Ucwaningo lwe-2017 luye lwabonisa ukuthi ukuhlukahluka kwehomoni ye-thyroid ngaphakathi kwendawo yokubhekisela evamile kungase kuhlotshaniswe nengozi eyengeziwe yokwelashwa kwemithi. Lokhu okutholakele kunemiphumela ebalulekile empilweni yabantu abane-hypothyroidism.
Kuyini I-Metabolic Syndrome?
I-metabolic syndrome ibhekisela eqenjini lezimo noma izici eziyingozi, lapho zitholakala ndawonye, zandisa ingozi yesifo senhliziyo, isifo sohlangothi, futhi uthayiphe u-2 ngesifo sikashukela.
Kunezibonakaliso ezinhlanu eziyisihluthulelo ezikhomba ku-syndrome ye-metabolic. Ukuxilongwa kwe-syndrome ye-metabolism kwenziwa uma okungenani unezici ezintathu zokungcola, okufaka:
- I-waistline enkulu. Isikhumba esikhulu sibhekwa nangokuthi ngokweqile kwesisu. Ngokusho kweNational Institutes of Health, lokhu kuchazwa njenge-waistline ebeka ngamasentimitha angu-89 ngamasentimitha angu-89 kwabesifazane namasentimitha angu-102 ngamasentimitha angu-102 emadodeni. I-waistline enkulu yandisa ingozi yesifo senhliziyo.
- Amazinga aphezulu e-triglyceride, noma adinga imithi ye-triglyceride ephezulu. I-Triglycerides yindlela yamafutha egazini lakho, futhi ngokuvamile lilinganiswa namazinga akho e-cholesterol. Amazinga ajwayelekile we-triglyceride angaphansi kuka-150. Amanani ka-150 kuya ku-199 abhekwa njengephezulu, futhi noma ngaphezulu kuka-200 kubhekwa njengezinga eliphezulu. I-triglycerides ephakeme yandisa ingozi yesifo senhliziyo.
- Izinga eliphansi le-HDL le-cholesterol, noma okudinga imithi yokwehlisa i-cholesterol ye-HDL. I-HDL imele i-lipoprotein ephakeme kakhulu, futhi lolu hlobo lwe-cholesterol luyaziwa ngokuthi "okuhle" kwe-cholesterol ngoba kusiza ukucacisa ezinye izinhlobo ze-cholesterol ngaphandle kwamathambo akho. I-cholesterol ye-HDL ephansi yandisa ingozi yesifo senhliziyo.
- Umfutho wegazi ophakeme, noma udinga imithi yokwehla kwengcindezi yegazi. Ukucindezelwa kwegazi kuthinta ukuthi igazi lakho liphikisana kanjani ngokumelene namabhodlela akho e-artery njengoba iphoswe yinhliziyo yakho. Ukucindezelwa kwegazi kunezinombolo ezimbili, isibonelo, 130/80 mmHg. Inombolo ephezulu ibizwa ngokuthi i-systolic blood pressure futhi ilinganisa ukucindezeleka okukhulu lapho inhliziyo yakho ibetha. I-low one ibizwa ngokuthi i-diastolic blood pressure futhi ibeka ingcindezi ephansi kunazo zonke phakathi kwezinhliziyo. Umfutho wegazi ophakeme uchazwa njengezinga elingaphezu kuka 140/90 mmHg. Umfutho wegazi ophakeme ukwandisa ingozi yesifo senhliziyo nesifo sohlangothi.
- I-glucose ephakeme yokuzila ukudla (ushukela wegazi), noma udinga imithi yokwehlisa ishukela lakho legazi. Ushukela ophezulu wegazi uchazwa ngokuthi ungaphezu kuka-130 mg / dL (ama-milligrams per deciliter) amahora angu-8 ngemuva kokungadli noma ukuphuza. Ushukela ophezulu wegazi ukwandisa ingozi yesifo senhliziyo, futhi kungaba yisandulela sokuthayipha isifo sikashukela sesibili.
Esinye sezimbangela eziyinhloko ze-syndrome ye-metabolic yisimo esaziwa ngokuthi ukumelana ne- insulin . E-insulin ukumelana, umzimba wakho uba mnandi kakhulu kwi-insulin. Umsebenzi we-insulin ukusiza ukuhambisa ushukela wegazi ngaphandle kwegazi kanye namaseli akho. Uma umelana ne-insulin, ungahlakulela amazinga aphezulu ashukela egazi. Lokhu kungabangela ukutholakala kwesisindo bese kukubeka engozini enkulu yokuthuthukisa isifo sikashukela sohlobo lwesibili.
Ezinye izici ezibangela ekuthuthukiseni i-syndrome ye-metabolic zihlanganisa ukukhuluphala, ukungabi nokuzivivinya nokusebenza ngokomzimba, ukukhula kweminyaka, nokucindezeleka okungapheli.
