Ingxoxo noKent Holtorf, MD
I-Kent Holtorf, MD unomlando omude wokusebenza neziguli ezine-ukungalingani kwe-hormone - kubandakanya i-hormone ye-thyroid, i-adrenal, ne-reproductive. Ugijimela i-Holtorf Medical Group eCalifornia, lapho egxile ekusebenziseni okungeyinkimbinkimbi ye-endocrine, kuhlanganise ne- hypothyroidism , ukungakwazi kahle kwe-adrenal, nokumelana ne-insulin.
UDkt. Holtorf uye wasebenza neziguli zakhe eziningi - abaningi babo abane-thyroid engasebenzi - abaye bakuthola kunzima noma kubonakala kungenakwenzeka ukulahlekelwa isisindo.
Lokho akuthole ukuthi ngenkathi kunezici eziningi ezihilelekile ekuhlulekeni kwesisindo, cishe zonke iziguli ezithwala ngokweqile futhi ezikhulu kakhulu aziphathayo ziye zabonisa ukukhubazeka okuyisisindo somzimba kanye nokuphela kwamagciwane okubangela kakhulu izinselelo zesisindo salezi ziguli. Ngokuyinhloko, uDkt. Holtorf, ngokusekelwe ocwaningweni oluthile, wagxila ekuhloleni amahomoni amabili ayisihluthulelo - i-leptin futhi abuyele emuva ku-T3 (rT3) - futhi aphathe noma yikuphi ukungafani okubonakalayo ukusiza iziguli zakhe ukuba zinciphise isisindo.
Ngiyajabula ukukwazi ukukuletha lolu daba noDkt. Kent Holtorf, ukuxoxa ngezindlela zakhe zokusiza iziguli ze-thyroid ukuba zithole ukulahleka kwesisindo eside .
UMary Shomon: Usho ukuthi unomuzwa wokuthi amabili ama-hormone ayisihluthulelo - i-leptin futhi aphendulela i-T3 - idlala indima ebalulekile ekulawuleni isisindo kanye nesimetabolism. Ungasitshela kancane nge-leptin, okokuqala, nokuthi yini ehlangene nezinselelo zokulahlekelwa kwesisindo?
I-Kent Holtorf, MD: I-hormone leptin itholakele ukuthi iyinhlangano enkulu yokulawula umzimba nesisindo somzimba. I-Leptin ifihlwa ngamaseli amafutha kanye namazinga we-leptin ukwanda ngokuqoqwa kwamafutha. Ukwehliswa kwe-leptin okwenyuka okwenzeka ngokukhula okwejwayelekile kuvame ukubuyisela-emuva kwe-hypothalamus njengombonakaliso wokuthi kunezitolo ezanele (fat) ezitolo.
Lokhu kushukumisa umzimba ukuba ushise amafutha esikhundleni sokuqhubeka nokugcina amafutha amaningi, futhi kushukumisa i-thyroid ekukhipha i-hormone (TRH) ukwandisa i-hormone ye -roid yokuvuselela (TSH) nokukhiqizwa kwe-thyroid.
Kodwa-ke, izifundo zithola ukuthi iningi labantu abanesisindo ngokweqile abanenkinga yokulahlekelwa isisindo banezinhlobo ezihlukahlukene zokumelana ne-leptin, lapho i-leptin inamandla okunciphisa amandla e-hypothalamus futhi ilawula ukuqubuka komzimba. Lokhu ukumelana kwe-leptin kubangela indlala ye-hypothalamus, ngakho-ke izindlela eziningi zenziwa ukukhulisa izitolo ze-fat, njengoba umzimba uzama ukuguqula isimo esibhekene nendlala.
Izindlela ezivulwayo zihlanganisa ukuvinjelwa kwe-TSH encishisiwe, ukuguqulwa kwe-T4 kuya ku-T3 okudutshulwa, ukunyuka kwe-T3 eqhubekayo, ukwanda kwesifiso sokudla, ukwanda kwe-insulin ukumelana nokuvinjelwa kwe-lipolysis (ukuphazamiseka kwamafutha).
Lezi zindlela zingase ziyingxenye ngenxa yokulawulwa phansi kwe-leptin receptors eyenzeka ngokunyuka okwesikhashana ku-leptin.
Umphumela? Uma usuqedile ngokweqile isikhathi eside, kuba nzima ukulahlekelwa isisindo.
