Ukunqoba i-thyroid engasebenzi ukuze uthole ukulahlekelwa kwesisindo esisebenzayo
Uma une- thyroid engasebenzi , i-thyroid yakho isuswe ngokuhlinzwa , noma uye waba ne-iodine ye-radioactive ukuphatha i-thyroid engasebenzi kakhulu, ungase ubenzima ukuhluleka isisindo, isikhalazo esivamile ku-hypothyroidism. Noma ngabe usuphelile nge-gland ye-thyroid, engasebenzi, noma ehlinzekwe ngokuhlinzwa, ungathola ukuthi, ngisho nangokwelashwa kwemithi kadokotela ye-hypothyroidism yakho, awukwazi ukulahlekelwa isisindo-noma awukwazi ukuyeka ukuthola isisindo-naphezu kwemizamo yakho emihle .
Kuyaqondakala ukuthi kuphazamisa. Kulesi simo, kuyasiza ukuqonda izici ezibangela ukulahlekelwa isisindo esinzima nokuthi ungabakhipha kanjani ukuze ulahlekelwe isisindo nge-hypothyroidism.
Yini eyenza ukulahlekelwa kwesisindo kunzima kweziguli ezithintekayo?
Yiziphi iziguli ze-thyroid ezidingekayo ukuthi yizici ezinhlanu ezingenza kube nzima kakhulu ukulahlekelwa isisindo:
- Ukwelashwa ngokwanele kwe-thyroid
- Isidingo se-T3
- Ishintsho "sesethi"
- Izinguquko kumakhemikhali ebuchopho ngenxa yokugula nokucindezeleka
- I-insulini nokumelene ne-leptin
Ake sihlole ngayinye futhi sibone amasu okubhekana nabo.
Ukwelashwa okwenziwe nge-Thyroid
Kwabaningi be-endocrinologists abavamile, umgomo we-hypothyroidism ukwelashwa ukubuyisela ekwenzeni i- hormone ye- thyroid evuselelayo (TSH) endaweni ethile ngaphakathi kwe-TSH reference reference range. Ngaleso sikhathi, uthathwa njenge-euthyroid, okusho ukuthi umsebenzi wakho we-thyroid ujwayelekile.
Ucwaningo oluthile lubonisa ukuthi amazinga ka-TSH ekugcineni kwebanga lokubhekisela ahlanganiswa nesisindo esandayo, isibalo esikhulu semzimba yomzimba (BMI), namazinga aphezulu okukhuluphala. Ukuze kube njalo, odokotela abathile bahlose ukugcina izinga le-TSH maphakathi nendawo yebala lokubhekisela, noma ephansi, kwezinye iziguli.
Isidingo T3
Ukwelashwa okuvamile kwe-hypothyroidism yi- levothyroxine , ifomu lokufakelwa kwe-T4 hormone. Kodwa-ke, ezinye izifundo zibonise ukuthi ukuntuleka kokudla okunomsoco, ukukhubazeka kwezakhi zofuzo, nezinye izici ezenza ukuba abantu babe nesidingo esikhulu se-hormone ye-thyroid triiodothyronine (T3).
Lezo zifundo ziye zabonisa ukulahlekelwa isisindo futhi zanda uketshezi kwamathambo ezigulini ezingaphathwa nge-levothyroxine yodwa, kodwa nge- T4 / T3 yokwelapha inhlanganisela -njenge-levothyroxine kanye ne-liothyronine (yokwenziwa kwe-T3), noma izidakamizwa zemvelo ezikhishwe ngokwemvelo njenge-Nature-thyroid Izikhali, ezifaka kokubili T4 no-T3.
I-Metabolic Yashintsha "Beka Iphuzu"
I-metabolism yakho isebenza ukukuvikela ekulameni, ukuqinisekisa amandla anele, futhi ikugcine kulokho okuyaziwa ngokuthi "iphuzu lokusetha" -isisindo esithile, esinjengesimo sokushisa komzimba esingaba ngu-98.6-degree, umzimba wakho uzama ukulondoloza. Okokuqala, njengoba uqala ukungenisa amakholori amaningi, noma umzimba wakho uhamba kancane, uzobona ukwanda okuncane kokuthola isisindo. Uma usebenza ngendlela evamile, umzimba wakho uzokusheshisa ukushisa isisindo somzimba, isifiso sakho sehla, nesisindo sakho sibuyele endaweni yakho evamile.
Uma umzimba wakho uhamba kancane-njengokuba ubonakala ku-hypothyroidism-futhi ungenisa amakholori amaningi kunokushisa, umzimba usungula iphuzu elisha eliphakeme lesisindo.
