Kungakhathaliseki ukuthi ubani oye wafuna ukunciphisa umzimba futhi uthola kunzima-futhi ake sibhekene nakho, okuhlanganisa iningi lethu-uye wazibuza ukuthi ukuthatha i-hormone yegciwane, njenge-levothyroxine, kungase kusize izinto kancane. Emva kwakho konke (singase sicabange), wonke umuntu uyazi ukuthi abantu abanegciwane lengculazi abangasebenzi kahle bavame ukuzuza isisindo, futhi abantu abathintekayo begciwane lengculazi basuke bengasebenzi ngokweqile kuthiwa banciphisa isisindo.
Ngokusobala, amazinga e-hormone ye-thyroid ayingxenye ebalulekile ekunqumeni isisindo somuntu.
Ngakho-ke, akunangqondo yini ukucela odokotela bethu ukuba babonise nje enye i-hormone ye-thyroid eyengeziwe, okwanele nje ukukhipha isisindo sethu kancane, futhi senze siqale ngendlela efanele?
Kuvela ukuthi asibona bokuqala ukubuza lo mbuzo. Ukusetshenziswa kwe-hormone ye-"extra" njengendlela yokwehlisa isisindo kubhekwe (futhi, okwesikhashana, isetshenziswe) esikhathini esidlule. Kunezizathu ezimbili ezivame ukusetshenziswa namuhla.
Okokuqala, izifundo zibonise ukuthi ayisebenzi. Okwesibili, okuhlangenwe nakho kubonisa ukuthi kunezingozi ezibalulekile zokuthatha i-hormone ye-"extra".
Uyini Ubuhlobo Phakathi KwamaHormone E-Thyroid Nokusiketa Isisindo?
Izinga le-hormone yegciwane emzimbeni kuyisici esibalulekile ekulawuleni umzimba wethu jikelele.
I-metabolism yethu iyisilinganiso esithile sokuthi umoya we-oxygen ushisa kangakanani ekuphileni kwethu kwansuku zonke, nokuthi singakanani amandla esiwadlayo ekwenzeni kanjalo.
Ukuphakama kwethu kwe-metabolism, amandla esiningi esiwasebenzisa; okungukuthi, ama-calorie amaningi esivuthayo.
Kungakhathaliseki ukuthi sithola noma silahlekelwe isisindo, ngokuyinhloko, indaba ye-caloric balance. Ukulinganisela kwekharoriki kunqunywa ukuthi mangaki ama-kilojoule esiwafaka emzimbeni wegazi (okungukuthi, lokho esikudlayo), susa ukuthi mangaki amakholori esiwashisayo (okungukuthi, isisindo sethu somzimba jikelele).
Ngakho-ke, enye indlela yokulahlekelwa isisindo kungaba ukwandisa inani lamakhalori esiwashisayo. Futhi indlela eqondile kakhulu yokusebenzisa amakholori amaningi kungaba ukwandisa amazinga wethu omsebenzi wansuku zonke.
Enye indlela yokwenza, uma ingenziwa ngokuphepha, kungaba ukwandisa isilinganiso sethu se-basal (BMR) -ngenani inani lamakorikhi ashisa ngenkathi siphumule. Yilapho, ngombono, i-hormone ye-thyroid idlala indima ekunqumeni isisindo somuntu.
Ngezinga elikhulu, i-BMR yethu iyisimo sehomoni ye-thyroid egazini lethu. Eqinisweni, ezikhathini zangaphambili (ngaphambi kokuba kutholakale ukuhlolwa kwegazi ukukala umsebenzi we -roid), ukulinganisa i-BMR kwakuyindlela ewusizo yokuhlola umsebenzi wegciwane lomuntu jikelele. Ama-BMR aphansi ahlotshaniswa nokusebenza okungasebenzi kwe -roid, futhi ama-BMR aphezulu ahlotshaniswa nomsebenzi we -roid ongasebenzi.
