Tijaabada 'Thyroxine' (T4)

Qanacsan

• Waa maxay tijaabada 'thyroxine' (T4)?
• Maxaa loo adeegsadaa?
• Maxaan ugu baahanahay baaritaanka thyroxine?
• Maxaa dhacaya inta lagu gudajiray baaritaanka tayroodh?
• Ma u baahanahay inaan sameeyo wax walba si aan ugu diyaargaroobo imtixaanka?
• Ma jiraan wax khatar ah oo imtaxaanku leeyahay?
• Maxay natiijooyinka ka dhigan yihiin?
• Ma jiraan wax kale oo aan u baahanahay inaan ka ogaado baaritaanka thyroxine?
• Tixraacyo

Waa maxay tijaabada 'thyroxine' (T4)?

Tijaabada 'thyroxine' waxay ka caawisaa baaritaanka cilladaha qanjirka 'thyroid'. Qanjirka 'thyroid' waa qanjir yar oo qaab-balanbaalis ah oo ku yaal meel u dhow cunaha. Qanjirka 'thyroid' wuxuu sameeyaa hormoonno nidaamiya habka jirkaagu u isticmaalo tamarta. Waxa kale oo ay door muhiim ah ka ciyaartaa dejinta miisaankaaga, heerkulka jidhkaaga, xoogga murqahaaga, iyo xitaa niyaddaada. Thyroxine, sidoo kale loo yaqaan T4, waa nooc ka mid ah hoormoonka tayroodhka. Baaritaankani wuxuu cabirayaa heerka T4 ee dhiigaaga. Aad u badan ama aad u yar T4 waxay muujin kartaa cudurka qanjirka 'thyroid'.

Hormoonka T4 wuxuu ku yimaadaa laba nooc:

• Bilaash T4, kaas oo gala unugyada jirka halka looga baahdo
• Xadhig T4, kaas oo ku dhegan borotiinka, kana ilaaliya inuu galo unugyada jirka

Imtixaan cabbiraya T4 bilaash ah iyo mid xidhan labadaba waxaa loo yaqaannaa wadarta imtixaanka T4. Imtixaanada kale waxay cabbiraan T4 bilaash ah. Tijaabada T4 ee bilaashka ah waxaa loo tixgeliyaa inay ka saxsan tahay wadarta baaritaanka T4 ee lagu hubinayo shaqada qanjirka 'thyroid'.

Magacyada kale: bilaashkaaga, free T4, wadarta T4 isku darka, shaashadda thyroxine, fiirsashada T4 oo bilaash ah

Maxaa loo adeegsadaa?

Tijaabada T4 waxaa loo isticmaalaa in lagu qiimeeyo shaqada tayroodh iyo in lagu ogaado cudurka tayroodhka.

Maxaan ugu baahanahay baaritaanka thyroxine?

Cudurka qanjirka 'thyroid' aad buu ugu badan yahay dumarka wuxuuna badanaa ku dhacaa da'da 40 sano jir. Sidoo kale wuxuu ku dhacaa qoysaska. Waxaad ubaahnaan kartaa baaritaanka thyroxine haddii xubin qoyskaaga kamid ah waligiis uu ku dhacay cudurka qanjirka 'thyroid' ama haddii aad leedahay calaamado aad ku heysato hormoon tayroodh ah oo aad u badan oo dhiiggaaga ku jira, xaalad loo yaqaan 'hyperthyroidism', ama astaamaha inaad leedahay hormoon tayroodh oo aad u yar, xaalad loo yaqaan 'hypothyroidism'.

Calaamadaha cudurka 'hyperthyroidism', oo sidoo kale loo yaqaanno firfircoonaanta firfircoonida, waxaa ka mid ah:

• Walaac
• Miisaanka oo yaraada
• Gariir gacmaha ku jira
• Kordhinta garaaca wadnaha
• Isku-buuq
• Indhaha oo ku soo booda
• Dhibaato hurdo la'aan

Calaamadaha cudurka 'hypothyroidism', oo sidoo kale loo yaqaan 'thyroid' oo aan firfircooneyn, waxaa ka mid ah:

• Miisaanka oo kordha
• Daal
• Timo lumis
• Dulqaad hooseeya heerkulka qabow
• Xilliga caadada oo aan caadi ahayn
• Calool fadhiga

Maxaa dhacaya inta lagu gudajiray baaritaanka tayroodh?

Xirfadlaha daryeelka caafimaadka ayaa tijaabo dhiig ka qaadi doona xididka gacantaada, isagoo isticmaalaya cirbad yar. Kaddib cirbada la geliyo, qadar yar oo dhiig ah ayaa lagu ururin doonaa tuubada baaritaanka ama fijaan. Waxaa laga yaabaa inaad dareento xoog wax yar ah markii irbadda ay soo galayso ama ay ka baxeyso. Tani badanaa waxay qaadataa in ka yar shan daqiiqo.

Ma u baahanahay inaan sameeyo wax walba si aan ugu diyaargaroobo imtixaanka?

