T3RU bvunzo

Iyo T3RU bvunzo inoyera chiyero chemapuroteni anotakura hutachiona hwehomoni muropa. Izvi zvinogona kubatsira mupi wako wezvehutano kuturikira zvawanikwa zveT3 uye T4 kuongororwa kweropa.

Nekuti bvunzo dzinodaidzwa kuti yemahara T4 yeropa bvunzo uye thyroxine inosunga globulin (TBG) kuongororwa kweropa ikozvino kwave kuwanikwa, iyo T3RU bvunzo haiwanzoshandiswa mazuva ano.

Muenzaniso weropa unodiwa.

Mubatsiri wako anokuudza kana uchifanira kurega kutora chero mishonga usati waedzwa iyo inogona kukanganisa mhedzisiro yako. Usarega kutora chero mushonga usati watanga kutaura kune wako mupi.

Mimwe mishonga inogona kuwedzera mazinga eT3RU anosanganisira:

• Anabolic steroids
• Heparin
• Phenytoin
• Salicylates (yakakwira dosi)
• Warfarin

Mimwe mishonga inogona kudzikisa huwandu hweT3RU inosanganisira:

• Antithyroid mishonga
• Mapiritsi ekudzivirira kubata pamuviri
• Clofibrate
• Estrogen
• Thiazides

Kubata pamuviri kunogonawo kudzikisa huwandu hweT3RU.

Aya mamiriro anogona kudzikisa huwandu hweTBG (ona pazasi chikamu "Nei Kwayedzwa Kuitwa" kune zvakawanda nezve TBG):

• Kurwara kwakakomba
• Chirwere cheitsvo kana protein yakarasika mumuti (nephrotic syndrome)

Mimwe mishonga inosunga mapuroteni muropa inogona kukanganisa mhedzisiro yekuedzwa.

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.

Iyi bvunzo inoitwa kuti utarise hutachiona hwako. Utachiona hunoshanda kubva pane zvinoitwa nemahormone mazhinji akasiyana, kusanganisira thyroid-inosimudzira mahormone (TSH), T3, uye T4.

Bvunzo iyi inobatsira kutarisa huwandu hweT3 iyo TBG inokwanisa kusunga. TBG ipuroteni rinotakura yakawanda yeT3 uye T4 muropa.

Wako mupi anogona kukurudzira iyo T3RU bvunzo kana iwe uine zviratidzo zvehutachiona chirwere, kusanganisira:

• Hyperthyroidism (yakanyanyisa hutachiona)
• Hypothyroidism (isingashandi thyroid)
• Thyrotoxic periodic kuoma mitezo (kushaya simba kwemhasuru kunokonzerwa neakakwira mahormone ehutachiona muropa)

Maitiro akajairwa anotangira pa24% kusvika 37%.

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

Yakakwirira-kupfuura-akajairwa mazinga anogona kuratidza:

• Itsvo kutadza
• Utachiona hwakanyanya (hyperthyroidism)
• Nephrotic chirwere
• Mapuroteni kushaya zvinovaka muviri

Kuderera-kupfuura-kwakajairika mazinga anogona kuratidza:

• Acute hepatitis (chirwere chechiropa)
• Kubata pamuviri
• Hypothyroidism
• Kushandisa estrogen

Mhedzisiro isina kujairika inogona zvakare kunge iri nekuda kwenzvimbo yekugara nhaka yemazinga epamusoro eTBG. Kazhinji utachiona hunoshanda hwakajairika kune vanhu vane chirwere ichi.

Bvunzo iyi inogona kuitirwawo ye:

• Chisingaperi thyroiditis (kuzvimba kana kuzvimba kwechirwere chetachiona, kusanganisira chirwere cheHashimoto)
• Zvinodhaka-zvinokonzerwa hypothyroidism
• Graves chirwere
• Subacute thyroiditis
• Thyrotoxic nguva nenguva kuoma mitezo
• Inotyisa nodular goiter

Pane njodzi shoma inobatanidzwa nekutorwa kweropa rako. Tsinga uye tsinga zvinosiyana pakukura kubva pamunhu kuenda kune mumwe uye kubva kune rumwe rutivi rwemuviri kuenda kune rumwe. Kuwana muyero weropa kubva kune vamwe vanhu kunogona kunetsa kupfuura kune vamwe.

Dzimwe njodzi dzinosangana nekutorwa kweropa 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)

Resin T3 inotora; T3 kunotora resin; Utachiona hwehomoni-inosunga ratio

• 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.

Kiefer J, Mythen M, Roizen MF, Fleisher LA. Anesthetic zvinorehwa nezvirwere zvakafanana. Mune: Gropper MA, ed. Anesthesia yaMiller. 9th ed. Philadelphia, PA: Elsevier; 2020: chits. 32.

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.

Weiss RE, Refetoff S.Thyroid basa rekuyedza. Muna: Jameson JL, De Groot LJ, de Kretser DM, et al, eds. Endocrinology: Vakuru uye Chiremba. 7th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits 78.