Futhi ngokuqinisekile, abantu abaningi abahlakulela i- hypothyroidism bazithola bethola isisindo, kuyilapho abaningi abane- hyperthyroidism bezolahlekelwa isisindo.
Ngakho konke kubonakala kulula kakhulu, akunjalo? Noma ubani ofuna ukulahlekelwa isisindo kufanele nje athathe i-hormone eyengeziwe ye-thyroid, ukwandise izindleko zazo ze-caloric ukuze aqhube ibhaloriki yazo ebangeni elibi, futhi isisindo kufanele siqale-cha?
Futhi yilo kanye odokotela abanobubele noma abanengqondo abasetshenzisiwe ngesikhathi esisodwa ukuze babonise amahomoni e-thyroid okwehla kwesisindo. Ngeshwa, imiphumela lapho benza njalo ivame ukudumaza.
Kungani Ukuthatha I-Thyroid Eyengeziwe Kungasebenzi Kakhulu Kunakho Ungase Ucabange
Abantu abanomsebenzi ovamile we-thyroid abaye bathatha ama-hormone wegciwane emzamweni wokwehlisa isisindo ngokuvamile abalahlekelwa okuningi, uma kukhona, isisindo esikhulu. Kukhona okungenani izizathu ezimbili lokhu kuye kwaba yikho.
Okokuqala, kuyilapho amazinga e-hormone e-thyroid engumgogodla obalulekile we-metabolism, akuzona kuphela okucacile. Ukuzuza noma ukulahlekelwa kwesisindo empeleni kunqunywe ukusebenzisana okuyinkimbinkimbi phakathi kwezici eziningi ze-physiologic, lapho ama-hormone e-thyroid ayingxenye eyodwa.
Lezi zici eziningana ze-physiologic zenza amapheshana ethu emathunjini, ezinye izinhlelo ze-hormone, nezingxenye ezihlukahlukene zobuchopho bethu ukuze zilandise kokubili ukusetshenziswa kwamandla ethu nokudla kwethu kwe-caloric.
Kunzima kakhulu ukubikezela ukuthi kuzokwenzekani uma sishintsha isici esisodwa salesi simiso esiyinkimbinkimbi, njengezinga lethu le-hormone ye-thyroid. Ngempela, akunakwenzeka ukusho ukuthi kuzokwenzekani ngesisindo somuntu othize uma ubanika i-hormone yegciwane. Ngokuvamile, kuvela, akuningi okwenzekayo.
Okwesibili, ukucwaninga manje sekuphakamisa ukuthi ukunikeza i-levothyroxine (T4) ngisho nangokwezinga eliphakeme-eliphakeme ngokwanele lokunciphisa ngokuphelele amazinga e-TSH , okwenziwe kubantu abaningi abaye baphathwa umdlavuza we -roid - akuyona into eyenza i-BMR eyengeziwe, njengoba kuqhathaniswa nokulawula "okujwayelekile". Ngamanye amazwi, ukuxosha ama-hormone e-thyroid kanzima ngokwanele ukushayela i-TSH ngisho namazinga aphansi kakhulu, angeke athembeke njengendlela yokukhulisa kakhulu i-BMR. Kungenzeka ukuthi ukuphatha i-T3 ngaphezu kwe-T4 kunganikeza umphumela ohlukile, kodwa odokotela abaningi banqikazi ukusebenzisa noma yikuphi ngaphandle kwe-T4 ekwelapheni izimo ze -roid.
Okokugcina, kufanele sibheke ukuhlangenwe nakho kwezwe langempela labantu abaye bathola ukuthi bane-hypothyroidism, futhi kamuva baphathwa nge-hormone yegciwane. Abaningi balaba bantu baye baba ngokweqile kakhulu, futhi (kanye nodokotela babo) bacabanga ukuthi isisindo sabo esiningi singashubeki uma ama-hormone abo wegciwane ashintshiwe ngokwanele. Futhi ngezinye izikhathi lokho kwenzeka ngempela. Kodwa kaningi kakhulu, izifundo zibonisile, laba bantu bahluleka ukulahlekelwa isisindo esiningi, uma kunjalo, futhi ngokuvamile bayothola isisindo esikhulu njengoba amazinga e-hormone e-thyroid ejwayelekile.
