TSH, T4, Free T4, T3, Free T3, Kuchinja T3, Antibodies, uye Mimwe Miedzo
Ropa kuongororwa kwetachiona basa rinokosha chikamu chekuongorora chirwere chetachiona uye kurapa mamiriro ehutano. Heino chidimbu chinokubatsira kuti uwane kunzwisisa zviri nani kwehutachiona hwekutengesa ropa, izvo zvavari kuenzanisa, zvinoguma zvinorevei, uye zvinokonzera kuongororwa uye kutungamirirwa kwehutachiona hwako. Iwe unogona kubva uchinjana mune zvinyorwa zveumwe neumwe uye unowana kunzwisisa kwakanakisisa kwezvinorevei.
Thyroid Test | Reference Range |
| TSH (Utachiona Stimulating Hormone) | 0.5-4.70 μIU / mL |
| Zvose T4 (Thyroxine) | 4.5-12.5 μg / dL |
| Free T4 (Free Thyroxine) | 0.8-1.8 ng / dL |
| Zvose T3 (Triiodothyronine) | 80 -200 ng / dL |
| Free T3 (Free Triiodothyronine) | 2.3- 4.2 pg / mL |
| RT3 (Reverse T3 / Reverse Triiodothyronine) | 10-24 ng / dL |
| TPOAb (Thyroid Peroxidase Antibodies) | 0-35 IU / mL |
| TSI (Utachiona-inosimudzira Immunoglobulins) | 0-1.3 |
| Tg (Thyroglobulin) | Kwete chirwere chetachiona: 0-0.1 ng / ml. |
| TgAb (Thyroglobulin Antibodies) | 0-4.0 IU / mL |
TSH (Utachiona Stimulating Hormone) Muedzo
Mamwe Mazita: Serum Thyrotropin
Nezve: Utachiona hunokonzera hormone (TSH) inonzi hormone yepituitary iyo inotumirwa kune chirwere chetachiona. Kana iyo pituitary ichiona kuti gland iri kuita hutoni hushoma hwesironi, pituitary inobereka TSH yakawanda, iyo inozoita kuti gland ibudise hutoni yakawanda. Apo pituitary inowedzera hormone yakawanda yehutachiona, inoderedza TSH, semashoko kune gland kunonoka kana kumira kugadzirwa kwehomoni yekemikari.
Nhanho: Chiyero cheTSH chinoyera chiyero cheTSH muropa.
Refu Range: 0.5-4.70 μIU / mL. (Dzimwe ma laboratori ari 0.3 kusvika ku4,5, kana mamwe maitiro akafanana.)
Tsanangudzo yeChirangaridzo: Pamusoro pehuwandu, uye pasi pe10 μIU / mL is "subclinical" hypothyroidism , inopfuura 10 μIU / mL inopfuura overt hypothyroidism. Pasi pe1: 0 kusvika ku1,5 μIU / mL inofungidzirwa sehutano hwe subclinical hyperthyroidism, pasi pe 0.1 inogona kuva yakanyanya hyperthyroidism.
"Kazhinji" TSH maonero anotorwa kuti haabvi hypothyroidism kana hyperthyroidism.
Kududzira Kunobatanidza : Mazinga ari pamusoro pe 1.5 kusvika ku 2.0 μIU / mL angave ari kuratidza utachiona husina kunaka. Yakanaka yepamusoro inobva ku 1.0 kusvika 1.5 μIU / mL.
Zvinokakavadzana: Pane mhirizhonga yakawanda pamusoro pekuedza kweTSH uye zvinorevei.
- Pakati pemagumo ekupedzisira, pane gakava pamusoro pekuti chinonzi TSH chingave chei. Kazhinji, inotanga kubva kumativi ekunze 0.4 / 0.5 kusvika 4.5 kana zvakadaro. Asi mamwe magumo ekupedzisira anotenda kuti mugumo wepamusoro wekutarisa kwemavara inofanira kuva 3.0.
- Pakati pemagumo ekupedzisira, pane kusawirirana pamusoro pekuti mazinga ari pasi pe10.0 anofanirwa kurapwa. Vamwe vanachiremba vanodavira kuti mazinga aya anopa maitiro ekurapa hormone kushandiswa kwemishonga- asi vamwe vanofunga kuti "subclinical hypothyroidism" -uye mushonga iwoyo unongoda chete mushure mokunge mazinga ari kupfuura 10.0.
