hōmona Whakaoho Tairoiro) me te whakamātautau T4. Ko te TSH he homoni e hangaia ana e te repe pituitary i roto i tō tātou roro. Koinei te mea e kī ana ki te repe tairoiro kia whakaputa i te T4 me te T3. Mā te whakakotahi i ngā uara o ngā whakamātautau e rua ka taea e koe te whiwhi pikitia katoa o tō āhua.
He aha te mahi a tēnei homoni T4 (thyroxine) ki te tinana?
E ai ki tā tātou i kōrero ai i mua ake nei, ko te thyroxine (T4) te homoni matua e whakaputaina ana e te repe tairoiti. Hei tāpiri, ka puta hoki he iti noa o te triiodothyronine , T3 rānei. Ka mahi tahi te T4 me te T3 hei "homoni tairoiti."
Whakaarohia, he ahua 'kore mahi' te T4, arā, kāore e nui te mahi. Engari ina tae ki tō tātou ate me ō tātou whatukuhu, ka hurihia te nuinga o tēnei T4 hei T3, he 'mahi', arā, he kaimahi tūturu. Nō reira, ko te T3 te mea e uru ana ki roto i ō tātou pūtau, ā, koia te mea nui rawa atu te pānga.
Ka whakahaerehia e te T4 me te T3 ngā mahi nui maha i roto i tō tātou tinana:
- Te tere o te pākia o te tinana: Ki te kī māmā noa, ko te tere e hurihia ai e tātou te kai e kainga ana e tātou hei pūngao. Mēnā ka piki ake tēnei, ka heke tō tātou taumaha; ki te heke iho, ka piki ake tō tātou taumaha.
- Te mahi a te manawa me te pūnaha nakunaku: Ka pāngia tēnei e te tere o te pā o te manawa me te mahi a ō tātou whekau.
- Te whakahaere uaua: He mea nui mō te kaha me te mahi a te uaua.
- Te whanaketanga o te roro: He homoni e tika ana mō te whanaketanga o te roro, inā koa i roto i ngā tamariki nohinohi.
- Hauora wheua: Ka āwhina ki te pupuri i te kaha o ngā wheua.
Te tairokina hangai
Kāore e nui te homoni T4 e whakaputaina ana e te repe tairoiti o ētahi tāngata. Ka kiia tēnei āhuatanga he hypothyroidism . Ka hoatu e ngā tākuta ki ēnei tāngata he pire kei roto he homoni T4 hangai. Ka kiia ko te levothyroxine . Ka whakamahia hoki i muri i te pokanga mō ētahi mate pukupuku tairoiti.
He aha me mahi ahau i te whakamātautau T4?
He maha ngā take ka tonoa ai e tō tākuta he whakamātautau T4. He mea tēnei hei tirotiro i te pai o te mahi a tō tairoi.
Anei ētahi o ngā take matua:
- Mena ka puta he pūrongo TSH rerekē ki a koe: Mena kāore te hua o tō whakamātautau TSH o mua i roto i te awhe noa, ka whakahaerehia he whakamātautau T4 hei kimi i te pūtake.
- Tātaritanga o ngā mate tairoiti: He mea nui tēnei whakamātautau hei tātaritanga i te hyperthyroidism, he āhuatanga e kaha rawa ana te mahi a te repe tairoiti, te hypothyroidism rānei, he repe tairoiti kāore i te kaha te mahi .
- Hei aroturuki i te maimoatanga: Mena kei te tango kē koe i te rongoā whakakapinga homoni mō te mate tairoi, ka whakahaerehia e tō tākuta tēnei whakamātautau hei tirotiro mēnā he tika te horopeta o te rongoā e tangohia ana e koe mō tō tinana.
- Mō ngā pēpi hou: Ka mahia tēnei whakamātautau i ētahi wā hei tirotiro mēnā he iti te mahi a te tairoi i roto i ngā pēpi hou.
- Mō ētahi atu āhuatanga:Ka āwhina tēnei whakamātautau ki te kite i ngā mate e whakapaetia ana pērā i te goiter , ngā pona thyroid , ngā raruraru pituitary, hypothalamus rānei.
Me pēhea taku whakarite mō te whakamātautau? He aha ngā mea ka puta ina koha toto ahau?
