Tus Sau: Joan Hall
Hnub Kev Tsim: 25 Lub Ob Hli Ntuj 2021
Hloov Hnub: 19 Lub Kaum Ib Hli Ntuj 2024
Anonim
T3RU kev xeem - Tshuaj Kho Mob
T3RU kev xeem - Tshuaj Kho Mob

Kev ntsuam xyuas T3RU ntsuas cov qib ntawm cov protein uas nqa cov thyroid hormones hauv cov ntshav. Qhov no tuaj yeem pab koj tus kws kho mob txhais lus rau soj ntsuam T3 thiab T4 kev kuaj ntshav.

Vim tias cov kev sim hu ua kev kuaj ntshav dawb T4 thiab thyroxine binding globulin (TBG) kev kuaj ntshav tau tam sim no, T3RU qhov ntsuas tsis tshua tau siv rau cov hnub no.

Xav tau cov ntshav ntxiv.

Koj tus kws kho mob yuav qhia koj yog tias koj xav tau tsum tsis noj tshuaj ua ntej qhov kev kuaj mob uas cuam tshuam rau koj cov txiaj ntsig kev sim. TSIS TXHOB noj yam tshuaj yam tsis tau tham nrog koj tus kws kho mob.

Qee cov tshuaj uas tuaj yeem nce qib T3RU suav nrog:

  • Cov tshuaj steroid anabolic
  • Heparin
  • Phenytoin
  • Salicylates (koob tshuaj siab)
  • Warfarin

Qee cov tshuaj uas tuaj yeem txo qib T3RU suav nrog:

  • Antithyroid tshuaj
  • Tshuaj noj tiv thaiv tsis pub muaj menyuam
  • Clofibrate
  • Estrogen
  • Thiazides

Cev xeeb tub kuj tuaj yeem txo tau T3RU qib.

Cov xwm txheej no tuaj yeem txo qis dua TBG (saib hauv qab no "Vim Li Cas Qhov Kev Ntsuas Ua" rau ntau ntxiv txog TBG):


  • Mob nyav heev
  • Kab mob hauv lub raum thaum muaj protein plam hauv cov zis (nephrotic syndrome)

Lwm cov tshuaj uas khi rau cov protein nyob hauv ntshav kuj tseem tuaj yeem cuam tshuam cov txiaj ntsig sim.

Thaum cov koob tau tso rau hauv cov ntshav, qee cov neeg hnov ​​mob me ntsis. Lwm tus ho hnov ​​tus mob lossis ceg tawv xwb. Tom qab ntawd, tej zaum yuav muaj qee qhov thos lossis me me sib duav. Tsis ntev no ploj mus.

Qhov ntsuas no yog ua tiav los kuaj xyuas koj lub qog ua haujlwm. Lub qog ua haujlwm nyob ntawm kev ua ntawm ntau yam tshuaj hormones, suav nrog cov thyroid-stimulating hormone (TSH), T3, thiab T4.

Qhov ntsuas no pab tshawb xyuas qhov nyiaj ntawm T3 uas TBG muaj peev xwm khi tau. TBG yog yam protein uas nqa tau T3 thiab T4 feem ntau ntawm cov ntshav.

Koj tus kws kho mob yuav pom zoo kom kuaj T3RU yog tias koj muaj cov cim qhia txog kev mob qog, nrog rau:

  • Hyperthyroidism (ua rau mob qog)
  • Hypothyroidism (tsis zoo li lub qog)
  • Thyrotoxic ib ntu zuj zus txhawm rau tuag tes tuag taw (cov leeg tsis muaj zog los ntawm cov ntshav cov thyroid theem siab hauv cov ntshav)

Cov nuj nqis ib txwm tsis suav txij li 24% txog 37%.


Cov kab ke tus nqi yuav txawv me ntsis ntawm ntau lub chaw soj nstuam. Qee qhov kuaj pom siv cov kev ntsuas sib txawv lossis kuaj cov qauv sib txawv. Tham nrog koj tus kws kho mob txog cov ntsiab lus ntawm koj cov kev kuaj sim.

Qib dua-dua li ib txwm yuav qhia tau tias:

  • Raum tsis ua haujlwm
  • Lub zog qog ua ntshav (hyperthyroidism)
  • Tus mob Nifaisrotic
  • Protein tsis zoo

Qis dua-li theem yuav qhia tau tias:

  • Kab mob siab (Kab mob siab)
  • Cev xeeb tub
  • Kev Hypothyroidism
  • Kev siv cov tshuaj estrogen

Qhov tshwm sim tsis zoo kuj tuaj yeem yog vim muaj kev muaj keeb ntawm qib TBG ntau. Feem ntau cov thyroid muaj nuj nqi yog ib txwm nyob hauv cov neeg muaj tus mob no.

Qhov kev ntsuas no tseem yuav ua rau:

  • Mob thyroiditis (o lossis o ntawm cov thyroid caj pas, suav nrog Hashimoto kab mob)
  • Kev quav tshuaj hypothyroidism
  • Graves tus kab mob
  • Xa cov thyroiditis
  • Thyrotoxic ib ntu zuj zus tuag tes tuag taw
  • Cov taub hau lom cov taub hau mus

Kev pheej hmoo me me los ntawm kev cuam tshuam nrog koj cov ntshav.Veins thiab cov hlab ntsha sib txawv me me ntawm ib tus neeg mus rau lwm tus thiab ntawm ib sab ntawm lub cev mus rau lwm tus. Mus nqa cov ntshav los ntawm ib cov neeg tej zaum yuav nyuaj tshaj li los ntawm lwm tus.


Lwm yam kev phom sij los cuam tshuam nrog kev kos ntshav me ntsis, tab sis yuav suav nrog:

  • Los ntshav ntau
  • Tsaus muag lossis hnov ​​nkaus lub teeb
  • Ntau cov punctures los nrhiav cov leeg ntshav
  • Hematoma (ntshav buildup hauv qab daim tawv nqaij)
  • Kev kis tus kab mob (muaj kev pheej hmoo me me txhua lub sijhawm ntawm daim tawv tawg)

Resin T3 qhov siab; T3 cob uptake; Cov thyroid los khi-sib piv

  • Kuaj ntshav

Guber HA, Farag AF. Kev soj ntsuam ntawm endocrine muaj nuj nqi. Hauv: McPherson RA, Pincus MR, eds. Henry's Kev Kuaj Mob thiab Kev Tswj Xyuas los ntawm Laboratory Txoj KevCov. 23rd ed. St Louis, MO: Elsevier; 2017: chap 24.

Kiefer J, Mythen M, Roizen MF, Fleisher LA. Kev mob siab rau qhov cuam tshuam ntawm cov kab mob ua ke. Hauv: Gropper MA, ed. Miller lub tshuaj loogCov. 9le ed. Philadelphia, PA: Elsevier; 2020: chap 32.

Salvatore D, Cohen R, Kopp PA, Larsen PR. Cov thyroid pathophysiology thiab tshuaj ntsuam xyuas mob. Hauv: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. Williams Phau Ntawv ntawm EndocrinologyCov. Xab 14th. Philadelphia, PA: Elsevier; 2020: chap 11.

Weiss RE, Refetoff S. Cov thyroid muaj nuj nqi kuaj. Hauv: Jameson JL, De Groot LJ, de Kretser DM, li al, eds. Endocrinology: Cov Neeg Loj thiab PediatricCov. 7 tus ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 78.

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