ʻO ka hana o ka'ōpiko endocrine ka meaʻikeʻoleʻia e nā kānaka, akā, he mea nui ia no ka hanaʻana o ke'ōpoko holoʻokoʻa. No ka loiloiʻana i kāna hana, pono pono ke nānā pono i nā homoni thyroid -ʻo ka maʻamau o kēia mau hōʻailona ke hōʻikeʻia i loko o ka pepa me nā hopena o nā kānana. Akāʻo ka unuhi pololei e ho'ākāka ana i kaʻike o kekahi mau māhele liʻiliʻi o ka hanaʻana i nā mea ola honua, ko lākou kumu.
Nā kūlana a me nā hana pilikino ma nā hōʻike no nā enzymes a me nā hormones thyroid
Ma mua o ka hoʻokolokolo ponoʻana, he mea nui e hoʻomaopopo i ka'ōlohelohe o ka thyroid e hua mai ai iʻelua hormones:
- T3 - triiodothyronine (ka hormone nui);
- ʻO ka T4ʻo ia ka lāpipitipiripetine aʻo kouroxine.
Pono lākou no ka hoʻomaluʻana i ka hoʻokomoʻana i ka ikehu i loko o ke kino, a me ka hoʻomaluʻana i ka hana o ia mau hana like:
- ka uhauha o ka naʻau;
- ka laweʻana i nā pulupulu ma keʻano o ke kola;
- nā peristalsis o ka'ōpū;
- ka hoʻopiliʻana o ka wai mai ka ili o kaʻili a me nā mea'ē aʻe.
Ua hana maoliʻia ka TAM (koumerotropic hormone) ma ka pituitary (ka lolo lolo), aʻaʻole i loko o ka kawa thyroid. Hoʻomoʻaʻia i loko o kēia haʻawina, no ka mea he mea pono ia TSH e mālama i ka mahele o T3 a me T4 - i ka emiʻana o ko lākou haʻahaʻa,ʻoi aku ka ikaika o ka hormone thyroid-stimulating.
I ka hoʻoholoʻana i ka nui o trironothyronine a me kāuroxin, pono loa nā kumukūʻai o ka T3 a me T4,ʻo ia hoʻi ka mea e hoʻopuka i nā hopena ola kino.
He mea nui kaʻaʻole wale nā kēmu o ka hormone thyroid, akā,ʻo ka pane kūlohelohe hoʻi i kona mau enzymes, nā protein a me nā'ōpala. Hōʻike kēia i ka mahele o nā pūʻali (AT) i nā mea i lalo:
- ʻO ka TPO (thyroperoxidase) ka enzyme nui o ka lauroid thyroid;
- TG (thyroglobulin) -ʻo ka protein i loaʻa i ka iod, ka mua o T3 a me T4;
- nā hāmeʻa homone i ka hopena.
Eia kekahi, ua weheweheʻia ka wehewehe i weheweheʻia:
- helu helu - oncomarker;
- ʻO kā TSH (thyroxine-binding globulin) he pūmua loea.
Ma muli o ka hōʻoiaʻana o ka haʻina o nā papahana biologically active, iʻikeʻia, hiki keʻikeʻia kekahi mau pathologies:
- ka hypo- a me ka hyperplasia o ke kino endocrine;
- kāu mea lāʻauʻona ;
- autoimmune thyroiditis;
- ka hypothyroidism ;
- maʻi nui.
He aha ke kuʻuna no nā hormones thyroid?
No ka hilinaʻi i nā hualoaʻa o ka haʻawina, he mea pono e hāʻawi i ke koko i nā hale hanaʻenehana hou me nā mea koʻikoʻi.
E noʻonoʻo i nā palena i kūkuluʻia no kēlā me kēia hōʻailona.
ʻO nā mea maʻamau o ka hormone thyroid hormone Th3 (nmol / L):
- ka nui - 1.06-3.14;
- free - 2.62-5.77.
ʻO ka māmā ikaika o ka T3 e hōʻike ana i ka hypothyroidism, ka pauʻana o ka'ekeococrine, hiki ke hōʻailona i ka maʻi kanesa.
ʻO ka maʻamau o nā hormones o ka pituitary a me ke karoid hāmaʻa TTG a me T4 ke heluʻia ma nāʻene likeʻole - MED / L a me nmol / L.
ʻO nā helu iʻaeʻia no ka TSH e like me ke kuhi o 0.47 a hiki i ka 4.15 meli / l.
Nā palena palena o ka T4:
- nui - 71.23-142.25;
- free - 9,56-22,3.
Eia kekahi, i ka hoʻoholoʻana i nā hualoaʻa o kahi hōʻailona no ka mea o nā hormones thyroid i loko o ke koko, he mea nui eʻike i keʻano o AT no TPO, TG, a me kāu mau haukapona sonoropic:
- nā pūʻali āpau i koureperoxidase - i lalo o 5.67 U / ml;
- nā pūʻali āpau i kāuroglobulin - titer
- nā mea palekana i pTTG - emi o ka 4 U / l.
ʻO nā pono kūpono no kāu thyroxin-binding globulin mai 222 a 517 nmol / l.
No ka hoʻoholoʻana o ka hoʻouluʻana o ka calcitonin i luna o ka maʻi maʻamau (C-cellular) i ka maʻi maʻamau, ke hanaʻia nei i nāʻoihana kūikawā. ʻO ka mea kūpono loaʻo ia kaʻimi i hoʻoikaikaʻia, kahi e laweʻia ai ke koko ma hope o ka hoʻopōʻino kino o ka solution calcium gluconate (10%). ʻO ka hoʻonui ikiʻana o ka calcetonin,ʻo ia hoʻi ma o 0.5 mau hapa ma mua o ka palena kiʻekiʻe o ka papa maʻamau, hiki ke hōʻike i ka piʻiʻana o ka'ōpūʻino.