Ka tino ngenge koe i ētahi wā, kāore he take? Ahakoa te nui o te kai, ka piki ake rānei tō taumaha ahakoa he iti noa te kai? Kāore pea koe e kaha ki te tu atu i te makariri. Kei muri i ēnei mea, tera pea he raruraru kei tētahi okana iti engari he tino nui i roto i tō tātou tinana. Ko te repe tairoiti tēnā. Nō reira, i tēnei rā kei te kōrero tātou mō te whakamātautau toto thyroxine (T4), e whakaatu mai ana i ngā kōrero nui mō te mahi a te repe tairoiti.
He aha te tikanga o te thyroxine (T4)?
Ko te Thyroxine (T4) he homoni nui e whakaputaina ana e
te repe tairoiti , he okana āhua pūrerehua kei mua o tō tātou kaki, kei te taha tonu o te puku o te manawa. Ko tēnei repe iti te kaiwhakahaere o ngā tukanga nui o roto i tō tātou tinana.
Ko te T4 te homoni matua e hangaia ana e te repe tairoiti. Heoi,
kāore tēnei e mahi tika ana (āhua kore mahi). Kia taea ai e ngā whekau o te tinana te whakamahi, me huri te homoni T4 hei homoni kaha
triiodothyronine (T3) . Kei ngā pūtau i roto i ngā whekau pēnei i te ate, ngā whatukuhu, me te roro te kaha ki te huri i tēnei T4 hei T3.
E te tākuta, he aha koe i tono mai ai kia mahia he whakamātautau T4?
He maha ngā take ka tūtohu ai tō tākuta i tētahi whakamātautau toto T4.
Nā, kia titiro tātou he aha ngā tohu ka puta mai mēnā he iti, he teitei hoki ngā taumata T4.
| Te mate o te tairoi | Ngā tohu e kitea whānuitia ana |
|---|
| Ngā taumata T4 iti (Hypothyroidism) Ka whakaroa i te mahi a te tinana | Te pouri nui, te ngaronga o te mahara me te aro, te pupuhi i te taha o ngā kanohi, te ngaronga o te makawe, te pupuhi o te repe tairoiti (goiter), te ngenge nui, te kore e taea te aro atu ki te makariri, te pikinga o te taumaha, te ngaronga o te hiahia kai, te kiri maroke me te makariri, te puhoi o te ngakau, te uaua ki te manawa, te mate pāwera, ngā huringa paheketanga koretake i roto i ngā wāhine. |
| Te pikinga o ngā taumata T4 (Hyperthyroidism) Te tere ake o te mahi a te tinana | Te riri me te kore okiokinga pinepine, te kore moe, te pupuhi o ngā kanohi (te mate kanohi o Graves), te ngaronga taumaha, te hiakai nui, te kore e manawanui ki te wera, te werawera nui, te wiri o ngā maihao, te mahunga, te mata rānei, te tere o te pao o te ngakau, te toto toto tiketike, te korere. |
Ngā mea hei mōhio māu mō te whakamātautau toto T4
He aha te T4 Koreutu me te T4 Here?
E rua ngā momo o te homoni T4 i roto i tō tātou tinana.
- T4 Koreutu: Koinei te T4 e rere noa ana i roto i te toto, kāore he here ki tetahi mea. Koinei ngā T4 ka taea te tomo ki ngā pūtau, ā, ka taea te whakamahi i ngā wā katoa.
- Herea te T4: Ka herea ēnei ki ngā pūmua, ā, ka haere i roto i te toto. Ka āwhina ēnei pūmua i te homoni T4 kia kawe haumaru ki te wāhi e hiahiatia ana, me te kore e mimitia e ētahi atu pūtau i te ara. Ko te nuinga o te T4 i roto i tō tātou tinana ka herea ki te T4.
Ko te tikanga, ka tirohia e ngā tākuta te taumata T4 Koreutu nā te mea koinei te nui o te T4 ka taea e te tinana te whakamahi, ā, mā tēnei ka kitea te pai o te mahi a te tairoi.
Ngā mea hei whakaaroaro i mua i te whakamātautau
I mua i te whakamātautau toto, he mea nui kia kōrero koe ki tō tākuta mō
ngā rongoā, ngā huaora, ngā tāpiringa rānei e tangohia ana e koe. Ko ētahi rongoā, pērā i ngā rongoā ārai-ohorere, ngā rongoā ngākau, me ngā pire ārai whānau, ka pā ki ō hua T4. Ina koa mēnā kei te tango koe i te tāpiringa
biotin , ka taea e ia te whakaatu i ō taumata T4 kia teitei ake i tō rātou āhua tūturu. Ka taea e tēnei te take e ngaro ai i tō tākuta tētahi raruraru tairoi. Kōrero atu hoki ki tō tākuta mēnā kei te hapu koe, kei a koe rānei ētahi atu mate hauora, pērā i te mate tākihi.
