TBG kuongororwa kweropa

Iyo TBG yeropa bvunzo inoyera chiyero chepuroteni inofambisa utachiona hwehomoni mumuviri wako wese. Iyi protein inonzi thyroxine inosunga globulin (TBG).

Muenzaniso weropa unotorwa wozotumirwa kurabhoritari kunoongororwa.

Mimwe mishonga nemishonga zvinogona kukanganisa mhedzisiro yekuedzwa. Anokupa hutano anogona kukuudza kuti rega kutora mumwe mushonga kwenguva pfupi usati waedzwa. Usamborega kutora chero mushonga usati watanga kutaura kune wako mupi.

Iyi mishonga uye mishonga inogona kuwedzera TBG danho:

• Estrogens, inowanikwa mumapiritsi ekudzivirira kubereka uye estrogen kutsiva kurapa
• Heroin
• Methadone
• Phenothiazines (mamwe antipsychotic zvinodhaka)

Iyi inotevera mishonga inogona kudzikisa huwandu hweTBG:

• Depakote kana depakene (inonziwo valproic acid)
• Dilantin (inonziwo phenytoin)
• Dosi yakakwira yesalicylates, kusanganisira aspirin
• Mahormone echirume, kusanganisira androgens uye testosterone
• Prednisone

Kana tsono ikaiswa kukweva ropa, vamwe vanhu vanonzwa kurwadziwa zvine mwero. Vamwe vanongonzwa kubaya kana kubaya. Mushure meizvozvo, panogona kuve nekurohwa kana kupwanya zvishoma. Izvi zvinokurumidza kuenda.

Uyu muedzo unogona kuitwa kuti uongorore matambudziko nehutachiona hwako.

Yakajairwa renji ndeye 13 kusvika 39 micrograms pa deciliter (mcg / dL), kana 150 kusvika 360 nanomoles pa litre (nmol / L).

Zvakajairika kukosha masenduru anogona kusiyana zvishoma pakati pemarabhoritari akasiyana. Mamwe marabhu anoshandisa zviyero zvakasiyana kana anogona kuyedza masampuli akasiyana. Taura nemupi wako nezve zvinorehwa nemimwe miedzo yako.

Yakawedzera TBG nhanho inogona kunge iri nekuda kwe:

• Acute intermittent porphyria (isingawanzo metabolic kusagadzikana)
• Hypothyroidism (isingashandi thyroid)
• Chiropa chirwere
• Kubata (mazinga eTBG anowanzo wanda panguva yekuzvitakura)

Ongorora: TBG mazinga anowanzo kuve akakwirira muvacheche.

Kuderera kweTBG kunogona kunge kuri nekuda kwe:

• Kurwara kwakanyanya
• Acromegaly (kusagadzikana kunokonzerwa nekukura muhormone)
• Hyperthyroidism (yakanyanyisa hutachiona)
• Kushaya zvokudya zvinovaka muviri
• Nephrotic syndrome (zviratidzo zvinoratidza kukuvara kweitsvo zviripo)
• Kushungurudzika kubva pakuvhiyiwa

Yakakwira kana yakaderera TBG nhanho dzinokanganisa hukama pakati peiyo yakazara T4 uye yemahara T4 kuongororwa kweropa. Shanduko mumaturu eropa eTBG anogona kushandura yakaringana muyero welevothyroxine kutsiva kwevanhu vane hypothyroidism.

Pane njodzi shoma inosanganisirwa nekutorwa kweropa rako. Tsinga uye tsinga zvinosiyana muhukuru kubva kumunhu kuenda kune mumwe uye kubva kune rimwe divi remuviri kuenda kune rimwe. Kuwana muyero weropa kubva kune vamwe vanhu kunogona kunetsa kupfuura kune vamwe.

Dzimwe njodzi dzekutorwa ropa idiki, asi dzinogona kusanganisira:

• Kuwedzera kubuda ropa
• Kufenda kana kunzwa kushaya musoro
• Akawanda punctures ekutsvaga mutsinga
• Hematoma (kuwanda kweropa pasi peganda)
• Utachiona (hushoma njodzi chero nguva ganda parinovhunika)

Serum thyroxine inosunga globulin; Chikamu cheTBG; Serum TBG nhanho; Hypothyroidism - TBG; Hyperthyroidism - TBG; Utachiona husingashandi - TBG; Utachiona hwakanyanya - TBG

• Kuongorora ropa

Guber HA, Farag AF. Kuongorora kwe endocrine basa. Mune: McPherson RA, Pincus MR, eds. Henry's Clinical Diagnosis uye Management nemaLabhoritari Maitiro. 23rd ed. St Louis, MO: Elsevier; 2017: chitsiko 24.

Kruse JA. Matambudziko ehutachiona. Mune: Parrillo JE, Dellinger RP, eds. Critical Kuchengetedza Mushonga: Nheyo dzeKuongorora uye Management muVakuru. 5 ed. Philadelphia, PA: Elsevier; 2019: chitsiko 57.

Salvatore D, Cohen R, Kopp PA, Larsen PR. Utachiona pathophysiology uye kuongororwa kwekuongorora. Mune: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. Williams Chinyorwa cheEndocrinology. 14th ed. Philadelphia, PA: Elsevier; 2020: chits. 11.