Indlala yegilo idlala indima ebalulekile ekulawuleni ukugayeka kokudla emzimbeni, ukukhula nokuthuthuka. Noma yikuphi ukungasebenzi kahle kwegilo kungaholela ezinkingeni eziningi zempilo. Ihomoni eyodwa ebalulekile ekhiqizwa indlala yegilo i-T4, eguqulwa ezicutshini ezihlukahlukene zomzimba ibe enye i-hormone ebalulekile, i-T3.

I-T4 yamahhala (f-T4) isilinganiso sefomu elingaboshiwe nelisebenzayo lehomoni ye-T4 ezungeza egazini. Ukuqapha amazinga e-f-T4 kubalulekile ekuhloleni ukusebenza kwegilo kanye nokuxilonga isifo segilo.

Ukubaluleka kokuhlolwa kwe-f-T4:

Ukuhlola amazinga e-f-T4 kubalulekile ukuhlukanisa i-hyperthyroidism (hyperthyroidism) ne-hypothyroidism (hypothyroidism). I-Hyperthyroidism ibonakala ngamazinga aphezulu e-f-T4, kuyilapho i-hypothyroidism iphumela ekwehleni kwamazinga e-f-T4.

Ngaphezu kwalokho, amazinga e-f-T4 asetshenziselwa ukuxilonga ukungasebenzi kahle kwe-thyroid ezigulini ezibonisa izimpawu ezingacacile zesifo se-thyroid. Izinga elivamile le-TSH kodwa izinga eliphansi le-f-T4 libonisa i-subclinical hypothyroidism, kuyilapho izinga eliphakeme le-f-T4 kanye nezinga elivamile le-TSH lingabonisa i-subclinical hyperthyroidism.

Ngaphezu kokuxilongwa, ukuqapha amazinga e-f-T4 kubalulekile ukuze kuhlolwe ukuphumelela kokwelashwa kwegilo. Endabeni ye-hypothyroidism, isiguli sithatha uhlobo lokwenziwa lwe-hormone ye-T4 ukuze sigcine amazinga e-hormone yegilo esezingeni eliphezulu. Ukulinganisa okuvamile kwamazinga e-f-T4 kuyadingeka ukuze kunqunywe umthamo ofanele wemithi yokwenziwa ye-T4.

Ukuhunyushwa kwemiphumela yokuhlolwa kwe-f-T4:

Ububanzi bereferensi be-f-T4 bungase buhluke ngelebhu kanye nokuhlolwa okusetshenziselwa ukuhlola. Nokho, ububanzi obujwayelekile bamazinga e-f-T4 ngokuvamile buphakathi kuka-0.7 – 1.8 ng/dL.

Amazinga e-f-T4 angavamile angabonisa izifo ezihlukahlukene ze-thyroid, kuhlanganise ne-hypothyroidism, i-hyperthyroidism, nama-nodules we-thyroid. Amazinga e-f-T4 aphakeme angaholela ezimpawu ezifana nokuncipha kwesisindo, ukukhathazeka, nokuthuthumela, kuyilapho ukwehla kwamazinga e-f-T4 kungaholela ekuzuzeni isisindo, ukukhathala, nokucindezeleka.

Ekuphetheni:

Umsebenzi we-thyroid udlala indima ebalulekile ekugcineni impilo nokuphila kahle. Ukuqapha amazinga e-f-T4 kubalulekile ekuhloleni ukusebenza kwegilo kanye nokuxilonga isifo segilo. Ukuhlolwa kwe-f-T4 kuyadingeka futhi ukuze kutholwe umthamo ofanele wokwelapha wesifo segilo. Ukuqashelwa kusenesikhathi nokuphathwa kwesifo se-thyroid kungavimbela ezinye izinkinga zempilo. Ngakho-ke, kubalulekile ukuthintana nomhlinzeki wakho wezempilo uma uhlangabezana nanoma yiziphi izimpawu ezihlobene nokungasebenzi kahle kwegilo.

Sengiphetha, ukuhlolwa kwe-f-T4 kuyisici esibalulekile sokuhlolwa nokuphathwa kwempilo yegilo. Ukuhlolwa kokusebenza kwe-thyroid, okuhlanganisa izilinganiso ze-f-T4, kufanele kwenziwe njalo ukuze kuqinisekiswe ukusebenza kahle kwe-thyroid kanye nempilo yonke.