Njengengxenye yesimiso se-endocrine, i-thyroid yakho inendima ebalulekile ekusizeni ukulawula nokulondoloza izinga elisezingeni legazi lakho. Kukhona ubufakazi obunye bokuxhumana phakathi kwamazinga wegciwane kanye nengozi ye-type 2 yesifo sikashukela. Abacwaningi baseKorea benze ucwaningo olujulile ukuhlola izinga lohlobo lwe-2 lwesifo sikashukela njengoba luhlobene namazinga okuqala we-hormone ye-thyroid (TSH) kanye nezinguquko ku-TSH, i-thyroxine yamahhala (i-Free T4), ne-triiodothyronine yamahhala (i-Free T3 ).
Ukuqeda Umklamo Wokufunda
Siyazi ukuthi ngokweqile i-hypothyroidism (amazinga e-TSH angaphezu kuka-10), kanye ne-subclinical hypothyroidism, ihlotshaniswa ne-hyperglycemia (ushukela wegazi ophakeme) kanye nokwanda kwe-insulin.
Abacwaningi bahlola abantu abangaphezu kuka-6 200 abajwayele ukubizwa ngokuthi "euthyroid" -ofroid ukusebenza, ngaphezu kweminyaka eyisithupha. Phakathi kwalelo qembu, abantu abangu-229 bahlakulela uhlobo lwe-2 lwesifo sikashukela. Uhlobo lwe-2 lwesifo sikashukela lwafunyanwa njengesifo seglucose esisheshayo ngaphezu kuka 126 mg / dL kanye / noma izinga le-hemoglobin A1C ezingaphezu kwamaphesenti angu-6.5.
Abacwaningi balungiselela i- hemoglobin A1C (okuthiwa nge-A1C) ngezinye izikhathi, kanye nokudla kwe-glucose, futhi banquma ukuthola okulandelayo okulandelayo:
Lezi ziguli ezikhombisa ukwanda kwezinga lazo le-TSH, ngisho nangaphakathi kwebala lokubhekisela, zineengozi enkulu yokuthuthukisa uhlobo lwesifo sikashukela sohlobo lwesibili, uma kuqhathaniswa nalabo abangenalo ukuphakama kwe-TSH.
Abahlanganyeli babehlukaniswe ngamaqembu amabili, bahlukaniswe ngokwezinombolo zezici zokungabikho kwemithi ezaba nazo ekuqaleni kokucwaninga.
Izinto eziyingozi zokufaka ingozi zihlanganisa:
- Inkomba yomzimba womzimba (BMI) ngaphezulu kuka-25 kg / m 2
- Ukugaya i-glucose ngaphezu kwe-100 mg / dL
- Amazinga A1C angaphezu kwama-5.7 wamaphesenti
Iqembu 1 (iqembu eliphansi engozini) lalinamacici angaphansi kwamabili, kanti iqembu elibhekele ezingozini eziphezulu 2 lalinemikhakha emibili eyingozi noma ngaphezulu.
Abahlanganyeli babehlukaniswe ngokuthi "bakhulisiwe," "bezinzile," noma "bahlushwa" ngokusekelwe ekuguqulweni kwezinkinga zabo.
Labo abangazange bashintshe ezindaweni eziyingozi babhekwa njengezinzile.
Okushiwo yi-Research
Phakathi kwalaba besifazane abafundela ababa nesifo sikashukela sohlobo lwesibili, babe ne-TSH eyisisekelo esisezingeni eliphezulu kakhulu, nakuba besengaphakathi kwebala lokubhekisela. Ngokomcwaningi, bobabili abesilisa nabesifazane babe nemiphumela efanayo: Amazinga e-TSH eyanda ngaphezu kwesikhathi, ngaphakathi kwereferensi yokubhekisisa, yanda ingozi yesifo sikashukela ngohlobo lwe-2, kanti i-T3 ephakeme ne-free fT4 yehlisa ingozi yesifo sikashukela. Kuzo zonke amaqembu, ukwanda kwamazinga e-TSH, ngokunciphisa ku-T3 nokukhululeka kwe-T4, kuhlotshaniswa nesigameko sokwanda kwesifo sikashukela sohlobo lwe-2.
Imiphumela yocwaningo ibonisa ukuthi izinguquko ezenzeka ku-TSH namazinga e-hormone we-thyroid ngaphambi kokuxilongwa ngohlobo lwesifo sikashukela 2 luyisici engozini yokuthuthukisa isimo. I-pattern yokukhula kancane kancane kwe-TSH, kanye nokunciphisa i-T3 kanye ne-T4 yamahhala, yayihlotshaniswa nobungozi obuningi be-type 2 sikashukela. Le ngozi yayibonakala kubantu abaningi futhi ayixhomekile ebulili nasesimweni se-autoimmune.
Kuyathakazelisa ukuthi ngenkathi izinguquko emahomoni wegciwane azizona izici ezingcono zokubikezela kunokuzila ukudla kwe-glucose noma ukuhlola kwe-HbA1c, ukuncipha kwe-T4 yamahhala nokwandisa ku-TSH kwakubhekwa njengababikezeli abangcono be-type 2 yesifo sikashukela kunama-BMI noma ukushintshela ku-BMI.
