Ese wigeze usabwa gukora ikizamini cya T3 kugira ngo umenye imisemburo ya tiroyide? (T3 - Ikizamini cya Triiodothyronine)

Ese hari umuganga wigeze akubwira ngo upime T3? Ushobora kuba waragize ubwoba gato igihe bakubwiraga ibyo, sibyo? "Iyi T3 ni iki? Kuki ibi bikorwa?" Ibibazo byinshi bishobora kuba byaraje mu mutwe. Ntugatinye. Uyu munsi, turaganira kuri iki kizamini T3 mu buryo bworoshye, mu buryo ushobora kumva. Kimwe no kuganira n'inshuti.

T3 (triiodothyronine) ni iki kandi ikora iki?

Muri make, T3 ni imisemburo y'ingenzi cyane mu mubiri wacu. Ikorwa n'agahu gato kameze nk'ikinyugunyugu kari munsi y'uruhu imbere mu ijosi ryacu. Tuyita tiroyide . Ni igice cy'urusobe rw'imisemburo rwacu.

Imisemburo ya tiroyide ikora imisemburo ibiri y'ingenzi. Imwe ni T3, cyangwa triiodothyronine . Indi ni T4, cyangwa thyroxine . Iyi misemburo yombi, T3 na T4, igenzura imirimo myinshi y'ingenzi mu mubiri wacu.

Tekereza kuri ibi: Hafi 80% bya T3 mu maraso yacu bikorerwa hanze ya tiroyide, binyuze mu guhindura imisemburo ya T4 muri T3. Ibindi bikorwa mu buryo butaziguye na tiroyide ubwayo.

Imisemburo ni nk'intumwa zinyura mu mibiri yacu. Zinyura mu maraso zigatanga ubutumwa ku ngingo zacu, imitsi, n'izindi ngingo zibabwira icyo bakora n'igihe cyo kubikora.

Iyi hormone, T3, ni yo misemburo ya tiroyide yitwa " active " (ikora)". Ni ukuvuga ko iyi T3 ari yo igira ingaruka ku turemangingo mu mubiri wacu. T4 ni yo misemburo ya " active" (ikora) cyane. Umwijima n'impyiko byacu bihindura igice kinini cya T4 irekurwa na tiroyide mo T3.

Iyi misemburo ibiri T3 na T4 bigenzura ibintu nk'ibi mu mubiri wacu:

• Igipimo cyacu cya metabolism (ni ukuvuga igipimo duhinduramo ibiryo turya mo ingufu).
• Imikorere y'umutima n'igogora.
• Kugenzura imitsi.
• Iterambere ry'ubwonko.
• Kubungabunga amagufwa.

Noneho usobanukiwe akamaro ka T3, sibyo?

Kuki ugerageza T3?

Abaganga basaba ahanini ikizamini cya T3 kugira ngo bamenye indwara yitwa hyperthyroidism , bivuze ko tiroyide ikora imisemburo myinshi cyane, cyangwa kugira ngo bamenye uburemere bw'iyo ndwara.

Niba usanzwe ufata imiti igabanya imisemburo ya tiroyide (THR), muganga wawe ashobora kukugira inama yo gukora iki kizamini buri gihe kugira ngo arebe urugero rwa T3 mu mubiri wawe.

Ubusanzwe, hamwe n'ikizamini cya T3, hakorwa ibindi bizamini nka ikizamini cya T4 (thyroxine) n'ikizamini cya TSH (hormone itera imbaraga za tiroyide) kugira ngo hasuzumwe imikorere y'agahu ka tiroyide.

Andi mazina y'ikizamini cya T3 ni:

• Ikizamini cy'imikorere ya tiroyide
• Triiodothyronine yose hamwe
• Triiodothyronine y'ubuntu
• FT3

Ikizamini cya T3 kivuga ku bwoko bubiri bwa T3, sibyo?

