Ingabe uke wacelwa ukuthi wenze isivivinyo se-T3 ukuze uthole ukuthi ama-hormone akho e-thyroid angakanani? (T3 - Isivivinyo se-Triiodothyronine)

Ingabe udokotela wake wakutshela ukuthi uhlole i-T3? Kungenzeka ukuthi ube novalo kancane lapho bekutshela lokho, akunjalo? "Kuyini lokhu i-T3? Kungani kwenziwa lokhu?" Kungase kube nemibuzo eminingi engqondweni. Ungesabi. Namuhla, sizoxoxa ngalokhu kuhlolwa kwe-T3 kalula, ngendlela ongayiqonda. Njengokukhuluma nomngane.

Iyini i-T3 (triiodothyronine) futhi yenzani?

Kalula nje, i-T3 iyi-hormone ebaluleke kakhulu emzimbeni wethu. Yenziwa yindlala encane efana novemvane etholakala ngaphansi kwesikhumba ngaphambili kwentamo yethu. Lokhu sikubiza ngokuthi indlala ye-thyroid . Iyingxenye yesistimu yethu ye-endocrine.

Indlala yegilo ikhiqiza amahomoni amabili ayinhloko. Elinye yi-T3, noma i-triiodothyronine . Elinye yi-T4, noma i-thyroxine . La mahomoni amabili, i-T3 kanye ne-T4, alawula imisebenzi eminingi ebalulekile emzimbeni wethu.

Cabanga ngalokhu: Cishe u-80% we-T3 egazini lethu ukhiqizwa ngaphandle kwendlala yegilo, ngokuguqulwa kwe-hormone ye-T4 ibe yi-T3. Okunye kukhiqizwa ngqo yindlala yegilo uqobo.

Ama-hormone afana nezithunywa ezigijima emizimbeni yethu. Ahamba egazini futhi athwale imiyalezo ezithweni zethu, emisipheni, nakwezinye izicubu ezibatshela ukuthi benzeni nokuthi bakwenze nini.

Le hormone, i-T3, iwuhlobo " olusebenzayo " lwe-hormone ye-thyroid. Okusho ukuthi, yi-T3 le ethinta amaseli emzimbeni wethu. I-T4 iwuhlobo " olungasebenzi" olulinganiselwe. Isibindi nezinso zethu ziguqula iningi le-T4 ekhishwa yi-thyroid ibe yi-T3.

Ndawonye, ​​la ma-hormone amabili i-T3 ne-T4 alawula izinto ezinjengalezi emzimbeni wethu:

• Izinga lethu lokuguqulwa kwe-metabolic (okungukuthi, izinga esiguqula ngalo ukudla esikudlayo kube amandla).
• Umsebenzi wesistimu yenhliziyo nokugaya ukudla.
• Ukulawula imisipha.
• Ukuthuthukiswa kobuchopho.
• Ukugcinwa kwamathambo.

Manje usuyaqonda ukuthi i-T3 ibaluleke kangakanani, akunjalo?

Kungani kufanele uhlolwe i-T3?

Odokotela bayalela kakhulu ukuhlolwa kwe-T3 ukuze kutholakale isimo esibizwa ngokuthi i-hyperthyroidism , okusho ukuthi i-thyroid gland ikhiqiza ama-hormone amaningi kakhulu, noma ukuze kutholakale ukuthi lesi simo sibucayi kangakanani.

Uma usuvele uthatha ukwelashwa kokufaka esikhundleni samahomoni e-thyroid (THR), udokotela wakho angase akuncome ukuthi wenze lokhu kuhlolwa njalo ukuze aqaphe amazinga akho e-T3.

Ngokuvamile, kanye nokuhlolwa kwe-T3, kwenziwa izivivinyo ezengeziwe ezifana nokuhlolwa kwe-T4 (thyroxine) kanye nokuhlolwa kwe-TSH (thyroid-stimulating hormone) ukuze kuhlolwe ukusebenza kwe-thyroid gland.

Amanye amagama okuhlolwa kwe-T3 yilawa:

• Ukuhlolwa kokusebenza kwe-thyroid
• I-triiodothyronine ephelele
• I-triiodothyronine yamahhala
• I-FT3

Ukuhlolwa kwe-T3 kukhuluma ngezinhlobo ezimbili ze-T3, akunjalo?

