UDkt Kent Holtorf Ukwabelana ngeendlela zakhe zokuPhatha i-Thyroid engasebenzi
Enye yeengcali ezikhokelayo kwimpilo ye-hormone, uK Kent Holtorf, MD, uye wabelana ngeengcinga zakhe kunye nam malunga nokunyangwa okuthe tye kwi-hypothyroidism, olu luchungechunge olwenziwa ngabachwephesha abanolwazi kwi-hormone balance and diagnosis and treatment .
Ngokutsho kukaDkt. Holtorf, ukunakekelwa kwe-thyroid ngokufanelekileyo kuqala ngokuxilongwa ngokufanelekileyo kwaye kuyaqhubeka nokuxhaswa ngamachiza e-thyroid efanelekileyo kwi-dose efanelekileyo ukuze uphumelele umsebenzi we-thyroid we-intracellular.
UDkt. Holtorf uvakalelwa kukuba ngoxa amanqanaba kunye neempawu zemivavanyo eyahlukileyo ngokuqinisekileyo unceda ekufumaneni unyango olufanelekileyo okanye umthamo, ukuvavanya kulungelelaniswa nokungahambi kakuhle phantsi kweemeko ezahlukeneyo. Ngoko ke, akaxhomeki okanye asebenzise ukuhlolwa kovavanyo lwe-thyroid njengenjongo yodwa yokufikelela endaweni ephezulu kwipesenti zezigulane, njengoko uye wafumanisa ukuba amanqanaba eeserum ahlukeneyo afunekayo kwisigulane esithile.
Kuba uDkt. Holtorf, unyango olufanelekileyo ludinga ukuqonda ubunzima be-thyroid. Umsebenzi we-Thyroid uye waxiliswa xa uzama ukukwazi ukusebenzisa uvavanyo olulula (okt TSH) ukuchaza "iindawo eziqhelekileyo" ze- thyroid . Ngokutsho kukaDkt. Holtorf, le ngcamango ilula xa umntu eqonda amanyathelo amaninzi afunekayo ukufezekisa umsebenzi we-thyroid.
UDkt. Holtorf uthi:
Iimvavanyo eziqhelekileyo, ngokubanzi, ziya kubona kuphela ukungasebenzi xa i-thyroid gland ingumthombo wengxaki. Ngoxa i- hypothyroidism ephambili (xa isifo se- thyroid siwumthombo wokungasebenzi) yiyona nto ixhaphake kakhulu, ezinye izimbangela ze-thyroid okanye i-tissue ye-tissue ye-thyroid yinto eqhelekileyo kodwa ingaqhelekanga. Ezi zizathu ziquka:Ukuba kukho ingxaki kuyo nayiphi na le ma nyathelo, kuya kuba nomsebenzi osisigxina okanye we-tissue ye-thyroid eyenziwa ngokungaqhelekanga.
- ukungasebenzi kwe-hypothalamus kunye ne-pituitary
- ukuthuthwa kweselula
- ukuguquka kwe-T4 ukuya kwi-T3,
- ukwandiswa kwe-T3
- i-receptor receptor block
- ukuvinjelwa kwe-thyroid kwakhuthaza ukusetyenziswa kwegazi.
UDkt. Holtorf ukholelwa ukuba xa kukho iindawo ezininzi ezinokuthi zingasebenzi kakuhle, iimvavanyo zelabhoratri - ngokubambisana neempawu kunye nezinye izibonakaliso ze-physiologic - zingasetyenziswa ngokufanelekileyo njengezixhobo zokuncedisa unyango olufanelekileyo.
UDkt. Holtorf unikela umzekelo:
Ukuba kukho ukungasebenzi kwinqanaba le-receptor okanye i-activation gene, eyenzeka kwizigaba ezahlukeneyo ezinezifo ezingapheliyo, ukuvuvukala, ukuxinezeleka, ukuvezwa kwiplastiki ezifana ne-bisphenol A (BPA), izifo ezingapheliyo, ukukhuluphala kunye nesifo sikashukela, amanqanaba e-seraphs I-T3 iya kufuneka ukuba inqobe le ngxaki. Kwiimeko ezinjalo, iimvavanyo ze-serum thyroid ziya kuba zithembeke kangangoko ke ezinye iimvavanyo kufuneka zisebenzise ukuze zichane ngokugqibeleleyo umsebenzi we-troid we-thyroid. Ezi zingabandakanya i-hormone yesondo ebopha i-globulin (SHBG), i-tendon reflex isantya sokuphumula kunye nesilinganiselo se-metabolic rate. Ezi mvavanyo zifanele zonke zichazwe ngokubambisana novavanyo lweempawu kunye neempawu, eqinisweni, iindlela ezibalulekileyo zokufumana unyango olufanelekileyo.
Iimvavanyo zokuNcedisa ekuVavanyelweni kweNdawo yokuTshintshe yeTyroid
UDkt. Holtorf unemibuzo emininzi ayicinga ukuba uncedo ekuhloleni i-thyroid.