Yego, nibyo koko. Triiodothyronine, cyangwa T3, iboneka mu maraso yacu mu buryo bubiri bw'ingenzi:

• T3 y'ubuntu : Iki nicyo cyinjira mu ngingo z'umubiri wacu kigakora akazi kacyo gakenewe.
• T3 ifatanye : Ibi bifatanye na poroteyine, bityo ntibishobora kwinjira mu ngingo byoroshye.

Kubwibyo, hari ubwoko bwinshi bw'ibizamini bipima urugero rwa T3. Ikizamini cy'amaraso gipima T3 y'ubuntu n'iya T3 ifatanye cyitwa ikizamini cyuzuye cya T3 . Ikindi kizamini gipima urugero rwa T3 y'ubuntu gusa. Ariko, ibizamini bya T3 y'ubuntu muri rusange bishobora kuba bidahuje n'ukuri nk'ibizamini byuzuye bya T3.

Ni nde ukora iki kizamini cya T3? Gikorwa gute?

Biroroshye cyane. Reka turebe.

Ni nde ukora ikizamini cya T3?

Ingero z'amaraso zikunze gufatwa n'umuntu wahuguwe witwa phlebotomist . Ariko, umukozi wese w'ubuzima wahuguwe gufata amaraso ashobora kubikora. Ingero z'amaraso zoherezwa muri laboratwari. Aho ngaho, umuhanga mu bya laboratwari y'ubuvuzi ashyira ingero mu byuma bipima amaraso hanyuma akabipima.

Ese hari icyo nkeneye gutegura mbere yo gupimwa T3?

Kenshi na kenshi, nta myiteguro yihariye isabwa kugira ngo upime amaraso ya T3. Ariko, bitewe n'impamvu yo gupimisha, ushobora gukenera guhagarika gufata imiti imwe n'imwe cyangwa inyongeramusaruro igihe runaka. Ariko, muganga wawe azaguha amabwiriza yihariye kuri ibi.

Bigenda bite iyo upimye amaraso ya T3?

Gufata amaraso biroroshye cyane kandi byihuse. Dore uko bigenda:

1. Uzicara ku ntebe. Umukozi w’ubuzima azashaka umutsi wo ku kuboko kwawe woroshye kuwubona. Akenshi, umutsi utoranywa imbere mu kuboko kwawe, ku rundi ruhande rw’inkokora yawe.

2. Iyo umutsi umaze kuboneka, aho hantu hasukurwa neza hanyuma hagashyirwa umuti wica udukoko.

3. Hanyuma urushinge ruto rushyirwa mu mutsi hanyuma hagafatwa ikizamini cy'amaraso. Muri iki gihe, ushobora kumva nk'aho ikinyoni gito kirimo kugukubita.

4. Nyuma yo gushyira urushinge, amaraso make akusanywa mu muyoboro w'ibizamini.

5. Nyuma yo gufata amaraso, urushinge rurakurwaho hanyuma agace k'ipamba cyangwa gaze gashyirwa aho byakorewe hanyuma hagashyirwaho igitutu gito kugira ngo amaraso ahagarike.

6. Hanyuma, hashyirwa plaster aho hantu maze akazi kararangira.

Iyi gahunda yose ifata iminota iri munsi y'itanu. Ni vuba cyane, sibyo?

Ni iki kibaho nyuma yo gupimwa T3?

Nyuma yo gufata amaraso yawe, yoherezwa muri laboratwari kugira ngo apimwe. Iyo ibisubizo by'ibizamini bibonetse, muganga wawe azakubwira ibisubizo.

Ese hari ingaruka zishobora guterwa no gupima amaraso ya T3?

Gupima amaraso ni igice gisanzwe kandi cy'ingenzi mu gupima no gusuzuma indwara. Ingaruka zo gupima amaraso ya T3 ni nke cyane. Ushobora kugira ububabare buto cyangwa igisebe aho amaraso akururwa, ariko ibi bizakira vuba. Rero nta kintu na kimwe cyo guhangayikishwa nacyo.

Bifata igihe kingana iki kugira ngo ubone ibisubizo by'ikizamini cya T3?

Kenshi na kenshi, ibisubizo by'ibizamini byawe bya T3 bigomba kuboneka mu munsi umwe cyangwa ibiri y'akazi, ariko rimwe na rimwe bishobora gufata igihe kirekire.

