Ngokusho kwe-National Heart Lung ne-Blood Institute, abantu abadala abangaba ngu-47 e-United States (cishe amaphesenti angu-25 abantu) bane-syndrome ye-metabolic, inhlanganisela yezimo ezingozini ezandisa ingozi yesifo senhliziyo, isifo sikashukela, nesifo sohlangothi . Inamba yabantu abane-syndrome ye-metabolic nayo iyakhula.
Manje, abacwaningi bathole ukuthi umsebenzi ophansi we-thyroid - isimo esaziwa ngokuthi i-subclinical hypothyroidism - kuyisici esiyingozi engozini ye-metabolic syndrome.
Iyini iMetabolic Syndrome?
I-metabolic syndrome yigama elinikezwe isifo esibhekene kaningi kubantu abakhuluphele ngokweqile noma abakhuluphele kakhulu, futhi abanezimo ezithile ezandisa ingozi yesifo senhliziyo, isifo sikashukela, isifo sohlangothi, nezinye izinkinga zempilo. I-metabolic syndrome itholakala ukuthi lapho kunezici eziyisihlanu ezingozi ezilandelayo ezibonakalayo:
- A Waistline enkulu. Lokhu kungase kubhekiswe njengokukhuluphala kwesisu, noma "ukuma-apula" noma "neBuddha belly." Kodwa ngokweNational Cholesterol Education Program (NCEP) kanye ne-American Heart Association, indlela ye "waistline enkulu" ilinganisa ngamasentimitha angu-35 kwabesifazane namasentimitha angu-40 amadoda. Kulabo bantu abanesifo sikashukela, imingcele iyancipha, ngamasentimitha angu-31 kuya kwangu-35 kwabesifazane namasentimitha angu-37 kuya kwangu-39 emadodeni.
- Ukuphakanyiswa kwe-Triglycerides / Ukwelashwa Kwe-High Triglycerides. I-Triglycerides yimihlobo yamafutha ehamba egazini futhi yandisa ingozi yesifo senhliziyo. Izinga eliphakeme libhekwa njengezigidi eziyi-150 nge-deciliter (mg / dL) noma ngaphezulu.
- I-HDL ephansi / Ukusekelwa kwe-HDL ephansi. I-high-density lipoprotein (i-HDL) uhlobo lwe-cholesterol evame ukubizwa ngokuthi "okuhle" kwe-cholesterol ngoba kusiza ukwehlisa ingozi yesifo senhliziyo. Izinga elingaphansi kuka-40 mg / dL emadodeni noma ngaphansi kuka-50 mg / dL kwabesifazane kubhekwa njengephansi.
- Ukucindezelwa Kwegazi / Ukwelashwa Kwegazi Eliphezulu Lokucindezela Igazi. Ukucindezelwa kwegazi kubhalwe njengezinombolo ezimbili, ezibhalwe phezulu noma ngaphambi komunye, njenge-120/80, noma okuthiwa "ezingu-120 ezingaphezu kuka-80." Inombolo ephezulu yi-systolic blood pressure, futhi ibhekwa njengephakeme uma ihamba ngaphezu kwe-130 futhi inombolo ephansi - i-diastolic - ibhekwa phezulu uma ingaphezulu kuka-85.
- Ukuphakanyiswa kwegazi I-Sugar / Treatment ye-Blood Sugar ephakeme. Ukuzila ushukela wegazi, owaziwa nangokuthi ukudla okusheshayo kwegazi, ungaqala ukuphakamisa njengesibonakaliso sokuxwayisa ngesifo sikashukela. Izinga lika 100 mg / dL noma ngaphezulu libhekwa liphakeme.
Njengoba kuphawuliwe, okungenani izici eziyingozi ezintathu ezingenhla zifanelekela umuntu ukuxilongwa nge-syndrome ye-metabolic. Kodwa izingozi ezingaphezu komuntu, kunengozi enkulu yesifo senhliziyo, isifo sikashukela, noma isifo sohlangothi. Ngokusho kwe-NCEP, umuntu one-syndrome ye-metabolic cishe kungenzeka ukuthi ahlakulele isifo senhliziyo futhi izikhathi ezinhlanu amathuba okuthuthukisa isifo sikashukela njengomuntu ongenayo isifo se-metabolic syndrome.
