Mayeso a T3RU

Kuyesa kwa T3RU kumayeza kuchuluka kwa mapuloteni omwe amakhala ndi mahomoni a chithokomiro m'magazi. Izi zitha kuthandiza othandizira kuti azimasulira zotsatira za kuyezetsa magazi kwa T3 ndi T4.

Chifukwa kuyesa komwe kumatchedwa kuyesa magazi kwaulere T4 komanso kuyesa magazi kwa thyroxine blob globulin (TBG) tsopano kulipo, mayeso a T3RU sagwiritsidwa ntchito masiku ano.

Muyenera kuyesa magazi.

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

Mankhwala ena omwe angapangitse kuchuluka kwa T3RU ndi awa:

• Anabolic steroids
• Heparin
• Phenytoin
• Salicylates (mlingo waukulu)
• Warfarin

Mankhwala ena omwe angachepetse milingo ya T3RU ndi awa:

• Mankhwala a Antithyroid
• Mapiritsi oletsa kubereka
• Clofibrate
• Estrogen
• Achifwamba

Mimba imathanso kuchepa milingo ya T3RU.

Izi zitha kutsitsa kuchuluka kwa TBG (onani pansipa gawo "Chifukwa Chomwe Mayeso Amachitidwa" kuti mumve zambiri za TBG):

• Matenda akulu
• Matenda a impso pamene mapuloteni amatayika mumkodzo (nephrotic syndrome)

Mankhwala ena omwe amalumikizana ndi mapuloteni m'magazi amathanso kukhudza zotsatira za mayeso.

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 momwe mahomoni osiyanasiyana amathandizira, kuphatikiza timadzi tomwe timayambitsa matenda a chithokomiro (TSH), T3 ndi T4.

Kuyesaku kumathandizira kuwunika kuchuluka kwa T3 komwe TBG imatha kumangako. TBG ndi puloteni yomwe imanyamula kwambiri T3 ndi T4 m'magazi.

Wothandizira anu angakulimbikitseni kuyesa T3RU ngati muli ndi zizindikiro za matenda a chithokomiro, kuphatikizapo:

• Hyperthyroidism (chithokomiro chopitilira muyeso)
• Hypothyroidism (chithokomiro chosagwira ntchito)
• Matenda a thyrotoxic periodic (kufooka kwa minofu chifukwa cha kuchuluka kwa mahomoni a chithokomiro m'magazi)

Makhalidwe abwinobwino kuyambira 24% mpaka 37%.

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.

Miyezo yoposa yachibadwa imatha kuwonetsa:

• Impso kulephera
• Chithokomiro chopitilira muyeso (hyperthyroidism)
• Matenda a Nephrotic
• Mapuloteni kuperewera kwa zakudya m'thupi

Magulu ochepera kuposa achibadwa atha kuwonetsa:

• Chiwindi chachikulu (matenda a chiwindi)
• Mimba
• Matenda osokoneza bongo
• Kugwiritsa ntchito estrogen

Zotsatira zachilendo zitha kukhalanso chifukwa chobadwa ndi milingo yayikulu ya TBG. Kawirikawiri ntchito ya chithokomiro imakhala yachilendo kwa anthu omwe ali ndi vutoli.

Mayesowa amathanso kuchitidwa:

• Matenda a thyroiditis (kutupa kapena kutupa kwa chithokomiro, kuphatikizapo matenda a Hashimoto)
• Hypothyroidism yopangidwa ndi mankhwala osokoneza bongo
• Matenda amanda
• Subacute thyroiditis
• Matenda a Thyrotoxic periodic
• Chiwombankhanga cha poizoni

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)

Kutenga kwa Resin T3; Kutenga utomoni wa T3; Chiŵerengero chomangiriza mahomoni

• 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.

Kiefer J, Mythen M, Roizen MF, Fleisher LA. Zovuta zamatenda amtundu womwewo wamatenda. Mu: Gropper MA, mkonzi. Anesthesia wa Miller. 9th ed. Philadelphia, PA: Elsevier; 2020: chap 32.

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.