UDkt. Kent Holtorf Usebenzisa Indlela Yakhe Yokuphatha I-Thyroid Engasebenzi
Omunye wezazi ezihamba phambili ezempilo yama-hormone, uKent Holtfeld, MD, uye wabelane ngemicabango yakhe nami mayelana nokwelashwa okunamandla kwe-hypothyroidism, lolu chungechunge olwenziwa ngabahlinzeki abanekhono ekuhloleni kwe-hormone kanye ne-hypothyroidism ukuxilongwa nokuphathwa .
Ngokusho kukaDkt. Holtorf, ukunakekelwa okuhle kwe-thyroid kuqala ngokuxilongwa kahle futhi kuqhubeka nokuxhaswa ngemithi efanele ye-thyroid ekulinganisweni okufanele ukufeza umsebenzi we-thyroid we-intracellular.
UDkt. Holtorf uzizwa ukuthi nakuba amazinga kanye namanani okuhlolwa okuhlukahlukene kusiza ekutholeni ukwelashwa okungcono kakhulu noma umthamo, ukuhlolwa kufinyeleleke kokungalungi ngaphansi kwemibandela eminingi. Ngakho-ke, akazithembi noma asebenzise ukuhlolwa kwe-thyroid ejwayelekile njengenhloso yodwa yokuthola indawo enhle emaphesenti amakhulu, njengoba ethola ukuthi amazinga e-serum ahlukene angadingeka ngesiguli esithile.
KuDkt. Holtorf, ukwelashwa okufanele kudinga ukuqonda ukubunzima komsebenzi we -roid. Umsebenzi we-thyroid uye waxoshwa kakhulu emzamweni wokukwazi ukusebenzisa ukuhlolwa okulula (okungukuthi i-TSH) ukuchaza amazinga we-thyroid "evamile". Ngokusho kukaDkt. Holtorf, lo mbono olula uhlehla uma umuntu eqonda izinyathelo eziningi ezidingekayo ukuze kuzuzwe umsebenzi we-tissue we-thyroid.
UDkt. Holtorf uthi:
Izivivinyo ezijwayelekile zizobona kuphela ukungasebenzi uma i-gland yegciwane ingumthombo wenkinga. Ngenkathi i- hypothyroidism eyinhloko (uma i- gland yegciwane ingumthombo wokungasebenzi) yiyona ejwayelekile ukutholakala ukuthi, ezinye izimbangela zomsebenzi we-tissue we-tissue we-sub-optimal noma ophansi zivame kakhulu kodwa zivame ukutholakala. Lezi ezinye izimbangela zihlanganisa:Uma kunenkinga kunoma iyiphi yalezi zinyathelo, kuzoba nomsebenzi we-thyroid we-tissu ophansi noma ophansi ovame ukungaziwa.
- ukungasebenzi kwe-hypothalamus ne-pituitary
- ukuthutha kweselula
- ukuguqulwa kwe-T4 kuya ku-T3,
- ukwakheka okwedlulele kwe-T3 ehamba phambili
- ukuvinjwa kwe-receptor ye-thyroid
- ukuvinjelwa kwesifo se-thyroid esashukumisayo.
UDkt. Holtorf ukholelwa ukuthi uma kutholakala ukuthi imithombo eminingi ye-thyroid isetshenziswa kanjani, ukuhlolwa kwebholabhuthi - ngokuhambisana nezimpawu nezinye izibonakaliso ze-physiologic - kungasetshenziswa kangcono njengamathuluzi okusiza ukuthola ukunakekelwa okuphelele.
UDkt. Holtorf unikeza isibonelo:
Uma kukhona ukungasebenzi komzimba we-receptor noma i-gene activation, eyenzeka ngamazinga ahlukene anezifo ezingapheli, ukuvuvukala, ukucindezeleka, ukuvezwa kwamaplastiki njenge-bisphenol A (BPA), izifo ezingapheliyo, ukukhuluphala nesifo sikashukela, amazinga e-serra I-T3 izodinga ukunqoba lokhu kuvimbela. Ezimweni ezinjalo, izivivinyo ze-serum ze-standard standard zithembekile kakhulu kanti ezinye izivivinyo kumele zisetshenziselwe ukucacisa kahle umsebenzi we-tissue we-thyroid. Lezi zingabandakanya izinga le-hormone elibopha i-globulin (SHBG), izinga le-tendon reflex lokuphumuza kanye nesilinganiso se-metabolic. Lezi zivivinyo kufanele zonke zihunyushwe ngokuhambisana nokuhlola izimpawu nezimpawu, okuyizinto ezibaluleke kakhulu zokuthola ukwelashwa okulungile.
Izivivinyo Zokusiza Ekuhlolweni Kwengxenye Yomzimba Wegciwane Elihle
UDkt. Holtorf unemibuzo eminingi ayicabanga ukuthi iyasiza ekusizeni ukuhlolwa esikhundleni se-thyroid.