- Imwe tsvakurudzo inoratidza kuti kunyange kana TSH inowira mukati mekutarisa, kana murwere ane Hashimoto's antibodies, kurapwa kwakakodzera .
- Vanachiremba vanobatanidza vanodavira kuti TSH ndeyeye chete mune dzakawanda kuongororwa uye kutarisirwa kwezvinhu zvevatachiona hwetachiona. Zvinoreva kudzvinyirira kuTSH seTrranny yeTSH.
- Vanachiremba vanobatanidza vanodavira kuti kuyerwa kwechokwadi kwehutano yakakosha ndeyechokwadi, inowanikwa mahomoni ehutori ari kubuda muropa-Free T4 uye Free T3.
T4 / Thyroxine uye Free T4 / Free Thyroxine
Nezve: Thyroxine, inozivikanwawo seT4, ndiyo imwe yemakemikari ehutoni. Ruzhinji rwehomoni inoberekwa nekemikirini yehutano ndiyo thyroxine . Thyroxine inofungidzirwa se "storage" hormone-mune iyo chete iyo isingashandisi nemuviri kubereka simba uye kununura okisijeni kumasero. Inofanira kurasikirwa neatomu yeododhi, chirongwa chinonzi monodeiodination (kana T4 kusvika kuT3 kutendeuka), uye kuva triiodothyronine (T3) kuitira kushandiswa nemasero.
Nhanho: Zvose T4 dzinoyera chiyero chetroxine ichifamba mumaropa. T4 yakasununguka inoyera yakawanikwa, yakawandisa yakawanda ye thyroxine muropa.
Utachiona hwehutano hwakanaka hunobereka zvikuru thyroxine, uye thyroxine inofanira kushandurwa kuva triiodothyronine (T3) kuitira kuti ipe oxygen nesimba kune masero.
Refu Range: Total T4: 4.5-12.5 μg / dL, Free T4: 0.8-1.8 ng / dL
Kududzirwa kweChirangaridzo: Vakawanda vanowanzogadzirwa navanachiremba havasi kuedza Total T4 kana Free T4. Zvisinei, pane dzimwe nguva, pamwe neTSH yakakwirira, Total T4 kana Free T4 mazinga ari pasi pezera rekutaridzirwa inofungidzirwa sehutano hwe hypothyroidism. Pamwe pamwe nehutsika hwakaderera / hwakadzingwa hweTSH, Total T4 kana Free T4 mazinga ari pamusoro pezera rekutaridzirwa inoonekwa sehupupu hwe hyperthyroidism .
Tsanangudzo Inobatanidza: Kuti uwane hutano uye kurapwa kwe hypothyroidism, mazamu muhafu yepamusoro yekutarisa fure inofungidzirwa zvakakwana uye uchapupu hwehutachiona hwakakodzera basa.
Zvinokakavadzana: Vakawanda vanowanzogumira endocrinologists vanoshandisa TSH miedzo mukuongororwa uye kutarirwa kwemamiriro ehutachiona, uye somugumisiro, musayese mazinga eT4 akazara kana akasununguka.
T3 / Triiodothyronine uye Free T3 / Free Triiodothyronine
Nezve: Triiodothyronine (T3) ndiyo inoshandisa utachiona hormone. Utachiona hwehutano hutano hunobudisa humwe hutatu hutatu-hutachiona hweHroid. Zvose zvinokonzerwa nekushandurwa kwe thyroxine mu triiodothyronine.
Nhanho: Zvose T3 muedzo inoyera chiyero che triiodothyronine chiri kufamba muropa. T3 yakasununguka inoshandisa mahara, asina kuvhara mazinga e hormone triiodothyronine inowanikwa kushandiswa nemuviri.
Refu Range: Total T3: 80-200 ng / dL, Free T3: (Triiodothyronine): 2.3- 4.2 pg / mL
Kududzirwa kweChirangaridzo: Vakawanda vanowanzogadzirwa navanachiremba havasi kuedza Total T3 kana Free T3. Zvisinei, pane dzimwe nguva, pamwe chete neTSH yakakwirira, Total T3 kana Free T3 mazinga pasi pemutsetse wekutaridzirwa inofungidzirwa sehupupu hwe hypothyroidism. Pamwe nehutsika hwakaderera / hwakadzvinyirirwa hweTSH, Total T3 kana Free T3 mazinga ari pamusoro pezera rekutaridzirwa inofungidzirwa sehupupu hwe hyperthyroidism.