Kāore he whakaritenga motuhake e hiahiatia ana mō te whakamātautau T4. Ka taea e koe te kai me te inu i mua i te tuku toto. Heoi, ka pā pea ētahi rongoā, huaora rānei e tangohia ana e koe ki ngā hua o te whakamātautau. Nō reira, he mea tino nui kia kōrero koe ki tō tākuta mō ngā rongoā katoa e tangohia ana e koe.
Kia maumahara rawa: Ki te mea kei te tango koe i tētahi huaora kei roto te biotin (e kitea nuitia ana i roto i ngā tāpiringa mō te kiri, te makawe, me ngā maikuku), me mutu te tango i te iti rawa i te 3-5 ngā rā i mua i te tuku toto. Ki te kore, tera pea he tiketike, he iti rānei ngā taumata o ō homoni tairoi i runga i te pūrongo, ahakoa he noa. He mea tino nui tēnei.
Kāore he take e wehi ai koe ki te tuku toto. He mahi tino māmā noa iho tēnei, ā, e rima meneti te roa:
1. Ka noho koe ki runga i tētahi tūru, ā, ka kitea he uaua pai, i te nuinga o te wā kei roto i tō tuke.
2. Ka horoia te wāhi ki tētahi wahi miro iti, ā, ka werohia he ngira iti rawa ki roto i te uaua. Ka paku noa te mamae ka pā ki a koe, pērā i te ngau a te pōpokorua iti.
3. Kātahi ka kohia te nui o te toto e hiahiatia ana ki roto i tētahi ngongo iti.
4. Kia oti te tango toto, ka tangohia te ngira, ka whakatakotoria he miro ki runga i te wāhi, ka pēhia ki raro. Kātahi ka pania he pāreti iti ki te wāhi. Koia kē!
Me pēhea tō mārama ki te pūrongo?
I te nuinga o te wā ka taea e koe te whiwhi i tō pūrongo i roto i te rā kotahi, e rua rānei. Ka whakarārangihia e te pūrongo tō uara T4 Koreutu, me te "Awhe Noa/Awhe Tohutoro" mō taua whakamātautau.
He mea nui: Ka rerekē pea te awhe noa i homai e ngā taiwhanga rerekē, nō reira me whakarite tonu tō hua ki te awhe noa i runga i tō pūrongo.
Koinei te āhua o ngā taumata T4 Koreutu o te tangata hauora.
| Rōpū tau | Te Awhe Uara Noa o te T4 Koreutu (ng/dL) |
|---|---|
| Tamariki tae atu ki te 5 tau te pakeke | 0.8 – 2.8 ng/dL |
| Tamariki mai i te 6 ki te 15 tau te pakeke | 0.8 – 2.1 ng/dL |
| 16-17 tau te pakeke (tāne) | 0.8 – 2.8 ng/dL |
| 16-17 tau te pakeke (ngā kōtiro) | 0.8 – 1.5 ng/dL |
| Ngā pakeke neke atu i te 18 tau te pakeke | 0.9 – 1.7 ng/dL |
Mena he teitei ake te taumata T4 i te mea noa (T4 Teitei)
Mena he teitei ake ō taumata T4, T4 Koreutu rānei i te mea noa, he tohu pea tēnei mō te hyperthyroidism , he āhuatanga e kaha rawa ana te mahi a te repe tairoiti. Tērā pea ka puta mai i te mate tairoiti, i te nui rawa rānei o te rongoā tairoiti e tangohia ana e koe.
I tēnei āhua, ka tino piki ake te pākia o te tinana. Ko ētahi o ngā tohu ko:
- Te hiroki noa iho, kāore he take.
- Te hiahia pinepine ki te haere ki te wharepaku.
- Te tere o te manawa, te koretake rānei o te manawa.
- Te werawera pinepine, te werawera.
Mena he iti iho te taumata T4 i te mea noa (T4 Iti)
Mena kei raro iho tō taumata T4 i te awhe noa, he tohu tēnei mō te hypothyroidism , arā, he repe tairoi kāore i te mahi. Tērā pea nā ngā mate pūnaha ārai mate, nā te kore rānei o te iodine i roto i te kai.