I-TSH -Dr. I-Holtof ibheka i-TSH ngaphezu kwe-2 njengenkomba ecacile yokuthi kunezinga eliphansi le-tissue ye-thyroid. UDkt. Holtorf uthi: "I-TSH evamile ayikhiphi ukungasebenzi komzimba we-thyroid futhi i-TSH ephansi iboniswa ukuthi iyisibonakaliso samazinga we-tissue we-tissue ama-20% kuphela (isikhathi sama-80% esingekho icala). I-TSH iba uphawu olubi kakhulu lwezinga le-tissue ye-tissue uma kukhona ukuvuvukala, ukucindezeleka, ukugula okungapheli, ukuguqula okungapheli, ukukhuluphala, ukucindezeleka, isifo esingapheliyo sokukhathala, i-fibromyalgia, isifo sikashukela, ukuvimbela i-insulin , ukuphikiswa kwe- leptin. "
I-T4 --Dr. I-Holtof inomuzwa wokuthi nge-T4, uma kunenkinga yokuthutha kwe-hormone ye-thyroid (T4 no-T3 ngokuthunyelwa esitokisini), amazinga aphezulu we-T4 angase ahlotshaniswe namazinga aphansi we-thyroid.
I-T3 yamahhala - uDkt. Holtorf ikholelwa ukuthi ngokujwayelekile, i-T3 yamahhala kufanele ibe se-25c percentile ephezulu yebanga elijwayelekile. UDkt. Holtorf uthi: "Okujwayelekile; uhlaka, kodwa lusebenza uma ubeka i-T4, eguqulwa ibe yi-T3 esitokisini bese inani elibuyela emuva kwi-serum yizinga" elivamile ".
Uma ukwelapha nge-T3, lokhu akusiyo icala ngakho-ke izindlu zokubhekisela ezijwayelekile azikwazi ukusetshenziswa. "
Ukuguqula i-T3- Ngokusho kukaDkt. Holtorf, i- Reverse T3 yombili iphawu lokunciphisa ukuguqulwa kwe-T4 kuya ku-T3 kanye nokuthungulwa kwe-T4 kuya esitokisini - futhi kunomsebenzi we-antithyroid (uvimbela umphumela we -roid) - futhi kufanele ube ngaphansi 150.
I-SHBG -I-hormone ye-hormone ebophezelayo i-globulin (SHBG) iyimakethe yezinga le-tissue ye-thyroid, ngakho-ke uma ngabe ungaphansi kwengu-70 owesifazane, uDkt. Holtorf uyibheka uphawu lwezinto ezithintekayo noma ezithintekayo ezitholakala kumzimba we-tissue. Uma ukushintshwa kwegciwane kunikezwa futhi i-SHBG ayanda ukwanda, uzizwa ukuthi lokhu kuyinkomba yokumelana ne-thyroid.
I-Leptin -Dr. I-Holtof ikholelwa ukuthi izinga le-leptin le-serum kufanele libe ngaphansi kuka-12. Iphakeme leveli ye-leptin, kakhulu ukuphikiswa kwe-leptin, okuvimbela ukukhiqizwa kwe-TSH no-T4 kuya ku-T3 ukuguqulwa. Ngakho-ke, i-leptin ephakeme i-TSH iba yinto engasizi ngalutho.
I-Iron / Iodine -Dr. U-Holtorf ukholelwa ukuthi amazinga we- iron ne- iodine kufanele ahlolwe futhi aphuluke kufanele aphathwe, njengoba kudingeka ukuba kusebenze i-thyroid.
Isilinganiso se-Basal Metabolic (BMR) -Dr. U-Holtorf uthola ukuthi amazinga we-tissue e-tissue ayinhloko enkulu yokumisa umzimba ukuze isisindo somzimba jikelele singabhekwa njengesilinganiso segolide sezinga lomzimba wegciwane. Ngakho-ke, i-BMR ingasetshenziswa ukusiza ukunquma izinga eliphezulu kakhulu. Lokhu kuhlolwa okungenziwa kwamanye amahhovisi odokotela.
I-relaxation Phase ye-Tendon Reflex- Ngokusho kukaDkt. Holtorf, ucwaningo oluningi luye lwabonisa ukuthi lokhu kuyisilinganiso esinembile kunesisindo segazi se-serum, njengoba kunesilinganiso somsebenzi wesisindo, kunamazinga we-serum, futhi izinga elifanele kufanele libe ngokushesha kunamamitha angu-110.
I-Kent Holtorf, MD ungumsunguli we-Holtorf Medical Group, okugxile ekwelapheni i-endocrine eyinkimbinkimbi, i-hormonal nezinye izifo eCalifornia Bay Bay nasesifundazweni saseLos Angeles.
I-Holtorf Medical group website: www.holtorfmed.com
Umthombo:
I-imeyili Ingxoxo no-Kent Holtorf, MD - Disemba 2010