I-metabolic syndrome ngokuvamile ivela kubantu abakhuluphele ngokweqile noma abakhuluphele kakhulu, abangenzi umsebenzi wokuzivocavoca umzimba, noma abanokudla okukhuthaza ukukhishwa kwe-insulin. Umlando kanye neminyaka yomndeni nazo izimbangela eziyinhloko.
Isixhumanisi se-Thyroid
Abacwaningi bathole ukuthi ngisho nezinguquko ezicashile emsebenzini we -roid zandisa ingozi ye-syndrome ye-metabolic.
Isixhumanisi phakathi kwe-overt hypothyroidism kanye nengozi eyengeziwe yesifo senhliziyo isivele isungulwe. Kodwa ucwaningo olushicilelwe encwadini kaFebruwari 2007 ye- Journal of Clinical Endocrinology ne-Metabolism ithola uxhumano phakathi komsebenzi we -roid nesifo somzimba kubantu abanezinga elivamile le-hormone le-hormone (TSH) evamile.
Lokho abacwaningi abathola ukuthi kulabo abanezinga elijwayelekile le-TSH, izinga le-hormone ye-thyroid eyaziwa ngokuthi i-T4 yamahhala ibalulekile. Amazinga wamahhala we-T4 aphansi kancane, kodwa namanje ngaphakathi kobubanzi obuvamile, okwandisa kakhulu ingozi yezinkinga eziningi ze-syndrome ye-metabolic.
Amazinga aphansi kwenye i-hormone ye-thyroid, i-T3 yamahhala, axhunyaniswe nezici ezinobungozi kuhlanganise ne-cholesterol ephelele, i-LDL cholesterol, ne-triglycerides.
Abacwaningi baphetha ngokuthi kubantu abanamazinga ajwayelekile we-TSH, ngisho nezinguquko ezincane kwi-T4 yamahhala namazinga wamahhala we-T3 angaba nomthelela engozini ye-syndrome nesifo senhliziyo.
Abacwaningi bancoma ukuthi kwenziwe isifundo ukuze kunqunywe ukuthi ukwelashwa okusheshayo kokungasebenzi kwamathambo kunganciphisa ingozi.
Lokhu kusho ukuthini lokhu
Uma ucwaningo lwesikhathi esizayo luthola ukuthi ukwelashwa kokuqala kusiza, i-T4 yamahhala futhi i-T3 mahhala, hhayi nje i-TSH, iyoba yizilinganiso ezisemqoka ekutholeni izinqumo zezokwelapha kanye nokwelashwa.
Lolu cwaningo lubuye lubonise ukuthi uma uphathwa nge-hypothyroidism, kufanele uhlolwe ngezibonakaliso ze-syndrome ye-metabolic. Uma ngabe u-hypothyroid, uzofuna ukwenza yonke imizamo yokunciphisa izimo zakho ezingozini ze-syndrome.
Ukubhekana nezici ezingozini kungaba yinkimbinkimbi, kepha ngokuvamile kuhilela ukuhlanganiswa kwanoma yikuphi noma zonke izindlela ezilandelayo:
- Imizamo yonke yokulahlekelwa isisindo, kuhlanganise nokudla nokuzivocavoca
- Izinguquko ezikhethekile zokudla zokulwa nokuvimbela i-insulin futhi zithuthukise amazinga e-cholesterol
- Ukuzivocavoca
- Imithi yokunciphisa i-triglycerides, iphakamisa i-HDL, ingcindezi ephansi yengcindezi yegazi, iphansi / lawula ushukela wegazi
Imithombo
> Roos, Annemieke, et. al. Umsebenzi we-Thyroid Uhlotshaniswa Nezingxenye ze-Metabolic Syndrome ezihlokweni ze-Euthyroid, " I-Journal of Clinical Endocrinology & Metabolism Vol. 92, No. 2 491-496, ku-intanethi
> I-Mayo Clinic, "iMetabolic Syndrome," iMayo Foundation for Education and Research, 1998-2007
> I-National Heart Lung ne-Blood Institute, "Iyini iMetabolic Syndrome," ngo-Ephreli 2007, ku-intanethi