He tūponotanga kei roto i te whakamātautau toto T4?
He whakamātautau noa tēnei, pērā i ngā whakamātautau toto katoa. Ka whakamahia e te tangata whakangungu he ngira iti hei tango i te toto iti mai i te uaua i roto i tō ringa, kātahi ka tāpirihia he pātaki ki te wāhi. He iti noa iho ngā mōrearea, engari i ētahi wā ka pā mai ēnei e whai ake nei:
- He iti te mamae i te wāhi i werohia ai te ngira.
- He iti te toto
- Marumaru (te toto e kohia ana i raro i te kiri)
- Ki te kore koe e tiaki i te horoi, ka pāngia koe e te mate.
- Pōuriuri , ngoikore rānei
Te mārama ki ngā hua o te whakamātautau T4
Tērā pea ka rerekē ngā awhe noa mō te whakamātautau Free T4 i runga i te tau, te ira tangata, me te taiwhanga e whakahaere ana i te whakamātautau. Heoi, i te nuinga o te wā, ko ngā uara noa e whai ake nei:
Mō ngā whaea hapu
| Rōpū tau / tūnga | Te Awhe Noa o te T4 Koreutu (ng/dL) |
|---|
| Tamariki tae atu ki te 5 tau te pakeke | 0.8 - 2.8 |
| Tamariki 6-15 tau te pakeke | 0.8 - 2.1 |
| Ngā pakeke neke atu i te 18 tau te pakeke | 0.9 - 1.7 |
| Te toru marama tuatahi | 0.8 - 1.53 |
| Te rua me te tuatoru o ngā marama | 0.7 - 1.20 |
Nō reira, me tango e koe te pūrongo ka toro atu ki tō tākuta.
Ngā take o te iti o ngā taumata T4 (Hypothyroidism)
- Te mate tairoiti a Hashimoto: He mate pūnaha ārai mate tēnei. Ko te tikanga o tēnei ka whakaekea hētia e tō tātou ake pūnaha ārai mate te repe tairoiti.
- Te korenga o te iodine i roto i te kai.
- Ngā mate pōturi mō te wā poto.
- Te kore kai pai.
- Ētahi rongoā.
Ngā take o te pikinga o ngā taumata T4 (Hyperthyroidism)
- Te mate a Kerei: He mate pūnaha ārai mate anō hoki tēnei.
- Te nui rawa o te iodine i roto i te kai.
- Ngā puku kore-matepukupuku (ngā pukupuku/ngā pona pai) i roto i te repe tairoi.
- Te pupuhi o te repe tairoiti (Goiter).
- Te whakanui ake i te horopeta o ngā rongoā homoni tairoi e whakamahia ana mō te maimoatanga.
Ngā whakamātautau tāpiri
Ahakoa ka taea e te whakamātautau T4 te whakaatu he raruraru kei roto i tō repe tairoi, kāore e taea te kī tika he aha te take. Nō reira, ki te mea he rerekē tō taumata T4, tera pea ka tonoa e tō tākuta ētahi atu whakamātautau hei kimi i te take.
- Whakamātautau toto TSH: Koinei te whakamātautau tuatahi e mahia ana. He hononga tika tā ngā taumata TSH me te T4 tetahi ki tetahi.
- Whakamātautau toto T3 kore utu: Ka tirohia te taumata o tētahi atu homoni matua i hangaia e te repe tairoiti.
- Whakamātautau paturopi tairoi: Tirohia mēnā he mate pēnei i a Hashimoto, i a Graves rānei.
- Whakaahua tango iodine irahiko: Tirohia me pēhea te mimiti o te iodine e te repe tairoi.
Karere Tangohia ki te Kāinga
- He mea nui te whakamātautau toto T4 hei tirotiro i te pai o te mahi a tō repe tairoi.
- Ko ngā taumata T4 iti e kiia ana ko te Hypothyroidism, ā, ko ngā taumata T4 teitei e kiia ana ko te Hyperthyroidism. He rite tonu ngā tohu o ngā āhuatanga e rua.
- He mea nui kia whakamōhio atu koe ki tō tākuta mō ngā rongoā me ngā tāpiringa katoa e tangohia ana e koe i mua i te whakamātautau toto.
- Ka puta pea ngā taumata T4 rerekē i tētahi raruraru wā poto, wā roa rānei.
- Me kōrero tonu ki tō tākuta me tō pūrongo whakamātautau kia kitea ai te tino take, ā, ki te tika, me whakarite he mahere maimoatanga tika.
Whakamātautau tairoiti, Whakamātautau T4, Tairoiti, Hypothyroidism, Hypothyroidism, Hyperthyroidism, Ngā tohu o te tairoiti, Ngā whakamātautau toto, TSH
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