[ILMU MUDAH}: Cara Mudah Memahami Thyroid Function Test (TFT)

ipes2

Di bawah adalah cara mudah untuk memahami cara thyroid hormone dirembeskan.

Pituitary akan rembes TSH.
TSH akan activate thyroid gland utk rembes T4 dan sedikit T3.
Didalam tissue, T4 akan diconvert menjadi T3.
T3 inilah yang mempunyai kesan ''thyroid''.

Bila level T4 dan T3 dan cukup byk, T4 dan T3 ini akan membuat Pituitary berhenti merembes TSH (negative feedback).

Jika kita hyperthyroid, maka T4 dan T3 adalah sgt tinggi dan TSH akan jadi sgt rendah (kerana negative fedback).
Jika kita hypothyroid, maka T4 dan T3 akan jadi sgt sedikit dan TSH akan terus menerus dirembes tanpa negative feedback.

helicornia

thanks dr ipes.iols ada masalah hypertyrodism sblum ni. pastu pi buat rawatan RAI then rendah sgt plak jd hypo plak. susah gak nak adjust hormon tiroid ni.

ipes2

helicornia replied at 12-3-2020 08:09 PM
thanks dr ipes.iols ada masalah hypertyrodism sblum ni. pastu pi buat rawatan RAI then rendah sgt pl ...

ye, jika hyperT4, kita bagi rai agar org tu jadi hypot4
hypot4 mudah je di treat
eh mudah la jg thyroid yg hypo ni, amik thyroxine tu je lah
amik first thing in the morning, 30 min atau sejam sebelum makan or amik ubat lain
sbb thyroxine ni dikacau oleh byk food dan ubat lain
letak pil tepi alarm clock, bgn je terus amik, pastu boleh la pi toilet ke gosok gigi ke, mandi etc

arasham

ipes2 replied at 13-3-2020 03:42 PM
ye, jika hyperT4, kita bagi rai agar org tu jadi hypot4
hypot4 mudah je di treat
eh mudah la jg  ...

My doc pun ckp hypo senang jaga tak life threatening. Hyper plak takut jadi thyroid storm. Puaslah menggoogle thyroid storm. I buat RAI dulu selepas dia start kacau jantung. Palpitations teruk sgt. Scan jantung  katanya lambat mengepam sort of. So doc kata tak de pilihan kena buat RAI.

helicornia

ipes2 replied at 13-3-2020 03:42 PM
ye, jika hyperT4, kita bagi rai agar org tu jadi hypot4
hypot4 mudah je di treat
eh mudah la jg  ...

yup skrg under thyroxine medication

helicornia

arasham replied at 13-3-2020 03:53 PM
My doc pun ckp hypo senang jaga tak life threatening. Hyper plak takut jadi thyroid storm. Puaslah ...

senang jaga tp i tk larat badan mcm dipam2 huhu.dh kontol tk makan nasi makan protein n sayur je no sugar oil sume haram tk mau turun

arasham

helicornia replied at 13-3-2020 04:08 PM
senang jaga tp i tk larat badan mcm dipam2 huhu.dh kontol tk makan nasi makan protein n sayur je n ...

Metabolik rate dah slow. Saya jln 3/4 kali seminggu around 4 km. mkn pun jaga juga. Tulah berat badan susah nak turun..

ipes2

arasham replied at 13-3-2020 03:53 PM
My doc pun ckp hypo senang jaga tak life threatening. Hyper plak takut jadi thyroid storm. Puaslah ...

ye
biasanya ni lah pathway nye biasanya

ipes2

helicornia replied at 13-3-2020 04:07 PM
yup skrg under thyroxine medication

ye senang nak jaga jika hypoT4, yg hyperT4 yg bahaya nye

ipes2

helicornia replied at 13-3-2020 04:08 PM
senang jaga tp i tk larat badan mcm dipam2 huhu.dh kontol tk makan nasi makan protein n sayur je n ...

sambil tgk tv, angkat botol air 1kg tgn kiri 10min, tgn kanan 10min.. utk bakar excess calories.. jgn lama sgt, nnt bakar byk sgt lak

arasham

ipes2 replied at 16-3-2020 02:06 AM
ye
biasanya ni lah pathway nye biasanya

Assalam doc dah dot semua result. Dari my ct scan doc kata kemungkinan sgt besar I kena TB kelenjar. What is TB kelenjar?  Now buat procedure utk pastikan pulak..

adila39

Wassalam..

Ni some simple info

Scrofula is a condition in which the bacteria that causes tuberculosis causes symptoms outside the lungs. This usually takes the form of inflamed and irritated lymph nodes in the neck. Doctors also call scrofula “cervical tuberculous lymphadenitis”:
For example, if tuberculosis affects the lymph nodes (about 25% of cases), it can cause swollen glands, usually at the sides and base of the neck.
...
Postprimary (reactivation) tuberculosis – Symptoms include:

Fever.
Night sweats.
Weight loss.
Poor appetite.
Weakness.
Chest pain.
A general sick feeling.


An artcile from google. So continue the procedure and get well soon.

arasham

adila39 replied at 12-4-2020 10:04 AM
Wassalam..

Ni some simple info

Tq

adila39

arasham replied at 12-4-2020 02:19 AM
Tq

harap ia membantu, u faham x? boleh tanya lagi ok. Apa pun continue the treatment and stay calm and positive ya.

arasham

adila39 replied at 12-4-2020 12:08 PM
harap ia membantu, u faham x? boleh tanya lagi ok. Apa pun continue the treatment and stay calm an ...

insyaa Allah faham.. tq. Saya ada semua sign tu. doc pun sedang pantau. Tqvm .. nanti apa2 saya tanya lagi.. tq..

adila39

arasham replied at 13-3-2020 07:53 AM
My doc pun ckp hypo senang jaga tak life threatening. Hyper plak takut jadi thyroid storm. Puaslah ...

u can do it arasham!

arasham

adila39 replied at 15-4-2020 05:44 AM
u can do it arasham!

Insyaa Allah terima kasih.

monreyes

ipes2 replied at 16-3-2020 02:12 AM
ye senang nak jaga jika hypoT4, yg hyperT4 yg bahaya nye

apa yang bahayanya kalau hyper tu

adila39

monreyes replied at 17-4-2020 09:03 AM
apa yang bahayanya kalau hyper tu

Salam.

Saya jawabkan secara simple nanti doc ipes sihat dia jawab in details

Hyperthyroid ni (nama pun ada Hype pada awal sentence) - bezanya ia mengeluarkan hormone tyroid yg terlebih lebih yang boleh menyebabkan degupan jantung laju. Anxiety and ada juga weight loss.. so bila ni berlaku drastically akan menganggu kesihatan badan kita and leads to others.

Hope membantu, lain lain doctor akan jelaskan. Tq

@ipes2

ipes2

arasham replied at 23-3-2020 04:25 PM
Assalam doc dah dot semua result. Dari my ct scan doc kata kemungkinan sgt besar I kena TB kelenja ...

waalaikumussalam arasham
TB lymph node ye?
hmm kena buat biopsy la utk confirm.
TB LN ni bila LN tu ada TB... if so, kena ada treatment dia
ok aje, boleh ditreat etc sabar mek