Ingabe ngezinye izikhathi uzizwa uqhaqhazela, ukhathazekile, noma unenhliziyo egijimayo ngaphandle kwesizathu? Noma ingabe wehlisa isisindo ngisho nangemva kokudla kahle? Uma unalezi zimpawu, udokotela wakho kungenzeka ukuthi ucele ukuhlolwa kwegazi ukuze kuhlolwe amazinga akho e-thyroid hormone. Uma ubona inani le-T3 kulowo mbiko, ungase uzibuze, "Isho ukuthini i-T3?" Ungakhathazeki, kulula kakhulu. Namuhla, sizochaza konke mayelana nokuhlolwa kwe-T3 ngendlela ongayiqonda.
Ngakho-ke, iyini le T3?
Kalula nje, i-T3 iyi-hormone ebaluleke kakhulu emzimbeni wethu. Igama layo eliphelele yi -Triiodothyronine . Kodwa uma sikhuluma ngayo, sonke siyibiza ngokuthi i-T3.
Le hormone ye-T3 ikhiqizwa yindlala encane efana novemvane etholakala ngaphansi kwesikhumba ngaphambili kwentamo yethu. Lokhu sikubiza ngokuthi yindlala ye-thyroid . Le ndlala ye-thyroid iyingxenye ebaluleke kakhulu ohlelweni lwe-endocrine lomzimba wethu.
Indlala yegilo ikhiqiza izinhlobo ezimbili zamahomoni.
1. I-T3 (i-triiodothyronine)
2. I-T4 (i-Thyroxine)
Zombili lezi ama-hormone abalulekile ekusebenzeni kwemizimba yethu. Ukuhlolwa kwe-T3 kulinganisa izinga lale hormone ye-T3 egazini lakho.
Bheka manje, le hormone ye-T3 ingaba khona egazini lethu ngezindlela ezimbili.
- I-T3 yamahhala: Lena yingxenye ye-T3 esebenza ngempela, ingxenye engena ezicutshini zomzimba wethu futhi yenze umsebenzi wayo.
- I-T3 eboshiwe: Le ngxenye ye-T3 iboshiwe kumaprotheni, ngakho ayikwazi ukungena ezicutshini.
Ngakho-ke, odokotela basebenzisa izinhlobo eziningana zokuhlolwa ukuhlola amazinga e-T3. Ukuhlolwa 'kwe-Total T3' kulinganisa isamba se-Free T3 kanye ne-Bound T3, njengoba kushiwo ngenhla. Ukuhlolwa 'kwe-Free T3' kulinganisa kuphela izinga le-T3 yamahhala. Kodwa-ke, ukuhlolwa kwe-Total T3 ngokuvamile kubhekwa njengokunembe kakhulu kunokuhlolwa kwe-Free T3.
Ngokuvamile, udokotela uzoyala ukuhlolwa kwe-T4 kanye nokuhlolwa kwe-TSH (i-Thyroid-Stimulating Hormone) kanye nokuhlolwa kwe-T3 ukuze athole umbono ongcono ngokusebenza kwe-thyroid gland iyonke.
Yini eyenziwa yi-hormone ye-T3 emzimbeni?
I-T3 iyona esebenza kakhulu kunama-hormone amabili e-thyroid. Okusho ukuthi, yi-T3 ngokuyinhloko ethinta amangqamuzana omzimba wethu futhi ilawula izinqubo ezahlukene. I-T4 yaziwa ngokuthi i-hormone engasebenzi .
Cabanga nge-T4 njengento eluhlaza engasetshenziswa okwamanje. Isibindi nezinso zethu zithatha le T4 bese ziyiguqula ibe yi-hormone ye-T3 esebenza kahle engenza umsebenzi wayo. Cishe u-80% we-T3 egazini lethu ukhiqizwa yi-T4 ngale ndlela. Okusele kukhiqizwa ngqo yi-thyroid gland uqobo.
