Muremekedzo Mukuru T3 unobatanidza neChirwere cheNyroidroid
Usazviona uri wega kana iwe usina kunzwa nezvekuedzwa kweropa kunonzi reverse T3 (rT3), inozivikanwawo se reverse triiodothyronine. Uku ndiko kuongororwa kweropa kusingawanzoorongedzwi navanachiremba vehutachiona, kunze kwekugadzirisa chirwere chinorwara (fungidzira munhu ari muchipatara mune imwe nzvimbo huru yekuchengetedza).
Ngatitarisei kutarisisa zvakanyanya kuongororwa kwetachiona yeropa, uye nharo inopoteredza zvarinoreva zvechokwadi.
Chii Chinochinja T3?
RT3 inonzi metabolite yeT4 (thyroxine). Kazhinji, apo T4 inorasikirwa neatomu yeododhi-chirongwa chinonzi monodeiodination, kana kuti T4 kusvika kuT3 kutendeuka-inova triiodothyronine (T3), iyo inoshandiswa nehutorioni hormone.
Asi pane dzimwe nguva, muviri unochengetedza simba nokushandura T4 pane kuti ive muRT3, maitiro asina kushandiswa eT3 asingakwanisi kununura okisijeni nesimba kune masero, sezvakaita T3.
Kuyera Kuchinja T3
RT3 inogona kuyerwa nekuongorora ropa nyore.
Hazvisi zvisiri izvo kurayirwa navanachiremba, kunze kwekunge akarwara zvakanyanya, muchipatara varwere vanowanikwa vane maitiro asina kuchena ehutachiona hunoshandiswa-kazhinji ari pasi kana kuti chaiwo TSH, low triiodothyronine (T3) uye zvichida yakaderera thyroxine (T4).
Kuti zvive zvakanakisisa kududzira izvi zvakawanikwa (sarudza kana munhu ane chirwere chakanyanya kunyanya kukanganisika ari hypothyroid kana ane nonthyroidal chirwere chirwere), rT3 inotorwa.
Nonthyroidal Illness Syndrome
Indwara ye-Nonthyroidal, inonziwo euthyroid-sick syndrome, inoreva kuwedzerwa kwehutano hwehutachiona hwehutachiona hwehutano hunowanikwa mukugadzirisa chirwere chakakomba mumunhu asina kukanganisa utachiona hwehutachiona. Mushure mokunge musununguka kubva kurwere zvakakomba, utachiona hwehutano hunobudirira hunofanira kumira.
Muna nonthyroidal chirwere syndrome, rT3 inowanzokwidziridzwa, nekuda kwekudziviswa kwemuviri weimwe basa re enzyme. Pakati pe hypothyroidism, rT3 yakaderera.
Nezvo, rT3 yakakwirira yepamusoro pakurwara kwakanyanya kunobatsira vanachiremba kusabvisa kuongororwa kwe hypothyroidism.
Pamusana pokuti mune chirwere chisina kuchena, utachiona hwehutachiona hwehutori hunofungidzirwa kuti hunogona kudzivirira (kana kuti zvimwe chigadzirwa, maererano nedzimwe nyanzvi), vanachiremba havawanzokurudzira kurapwa.
Zvisinei, chisarudzo chekuti kana kusabata chirwere chisina kuchena chinoramba chiri kukakavadzana. Dzimwe nyanzvi dzinofunga kuti nonthyroidal chirwere syndrome inoratidza kuti tissue hypothyroidism iripo. Saka, vanotenda kuti munhu wacho anofanira kurapwa nehutachiona hupenyu huripo (kana kunyange hypothalamic releasing factors) kana thyroxine mazinga ari pasi peimwe nhanho.
Kufambira mberi, zvakakosha kuziva kuti kunze kwokurwara kwakakomba, zvimwe zvirwere zvingaita kuti zvirwere zvisingaoneki zvinosanganisira:
- Nzara
- Surgery
- Bone marrow transplantation
- Kumira kurova kwemoyo
- Chinyorwa cheCononary bypass grafting
Maonero Anoita Mishonga Inobatanidza paTT3
Zvakakosha kuziva kuti vamwe vanobatanidza maitiro eH3, vachitenda kuti marefu akadai e RT3 (kunyange zvazvo TSH, Free T3, uye maT3 zvisingave zviri mukati mezvakanyorwa zvinotarirwa ) zvinogona kuratidza chinetso chetachiona pamasero-maitiro dzimwe nguva anonzi "cellular hypothyroidism."
Mune maonero ekubatanidza, rT3 yakakwirira inogona kukonzerwa nekugara kusingaperi mumuviri kana kushungurudzika mupfungwa, kushaya simba , kuderedza ferritin (yakachengetwa simbi), kurwara kwakanyanya nekukuvara, uye zvirwere zvisingaperi, pakati pezvimwe zvinhu.
Maererano nevashandi vanobatanidzwa, imwe yenzira dzinokosha dzekutarisa RT3 yakakosha uye "cellular hypothyroidism" iri kuburikidza nehutano hwehutachiona nemishonga ine T3.
Shoko Rinobva
Mharidzo yekutora kumusha ndeyekuti zvinoreva zvakananga kana kududzirwa kweTT3 zvichiri kunyengedzwa kunze. Tarisiro, kutsvakurudza kwakawanda pamusoro pemishonga (kana kwete) yevarwere vanorwara zvikuru vane rT3 mazinga achaitwa (sezvo izvi zvisati zvamboongororwa mumabhuku makuru, maitiro).
> Sources:
> DeGroot LJ, Chrousos G, Dungan K, et al., Vaparidzi. (2015). South Dartmouth (MA): MDText.com, Inc. &
> Ross DS. (2017). Utachiona hunoshanda muurwere husina kuchena. Cooper DS, ed. Kusvika pari zvino. Waltham, MA: UpToDate Inc.
> Van den Berghe G. Iro-thyroidal urwere muI ICU: chirwere chinosangana nezviso zvakasiyana. Thyroid. 2014 Nharo; 24 (10): 1456-65.