Ni iki kiri muri raporo y'ibyavuye mu kizamini cya T3?

Raporo y'isuzuma ry'amaraso, harimo na raporo y'isuzuma rya T3, ubusanzwe iba irimo amakuru nk'aya:

• Izina ry'ikizamini cy'amaraso, cyangwa icyapimwe mu maraso yawe.
• Umubare cyangwa igipimo cy'ibyavuye mu isuzuma ry'amaraso yawe.
• Ubwo ni bwo buryo busanzwe bwo gupima ikizamini.
• Amakuru agaragaza niba ibisubizo byawe ari ibisanzwe cyangwa bidasanzwe, cyangwa niba ari hejuru cyangwa hasi.

Ese urugero rusanzwe rwa T3 rumeze rute?

Ingano isanzwe y'ikizamini icyo ari cyo cyose cya laboratwari, harimo n'ibizamini bya T3, ishobora gutandukana gato hagati ya laboratwari. Rero, menya neza ko ureba ingero z'ibyavuzwe kuri raporo y'ibyavuye mu bushakashatsi bwawe. Niba ufite ikibazo ku bisubizo byawe, baza muganga wawe.

Igipimo rusange cya T3

Igipimo gisanzwe cya T3 kiratandukanye bitewe n'imyaka. Dore igipimo gisanzwe cya T3 ku bantu bazima:

• Abana bafite imyaka 1-5: nanogarama 106 - 203 kuri desilita `(ng/dL)`
• Abana bafite imyaka 6-10: 104 – 183 `ng/dL`
• Abana bari hagati y'imyaka 11-14: 68 – 186 `ng/dL`
• Urubyiruko ruri hagati y'imyaka 15-17: 71 – 175 `ng/dL`
• Abantu bakuru bafite imyaka 18-99: 79 – 165 `ng/dL`

Urwego rusanzwe rwa T3 rudafite

Gupima T3 ku buntu ntabwo byizewe cyane, bityo abaganga ntibakunze kubitegeka. Ariko ushobora kugenzura izi ngero. Dore ingano zisanzwe za T3 ku buntu ku bantu bazima:

• Impinja kuva zivutse kugeza ku minsi 3: 1.4 – 5.4 picograms kuri mililitiro `(pg/mL)`
• Impinja zifite iminsi 4 kugeza kuri 30: 2.0 – 5.2 `pg/mL`
• Impinja kuva ku kwezi 1 kugeza ku mwaka 1: 1.5 – 6.4 `pg/mL`
• Abana bafite imyaka 1-6: 2.0 – 6.0 `pg/mL`
• Abana bari hagati y'imyaka 7-11: 2.7 – 5.2 `pg/mL`
• Abana bato bari hagati y'imyaka 12-17: 2.3 – 5.0 `pg/mL`
• Abantu bakuru bafite imyaka 18-99: 2.3 – 4.1 `pg/mL`

Bigenda bite iyo urugero rwa T3 ruri hejuru?

Ingano ya T3 irenze isanzwe igaragaza hyperthyroidism , bivuze ko tiroyide ikora cyane. Hari impamvu nyinshi zitera hyperthyroidism. Ingero zirimo indwara ya Graves (indwara y’ubwiyongere bw’umubiri), utudomo twa tiroyide , na thyroiditis .Ibintu nka `(Thyroiditis)` (ibyo bivuze kubyimba/kubyimba k'agahu k'imitsi).

Hyperthyroidism ituma imikorere y'umubiri wawe yihuta. Ibi bishobora guteza akaga ku buzima bwawe. Bimwe mu bimenyetso bya hyperthyroidism birimo:

• Kugabanya ibiro nta mpamvu.
• Kumva uhinda umushyitsi cyangwa udafite aho ubogamiye.
• Kujya mu bwiherero inshuro nyinshi.
• Umutima utera vuba cyangwa utari umeze neza (arrhythmia) .

Niba ufite ibi bimenyetso, reba muganga wawe nta kabuza.