I tēnei āhua, ka tino puhoi te pākia o te tinana. Ko ētahi o ngā tohu ko:
- Te ngenge tonu me te hiamoe.
- Te kore e taea te tu atu i te makariri.
- Te puhoi o te manawa.
- Ka nui haere te rahi, kāore he take.
- Te mate kōroke.
He aha ngā mea ka puta ina whakatauritea ngā uara T4 me TSH?
Koinei te mea tino nui. Ka whakatau te tākuta mō te raruraru tairoi mā te tirotiro ngātahi i ngā pūrongo T4 me te TSH. Nā te mea he hononga kaha kei waenganui i ngā mea e rua.
Ka taea e koe te mārama ki tēnei mea mā te whakamahi noa i tēnei ripanga.
| Taumata TSH | Taumata T4 | Ka taea te pānui i tēnei penei: |
|---|---|---|
| Teitei | Iti | Koinei te mate tino noa o te hypothyroidism . Nā te mea kāore e nui te hanga o te T4 e te repe tairoiti, kei te karanga te roro kia "kaha ake tana mahi!" ā, ka tukuna he nui rawa o te TSH. |
| Iti | Teitei | Koinei te mate tino noa o te hyperthyroidism . Nā te nui rawa o te T4 e whakaputaina ana e te repe tairoiti, ka mutu te whakaputa TSH a te roro. |
| Teitei | Noa | Ko te Hypothyroidism raro-haumanu tēnei e kiia nei ko te Subclinical Hypothyroidism . Ko te tikanga tēnei kua tīmata te mahi a te repe tairoiti ki te iti haere, ā, me tuku e te roro he nui ake o te TSH hei whakahaere i tēnei. Kāore anō pea kia tīmata ngā tohu. |
| Iti | Noa | Ko te ingoa o tēnei ko te Subclinical Hyperthyroidism . He paku kaha rawa te mahi a te repe tairoiti. Nō reira, ka whakaitihia e te roro te tukunga o te TSH. Tērā pea kāore he tohu o tēnei. |
| Iti | Iti | He āhuatanga rerekē tēnei. E kī ana tēnei kāore pea te raruraru i te repe tairoiti, engari i te repe pituitary i roto i te roro. Nā te mea kāore taua repe e whakaputa tika ana i te TSH, kāore hoki te repe tairoiti e whakaputa ana i te T4. |
Kaua e mataku mēnā ka kite koe i tētahi uara rerekē i roto i tō pūrongo. He mate tino noa te mate tairoi i ēnei rā, ā, ka taea te rongoā me te whakahaere me te angitu. Ko tō tākuta anake ka taea te hoatu i ngā tohutohu pai rawa atu mō te tikanga o tō pūrongo me te aha e whai ake nei.
Mena he rerekē ō hua, ka tono pea tō tākuta i ētahi atu whakamātautau hei āwhina i te whakatau i te take. Hei tauira:
- He whakamātautau homoni T3.
- Ngā whakamātautau hei rapu i ngā āhuatanga pēnei i te mate a Graves .
- Ngā whakamātautau hei rapu i ngā āhuatanga pēnei i te mate a Hashimoto .
Kōrerohia ēnei mea katoa ki tō tākuta me te kore e mataku. Pātaihia ō pātai katoa, ā, kaua e mataku.
Karere Tangohia ki te Kāinga
- Ko te T4 (thyroxine) te homoni matua e whakaputaina ana e tō repe tairoi.
- I te nuinga o te wā, ka tirohia e ngā tākuta te taumata Free T4 nā te mea koinei te mea e mahi ana i roto i te tinana.
- Ka whakamāramahia ngā hua o te whakamātautau T4 me ngā hua o te whakamātautau TSH . Kāore e taea e koe te whakatau i runga i te uara T4 anake.
- Mena kei te tango koe i ngā huaora kei roto te biotin, kati te tango i ēnei i ētahi rā i mua i te tuku toto.
- Kaua e manukanuka mēnā he rerekē ngā uara o te pūrongo. He maha ngā wā ka taea te whakahaere i ēnei āhuatanga.
- Mena he pātai āu mō tō pūrongo, mō tō maimoatanga rānei, pātai atu ki tō tākuta mō ētahi whakamārama.
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