UMary Shomon: Usho ukuthi unomuzwa wokuthi amazinga e-leptin angaphezulu kuka-10 angase aqinisekise ukuthi ukwelashwa.
Ungabe uchaza kancane ngamayelana we-leptin?
I-Kent Holtorf, MD: Iningi labantu abangaphansi kwesisindo somzimba noma abayisisindo esivamile bayoba namazinga e-leptin engaphansi kwe-10, nakuba iningi labakwaLibra elikhulu lizosebenzisa ibanga lokubhekisela ku-1 kuya ku-9.5 lamadoda nabangu-4 kuya ku-25 kubesifazane. (Kumele kukhunjulwe ukuthi lolu hlu lubandakanya amaphesenti angama-95 okuthiwa abantu abavamile futhi kubandakanya abaningi abakhuluphele ngokweqile.) Cishe zonke iziguli ezinesisindo esinempilo ziyoba ne-leptin engaphansi kwezingu-10.
UMary Shomon: Ulapha kanjani ukumelana ne-leptin kumkhuba wakho?
I-Kent Holtorf, MD: Ukwelashwa kungagxila ekwelapheni ukuphikiswa kwe-leptin - leptin ephakeme. I-leptin ephakanyisiwe ibonisa nokuthi noma kunjalo, i-TSH iyimakethe engathembeki yamazinga we- tissue ye- tissue , njengoba i-TSH ivame ukucindezelwa, kanye nokuguqulwa okuphawulekayo kwe-T4-to-T3 ukuguqulwa.
Ngamafuphi, uma i-leptin yakho iphakanyisiwe, uye wehlisa amazinga wegciwane lesisindo. Futhi, cishe zonke izifo zesifo sikashukela ziphikisana ne-leptin, okuye kwaboniswa ukunciphisa ukuguqulwa kwe-T4-to-T3 kubantu abanesifo sikashukela ngokulinganiselwa ku-50% ngaphandle kokwanda kwe-TSH, okwenze kube nzima kakhulu kuhlobo lwesibili lwe-diabetics ukunciphisa isisindo.
Ngenxa yokuthi ukuguqulwa kuka-T4-to-T3 empofu, i-T3 ekhishwe isikhathi esiphuthumayo yindlela yokwelapha efanele - nakuba imithi yokuhlanganiswa kwe-T4 / T3 njengokwelashwa kwe-nature ekhishwe ngemvelo (NDT) ingasetshenziswa.
Sibheka izinga lokunciphisa umzimba (RMR) ezigulini zethu, futhi ngokuthakazelisayo, labo abanamazinga aphakeme e-leptin abonisa ukumelana kwe-leptin abane-RMR ezihlala zingezansi ngezansi. Lezi ziguli zivame ukuvutha amakholori angu-500 kuya kwangu-600 ngosuku ngalunye kunomuntu ofana nomzimba olinganayo.
Ngakho-ke, ukuba nethuba elihle lokulahlekelwa isisindo, lezi ziguli zingazama futhi zinciphise amakholori ngamakhilomitha angu-500 kuya kwangu-600 ngosuku (ukuze nje ungagcini umzimba), ukuzivocavoca okwehora noma ezimbili ngosuku (ukuze ugcine ukuzuza isisindo ) noma ukuvuselela i-thyroid ne-metabolism.
Abantu bayinhlobo ephumelelayo kakhulu ngoba singakwazi ukugcina amandla (amafutha) kahle kakhulu. Kunezinqubo eziningi zokuthola isisindo kanye nokuphikiswa kwe-leptin kungenye yazo, ngakho-ke sisebenzisa indlela ye-multisystem; akekho umlingo womlingo, nakuba noma yikuphi ukwelashwa owodwa kungaba nomthelela omkhulu kwisiguli esithile.