Niba waramaze gupimwa indwara ya hyperthyroidism, ikizamini cya T3 gishobora kugaragaza ubukana bw'indwara yawe. Muri rusange, uko urugero rwa T3 ruri hejuru, niko hyperthyroidism iba ikomeye.

Bigenda bite iyo urugero rwa T3 rugabanutse?

Kugabanuka k'urugero rwa T3 ku rugero rusanzwe bishobora kugaragaza ko ufite hypothyroidism , thyroid gland idakora neza. Ariko, abaganga ntibishingikiriza gusa ku bipimo bya T3 kugira ngo bapime hypothyroidism. Ibi biterwa nuko urugero rwa T3 akenshi ari cyo kintu cya nyuma kidakora neza mu bipimo by'imikorere ya tiroyide.

Byongeye kandi, hari abantu bashobora kuba bafite urugero rwa TSH ruri hejuru, urugero rwa T4 rudafite imikorere ruke, ndetse n'urugero rukabije rwa hypothyroidism, ariko urugero rwa T3 rusanzwe.

Hari izindi mpamvu zishobora gutuma urugero rwa T3 rugabanuka ugereranije n'ibisanzwe. Urugero, imiti nka steroid na amiodarone (umuti ukoreshwa mu kuvura indwara zifata imitsi), ndetse n'indwara zikomeye. Ibi bintu bishobora kugabanya umuvuduko umubiri wacu uhindura T4 (imisemburo idakora) muri T3 (imisemburo ikora). Ibi bishobora gutuma urugero rwa T3 rugabanuka.

Ese nkwiye guhangayikishwa niba ibisubizo byanjye bya T3 biri hasi cyangwa biri hejuru?

Ibisubizo byose bya T3 bikunze kuba ari byo. Ariko, hari ibintu bimwe na bimwe, nk'imiti imwe n'imwe, inyongeramusaruro, no gutwita, bishobora kugira ingaruka ku bisubizo. Muganga wawe azasuzuma ibi bintu mu gihe asobanura ibisubizo byawe.

Ni ibisanzwe kumva uhangayitse kandi ufite stress iyo ubonye ibisubizo by’ikizamini kidasanzwe. Ariko ibuka ko indwara za tiroyide zikunze kugaragara kandi zishobora kuvurwa. Muganga wawe azakubwira niba ukeneye ibindi bipimo kugira ngo hamenyekane icyateye urugero rudasanzwe rwa T3 mu mubiri wawe. Ntutinye kubaza muganga wawe ibibazo . Arahari kugira ngo agufashe.

Ibintu by'ingenzi cyane ugomba kwibuka (Ubutumwa bwo kujyana mu rugo)

Sawa, twaganiriye cyane ku ikizamini cya T3, si byo se? Hanyuma, dore bimwe mu bintu by'ingenzi ugomba kwibuka:

• T3 ni imisemburo ikorwa n'ingirabuzimafatizo ya tiroyide kandi ni ingenzi mu mikorere myinshi mu mubiri wacu.
• Ikizamini cya T3 gikoreshwa cyane cyane mu gusuzuma no kugenzura hyperthyroidism (thyroid ikora cyane).
• Iki ni ikizamini cyoroheje cy'amaraso. Nta ngaruka zikomeye zihari.
• Iyo ubonye ibisubizo, gereranya n'urugero rusanzwe.
• Niba urugero rwa T3 ruri hejuru, bishobora kuba indwara yitwa hyperthyroidism. Menya ibimenyetso byayo.
• Iyo urugero rwa T3 ruri hasi, bishobora guterwa na hypothyroidism cyangwa indi mpamvu.
• Niba ufite gushidikanya cyangwa ibibazo ku bisubizo, menya neza ko wavuganye na muganga wawe. Ntukisuzumishe.

Ndizera ko aya makuru azaba ingirakamaro. Komeza ugire ubuzima bwiza!

Ikizamini cya tiroyide , ikizamini cya T3, triiodothyronine, hyperthyroidism, imisemburo, ikizamini cy'amaraso, imyuka ya tiroyide