La ma-hormone e-T3 kanye ne-T4 asebenza ndawonye ukulawula izinto eziningi ezibaluleke kakhulu emzimbeni wethu.
- Izinga lokuguqulwa kwe-metabolic: Lesi yisilinganiso lapho ukudla esikudlayo kuguqulwa khona kube amandla. Lokhu kufana nesivinini senjini yemoto. Njengoba i-T3 ikhula, lesi silinganiso naso siyakhula, futhi njengoba i-T3 incipha, iyancipha.
- Umsebenzi wenhliziyo nowokugaya ukudla: Lawa ma-hormone athinta izinto ezifana nesivinini inhliziyo yethu eshaya ngaso kanye nomsebenzi wamathumbu ethu.
- Ukulawulwa kwemisipha: I-T3 ibalulekile ekuqiniseni nasekusebenzeni kwemisipha.
- Ukuthuthukiswa kobuchopho: Ama-hormone e-thyroid abaluleke kakhulu ekuthuthukisweni kobuchopho, ikakhulukazi ezinganeni ezincane.
- Ukugcina uhlelo lwamathambo: Lawa ma-hormone asiza futhi ekugcineni amathambo eqinile.
Kungani udokotela angancoma ukuhlolwa kwe-T3?
Isizathu esiyinhloko sokuthi udokotela angase acele ukuhlolwa kwe-T3 ukuqinisekisa isimo esibizwa ngokuthi i-hyperthyroidism . I-Hyperthyroidism yilapho indlala yegilo isebenza ngokweqile futhi ikhiqiza amahomoni amaningi kunalokho umzimba okudingayo.
Ukuhlolwa kwe-T3 akugcini nje ngokunquma ukuthi lesi simo sikhona noma cha, kodwa futhi nokuthi sibi kangakanani.
Ngaphezu kwalokho, uma usuvele uthatha imithi yesifo se-thyroid, udokotela wakho angakucela ukuthi wenze isivivinyo se-T3 ngezikhathi ezithile ukuze abone ukuthi ukwelashwa kuyasebenza yini nokuthi amazinga akho ama-hormone aselawulwa yini manje.
Ake sifunde ngokunikela ngegazi ukuze kuhlolwe i-T3.
ESri Lanka, siyesaba kancane ukunikela ngegazi. Kodwa lokhu kuyinto encane kakhulu. Awunaso isizathu sokwesaba.
Ingabe udinga ukulungiselela ngaphambi kokuhlolwa?
Ngokuvamile akukho ukulungiselela okukhethekile okudingekayo ukuze kuhlolwe igazi le-T3. Ungadla futhi uphuze ngendlela evamile. Kodwa-ke, uma uthatha noma yimiphi imithi (ikakhulukazi ama-hormone) noma amavithamini (njenge-biotin), qiniseka ukuthi uyamtshela udokotela wakho . Eminye imithi ingathinta imiphumela yokuhlolwa. Ngakho-ke, udokotela wakho angakucela ukuthi uyeke ukuyithatha usuku noma ezimbili ngaphambi kokuhlolwa.
Kwenzekani uma unikela ngegazi?
Lena inqubo elula kakhulu. Kuthatha imizuzu engaphansi kwemihlanu.
- Uzohlaliswa esihlalweni, bese uchwepheshe welabhorethri (i-phlebotomist) ethola umthambo engalweni yakho. Ngokuvamile, igazi lithathwa ngaphakathi kwendololwane yakho.
- Uma umthambo usutholakele, indawo iyahlanzwa ngendwangu encane yekotini.
- Bese kufakwa inaliti encane kakhulu emthanjeni, bese kuthathwa inani legazi elidingekayo lifakwe ebhodleleni elincane (ithubhu lokuhlola). Uma inaliti ifakwa, kuzwakala sengathi intuthwane encane iyakuluma.
- Ngemva kokukhishwa kwegazi, inaliti iyasuswa bese kufakwa ucezu lwekotini endaweni bese lucindezelwa phansi.