Ngaphandle kokwandisa i-thyroid (khumbula, ukunikeza i-hormone ye-thyroid ukuze ulahlekelwe isisindo akufanelekile, kodwa akusikho okwenzayo, lapha sikulungisa ukungabi khona), i-Symlin (pramlintide) kanye / noma i-Byetta (exenatide) ingaba yimpumelelo kakhulu abaningi. I-Chorionic Gonadrotropin (i-HCG) yinye indlela ongakhetha ngayo esebenza kwabanye. Ngenkathi ngithole ukuthi i-Wellbutin e-anti-depressant (bupropion) ayisebenzi kahle ekulahlekeni kwesisindo, inhlanganisela ye-Wellbutrin kanye ne-do-ne-naltrexone ephansi (LDN) inemiphumela emihle emangalisayo. I-Topamax (i-topiramate) iyinketho kwabanye kepha ayibekezelelwanga kahle njalo. Ukunciphisa ukudla okujwayelekile, okukhuthaza umzimba, kungasetshenziswa, ikakhulukazi uma i-RMR iphansi.
UMary Shomon: U- Symlin no-Byetta badinga ama-injection amaningi ngosuku, okungadikibalisa abanye abantu ukuthi bangabathinti. Izidakamizwa zingaba nemiphumela emibi eminye yeziguli - kuhlanganise nokucabangela, ukuhlanza nokukhathala. Zingaki iziguli zakho ezitholile lezi zinkinga kakhulu ukuqhubeka uthatha? Unayo yini iziphakamiso ezisize iziguli ukubhekana nale mithi?
I-Kent Holtorf, MD: Ukuthatha isibhamu esingaphansi kwesigamu izikhathi eziningana ngosuku kungaba inkinga, kodwa uma iziguli zinemiphumela emihle kuwufanele kakhulu. Amasu ambalwa: Okokuqala, abanye abantu bakhathazekile ngokuthi imithi idinga isiqandisiso, kodwa ngokuvamile akudingekile, njengoba le mithi iqinile kakhulu emazingeni okushisa asemini. Ngakho akuyona inkinga ukuyibeka esikhwameni sakho noma kudeskithophu yedeski.
Umthelela omkhulu wecala kuyinto i-nausea, eyenzeka kuma-25% weziguli. Esikhathini esiningi sinomnene futhi sinciphisa ngokusetshenziswa okuqhubekayo, kodwa iziguli ezimbalwa ngeke zikwazi ukubekezelela. Nge-Byetta, ngincoma ukuqala ngomjovo we-5 mcg ngaphambi kokudla. Ezinye iziguli ziqala ngesigamu sokudutshulwa kwezinsuku ezimbalwa zokuqala (kuphela ukuphoqa i-plunger isigamu). Ukuzihlambalaza kwamanye abantu kungabangelwa ukukhiqizwa kwe-asidi yesisu, ngakho iZantac (ranitidine) noma i-proton pump inhibitor yemithi - njenge Prilosec (omeprazole), Premecid (lansoprazole), noma iNexium (esomeprazole) isibonelo - kube usizo. Kukhona ukudubula kanye kanye ngesonto kwinqubo yokugunyazwa ye-FDA, eye yaboniswa ukuthi ibe nemiphumela emibi kanye nokwanda okulula.
UMary Shomon: Ukhulume lokho kulabo abagulayo, uneziphuzo ezifika ku-10 mcg ye-Byetta kathathu nsuku zonke, ngokudla. Iyini izinga lokunakekelwa eliphezulu le-Symlin?
I-Kent Holtorf, MD: I- nausea ingavamile kakhulu umphumela ohlangothini lwe-Symlin, uma kuqhathaniswa ne-Byetta, ngakho-ke kuhle kwabanye iziguli. Ku-Symlin, umthamo ongcono we-120 mcg, kathathu ngosuku. Bobabili i-Byetta ne-Symlin banezingozi eziphansi kakhulu ze-hypoglycemia ngaphandle kokuthi u-insulini noma imithi ye-sulfonylurea yesifo sikashukela .
UMary Shomon: Uyazizwa ukuthi ukubuyela emuva kwe-T3 kuyinkinga. Ungasitshela kancane mayelana nokubuyela emuva kwe-T3?
I-Kent Holtorf, MD: I- T4 ingashintshwa ku-T3, i-hormone esebenzayo enomphumela wokungqubuzana, noma ukuguqula i-T3, ifomu elingasebenzi lika-T3, futhi empeleni livimbela imiphumela ye-T3. Odokotela - kuhlanganise ne- endocrinologists - bafundiswa ukuthi ukuguqula i-T3 kungumthamo we-metabolite ongasebenzi, kodwa izifundo zibonisa ukuthi unemiphumela enamandla ye-antithyroid. Eqinisweni, kuye kwaboniswa ukuthi i-inhibitor enamandla kakhulu yomphumela wegciwane kune-PTU, imithi esetshenziselwa i-hyperthyroidism. Ukuguqula i-T3 ngokungafani kuhambisana namazinga we-T3 ye-intracellular, ngakho-ke kuyimakethe ye-tishu hypothyroidism, namazinga aphezulu (noma aphansi isilinganiso samahhala se-T3 / RT3) esibonisa ukungabi nakakhulu okubalulekile.
