Nyocha T3RU

Nyocha T3RU na-atụle ogo nke protein ndị na-ebu hormone thyroid n'ọbara. Nke a nwere ike inyere onye na-ahụ maka ahụike gị aka ịkọwa nsonaazụ nke ọbara T3 na T4.

Ebe ọ bụ na nyocha ndị a na-akpọ nnwale ọbara T4 n'efu na nnwale nke thyroxine nke na-ejide globulin (TBG) nyocha dị ugbu a, a naghị ejikarị T3RU ule ụbọchị ndị a.

Achọrọ nlebara ọbara.

Onye na-eweta gị ga - agwa gị ma ikwesiri ị beforeụ ọgwụ ọ bụla tupu ule a nwere ike imetụta nsonaazụ ule gị. Akwụsịla ị takingụ ọgwụ ọ bụla n’ebughị ụzọ gwa onye na-enye gị ọrụ.

Drugsfọdụ ọgwụ nwere ike ime ka ọkwa T3RU dị elu gụnyere:

• Anabolic steroid
• Heparin
• Okoli
• Salicylates (akwa dị elu)
• Warfarin

Drugsfọdụ ọgwụ nwere ike ibelata ogo T3RU gụnyere:

• Ọgwụ Antithyroid
• Mgbochi ọgwụ ịmụ nwa
• Nkịtị
• Estrogen
• Thiazides

Ime afọ ime nwekwara ike ibelata ogo T3RU.

Ọnọdụ ndị a nwere ike ibelata ọkwa TBG (lee akụkụ dị n'okpuru "Ihe kpatara ule a ji eme" maka ihe gbasara TBG):

• Ọrịa siri ike
• Akụrụ ọrịa mgbe protein na-efu na mmamịrị (nephrotic syndrome)

Ọgwụ ndị ọzọ jikọtara protein n'ime ọbara nwekwara ike imetụta nsonaazụ nnwale.

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 nke ọtụtụ homonụ dị iche iche, gụnyere hormone na-akpali akpali (TSH), T3, na T4.

Nnwale a na-enyere aka ịlele ọnụọgụ T3 nke TBG nwere ike ijikọ. TBG bụ protein nke na-ebu ọtụtụ T3 na T4 n'ọbara.

Onye na-eweta gị nwere ike ịkwado ule T3RU ma ọ bụrụ na ị nwere ihe ịrịba ama nke nsogbu gị, gụnyere:

• Hyperthyroidism (thyroid arụ ọrụ)
• Hypothyroidism (adịghị arụ ọrụ thyroid)
• Thyrotoxic periodic paralysis (ike adịghị ike kpatara site n'ọbara dị elu nke thyroid hormone n'ime ọbara)

Valueskpụrụ nkịtị sitere na 24% gaa na 37%.

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.

Ọkwa dị elu karịa nwere ike igosi:

• Akụrụ ọdịda
• Oroid na-arụ ọrụ (hyperthyroidism)
• Ọrịa Nephrotic
• Nsogbu na-edozi ahụ

Usoro dị ala karịa nwere ike igosi:

• Nnukwu ịba ọcha n'anya (ọrịa imeju)
• Ime afọ ime
• Hypothyroidism na-agwọ ọrịa
• Ojiji nke estrogen

Nsonaazụ ndị na-adịghị mma nwekwara ike ịbụ n'ihi ọnọdụ eketa eketa ọkwa ọkwa TBG dị elu. Ọ na-abụkarị ọrụ gị na-arụ bụ ọrụ nkịtị na ndị nwere ọnọdụ a.

Enwere ike ime ule a maka:

• Chronic thyroiditis (ọzịza ma ọ bụ mbufụt nke thyroid gland, gụnyere Hashimoto ọrịa)
• Hypothyroidism nke ọgwụ na-akpata
• Ọrịa ili
• Acutemechi thyroiditis
• Thyrotoxic nke oge mkpọnwụ
• Mgbu nodular goiter

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)

Ntughari T3 resin; T3 ntinye resin; Thyroid hormone-njikọta ruru

• 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.

Kiefer J, Mythen M, Roizen MF, Fleisher LA. Anestetiiki pụtara nke concurrent ọrịa. Na: Gropper MA, ed. Anwụrụ Miller. Agba nke 9. Philadelphia, PA: Elsevier; 2020: isi 32.

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.