- Ngemuva kwalokho ungafaka iplasta encane kuleyo ndawo bese uhamba.
Ungakhathazeki ngalokhu. Ngemva kokunikela ngegazi, ungase uzwe inxeba elincane engalweni yakho. Lizophola ngokwalo ngosuku olulodwa noma ezimbili.
Ungawuqonda kanjani umbiko we-T3?
Ngokuvamile uzothola umbiko wakho wokuhlolwa kwe-T3 zingakapheli izinsuku ezimbili. Uma uthola umbiko, ungakhathazeki ngezinombolo ezikuwo. Umbiko uvame ukufaka imininingwane efana nale:
- Igama Lokuhlolwa: Igama lokuhlolwa (isb. T3 - Isamba)
- Umphumela: Inani elilinganiswe kusukela kusampula yegazi lakho.
- Ibanga Lokubhekisela / Ibanga Elijwayelekile: Ububanzi bamanani ajwayelekile okufanele umuntu ophilile abe nawo.
- Amayunithi: Amayunithi lapho inani lilinganiswa khona (isb. ng/dL noma pg/mL).
Into ebaluleke kakhulu ukuqhathanisa imiphumela yakho 'ne-Reference Range' enikezwe yilebhu uqobo, njengoba la manani ajwayelekile angahluka kancane kusuka kwenye ilebhu kuya kwenye.
Ngezansi kunombono oqondile wamanani ajwayelekile e-T3 kumaqembu ahlukene eminyaka.
| Inani Eliphelele Le-T3 Amanani Ajwayelekile (ng/dL) | |
|---|---|
| Iqembu lobudala | Ibanga elijwayelekile (ng/dL) |
| Iminyaka eyi-1 - 5 | 106 – 203 |
| Iminyaka eyi-6 - 10 | 104 – 183 |
| Iminyaka eyi-11 - 14 | 68 – 186 |
| Iminyaka engu-15 - 17 ubudala | 71 – 175 |
| Abantu abadala (18+) | 79 – 165 |
| Amanani Ajwayelekile E-T3 Amahhala (pg/mL) | |
|---|---|
| Iqembu lobudala | Ibanga elijwayelekile (pg/mL) |
| Izinsana (inyanga eyodwa - unyaka owodwa) | 1.5 – 6.4 |
| Iminyaka eyi-1 - 6 | 2.0 – 6.0 |
| Iminyaka engu-7 - 11 | 2.7 – 5.2 |
| Iminyaka engu-12 - 17 ubudala | 2.3 – 5.0 |
| Abantu abadala (18+) | 2.3 – 4.1 |
Kwenzekani uma amazinga e-T3 'ephezulu' (i-T3 ephezulu)?
Uma izinga lakho le-T3 lingaphezu kwesilinganiso esijwayelekile, ngokuvamile kusho ukuthi une -hyperthyroidism , noma i-thyroid gland esebenza ngokweqile. Lokhu kusho ukuthi i-metabolism yomzimba wakho ishesha ngokungadingekile.
Kungase kube nezizathu eziningana zalokhu.
- Isifo sikaGraves: Lokhu kwenzeka lapho amasosha omzimba wethu ehlasela i-thyroid gland, eyikhuthaza ukuthi ikhiqize ama-hormone amaningi kakhulu.
- Amaqhubu e-thyroid: Amanye amaqhubu e-thyroid gland angakhiqiza ama-hormone amaningi kakhulu.
- I-thyroiditis: Lokhu ukuvuvukala kwendlala yegilo.
Uma amazinga e-T3 ekhuphuka, izimpawu ezifana nalezi:
- Ukwehlisa isisindo ngaphandle kwesizathu naphezu kokudla kahle.
- Ukushaya kwenhliziyo okusheshayo noma okungajwayelekile.
- Ukuzizwa ungenakuthula njalo, ukhathazekile, futhi uthuthumela izandla.
- Ukujuluka ngokweqile, ukungakwazi ukubekezelela ukushisa.