UMary Shomon: Kungani uzizwa uphenduka ? T3 udlala indima ekwenzeni kube nzima kwabanye iziguli ze-thyroid ukuthi ulahlekelwe isisindo?
I-Kent Holtorf, MD: I-T3 ehamba phambili ikhiqizwa ngezikhathi zokucindezeleka noma yindlala ukunciphisa umzimba, futhi ngokucindezeleka okungapheli noma ekudlilweni, i-RT3 ingakwazi ukuhlala iphakanyisiwe, igxile umsebenzi we-tissue we-thyroid kanye nesimetabolism. Abantu abakudla ukudla okungapheli - noma labo abalahlekelwa isisindo esikhulu - bayoba nomzimba ophansi ongaphezu komuntu onesisindo esifanayo nesisindo somzimba ongakaze ashiye isisindo esibalulekile noma esidliwe kakhulu esikhathini esidlule. Lokhu kuboniswe ekutadisweni kukaLeibel okushicilelwe encwadini ye- Metabolism , ebizwa ngokuthi "Ukunciphisa Amandla Okunciphisa Emaphilweni Awencishisiwe-Owodwa." Lolu cwaningo lwaqhathanisa izinga lokusetshenziswa komzimba kubantu abalahlekelwe isisindo esibalulekile kulabo besisindo esifanayo ababengazange balahlekelwe isisindo esibalulekile esikhathini esidlule. Abalobi bathole ukuthi labo ababedlile futhi belahlekelwa isisindo esikhathini esidlule, ngokwesilinganiso, isilinganiso se-metabolism esingaphansi kwama-25% kuneziguli ezilawulayo ezingazange zilahlekelwe isisindo esibalulekile.
Bonke labo abaqeqeshi kanye ne-health gurus abangakaze babe nenkinga yesisindo abakutshela ukuba benze njengoba benzayo abaqapheli ukuthi kuyingozi kangakanani kubantu abaye banenkinga yesisindo eside. Yiqiniso, ngisho laba baqeqeshi ngeke bakwazi ngisho nokugcina isisindo ngesimetabolism esingaba ngu-20 kuya ku-40% ngaphansi kwesijwayelekile.
Sivivinya izinga lokunciphisa umzimba ezigulini zethu ze-thyroid bese sithola ukuthi lihambisana ngokungahambisani ne-T3 ehamba phambili. Ukuphakama kwe-T3 ehamba phambili, okuphansi kwe-metabolism, nabaningi abanjalo abanesisindo somzimba esingama-20 kuya ku-40% esingaphansi kunalindeleke ukuba kube nombhalo wemizimba yabo (BMI). Akekho okholelwa ukuthi badla kancane kangakanani, futhi benza bazizwa behluleka-naphezu kokwenza konke okulungile. Kuze kube yilapho ukuhlukunyezwa kwabo okungokwemvelo kuqondiswa, ukudla nokuzivocavoca ngokuqinisekile ngeke kuphumelele ukufeza impumelelo yesikhathi eside.
UMary Shomon: Ngabe usuke ucabanga ukuthi u-T3 uphakeme kakhulu futhi udinga ukwelashwa?
I-Kent Holtorf, MD: Njengazo zonke ezinye ezokudokotela kuyi-continuum, kodwa abantu abanempilo ngokuvamile bangaphansi kuka-250 pg / ml futhi kufanele babe ne-T3 / reverse T3 isilinganiso elingaphezulu kuka-1.8 uma i-T3 mahhala ingaphakathi ng / dl noma i-0.018 uma ikhululekile I-T3 ingu-pg / ml.
UMary Shomon: Uvame kanjani ukuphatha amazinga e-T3 aphakeme aphezulu?
