Ukuhlonipha okuphezulu kwe-T3 kuhlanganiswe nokugula okungafani
Ungazizwa uwedwa uma ungazange uzwe ngokuhlolwa kwegazi okuthiwa i-reverse T3 (rT3), eyaziwa ngokuthi i-reverse triiodothyronine. Lokhu kuhlolwa kwegazi okungavamile ukuyala odokotela be-thyroid, ngaphandle kokubekwa kwesifo esibucayi (cabanga ngomuntu esibhedlela esibhedlela esikhulu).
Ake sibheke ngokucophelela lokhu kuhlolwa kwegazi le-thyroid, futhi impikiswano ehambisana nencazelo yalo yangempela.
Kuyini Ukuhlanekezela T3?
I-RT3 iyi-metabolite ye-T4 (thyroxine). Ngokuvamile, lapho i-T4 ilahlekelwa i-athomu ye-iodine-inqubo eyaziwa ngokuthi i-monodeiodination, noma ukuguqulwa kwe-T4 kuya ku-T3-iba i-triiodothyronine (T3), i-hormone ye-thyroid esebenzayo.
Kodwa kwezinye izimo, umzimba ugcina amandla ngokuguqula i-T4 esikhundleni se-rT3, ifomu elingasebenzi lika-T3 elingenakukwazi ukuletha i-oksijeni namandla kumaseli, njengo-T3.
Ukulinganisa i-Reverse T3
I-RT3 ingalinganiswa nokuhlolwa kwegazi okulula.
Kuyalwe ngendlela engavamile odokotela, ngaphandle kwesifo esibangwa kabi, iziguli ezibhedlela ezitholakala ukuthi zinezivivinyo ezingavamile ze -roid-ngokuvamile ziyi-TSH ephansi noma ejwayelekile, i-triiodothyronine ephansi (T3) futhi mhlawumbe i-thyroxine ephansi (T4).
Ukuze ukwazi ukuhumusha kangcono lezi zithole (thola ukuthi ngabe umuntu ogula kakhulu u-hypothyroid noma une-nonthyroidal illness syndrome), i-rT3 idonselwa.
I-Nonthyroidal Illness Syndrome
Ukugula okungapheli, okubizwa nangokuthi i-euthyroid-illness syndrome, kubhekisela ezingeni elinciphisisiwe lokuhlolwa kwegazi le-function found in the setting of a serious illness in the person without a preexisting dysfunction. Ngemva kokuphola ekuguleni okukhulu, imiphumela yokuhlolwa komsebenzi we-thyroid kufanele ijwayelekile.
E-nonthyroidal illness syndrome, i-rT3 ivame ukuphakama, ngenxa yokunciphisa umzimba komsebenzi othile we-enzyme. Ephakathi kwe-hypothyroidism, i-rT3 iphansi.
Ngalokho, izinga eliphakeme le-RT3 ekusetshenzisweni kwezifo ezinzima kusiza odokotela ukuthi bangabandakanyi ukuxilongwa kwe-hypothyroidism.
Ngenxa yokuthi ekuguleni okungenayo i-nonthyroidal, ukunciphisa i-hormone ye-thyroid kubhekwa njengendlela yokuzivikela (noma mhlawumbe i-artifact, ngokusho kwamanye ochwepheshe), odokotela ngokuvamile abaphakamise ukwelashwa.
Kodwa-ke, isinqumo sokuthi noma singagula yini ukugula okungenalo i-nonthyroidal sisaphikisana. Abanye ochwepheshe bakholelwa ukuthi i-nonthyroidal illness syndrome ibonisa ukuthi izicubu ze-hypothyroidism zikhona. Ngakho-ke, bakholelwa ukuthi lowo muntu kufanele aphathwe nge-hormone ye-thyroid esikhundleni (noma ngisho nezici zokukhululwa kwe-hypothalamic) uma amazinga we-thyroxine engaphansi kwezinga elithile.
Ukuqhubekela phambili, kubalulekile ukuqaphela ukuthi ngaphandle kokugula okukhulu, ezinye izimo zezempilo ezingabangela ukugula okungenayo i-nonthyroidal zihlanganisa:
- Inkathazo
- Ukuhlinzwa
- Ukufakelwa kwe-bone marrow
- Isifo senhliziyo
- Umthambo we-Coronary uhambela ukuxhunyelelwa
I-Integrative Medicine View ku-rT3
Kuyafaneleka ukuphawula ukuthi ezinye izazi ze-hormone ezihlangene zinombono ohlukile wendima nokubaluleka kwe-rT3, ekholelwa ukuthi amazinga aphezulu we-RT3 (noma ngabe i- TSH, i-Free T3, nama-Free T3 amanani angase abe ngaphansi kwendawo ejwayelekile yokubhekisela ) ingabonisa inkinga ye-thyroid ezingeni leselula-isimo esibizwa ngezinye izikhathi ngokuthi "i-hypothyroidism yeselula."
Kulo mbono wokuhlanganisa, i-rT3 ephakeme ingabangela ukucindezeleka okuqhubekayo ngokomzimba noma ngokomzwelo, ukukhathala okukhulu , amazinga aphansi e-ferritin (agcinwe insimbi), ukugula okubi nokulimala, nezifo ezingapheli, phakathi kwezinye izici.
Ngokusho kwabasebenzi abahlangene, enye yezindlela ezibalulekile zokubhekana ne-RT3 ephakanyisiwe kanye "neselula ye-hypothyroidism" iwukuthi ukwelashwa kwegciwane ngemithi equkethe i-T3.
Izwi elivela
Umlayezo wokuthatha umndeni wukuthi incazelo ecacile noma incazelo ye-rT3 isacatshangelwa ngaphandle. Ngethemba ukuthi ucwaningo olungaphezulu mayelana nokwelapha (noma cha) lweziguli ezigulayo ezinamazinga aphezulu e-RT3 kuzokwenziwa (njengoba lokhu kungakaphenywa ngezifundo ezinkulu, ezingahleliwe).
> Imithombo:
> DeGroot LJ, uCrousos G, Dungan K, et al., Abahleli. (2015). South Dartmouth (MA): MDText.com, Inc. &
> I-Ross DS. (2017). Umsebenzi we-thyroid ekuguleni okungenayo i-nonthyroidal. Cooper DS, ed. Kusesikhathini. Waltham, MA: UpToDate Inc.
> Van den Berghe G. Ukugula okungenayo i-thyroidal ku-ICU: isifo esinobuso obuhlukile. I-Thyroid. 2014 Oct; 24 (10): 1456-65.