Thatha isibonelo somfazi onama-5-foot-7-intshi olinganisa amakhilogremu angu-160 futhi ugcine isisindo sakhe kuma-calories angu-2500 ngosuku. Uba i-hypothyroid futhi ngaphezu kwesikhathi sonyaka noma emibili izuza amapounds angu-50. Ngokusemthethweni, ngokusekelwe kwesisindo somzimba wedwa, manje udinga amakholori angu-2800 ngosuku ukuze alondoloze isisindo sakhe samakhilogremu angu-210. Uma egcina ikhalori yakhe idla ngo-2500, ingabe ingabe ingalahlekelwa amakhilogremu angama-50? Ngokuvamile, ngoba hhayi kuphela hypothyroidism yakhe ukunciphisa umzimba wakhe, kodwa njengoba ehla amakholori futhi isisindo isilinganiso sakhe sokunciphisa umzimba empeleni ukwehla futhi. Ngakho-ke angase alahlekelwe isisindo esithile, kodwa uzoba nephuzu eliphakeme kakhulu, njengoba edla izinga elifanayo lama-calories njengomunye owesifazane ophansi kakhulu.
Le nkinga ye-metabolism ingenye yezizathu eziyimfihlakalo yomuntu obonakala sengathi udla okungaphezu kwalokho okwenzayo, akasebenzisi okuningi, kodwa ugcina isisindo esincane, noma ngokungafani, umuntu ongadli kangako, kepha akadli lokho okuningi futhi athola isisindo noma angeke alahlekelwe isisindo.
Izinguquko ku-Chemistry Brain
Ukulamba, ukukhathala, ukugcina amafutha, nokushisa kwamafutha konke kuhloswe ngokuqinile emakhemikhali akho obuchopho kanye namahomoni amaningi abalulekile nama-neurotransmitters. Kukhona ama-neurotransmitter akhululwa ukuze abulale indlala futhi akhuthaze ukuba udle imithombo esheshayo yamandla njenge-carbohydrate elula. Amanye ama-neurotransmitters akutshela ukuthi usenele ngokwanele ukuthi udle futhi unelisekile. Amahomori aqondisa i-glucose egazini lakho ukuze agcinwe kuma-fat cells, noma afundise umzimba ukuthi ukhulule i-glucose egcinwe amandla.
Lolu hlelo oluyinkimbinkimbi lungathinteka ngokuphawulekayo yizici eziningana ezivame ukubonakala ku-hypothyroidism:
- Isifo se-thyroid singanciphisa umzimba . Uma isifiso sakho singapheli ukufanisa nomzimba ophansi, lokho ubuchopho bakho obubona ukuthi izinga elifanele lokudla lokukwanelisa ukulamba kwakho kungenzeka libe mkhulu kune-metabolism yakho futhi lenze inzuzo yesisindo.
- Isifo se-thyroid kanye nokuzimela komzimba kungukucindezeleka okungapheli komzimba. Engeza kulokhu ukucindezeleka kokuphila, ukucindezeleka ngokomzimba njengokungaphuli okwanele noma ukungaziphathi kahle, kanye nemiphumela yokucindezeleka-kuhlanganise namazinga e-cortisol eyandisiwe namazinga aphansi e-serotonin-avela,. I-cortisol eyengeziwe ingakwenza ukhathele kakhulu, futhi usebenze ngokwengeziwe ekugcinweni kwamafutha, futhi i-serotonin ephansi inganciphisa umqondo wakho wokuphila kahle kanye nezifiso ze-carbohydrates nokudla ngokweqile.
Ukuphikiswa kwe-Insulin noLeptin
I-insulini iyi-hormone ekhishwe ama-pancreas akho. Uma udla ukudla okuqukethe ama-carbohydrate, umzimba wakho uguqula ama-carbohydrate zibe ushukela olula. Lawa ushukela angena egazini, abe yi-glucose, noma ushukela wegazi. Ama-pancreas akho akhipha i-insulin ukuvuselela amangqamuzana ukuba athathe i-glucose futhi ayigcine njengendawo yokugcina amandla, abuyele ushukela wegazi lakho ezingeni elivamile.
Ngamaphesenti angaba ngu-25 abantu (kanti abanye ochwepheshe balinganisa ukuthi lokhu kuphakeme kakhulu kubantu abane-hypothyroidism) ukudla "isilinganiso esivamile" se-carbohydrate kuphakamisa ushukela wegazi kumazinga amaningi kakhulu. Iphesenti elikhulu labantu lidla ukudla okuphakeme kakhulu kuma-carbohydrate. Kuzo zombili izimo, ama-pancreas akhulisa ukukhishwa kwe-insulin ukushayela ushukela wegazi. Nokho, ngokuhamba kwesikhathi, amangqamuzana angakwazi ukuphendula kancane kwi-insulini, futhi okunye kufanele kwenziwe ukuze kugcinwe amazinga ejwayelekile kashukela egazi.
