Nyocha T3
Triiodothyronine (T3) bụ hormone thyroid. Ọ na-arụ ọrụ dị mkpa na nchịkwa ahụ nke metabolism (ọtụtụ usoro ndị na-achịkwa ọnụego nke ọrụ na sel na anụ ahụ).
Enwere ike ịme nyocha ụlọ nyocha iji tụọ ogo T3 dị n'ọbara gị.
Achọrọ nlebara ọbara.
Ndị na-ahụ maka ahụike gị ga-agwa gị ma ịchọrọ ịkwụsị ọgwụ ọ bụla tupu ule ahụ nke nwere ike imetụta nsonaazụ ule gị. Akwụsịla ị takingụ ọgwụ ọ bụla n’ebughị ụzọ gwa onye na-enye gị ọrụ.
Ọgwụ nke nwere ike ịbawanye nha T3 gụnyere:
- Mgbochi ọgwụ ịmụ nwa
- Nkịtị
- Ndị Estrogens
- Methadone
- Herfọdụ ọgwụgwọ osisi
Ọgwụ nke nwere ike ibelata nha T3 gụnyere:
- Amiodarone
- Anabolic steroid
- Androgens
- Antithyroid ọgwụ (dịka ọmụmaatụ, propylthiouracil na methimazole)
- Lithium
- Okoli
- Propranolol
Mgbe etinyere agịga ahụ iji see ọbara, ụfọdụ ndị na-enwe oke mgbu. Ndị ọzọ na-eche nanị ịpị ma ọ bụ gbaa. Mgbe nke ahụ gasịrị, enwere ike ịkụ ọkpọ ma ọ bụ merụọ ahụ obere. Nke a ga - apụ n'anya.
Emere ule a iji chọpụta ọrụ gị. Ọrụ thyroid gị dabere na ọrụ T3 na homonụ ndị ọzọ, gụnyere hormone na-akpali akpali (TSH) na T4.
Mgbe ụfọdụ, ọ nwere ike ịba uru iji tụọ ma T3 na T4 mgbe ị na-enyocha ọrụ gị.
Mkpokọta T3 ule na-atụle T3 nke na-etinye aka na protein na-ese n'elu mmiri n'efu.
Nnwale T3 n'efu na-atụle T3 nke na-ese n'elu mmiri n'efu. Nlere maka T3 n'efu bụchaghị ihe ziri ezi karịa T3 zuru ezu.
Onye na-eweta gị nwere ike ịkwado ule a ma ọ bụrụ na ị nwere akara nke nsogbu ọrịa thyroid, gụnyere:
- The pituitary gland anaghị emepụta nkịtị ichekwa nke ụfọdụ ma ọ bụ niile nke ya hormone (hypopituitarism)
- Overactive thyroid gland (hyperthyroidism) ntụ ọka
- Underactive thyroid gland (hypothyroidism)
- Na-ewere ọgwụ maka hypothyroidism
Ogo maka ụkpụrụ nkịtị bụ:
- Ọnụ ọgụgụ T3 - 60 ka 180 nanogram kwa deciliter (ng / dL), ma ọ bụ 0.9 ruo 2.8 nanomoles kwa lita (nmol / L)
- Free T3 - 130 ka 450 eserese kwa deciliter (pg / dL), ma ọ bụ 2.0 ka 7.0 picomoles kwa liter (pmol / L)
Usoro ntanetị dị iche iche nwere ike ịdịtụ iche n'etiti ụlọ nyocha dị iche iche. Lafọdụ labs na-eji nha dị iche iche ma ọ bụ nwalee ụdị dị iche iche. Gwa onye na - enye gị ọrụ gbasara ihe nyocha gị pụtara.
Valueskpụrụ nkịtị bụ afọ ole akọwapụtara maka ndị na-erughị afọ 20. Lelee onye na-eweta gị gbasara nsonaazụ gị.
Ọkwa dị elu karịa T3 nwere ike ịbụ akara nke:
- Ojuju na-egbuke egbuke (dika ọmụmaatụ, ọrịa ili)
- T3 thyrotoxicosis (obere)
- Mgbu nodular goiter
- Nara ọgwụ ọgwụ gị ma ọ bụ ụfọdụ ihe mgbakwunye (nkịtị)
- Ọrịa imeju
Ọkwa dị elu nke T3 nwere ike ime na ime ime (ọkachasị n'ọrịa ụtụtụ na ngwụcha ọnwa mbụ) ma ọ bụ iji ọgwụ mgbochi ịmụ nwa ma ọ bụ estrogen.
Usoro dị ala karịa nwere ike ịbụ n'ihi:
- Ọrịa dị mkpụmkpụ ma ọ bụ ọrịa na-adịte aka
- Thyroiditis (ọzịza ma ọ bụ mbufụt nke thyroid gland - Hashimoto ọrịa bụ ụdị kachasịkarị)
- Agụụ
- Adịghị arụ ọrụ thyroid gland
Mmetụta Selenium na-akpata mbelata ntụgharị nke T4 na T3, mana o doro anya na nke a na-ebute ogo T3 dị ala karịa ndị mmadụ.
E nwere obere ihe ọghọm gụnyere ịnara ọbara gị. Akwara na akwara na-adịgasị iche iche site n'otu onye gaa na nke ọzọ na site n'otu akụkụ ahụ gaa n'akụkụ nke ọzọ. Samplenata ọbara ọbara nke ụfọdụ ndị mmadụ nwere ike isi ike karịa n'aka ndị ọzọ.
Ihe ize ndụ ndị ọzọ metụtara ịmịnye ọbara dị ntakịrị, mana nwere ike ịgụnye:
- Ọbara ọgbụgba
- Da mba ma ọ bụ inwe isi ọkụ
- Otutu punctures chọta veins
- Hematoma (ọbara ọbara n'okpuru akpụkpọ)
- Ofufe Ọrịa (ntakịrị ihe egwu oge ọ bụla anụ ahụ agbajiri)
Triiodothyronine; T3 radioimmunoassay; Mgbu nsị goiter - T3; Thyroiditis - T3; Thyrotoxicosis - T3; Ọrịa ili - T3
- Nnwale ọbara
Guber HA, Farag AF. Nyocha nke ọrụ endocrine. Na: McPherson RA, Pincus MR, eds. Henry’s Clinical Diagnosis and Management site na Labozọ Laboratory. 23 nke ed. St Louis, MO: Elsevier; 2017: isi 24.
Kim G, Nandi-Munshi D, Diblasi CC. Ọrịa nke gland thyroid. Na: Gleason CA, Juul SE, eds. Ọrịa Avery nke Nwa amụrụ ọhụrụ. Nke iri. Philadelphia, PA: Elsevier; 2018: isi nke 98.
Salvatore D, Cohen R, Kopp PA, Larsen PR. Thyroid pathophysiology na nyocha nyocha. Na: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. Akwụkwọ ọgụgụ Williams nke Endocrinology. Nke iri na anọ. Philadelphia, PA: Elsevier; 2020: isi 11.
Weiss RE, Refetoff S. Thyroid function testing. Na: Jameson JL, De Groot LJ, de Kretser DM, et al, ndị ọzọ. Endocrinology: Okenye na Ọrịa edimụaka. Nke 7. Philadelphia, PA: Elsevier Saunders; 2016: isi 78.