Kutaridzirwa Kusingatauri: Kuti uwane hutano uye kurapwa kwe hypothyroidism, mazamu muhafu yepamusoro yehuwandu hunotaridzika inofungidzirwa sehutano hwehutano hwehutano hwakakwana, uye mazinga ari pamusoro pe 25 pcentile yehuwandu hunotaridzika anoonekwa sehutano. Mune maonero ekubatanidza, hutachiona hwakanaka hunogona kupa mishonga pamwe nehutachiona hwekuchinja mishonga yemishonga, kana mishonga inonyanya kusanganisira T3 .
Zvinokakavadzana: Kuedzwa kweT3 uye Free T3 kunotonyanya kukakavara kupfuura T4 kuedza . Izvi zvinonyanya kukosha vazhinji vanogadzira vasingatendi kuti t3 yepamusoro ine simba kune zviratidzo, uye kuti hapana nzvimbo yekurapa neT3 hormone .
Nemhaka yokuti mahara akasununguka eT3 anomiririra pakarepo inowanikwa hormone, pasina T3 inofungidzirwa nevamwe vashandi vanobatanidza kuratidza zvakanakisisa hutachiona hwehutachiona, zvichienzaniswa neTSH uye / kana kuti T3 yakawanda.
RT3 / Reverse T3 / Reverse Triiodothyronine
Nezve: Kudzoka T3 isiri yeT3 isingashandisi uye inobudiswa muzvikwereti zvakanyanya panguva dzekutambudzika.
Nhanho: Chimiro chisina maturo, chisingabatsiri cheT3 chinokonzerwa kana muviri uri mukutambudzika.
Reje Range: Kazhinji 10-24 ng / dL
Kutaridzirwa kweChirangaridzo: Uyu muedzo hauwanzoitwa nevakawanda vezvechiremba, avo vanoona kusakosha mune chiyero ichi.
Kutaridzirwa Kunobatanidza: Vanachiremba vanobatanidza uye avo vanonzi vamwe vanachiremba vanofunga nezvehutachiona hwakakwana hunoona RT3 yakakosha kana kutarisana kwe RT3 / T3 kuenzaniswa kuti ive chiratidzo chikuru chetachiona chisingaiti kana chisingaiti. Vanodavira kuti tsanangudzo T3 inofanira kuwira muhafu yepakati yehutano hwakanaka.
Zvinokakavadzana: Kudzokorora T3 inzira yekukakavadzana . Vanachiremba vanowanzogadziriswa vakawanda vanobvisa kukosha kweR33 muyero mukuongorora, kurapa uye kutarisira hypothyroidism. Vanachiremba vanobatana nevaya vanofunga nezvehutano hwakanaka hwemamiriyoni evanhu, zvisinei, funga RT3 yakakosha kuva chiratidzo chikuru chetachiona chisingaiti kana chisina kunaka.
TPOAb / Thyroid Peroxidase Antibodies
Mamwe Mazita: Antithyroid Peroxidase Antibodies
Nezve: Thyroid peroxidase (TPO) antibodies, uye yakafuridzirwa se TPOAb, ine zvirwere zvinokurudzirwa semugumisiro wekuzvidzivirira kwezvimoto kune utachiona hwetachiona. Dzinotarisa gland, uye kazhinji dzinoguma nekuparadzwa kweglandani kwechinguva. TPOAb masimba anokonzera utachiona peroxidase, iyo enzyme inobatsira mukutendeuka kweT4 kusvika kuT3. Yakakura ye TPOAb mazinga inogona kuva uchapupu hwekuputika kweganda, kana kuparadzwa kwemavara sehutachiona hwaHashimoto. Zvishoma nezvishoma, TPO inoonekwa mune mamwe maitiro e-thyroiditis akadai se post-partum thyroiditis .
Nhanho: Muedzo uyu unoyera yehutano hwe TPO antibodies.
Reference Range: The reference reference kubva ku3-35 IU / mL
Tsanangudzo yeChirangaridzo : Kana TPOAb inowira mukati mekutarisa, inonzi inofanirwa. Izvi hazvirevi zvachose zvirwere zveHashimoto asi zvinoita kuti zvive zvishoma. Yakakura TPOAb mazinga anoratidza kuvhiringidzwa kweglandu, kazhinji inokonzerwa neHashimoto's thyroiditis kana kuti mamwe maitiro e thyroiditis .
