Thyroxine (T4) Kev Ntsuas

Zoo Siab

• Txoj kev kuaj mob thyroxine (T4) yog dab tsi?
• Nws siv rau dab tsi?
• Vim li cas kuv thiaj xav kuaj koj cov thyroxine?
• Yuav ua li cas thaum lub sijhawm kuaj thyroxine?
• Kuv puas yuav tau ua ib yam dab tsi txhawm rau npaj rau qhov kev xeem?
• Puas muaj kev pheej hmoo rau kev kuaj?
• Cov txiaj ntsig li cas?
• Puas muaj lwm yam ntxiv uas kuv xav paub txog kev ntsuas thyroxine?
• Ua tim khawv

Txoj kev kuaj mob thyroxine (T4) yog dab tsi?

Txoj kev kuaj mob thyroxine pab txheeb xyuas cov kev muaj mob ntawm cov thyroid. Txoj kev ua qog yog ib qho me me, npauj npaim npaim lub cev nyob ze lub caj pas. Koj lub qog ua cov tshuaj hormones uas tswj txoj kev siv koj lub cev. Nws kuj tseem yog qhov tseem ceeb hauv kev tswj hwm koj qhov hnyav, lub cev kub, leeg lub zog, thiab txawm koj lub siab. Thyroxine, tseem hu ua T4, yog ib hom ntawm cov thyroid hormone. Qhov kuaj no ntsuas theem T4 hauv koj cov ntshav. Ntau dhau los yog tsawg dhau T4 tuaj yeem qhia cov kab mob thyroid.

T4 hormone los ua ob hom:

• T4 Dawb, uas nkag mus rau hauv lub cev nqaij uas nws xav tau
• Ciaj T4, uas txuas nrog cov protein, tiv thaiv nws los ntawm kev nkag mus rau lub cev nqaij

Ib qho kev ntsuas uas ntsuas ob qho dawb thiab khi T4 hu ua tag nrho T4 xeem. Lwm yam kev ntsuas ntsuas tsuas yog pub dawb T4. T4 kuaj dawb yog suav tias muaj tseeb dua li kev ntsuas tag nrho T4 rau kev kuaj xyuas cov thyroid muaj nuj nqi.

Lwm lub npe: pub dawb thyroxine, T4 pub dawb, tag nrho T4 concentration, thyroxine npo, T4 concentration dawb

Nws siv rau dab tsi?

Kev ntsuam xyuas T4 yog siv los tshuaj xyuas cov thyroid muaj nuj nqi thiab kuaj tus kab mob thyroid.

Vim li cas kuv thiaj xav kuaj koj cov thyroxine?

Tus mob cov thyroid yog cov muaj ntau rau cov poj niam thiab feem ntau tshwm sim thaum hnub nyoog qis dua 40 xyoo. Nws kuj nyiam khiav hauv tsev neeg. Tej zaum koj yuav xav kuaj thyroxine yog tias ib tus neeg hauv koj tsev neeg tau mob qog dhau los lossis yog tias koj muaj cov tsos mob muaj ntau dhau los ua cov thyroid hormones txaus hauv koj cov ntshav, ib yam mob hu ua hyperthyroidism, lossis cov tsos mob muaj tsawg dua cov thyroid hormones txaus, ib yam mob hu ua hypothyroidism.

Cov tsos mob ntawm tus mob hyperthyroidism, tseem hu ua kev tsim muaj cov thyroid, suav nrog:

• Ntxhov siab vim
• Lub cev yuag
• Cov nruas rau hauv tes
• Txhawb lub plawv dhia
• Puffiness
• Bulging ntawm lub qhov muag
• Teeb meem pw

Cov tsos mob ntawm hypothyroidism, tseem hu ua cov thyroid tsis ua haujlwm, suav nrog:

• Qhov hnyav nce
• Nkees
• Cov plaub hau poob lawm
• Tsis kam rau ua rau qhov txias txias
• Kev coj khaub ncaws tsis xwm yeem
• Cem quav

Yuav ua li cas thaum lub sijhawm kuaj thyroxine?

Tus kws kho mob yuav kuaj ntshav ntawm txoj hlab ntshav hauv koj txhais caj npab, siv rab koob me me. Tom qab cov koob raug tso nkag, cov ntshav me me yuav raug sau rau hauv lub khob kuaj lossis vial. Koj tuaj yeem hnov ​​me ntsis thaum cov koob nkag mus lossis tawm. Qhov no feem ntau yuav siv sijhawm tsawg dua tsib feeb.

Kuv puas yuav tau ua ib yam dab tsi txhawm rau npaj rau qhov kev xeem?

Koj tsis tas yuav npaj tshwj xeeb rau kev kuaj ntshav thyroxine. Yog tias koj tus kws kho mob tau hais kom koj qhov kev kuaj ntshav ntxiv, koj yuav tsum yoo mov (tsis txhob noj los yog haus) rau ob peb teev ua ntej kev sim. Koj tus kws kho mob yuav qhia rau koj paub yog tias nws muaj lus qhia tshwj xeeb ua raws.

Puas muaj kev pheej hmoo rau kev kuaj?

Txoj kev kuaj ntshav muaj feem me me. Koj yuav muaj mob me lossis doog ntshav ntawm qhov chaw tso rab koob, tab sis feem ntau cov tsos mob ploj mus sai.

Cov txiaj ntsig li cas?

Koj qhov tshwm sim tuaj yeem yuav los ua tag nrho T4, T4 pub dawb, lossis T4 ntsuas ntsuas dawb.

• T4 qhov ntsuas dawb suav muaj cov qauv uas piv rau dawb thiab ua txhua yam T4.
• Cov qib siab ntawm txhua yam ntawm cov kev ntsuam xyuas no (tag nrho T4, T4 dawb, lossis dawb T4 Performance index) yuav qhia tau tias muaj cov thyroid ntau heev, tseem hu ua hyperthyroidism.
• Qib qis ntawm txhua qhov ntawm cov kev ntsuas no (tag nrho T4, T4 dawb, lossis dawb T4 Performance index) yuav qhia tau qhov tsis txaus ntseeg qog, tseem hu ua hypothyroidism.

Yog tias koj li kuaj T4 tsis zoo, koj tus kws kho mob yuav tuaj yeem txiav txim siab ntau dua cov thyroid mus rau kev pab kuaj mob. Cov no suav nrog:

• Kev tshuaj ntsuam T3 lub qog. T3 kuj yog lwm yam los ntawm cov thyroid los thiab.
• A TSH (cov thyroid stimulating hormone) ntsuas. TSH yog yam tshuaj tsim los ntawm lub qog pituitary. Nws pab txhawb cov thyroid los ua cov tshuaj hormones T4 thiab T3.
• Kev ntsuam xyuas los kuaj mob Graves 'kab mob, tus kab mob autoimmune uas ua rau hyperthyroidism
• Kev ntsuam xyuas los kuaj Hashimoto's thyroiditis, tus kab mob autoimmune uas ua rau hypothyroidism

Kawm paub ntau ntxiv txog cov kev sim hauv chaw soj ntsuam, cov chaw siv ntsuas, thiab nkag siab cov txiaj ntsig tau.

Puas muaj lwm yam ntxiv uas kuv xav paub txog kev ntsuas thyroxine?

Cov thyroid hloov tuaj yeem tshwm sim thaum cev xeeb tub. Txawm hais tias nws tsis pom muaj ntau los, qee tus pojniam tuaj yeem txhim kho cov thyroid kab mob thaum cev xeeb tub. Hyperthyroidism tshwm sim hauv kwv yees li 0.1% mus rau 0.4% ntawm cev xeeb tub, thaum hypothyroidism tshwm sim hauv kwv yees li ntawm 2.5% ntawm cev xeeb tub.

Hyperthyroidism, thiab tsawg zaus, hypothyroidism, tej zaum yuav nyob twj ywm tom qab cev xeeb tub. Yog tias koj pib mob qog thaum cev xeeb tub, koj tus kws kho mob yuav saib xyuas koj tus mob tom qab koj yug los. Tsis tas li, yog tias koj muaj keeb kwm ntawm cov mob qog, nco ntsoov nrog koj tus kws kho mob tham yog tias koj cev xeeb tub los yog xav tias cev xeeb tub.

Ua tim khawv

1. American Thyroid Association [Is Taws Nem]. Ntog Tsev Teev Ntuj (VA): Koom Tes Nrog American Cov thyroid; c2017. Kev Ntsuam Xyuas Rau Txoj Haujlwm Thyroid [hais 2017 Lub Tsib Hlis 22]; [txog 2 ntxaij]. Muaj los ntawm: https://www.thyroid.org/thyroid-function-tests
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7. Teb chaws koom haum txog ntshav qab zib thiab lub plab thiab lub raum mob [Is Taws Nem]. Bethesda (MD): Asmeskas Lub Chaw Haujlwm Saib Xyuas Kev Noj Qab Haus Huv thiab Tib Neeg; Ntxa 'Kab Mob; 2012 Aug [raug nplua 2017 Lub Tsib Hlis 22]; [txog 3 ntxaij]. Muaj los ntawm: https://www.niddk.nih.gov/health-information/endocrine-diseases/graves-disease
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9. Teb chaws koom haum txog ntshav qab zib thiab lub plab thiab lub raum mob [Is Taws Nem]. Bethesda (MD): Asmeskas Lub Chaw Haujlwm Saib Xyuas Kev Noj Qab Haus Huv thiab Tib Neeg; Kev Ntsuas Cov thyroid; 2014 Tsib Hlis [hais tawm 2017 Tsib Hlis 22]; [txog 3 ntxaij]. Muaj los ntawm: https://www.niddk.nih.gov/health-information/diagnostic-tests/thyroid
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12. Soldin OP. Cov thyroid Ntsuam Xyuas Kev Xeeb Tub hauv Kev Xeeb Tub thiab Kab Mob Mob Ntshav Qab Zib: Tej lub sij hawm xa mus. Ther Tshuaj Ntsuas. [Is Taws Nem]. 2006 Lub Ob Hlis [hais tawm 2019 Jun 3]; 28 (1): 8-11. Muaj los ntawm: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3625634
13. University of Rochester Medical Center [Internet]. Rochester (NY): Tsev kawm qib siab Rochester Medical Center; c2017. Cov Ntawv Teev Kev Noj Qab Nyob Zoo: Dawb thiab Ciam T4 [raug nplua 2017 Lub Tsib Hlis 22]; [txog 2 ntxaij]. Muaj los ntawm: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=167&contentid ;=t4_free_and_bound_blood
14. University of Rochester Medical Center [Internet]. Rochester (NY): Tsev kawm qib siab Rochester Medical Center; c2017. Cov Ntawv Qhia Txog Kev Noj Qab Nyob Zoo: Dawb T4 [raug nplua 2017 Lub Tsib Hlis 22]; [txog 2 ntxaij]. Muaj los ntawm: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=167&contentid=free_t4_thyroxine
    
    

Cov ntaub ntawv ntawm lub xaib no yuav tsum tsis txhob siv los hloov chaw kho mob lossis tswv yim kho mob. Hu rau kws kho mob yog tias koj muaj lus nug txog koj txoj kev noj qab haus huv.