Imtixaanka T3

Triiodothyronine (T3) waa hormoon tayroodh ah. Waxay kaalin muhiim ah ka qaadataa xakamaynta jirka ee dheef-shiid kiimikaadka (habab badan oo xakameynaya xaddiga waxqabadka unugyada iyo unugyada).

Tijaabo shaybaar ayaa la sameyn karaa si loo cabiro qadarka T3 ee dhiigaaga.

Sambal dhiig ayaa loo baahan yahay.

Bixiyahaaga daryeelka caafimaad ayaa kuu sheegi doona haddii aad u baahan tahay inaad joojiso qaadashada wax daawo ah baaritaanka ka hor ee saameyn ku yeelan kara natiijada baaritaankaaga. HA JOOJIN qaadashada wax daawo ah adiga oo aan marka hore la hadlin bixiyahaaga.

Daawooyinka kordhin kara cabirka T3 waxaa kamid ah:

• Kiniiniyada ka hortagga uurka
• Qalabaynta
• Estrogens
• Methadone
• Daawooyinka dhirta qaarkood

Daawooyinka yareyn kara cabirka T3 waxaa ka mid ah:

• Amiodarone
• Steroids dhiska
• Androgens
• Dawooyinka Antithyroid (tusaale, propylthiouracil iyo methimazole)
• Lithium
• Phenytoin
• Propranolol

Marka irbadda la geliyo si dhiig loo qaado, dadka qaar waxay dareemaan xanuun dhexdhexaad ah. Qaar kale waxay dareemaan oo keliya dharbaaxo ama xaniin. Intaas ka dib, waxaa laga yaabaa inay xoogaa wax garaacaan ama nabar yar. Tani dhawaan way tagi doontaa.

Tijaabadani waxaa loo sameeyaa si loo hubiyo shaqada qanjirkaaga. Waxqabadka qanjirka 'thyroid' wuxuu kuxiranyahay ficilka T3 iyo hoormoonada kale, oo ay kujiraan hormoonka kiciya qanjirka 'thyroid' iyo 'T4'

Mararka qaarkood way fiicnaan kartaa in la qiyaaso T3 iyo T4 labadaba marka la qiimeynayo howlaha qanjirka 'thyroid'.

Wadarta baaritaanka T3 wuxuu cabiraa T3 oo labaduba kuxiran borotiinada iyo bilaa lacag dhiigga.

Baadhitaanka T3 ee bilaashka ah wuxuu cabiraa T3 ee bilaashka dhex mushaaxaya dhiiga. Imtixaanada bilaashka ah ee T3 guud ahaan way ka saxsan yihiin guud ahaan T3.

Bixiyahaaga ayaa kugula talin kara baaritaankaan haddii aad leedahay calaamado cillad dhanka tayroodh ah, oo ay ku jiraan

• Qanjirka 'pituitary gland' ma soo saaro qaddar caadi ah qaar ama dhammaan hoormoonkiisa (hypopituitarism)
• Qanjirka 'thyroid' qanjirka 'thyroid' (hyperthyroidism)
• Qanjirka 'thyroid' qanjirka 'thyroid' (hypothyroidism)
• U qaadashada daawooyinka hypothyroidism

Qiyaasta qiimaha caadiga ah waa:

• Wadarta T3 - 60 illaa 180 nanogram halkii deciliter (ng / dL), ama 0.9 ilaa 2.8 nanomoles halkii litir (nmol / L)
• Bilaash ah T3 - 130 illaa 450 sawir halkii deciliter (pg / dL), ama 2.0 ilaa 7.0 picomoles halkii litir (pmol / L)

Heerarka qiimaha caadiga ahi way ku kala duwanaan karaan shaybaarada kala duwan. Shaybaarada qaarkood waxay isticmaalaan cabbiro kala duwan ama waxay tijaabiyaan noocyo kala duwan. Kala hadal adeeg bixiyahaaga macnaha natiijooyinka baaritaankaaga gaarka ah.

Qiimayaasha caadiga ahi waa kuwo da 'gaar ah u leh dadka da'doodu ka yar tahay 20 jir. Ka hubso bixiyahaaga natiijooyinkaaga gaarka ah.

Heerka ka-caadiga caadiga ah ee T3 wuxuu calaamad u noqon karaa:

• Qanjirka 'thyroid' qanjirka 'firfircoon' (tusaale ahaan, cudurka Graves)
• T3 thyrotoxicosis (dhif)
• Sunta hunguriga xun
• Qaadashada daawooyinka tayroodh ama kaabisyada qaarkood (guud)
• Cudurka beerka

Heer sare oo ah T3 ayaa laga yaabaa inuu ku dhaco uurka (gaar ahaan xanuunka subaxda dhamaadka saddexda bilood ee ugu horreeya) ama isticmaalka kiniiniyada ka hortagga uurka ama estrogen.

Heer ka hooseeya caadiga ayaa laga yaabaa inay sabab u tahay:

• Cuduro muddo gaaban ah ama xoogaa ah
• Qanjirka 'thyroid' (barar ama barar qanjirka 'thyroid' - cudurka Hashimoto waa nooca ugu badan)
• Gaajo
• Qanjirka 'thyroid' qanjirka 'thyroid'

Yaraanta 'Selenium' waxay keentaa hoos u dhac ku noqoshada T4 ilaa T3, laakiin ma cadda in taasi ay ka dhalanayso heerarka T3 ee caadiga ka ah dadka.

Khatar yar ayaa ku jirta in dhiigaaga lagaa qaado. Xididdada iyo halbowlayaasha waxay ku kala duwan yihiin cabirka qof ilaa qof kale iyo dhinac jirka ah dhinaca kale. Helitaanka tijaabada dhiigga ee dadka qaarkiis way ka dhib badan tahay kuwa kale.

Khataraha kale ee la xiriira dhiig qaadashada waa yar yihiin, laakiin waxaa ka mid noqon kara:

• Dhiigbax xad dhaaf ah
• Miyir beelid ama dareemid madax-wareer
• Daloollo badan si loo helo xididdada
• Hematoma (dhiigbax maqaarka hoostiisa)
• Infekshan (halis yar mar kasta oo maqaarku jabo)

Triiodothyronine; T3 radioimmunoassay; Sunta nodular goiter - T3; Qanjirka 'Thyroiditis' - T3; Thyrotoxicosis - T3; Cudurka xabaalaha - T3

• Baaritaanka dhiigga

Guber HA, Farag AF. Qiimeynta shaqada endocrine. Gudaha: McPherson RA, Pincus MR, eds. Henry's Clinical Diagnosis iyo Maareynta Hababka Shaybaarka. 23aad ed. St Louis, MO: Elsevier; 2017: cutubka 24.

Kim G, Nandi-Munshi D, Diblasi CC. Cilladaha qanjirka 'thyroid' Gudaha: Gleason CA, Juul SE, eds. Cudurada Avery ee Dhasha. 10aad ed. Philadelphia, PA: Elsevier; 2018: cutubka 98.

Salvatore D, Cohen R, Kopp PA, Larsen PR. Cudurka qanjirka 'thyroid' iyo qiimeynta ogaanshaha cudurka. Gudaha: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. Williams Buugga Buugga Endocrinology. 14aad. Philadelphia, PA: Elsevier; 2020: cutubka 11.

Weiss RE, Refetoff S. Tijaabinta shaqada qanjirka 'thyroid'. Gudaha: Jameson JL, De Groot LJ, de Kretser DM, et al, eds. Endocrinology: Dadka waaweyn iyo carruurta. 7aad ed. Philadelphia, PA: Elsevier Saunders; 2016: cutubka 78.