Inofungidzirwa kuti TPOAb inowanikwa mune anenge 95 muzana yevarwere vane Hashimoto's thyroiditis, uye 50 kusvika 85 muzana yevarwere veGeral's disease. Kuwedzera kwezvirwere zvinowanika mune varwere vane chirwere cheBraves kazhinji chinoderera kupfuura kune varwere vane chirwere cheHashimoto. Mune maonero anowanzoonekwa, zvakadaro, TPOAb yakakwirira haifaniri kutarisirwa kunze kwekunge inopfurikidza nepamusoro pe hypothyroidism kana hyperthyroidism.
Kutaurirana Kunobatanidza : Vamwe varwere vakakwira TPOAb, asi vari "euthyroid," uye vane T4, T3, uye TSH maitiro akasiyana-siyana.Umwe hutsvakurudzo hwakaratidza kuti kudzivirira kurapwa nevothyroxine kunogona kugadziriswa nevarwere ivavo, sezvo kunogona kuderedza kukwirira kwezvirwere , uye kubatsira kudzivirira kufambira mberi kwepamusoro pekuwedzeredza hypothyroidism.
Zvinokakavadzana: Vakawanda vema endocrinologist havabvumi mukuedzwa kwe TPOAb, vachida panzvimbo yekutora utachiona hwekuongorora uye kurapa kurapwa pamigumisiro yeTSH chete.
TSI / Thyroid-stimulating Immunoglobulins
Nezve: Utachiona hunokurudzira immunoglobulin-TSI-inopesana nemasimba anokonzera chirwere chetachiona kuti awedzere uye abudise utachiona hwehutori hwakawanda, zvichiita kuti hyperthyroidism. Uyu muedzo dzimwe nguva unonziwo TSH receptor stimulating antibody.
Nhanho: Kuyera kweTSI kunotarisa chiyero chekufamba kwezvirwere izvi muropa.
Referensi Range: Zvishoma kana zvakaenzana ne 1.3
Tsanangudzo yeChirangaridzo: Mashizha eTI akakwirira mune dzakawanda kusvika 75 kusvika ku90 muzana yevarwere veGraves 'zvirwere. Iyo yakakwirira mazinga, iyo inoshanda zvakanyanya kuGraves 'chirwere inofungidzirwa kuva. (Kushayikwa kwezvirwere izvi hazvirevi, kunze kwechirwere cheMakuva.) Cherechedza: vamwe vanhu vane chirwere cheHashimoto vanewo ma antibodies, uye izvi zvinogona kukonzera nguva dzenguva pfupi dzenguva shoma ye hyperthyroidism.
Chiyero cheTI chinowanzoitwa kuti chione zvirwere zveCheves uye kuongorora goyte multinodular goiter . Iyo inowanzoitwa mumukadzi ane pamuviri ane chirwere cheGraves , mumwedzi mitatu yekupedzisira yekuzvitakura, kuongorora dambudziko rechecheche rekuberekwa ne hyperthyroidism kana chirwere cheGraves.
Tg / Thyroglobulin
Nezve: Thyroglobulin (Tg) ipuroteni yakagadzirwa nehutachiona, uye kuvapo kwaro muropa chiratidzo chokuti murwere ane chirwere chetachiona-ingave gland rose kana vakasara vakasiyiwa mushure mekuvhiyiwa kana kubuda kwevhesiyo (RAI) .
Nhanho: Chiyero cheTg chinoyera chiyero cheTg muropa remvura. T hyroglobulin inonyanya kuongororwa nevarwere vekenza yekenza, kuziva kana mishonga ine kenza inobudisa thyroglobulin musati yatapwa, kuti uone kana kurapwa kuri kushanda, uye kubatsira kubvuma kudzokorora mushure mekurapa. Sezvo vazhinji vevanhu vane hutachiona hwehutano -e, papillary uye follicular-vanobudisa thyroglobulin, uye kuwedzera kwejairolobulin kunogona kuva chiratidzo chekudzoka kwekenza.