TSH -Dr. IHolto ibheka i-TSH ngaphezu kwe-2 njengombonakaliso ocacileyo wokuba kukho amazinga e-thyroid aphantsi. Uthi uDkt. Holtorf uthi: "I-TSH evamile ayiyikulawula ukungasebenzi kwe-thyroid kwaye i-TSH ephantsi ibonakaliswa ukuba yinkcazo yee-tissue thyroid ezingama-20% kuphela ngexesha (i-80% yexesha elingenjalo). I-TSH iba ngummakishi ohlupheke kakhulu kumanqanaba e-thyroid amaqhina ukuba kukho ukuvutha, ukuxinezeleka, ukugula okungapheliyo, ukutya okungahambiyo, ukunyamezela, ukunyamezela, ukugula okungapheliyo, i-fibromyalgia, isifo sikashukela, ukuxhathisa i-insulin, ukuxhathisa i- leptin. "
T4 --Dr. I-Holtof ivakalelwa kukuba kunye ne-T4, ukuba kukho ingxaki nge-hormone ye-carmoni ye-thyroid (T4 kunye ne-T3 isithunyelwa kwiseli), amanqanaba aphakamileyo e-T4 angabandakanywa namanqanaba amancinane e-thyroid.
I-T3 yamahhala - uDkt. Holtorf ukholelwa ukuba ngokubanzi, i-T3 yamahhala kufuneka ibe kwi-25 ye-percentile ephezulu yebala eliqhelekileyo. Uthi uDkt. Holtorf uthi: "Isiqhelo; kodwa, xa kunjalo, xa kulungiswa i-T4, eguqulelwa kwi-T3 kwiseli kwaye imali evulekayo kwi-serum yinqanaba" eliqhelekileyo ".
Xa uphatha nge-T3, oku akusiyo imeko ukuze iindawo eziqhelekileyo zokubhekisa azikwazi ukusetyenziswa. "
Ukutshintsha i-T3 - Ngokutsho kukaDkt. Holtorf, i- Reverse T3 ibini imakishi yokunciphisa i-T4 ukuya ku-T3 ukuguqulwa kunye nokuthungulwa kwezothutho lwe-T4 kwisitokisi-kwaye inomsebenzi we-antithyroid (ibimbela umphumo we-thyroid) - kwaye kufuneka ube ngaphantsi 150.
I-SHBG-I- hormone ebopha i-globulin (SHBG) iyimakishi yezinga lesisisu se-thyroid, ngoko ke ukuba ungaphantsi kwe-70 kwintombazana, uDkt. Holtorf uyibheka umqondiso kumsebenzi we-thyroid ophantsi okanye ongathandekiyo. Ukuba ukutshintshwa kwe-thyroid kunikwa kwaye i-SHBG ayinyuli ngokwaneleyo, uvakalelwa kukuba oku kubonisa ukunyanzelwa kwe-thyroid.
Leptin -Dr. I-Holtof ikholelwa ukuba izinga le-leptin le-serum limele libe ngaphantsi kwe-12. Iphakamileyo ye-leptin, inkulu ukukhushulwa kwe-leptin, ephazamisa ukuveliswa kwe-TSH kunye no-T4 ukuya ku-T3 ukuguqulwa. Ngaloo ndlela, i-leptin ephezulu i-TSH iya kuba yinto engenamsebenzi.
Intsimbi / i- iode -Dr. U-Holtorf ukholelwa ukuba iinqanaba zentsimbi kunye ne- iodine kufuneka zihlolwe kunye nokusilela kufuneka ziphathwe, njengoko zifunwa kusebenzo lwe-thyroid.
Isilinganiselo seMetabolic Rate (BMR) -Dr. U-Holtorf ufumanisa ukuba amazinga e-thyroid amaqhina awona mandla omkhulu wokuguliswa kwe-metabolism jikelele ukwenzela ukuba isilinganisi se-metabolism singabonwa njengomgangatho wegolide wezinga le-thyroid yomzimba. Ngaloo ndlela, i-BMR ingasetyenziselwa ukukunceda ukufumana inqanaba eliphezulu kakhulu. Olu luvavanyo oluya kwenziwa kwiiofisi ezithile zoogqirha.
Isigaba sokuphumla seTendon Reflex -NgokweDkt Holtorf, uphando oluninzi luye lwabonisa ukuba le yindlela echanekileyo kunokuhlolwa kwegazi le-serum, njengoko kuninzi umlinganiselo wesenzo somzimba, kunokuba amazinga e-serum, kunye nezinga elifanelekileyo kufuneka ngokukhawuleza kunomtshini we-110.
UKom Holtorf, MD ngumsekeli we-Holtorf Medical Group, ekhethekileyo ekuphatheni i-endocrine, i-hormonal nezinye izifo kwi-California's Bay Area kunye naseLos Angeles.
Iwebhusayithi yeWortorf yeqela lezonyango: www.holtorfmed.com
Umthombo:
I-imeyili Ingxoxo no-Kent Holtorf, MD - Disemba 2010