Abacwaningi baye babonisa ukuxhumana phakathi kokumelana ne-leptin-i-hormone esiza ukulawula ukugcinwa kwamafutha kanye nokushisa kwamafutha-nesifo se-thyroid.
Kokubili ukumelana ne-insulin nokumelene neptin kunemiphumela emibi eminingi:
- Zingakwenza ulambile, ikakhulukazi ukudla okune-carbohydrate-ocebile
- Banganciphisa inani leshukela umzimba wakho uvutha njengamandla, noma ukuvimbela umzimba wakho ukuba ukhulule ngokuphumelelayo futhi usebenzise amanoni agcinwe
- Bangenza amaseli akho abe ngcono nakakhulu ekugcineni amafutha, futhi okubi nakakhulu ekususeni amafutha.
- Bangakwandisa ingozi yokuthuthukisa isifo sikashukela sohlobo lwesibili.
- Bangabangela ukuzuza isisindo, noma benze ukulahlekelwa kwesisindo kunzima kakhulu
Ukuntuleka kokuhamba
Ukukhathala, amandla anciphisekile, nobuhlungu bomzimba obunama-hypothyroidism kungaholela ekusebenzeni okuncane nokuzivocavoca. Lokhu kunciphisa umzimba wakho, kunciphise imisipha evuthayo, futhi kunciphisa inani lamakholori ongawadla ngaphandle kokuthola isisindo. Lezi zici zenza ukuhamba njalo kanye / noma ukuzivocavoca kubalulekile empilweni yakho nenhlalakahle njengoba uthatha imithi yakho yansuku zonke ye-thyroid.
Ukuphikisana kwesisindo
Inkinga yokuthola isisindo-noma ubunzima bokulahlekelwa isisindo-ku-hypothyroidism ingxabano. Ochwepheshe abaningi bezokwelapha abavamile bakholelwa ukuthi akukho ukuhlobana okuqondile phakathi komsebenzi we-thyroid nokukhuluphala. Ngesikhathi esifanayo, ucwaningo oluningi luye lwabona ukuthi ukuxhumana phakathi kwe-hormone ye-thyroid, izicubu ezinamafutha, amanye ama-hormone, nobuchopho konke kubalulekile ekulawuleni isisindo nokugcinwa kwesisindo somzimba namandla
Ucwaningo luye lwabonisa ukuthi, ngokwesilinganiso, isisindo sokuthobeka sinciphisa ukulandela ukwelashwa kwe-hypothyroidism nokuthi amazinga e-hormone (TSH) we -roid avuselela abantu abakhuluphele kakhulu noma abakhuluphele kakhulu, uma kuqhathaniswa nesilinganiso esivamile. Ukucwaninga kwekhwalithi yesiguli se-wegciwane lesiguli kubonisa ukuzuza kwesisindo noma ukuhluleka ukunciphisa isisindo njengento ebaluleke kakhulu kubantu abane-hypothyroidism.
Kodwa-ke, kukhona ubufakazi obucacile obuhlanganisa izifo ezizimele-ikakhulukazi i-Hashimoto thyroiditis, imbangela ye-hypothyroidism eminingi e-US-enenzuzo yesisindo nokukhuluphala. Olunye ucwaningo luye lwabonisa ukuthi kwabanye abantu, ukuzimela ngokuzenzakalelayo kubangela ukumelana ne-leptin, okuba yingxenye enkulu ekubhekiseni iphuzu elisezingeni eliphakeme lokusebenzisa umzimba, nokungakwazi ukulahlekelwa isisindo.
Izwi elivela: Kukhona Izixazululo
Ungalahli ithemba. Ungakwazi ukulahlekelwa isisindo ngempumelelo nge-hypothyroidism ngokuqaphela ukuxazulula izinkinga ezibalulekile esasichaze. Ngokuqondile:
- Ukwandisa imithi yakho . Uma izinga lakho le-TSH lingena ekupheleni okuphezulu kwereferensi yokubhekisela, xoxisana nodokotela wakho ukuthi ukwanda kwesilinganiso futhi izinga eliphansi le-TSH elihle lingase libe ngcono kuwe.
- Engeza i-T3 uma kudingeka . Yenza amazinga akho e-T3 mahhala ahlolwe, futhi uma i-T3 yakho yamahhala engekho engxenyeni ephezulu yohlu lokubhekisela, xoxa nodokotela wakho noma ngabe ukuphathwa kokwabelana kwe-T3 / T4 kungakuhle kuwe.