Refu Range: Kana usina chirwere chetrosi, chinofanira kunge chiri pasi pe 0.1 ng / ml. Kana iwe uine gland, inofanira kunge iri pasi kana yakaenzana ne 33 ng / mL
Tsanangudzo yeChirangaridzo: Nhamba yakaderera ye thyroglobulin inowanzoonekwa nevanhu vasina chirwere chetachiona. Kuwedzera kwehuwandu kune mumwe munhu ane utachiona hunoti zvinoreva kuti mazinga e thyroglobulin anogona kuongororwa gare gare kuti abatsire kuona kudzoka. Thyroglobulin mazinga anofanirwa kuva 0 kana kuti akadzika kwazvo mushure mekuvhiyiwa kwetachiona kana mushure mokurapa iodine (RAI) . Kana vachiri kuonekwa, kumwe kurapwa kunogona kudiwa. Kana maitiro akatanga kutamuka mushure mekurapa kenza yekenza, izvo zvingava chiratidzo chokuti kenza yakadzoka zvakare.
Mamiriro ezvinhu anokonzera kuvhiringidzika kwetachiona-kureva, goiter, thyroiditis , kana hyperthyroidism-inogonawo kukonzera mapiritsi e thyroglobulin yakakwirira. Muedzo hauwanzoitirwe panguva yekurapwa kwemamiriro aya, zvisinei.
TgAb / Thyroglobulin Antibodies
Nezve: Thyroglobulin antibodies-inozivikanwa seTgAb-is antibodies against thyroglobulin.
Nhanho: TgAb test inotarisa hutachiona hwemashure aya anopararira muropa.
Reference Range: The reference reference isingapfuuri ne 4.0 IU / mL
Tsanangudzo yeChirangaridzo : Marefu eTgAb anowanikwa munharaunda ye10 muzana yevanhu vane utano hwemazuva ose, uye vakawanda kusvika 15 kusvika ku20 muzana yevanhu vane kenza yekemikari. Nhamba dzeTgAb dzakasimudzirwa munenge makumi matanhatu kubva muzana zvevarwere vaHashimoto uye 30 muzana yevarwere veGerves. Kana iwe watoona kuti une chirwere cheGraves, kuva nekwakakwirira kweTgAb zvinorevawo kuti iwe unowanzopedzisira wava hypothyroid.
TgAb inogona kukanganisa ne thyroglobulin (Tg) zvibereko, uye zvino zvakakosha kune avo vane kenza yekemikari kuva neTgAb maitiro achiongororwa pamwe neTg nguva dzose.
Shoko Rinobva
Zvinyorwa zvesere uye zviyero zvekuyera zvinoshandiswa zvingasiyana kubva kune lab kusvika pabazi. Nguva dzose tsvaga zvakananga mararamiro emakwikwi uye kuongorora maitiro ku laboratory apo maedzo ako anoitwa.
Vamwe vanachiremba kana vashandi vavo vehofisi vanokumbira kuti vakuudzei mhinduro dzako dzekurapa. Iwe unogona kunzwa "zviwanikwa zvako zvaive zvakanaka," kana kuti "kuongorora kwako kwaiva kwakanaka" semuedzo wekuedza. Izvi hazvina kukwana mashoko. Nguva dzose bvunza kopi chaiye yezvimwe zviitiko zvekurapa, zvichibatanidza miedzo yehutachiona. Kunyanya nehutachiona hwehutachiona hwehutachiona, unofanirwa kuziva mazinga ako chaiwo, uyewo nzvimbo yekutarisa, kuitira kuti utsigire zvakanakisisa kutarisirwa kwehutachiona hwako.
> Sources:
> Bahn, R., Burch, H, Cooper, D, et al. Hyperthyroidism uye Zvimwe Zvikonzero Zvako Thytotoxicosis: Mazano Ekutungamirirwa kweAmerican Thyroid Association uye American Association of Clinical Endocrinologists. Endocrine Dzidzira. Vol 17 Nha. 3 Mbudzi / June 2011.
> Braverman, L, Cooper D. Werner & Ingbar's The Thyroid, 10th Edition. WLL / Wolters Kluwer; 2012.
> Garber, J, Cobin, R, Gharib, H, et. al. "Clinical Practice Guidelines for Hypothyroidism muVakuru: Cosponsored neAmerican Association of Clinical Endocrinologists uye American Thyroid Association." Endocrine Dzidzira. Vol 18 Nha. 6 November / December 2012.