T3 ndi T4: zomwe ali, zomwe ali komanso mayeso akayesedwa

Zamkati

• Zomwe zili zofunika
• Pomwe mayeso awonetsedwa
• Momwe mungamvetsere zotsatira

T3 ndi T4 ndi mahomoni opangidwa ndi chithokomiro, motsogozedwa ndi mahomoni a TSH, omwe amapangidwanso ndi chithokomiro, ndipo amatenga nawo mbali munjira zingapo mthupi, makamaka zokhudzana ndi kagayidwe kake ndikupereka mphamvu zogwirira ntchito moyenera ya thupi.

Mlingo wa mahomoniwa umawonetsedwa ndi a endocrinologist kapena wothandizira kuti awunikire thanzi la munthuyo kapena afufuze zomwe zingayambitse zizindikilo zina zomwe zimakhudzana ndi kusokonekera kwa chithokomiro, monga kutopa kwambiri, kutaya tsitsi, kuvuta kuchepa kusowa kwa njala, mwachitsanzo.

Zomwe zili zofunika

Mahomoni T3 ndi T4 amapangidwa ndi chithokomiro ndikuwongolera zochitika zingapo mthupi, makamaka zokhudzana ndi kagayidwe kake ka ma cell. Zina mwa ntchito zazikulu za T3 ndi T4 m'thupi ndi:

• Kukula kwabwino kwa minyewa yaubongo;
• Kagayidwe ka mafuta, chakudya ndi mapuloteni;
• Lamulo la kugunda kwa mtima;
• Kulimbikitsidwa kwa kupuma kwa ma;
• Kukonzekera kwa msambo.

T4 imapangidwa ndi chithokomiro ndipo imakhalabe yolumikizidwa ndi mapuloteni kotero kuti imanyamulidwa m'magazi kupita ku ziwalo zosiyanasiyana ndipo, motero, imatha kugwira ntchito. Komabe, kuti igwire ntchito, T4 imasiyanitsidwa ndi protein, kukhala yogwira ndikuyamba kudziwika kuti T4 yaulere. Dziwani zambiri za T4.

M'chiwindi, T4 yopangidwa imapangidwa ndi mafuta kuti ipangitse mtundu wina wogwira ntchito, womwe ndi T3. Ngakhale kuti T3 imachokera ku T4, chithokomiro chimatulutsanso mahomoniwa pang'ono. Onani zambiri za T3.

Pomwe mayeso awonetsedwa

Mlingo wa T3 ndi T4 umawonetsedwa ngati pali zizindikilo zosonyeza kuti chithokomiro sichikugwira ntchito moyenera, ndipo chitha kukhala chiwonetsero cha hypo kapena hyperthyroidism, matenda a Graves kapena Hashimoto's thyroiditis, mwachitsanzo.

Kuphatikiza apo, magwiridwe antchito amtunduwu amathanso kuwonetsedwa ngati chizolowezi chowunika thanzi la munthu, pakufufuza za kusabereka kwa amayi komanso kukayikira khansa ya chithokomiro.

Chifukwa chake, zina mwazizindikiro zomwe zitha kuwonetsa kusintha kwa chithokomiro ndikuti kuchuluka kwa milingo ya T3 ndi T4 ndikulimbikitsidwa ndi:

• Zovuta kutaya thupi kapena kunenepa mosavuta komanso mwachangu;
• Kutaya thupi mwachangu;
• Kutopa kwambiri;
• Zofooka;
• Kuchuluka chilakolako;
• Kutayika tsitsi, khungu louma ndi misomali yosalimba;
• Kutupa;
• Kusintha kwa msambo;
• Sinthani kugunda kwa mtima.

Kuphatikiza pa muyeso wa T3 ndi T4, mayesero ena amafunsidwa kuti athandizire kutsimikizira matendawa, makamaka muyeso wa TSH hormone ndi ma antibodies, ndipo ndizotheka kupanga chithokomiro cha ultrasound. Dziwani zambiri za mayeso omwe awonetsedwa kuti athe kuyesa chithokomiro.

Momwe mungamvetsere zotsatira

Zotsatira za mayeso a T3 ndi T4 ziyenera kuyesedwa ndi endocrinologist, dokotala wamkulu kapena dokotala yemwe adalemba mayeso, ndi zotsatira za mayeso ena omwe amafufuza chithokomiro, zaka za munthuyo ndi thanzi lake ziyenera kuganiziridwa. Mwambiri, magawo a T3 ndi T4 omwe amawoneka ngati abwinobwino ndi awa:

• Chiwerengero cha T3: 80 ndi 180 ng / dL;
• T3 yaulere:2.5 - 4.0 ng / dL;
• Chiwerengero cha T4: 4.5 - 12.6 µg / dL;
• T4 yaulere: 0.9 - 1.8 ng / dL.

Chifukwa chake, malinga ndi malingaliro a T3 ndi T4, ndizotheka kudziwa ngati chithokomiro chikuyenda bwino. Nthawi zambiri, malingaliro a T3 ndi T4 pamwambapa amawonetsera za hyperthyroidism, pomwe mitengo yotsika imangowonetsa za hypothyroidism, komabe mayeso enanso amafunika kutsimikizira zotsatirazi.