Thyroxine (T4) Idanwo

Akoonu

• Kini idanwo thyroxine (T4)?
• Kini o ti lo fun?
• Kini idi ti Mo nilo idanwo thyroxine kan?
• Kini o ṣẹlẹ lakoko idanwo thyroxine?
• Ṣe Mo nilo lati ṣe ohunkohun lati mura fun idanwo naa?
• Ṣe eyikeyi awọn eewu si idanwo naa?
• Kini awọn abajade tumọ si?
• Njẹ ohunkohun miiran ti Mo nilo lati mọ nipa idanwo thyroxine kan?
• Awọn itọkasi

Kini idanwo thyroxine (T4)?

Idanwo thyroxine ṣe iranlọwọ iwadii awọn ailera ti tairodu. Tairodu jẹ kekere, iru awọ labalaba ti o wa nitosi ọfun. Tairodu rẹ ṣe awọn homonu ti o ṣe itọsọna ọna ti ara rẹ nlo agbara. O tun ṣe ipa pataki ninu ṣiṣakoso iwuwo rẹ, iwọn otutu ara, agbara iṣan, ati paapaa iṣesi rẹ. Thyroxine, ti a tun mọ ni T4, jẹ iru homonu tairodu. Idanwo yii ṣe iwọn ipele ti T4 ninu ẹjẹ rẹ. Pupọ pupọ tabi pupọ T4 le tọka arun tairodu.

Awọn homonu T4 wa ni awọn ọna meji:

• T4 ọfẹ, eyiti o wọ inu awọn ara ara nibiti o nilo
• Dè T4, eyiti o sopọ mọ awọn ọlọjẹ, idilọwọ rẹ lati wọ inu awọn ara ara

Idanwo ti o ṣe iwọn ọfẹ ati alaini T4 ni a pe ni idanwo T4 lapapọ. Awọn idanwo miiran ṣe iwọn T4 ọfẹ. Idanwo T4 ọfẹ kan ni a pe ni deede ju idanwo T4 lapapọ fun ṣiṣe ayẹwo iṣẹ tairodu.

Awọn orukọ miiran: thyroxine ọfẹ, T4 ọfẹ, apapọ T4 lapapọ, iboju thyroxine, ifọkansi T4 ọfẹ

Kini o ti lo fun?

A lo idanwo T4 lati ṣe iṣiro iṣẹ tairodu ati ṣe iwadii arun tairodu.

Kini idi ti Mo nilo idanwo thyroxine kan?

Arun tairodu jẹ wọpọ julọ ni awọn obinrin ati julọ igbagbogbo waye labẹ ọjọ-ori 40. O tun ṣọ lati ṣiṣe ni awọn idile. O le nilo idanwo thyroxine ti ọmọ ẹgbẹ kan ba ti ni arun tairodu tabi ti o ba ni awọn aami aiṣan ti nini homonu tairodu pupọ pupọ ninu ẹjẹ rẹ, ipo ti a pe ni hyperthyroidism, tabi awọn aami aiṣan ti nini homonu tairodu ti o kere ju, ipo ti a pe ni hypothyroidism.

Awọn aami aisan ti hyperthyroidism, ti a tun mọ ni tairodu overactive, pẹlu:

• Ṣàníyàn
• Pipadanu iwuwo
• Iwariri ni awọn ọwọ
• Alekun oṣuwọn ọkan
• Puffness
• Bulging ti awọn oju
• Iṣoro sisun

Awọn aami aisan ti hypothyroidism, ti a tun mọ ni tairodu alaiṣẹ, pẹlu:

• Ere iwuwo
• Rirẹ
• Irun ori
• Ifarada kekere fun awọn iwọn otutu tutu
• Awọn akoko oṣu alaibamu
• Ibaba

Kini o ṣẹlẹ lakoko idanwo thyroxine?

Onimọṣẹ ilera kan yoo mu ayẹwo ẹjẹ lati iṣọn kan ni apa rẹ, ni lilo abẹrẹ kekere kan. Lẹhin ti a fi sii abẹrẹ, iye ẹjẹ kekere yoo gba sinu tube idanwo tabi igo kan. O le ni irọra diẹ nigbati abẹrẹ ba wọ inu tabi jade. Eyi maa n gba to iṣẹju marun.

Ṣe Mo nilo lati ṣe ohunkohun lati mura fun idanwo naa?

Iwọ ko nilo awọn ipese pataki eyikeyi fun idanwo ẹjẹ thyroxine. Ti olupese ilera rẹ ba ti paṣẹ awọn idanwo diẹ sii lori ayẹwo ẹjẹ rẹ, o le nilo lati yara (ko jẹ tabi mu) fun awọn wakati pupọ ṣaaju idanwo naa. Olupese ilera rẹ yoo jẹ ki o mọ boya awọn itọnisọna pataki eyikeyi wa lati tẹle.

