4 (free): te täkupu. Taiki T4 (free): te whakamātautau toto mo hormones thyroid

O te faufaa rahi i roto i te mahi noa o te repe thyroid ko te pūnaha thyroid hypothalamic-rapae o. E whakarato ana te mana o te kōtuitui, whakaputa me te mahi o hormones thyroid.

Overview

Ko te hypothalamus secretes FAT (take tireotro-titi-tuku). Te reira i, i roto i te tahuri, whakaongaonga te tuku, me te kōtuitui anō o te thyroid whakaongaonga taiaki (TSH - TTG). whai wāhi TSH te i roto i te tukanga e pā ana ki ētahi atu steroids. I roto i ngā, whakaongaonga reira secretion, whakaeminga, pākia me te kōtuitui o triiodothyronine (T3) me thyroxine (T4). Neke atu i te 99% o ēnei steroids e rua i roto i te toto komuhumuhu i roto i te puka pūmua waka e pā ana. Iti iho i te kotahi ōrau kei roto i te puka utu. Here taumata pūtaiaki i roto i te nuinga o te iwi tuatihia te ki te āhua mahi o te repe thyroid.

āhuatanga thyroxine

Taiki T4 (free) whakahaere ture o te tupu noa me te whanaketanga, te whakarite i te tiaki o te pāmahana tinana, me te reira te pupuri i te buildup wera. Te pūhui he pānga i runga i ngā wāhanga katoa o te warowaihā pākia, i roto i te wahi - i runga i te huaora me te lipid pākia. Taiki T4 (free) ko te wāhanga nui o te whanaketanga i roto i te utero me wā fā'ele'i. Ko te kukū tohu te huru haumanu o te mana thyroid, rite kia te huringa i roto i te taumata whānui o te thyroxine kia pōreareatanga e raruraru i roto i te mahi o te repe thyroid te huringa i roto i te maha o te pūmua waka ranei. I roto i te ra, i whakaritea te ihirangi mōrahi o te pūtaiaki te i 8 ki te 12 haora, me te iti rawa - ki 23, me 3. I roto i te tau, te taumata teitei 4 (free) tae i Mahuru ki February, te raro - raumati. I roto i te wā prenatal (roto i te hapūtanga) nui haere thyroxine kukū, pa he taumata mōrahi ki āta toru huatū. I roto i te ora o te ihirangi thyroxin i roto i te iwi ahakoa o te ira tangata tonu ngā tamau. taumata taiaki iti kitea i muri i wha tekau nga tau.

He aha e taea e korero i te taumata o te thyroxine?

Ki te T4 (free) mārama nui haere, ka te whakaaro reira he haamauraa o hyperthyroidism. kukū iti tohu hypothyroidism. Ko te motuhake o te ihirangi pūtaiaki o thyroxine globulin here hanga reira taea ki te whakamahi i te reira rite te whakamātautau tātaritanga pono. He tino nui i roto i ngā āhuatanga e kua haere tahi e huringa i roto i ngā taumata o te globulin thyroxine-here tenei. Ēnei ngā whakawhānau waha (waha), hapūtanga, whiwhi androgen estrogen ranei. He āhuatanga Huringa me mo te hunga ki te predisposition tuku ki te whakanui i whakaiti i te kukū o te globulin ranei. Donate toto mō te T4 utu tūtohutia hoki momo tātaritanga o hypothyroidism tuarua e tika ana ki pathologies i roto i te taumata hypothalamo-rapae o. I roto i tenei take e kore e TTG ihirangi huri piki ranei. Tikanga, nga taumata teitei o te thyroxine taea e tika ana ki te taumata teitei o te serum bilirubin, te mōmona, me te he pāpuni, ka ka te whakamātautau toto. 4 (free) e kore e huri i raro i mate kino i roto i te mahi kore-thyroid. Ko te taumata o te thyroxine katoa kia whakaiti.