I-Kent Holtorf, MD: Ukuphakama kwe-T3, ukulungiswa okungaphezulu kwe-T4 kuphela kuzoba khona. Ukuhlanganiswa kwe-T4 / T3 kungcono kunamalungiselelo we-T4 kuphela, njenge- Levoxyl ne-Synthroid , kodwa amazinga aphezulu aphelelwe yisikhathi akhishwe i-T3 aphezulu kakhulu.
UMary Shomon: Yimiphi izinguquko zokudla nezokuphila oziphakamisayo kanye nalezi zindlela zokwelapha?
I-Kent Holtorf, MD: Iningi leziguli ezifikayo ziye zaziningi zokudla kanye nezinguquko zokuphila futhi ngokuvamile zikwazi kakhulu kule ndawo. Ukudla okuphansi kwe-carbohydrate kuzokwenyusa umsebenzi we -roid futhi ukwandise ukuphindaphinda kwe-T3 ngaphezu kokunciphisa ikhalori nge-carbohydrate eyanele, ngakho-ke lapho ukudla okuncane kwe-carbohydrate kungaholela ekulahlekelweni kwesisindo sokuqala, iziguli zijwayele ukuphinde zithole isisindo ngaphandle kokuthi ukubhekwa kwe-T3 kuqondiswe.
UMary Shomon: Ungasinika yini umqondo wokulahlekelwa kwesisindo imiphumela ohlangabezana nayo neziguli ze-thyroid , emva kokuvivinywa, zibonisa ukumelana kwe-leptin, nokuphikisana okuphezulu kwe-T3, futhi uqale ukwelashwa kwakho kulezi zimo?
I-Kent Holtorf, MD: Sizama futhi siphenye futhi siphume izidakamizwa eziningi kanye nezimo ezihambisana nezimo ezingasetshenziswayo. Siphumelele ngezinga elibanzi labantu, kulabo abadinga ukulahlekelwa amakhilogremu ambalwa kulabo abangaphezu kwamakhilogremu angaphezu kwamakhulu amabili noma ngaphezulu. Abantu abanelisekile kunabo bonke abantu abalahlekelwa ngamapounds angu-50 kuya kwangu-100 noma ngaphezulu. Itshintsha ngokuphelele izimpilo zabo.
Sibona neziguli eziningi ezingena ngemuva kokudlula isisu - labo abangazange balwe nesisindo noma bazuze okuningi noma isisindo sabo bonke emuva. Abaningi banamazinga wegciwane lesisindo esiphansi kanye nokuphikisana okukhulu kwe-leptin. Bangakwazi futhi ukulahlekelwa kwe-hormone yokukhula futhi.
Sasiba nomuntu oyedwa owayedla amakholori angu-800 ngosuku emva kokuba esesiswini sokugaya futhi esasenayo isisindo. Akekho okholelwa ukuthi yilokho ayekudlayo kuze kube yilapho bemfaka esibhedlela futhi beqaphe ukudla kwakhe kokudla. Babambelela ukuthi impilo yakhe ihle kakhulu, ngoba wayene- TSH evamile , i-T4 ne-T3. Lapho sibheka ukubuyela kwakhe eT3, Nokho, futhi yayingaphezu kuka-800 kanti i-leptin yakhe yayingama-75. Sihlolisise isilinganiso sakhe semethamo futhi sasingu-45% ngaphansi kwesijwayelekile. Ukudla okuwukuphela kwakho bekungeke kusebenze nesiguli esinjalo.
Futhi, i-toxins efana ne-biphenyl-A ingavimbela i-receptors ye-thyroid yonke indawo emzimbeni ngaphandle kwe-pituitary, ene-receptors ehlukene. Ngakho ngenxa yobunjwa obuvamile balezi zinyosi, ngikholelwa ukuthi wonke umuntu unokwanele komsebenzi we -roid ongatholakali yi-TSH. Abantu basola ukudla nokuntuleka kokuzivocavoca ngenxa yenkinga yokukhuluphala kuleli zwe, kodwa ngicabanga ukuthi inkinga enkulu yi-toxins ephazamisa i-thyroid, kanye nokucindezeleka.