Ṣe eyikeyi awọn eewu si idanwo naa?

Ewu pupọ wa si nini idanwo ẹjẹ. O le ni irora diẹ tabi ọgbẹ ni aaye ibiti a ti fi abẹrẹ sii, ṣugbọn ọpọlọpọ awọn aami aisan lọ ni kiakia.

Kini awọn abajade tumọ si?

Awọn abajade rẹ le wa ni irisi T4 lapapọ, T4 ọfẹ, tabi itọka T4 ọfẹ kan.

• Atọka T4 ọfẹ pẹlu agbekalẹ kan ti o ṣe afiwe ọfẹ ati dè T4.
• Awọn ipele giga ti eyikeyi ninu awọn idanwo wọnyi (lapapọ T4, T4 ọfẹ, tabi itọka T4 ọfẹ) le ṣe afihan tairodu ti o pọ ju, ti a tun mọ ni hyperthyroidism.
• Awọn ipele kekere ti eyikeyi ninu awọn idanwo wọnyi (lapapọ T4, T4 ọfẹ, tabi itọka T4 ọfẹ) le ṣe afihan tairodu ti ko ṣiṣẹ, ti a tun mọ ni hypothyroidism.

Ti awọn abajade idanwo T4 rẹ ko ba ṣe deede, olupese iṣẹ ilera rẹ le ṣe paṣẹ awọn idanwo tairodu diẹ sii lati ṣe iranlọwọ lati ṣe iwadii kan. Iwọnyi le pẹlu:

• T3 awọn ayẹwo homonu tairodu. T3 jẹ homonu miiran ti tairodu ṣe.
• Idanwo TSH (homonu oniroyin tairodu). TSH jẹ homonu ti a ṣe nipasẹ iṣan pituitary. O mu ki tairodu mu lati ṣe awọn homonu T4 ati T3.
• Awọn idanwo lati ṣe iwadii aisan Graves, arun autoimmune ti o fa hyperthyroidism
• Awọn idanwo lati ṣe iwadii thyroiditis Hashimoto, arun autoimmune ti o fa hypothyroidism

Kọ ẹkọ diẹ sii nipa awọn idanwo yàrá, awọn sakani itọkasi, ati oye awọn abajade.

Njẹ ohunkohun miiran ti Mo nilo lati mọ nipa idanwo thyroxine kan?

Awọn ayipada tairodu le ṣẹlẹ lakoko oyun. Biotilẹjẹpe ko wọpọ, diẹ ninu awọn obinrin le dagbasoke arun tairodu lakoko oyun. Hyperthyroidism n ṣẹlẹ ni iwọn 0.1% si 0.4% ti awọn oyun, lakoko ti hypothyroidism n ṣẹlẹ ni isunmọ 2.5% ti awọn oyun.

Hyperthyroidism, ati pe o kere si igbagbogbo, hypothyroidism, le wa lẹhin oyun. Ti o ba dagbasoke ipo tairodu lakoko oyun, olupese iṣẹ ilera rẹ yoo ṣe atẹle ipo rẹ lẹhin ibimọ ọmọ rẹ. Pẹlupẹlu, ti o ba ni itan itan tairodu, rii daju lati ba olupese ilera rẹ sọrọ ti o ba loyun tabi ti o nroro lati loyun.

