Kodi Kuyesa kwa T3 ndi Chiyani?

Zamkati

• Chifukwa chomwe madotolo amapanga mayeso a T3
• Kukonzekera mayeso a T3
• Ndondomeko ya mayeso a T3
• Kodi zotsatira zosayembekezereka za T3 zikutanthauza chiyani?
• Mulingo wapamwamba wa T3
• Maseŵera otsika a T3
• Kuopsa kwa mayeso a T3

Chidule

Matenda anu a chithokomiro ali m'khosi mwanu, pansi pa apulo a Adam. Chithokomiro chimapanga mahomoni ndikuwongolera momwe thupi lanu limagwiritsira ntchito mphamvu komanso chidwi cha thupi lanu ndi mahomoni ena.

Chithokomiro chimatulutsa timadzi totchedwa triiodothyronine, chotchedwa T3. Imapanganso mahomoni otchedwa thyroxine, otchedwa T4. Pamodzi, mahomoniwa amayang'anira kutentha kwa thupi lanu, kagayidwe kake ka thupi, ndi kugunda kwa mtima.

Zambiri za T3 m'thupi lanu zimamangirira mapuloteni. T3 yomwe sikumanga mapuloteni amatchedwa T3 yaulere ndipo imayenda mozungulira m'magazi anu. Mtundu wodziwika kwambiri wa mayeso a T3, omwe amadziwika kuti mayeso a T3, amayesa mitundu yonse ya T3 m'magazi anu.

Poyeza T3 m'magazi anu, dokotala wanu amatha kudziwa ngati muli ndi vuto la chithokomiro.

Chifukwa chomwe madotolo amapanga mayeso a T3

Dokotala wanu amalamula mayeso a T3 ngati akukayikira vuto lanu.

Zovuta za chithokomiro ndizo:

• hyperthyroidism: chithokomiro chanu chikamatulutsa mahomoni ambiri a chithokomiro
• hypopituitarism: pomwe chithokomiro cha pituitary sichimatulutsa mahomoni amtundu wa pituitary
• hypothyroidism yoyamba kapena yachiwiri: pamene chithokomiro chanu sichimapanga mahomoni ambiri a chithokomiro
• Matenda a thyrotoxic periodic: pamene chithokomiro chanu chimapanga mahomoni ambiri a chithokomiro, zomwe zimapangitsa kufooka kwa minofu

Matenda a chithokomiro amatha kuyambitsa zizindikilo zingapo. Mwachitsanzo, mutha kukhala ndimavuto amisala monga nkhawa, kapena zovuta zamthupi monga kudzimbidwa komanso kusasamba kwa msambo.

Zizindikiro zina zotheka ndi izi:

• kufooka ndi kutopa
• kuvuta kugona
• kuchulukitsa chidwi cha kutentha kapena kuzizira
• kuonda kapena phindu
• khungu louma kapena lotupa
• owuma, okwiya, otukumula, kapena otupa
• kutayika tsitsi
• kunjenjemera kwa manja
• kuchuluka kwa kugunda kwa mtima

Ngati muli ndi chitsimikizo cha vuto la chithokomiro, dokotala wanu amatha kugwiritsa ntchito mayeso a T3 kuti awone ngati zasintha momwe mulili.

Nthawi zina, dokotala wanu amathanso kuyitanitsa mayeso a T4 kapena mayeso a TSH. TSH, kapena hormone yotulutsa chithokomiro, ndiye mahomoni omwe amachititsa kuti chithokomiro chanu chikhale ndi T3 ndi T4. Kuyesa milingo ya kapena ena mwa mahomoni ena onsewa kumatha kuthandiza dokotala kukhala ndi chithunzi chokwanira cha zomwe zikuchitika.

Kukonzekera mayeso a T3

Ndikofunika kuuza dokotala wanu za mankhwala onse omwe mukumwa pakadali pano, chifukwa ena angakhudze zotsatira za mayeso anu a T3. Ngati dokotala akudziwa zamankhwala anu pasadakhale, akhoza kukulangizani kuti musiye kuwagwiritsa ntchito pang'ono kapena mungaganizire momwe angatanthauzire zotsatira zanu.

Mankhwala ena omwe angakhudze magawo anu a T3 ndi awa:

• mankhwala okhudzana ndi chithokomiro
• mankhwala
• mapiritsi oletsa kubereka kapena mankhwala ena okhala ndi mahomoni, monga androgens ndi estrogens

Ndondomeko ya mayeso a T3

Kuyesa kwa T3 kumangotengera kukoka magazi anu. Magaziwo adzayesedwa mu labotale.

Nthawi zambiri, zotsatira zabwinobwino zimachokera ku nanograms 100 mpaka 200 pa desilita imodzi (ng / dL).

Zotsatira zoyesedwa za T3 sizitanthauza kuti chithokomiro chanu chikugwira bwino ntchito. Kuyeza T4 ndi TSH kungathandize dokotala kudziwa ngati muli ndi vuto la chithokomiro ngakhale mutakhala ndi vuto la T3.

Kodi zotsatira zosayembekezereka za T3 zikutanthauza chiyani?

Chifukwa ntchito za chithokomiro ndizovuta, mayeso amodziwa sangapatse dokotala mayankho otsimikizika pazolakwika. Komabe, zotsatira zosazolowereka zitha kuwathandiza kuwongolera njira yoyenera. Dokotala wanu amathanso kusankha mayeso a T4 kapena TSH kuti mumve bwino za chithokomiro chanu.

Matenda apamwamba kwambiri a T3 amapezeka mwa amayi apakati komanso omwe ali ndi matenda a chiwindi. Ngati kuyesa kwanu kwa T3 kumayesanso mulingo wa T3 waulere, dokotala wanu atha kuthana ndi izi.

Mulingo wapamwamba wa T3

Ngati mulibe pakati kapena mukudwala matenda a chiwindi, kuchuluka kwa T3 kumatha kuwonetsa zovuta za chithokomiro, monga:

• Matenda a manda
• hyperthyroidism
• chopweteka (chete) thyroiditis
• matenda a thyrotoxic periodic
• poizoni nodular goiter

Mulingo wapamwamba wa T3 amathanso kuwonetsa kuchuluka kwa mapuloteni m'magazi. Nthawi zambiri, milingo yokwera iyi imatha kuwonetsa khansa ya chithokomiro kapena thyrotoxicosis.

Maseŵera otsika a T3

Magulu otsika kwambiri a T3 atha kuwonetsa hypothyroidism kapena njala. Zitha kuwonetsanso kuti muli ndi matenda a nthawi yayitali popeza kuchuluka kwa T3 kumatsika mukamadwala. Ngati mukudwala mokwanira kuti mugonekere mchipatala, kuchuluka kwanu kwa T3 mwina kumakhala kotsika.

Ichi ndi chifukwa chimodzi chomwe madokotala samangogwiritsa ntchito kuyesa kwa T3 kokha ngati kuyesa kwa chithokomiro. M'malo mwake, amagwiritsa ntchito mayeso a T4 ndi TSH kuti mumvetse bwino momwe chithokomiro chanu chikugwirira ntchito.

Kuopsa kwa mayeso a T3

Mukakoka magazi anu, mutha kuyembekeza kuti musakhale ndi zovuta pang'ono panthawiyi. Mwinanso mungakhale ndi magazi ochepa kapena kuvulaza pambuyo pake. Nthawi zina, mutha kumverera mopepuka.

Zizindikiro zazikulu, ngakhale ndizosowa, zimaphatikizapo kukomoka, matenda, kutaya magazi kwambiri, ndi kutupa kwa mtsempha.