I-T3 ne-T4: ziyini, ziyini nokuthi ukuhlolwa kukhonjisiwe

-Delile

• Yini efanelekile
• Lapho ukuhlolwa kuboniswa
• Uwuqonda kanjani umphumela

I-T3 ne-T4 ngamahomoni akhiqizwa yindlala yegilo, ngaphansi kokugqugquzela i-hormone TSH, nayo ekhiqizwa yi-thyroid, futhi ebamba iqhaza ezinqubweni eziningana emzimbeni, ikakhulukazi ezihlobene nokwakheka komzimba nokunikezwa kwamandla ukuze kusebenze kahle lomzimba.

Umthamo wala mahomoni ukhonjiswa ngudokotela we-endocrinologist noma udokotela ojwayelekile ukuze ahlole impilo yomuntu jikelele noma aphenye imbangela engaba khona yezimpawu ezithile ezingahlobene nokungasebenzi kahle kwe-thyroid, njengokukhathala ngokweqile, ukulahleka kwezinwele, ubunzima bokunciphisa ukulahlekelwa isifiso sokudla, isibonelo.

Yini efanelekile

Ama-hormone T3 no-T4 akhiqizwa yi-gland yegciwane futhi alawula izinqubo eziningana emzimbeni, ikakhulukazi ezihlobene ne-metabolism yeselula. Eminye yemisebenzi esemqoka ye-T3 ne-T4 emzimbeni yile:

• Ukukhula okujwayelekile kwezicubu zobuchopho;
• Umzimba wamafutha, ama-carbohydrate namaprotheni;
• Ukulawulwa kokushaya kwenhliziyo;
• Ukukhuthazwa kokuphefumula kwamaselula;
• Ukulawulwa komjikelezo wokuya esikhathini.

I-T4 ikhiqizwa yi-thyroid futhi ihlala inamathele kuma-protein ukuze ihanjiswe egazini iye ezingxenyeni ezahlukahlukene futhi, ngaleyo ndlela, ingenza umsebenzi wayo. Kodwa-ke, ukuze isebenze, i-T4 yehlukaniswa neprotheni, iyasebenza futhi yaziwe njenge-T4 yamahhala. Funda kabanzi nge-T4.

Esibindi, i-T4 ekhiqizwayo ihlanganiswa nokwenziwa kobunye amandla okusebenza, okuyi-T3. Yize i-T3 itholakala kakhulu ku-T4, indlala yegilo nayo ikhiqiza la mahomoni ngamanani amancane. Bona eminye imininingwane nge-T3.

Lapho ukuhlolwa kuboniswa

Umthamo we-T3 no-T4 ukhonjiswa lapho kunezibonakaliso nezimpawu ezikhombisa ukuthi i-thyroid ayisebenzi kahle, futhi ingahle ikhombise i-hypo noma i-hyperthyroidism, isifo se-Graves noma i-Hashimoto's thyroiditis, isibonelo.

Ngaphezu kwalokho, ukusebenza kwalolu vivinyo kungakhonjiswa futhi njengenqubo ejwayelekile yokuhlola impilo yomuntu ojwayelekile, ekuphenyweni kokungazali kwabesifazane nasekusolekeni komdlavuza wegilo.

Ngakho-ke, ezinye zezimpawu nezimpawu ezingakhombisa ukuguqulwa kwe-thyroid nokuthi umthamo wamazinga we-T3 no-T4 anconyiwe yile:

• Kunzima ukunciphisa umzimba noma ukuthola isisindo kalula futhi ngokushesha;
• Rapid kwesisindo;
• Ukukhathala ngokweqile;
• Ubuthakathaka;
• Ukwanda kwesifiso sokudla;
• Ukulahleka kwezinwele, isikhumba esomile nezinzipho ezibuthaka;
• Ukuvuvukala;
• Ukuguqulwa komjikelezo wokuya esikhathini;
• Shintsha ekushayeni kwenhliziyo.

Ngaphezu kwesilinganiso se-T3 ne-T4, ezinye izivivinyo zivame ukucelwa ukusiza ukuqinisekisa ukuxilongwa, ikakhulukazi ukukalwa kwehomoni ye-TSH nama-antibodies, futhi kungenzeka futhi ukwenza i-ultrasound ye-thyroid. Thola okuningi mayelana nokuhlolwa okukhonjisiwe ukuhlola i-thyroid

Uwuqonda kanjani umphumela

Imiphumela yokuhlolwa kwe-T3 ne-T4 kufanele ihlolwe ngudokotela we-endocrinologist, udokotela ojwayelekile noma udokotela okhombise ukuhlolwa, kanye nomphumela wokunye ukuhlolwa okuhlola igilo, iminyaka yomuntu nempilo ejwayelekile kufanele ibhekwe. Ngokuvamile, amazinga we-T3 no-T4 abhekwa njengokujwayelekile yilawa:

• Ingqikithi ye-T3: 80 no-180 ng / dL;
• T3 mahhala:2.5 - 4.0 ng / dL;
• Ingqikithi ye-T4: 4.5 - 12.6 µg / dL;
• I-T4 yamahhala: 0.9 - 1.8 ng / dL.

Ngakho-ke, ngokuya ngamanani we-T3 ne-T4, kungenzeka ukwazi ukuthi ngabe i-thyroid isebenza kahle. Imvamisa, amanani we-T3 no-T4 ngaphezulu kwenani lesethenjwa akhombisa i-hyperthyroidism, kuyilapho amanani aphansi akhombisa i-hypothyroidism, kodwa-ke okunye ukuhlolwa kuyadingeka ukuqinisekisa umphumela.