Hōʻike T3

ʻO Triiodothyronine (T3) kahi hormone thyroid. He mea nui ia i ka kaohi o ke kino o ka metabolism (ka nui o ke kaʻina hana e kaohi i ka helu o ka hana i nā hunaola a me nā aʻa.

Hiki ke hana ʻia kahi hōʻike hale hōʻikeʻike e ana i ka nui o T3 i kou koko.

Pono kahi laʻana koko.

E haʻi aku kāu mea mālama ola iā ʻoe inā pono ʻoe e hōʻoki i ka lawe ʻana i nā lāʻau i mua o ka hoʻāʻo e hiki ai ke hopena i kāu hopena hōʻike. Mai hōʻoki i ka lawe ʻana i nā lāʻau me ka ʻole e kamaʻilio mua i kāu mea hāʻawi.

Nā lāʻau i hiki ke hoʻonui i nā ana T3:

• Pila pale hānau
• Clofibrate
• ʻO Estrogens
• Methadone
• ʻO kekahi mau lāʻau lapaʻau lāʻau

ʻO nā lāʻau i hiki ke hoʻemi i nā ana T3:

• Amiodarone
• ʻO nā steroid Anabolic
• Androgens
• Nā lāʻau Antithyroid (ʻo kahi laʻana, propylthiouracil a me methimazole)
• Likiuma
• ʻO Phenytoin
• Propranolol

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.

Hana ʻia kēia hōʻike e nānā i kāu hana thyroid. Pili ka hana thyroid i ka hana a T3 a me nā hormones ʻē aʻe, e like me ka thyroid-stimulate hormone (TSH) a me T4.

I kekahi manawa hiki ke maikaʻi ke ana i nā T3 a me T4 i ka wā e loiloi ana i kāu hana thyroid.

Ana ka huina T3 i ka T3 i hoʻopili ʻia i nā protein a lana manuahi i ke koko.

Ke ana ka hōʻike T3 manuahi i ka T3 e lana manuahi nei i loko o ke koko. ʻO nā hōʻike no ka T3 manuahi he ʻoi aku ka liʻiliʻi o ka pololei ma mua o ka huina T3.

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

• ʻAʻole hana ka pituitary gland i nā nui maʻamau o kekahi a i ʻole o kāna mau hōmona (hypopituitarism)
• Kelepona thyroid overactive (hyperthyroidism)
• Pahu thyroid underactive (hypothyroidism)
• Lawe i nā lāʻau no hypothyroidism

ʻO ka laulā no nā waiwai maʻamau:

• Huina T3 - 60 a 180 nanograms no deciliter (ng / dL), a i ʻole 0.9 a 2.8 nanomoles i kēlā me kēia lita (nmol / L)
• Free T3 - 130 a 450 i nā picgram i kēlā me kēia deciliter (pg / dL), a i ʻole 2.0 a 7.0 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 labs i nā ana like ʻole a i ʻole nā ​​hoʻāʻo i nā mea hoʻohālikelike like ʻole. E kamaʻilio i kāu mea hāʻawi e pili ana i ke ʻano o kāu mau hopena hōʻike.

ʻO nā kumukūʻai maʻamau he kiko kikoʻī no ka poʻe ma lalo o ka makahiki 20. E hōʻoia me kāu mea hoʻolako e pili ana i kāu mau hopena kikoʻī.

ʻO kahi pae kiʻekiʻe ma mua o ka maʻamau o T3 he hōʻailona paha o:

• Kelepona thyroid overactive (ʻo kahi laʻana, maʻi Graves)
• T3 thyrotoxicosis (kākaʻikahi)
• Pākuʻi nodular ʻona
• Lawe i nā lāʻau thyroid a i ʻole kekahi mau mea hoʻopili (maʻamau)
• Maʻi maʻi ate

Kū paha kahi pae kiʻekiʻe o T3 i ka hāpai ʻana (ʻo ia hoʻi me ka maʻi kakahiaka i ka hopena o ka trimester mua) a i ʻole me ka hoʻohana ʻana o nā lāʻau kaohi hānau a i ʻole estrogen.

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

• ʻO nā maʻi lōʻihi pōkole a i ʻole kekahi mau maʻi lōʻihi
• ʻO ka thyroiditis (ka pehu a me ka mumū o ka momona thyroid - ʻo ka maʻi Hashimoto ka ʻano maʻamau)
• Pololi
• Pahu thyroid paʻa ʻole

ʻO ka hemahema Selenium ka mea e hoʻemi i ka hoʻololi o T4 i T3, akā ʻaʻole maopopo ka hopena o kēia ma lalo o nā pae T3 maʻamau i ka poʻe.

Aia kahi pilikia iki i ka lawe ʻia ʻana o kou koko. Hoʻohālikelike 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)

Triiodothyronine; T3 radioimmunoassay; Toxic nodular goiter - T3; Thyroiditis - T3; Thyrotoxicosis - T3; Maʻi maʻi - T3

• 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.

ʻO Kim G, Nandi-Munshi D, Diblasi CC. Nā maʻi o ka pona thyroid. I: Gleason CA, Juul SE, eds. Nā maʻi o Avery o ke keiki hānau. 10 o ka lā. Piladelapia, PA: Elsevier; 2018: chap 98.

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.