Ngokwe-National Heart Lung ne-Blood Institute, abantu abadala abangama-47 base-United States (phantse ama-25 ekhulwini labantu) banesifo se-metabolic syndrome, ubuninzi beemeko zengozi ezandisa ingozi yesifo senhliziyo, isifo sikashukela kunye nesifo . Inani labantu abajongene nesifo se-metabolism nayo iyakhula.
Ngoku, abaphandi baye bafumanisa ukuba umsebenzi oqhelekileyo we-thyroid - imeko eyaziwa ngokuba yi-subclinical hypothyroidism-iyingozi yeso sifo se-metabolic syndrome.
Yintoni iMetabolic Syndrome?
I-syndrome ye-Metabolic yigama elinikezelwa kwisifo esibonakalayo ngokuqhelekileyo kubantu abagqithiseleyo okanye abagqithiseleyo, kwaye banobani abaneemeko ezithile eziphakamisa umngcipheko wesifo senhliziyo, isifo sikashukela, isifo, kunye nezinye iingxaki zempilo. I-syndrome ye-Metabolic ifunyaniswa xa kukho izinto ezintathu ezinobungozi zilandelayo:
- Omkhulu umgca. Oku kungathunyelwa njengento yokukhuluphala kwamathumbu, okanye ukuba "yi-apula-shaped" okanye "neBuddha esiswini." Kodwa ngokweNkqubo yeSizwe ye-Cholesterol Education (NCEP) kunye ne-American Heart Association, i-criteria "ye-waistline enkulu" ilinganisa ngaphezu kwama-intshi angama-35 kubafazi kunye nangama-intshi angama-40 ngamadoda. Kubantu abafakwe kwisifo sikashukela, imida ingaphantsi, ngamasentimitha angama-31 ukuya kuma-35 ama-intshi kunye namasentimitha angama-37 ukuya kuma-39 ngamadoda.
- Ukuphakanyiswa kwe-Triglycerides / Ukunyangwa kweTrglycerides ePhakamileyo. I-Triglycerides yintlobo yeoli ejikeleza kwigazi kwaye yandisa ingozi yesifo senhliziyo. Icandelo eliphakanyisiweyo libhekwa njenge-150 milligram nge-deciliter (mg / dL) okanye ngaphezulu.
- I-HDL ephantsi / Ukunyangwa kwe-HDL ephantsi. I-high-density lipoprotein (i-HDL) uhlobo lwe-cholesterol edlalwa ngokuba yi-"cholesterol" efanelekileyo kuba inceda ukunciphisa ingozi yesifo senhliziyo. Izinga elingaphantsi kwe-40 mg / dL kumadoda okanye ngaphantsi kwama-50 mg / dL kubasetyhini ibonwa njengento ephantsi.
- Ukuphakanyiswa kwegazi / Ukunyanga kwe-Blood Pressure ephezulu. Uxinzelelo lwegazi lubhalwa njengamanani amabini, obhaliweyo ngaphezulu okanye phambi komnye, njenge-120/80, okanye ubizwa ngokuba ngu- "120 ngaphezu kwama-80." Inombolo ephezulu yi-systolic blood pressure, kwaye ithathwa njengophakamileyo xa ihamba ngaphezu kwe-130 kunye nenombolo engezantsi-i-diastolic-ithathwa njengophakamileyo xa ingaphezu kwama-85.
- Ukuphakanyiswa kwegazi I-Sugar / Ukwelashwa kwe-Sugar Blood Sugar. Ukutya ukutya kweeshukela egazini, eyaziwa nangokuzila ukudla kwe-glucose, kunokuqala ukuphakamisa njengesilumkiso sesifo sikashukela. Iqondo le-100 mg / dL okanye ngaphezulu liqwalaselwa liphakamileyo.
Njengoko kuphawuliwe, ubuncinane ubuncinane emithathu yemingcipheko engaphezulu ivumelekile ukuba umntu ahlalutyo lwe-syndrome ye-metabolic syndrome. Kodwa iimeko ezinobungozi bomntu, unomngcipheko wesifo senhliziyo, isifo sikashukela, okanye isifo. Ngokutsho kwe-NCEP, umntu onesifo sesifo se-metabolic syndrome ngokuphindaphinda kabili ukuhlakulela izifo zentliziyo kunye nezihlandlo ezihlanu ukufumana isifo sikashukela njengomntu ongenayo isifo se-metabolic syndrome.
