Bvunzo T4 (yemahara uye yakazara): ndeyei uye inoitwa sei?
Zvemukati
Iyo T4 bvunzo inovavarira kuongorora mashandiro eiyo thyroid nekuyera iyo yakazara mahormone T4 uye yemahara T4. Pasi pemamiriro ezvinhu akajairika, iyo hormone TSH inokurudzira utachiona kuburitsa T3 uye T4, ayo ari mahormone ane chekuita nekubatsira iyo metabolism, ichipa simba rinodiwa rekushanda chaiko kwemuviri. T4 ingangoita conjugated kune mapuroteni kuitira kuti igone kutakurwa muropa kuenda kunhengo dzakasiyana uye inogona kuita basa rayo.
Muedzo uyu unogona kukurudzirwa nachiremba mune bvunzo dzese, asi zvirinani kuratidzwa kana munhu aine zviratidzo zvehypo kana hyperthyroidism, semuenzaniso, kana paine shanduko yeTSH. Tarisa uone izvo iyo TSH bvunzo uye mareferensi tsika ndeapi.
Ndeipi yakazara T4 uye yemahara T4?
Ose akasununguka T4 uye akazara T4 anoshandiswa kuongorora utachiona mashandiro, ndiko kuti, kuona kana gland racho rinogadzira yakajairwa uye inokwana huwandu hwehomoni kupa simba kune zviitwa zvemuviri zvemagetsi. Isingasviki 1% ye T4 iri muchimiro chemahara, uye iri fomu iri rinoshanda zvine mutsindo, ndiko kuti, rine basa. Mapuroteni-akasungwa T4 haina basa, inongotakurwa muropa kuenda kunhengo, uye pazvinenge zvakakodzera, inoparadzaniswa neprotein yechiitiko.
Iyo T4 yakazara inoenderana neuwandu hwese hwehomoni inogadzirwa, ichiongororwa zvese huwandu hunogadzirirwa mapuroteni uye izvo zviri zvemahara zvinotenderera muropa. Nekudaro, iyo yakazara T4 chipimo inogona kunge iri shoma isinganetsi, sezvo pangave nekukanganiswa nemapuroteni ayo iyo hormone inogona kusunga kwairi.
Yemahara T4, kune rumwe rutivi, yatove yakanyanya kujekesa, inonzwisisika uye inobvumira kuongororwa kuri nani kweiyo thyroid, nekuti chete huwandu hwehomoni hunoshanda uye hunoshanda mumuviri hunoyerwa
Maitirwo ebvunzo
Muedzo unoitwa nemuenzaniso weropa uye hapana gadziriro inodikanwa usati watora. Zvisinei, kana munhu wacho achishandisa chero mushonga unokanganisa utachiona, anofanira kuzivisa chiremba kuitira kuti izvi zviongororwe pakuongorora.
Muenzaniso weropa wakatorwa unotumirwa murabhoritari, uko kunogadzirwa mahara uye eiyo T4 muyero. Maitiro akajairwa e Yemahara T4 zviri pakati 0.9 - 1.8 ng / dL, nepo zvakajairwa kukosha kwese T4 zvichisiyana zvichienderana nezera:
| Zera | Maitiro akajairwa eiyo yakazara T4 |
| 1 vhiki yehupenyu | 15 mag / dL |
| Kusvikira mwedzi we1 | 8.2 - 16.6 µg / dL |
| Pakati pe1 ne12 mwedzi yehupenyu | 7.2 - 15.6 µg / dL |
| Pakati pegumi nemakore mashanu | 7.3 - 15 µg / dL |
| Pakati pemakore mashanu ne12 | 6.4 - 13.3 magiramu / dL |
| Kubva pamakore gumi nemaviri | 4.5 - 12.6 µg / dL |
Kukwidziridzwa kana kudzikira kweT4 kukosha kunogona kuratidza hypo kana hyperthyroidism, cancer yegomarara, thyroiditis, goiter uye kushaya mbereko kwevakadzi, semuenzaniso. Uye zvakare, kudzikira kwemitengo yemahara T4 kunogona kuratidza kushaya zvinovaka muviri kana Hashimoto's thyroiditis, semuenzaniso, icho chirwere chemuviri chinoratidzirwa nekuzvimba kweiyo thyroid inotungamira kune hyperthyroidism inoteverwa ne hypothyroidism.
Nguva yekuita
Iyo T4 bvunzo inowanzo kumbirwa neye endocrinologist mune akadai se:
- Yakachinja TSH bvunzo mhedzisiro;
- Kushaya simba, kuderera kwemetabolism uye kuneta, izvo zvinogona kuve zvinoratidza hypothyroidism;
- Kutya, kuwedzera metabolism, kuwedzera kudya, izvo zvinogona kuratidza hyperthyroidism;
- Anofungidzirwa kenza yetachiona;
- Kuongorora mune chinokonzera kushaya mbereko kwevakadzi.
Zvichienderana nekuongororwa kwemhedzisiro yekubvunzwa uye nezviratidzo zvemunhu, endocrinologist inogona kutsanangura kuongororwa uye nzira yakanakisa yekurapa, nokudaro kuenzanisa matanho e T4. Dzidza nezve mimwe miedzo yakakosha kuti uongorore utachiona hwako.
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