Ngokuvamile, lolu cwaningo luphetha ngokuthi izinguquko ezicashile emahomoni e-thyroid, okwakungakaze kubhekwe njengengozi yengozi, kubonakala sengathi ingozi eyengeziwe yochungechunge lwe-type 2, ngisho nakubantu abanamanye amazinga we-thyroid "ajwayelekile" futhi akukho preexisting isifo se-thyroid noma autoimmunity ye-thyroid.
Indlela I-Glucose Ne-Insulin Yasebenza
Kubalulekile ukuqonda ukuthi i-glucose ne-insulin isebenza kanjani.
I-glucose-uhlobo oluthile lweshukela-linikeza amandla kumaseli akho. I-glucose ivela ekudleni kwakho nasesibindi sakho, okwenza futhi igcine i-glucose. Ngokuvamile, lapho amazinga akho e-glucose ewa, isibindi sakho sithatha uhlobo olulondoloziwe lwe-glucose-glycogen-futhi luphule phansi ukuze luqhubeke luhambisa ukwanda kwe-glucose.
I-insulini iyi-hormone ekhishwa ama-pancreas akho. I-pancreas-kanye ne-thyroid-ingxenye yesistimu yakho ye-endocrine. I-insulini idonsela i-glucose ngaphandle kwegazi lakho futhi ilusize ukuthi lingene kumaseli akho ukuletha amandla. Njengoba ushukela wegazi wehla, kanjalo nezinga le-insulin lakho le-pancreas liyimfihlo.
Uma unesifo sikashukela se-type 2, njengoba i-glucose ikhiqiza egazini lakho, ama-pancreas akho akakwazi ukukhipha i-insulin eyanele, noma amaseli akho awaphenduli ku-insulin, eyaziwa ngokuthi ukumelana ne-insulin. Uma ungenalo isimo se-thyroid esitholiwe, kodwa ube nemiphumela yokuhlolwa ye-TSH ephakeme kakhulu-ngisho noma ingena ngaphansi kwebala lokubhekisela-ungase ufune ukuhlola ngezikhathi ezithile ingozi yakho yesifo sikashukela se-type 2.
Yenza 2 Izinga Nezibungozi Zesifo Sikashukela
Ngaphezu kokunyuka kwamanqanaba e-TSH, ezinye izici ezingozini ze-type 2 sikashukela zihlanganisa:
- Ukuba ngokweqile
- Iphesenti eliphakeme lamafutha esiswini
- Ukungabi nomsebenzi nokuzivocavoca
- Umlando womuntu siqu noma womndeni we-type 2 yesifo sikashukela
- Ukuba i-African-American, yaseSpanishi, i-American American, noma i-Asian-American
- Ubudala: ingozi ikhuphuka ngemva kweminyaka engu-45
- Umlando we-prediabetes (ushukela wegazi ophakeme)
- Umlando wesifo sikashukela sofuzo
- Umlando we-polycystic ovarian syndrome (i-PCOs)
Kumele futhi ube nolwazi mayelana nezimpawu nezibonakaliso zokuqala zokuxwayisa ukuthi kungenzeka usuhlakulele uhlobo lwesifo sikashukela sohlobo lwesibili , okungabandakanya:
- Ukoma okwengeziwe
- Umlomo omile
- Ukuvuthwa njalo
- Ukwandisa indlala, ikakhulukazi ngemva kokudla
- Ukukhathala nokukhathala
- Ubumbulu nokukhwaza ezandleni nasezinyaweni zakho
- Ubuhlungu kumathole akho
- Ukuphulukiswa kancane kwezilonda nokusikeka
- Umbono ophundlekile
- Ukuthukuthela, ukucindezeleka
- Ukulahlekelwa kwesisindo esingachaziwe noma ukuzuza kwesisindo
- Omile, isikhumba esilula
- Izifo eziningi zesisu semvubelo evamile
- Ukungasebenzi kahle kwe-Erectile (ukungabi namandla)
Ukuqaphela nokuphatha uhlobo lwesifo sikashukela
Udokotela wakho angenza ukuhlola ngezikhathi ezithile ukuze ahlolisise i-diagnostic type 2 yesifo sikashukela. Ukuhlolwa kuhlanganisa:
- Ukuzila ukudla kwegazi
- Ukuhlolwa kwe-oral glucose ukubekezelelana
- Ukuhlolwa kwe-Hemoglobin A1c (HbA1c), enikeza isilinganiso sezinga leshukela legazi ezinyangeni ezimbalwa ezedlule
Ukwelashwa kohlobo lwesifo sikashukela 2 kuhloswe ekunciphiseni ushukela wegazi, ngokujwayelekile ngokuhlanganiswa kwemithi esiza ukuthuthukisa ukuzwela komzimba ku-insulini, kanye nezinguquko zokudla, ukuzivocavoca, nezinguquko zendlela yokuphila ezingasiza ekunciphiseni amazinga jikelele e-glucose egazini . Uma utholakale, ungase umangale futhi ushiswe. Sebenzisa nodokotela wakho ukuze uthole izinombolo zakho ngaphansi kokulawula futhi uphathe kahle impilo yakho.
> Umthombo:
> Jabulela, J. Jee, H. et al. "Ukubambisana Phakathi Kokushintsha KwamaHhomomu E-Throroid kanye nohlobo lwe-Incident 2 Isifo Sikashukela: Isifundo Sezinsuku Eziyisikhombisa Esikude," I-Thyroid. NgoJanuwari 2017, 27 (1): 29-38. doi: 10.1089 / thy.2016.0171.