Mayeso T3: ndi chiyani komanso kuti mumvetse bwanji zotsatira zake

Zamkati

• Ndi chiyani
• Momwe mungamvetsere zotsatira
• Kodi reverse T3 ndi chiyani?

Kuyesa kwa T3 kumafunsidwa ndi dokotala atasintha zotsatira za TSH kapena mahomoni T4 kapena munthuyo atakhala ndi zizindikilo za hyperthyroidism, monga mantha, kuonda, kukwiya komanso mseru, mwachitsanzo.

Mahomoni TSH ndi omwe amachititsa kuti T4 ipangidwe, makamaka, yomwe imagwiritsidwa ntchito m'chiwindi kuti ipangitse mawonekedwe ake, T3. Ngakhale kuti T3 yambiri imachokera ku T4, chithokomiro chimatulutsanso timadzi timeneti, koma pang'ono.

Sikoyenera kusala kudya kuti muchite mayeso, komabe, mankhwala ena amatha kusokoneza zotsatira zoyeserera, monga mankhwala a chithokomiro komanso njira zakulera, mwachitsanzo. Chifukwa chake, ndikofunikira kulumikizana ndi adotolo kuti aperekedwe chitsogozo chokhudza kuyimitsidwa kwamankhwala koyeserera.

Ndi chiyani

Mayeso a T3 amafunsidwa ngati zotsatira za mayeso a TSH ndi T4 zasinthidwa kapena munthuyo atakhala ndi zizindikiro za hyperthyroidism. Chifukwa ndi hormone yomwe imapezeka m'magazi ochepa, kuchuluka kwa T3 kokha sikugwiritsidwa ntchito kwambiri poyesa momwe chithokomiro chimagwirira ntchito, ndipo nthawi zambiri amafunsidwa pakakhala umboni wotsimikizira kuti ali ndi vuto la chithokomiro kapena limodzi ndi TSH ndi T4. Dziwani mayesero ena omwe amafufuza chithokomiro.

Kuphatikiza pothandiza kuthana ndi matenda a hyperthyroidism, mayeso a T3 amathanso kulamulidwa kuti athandizire kudziwa chomwe chimayambitsa hyperthyroidism, mwachitsanzo, matenda a Graves, ndipo nthawi zambiri amalamulidwa limodzi ndi muyeso wa ma autoantibodies a chithokomiro.

Kuyesaku kumachitika kuchokera pagulu la magazi lomwe limatumizidwa ku labotale, momwe kuchuluka kwa T3 ndi T3 yaulere kumatsimikiziridwa, komwe kumangofanana ndi 0,3% yokha ya T3 yonse, popeza imapezeka kwambiri mu mawonekedwe ake a protein. Mtengo wowerengera wa Chiwerengero cha T3 é pakati pa 80 ndi 180 ng / dL ndi wa T3 yaulere ili pakati pa 2.5 - 4.0 ng / dL, zingasiyane malinga ndi labotale.

Momwe mungamvetsere zotsatira

Makhalidwe a T3 amasiyana malinga ndi thanzi la munthu, ndipo atha kuchulukitsidwa, kutsika kapena kukhala wabwinobwino:

• Kutalika kwa T3: Nthawi zambiri zimatsimikizira kuti matenda a hyperthyroidism, omwe amawonetsa matenda a Manda, makamaka;
• T3 otsika: Itha kuwonetsa Hashimoto's thyroiditis, neonatal hypothyroidism kapena secondary hypothyroidism, yomwe imafunikira mayesero ena kuti atsimikizire kuti ali ndi matendawa.

Zotsatira za mayeso a T3, komanso a T4 ndi TSH, zimangowonetsa kuti pali kusintha kwina pakupanga mahomoni ndi chithokomiro, ndipo sizotheka kudziwa chomwe chikuyambitsa kusokonekera uku. Chifukwa chake, adotolo atha kufunsa mayesero enaake kuti adziwe chomwe chimayambitsa hypo kapena hyperthyroidism, monga kuwerengetsa magazi, kuyezetsa magazi ndi kuyesa.

Kodi reverse T3 ndi chiyani?

Reverse T3 ndi mtundu wosagwira ntchito wa mahomoni ochokera kutembenuka kwa T4. Mlingo wa reverse T3 sumapemphedwa kwenikweni, ukuwonetsedwa kwa odwala okha omwe ali ndi matenda akulu okhudzana ndi chithokomiro, okhala ndi kuchepa kwa T3 ndi T4, koma milingo yayikulu yosinthira T3 ikupezeka. Kuphatikiza apo, kusintha T3 kumatha kukwezedwa pakagwa nkhawa, kutenga kachilombo ka HIV komanso kulephera kwa impso.

Mtengo wowerengera wa T3 wotsalira wa akhanda amakhala pakati pa 600 ndi 2500 ng / mL ndipo kuyambira tsiku la 7 la moyo, pakati pa 90 ndi 350 ng / mL, zomwe zimatha kusiyanasiyana pakati pama laboratories.