Te faaineineraa no te whakamātautau taiwhanga

He marama i mua i te hoatu toto katia te whakahaere o hormones (te kore i reira e tohutohu motuhake tafe'anga). Hoki e rua ranei e toru nga ra ki te aukati i te whakamahi o te tātari o raau taero iodine-kei roto. Me haere i mua toto ki rangahau radiological te whakamahi i āpiha rerekē. I runga i te mahana o te hoatu toto e pehi i mahi tinana, te whakakore āhuatanga taumaha. I mua ki te ako, he hawhe haora, kia ata koe ki raro, meinga te kupukupu ki noa. whakamana ana te tātaritanga te i runga i te puku kau. Ki te kai whakamutunga me kia kore iti iho i te waru haora (engari pai 12 haora). E kore e whakaaetia te reira ki te inu kawhe, tea wai ranei. Taea e te wai anake.

taumata iti o thyroxine

taea te heke i roto i te wā postoperative, ka te hypothyroidism Tuarua (mumura o te rapae o, tireotropinome, - 4 (free) (9-19 pmol / l noa wahine me te tangata) syndrome, Sheehan). Whakaiti i te kukū te tuhia hoki ki runga ki te pūtake o anabolics fariiraa, thyreostatics, taero anticonvulsant, taka konukōhatu. heke te taumata Thyroxine ka whakamahi i te whakawhānau waha, octreotide, methadone, clofibrate. ngā ano take ka taea te kai ki te nui iti o te pūmua, hē konutawa, te whakamahi taimiri, te rongo ki te arahi. 4 (free) kia heke ki tuatoru (karere hypothalamus TBI), riro, hypothyroidism congenital (i roto i whānui resection o te puku, me te thyroid, thyroiditis autoimmune, goiter te kōtore).

te whakanui ake ngä nohanga

Ko te taumata o taua taiki rite T4 (free) kia nui haere ai (noa wahine me te tangata tohua i runga ake), no te goiter paitini, TSH-motuhake hyperthyroidism, te mōmonatanga. Te whakanui ake i te kukū kitea i runga i te whakamārama o te syndrome nephrotic, heparin therapy. ngā ano take choriocarcinoma, fariiraa o te thyroxine i runga i te pūtake o te hypothyroidism, tauiraa pou-mua i roto i te mahi o te repe thyroid, mate ate ma'i. 4 (free) e taea te piki i roto i steroids syndrome thyroid ātete, hyperthyroxinemia dizalbunemicheskoy ira, kī, whakapataritari he kukū hekenga tiroksinsyazyvayuschego globulin.

Thyroxine me te hapū

E whai wāhi hormones thyroid i roto i tata tukanga katoa i roto i te tinana. Ka rite ki whakahuatia i runga ake, whakahaere i te pūhui pākia e, pā te mahi o ētahi atu steroids. Ka taea te haere tahi thyroid māuiuitanga e te hua e rua me te hekenga i roto i ona mahi. O te faufaa ngā i roto i te ofatiraa o ngā mahi okana i roto i te whanautanga tamariki. Ko te huringa o te āhua mahi o te repe thyroid pānga te akoranga o te hapūtanga, tona huru, me te putanga o te mana o te hou. Varavara vynashivanie haere ka whakahuatia pathologies endocrine. Diseases o tenei ahua, kia rite ki te tikanga, arahi ki pōrearea uri, te pākoko. Nuinga o ngā wā pāngia i roto i te hapū goiter (he hua i roto i te thyroid āhua E ruia ana) ki te tiaki euthyrosis, me te thyroiditis autoimmune, whakapataritari huringa i roto i te papamuri hormonal. Hoki wā prenatal āhuatanga e huringa i roto i te āhua mahi o te repe.

tūtohutanga

Hei whakamāori tika kia tango i te hua o whakamātautau taiwhanga i roto i hapūtanga ki pūkete etahi ngā. e kore he mōhiohio faaotiraa o T3 katoa, me te T4. Ko e tika ana ki te meka i te wā hapūtanga, nui haere o ratou kukū e te hawhe tenei. A, no te te ako taumata thyroxine herekore kia takoto tona kukū i roto i te taha ki te ihirangi TTG. ahua nui haere Thyroxine i roto i pā ana ki 2% o te wahine hapu. I roto i te hawhe tuatahi o te wā tonu prenatal tohua whakaiti TTG (āhua 20-30% o tūroro ki singletons me wā katoa o te hapūtanga maha). I roto i te maimoatanga o te hyperthyroidism T4 tūhuratia anake (free). Here te taumata thyroxine i roto i te wāhanga i muri mai kia marginally iti ai. Ko te kupu ka kia tonu TSH kukū i roto i te whānuitanga noa.