Awọn itọkasi

1. Ẹgbẹ Amẹrika Thyroid [Intanẹẹti]. Ijo Falls (VA): Ẹgbẹ Amẹrika Thyroid; c2017. Awọn Idanwo Iṣẹ Iṣẹ Thyroid [toka 2017 May 22]; [nipa iboju 2]. Wa lati: https://www.thyroid.org/thyroid-function-tests
2. Hinkle J, Cheever K. Brunner & Suddarth's Iwe amudani ti yàrá ati Awọn Idanwo Ayẹwo. 2^nd Ed, Kindu. Philadelphia: Ilera Ilera Wolters, Lippincott Williams & Wilkins; c2014. Thryoxine, Omi ara 485 p.
3. Awọn idanwo Lab lori Ayelujara [Intanẹẹti]. Washington DC: Association Amẹrika fun Kemistri Iṣoogun; c2001–2017. T4 ọfẹ: Idanwo naa [imudojuiwọn 2014 Oṣu Kẹwa 16; toka si 2017 May 22]; [nipa iboju 4]. Wa lati: https://labtestsonline.org/understanding/analytes/t4/tab/test
4. Awọn idanwo Lab lori Ayelujara [Intanẹẹti]. Washington DC: Association Amẹrika fun Kemistri Iṣoogun; c2001–2017. T4 ọfẹ: Ayẹwo Idanwo [imudojuiwọn 2014 Oṣu Kẹwa 16; toka si 2017 May 22]; [nipa iboju 3]. Wa lati: https://labtestsonline.org/understanding/analytes/t4/tab/sample
5. Awọn idanwo Lab lori Ayelujara [Intanẹẹti]. Washington DC: Association Amẹrika fun Kemistri Iṣoogun; c2001–2017. TSH: Ayẹwo Idanwo [imudojuiwọn 2014 Oṣu Kẹwa 15; toka si 2017 May 22]; [nipa iboju 3]. Wa lati: https://labtestsonline.org/understanding/analytes/tsh/tab/sample
6. Ẹya Olumulo Afowoyi Merck [Intanẹẹti]. Kenilworth (NJ): Merck & Co. Inc.; c2017. Akopọ ti Ẹṣẹ Thyroid [ti a tọka 2017 May 22]; [nipa iboju 2]. Wa lati: https://www.merckmanuals.com/home/hormonal-and-metabolic-disorders/thyroid-gland-disorders/overview-of-the-thyroid-gland
7. National Institute of Diabetes and Digestive and Kidney Arun [Intanẹẹti]. Bethesda (MD): Ẹka Ilera ti U.S. ati Awọn Iṣẹ Eda Eniyan; Arun Ibojì; 2012 Aug [toka si 2017 May 22]; [nipa iboju 3]. Wa lati: https://www.niddk.nih.gov/health-information/endocrine-diseases/graves-disease
8. National Institute of Diabetes and Digestive and Kidney Arun [Intanẹẹti]. Bethesda (MD): Ẹka Ilera ti U.S. ati Awọn Iṣẹ Eda Eniyan; Arun Hashimoto; 2014 May [toka si 2017 May 22]; [nipa iboju 3]. Wa lati: https://www.niddk.nih.gov/health-information/endocrine-diseases/hashimotos-disease
9. National Institute of Diabetes and Digestive and Kidney Arun [Intanẹẹti]. Bethesda (MD): Ẹka Ilera ti U.S. ati Awọn Iṣẹ Eda Eniyan; Awọn idanwo Thyroid; 2014 May [toka si 2017 May 22]; [nipa iboju 3]. Wa lati: https://www.niddk.nih.gov/health-information/diagnostic-tests/thyroid
10. Okan Orilẹ-ede, Ẹdọfóró, ati Ẹjẹ Ẹjẹ [Intanẹẹti]. Bethesda (MD): Ẹka Ilera ti U.S. ati Awọn Iṣẹ Eda Eniyan; Kini Awọn Ewu ti Awọn Idanwo Ẹjẹ? [imudojuiwọn 2012 Jan 6; toka si 2017 May 22]; [nipa iboju 5]. Wa lati: https://www.nhlbi.nih.gov/health-topics/blood-tests#Risk-Factors
11. Okan Orilẹ-ede, Ẹdọfóró, ati Ẹjẹ Ẹjẹ [Intanẹẹti]. Bethesda (MD): Ẹka Ilera ti U.S. ati Awọn Iṣẹ Eda Eniyan; Kini Lati Nireti Pẹlu Awọn idanwo Ẹjẹ [imudojuiwọn 2012 Jan 6; toka si 2017 May 22]; [nipa iboju 4]. Wa lati: https://www.nhlbi.nih.gov/health-topics/blood-tests
12. Soldin OP. Idanwo Iṣẹ Iṣẹ Thyroid ni Oyun ati Arun Thyroid: Awọn Aarin Awọn itọkasi Itọkasi pato ti Trimester. Ther Oògùn Monit. [Intanẹẹti]. 2006 Kínní [toka 2019 Jun 3]; 28 (1): 8-11. Wa lati: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3625634
13. Yunifasiti ti Rochester Medical Center [Intanẹẹti]. Rochester (NY): Yunifasiti ti Ile-iṣẹ Iṣoogun ti Rochester; c2017. Encyclopedia Health: Ọfẹ ati Bound T4 [ti a tọka 2017 May 22]; [nipa iboju 2]. Wa lati: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=167&contentid;=t4_free_and_bound_blood
14. Yunifasiti ti Rochester Medical Center [Intanẹẹti]. Rochester (NY): Yunifasiti ti Ile-iṣẹ Iṣoogun ti Rochester; c2017. Encyclopedia Health: T4 ọfẹ [ti a tọka 2017 May 22]; [nipa iboju 2]. Wa lati: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=167&contentid=free_t4_thyroxine
    
    

Alaye lori aaye yii ko yẹ ki o lo bi aropo fun itọju iṣoogun ọjọgbọn tabi imọran. Kan si olupese ilera kan ti o ba ni awọn ibeere nipa ilera rẹ.