I-metabolic syndrome ngokuqhelekileyo ikhula kubantu abagqithiseleyo okanye abagqithisileyo, abangazibandakanyi emsebenzini, okanye abanokutya okukhuthaza ukunyanzelwa kwe-insulin. Imbali yentsapho kunye neminyaka yobudala nayo ibangela izizathu.
Uxhumo lwe-Thyroid
Abaphandi sele befumene ukuba utshintsho olufihlakeleyo lwe-thyroid luye lwandisa umngcipheko we-metabolic syndrome.
Ikhonkco phakathi kwe-overt hypothyroidism kunye nobungozi besifo senhliziyo sele sele senziwe. Kodwa uphando olushicilelwe kwincwadi kaFebruwari 2007 yeNcwadi ye-Clinical Endocrinology kunye ne-Metabolism yafumana uxhulumaniso phakathi komsebenzi we-thyroid kunye ne-metabolic syndrome kubantu abanesimo esiqhelekileyo sama-hormone (TSH) aqhelekileyo.
Oko abaphandi bafumanisa kukuba kulabo abanezinga eliqhelekileyo le-TSH, i-hormone ye-thyroid eyaziwa njenge-T4 yamahhala ibalulekile. Amazinga e-T4 yamahhala ayencinane kakhulu, kodwa kusekho udidi oluqhelekileyo, okwandisa kakhulu umngcipheko wezinto ezininzi ezinobungozi be-syndrome.
Amanqanaba aphantsi kwesinye i-hormone ye-thyroid, i-T3 ekhululekile, yayinxulumene nezinto ezinobungozi ezibandakanya i-cholesterol ephezulu, i-LDL ye-cholesterol kunye ne-triglycerides.
Abaphandi baphetha ngelithi abantu abanamazinga aqhelekileyo e-TSH, nokuba neenguqu ezincinane kwi-T4 yamahhala kunye namazinga e-T3 akhululekileyo anokuchaphazela umngcipheko we-syndrome kunye nesifo senhliziyo.
Abaphandi bancoma ukuba kwenziwe isifundo ukuze kuqinisekiswe ukuba unyango olusandul 'ulwaphulo lwe-thyroid lunganciphisa ingozi.
Yintoni oku kuthetha ngayo kuwe
Ukuba uphando lwexesha elizayo lufumanisa ukuba unyango lokuqala lunceda, i-T4 yamahhala kunye ne-T3 yamahhala, kwaye kungekhona nje i-TSH, iya kuba yimilinganiselo ephambili kwiinkqubo zokuxilongwa kwe-thyroid nezonyango.
Olu phando lubonisa ukuba ukuba uphathwa nge-hypothyroidism, kufuneka uhlolwe ngenxa yeempawu zesifo se-metabolic syndrome. Ukuba u-hypothyroid, uzakuzama ukwenza yonke imizamo yokunciphisa ingozi yakho ye-syndrome ye-syndrome.
Ukujongana nemingcipheko inokuba yinkimbinkimbi, kodwa ngokubanzi, kubandakanya ukudibana kwanoma iyiphi nayiphi na indlela elandelayo:
- Imizamo epheleleyo yokunciphisa umzimba, kuquka ukutya kunye nokuzilolonga
- Utshintsho oluthile lokutya lokulwa nokuxhathisa i-insulin kunye nokuphucula ama-cholesterol
- Ukuzivocavoca
- Amachiza ekunciphiseni i-triglycerides, ukuphakamisa i-HDL, uxinzelelo lwegazi oluphantsi, ukunciphisa / ukulawula ushukela wegazi
Imithombo
> Roos, Annemieke, et. al. Umsebenzi we-Thyroid Udibaniswe neCandelo leMetabolic Syndrome kwi-Euthyroid Subjects, " Journal of Clinical Endocrinology & Metabolism Vol. 92, No. 2 491-496, kwi-Intanethi
> I-Clinical Mayo, "I-Metabolic Syndrome," iSiseko seMayo seMfundo yezeMpilo noPhando, ngo-1998 ukuya ku-2007
> I-National Heart Lung ne-Blood Institute, "Yintoni iMetabolic Syndrome," ngo-Ephreli 2007, kwi-Intanethi