Kuyesa kwaulere T4

T4 (thyroxine) ndiye mahomoni opangidwa ndi chithokomiro. Kuyeza kwa labotale kungachitike kuti muyeza kuchuluka kwa T4 yaulere m'magazi anu. T4 yaulere ndi thyroxine yomwe siilumikizidwa ndi mapuloteni m'magazi.

Muyenera kuyesa magazi.

Wothandizira zaumoyo wanu angakuuzeni ngati mukufuna kusiya kumwa mankhwala aliwonse omwe angakhudze zotsatira zake. Mwambiri, zotsatira za mayeso sizimakhudzidwa ndi mankhwala ena omwe mukumwa. Komabe, zowonjezera zina kuphatikiza biotin (vitamini B7) zimatha kukhudza zotsatira. Uzani wothandizira wanu ngati mukugwiritsa ntchito biotin.

Mimba ndi matenda ena, kuphatikizapo matenda a impso ndi chiwindi, amathanso kukhudza zotsatira za mayeso awa.

Pamene singano imayikidwa kuti ikoke magazi, anthu ena amamva kupweteka pang'ono. Ena amangomva kubaya kapena kuluma. Pambuyo pake, pakhoza kukhala kupunduka kapena kuvulala pang'ono. Izi posachedwa zichoka.

Wopezayo angakulimbikitseni kuyesedwa uku ngati muli ndi zizindikiro za matenda a chithokomiro, kuphatikizapo:

• Zotsatira zosazolowereka za mayeso ena amwazi wa chithokomiro, monga TSH kapena T3
• Zizindikiro za chithokomiro chopitirira muyeso
• Zizindikiro za chithokomiro chosagwira ntchito
• Hypopituitarism (chiberekero cha pituitary sichimatulutsa mahomoni okwanira)
• Bulu kapena nodule mu chithokomiro
• Kukula kapena kusasinthasintha kwa chithokomiro
• Mavuto kutenga pakati

Mayesowa amagwiritsidwanso ntchito kuwunika anthu omwe akuchiritsidwa mavuto a chithokomiro.

Mtundu wabwinobwino ndi 0,9 mpaka 2.3 nanograms pa desilita imodzi (ng / dL), kapena ma picomoles 12 mpaka 30 pa lita (pmol / L).

Mitengo yamtengo wapatali imatha kusiyanasiyana pakati pa ma labotore osiyanasiyana. Ma labotale ena amagwiritsa ntchito miyeso yosiyana kapena amatha kuyesa mitundu yosiyanasiyana. Lankhulani ndi omwe akukuthandizani za tanthauzo la zotsatira zanu zoyeserera.

Mtundu wabwinobwino umakhazikitsidwa ndi anthu ambiri ndipo sikuti ndimunthu wamba. Mutha kukhala kuti mukukhala ndi zizindikiro za hyperthyroidism kapena hypothyroidism ngakhale T4 yanu yaulere ili mchizolowezi. Mayeso a TSH angakuthandizeni kudziwa ngati matenda anu akukhudzana ndi matenda a chithokomiro. Lankhulani ndi omwe amakupatsani zomwe mukudziwa.

Kuti mumvetsetse bwino zotsatira za mayeso aulere a T4, zotsatira za mayeso ena amwazi wa chithokomiro, monga TSH kapena T3, angafunike.

Zotsatira zakuyesanso zingakhudzidwe ndi mimba, kuchuluka kwa estrogen, mavuto a chiwindi, matenda owopsa thupi lonse, komanso kusintha kwa cholowa mu protein yomwe imamanga T4.

Mlingo wapamwamba kuposa T4 ukhoza kukhala chifukwa cha mikhalidwe yomwe imakhudza chithokomiro chopitilira muyeso, kuphatikiza:

• Matenda amanda
• Kumwa mankhwala ochuluka a mahomoni a chithokomiro
• Chithokomiro
• Chiwombankhanga choopsa kapena mitsempha ya poizoni ya poizoni
• Zotupa zina za ma testes kapena thumba losunga mazira (osowa)
• Kupeza mayeso azachipatala ndi utoto wosiyanasiyana womwe uli ndi ayodini (wosowa, komanso pokhapokha ngati pali vuto la chithokomiro)
• Kudya zakudya zambiri zomwe zili ndi ayodini (ndizosowa kwambiri, ndipo pokhapokha ngati pali vuto la chithokomiro)

Kutsika pang'ono kuposa T4 kumatha kukhala chifukwa cha:

• Hypothyroidism (kuphatikiza matenda a Hashimoto ndi zovuta zina zokhudzana ndi chithokomiro chosagwira ntchito)
• Matenda oopsa kwambiri
• Kuperewera kwa zakudya m'thupi kapena kusala kudya
• Kugwiritsa ntchito mankhwala ena

Pali chiopsezo chochepa chotenga magazi anu. Mitsempha ndi mitsempha imasiyana mosiyanasiyana kuchokera pa munthu wina kupita kwina komanso kuchokera mbali imodzi ya thupi kupita mbali inayo. Kupeza magazi kuchokera kwa anthu ena kumatha kukhala kovuta kuposa ena.

Zowopsa zina zomwe zimakoka magazi ndi zochepa, koma mwina ndi izi:

• Kutaya magazi kwambiri
• Kukomoka kapena kumva mopepuka
• Ma punctures angapo kuti mupeze mitsempha
• Hematoma (magazi omanga pansi pa khungu)
• Kutenga (chiopsezo chochepa nthawi iliyonse khungu likasweka)

Mayeso aulere a thyroxine; Mayeso a Thyroxine mwa kufanana kwa dialysis

• Kuyezetsa magazi

Guber HA, Farag AF. Kuwunika kwa endocrine ntchito. Mu: McPherson RA, Pincus MR, olemba., Eds. Henry's Clinical Diagnosis and Management by Laboratory Methods. Wachitatu. St Louis, MO: Elsevier; 2017: mutu 24.

Hinson J, Raven P. Endocrinology ndi njira yoberekera. Mu: Niash J, Syndercombe D, olemba. Sayansi ya Zamankhwala. Wachitatu ed. Philadelphia, PA: Elsevier; 2019: mutu 10.

Salvatore D, Cohen R, Kopp PA, Larsen PR. Chithokomiro cha pathophysiology ndikuwunika matenda. Mu: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, olemba. Buku la Williams la Endocrinology. Wolemba 14th. Philadelphia, PA: Elsevier; 2020: mutu 11.

Weiss RE, Refetoff S. Kuyesedwa kwa ntchito ya chithokomiro. Mu: Jameson JL, De Groot LJ, de Kretser DM, et al, olemba. Endocrinology: Akuluakulu ndi Ana. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier Saunders; 2016: chap 78.