1. Ϲ :
ȣ Ͽ ȯ ϴ ˻ Դϴ.
ġ |
|
T3 |
0.7 2.1 ng/dL |
T4 |
5.0 13 g/dL |
FT3 |
0.3 0.05 ng/dL |
FT4 |
1.6 0.6 ng/dL |
ȣ ġ ̴ δ ̺꽺 , , Ʊ , , ũƾ մϴ.
|
ȱ ִ ̺꽺̶ θϴ. αٰŸ, , ü߰, ̿, Ż°, , , Ҹ ̰ ϸ ɺ ŵϴ. |
|
̶ ϰ ü, , , Ÿ ϴ. |
2. Ȧ̶ :
߿ ߿ 带 3 T3(Ʈ䵵̷δ) 4 T4(̷Ͼ) ȣ ֽϴ. ̵ ü 縦 ϰ 忡 ϴ ߿ ȣε ų Ǹ ָ մϴ.
T4 99% ̻ ܹ յǾ ְ, ̻ T4 ϰ ˴ϴ. T3 ̻ Ÿ ˴ϴ. ûϺο к TSH ȣ(thyrotropln releasing hormone, TRH) ڱ ȣ(thyrotropin, TSH) к TSH ڱմϴ.
T3, T4 ϸ TSH к ǰ ݴ ҵǸ Ǿ ϰ ǰ ֽϴ. T3 T4 35 ȣ Ȱ ϴ. T3 κ ( 80%) к T4 ü ȭǾ Դϴ.
̷Ͻ (FT4)
ֱٿ ̺꽺 ǽɵ ̷Ͻ մϴ. ̰ ̷Ͻ ߿ Ȱ ִ ȣ( ܹ Ͽ Ȱ) ϴ ̺꽺 ¸ ֽϴ.
索, 忰, ɺ, , , , , ɺ, Ǽ, κοܻ ȯ ƴϸ鼭 ȣġ ɴϴ.
3. ̻ġ ǽɵǴ ȯ :
̻ġ Ÿ Ϲ ˻ϴ ٶմϴ. Ƿ ÿ ȣ ܵ ˻纸ٴ FT3, FT4 ؼ ˻ϴ ϴ. T3, T4 ̿ܿ TBG µ FT4, FT3 TBG Ƿ TBG Ÿ ӽ, ȯ ܿ մϴ. TBG ̴ ȯ ȣ ȭ ϸϹǷ FT4, FT3 ϴ Ȯ ˴ϴ. ǥμ FT3 մϴ.
T3, T4 ġ ڴ Ÿϴ. ȣġ ġ ٰ ϰ ̶ Ǵؼ ȵ˴ϴ. Ҿƿ ġ Ÿٰ ̶ ؼ ȵ˴ϴ. ̷ ũ ü װڰü ܿ ũ ˴ϴ. T3 T4 ϰ TSH մϴ. T3 T4 ҵǰ TSH ϰ ˴ϴ.
|
T3 |
FT4 |
T4 |
FT4 |
|
100% |
100% |
98% |
90% |
|
65-80%϶ |
100%϶ |
65-80%϶ |
100%϶ |
|
TSH |
TRH |
TSH |
(1) |
|
|
(T3, T4) |
ϼü(2) |
|
- |
缺(T3, T4) |
ûϺμ(3) |
|
|
缺(T3, T4) |
|