I-Hypothyroidism ne-Metabolic Syndrome
I-hormone ye-thyroid ibalulekile ekuziphatheni komzimba wokugcoba amafutha neglucose, nokugcina umfutho wegazi ophilile. Uma u- hypothyroid futhi ungenayo ngokwanele ukujikeleza i-hormone ye-thyroid, le misebenzi ingakwazi ukukhubazeka. Ukutadisha, okwakushicilelwa ku-July 2017 umagazini we- Thyroid , kwahlolwa abantu abangaphezu kuka-2 000, ukulinganisa amazinga abo okugaya i-glucose, i-insulini, i-thyroxine yamahhala (i-T4 yamahhala), namazinga we-hormone (TSH) we-thyroid atholakalayo ekuqaleni ukutadisha, kanye nezifundo ezintathu zokulandelela ezinsukwini ezi-3.
Ngokubanzi, isifundo sibheke idatha ngaphezu kwesikhathi seminyaka engu-10.
Ucwaningo lubuthole ukuthi kulabo bantu ocwaningweni ababengaphelelanga, futhi obani abane-TSH namazinga wamahhala we-T4 ngaphakathi kwebanga lokubhekisela, izinga le-T4 yamahhala laliyisilungiso esibalulekile se-syndrome ye-metabolic. Amazinga aphansi angama-T4-ngaphakathi kwebala lokubhekisela-ahlotshaniswa nobungozi obukhulu kakhulu bokuthuthukisa isifo se-metabolic syndrome. Lokhu okutholakele kwakungabhekene nobudala, ubulili, noma ukumelana noku-insulin ngaphambili.
Ezinye iziphumo ezibalulekile:
- Amazinga angama-T4 aphansi angaphakathi kwereferensi yokubhekisela ayehlotshaniswa nenkomba yokukhula komzimba okwandisiwe (BMI).
- Amazinga aphansi e-T4 ngaphakathi kwebala lokubhekisela ahlotshaniswa nobungozi obuningi bamazinga aphezulu e-triglyceride.
- Amazinga e-T4 aphansi angaphakathi kwereferensi yokubhekisela ahlotshaniswa nobungozi obandayo bokucindezeleka kwegazi.
- Amazinga aphansi e-T4 ngaphakathi kwebala lokubhekisela ahlotshaniswa nobungozi obandayo bokukhuluphala kwesisu.
Abacwaningi baphetha ngokuthi amazinga akhululekile e-T4 ekugcineni okuphansi kwohlu lokubhekisela lihlotshaniswa nengozi eyengeziwe ye-syndrome ye-metabolic. Basikisela ukuthi "ukutholakala kwamazinga angama-T4 aphansi ajwayelekile angabonisa izihloko ezingenampilo ezihlangene nezici ezibandakanyekayo ezingase zizuze ekuhlolweni kokuqala kanye nokungenelela kwezokwelapha."
Abacwaningi bancoma ukuthi kwenziwe ucwaningo olwengeziwe ukuze kutholakale ukuthi ukugcina amazinga akhululekile e-T4 ekugcineni kwesigcawu sokubhekisela kungasiza ekunciphiseni ukuvimbela i-insulin futhi kuncishise ingozi yokuthuthukisa isifo se-metabolic kubantu abangenalo isimo se -roid.
Izwi elivela
Uma unamazinga aphansi we-T4, ungase ufune ukukhuluma nodokotela wakho mayelana nokwandisa umthamo wakho we-thyroid imithi yokwelashwa esikhundleni sokuthuthukisa ukwelashwa kwakho kwegciwane bese unciphisa ingozi yokuthuthukisa izinkinga ezifana nesifo se-metabolic syndrome.
Uma usengozini ye-syndrome ye-metabolic noma usuvele utholakale ukuthi, kunezindlela ezithile eziyinhloko zokusiza ukuguqula:
- Ukuzivocavoca. Ukuzivocavocaza kukusiza ukunciphisa ukukhuluphala kwesisu, isisindo segazi esincane, namazinga e-glucose, futhi kungakusiza ukuba ulahlekelwe isisindo.
- Yidla ukudla okunempilo. Odokotela abaningi basikisela ukuthi ulandela ukudla okunomsoco okuseMediterranean-okunempilo okuhlanganisa amafutha "amahle" (afana namafutha omnqumo amafutha omnqumo nama-avocados), amaprotheni aqinile, izithelo nemifino. Kumele futhi ugweme ushukela, i-carbohydrate elicwengileko, ubumnandi bokufakelwa, futhi unciphise ukudla okudakayo.
- Ukuncipha emsimbeni. Lokhu kungadinga ushintsho kulokho nokuthi udla kangakanani nokuthi ukwandisa izinga lakho lokuzivocavoca.
- Yeka ukubhema. Ukubhema kungandisa ingozi yesifo senhliziyo.
- Thola ukwelashwa ushukela wegazi ophakeme. Izidakamizwa ezithuthukisa ukuzwela kwakho kwe-insulini-njenge- metformin (i-Glucophage) noma izidakamizwa ezijova njenge-Byetta neSylin-zingasiza ukuguqula ukumelana nokuvikela i-insulin nokuvimbela ukuthuthukiswa kwesifo sikashukela sohlobo lwesibili .
> Umthombo:
> Ladan, M. et. al. "Izinguquko ku-Serum Free Thyroxine Ukugxila Ngaphakathi Kwesilinganiso Sokubhekisela Kubikezela Ukukhubazeka Kwama-Metabolic Syndrome Kwabaningi Abadala: Isifundo Seqembu." I-Thyroid. July 2017, 27 (7): 886-893.