Bvunzo T3: ndeyei uye sei kuti unzwisise mhedzisiro

Zvemukati

• Chii ichochi
• Maitiro ekunzwisisa mhedzisiro
• Chii chinonzi reverse T3?

Bvunzo dzeT3 dzinokumbirwa nachiremba mushure mekushandura TSH kana mahormone T4 mhedzisiro kana kana munhu aine zviratidzo nezviratidzo zvehyperthyroidism, senge kutya, kuonda, kusagadzikana uye kusvotwa, semuenzaniso.

Iyo hormone TSH ine basa rekusimudzira kugadzirwa kweT4, kunyanya, iyo inogadziriswa muchiropa kuitira kuti ipe chimiro chayo chinonyanya kushanda, T3. Kunyangwe yakawanda T3 ichibva muT4, iyo thyroid inoburitsa iyi hormone, asi zvidiki zvidiki.

Izvo hazvidiwe kuti utsanye kuita bvunzo, zvisinei, mimwe mishonga inogona kukanganisa mhedzisiro yekuedzwa, senge madhiragi etachiona uye mishonga yekudzivirira, semuenzaniso. Naizvozvo, zvakakosha kuti utaure nachiremba kuti nhungamiro ipiwe maererano nekumiswa kwakachengeteka kwemushonga kuti uite bvunzo.

Chii ichochi

Iyo T3 bvunzo inokumbirwa kana mhedzisiro yeTSH uye T4 bvunzo zvachinjwa kana kana munhu wacho aine zviratidzo zvehyperthyroidism. Nemhaka yekuti ihormone inowanzo kuwanikwa mune yakadzika ropa kuwanda, iyo T3-chete muyero haushandiswe zvakanyanya kuongorora utachiona mashandiro, uye inowanzo kumbirwa kana paine kusimbiswa kwekuongororwa kwehutachiona kusagadzikana kana pamwe pamwe neTSH uye T4. Ziva zvimwe bvunzo dzinoongorora utachiona.

Kunze kwekubatsira kubatsira mukuongororwa kwehyperthyroidism, iyo T3 bvunzo inogona zvakare kurairwa kuti ibatsire kuziva chinokonzera hyperthyroidism, senge Graves 'chirwere, semuenzaniso, uye inowanzo kurairwa pamwechete pamwe nekuyerwa kwetachiona autoantibodies.

Chiyero chinoitwa kubva muropa sampu yakatumirwa murabhoritari, umo kusunganidzwa kweiyo yakazara T3 uye yemahara T3 kwakatemwa, inoenderana chete ne0.3% yeiyo yakazara T3, ichive nokudaro ichiwanika zvakanyanya mupuroteni yayo inogadziriswa fomu. Iko kukosha kukosha kwe Yakazara T3 é pakati pe80 ne180 ng / dL uye ye Yemahara T3 iri pakati pe2,5 - 4.0 ng / dL, inogona kusiyana maererano neirabhoritari.

Maitiro ekunzwisisa mhedzisiro

T3 tsika dzinosiyana zvichienderana nehutano hwemunhu, uye dzinogona kuwedzerwa, kuderera kana zvakajairwa:

• T3 kukwirira: Inowanzo simbisa kuongororwa kwehyperthyroidism, ichiratidza chirwere cheMakuva, kunyanya;
• T3 pasi: Inogona kuratidza Hashimoto's thyroiditis, neonatal hypothyroidism kana yechipiri hypothyroidism, inoda mimwe bvunzo kusimbisa kuongororwa.

Mhedzisiro yeT3 bvunzo, pamwe neiyo T4 uye TSH, zvinongoratidzira chete kuti pane imwe shanduko mukugadzirwa kwehomoni nehutachiona, uye hazvigoneke kuziva kuti chii chiri kukonzera kusashanda uku Naizvozvo, chiremba anogona kukumbira mimwe miedzo chaiyo kuti aone chinokonzeresa hypo kana hyperthyroidism, senge kuverenga kweropa, immunological uye imaging bvunzo.

Chii chinonzi reverse T3?

Reverse T3 ndiyo isingashande dhormoni yakatorwa kubva T4 kutendeuka. Muyero we reverse T3 haumbonyorwi, uchingoratidzirwa chete kuvarwere vane hosha dzakakomba dzinosanganisira utachiona, iine huwandu hwakadzikira hweT3 neT4, asi huwandu hwakanyanya hwekutendeuka T3 hunowonekwa. Uye zvakare, inodzosera T3 inogona kukwidziridzwa mumamiriro ekusingaperi kushushikana, hutachiona nehutachiona hweHIV uye mukukundikana kwetsvo.

Iko kukosha kukosha kweiyo reverse T3 ye vacheche vari pakati pe600 uye 2500 ng / mL uye kubva pazuva rechinomwe rehupenyu, pakati pe90 ne350 ng / mL, iyo inogona kusiyana pakati pemarabhoritari.