Unqobe i-thyroid engapheliyo ukuze ulahlekelwe ngumzimba
Ukuba unayo i-thyroid engasebenzi , i-thyroid yakho isuswe ngokugqithiseleyo , okanye unayo i-iodine ye-radioactive ukunyanga i-thyroid engasebenzi, unokufumana ubunzima bokunciphisa umzimba, isikhalazo esifanayo kwi-hypothyroidism. Nangona usuphelile nge-engroid, engasebenzi, okanye ngokugonywa ngogonyamelo we-thyroid, unokufumanisa ukuba, nangona unyango lweziyobisi zonyango lwakho lwe-hypothyroidism, awukwazi ukulahlekelwa isisindo-okanye awukwazi ukuyeka ubunzima-nangona usebenza .
Kuyaqondakala ukuba kuphazamiseka. Kule meko, kunceda ukuqonda izinto ezibangela ukulahlekelwa kwesisindo esinzima kunye nendlela onokuzilungisa ngayo ukuze ukwazi ukunciphisa umzimba kunye ne-hypothyroidism.
Yintoni Enokwenza Ukunciphisa Ubunzima Ubunzima Kwizigulane ZaseTroid?
Ziziphi izigulane ze-thyroid kufuneka zikwazi ukuba kukho izinto ezinhlanu ezinokukwenza kube nzima kunzima ukulahlekelwa isisindo:
- Ukwelashwa kwe-thyroid
- Isidingo seT3
- Utshintsho lwe "metethi"
- Utshintsho kwi-chemistry yengqondo ngenxa yokugula nokuxinezeleka
- I-insulin kunye ne-leptin ukumelana
Masifunde ngamnye kwaye sibone izicwangciso zokuzilungisa.
Ukunyanga okwenyango lwe-Thyroid
Kwiintlobo ezininzi eziqhelekileyo ze-endocrinologists, injongo yonyango lwe-hypothyroidism kukubuyisela kwi- hormone ye- thyroid eyenza i-hormone (TSH) kwinqanaba le-TSH. Ngelo xesha, uthathwa njenge-euthyroid, oko kuthetha ukuba umsebenzi wakho we-thyroid uqhelekileyo.
Ezinye iingxelo zibonisa, nangona kunjalo, ukuba amazinga e-TSH ekupheleni kwinqanaba lokubhekisa lidibaniswa nokunyuka kwesisindo, isicatshulwa esisisigxina somzimba (BMI), kunye namazinga aphezulu okukhuluphala. Ngaloo nto, abanye oogqirha bajolise ukugcina izinga le-TSH phakathi kwinqanaba le-reference range, okanye nakwezantsi, kwezinye izigulane.
Isidingo seT3
Ulwaphulo oluqhelekileyo lwe-hypothyroidism yi- levothyroxine , uhlobo oluthile lwe-hormone ye-T4. Ezinye izifundo, nangona kunjalo, zibonise ukuba ukungaphumeleli kwondlo, ukukhubazeka kwemfuyo, kunye nezinye izinto ezenza ukuba abantu banesidingo sokwanda kwe-thyroid hormone triiodothyronine (T3).
Ezi zifundo zibonise ukulahleka kobunzima kunye nokwanda kwe-metabolism kwizigulane ezingaphathwa nge-levothyroxine yodwa, kodwa nge- T4 / T3 yonyango- injenge-levothyroxine kunye ne-liothyronine (i-synthetic T3), okanye iyeza zendalo ezichongiweyo ezifana ne-Nature-thyroid kunye Izixhobo, ezibandakanya zombini i-T4 kunye ne-T3.
Utshintsho lweMetabolic "Setha i Point"
I-metabolism yakho isebenza ukukhusela kwindlala, uqinisekise amandla aneleyo, kwaye ikugcine kwindawo eyaziwa ngokuthi "i-set point" -obunzima obunzima, obunokushisa komzimba we-98.6-degree, umzimba wakho uzama ukugcina. Ekuqaleni, njengoko uqala ukuthabatha ezininzi iikhalori, okanye i-metabolism yakho iyancipha, uya kubona ukunyuka okuncinci kwindleko yesisindo. Xa usebenza ngokuqhelekileyo, i-metabolism yakho iya kukhawuleza ukutshitshisa inzuzo yesisindo esongezelelweyo, isondlo sakho sehla, kwaye ubukhulu bakho buyabuyela kwisimo sakho esivamile.
Ukuba i-metabolism yakho ihamba ngokukhawuleza-njengokuba ibonwe kwi-hypothyroidism-kwaye uthabatha ngaphezulu kweekhalori ngaphezu kokutshisa, umzimba uphinde umise entsha, isilinganisi esiphezulu somlinganiselo.