Yebo, kunjalo. I-Triiodothyronine, noma i-T3, ikhona egazini lethu ngezindlela ezimbili eziyinhloko:

• I-T3 yamahhala : Yilokhu okungena ezicutshini zomzimba wethu futhi kwenze umsebenzi wakho odingekayo.
• I-Bound T3: Lokhu kuboshwe kumaprotheni, ngakho-ke akukwazi ukungena kalula ezicutshini.

Ngakho-ke, kunezinhlobo eziningana zokuhlolwa ezilinganisa amazinga e-T3. Ukuhlolwa kwegazi okulinganisa kokubili i-T3 yamahhala kanye ne-T3 eboshiwe kubizwa ngokuthi ukuhlolwa okuphelele kwe-T3 . Okunye ukuhlolwa kulinganisa amazinga e-T3 yamahhala kuphela. Kodwa-ke, ukuhlolwa kwamahhala kwe-T3 ngokuvamile kungaba okunembe kancane kunokuhlolwa okuphelele kwe-T3.

Ubani owenza lolu vivinyo lwe-T3? Kwenziwa kanjani?

Kulula kakhulu. Ake sibone.

Ubani ohlola i-T3?

Amasampula egazi avame ukuthathwa ngumuntu oqeqeshiwe obizwa ngokuthi i-phlebotomist . Kodwa-ke, noma yisiphi isisebenzi sezempilo esiqeqeshwe ukuthatha igazi singakwenza lokhu. Isampula yegazi bese ithunyelwa elabhorethri. Lapho, usosayensi welabhorethri yezokwelapha ufaka isampula kuma-analyzer bese eyihlola.

Ingabe kukhona engikudingayo ukulungiselela ngaphambi kokuhlolwa kwe-T3?

Ezimweni eziningi, akukho ukulungiselela okukhethekile okudingekayo ukuze kuhlolwe igazi le-T3. Kodwa-ke, kuye ngesizathu sokuhlolwa, kungadingeka uyeke ukuthatha imithi ethile noma izithasiselo okwesikhashana. Kodwa-ke, udokotela wakho uzokunikeza imiyalelo eqondile ngalokhu.

Kwenzekani uma wenza ukuhlolwa kwegazi kwe-T3?

Ukuthatha isampula yegazi kulula kakhulu futhi kuyashesha. Nakhu okwenzekayo:

1. Uzohlaliswa esihlalweni. Isisebenzi sezempilo sizobe sesifuna umthambo engalweni yakho okulula ukuwuthola. Ngokuvamile, kukhethwa umthambo ngaphakathi kwengalo yakho, ngakolunye uhlangothi lwendololwane yakho.

2. Uma sekutholakale umthambo, indawo iyahlanzwa kahle bese kufakwa umuthi wokubulala amagciwane.

3. Bese kufakwa inaliti encane emthanjeni bese kuthathwa isampula yegazi. Kuleli qophelo, ungase uzizwe sengathi intuthwane encane iyakubhoboza.

4. Ngemva kokufaka inaliti, inani elincane legazi liqoqwa epayipini lokuhlola.

5. Ngemva kokuthathwa kwesampula yegazi, inaliti iyasuswa bese kufakwa ucezu lwekotini noma i-gauze endaweni bese kufakwa ingcindezi encane ukuze kumiswe ukopha.

6. Bese kufakwa iplasta endaweni bese umsebenzi usuqediwe.

Lonke lolu hlelo luthatha imizuzu engaphansi kwemihlanu. Kushesha kakhulu, akunjalo?

Kwenzekani ngemva kokuhlolwa kwe-T3?

Ngemva kokuthathwa kwesampula yegazi lakho, lithunyelwa elabhorethri ukuze lihlolwe. Uma imiphumela yokuhlolwa isitholakala, udokotela wakho uzokwazisa ngemiphumela.

Ingabe zikhona izingozi zokuhlolwa kwegazi le-T3?

Ukuhlolwa kwegazi kuyingxenye evamile kakhulu futhi edingekayo yokuhlolwa kwezokwelapha kanye nokuxilongwa. Izingozi zokuhlolwa kwegazi le-T3 ziphansi kakhulu. Ungase ube nokulimala okuncane noma ubuhlungu lapho igazi likhishwa khona, kodwa lokhu kuzophola ngokushesha. Ngakho-ke akukho okufanele ukhathazeke ngakho.

