Mayeso a T3

Triiodothyronine (T3) ndi timadzi ta chithokomiro. Imachita gawo lofunikira pakuwongolera thupi kwa metabolism (njira zambiri zomwe zimayang'anira kuchuluka kwa ntchito m'maselo ndi minyewa).

Kuyesa kwa labotale kungachitike kuti muyeza kuchuluka kwa T3 m'magazi anu.

Muyenera kuyesa magazi.

Wothandizira zaumoyo wanu angakuuzeni ngati mukufuna kusiya kumwa mankhwala musanayezedwe komwe kungakhudze zotsatira zanu. Osasiya kumwa mankhwala osalankhula ndi omwe akukuthandizani.

Mankhwala omwe angapangitse miyezo ya T3 ndi awa:

• Mapiritsi oletsa kubereka
• Clofibrate
• Estrogens
• Methadone
• Mankhwala ena azitsamba

Mankhwala omwe amatha kuchepetsa miyeso ya T3 ndi awa:

• Amiodarone
• Anabolic steroids
• Androgens
• Mankhwala a Antithyroid (mwachitsanzo, propylthiouracil ndi methimazole)
• Lifiyamu
• Phenytoin
• Zamgululi

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.

Kuyesaku kumachitika kuti muwone chithokomiro chanu. Chithokomiro chimadalira zochita za T3 ndi mahomoni ena, kuphatikiza timadzi tomwe timayambitsa matenda a chithokomiro (TSH) ndi T4.

Nthawi zina zimakhala zothandiza kuyeza T3 ndi T4 poyesa momwe chithokomiro chimagwirira ntchito.

Kuyesa kwathunthu kwa T3 kumayesa T3 yomwe yonse imalumikizidwa ndi mapuloteni ndikuyandama mwaulere m'magazi.

Kuyesedwa kwaulere T3 kumayesa T3 yomwe ikuyandama mwaulere m'magazi. Mayeso aulere a T3 nthawi zambiri amakhala olondola poyerekeza ndi a T3 yathunthu.

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

• Matenda a pituitary samatulutsa timadzi tambiri kapena timadzi tambiri (hypopituitarism)
• Chithokomiro chopitilira muyeso (hyperthyroidism)
• Chithokomiro chosagwira ntchito (hypothyroidism)
• Kumwa mankhwala a hypothyroidism

Mitundu yazikhalidwe zabwinobwino ndi:

• Chiwerengero cha T3 - 60 mpaka 180 nanograms pa desilita imodzi (ng / dL), kapena 0.9 mpaka 2.8 nanomoles pa lita (nmol / L)
• Zithunzi zaulere T3 - 130 mpaka 450 pa desilita (pg / dL), kapena 2.0 mpaka 7.0 picomoles pa lita (pmol / L)

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

Mikhalidwe yabwinobwino ndiyotengera zaka zakubadwa kwa anthu ochepera zaka 20. Fufuzani kwa omwe amakupatsani zotsatira zazotsatira zanu.

Mulingo wapamwamba kwambiri kuposa T3 ukhoza kukhala chizindikiro cha:

• Chithokomiro chopitilira muyeso (mwachitsanzo, matenda a manda)
• T3 thyrotoxicosis (kawirikawiri)
• Chiwombankhanga cha poizoni
• Kutenga mankhwala a chithokomiro kapena zina zowonjezera (wamba)
• Matenda a chiwindi

Kuchuluka kwa T3 kumatha kukhala ndi pakati (makamaka matenda am'mawa kumapeto kwa trimester yoyamba) kapena kugwiritsa ntchito mapiritsi oletsa kubereka kapena estrogen.

Mulingo wotsika kuposa wabwinobwino ukhoza kukhala chifukwa cha:

• Matenda akanthawi kochepa kapena matenda azitali
• Thyroiditis (kutupa kapena kutupa kwa chithokomiro - Matenda a Hashimoto ndiwo mtundu wofala kwambiri)
• Njala
• Chithokomiro chosagwira ntchito

Kuperewera kwa Selenium kumapangitsa kuchepa kwa kusintha kwa T4 kukhala T3, koma sizikuwonekeratu kuti izi zimapangitsa kutsika kwa T3 mwa anthu.

Pali chiopsezo chochepa chotenga magazi anu: Mitsempha ndi mitsempha imasiyana mosiyanasiyana kuchokera pa munthu wina kupita kwina komanso kuchokera mbali imodzi ya thupi kupita kwina. 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)

Triiodothyronine; T3 radioimmunoassay; Chowopsa cha nodular goiter - T3; Chithokomiro - T3; Thyrotoxicosis - T3; Matenda amanda - T3

• 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.

Kim G, Nandi-Munshi D, CC ya Diblasi. Matenda a chithokomiro. Mu: Gleason CA, Juul SE, olemba. Matenda a Avery a Mwana Wongobadwa kumene. 10th ed. Philadelphia, PA: Elsevier; 2018: mutu 98.

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.