Kungani lokho kwenzeka? Ingxenye yempendulo ingase ibe ukuthi ukwelashwa nge-T3 ngaphezu kwe-T4 kuyadingeka kwabanye abantu ukwandisa i-BMR, ngakho-ke ukwelashwa nge-T4 kuphela kungenzeki. Kodwa ngisho nakubantu be-hypothyroid abaphathwa nge-T3, futhi amazinga ka-TSH aphikiselwe phansi engxenyeni engezansi ebangeni elijwayelekile (okubonisa ukutholakala okwanele kwegciwane), ukulahlekelwa kwesisindo esiningi ngokuvamile kubonakala kunzima kakhulu.
Okwenzekayo, cishe, ukuthi uma usubeka amahomoni e-thyroid ekudleni abantu abanomzimba okhulu kakhulu nge-hypothyroidism, usanda ukwandisa i-BMR yabo, kodwa akwanele ukuba alahlekelwe inani elikhulu lobunzima. Uma konke kushiwo futhi kwenziwa, usanda kubaguqula ekubeni abantu abakhuluphele ngokweqile be-hypothyroid ukuba bangaphezu kancane ngokweqile euthyroid (okungukuthi, abantu abavamile be-thyroid). Baye baguqulwa ekubeni umuntu wakho ojwayelekile, ongenayo i-hypothyroid, umuntu okhuluphele ngokweqile, umuntu olinganisa kakhulu ngenxa yokungondleki kahle, amazinga omsebenzi anciphise, kanye / noma izici zofuzo. Ngakho-ke, umuntu ophethwe yi-hypothyroid uthola esesimweni esifanayo nomuntu onamandla ngokweqile onomsebenzi ovamile we-thyroid. Futhi uthola ukuthi kunzima kakhulu ukulahlekelwa isisindo.
Lesi simo esijwayelekile kakhulu kufanele sisitshele ngokuzwakalayo futhi sicacile ukuthi, ngenkathi i-hormone ye-thyroid ibalulekile ekuguleni kwethu, akuyona i-panacea yokulahlekelwa isisindo.
Kungani Kuthatha I-Thyroid Eyengeziwe Ingozi
Ngaphandle kokuthi ukuthatha i-hormone eyengeziwe ye-thyroid ayiphumeli kakhulu ekukhiqizeni ukulahlekelwa kwesisindo esikhulu, kunezingozi zokwenza kanjalo. Phakathi kwazo kukhona ama- arrhythmias enhliziyo (kufaka phakathi i-fibrillation ye-atrial ), ukulahlekelwa kwamathambo , ukuncipha kwamasipha emisipha, kanye nokukhathazeka kokukhathazeka. Amanani ama-hormone we-thyroid ayadingeka empilweni yethu, kepha "ama-hormone ekhanda" angabangela izinkinga ezinkulu.
Izwi elivela
Kubantu abanesifo se-hypothyroidism, kudingeke ukuba kube khona ama-hormone e-thyroid ukuze ubuyisele impilo, kodwa ngokuvamile akuphumelelanga kakhulu ekukhiqizeni ukulahlekelwa kwesisindo esifisa. Uma ungenayo i-hypothyroid, ukuthatha i-hormone ye-thyroid ngomzamo wokwehlisa isisindo akukhona nje kuphela ukuthi ngeke uhluleke, kodwa futhi kungakuveza emiphumeleni emibi kakhulu.
> Imithombo:
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> Samuels MH, Kolobova I, Smeraglio A, et al. Imiphumela ye-Levothyroxine Ukuguqula noma UkuThepha Ukucindezela Emisebenzini Yemandla Nokuqokwa Komzimba.Thyroid. 2016 Mar 1; 26 (3): 347-355. doi: 10.1089 / thy.2015.0345