Thatha umzekelo wesifazane onama-5-foot-7-intshi olinganisa iipounds ezili-160 kwaye ugcine ubunzima bakhe kuma-2500 khalori ngosuku. Uba yi-hypothyroid kwaye ngaphezu kwexesha lonyaka okanye ezimbini ezizuzayo. Ngokomsebenzi, ngokusekelwe kumzimba wodwa, ngoku kufuneka afune ama-khalori angama-2800 ngosuku ukuze alondoloze ubunzima bakhe obungamakhilogremu angama-210. Ukuba wayigcina ikhalori yakhe engama-2500, ngaba uya kulahlekelwa iipounds ezingama-50? Ngokuqhelekileyo, kuba kungekhona nje ukuba i-hypothyroidism yakhe isinciphisa umonakalo wayo, kodwa njengoko ihlahla iikhalori kwaye isisindo sayo isantya sokunciphisa umzimba siyancipha. Ngoko unokulahlekelwa ubunzima, kodwa uya kuba neyona ndawo ephezulu, njengokuba edla inqanaba elifanayo leekhalori njengowesibini umfazi ongezantsi.
Lo mbandela we-metabolism yenye yezinto ezibangelwa imfihlelo yomntu obonakala ngokutya ngaphezu kwakho, akayi kusebenziseka ngaphezulu, kodwa ugcina ubunzima obuphantsi, okanye ngokuthe ngqo, umntu ongadli kangangoko nawe, kodwa akayidli okuninzi kwaye azuze ubunzima okanye akanako ukulahlekelwa isisindo.
Utshintsho kwi-Chemistry yobuBongo
Ukulamba, ukuxhamla, ukugcinwa kwamatye, kunye nokutshisa amafutha konke okubophelelwe ngentsholongwane kwi-chemistry yakho kunye nenani lamahomoni amakhulu kunye neurotransmitters. Kukho ii-neurotransmitters ezikhishwayo ukuba zibangele indlala kwaye zikhuthaze ukuba udle imithombo yamandla ngokukhawuleza njengama-carbohydrates alula. Ezinye i-neurotransmitters zixelela ukuba unelungelo lokutya kwaye unelisekile. IiHormone zihambisa i-glucose egazini lakho ukuba igcinwe kwiiseli ezinamafutha, okanye ufundise umzimba ukuba ukhulule i-glucose egcinwe amandla.
Le nkqubo enzima ingathinteka ngokuthe ngxaki kwizinto ezininzi ezibonakalayo kwi-hypothyroidism:
- Isifo se-Thyroid sinokunciphisa umonakalo . Ukuba isondlo sakho asiyeki ukufana nomlinganiselo we-metabolism esezantsi, oko ubuchopho bakho bubona njengelungelo elifanelekileyo lokutya lokuzanelisa ukulamba kwakho lunokuba lukhulu kunokuba lube ne-metabolism kwaye lunobangela wokunyusa umzimba.
- Isifo se-Thyroid kunye nokuzimela komzimba zixinzelelo ezingapheliyo zomzimba. Ukongeza kulolo xinzelelo lobomi, uxinzelelo lwengqondo njengobuthongo obaneleyo okanye ukusilela kokutya, kunye nemiphumo yomzimba-kuquka ukunyuka kwamazinga e-cortisol kunye namazinga asezantsi ase-serotonin-avela,. Ukwandisa i-cortisol kunokukwenza ukhathele ngakumbi, kwaye usebenze ngakumbi kwi-fat storage, kwaye i-serotonin ephantsi inganciphisa umqondo wakho wokuphila kakuhle kunye nokukhupha iinqwelo ze-carbohydrates nokutya ngokutya.
Ukunyuswa kwe-insulin kunye neLeptin
I-insulin yi-hormone ekhutshwe yi-pancreas yakho. Xa udla ukutya okunama-carbohydrates, umzimba wakho uguqula i-carbohydrate ibe ushukela olula. Ezi ushukela zingena egazini, zibe yi-glucose, okanye ushukela wegazi. I-pancreas yakho ikhupha i-insulin ukuze ivuselele iiseli ukuba ilandele i-glucose kwaye igcine njengendawo yokugcina amandla, ibuyise ishukela legazi kwizinga eliqhelekileyo.
Kuqikelelwa ukuba i-25 ekhulwini yabemi (kwaye ezinye iingcali ziqikelela ukuba oku kuphakamileyo kakhulu kubantu abane-hypothyroidism) ukutya "umlinganiselo oqhelekileyo" we-carbohydrates kuvusa ishukela legazi kumazinga amaninzi. Ipesenti enkulu yabemi nayo idla ukutya okuphezulu kakhulu kwi-carbohydrate. Kwiimeko zombini, i-pancreas ikwandisa ukukhutshwa kwe-insulin ukuqhuba ishukela yegazi. Ngexesha, nangona kunjalo, iiseli ziyakwazi ukuziphendulela ngaphantsi kwe-insulin, kunye nokunye kufuneka kuveliswe ukuze kugcinwe iqondo eliqhelekileyo leshukela legazi.