Ukwengeza, ukugcoba kuboniswa ukuthi kunganciphisi ukuguqulwa kwe-T4-kuya-T3 nokwandisa ukubuyela emuva kwe-T3, kodwa kuboniswa ukunciphisa izinombolo ze-receptors ze-thyroid zangaphandle - kodwa futhi, hhayi ku-pituitary - ngakho-ke inani elifanayo I-thyroid ine-effect engaphansi, kodwa i-TSH ayishintshi. Lokhu kubonisa ukubaluleka kokuhlolwa komzimba kanye nokuhloswe kwezicubu ekunqumeni umsebenzi jikelele wegciwane kumuntu ngamunye. Futhi, abesifazane banemitholampilo encane ye-thyroid kunamadoda, okwenza bazwele kakhulu kuncane kuncipha kumazinga e-serum amahomoni wegciwane.
UMary Shomon: Ubuye uhlole ukugaya i- glucose namazinga e-insulini, kanye / noma ukwenza izivivinyo zokubekezelelana kwe-glucose neziguli zakho eziqine kakhulu futhi unenkinga yokulahlekelwa isisindo?
I-Kent Holtorf, MD: Senza ukudla kwe-glucose nokuzila ukudla kwe-insulini, kanye nokuhlolwa kwe-Hemaglobin A1C (HA1C), ukufuna ukumelana nokuvikeleka kwe- insulin , hhayi nje ukubuka "evamile" evamile. Elinye ibhulogi elibalulekile lokuthola i-hormone yesondo ebopha i-globulin (SHBG). Ivuselelwa esibindi ngokuphendula i-hormone ye-thyroid ne-estrogen, ngakho-ke ingaba uphawu oluwusizo lwezinga le-tissue ye-thyroid.
Kumfazi wesandulela ngculazi, izinga kufanele libe ngaphezu kuka-70. Uma kungenjalo, kuyisibonelo esihle sokuthi kukhona amazinga amancane we-tissue we-thyroid. Lokhu kuyiqiniso ikakhulukazi uma owesifazane ekhona esikhundleni somlomo we-thyroid, ngoba - ngenxa yokudlula kokuqala kwesimetabolism - isibindi sakhe siyoba namazinga aphezulu wegciwane kunezinye izicubu. Ngakho-ke, uma i-SHBG iphansi, wonke umzimba uphansi wegciwane.
(Qaphela: Lesi sivivinyo asiwusizo uma owesifazane evulekile esikhundleni se-estrogen, ngoba lokho kuzophakamisa i-SHBG ngokweqile ngenxa yezinga eliphezulu le-estrogen esibindi. Ukuhlola kunembile kubesifazane abasebenzisa amalungiselelo e-transdermal estrogen, noma kunjalo.)
Isifo sikashukela nesifo se-polycystic ovary syndrome (PCOS) siphinde sinyathelise i-SHBG, ngenxa yamazinga we-T3 ayi-intracellular abonwe kulezi zimo. Futhi, uma uhlola i-SHBG yakho ngaphambi kokuhamba esikhundleni se -roid bese ubona ushintsho oluncane ngemithi yokwelashwa, kuyisibonakaliso sokuthi unesifo se-thyroid. Ufuna futhi ukuhlola lokhu okulandelayo:
- i-insulin-like growth factor 1 (IGF-1)
- i-insulin-like growth factor ehlanganisa amaprotheni 3 (IGFBP3)
- i-dehydroepiandrosterone (i-DHEA)
- i-testosterone
- I-hormone i-luteini (LH)
- i-follicle evuselela i-hormone (i-FSH)
- Iodine ye-urinary
- i-cortisol
- i-horrenone ye-adrenocorticotropic (ACTH)
- Iprotheyini esebenzayo ye-C (CRP) - ukuvuvukala kunciphisa i-TSH futhi kwandisa i-rT3
- homocysteine - umaka wevithamini ze-B eziphansi ne-low
- Lipids - i- cholesterol ephezulu iyimakethe ye-low android triglycerides ephawulekayo yokumelana ne-insulin
- insimbi ne-ferritin - ferritin iyadingeka ukuze kusebenze i-thyroid, izimpawu eziningi kakhulu ukuthi abantu babonisa ukuthi i-anemia ene-ferritin ephansi empeleni ngenxa ye-tissue activation ye-thyroid
- i-vitamin D - kufanele ibe ngaphezu kuka-80