- Nciphisa iwindi lakho lokudla . Ukuphikiswa kweLeptin kuvame ukuhlotshaniswa nemikhuba efana nokuphuza njalo noma ukudla okuncane ezincane ngosuku. Ochwepheshe besimangalo se-leptin batusa ukudla ukudla kokubili kuya kwezingu-3 ngosuku, kungekho-ukudla okudla phakathi kokudla. Bakhuthaza ukuthi bangadli emva kuka-8 ntambama futhi bavumele ihora le-12 "isikhathi sokuzila" ubusuku bonke ukuze basize ukugqugquzela umzimba ukuba ulale.
- Cabanga ngezidakamizwa zesifo sikashukela 2 . Kukhona ubufakazi bokuthi ukuthatha izidakamizwa zesifo sikashukela se-type 2 ezifana ne-metformin noma izidakamizwa ezijova kuzokwandisa ukuzwela kwakho kwi-insulin futhi kungasiza ukunciphisa kokubili ukumelana ne-insulin nokumelene ne-leptin.
- Hambisa nokuzivocavoca! Ukuhamba njalo-okungenani imizuzu engama-30, izikhathi ezinhlanu ngesonto-kubalulekile, njengoba kungasiza ekukhuliseni imetabolism yakho, ukunciphisa ukudla kwakho, ama-glucose egazini egazini, ukungena kwe-insulini ephansi nokumelana ne-leptin, ukwandisa amazinga wakho we-serotonin, futhi unciphise i-cortisol yakho. Vele uqiniseke ukuthi ungenzi ukuphakama okukhulu kakhulu, ukuzivocavoca okuqeda amandla njengoba lokho kungaba ngempela okucindezelayo futhi kwandise amazinga e-cortisol.
Hlala ushukumisekile. Ukuze usize ukukhuthaza ukunyakaza nokusebenza, cabanga ukusebenzisa i-Tracker ye-Fitness (ezifana ne-FitBit) ukukusiza ukuthi usethe imigomo futhi uhlale ushukunyiswe. Ungaphinde ulandelele amakholori nezakhi ezinezinhlelo zokusebenza ezifana ne-MyFitnessPal. Ungase futhi ufuna ukuzama enye yezinkulungwane zezinhlelo zokufaneleka ezikhona kwi-DVD, ividiyo, kanye nezinhlelo zokusebenza ze-smartphone. Enye yezintandokazi zesiguli se-thyroid yi-T-Tapp, uhlelo lokuzivocavoca olulula olwenziwe lula futhi olusebenzayo oluhlanganisa isimiso se-aerobic kanye nesakhiwo samisipha ngobumnene, ukulandelana okufutshane.
Thola ukusekelwa. Kulula kakhulu ukuhlala ithrekhi futhi enhle ngokusekelwa kanye nokukhuthazwa kwabanye abahamba ngendlela efanayo. Ungakwazi ukujoyina iqembu lokusekela elithile le-thyroid kubantu abahlanganyele ezinhlelweni zokulahlekelwa isisindo, njengeqembu le-Thyroid Diet Support Group. Noma ungase uthande ukucabangela ukubambisana nabangani ukuze usebenze nomqeqeshi womuntu siqu noma umqeqeshi wokulahlekelwa isisindo, hamba ukuhamba ngokuzikhandla okuvamile, noma ujoyine i-gym.
> Imithombo:
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> Duntas LH, Biondi B. Ukuhlangana okuphakathi kokukhuluphala, umsebenzi we-thyroid, kanye nokuzimela: i-multitifold indima ye-leptin. I-Thyroid. 2013 Jun; 23 (6): 646-53. doi: 10.1089 / thy.2011.0499. I-Epub 2013 Apr 4.
> Pearce EN. Ihomoni ye-thyroid nokukhuluphala. I-Curr Opin Endocrinol Izindwangu Sikashukela. 2012 Oct; 19 (5): 408-13. i-doi: 10.1097 / MED.0b013e328355cd6c.
> Santini F, et al. Izinqubo ekupheleni kwe-endocrinology: umgogodla phakathi kwegciwane le-thyroid kanye nezicubu ze-adipose: ukuhlanganiswa kwesignali ezempilo nezifo. I-Eur J Endocrinol. 2014 Oct; 171 (4): R137-52. i-doi: 10.1530 / i-EJE-14-0067.
> Versini M. et. al. Ukukhuluphala kwezifo ezizimele: hhayi umgcini omelelayo. I-Autoimmun uMsindisi 2014 Sep; 13 (9): 981-1000. doi: 10.1016 / j.autrev.2014.07.001. Epub 2014 Aug 2.