Hōʻike T4 manuahi

ʻO T4 (thyroxine) ka hormone nui i hana ʻia e ka thyroid gland. Hiki ke hana i kahi hoʻokolohua hoʻokolohua e ana i ka nui o ka T4 manuahi i kou koko. ʻO T4 manuahi ka thyroxine i hoʻopili ʻole ʻia i kahi protein i loko o ke koko.

Pono kahi laʻana koko.

E haʻi aku kāu mea mālama ola inā pono ʻoe e hōʻoki i ka lawe ʻana i nā lāʻau i hiki ke hoʻololi i ka hopena hōʻike. Ma ka laulā, ʻaʻole pili nā hopena hōʻike i nā lāʻau ʻē aʻe āu e ʻai nei. Eia nō naʻe, hiki i kekahi mau mea hoʻopihapiha me biotin (wikamina B7) ke hoʻopili i nā hopena. E haʻi i kāu mea hāʻawi inā lawe ʻoe i ka biotin.

ʻO ka hāpai a me kekahi mau maʻi, e like me ka maʻi puʻupaʻa a me ke ake, hiki ke hoʻopili i nā hopena o kēia hōʻike.

Ke hoʻokomo ʻia ke kui kele e huki i ke koko, manaʻo kekahi poʻe i ka ʻeha kaulike. ʻIke wale kekahi i kahi ʻōniʻu a i ʻole kui. Ma hope, loaʻa paha i kahi kūpikipiki a i ʻole ka ʻūlū iki. Hele koke kēia.

E ʻōlelo paha kāu mea hāʻawi i kēia hoʻāʻo inā loaʻa nā hōʻailona o kahi maʻi thyroid, me:

• Nā hopena maʻamau o nā hoʻokolohua koko thyroid ʻē aʻe, e like me TSH a i ʻole T3
• Nā ʻōuli o kahi thyroid overactive
• Nā ʻōuli o kahi thyroid paʻa ʻole
• Hypopituitarism (ʻaʻole hana lawa ka pituitary gland i kāna mau hormones)
• Lū a nodule paha i loko o ka thyroid
• Pākuʻi thyroid hoʻonui ʻia a i ʻole kaulike ʻole
• Nā pilikia e hāpai ana

Hoʻohana ʻia kēia ho'āʻo e nānā i ka poʻe e mālama ʻia ana no nā pilikia thyroid.

ʻO 0,9 a i ka 2.3 nanograms ma ka deciliter (ng / dL) kahi laulā maʻamau maʻamau a i ʻole 12 a 30 mau picomoles i kēlā me kēia lita (pmol / L).

Hiki ke loli iki nā pae waiwai maʻamau i waena o nā hale hana ʻokoʻa. Hoʻohana kekahi mau keʻena hoʻokolohua i nā ana like ʻole a i ʻole hoʻokolohua i nā hoʻohālikelike like ʻole. E kamaʻilio i kāu mea hāʻawi e pili ana i ke ʻano o kāu mau hopena hōʻike.

Hoʻokumu ʻia ka laulā maʻamau i ka heluna lehulehu a ʻaʻole ia he maʻamau no kekahi kanaka. Loaʻa paha iā ʻoe nā ʻōuli o hyperthyroidism a i ʻole hypothyroidism ʻoiai ʻo kāu T4 manuahi i ka pae maʻamau. Hiki ke kōkua i ka hoʻāʻo TSH ke hoʻoholo inā pili kāu mau hōʻailona i ka maʻi thyroid. E kamaʻilio i kāu mea hāʻawi e pili ana i kāu mau ʻōuli.

No ka hoʻomaopopo piha ʻana i nā hopena o ka hōʻike T4 manuahi, pono paha nā hopena o nā hoʻokolohua koko thyroid ʻē aʻe, e like me TSH a i ʻole T3.

Hoʻopilikia ʻia paha nā hopena hōʻike e ka hāpai keiki, pae estrogen, nā pilikia o ke ake, nā maʻi ākea ākea o ke kino, a me nā loli hoʻoilina i loko o kahi protein e hoʻopaʻa iā T4.

ʻO kahi kiʻekiʻe ma mua o ka pae maʻamau o T4 ma muli o nā kūlana e pili ana i kahi thyroid overactive, me:

• Maʻi maʻi kupapaʻu
• Lawe nui i ka lāʻau thyroid hormone
• ʻO ka thyroiditis
• ʻO ka goiter Toxic a i ʻole nā ​​nodule thyroid ʻona
• ʻO kekahi mau tumors o nā testes a i ʻole nā ​​ovaries (laha ʻole)
• Ke kiʻi ʻana i nā hoʻokolohua kiʻi olakino me ka kala ʻokoʻa e loaʻa ana ka iodine (kākaʻikahi, a inā he pilikia me ka thyroid)
• ʻO ka ʻai ʻana i nā meaʻai he nui i loko o ka iodine (kākaʻikahi loa, a inā he pilikia me ka thyroid)

ʻO kahi haʻahaʻa ma mua o ka pae maʻamau o T4 ma muli o:

• Hypothyroidism (me ka maʻi Hashimoto a me nā maʻi ʻē aʻe e pili ana i kahi thyroid underactive)
• Maʻi maʻi koʻikoʻi
• Malnutrisi a hoʻokē ʻai paha
• Hoʻohana o kekahi mau lāʻau

ʻAʻohe pilikia iki i ka lawe ʻia ʻana o kou koko. ʻOkoʻa nā aʻa a me nā aʻa i ka nui mai kekahi kanaka a i kekahi ʻē aʻe a mai kekahi ʻaoʻao o ke kino i kekahi. ʻOi aku ka paʻakikī o ka loaʻa ʻana o kahi laʻana koko mai kekahi poʻe ma mua o nā poʻe ʻē aʻe.

ʻO nā pilikia ʻē aʻe e pili ana i ke kau ʻana o ke koko he liʻiliʻi, akā hiki ke hoʻopili ʻia:

• Kahe nui ke koko
• Pāleʻale a ʻoluʻolu paha
• Nā punctures he nui e ʻimi i nā uaua
• Hematoma (kūkulu koko ma lalo o ka ʻili)
• Maʻiʻaʻai (i iki kamepiula i kēlā me kēia manawa ka ʻili i haki)

Hōʻike thyroxine manuahi; Hōʻike thyroxine e ka dialysis kaulike

• Hōʻaʻo koko

ʻO Guber HA, Farag AF. ʻO ka loiloi o ka hana endocrine. I: McPherson RA, Pincus MR, hua. ʻO kā Henry's Clinical Diagnosis a me Management e nā Laboratory Methods. 23rd Ed. St Louis, MO: Elsevier; 2017: chap 24.

Hinson J, Raven P. Endocrinology a me ka ʻōnaehana hānau. I: Niash J, Syndercombe D, eds. ʻEpekema Lapaʻau. ʻEkolu huaʻōlelo. Piladelapia, PA: Elsevier; 2019: chap 10.

ʻO Salvatore D, Cohen R, Kopp PA, Larsen PR. ʻO ka thyroid pathophysiology a me ka loiloi diagnostic. I: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. ʻO Williams Textbook of Endocrinology. 14th ed. Piladelapia, PA: Elsevier; 2020: chap 11.

Weiss RE, Refetoff S. Ke hoʻāʻo nei kāu hana thyroid. I: Jameson JL, De Groot LJ, de Kretser DM, et al, eds. Endocrinology: Makua a Pediatric. ʻEpekema 7 Piladelapia, PA: Elsevier Saunders; 2016: chap 78.