Kuthatha isikhathi esingakanani ukuthola imiphumela yokuhlolwa kwe-T3?

Ezimweni eziningi, imiphumela yakho yokuhlolwa kwe-T3 kufanele itholakale zingakapheli izinsuku ezimbili zebhizinisi, kodwa ngezinye izikhathi kungathatha isikhathi eside.

Yini ekhona embikweni wemiphumela evela ekuhlolweni kwe-T3?

Umbiko wokuhlolwa kwegazi, okuhlanganisa nombiko wokuhlolwa kwe-T3, uvame ukuqukethe ulwazi olufana nalolu:

• Igama lokuhlolwa kwegazi, noma lokho okulinganiswe egazini lakho.
• Inombolo noma isilinganiso somphumela wokuhlolwa kwegazi lakho.
• Lelo ibanga lokulinganisa elijwayelekile lokuhlolwa.
• Ulwazi olukhombisa ukuthi umphumela wakho ujwayelekile noma awujwayelekile, noma uphezulu noma uphansi.

Anjani amazinga e-T3 ajwayelekile?

Ububanzi obujwayelekile banoma yikuphi ukuhlolwa kwelabhorethri, okuhlanganisa nokuhlolwa kwe-T3, bungahluka kancane phakathi kwamalabhorethri. Ngakho-ke, qiniseka ukuthi uhlola ububanzi bokubhekisela embikweni wakho wemiphumela. Uma unemibuzo mayelana nemiphumela yakho, buza udokotela wakho.

Amazinga ajwayelekile e-T3

Amazinga ajwayelekile e-T3 ayahlukahluka ngokweminyaka. Nazi izilinganiso ezijwayelekile ze-T3 zabantu abanempilo:

• Izingane ezineminyaka eyi-1-5 ubudala: 106 - 203 ama-nanogram nge-deciliter `(ng/dL)`
• Izingane ezineminyaka engu-6-10 ubudala: 104 – 183 `ng/dL`
• Izingane eziphakathi kweminyaka eyi-11-14 ubudala: 68 - 186 `ng/dL`
• Intsha ephakathi kweminyaka eyi-15-17 ubudala: 71 – 175 `ng/dL`
• Abantu abadala abaneminyaka engu-18-99 ubudala: 79 – 165 `ng/dL`

Amazinga ajwayelekile e-T3 yamahhala

Ukuhlolwa kwe-T3 kwamahhala akuthembekile kakhulu, ngakho odokotela abavamile ukuku-oda. Kodwa ungahlola la mazinga. Nazi izinhlobo ezijwayelekile ze-T3 zamahhala zabantu abanempilo:

• Izinsana kusukela ekuzalweni kuya ezinsukwini ezi-3: 1.4 – 5.4 ama-picogram nge-milliliter `(pg/mL)`
• Izinsana ezinezinsuku ezi-4 kuya kwezingama-30 ubudala: 2.0 – 5.2 `pg/mL`
• Izinsana ezineminyaka eyi-1 kuya kweyi-1: 1.5 – 6.4 `pg/mL`
• Izingane ezineminyaka engu-1-6 ubudala: 2.0 – 6.0 `pg/mL`
• Izingane eziphakathi kweminyaka engu-7-11 ubudala: 2.7 – 5.2 `pg/mL`
• Izingane ezincane eziphakathi kweminyaka eyi-12-17: 2.3 – 5.0 `pg/mL`
• Abantu abadala abaneminyaka engu-18-99 ubudala: 2.3 – 4.1 `pg/mL`

Kwenzekani uma amazinga e-T3 ephakanyisiwe?

Amazinga aphezulu kunejwayelekile e-T3 abonisa i-hyperthyroidism , okusho ukuthi i-thyroid gland isebenza ngokweqile. Kunezimbangela eziningana ze-hyperthyroidism. Izibonelo zifaka phakathi isifo sikaGraves (isimo sokuzivikela komzimba), amaqhubu e-thyroid , kanye ne-thyroiditis .Izinto ezifana ne-`(Thyroiditis)` (lokho kusho ukuvuvukala/ukuvuvukala kwendlala yegilo).

I-Hyperthyroidism ibangela ukuthi i-metabolism yakho isheshise. Lokhu kungaba yingozi empilweni yakho. Ezinye izimpawu ze-hyperthyroidism zifaka:

• Ukwehlisa isisindo ngaphandle kwesizathu.
• Ukuzizwa uthuthumela futhi/noma ungahlaliseki.
• Ukwanda kokuya endlini yokugezela.
• Ukushaya kwenhliziyo okusheshayo noma okungajwayelekile (i-arrhythmia) .