- Ukudinga ukuya endlini yangasese njalo.
- Ukungajwayelekile kwemijikelezo yokuya esikhathini kwabesifazane.
Kuye ngokuthi inani le-T3 liphakeme kangakanani, udokotela angakwazi ukunquma ubucayi besifo.
Kusho ukuthini ukuthi izinga le-T3 'liphansi'?
Izinga le-T3 elingaphansi kwesilinganiso esijwayelekile lingaba uphawu lwe- hypothyroidism , noma i-thyroid gland engasebenzi kahle. Kodwa-ke, odokotela abathembeli kakhulu ekuhlolweni kwe-T3 ukuze bathole i-hypothyroidism. Lokhu kungenxa yokuthi amazinga e-TSH ne-T4 avame ukushintsha kuqala kulesi simo. Kwezinye izimo ezinzima ze-hypothyroidism, amazinga e-TSH angaba phezulu kakhulu kanti amazinga e-T4 aphansi, kodwa amazinga e-T3 angaba ajwayelekile.
Kungase kube nezinye izizathu zamazinga aphansi e-T3.
- Ukusetshenziswa kwemithi ethile efana nama-steroid .
- Imithi efana ne -Amiodarone, esetshenziselwa izifo zenhliziyo.
- Ezinye izifo ezinkulu emzimbeni.
Ezimweni ezinjengalezi, inqubo yomzimba yokuguqula i-hormone ye-T4 ibe yi-T3 iyaphazamiseka, okuholela emazingeni aphansi e-T3 egazini.
Ingabe kufanele ngikhathazeke uma inani embikweni selishintshile?
Lutho neze. Kuvamile ukuzizwa wesaba uma ubona umbiko webhubhu okhombisa inani elingaphandle kwebanga elijwayelekile. Kodwa into ebaluleke kakhulu okudingeka uyiqonde ukuthi awukwazi ukunquma isifo ngokusekelwe enombolweni eyodwa kuphela embikweni.
Khumbula, umbiko welebhu awulandisi yonke indaba. Udokotela wakho kuphela ongawuchaza ngokunembile, awuhlobanise nezimpawu zakho, futhi akunike ukuxilongwa okunembile.
Amazinga e-T3 angashintsha ngesikhathi sokukhulelwa noma ngenxa yeminye imithi oyithathayo. Udokotela wakho uzokucabangela konke lokhu lapho ekunikeza incazelo.
Izifo ze-thyroid zivame kakhulu kulezi zinsuku. Futhi kunezindlela zokwelapha eziphumelela kakhulu . Ngakho-ke ungakhathazeki ngokungadingekile ngombiko. Buza udokotela wakho nganoma yimiphi imibuzo noma ukungabaza ongase ube nakho. Uhlala ekulungele ukukusiza.
Umlayezo Wokuya Nawe Ekhaya
- I-T3 iyi-hormone ebalulekile ekhiqizwa yi-thyroid gland entanyeni yethu elawula ukusebenza komzimba.
- Ukuhlolwa kwe-T3 kusetshenziselwa kakhulu ukuthola i-hyperthyroidism.
- Akukho ukulungiselela okukhethekile okudingekayo kulolu vivinyo, kodwa kubaluleke kakhulu ukutshela udokotela wakho nganoma yimiphi imithi oyiphuzayo.
- Uma inani le-T3 embikweni 'liphezulu', lingabonisa isimo esibizwa ngokuthi i-Hyperthyroidism, futhi uma 'liphansi', lingabonisa isimo esibizwa ngokuthi i-Hypothyroidism.
- Ungenzi izinqumo ngokusekelwe emiphumeleni yelabhorethri. Qiniseka ukuthi ubonisa udokotela wakho umbiko futhi uthole iseluleko esifanele.
- Isifo se-thyroid siyisimo esingalawulwa kahle ngokwelashwa, ngakho-ke asikho isizathu sokusesaba.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho