Enhertu
Toka Te Manawa
- Toroxine (T4) Whakamatau
- Ko te whakamatautau e mehua ana i te T4 koreutu me te here e kiia ana ko te T4 whakamatautau katoa. Ko etahi atu whakamatautau ka whakatau i te T4 koreutu. Ko te whakamatautau T4 koreutu ka kiia he tika ake i te T4 whakamatautau katoa mo te tirotiro i te mahi o te thyroid.
- Hei aha te whakamahi?
- Nga waahi kaore i te haere
- Ka ahatia i te wa e whakamatautau ana koe i te tirokoro?
- Me mahi e au tetahi mea hei whakareri mo te whakamatautau?
- He raru pea mo te whakamatautau?
- Nga whakamatautau hei tohu i te thyroiditis o Hashimoto, he mate autoimmune e mate ana i te hypothyroidism
- Ka puta nga rereketanga o te tairoiro i te wa e hapu ana. Ahakoa ehara i te mea noa, ka taea e etahi waahine te whiu mate thyroid i te wa e hapu ana. Ko te Hyperthyroidism e pa ana ki te 0.1% ki te 0.4% o nga haputanga, i te wa e pa ana te hypothyroidism ki te 2.5% o nga haputanga.
Toroxine (T4) Whakamatau
Ko te whakamatautau thyroxine te ine i te taumata o te tiroroine (T4) kei roto i te toto. He nui, he iti ranei te T4 ka taea te tohu i te mate thyroid. Ako atu.
He aha te whakamātautau tirokine (T4)?
- Ma te whakamatautau thyroxine e awhina te taatai i nga mate o te taika. Ko te tiroro he repe iti, he hanga peara kei te taha o te korokoro. Ma to tairoiro e hanga nga homoni hei whakahaere i te ahua o te kaha o to tinana. He mea nui ano hoki tenei ki te whakahaere i to taumaha, te paemahana o te tinana, te kaha o te uaua, me to ahua ano hoki. Ko te thyroxine, e mohiotia ana ko te T4, he momo homoni taika. Ko tenei whakamatautau ka whanganga i te taumata o te T4 i roto i o toto. He nui, he iti ranei te T4 ka taea te tohu i te mate thyroid.Ko te H4 T4 e rua nga ahuatanga:
- T4 Koreutu, ka uru atu ki nga kiko o te tinana e hiahiatia ana
Tono T4
, e piri ana ki nga poroteini, kia kore ai e uru ki nga kiko o te tinana
Ko te whakamatautau e mehua ana i te T4 koreutu me te here e kiia ana ko te T4 whakamatautau katoa. Ko etahi atu whakamatautau ka whakatau i te T4 koreutu. Ko te whakamatautau T4 koreutu ka kiia he tika ake i te T4 whakamatautau katoa mo te tirotiro i te mahi o te thyroid.
Ko etahi atu ingoa: thyroxine koreutu, T4 koreutu, kohinga T4 katoa, mata tirokine, kore utu T4 koreutu
Hei aha te whakamahi?
Ka whakamahia he whakamatautau T4 hei arotake i te mahi o te tairoiro me te taatai i te mate o te tairo.
He aha i hiahiatia ai e ahau he whakamatautau tirokine?
- Ko te mate o te thyroid e kaha kitea ana i roto i nga waahine, he maha tonu ka pa mai i raro i nga tau 40. Ka rere ano hoki i roto i nga whanau. Akene me whai whakamatautau koe ki te thyroxine mena kua pa he mate tiroida ki tetahi mema o te whanau mena he tohu tohu ranei koe i te nui rawa o te homo thyroid i roto i o toto, te ahua e kiia nei ko te hyperthyroidism, he tohu ranei mo te iti rawa o te homo thyroid, he tikanga e kiia ana ko te hypothyroidism.
- Ko nga tohumate o te hyperthyroidism, e mohiotia ana ko te thyroid kaha rawa, ko:
- Te Manukanuka
- Te whakaheke taumaha
- Nga wiri i roto i nga ringaringa
- Kua piki te kaha o te ngakau
- Putiratanga
Ka pupuhi te kanohi
- Raru ana te moe
- Ko nga tohu o te hypothyroidism, e mohiotia ana ko te thyroid ngoikore, tae atu ki:
- Taumaha taumaha
- Ngenge
- Ngaro makawe
- He iti te manawanui mo nga makariri makariri
Nga waahi kaore i te haere
Tuhinga o mua
Ka ahatia i te wa e whakamatautau ana koe i te tirokoro?
Ka tangohia e tetahi tohunga ngaio hauora tetahi tauira toto mai i te uaua i roto i to ringa, ma te whakamahi i te ngira iti. Whai muri i te kuhunga o te ngira, ka kohia he toto iti ki roto i te ipuipu, ipu ranei. Akene he iti to ngau ka puta te ngira ki waho ka puta atu ranei. Ko te tikanga ka iti ake i te rima meneti tenei.
Me mahi e au tetahi mea hei whakareri mo te whakamatautau?
Kaore koe e hiahia i etahi whakaritenga motuhake mo te whakamatautau toto totoroxine. Mena kua whakahaua e to kaiwhakarato hauora kia nui ake nga whakamatautau mo to tauira toto, akene me tere (kaua e kai, inu ranei) mo etahi haora i mua o te whakamatautau. Ka whakamohio atu to kaiwhakarato hauora ki a koe mena he tohutohu motuhake hei whai.
He raru pea mo te whakamatautau?
He iti noa te tuponotanga ka tirohia o toto. Ka mamae pea koe, ka maru ranei koe i te waahi i maka ai te ngira, engari ko te nuinga o nga tohu ka tere wawe.
- He aha te tikanga o nga hua?
- Ko o hua ka puta mai i te ahua o te T4 katoa, te T4 koreutu, te tohu T4 koreutu ranei.
- Kei te taupū T4 koreutu tetahi tauira e whakataurite ana i te T4 koreutu me te here.
Ko nga taumata tiketike o enei whakamatautau (ko te T4 katoa, ko te T4 koreutu, ko te tohu T4 koreutu ranei) ka tohu he nui ake te mahi o te thyroid, e kiia nei hoki ko te hyperthyroidism.
- Ko nga taumata iti o enei whakamatautau katoa (ko te T4 katoa, ko te T4 koreutu, ko te tohu T4 koreutu ranei) tera pea he tohu thyroid ngoikore, e mohiotia ana ko te hypothyroidism.
- Mena kaore i te maau nga tohu whakamatautau T4, ka tono pea to kaiwhakarato hauora kia nui ake nga whakamatautau taika kia pai ai te whakatau mate. Kei roto hoki i enei:
- T3 whakamātautau taiaki thyroid. Ko te T3 tetahi atu homoni i hangaia e te taika.
- He whakamātautau TSH (thyroid stimulate hormone). Ko te TSH he homoni na te repe pituitary gland i hanga. He whakaohooho i te tairoiro ki te whakaputa i nga homoni T4 me te T3.
Nga whakamatautau hei whakatau mate i nga mate o Graves, he mate autoimmune e mate ai i te hyperthyroidism
Nga whakamatautau hei tohu i te thyroiditis o Hashimoto, he mate autoimmune e mate ana i te hypothyroidism
Ako atu mo nga whakamatautau taiwhanga, awhe tohutoro, me te maarama ki nga hua.
He mea ano me mohio ahau mo te whakamatautau i te tiriroxine?
Ka puta nga rereketanga o te tairoiro i te wa e hapu ana. Ahakoa ehara i te mea noa, ka taea e etahi waahine te whiu mate thyroid i te wa e hapu ana. Ko te Hyperthyroidism e pa ana ki te 0.1% ki te 0.4% o nga haputanga, i te wa e pa ana te hypothyroidism ki te 2.5% o nga haputanga.
- Ko te Hyperthyroidism, me te iti ake o te waa, hypothyroidism, ka noho pea i muri o te haputanga. Mena ka pangia e koe te ahua o te tairoiro i te wa e hapu ana koe, ka tirohia e to kaitoha hauora to ahua i muri mai o to whanautanga o to peepi. Ano hoki, mena he hitori to mate mate tauro, kia kaha ki te korero ki to kaiwhakarato hauora mena kei te hapu koe, kei te whakaaro ranei koe kia hapu.
- TohutoroAmerican thyroid Association [Ipurangi]. Falls Church (VA): American Thyroid Association; c2017. Nga Whakamatau Mahi Tiroiro [i whakahuahia 2017 Mei 22]; [tata ki te 2 nga mata]. Wātea mai i: https://www.thyroid.org/thyroid-unction-testsHinkle J, Cheever K. Brunner & Suddarth's Handbook of Laboratory and Diagnostic Test. 2
- nd
- Ed, Rama. Philadelphia: Wolters Kluwer Hauora, Lippincott Williams & Wilkins; c2014. Thryoxine, Serum 485 wh.
- Nga Whakamatautau Reipa Aipurangi [Ipurangi]. Washington D.C .: American Association mo te Haumanu Haumanu; c2001–2017. T4 Koreutu: Te Whakamatau [whakahoutia 2014 Oketopa 16; whakahuahia 2017 Mei 22]; [e 4 pea nga mata]. Wātea mai i: https://labtestsonline.org/understanding/analytes/t4/tab/test
- Nga Whakamatautau Reipa Aipurangi [Ipurangi]. Washington D.C .: American Association mo te Haumanu Haumanu; c2001–2017. T4 Koreutu: Te Tauira Whakamatau [whakahoutia 2014 Oketopa 16; whakahuahia 2017 Mei 22]; [tata ki te 3 nga mata]. Wātea mai i: https://labtestsonline.org/understanding/analytes/t4/tab/sample
- Nga Whakamatautau Reipa Aipurangi [Ipurangi]. Washington D.C .: American Association mo te Haumanu Haumanu; c2001–2017. TSH: Te Tauira Whakamatau [whakahoutia 2014 Oketopa 15; whakahuahia 2017 Mei 22]; [tata ki te 3 nga mata]. Wātea mai i: https://labtestsonline.org/understanding/analytes/tsh/tab/sample
- Merck Manual Kaihoko Putanga [Ipurangi]. Kenilworth (NJ): Merck & Co. Inc.; c2017. Tirohanga mo te Taiao Tuoro [i whakahuahia i te 2017 Mei 22]; [tata ki te 2 nga mata]. Wātea mai i: https://www.merckmanuals.com/home/hormonal-and-metabolic-disorder/thyroid-gland-disorder/overview-of-the-thyroid-gland
- National Institute of Diabetes and Digestive and Kidney Diseases [Ipurangi]. Bethesda (MD): Te Tari Hauora me nga Ratonga Tangata a U.S. Graves ’Mate; 2012 Akuhata [whakahua 2017 Mei 22]; [tata ki te 3 nga mata]. Wātea mai i: https://www.niddk.nih.gov/health-information/endocrine-diseases/graves-disease
- National Institute of Diabetes and Digestive and Kidney Diseases [Ipurangi]. Bethesda (MD): Te Tari Hauora me nga Ratonga Tangata a U.S. Te Mate a Hashimoto; 2014 Mei [whakahua 2017 Mei 22]; [tata ki te 3 nga mata]. Wātea mai i: https://www.niddk.nih.gov/health-information/endocrine-diseases/hashimotos-disease
- National Institute of Diabetes and Digestive and Kidney Diseases [Ipurangi]. Bethesda (MD): Te Tari Hauora me nga Ratonga Tangata a U.S. Nga Whakamatau Tairoiro; 2014 Mei [whakahua 2017 Mei 22]; [tata ki te 3 nga mata]. Wātea mai i: https://www.niddk.nih.gov/health-information/diagnostic-tests/thyroid
- National Heart, Lung, and Blood Institute [Ipurangi]. Bethesda (MD): Te Tari Hauora me nga Ratonga Tangata a U.S. He aha nga morearea o nga whakamatautau toto? [whakahoutia 2012 Hanuere 6; whakahuahia 2017 Mei 22]; [tata ki te 5 o nga mata]. Wātea mai i: https://www.nhlbi.nih.gov/health-topics/blood-tests#Risk-Factors
- National Heart, Lung, and Blood Institute [Ipurangi]. Bethesda (MD): Te Tari Hauora me nga Ratonga Tangata a U.S. He Aha Me Tono Ki Nga Toto Toto [whakahoutia 2012 Hanu 6; whakahuahia 2017 Mei 22]; [e 4 pea nga mata]. Wātea mai i: https://www.nhlbi.nih.gov/health-topics/blood-tests
- Soldin OP. Te Whakamahinga Mahi Tiroiroi i te wa e hapu ana me te mate thyroid: Nga Wahanga Tohutoro-Motuhake mo te Tuatahi. Ther Monit Monit. [Ipurangi]. 2006 Pepu [i whakahuahia i te 2019 Jun 3]; 28 (1): 8-11. Wātea mai i: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3625634
Whare Wananga o Rochester Medical Center [Ipurangi]. Rochester (NY): Whare Wananga o Rochester Medical Center; c2017. Encyclopedia Hauora: Koreutu me te Taumaha T4 [whakahua 2017 Mei 22]; [tata ki te 2 nga mata]. Wātea mai i: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=167&contentid;=t4_free_and_bound_blood