- i-peroxidase antibodies ye-thyroid (TPO) ne-antiithyroglobulin-antibodies - isifundo esithakazelisayo sabezindaba ze- thyroid kubantu abathintekayo futhi bathola ukuthi, nakuba bengenabo ubufakazi be-TPO noma i-antithyroglobulin antibodies, iningi lalinomzimba wokuvuvukala kwegciwane futhi laphendula ngokuphawulekayo esikhundleni sendawo ye-thyroid ngisho nangokwesimo segciwane amazinga ayekwehlu olujwayelekile
- izinga le-serotonin - ngokuvamile i-serotonin ephansi noma ephansi ejwayelekile ye -roid ngoba izinga lokukhiqiza kwe-serotonin likhishwa ngezinga eliphansi le -roid ne-anti-depressants ngeke lisebenze uma amazinga e-T3 engaphansi
Iziguli ezicindezelekile ngokuvamile ziyoba ne-TSH ejwayelekile-ejwayelekile kanye ne-T4 ephezulu, ephezulu noma evamile ejwayelekile e-T3 kanye ne-T3 ejwayelekile. Odokotela abaningi bazohlola i-TSH ne-T4 futhi bagcizelele ukuthi isiguli siyisifo esiphezulu se-thyroid (esekelwe ekupheleni okuphansi kwe-TSH kanye nokuphela okuphezulu kwe-T4) kodwa empeleni banezinga eliphansi kakhulu le-T3 lamaselula (njengoba kuboniswa ukulinganisa kwabo okuphansi kwe-T3 / rT3) . Lezi ziguli zivamise ukuphendula kahle nge-T3 supplementation. Ukunikeza i-serotonin yemvelo ngokwemlomo noma ngomjovo kungaphinda kuphumelele kakhulu ezigulini eziphikisana nokwelapha (lezo ezingazange ziphendule noma ziphendule kabi ngemithi) ngaphandle kwemiphumela emibi ejwayelekile yezidakamizwa zokucindezeleka.
UMary Shomon: Uma othile ephakamisa ushukela wegazi obonisa ukungenwa kwe-insulini - kodwa hhayi isifo sikashukela esigcwele - ubabeka kwi-Glucophage (metformin) ngokuvimbela?
UKentor Holtorf, MD: Yebo, akusizi ngalutho ukulinda kuze kube khona umuntu onesifo sikashukela ukusebenzisa i-metformin noma ezinye izindlela zokungenelela. Siphinde sisebenzise izithasiselo, intandokazi yethu yi-GlucoSX. Ngenkathi i-metformin yayiyisisekelo esiyinhloko sokumelana nesifo se-insulin, ngokuvamile siye sabhidliza i-metformin futhi saqhubeka ku-Byetta no-Symlin, ngenxa yokuthi kungenzeka kakhulu ukulahlekelwa isisindo.
UMary Shomon: Iziguli eziningi ze -roid ziye zazingibuza mayelana ne-HCG (i-chorionic gonadotropin) yokwelashwa kokulahlekelwa isisindo, kuhlanganise nokufakwa kwezigxivizo kanye nezilinganiso ezingezansi, kanye namafomu okulinganisa angaphezu kwe-homeopathic eHCG. Ngizibonele ngabanye abesimame besifazane ababengama-hypothyroid, balinganiselwa kuma-lbs angu-200, futhi bahamba ngezinqubo ze-HCG, futhi balahlekelwa amaphilisi angama-25 noma ngaphezulu ngesikhathi sokuqeqeshwa kwe-HCG ngosuku lwama-40. Ngiyazi odokotela abaningi futhi abaqala ukuwusebenzisa. Uyini imicabango yakho ngalokhu njengendlela yokukhethwa kwesisindo sokulahlekelwa kwesisindo?
Sithole ukuthi i-HCG iphumelela kubesifazane abaningi. Sithole imishanguzo ye-HCG kadokotela ukuthi iphumelele kakhulu kunama-crew HCG noma ama-HCG creams. Futhi, ngoba kufanele unikeze umthamo ophezulu kakhulu ngokuzenzekelayo nangokudluliselwa kwemithi - ngenxa yokunciphisa ukunciphisa - kungabizi kakhulu ukukwenza njengendlela encane yokujola.
UWent Holtorf, MD ungumsunguli weHoltorf Medical Group eCalifornia.
> Imithombo:
> Holtorf, MD, Kent. Ingxoxo noMary Shomon. Okthoba 2009.
> Leibel RL, uHirsch J. "Izidingo zamandla ezincishisiwe ezigulini ezincishisiwe." I-Metabolism. 1984 Feb; 33 (2): 164-70. Online.