Abaphandi baye babonisa ukudibanisa phakathi kokumelana ne-leptin-i-hormone ekunceda ukulawula ukugcinwa kweoli kunye ne-fat burning-android disease.
Kokubili ukuxhathisa i-insulin kunye nokuxhathisa kwe-leptin kunemiphumo emibi:
- Ziyakwenza ulambile, ngokukodwa ukutya okutyebile nge-carbohydrate
- Basenokunciphisa inani leswekile umzimba wakho uvutha njengamandla, okanye ukuthintela umzimba wakho ukuba ukhulule ngokufanelekileyo kwaye usebenzise amanqatha agcinwe
- Zingenza iiseli zakho zibe bhetele ngakumbi ekugcineni amafutha, kwaye ngakumbi kunokuba ususe amafutha.
- Banokunyusa umngcipheko wokuphuhlisa isifo sikashukela se-2.
- Zingenza uzuze ubunzima, okanye ukunciphisa ubunzima obunzima
Ukungabikho koMbutho
Ukukhathala, amandla amancinci, kunye neentlungu zomzimba ze-hypothyroidism kunokubangela umsebenzi ongaphantsi kunye nokuzivocavoca. Oku kunciphisa umthamo wakho wokunciphisa umzimba, kunciphisa umsila obutyebileyo, kwaye kunciphise inani leekhalori ongadla ngaphandle kokufumana ubunzima. Ezi zinto ziqhuba ukuhamba rhoqo kunye / okanye ukuzivocavoca kubalulekile kwimpilo yakho nentlalo njengoko uthatha imithi yakho ye-thyroid yemihla ngemihla.
I-Contest Evil
Ingxaki yokufumana ubunzima-okanye ubunzima bokulahlekelwa isisindo-kwi-hypothyroidism inengxabano. Uninzi lweengcali zonyango zikholelwa ukuba akukho ulwalamano oluchanekileyo phakathi komsebenzi we-thyroid kunye nokukhuluphala. Ngexesha elifanayo, uphando oluthile lophando lufumene ukuba ukusebenzisana phakathi kwe-hormone ye-thyroid, izicubu ezinamafutha, ezinye i-hormone kunye nobuchopho zibaluleke kakhulu ekulawuleni umzimba nokugcinwa kwe-metabolism namandla
Ucwaningo luye lwabonisa ukuba, ngokuqhelekileyo, ukunyaniseka kunciphisa ukulandela unyango lwe-hypothyroidism kwaye i-thyroid ekhuthaza ama-hormone (TSH) amaninzi aphezulu kubantu abakhulu kakhulu okanye baninzi, xa kuthelekiswa noluntu oluqhelekileyo. Uphando kwi-quality ye-patient's quality-of-life ebonisa ukufumana ubunzima okanye ukungakwazi ukunciphisa ubunzima njengento ebalulekileyo malunga nabantu abane-hypothyroidism.
Kukho, nangona kunjalo, ubungqina obucacileyo obunxulumene nezifo ezizimelayo-ngokukodwa iHashimoto thyroiditis, imbangela ye-hypothyroidism e-US-ngokufumana ubunzima kunye nokukhuluphala. Olunye uphando luye lwabonisa ukuba kwabanye abantu, ukuzimela komzimba kubangela ukunganyangeki kwe-leptin, okuba ngumnikelo omkhulu kwiqondo lokusetyenzwa kwee-metabolic, kunye nokungakwazi ukunciphisa umzimba.
ILizwi elivela: Kukho iziSombululo
Musa ukuyeka ithemba. Unokuphumelela ukuphucula ubunzima kunye ne-hypothyroidism ngokunikela ingqalelo ekusombululeni imiba ephambili esichaze yona. Ngokukodwa:
- Ukuphucula amayeza akho . Ukuba izinga lakho le-TSH liwela esiphelweni esiphakamileyo sebala lesibheno, xubusha nodokotela wakho ukuba ukwandiswa kwamanani kunye nezinga eliphantsi elijoliswe kwi-TSH lingaba luhle kuwe.
- Yongeza T3 xa kuyimfuneko . Yenza ii-T3 zakho zamahhala zihlolwe, kwaye ukuba i-T3 yakho ekhululekile ayikho kwisiqingatha esiphezulu sebala lesithenjwa, xubusha nodokotela wakho nokuba u-T3 / T4 unyango oludibeneyo lungcono kakhulu kuwe.