Uma baahnid wax diyaargarow gaar ah oo loogu talagalay baaritaanka dhiigga ee 'thyroxine blood'. Haddii bixiyaha xanaanada caafimaadkaaga uu amar ku bixiyay baaritaano dheeri ah oo lagaa qaadayo sambalka dhiigaaga, waxaad u baahan kartaa inaad soonto (ha cunin ama cabin) dhowr saacadood baaritaanka ka hor. Bixiyaha xanaanada caafimaadkaaga ayaa kula socodsiin doona hadii ay jiraan tilmaamo gaar ah oo la raaco.

Ma jiraan wax khatar ah oo imtaxaanku leeyahay?

Khatar aad u yar baa jirta in dhiig lagaa qaado. Waxaa laga yaabaa inaad xanuun yar ama nabar ku yeelato barta irbadda lagu muday, laakiin astaamaha badankood si dhakhso leh ayey u baxaan.

Maxay natiijooyinka ka dhigan yihiin?

Natiijooyinkaagu waxay ku imaan karaan qaab guud oo ah T4, T4 bilaash ah, ama tusmo T4 bilaash ah.

• Tusaha bilaashka ah ee T4 wuxuu ka kooban yahay qaacido isbarbar dhigaysa bilaash iyo xadidan T4.
• Heerarka sare ee mid ka mid ah tijaabooyinkan (wadarta T4, T4 bilaash ah, ama T4 bilaash ah) waxay muujin kartaa tayroodh xad dhaaf ah, oo sidoo kale loo yaqaan 'hyperthyroidism'.
• Heerarka hoose ee mid ka mid ah tijaabooyinkaan (wadarta T4, T4 bilaash ah, ama T4 bilaash ah) ayaa laga yaabaa inay muujiso qanjirka 'thyroid' oo aan firfircooneyn, oo sidoo kale loo yaqaan 'hypothyroidism'.

Haddii natiijooyinkaaga baaritaanka T4 aysan caadi ahayn, daryeel caafimaad bixiyahaagu wuxuu u badan yahay inuu dalbado baaritaanno badan oo qanjirka 'thyroid' ah si looga caawiyo baaritaanka. Kuwaas waxaa ka mid noqon kara:

• Tijaabooyinka hormoonka tayroodhka. T3 waa hormoon kale oo tayroodhku sameeyo.
• Baaritaanka TSH (hormoonka kiciya tayroodhka). TSH waa hormoon ay sameyso qanjirka 'pituitary gland'. Waxay kicisaa qanjirka 'thyroid' si ay u soo saaraan hormoonnada T4 iyo T3.
• Tijaabooyin lagu ogaanayo cudurka Graves, waa cudur isdifaaca jirka oo sababa hyperthyroidism
• Tijaabooyinka lagu ogaanayo cudurka thyroiditis ee Hashimoto, oo ah cudur isdifaaca jirka oo keena hypothyroidism

Wax badan ka baro baaritaanka shaybaarka, kala duwanaanshaha tixraaca, iyo fahamka natiijooyinka.

Ma jiraan wax kale oo aan u baahanahay inaan ka ogaado baaritaanka thyroxine?

Isbedelada tayroodh waxay dhici karaan inta lagu jiro uurka. In kasta oo aan caadi ahayn, haweenka qaarkood waxay ku dhici karaan cudurka qanjirka 'thyroid' inta lagu jiro uurka. Hyperthyroidism wuxuu ku dhacaa qiyaastii 0.1% ilaa 0.4% ee uurka, halka hypothyroidism uu ku dhaco qiyaastii 2.5% ee uurka.

Hyperthyroidism, iyo marar yar, hypothyroidism, ayaa laga yaabaa inuu sii jiro uurka ka dib. Haddii aad isku aragto xaalad tayroodh inta aad uurka leedahay, daryeel caafimaad bixiyahaaga ayaa la socon doona xaaladdaada ka dib dhalashada ilmahaaga. Sidoo kale, haddii aad taariikh u leedahay cudurka tayroodhka, hubi inaad la hadasho bixiyahaaga daryeelka caafimaadka haddii aad uur leedahay ama aad ka fekereyso inaad uur yeelato.

Tixraacyo

1. Ururka Thyroid-ka Mareykanka [Internet]. Kaniisada Falls (VA): American Thyroid Association; c2017. Tijaabooyinka Waxqabadka Thyroid [la sheegay 2017 Meey 22]; [ilaa 2 shaashad]. Waxaa laga heli karaa: https://www.thyroid.org/thyroid-function-tests
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6. Nooca Merck Manual Consumer Version [Internet]. Kenilworth (NJ): Shirkadda Merck & Co. c2017. Dulmarka guud ee qanjirka 'Thyroid Gland' oo la sheegay 2017 Meey 22]; [ilaa 2 shaashad]. Waxaa laga heli karaa: https://www.merckmanuals.com/home/hormonal-and-metabolic-disorders/thyroid-gland-disorders/overview-of-the-thyroid-gland
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