Uma unalezi zimpawu, qiniseka ukuthi ubona udokotela wakho.

Uma usuvele utholakale une-hyperthyroidism, ukuhlolwa kwe-T3 kunganquma ubukhali besimo sakho. Ngokuvamile, uma izinga le-T3 liphezulu, kulapho i-hyperthyroidism iba nzima khona.

Kwenzekani uma amazinga e-T3 ehla?

Izinga le-T3 eliphansi kunelijwayelekile lingabonisa ukuthi une -hypothyroidism , i-thyroid gland engasebenzi kahle. Kodwa-ke, odokotela abathembeli kuphela ekuhlolweni kwe-T3 ukuze bathole i-hypothyroidism. Lokhu kungenxa yokuthi amazinga e-T3 ngokuvamile ayiyona into yokugcina engavamile ekuhlolweni kokusebenza kwe-thyroid.

Ngaphezu kwalokho, abanye abantu bangase babe namazinga aphezulu e-TSH, amazinga aphansi e-T4 yamahhala, kanye ne-hypothyroidism enzima, kodwa amazinga ajwayelekile e-T3.

Kunezinye izizathu ezenza amazinga e-T3 abe ngaphansi kunokujwayelekile. Isibonelo, imithi efana nama-steroids kanye ne-amiodarone (umuthi osetshenziselwa ukwelapha i-arrhythmias), kanye nezimo zezokwelapha ezingathi sína. Lezi zici zinganciphisa izinga umzimba wethu oguqula ngalo i-T4 (i-hormone engasebenzi) ibe yi-T3 (i-hormone esebenzayo). Lokhu kungaholela emazingeni aphansi e-T3.

Ingabe kufanele ngikhathazeke uma imiphumela yami yokuhlolwa kwe-T3 iphansi noma iphezulu?

Imiphumela yokuhlolwa kwe-T3 iyonke ivame ukuba nembayo. Kodwa-ke, ezinye izici, njengemithi ethile, izithasiselo, kanye nokukhulelwa, zingathinta imiphumela. Udokotela wakho uzocabangela lezi zici lapho echaza imiphumela yakho.

Kujwayelekile ukuzizwa ukhathazekile futhi ucindezelekile uma ubona umphumela wokuhlolwa ongajwayelekile. Kodwa khumbula, izimo ze-thyroid zivame kakhulu futhi ziyalapheka. Udokotela wakho uzokutshela uma kudingeka ukuhlolwa okwengeziwe ukuze kutholakale imbangela yamazinga akho e-T3 angajwayelekile. Ungesabi ukubuza udokotela wakho imibuzo . Ukhona ukuzokusiza.

Izinto ezibaluleke kakhulu okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, sesikhulume kakhulu ngokuhlolwa kwe-T3, akunjalo? Okokugcina, nazi ezinye zezinto ezibaluleke kakhulu okudingeka uzikhumbule:

• I-T3 iyi-hormone ekhiqizwa yi-thyroid gland futhi ibalulekile emisebenzini eminingi emzimbeni wethu.
• Ukuhlolwa kwe-T3 kusetshenziselwa kakhulu ukuxilonga nokuqapha i-hyperthyroidism (i-thyroid esebenza ngokweqile).
• Lokhu ukuhlolwa kwegazi okulula. Akukho bungozi obukhulu.
• Uma uthola imiphumela, qhathanisa nobubanzi obujwayelekile.
• Uma amazinga akho e-T3 ephezulu, kungaba yisimo esibizwa ngokuthi i-hyperthyroidism. Qaphela izimpawu.
• Uma amazinga e-T3 ephansi, kungenzeka ukuthi kungenxa ye-hypothyroidism noma esinye isizathu.
• Uma unokungabaza noma imibuzo mayelana nemiphumela, qiniseka ukuthi ukhuluma nodokotela wakho. Ungazihlolisisi.

Ngithemba ukuthi lolu lwazi luwusizo. Hlala uphilile!

I- thyroid, ukuhlolwa kwe-T3, i-triiodothyronine, i-hyperthyroidism, ama-hormone, ukuhlolwa kwegazi, i-thyroid gland