- Nciphise i window yakho . Ukuxhatshazwa kweLeptin kudla ngokudibanisa nemikhwa efana nokunwa ngokukhawuleza okanye ukutya okuncinane kwimihla. Iingcaphephe zokunciphisa i-leptin zincoma ukutya ukutya ezimbini ukuya kwethathu ngosuku, kungabi nantoni phakathi kwe-snacks. Bakhuthaza ukuba bangadli emva kwe-8 ntambama baze bavumele ihora le-12 "ixesha lokuzila" ngobusuku ukuze bancede bavuselele umzimba ukuba bafumane i-leptin.
- Cinga ngohlobo lwesibini lweswekile . Kukho ubungqina bokuthi ukuthatha izidakamizwa zesifo sikashukela se-2 ezifana ne-metformin okanye iziyobisi ezichanekileyo ziyakwandisa uvakalelo lwakho kwi-insulin kwaye inokunceda ukunciphisa kokubili ukuxhathisa kwe-insulin kunye ne-leptin.
- Hambisa kwaye usebenzise! Kubalulekile ukunyakaza-ubuncinane imizuzu engama-30, amahlanu amahlanu ngeveki-kubalulekile, njengoko kunokukunceda ukuphakamisa imetabolism yakho, ukunciphisa isondlo sakho, amanqanaba e-glucose ephantsi, ukwanda kwe-insulin kunye ne-leptin ukumelana, ukwandisa amanqanaba akho e-serotonin, kwaye unciphise i-cortisol yakho. Qiniseka ukuba ungenzi ukunyaniseka okukhulu, ukuzivocavoca njengokuba okunene kunokunyamezela ngakumbi kwaye kuphakanyiswe amanqanaba e-cortisol.
Hlala u khuthazwa. Ukukunceda ukukhuthaza ukunyakaza kunye nomsebenzi, cinga ukusebenzisa umkhondo wendlela yokuguga (ezifana ne-FitBit) ukukunceda ubeke iinjongo kwaye uhlale ukhuthazwa. Unokulandelela ikhalori kunye nezondlo ngeenjongo ezifana ne-MyFitnessPal. Unokufuna nokuzama enye yeeprogram zeempilo ezifumanekayo kwiDVD, ividyo, kunye ne-smartphone zokusebenza. Esinye isithandwa somdlavuza we-thyroid nguT-Tapp, inkqubo elula yokusebenza kunye nokusebenza ngendlela efanelekileyo yokuhlanganisa imithi edibanisa i-aerobic and muscle-building routines ngokukhawuleza, ukulandelelana okufutshane.
Fumana inkxaso. Kulula kakhulu ukuhlala kwindlela kunye nokunika inkxaso kunye nenkxaso yabanye abasendleleni efanayo. Ungakwazi ukujoyina iqela lokuxhasa i-thyroid elithile kubantu abathatha inxaxheba kwiinkqubo zokulahlekelwa kwesisindo, njengeqela leNkxaso yeDiary Diet Support. Okanye unokufuna ukucinga ngokubambisana nabanye abahlobo ukuba usebenze nomqeqeshi wakho okanye umqeqeshi wokulahleka kwesisindo, hamba uhambo oluqhelekileyo lokuhamba, okanye ujoyine i-gym.
> Imithombo:
> Garber, J, Cobin, R, Gharib, H, kunye. al. Izikhokelo zeZikliniki zoLwazi lwe-Hypothyroidism kubantu abadala: I-Cosponsored yi-American Association of Clinical Endocrinologists kunye ne-American Thyroid Association. I-Endocrine Practice. I-Vol 18 No. 6 uNovemba / Disemba 2012.
> Duntas LH, Biondi B. Ukudibanisa phakathi kokukhuluphala, umsebenzi we-thyroid kunye nokuzimela: inxaxheba enkulu ye-leptin. Thyroid. 2013 Juni; 23 (6): 646-53. i-doi: 10.1089 / yakho.2011.0499. Epub 2013 Apr 4.
> Pearce EN. I-hormone ye-thyroid kunye nokukhuluphala. I-Curr Opin Endocrinol I-Diabetes. 2012 Oct; 19 (5): 408-13. i-doi: 10.1097 / MED.0b013e328355cd6c.
> USantini F, et al. Iinkqubo kwi-endocrinology: i-crosstalk phakathi kwe-thyroid gland kunye ne-adipose tissue: ukuhlanganiswa kwesignali kwimpilo kunye nezifo. Eur J Endocrinol. 2014 Oct; 171 (4): R137-52. i-doi: 10.1530 / i-EJE-14-0067.
> Versini M. et. al. Ukugqithiseleka kwezifo ezizimele: kungekhona umgcini omeleyo. I-Autoimmun u-Rev. 2014 Sep; 13 (9): 981-1000. i-doi: 10.1016 / j.autrev.2014.07.001. Epub 2014 uAgasti 2.