Ukuhlolwa kwamahhala kwe-T4

I-T4 (thyroxine) yihomoni eyinhloko ekhiqizwa yindlala yegilo. Ukuhlolwa kwelabhorethri kungenziwa ukukala inani le-T4 yamahhala egazini lakho. I-T4 yamahhala yi-thyroxine enganamatheli kwiprotheni esegazini.

Kudingeka isampula yegazi.

Umhlinzeki wakho wezokunakekelwa kwempilo uzokutshela uma kudingeka uyeke ukuthatha noma yimiphi imithi engathinta imiphumela yokuhlolwa. Ngokuvamile, imiphumela yokuhlolwa ayithinteki eminye imithi okungenzeka ukuthi uyayiphuza. Kodwa-ke, izithasiselo ezithile ezibandakanya i-biotin (uvithamini B7) zingathinta imiphumela. Tshela umhlinzeki wakho uma uthatha i-biotin.

Ukukhulelwa kanye nezinye izifo, kufaka phakathi isifo sezinso nesibindi, nakho kungathinta imiphumela yalokhu kuhlolwa.

Lapho inaliti ifakwa ukudonsa igazi, abanye abantu bezwa ubuhlungu obulinganiselayo. Abanye bazizwa beshaywa noma betinyelwa kuphela. Ngemuva kwalokho, kungahle kube nokushaywa okuthile noma ukulimazeka okuncane. Lokhu maduzane kuyaphela.

Umhlinzeki wakho angancoma lokhu kuhlolwa uma unezimpawu zesifo se-thyroid, kufaka phakathi:

• Ukutholwa okungavamile kokunye ukuhlolwa kwegazi kwe-thyroid, njenge-TSH noma i-T3
• Izimpawu ze-thyroid engasebenzi ngokweqile
• Izimpawu ze-thyroid engasebenzi kahle
• I-Hypopituitarism (indlala ye-pituitary ayikhiqizi ama-hormone ayo anele)
• Isigaxa noma i-nodule ku-thyroid
• Indlala yegilo eyandisiwe noma engajwayelekile
• Izinkinga zokukhulelwa

Lokhu kuhlolwa kusetshenziselwa ukuqapha abantu abelashwa izinkinga ze-thyroid.

Ububanzi obujwayelekile obujwayelekile ngu-0.9 kuye ku-2.3 nanograms nge-deciliter ngayinye (ng / dL), noma ama-picomoles ayi-12 kuye kwangama-30 ngelitha ngalinye (pmol / L).

Ububanzi bamanani ajwayelekile bungahluka kancane phakathi kwamalabhorethri ahlukene. Amanye ama-laboratories asebenzisa izilinganiso ezahlukahlukene noma angahlola izinhlobo ezahlukene. Khuluma nomhlinzeki wakho mayelana nencazelo yemiphumela yakho ethile yokuhlolwa.

Ububanzi obujwayelekile bususelwa enanini labantu futhi abujwayelekile kumuntu ngamunye. Kungenzeka ukuthi unezimpawu ze-hyperthyroidism noma i-hypothyroidism noma ngabe i-T4 yakho yamahhala ikububanzi obujwayelekile. Ukuhlolwa kwe-TSH kungasiza ekunqumeni ukuthi izimpawu zakho zihlobene yini nesifo se-thyroid. Khuluma nomhlinzeki wakho mayelana nezimpawu zakho.

Ukuze uqonde ngokugcwele imiphumela yokuhlolwa kwamahhala kwe-T4, imiphumela yokuhlolwa kwegazi le-thyroid, njenge-TSH noma i-T3, ingadingeka.

Imiphumela yokuhlolwa nayo ingathinteka ukukhulelwa, izinga le-estrogen, izinkinga zesibindi, izifo ezinzima kakhulu zomzimba wonke, nezinguquko ezizuzwe njengefa kwiprotheni ebopha i-T4.

Izinga eliphakeme kunokujwayelekile le-T4 kungenzeka ngenxa yezimo ezibandakanya igilo elisebenza ngokweqile, kufaka phakathi:

• Isifo samathuna
• Ukuthatha umuthi omningi wehomoni yegilo
• Indlala yegilo
• I-goiter enobuthi noma amaqhubu we-thyroid anobuthi
• Ezinye izicubu zama-testes noma ama-ovari (ezingavamile)
• Ukuthola ukuhlolwa kwe-imaging yezokwelapha nedayi ehlukile equkethe iodine (engavamile, futhi kuphela uma kunenkinga nge-thyroid)
• Ukudla ukudla okuningi okuqukethe iodine (okungajwayelekile, futhi kuphela uma kunenkinga nge-thyroid)

Izinga eliphansi kunokujwayelekile le-T4 kungenzeka ngenxa:

• I-Hypothyroidism (kufaka phakathi isifo seHashimoto nezinye izifo ezibandakanya i-thyroid engasebenzi)
• Ukugula okukhulu kakhulu
• Ukungondleki noma ukuzila ukudla
• Ukusetshenziswa kwemithi ethile

Kunengozi encane ethintekayo ekuthatheni igazi lakho. Imithambo nemithambo yegazi kuyahluka ngosayizi komunye umuntu kuya kolunye uhlangothi lomzimba kuya kolunye. Ukuthola isampula yegazi kwabanye abantu kungaba nzima kakhulu ukwedlula kwabanye.

Ezinye izingozi ezihambisana nokudonswa igazi zincane, kepha zingafaka:

• Ukopha ngokweqile
• Ukuquleka noma uzizwe unekhanda elincane
• Ukubhoboza okuningi ukuthola imithambo
• I-hematoma (i-blood buildup ngaphansi kwesikhumba)
• Ukutheleleka (ingozi encane noma kunini lapho isikhumba siphukile)

Ukuhlolwa kwamahhala kwe-thyroxine; Ukuhlolwa kwe-Thyroxine nge-equilibrium dialysis

• Ukuhlolwa kwegazi

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UHinson J, uRaven P. Endocrinology kanye nohlelo lokuzala. Ku: Niash J, Syndercombe D, ama-eds. Isayensi Yezokwelapha. 3rd ed. IPhiladelphia, PA: Elsevier; 2019: isahluko 10.

USalvatore D, uCohen R, uKopp PA, uLarsen PR. I-pathophysiology ye-thyroid nokuhlolwa kokuxilongwa. Ku: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, abahleli. Incwadi kaWilliams ye-Endocrinology. Umhlaka 14. IPhiladelphia, PA: Elsevier; 2020: isahluko 11.

I-Weiss RE, Refetoff S. Ukuhlolwa komsebenzi we-Thyroid. Ku: Jameson JL, De Groot LJ, de Kretser DM, et al, abahleli. I-Endocrinology: Eyabantu Abadala Neyengane. Umhla wesi-7. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 78.