Udliwano-ndlebe noKent Holtorf, MD
UKentor Holtorf, MD unomlando omdala wokusebenza nezigulane ezinokungalingani kwe-hormone - kuquka i-thyroid, i-adrenal, kunye ne-hormone yokuzala. Ugijimela i-Holtorf Medical Group eCalifornia, apho ekhethekileyo ekusebenzeni kakubi kwe-endocrine, kubandakanywa ne- hypothyroidism , ukungakwazi ukusebenza kwe-adrenal, kunye nokunyanzelwa kwe-insulin.
UDkt. Holtorf usebenze kunye nezigulane zakhe ezininzi - abaninzi babo abane-thyroid engasebenzi-abaye bakubona kunzima okanye banakwenzeka ukuba banciphise umzimba.
Oko akufumanisa kukuba nangona kukho izinto ezininzi ezibandakanyekayo ekungakwazi ukunciphisa ubunzima, phantse zonke izigulane ezigqithiseleyo nokugqithiseleyo aziphathayo ziye zabonakalisa ukuxilongwa kwamathambo kunye ne-endocrinological factors eziphambili kwiingxaki zemithwalo yezifo. Ngokukodwa, uDkt. Holtorf, ngokubhekiselele kwezinye zophando olutsha, wagxininisa ekuphononongeni ama-hormone awona mabini - i-leptin kunye no- T3 (rT3) - kunye nokunyanga naziphi na izitenxo ezichongiweyo zokunceda izigulane zakhe zinciphise ubunzima.
Ndiyakuvuyela ukuza kule ndlebe ndlebe noDkt. Kent Holtorf, ndixoxa ngeendlela zakhe zokunceda izigulane ze-thyroid zifezekise ukulahleka kwexesha elide .
UMary Shomon: Uthe uvakalelwa kukuba ii-hormone ezimbini ezibalulekileyo - i-leptin kunye ne-T3 - zidlala indima ephambili ekulawuleni ubunzima kunye nesifo semetabolism. Ngaba unokusixelela ngokukhawuleza nge-leptin, okokuqala, kunye nento enxulumene ngayo nemingeni yokulahlekelwa kwesisindo?
UKentor Holtorf, MD: I-hormone leptin ifumaneke ibe ngumlawuli oyintloko wobunzima bomzimba kunye nemetabolism. I-Leptin ifihliwe ngamaseli athile kunye namanqanaba okukhula kwe-leptin kunye nokuqokelela kwamafutha. Ukukhutshwa kwe-leptin okwandisiweyo eyenzeka ngokunyuka kwesisindo ngokuqhelekileyo kukutya-kubuyela kwi-hypothalamus njengombonakalo wokuthi kukho amandla aneleyo (i-fat).
Oku kukhuthaza umzimba ukuba uvutha amanqatha kunokuba uqhubeke nokugcina amaninzi amaninzi, kwaye uvuselele i-thyroid ekukhipha i-hormone (TRH) ukwandisa i-hormone ye-thyroid (TSH) kunye nomveliso we-thyroid.
Nangona kunjalo, izifundo zifumanisa ukuba uninzi lwabantu abangaphezu komzimba obunzima ukulahlekelwa isisindo banamaqondo ahlukeneyo okungaxhatshazwa kwe-leptin, apho i-leptin inamandla okunciphisa i-hypothalamus kwaye ilawula ukusetyenziswa kwe-metabolism. Ukuxhatshazwa kwe-leptin kuphumela kwi-hypothalamus ebonakalayo yindlala, ngoko ke iinkqubo ezininzi zisebenzisayo ukwenzela ukwandisa iintengiso zeenqatha, njengoko umzimba uzama ukuguqula imeko ebonakalayo yendlala.
Iinkqubo ezisebenzayo ziquka ukukhutshwa kweTSH, ukukhutshwa kweT4 kuya ku-T3 ukuguqulwa, ukwanda kwe-T3, ukunyuka kwesondlo, ukwanda kwe-insulin ukuxhathisa kunye nokuvinjelwa kwe-lipolysis.
Ezi ndlela zinokuthi zibe yingxenye ngenxa yokulawulwa phantsi kwe-leptin receptors ezenzeka ngokunyuka okude kwe-leptin.
Isiphumo? Emva kokuba ukhuluphele ixesha elide, kuba nzima kakhulu ukulahlekelwa isisindo.
UMary Shomon: Uthe uvakalelwa kukuba amanqanaba e-leptin angaphezulu kwe-10 angakufumana unyango.
Ngaba unokuchaza ngakumbi malunga namazinga e-leptin?
Kent Holtorf, MD: Uninzi lwabantu abangaphantsi komzimba okanye abaqhelekileyo abanesisindo baya kuba nama-leptin amanqanaba angaphantsi kwe-10, nangona amaninzi amakhulu eebrabhu aya kusebenzisa uluhlu lwesibalo 1 ukuya ku-9.5 kumadoda kunye no-4 ukuya kuma-25 kubafazi. (Kufuneka kukhunjulwe ukuba olu luhlu lubandakanya ama-95% abantu abathile abaqhelekileyo kwaye kuquka nabaninzi kakhulu.) Phantse zonke izigulane ezinobunzima obuphilileyo ziya kuba ne-leptin ngaphantsi kwe-10.
UMary Shomon: Unokuphikisa njani i-leptin ekusebenzeni kwakho?
UKottorf, MD: Unyango luya kugxila ekuphatheni i-leptin-leptin ukuxhathisa. Kodwa i-leptin ephakamileyo ibonisa, nangona kunjalo, ukuba i-TSH ingummakishi ongathembekiyo kumanqanaba e-thyroid , njengokuba i-TSH idla ngokuxhatshazwa, kunye ne-T4-to-T3.
Ngamafutshane, ukuba i-leptin yakho iphakanyisiwe, unciphise amazinga e-thyroid. Kwakhona, phantse bonke abantu abanesifo sikasifo sikasifo sikasifo sikasifo se-leptin, esiye saboniswa ukunciphisa ukuguqulelwa kwe-T4-to-T3 kwisifo sikashukela ngo-50% ngaphandle kokunyuka kwe-TSH, okwenza kube nzima kakhulu kwi-type II ye-diabetics ukunciphisa umzimba.
Ngenxa yokuba kukho ukuguqulwa kwe-T4-to-T3 ehlwempuzekileyo, i-T3 ekhutshwe ngexesha elifanelekileyo yonyango olufanelekileyo - nangona amayeza enxulumene ne-T4 / T3 enjenge-thyroid echanekileyo yemvelo (NDT) ingasetyenziswa.
Sihlolisisa ukuphumla kwe-metrolic rate (RMR) kwizigulane zethu, kwaye ngokuthakazelisayo, abo abanamazinga aphezulu e-leptin abonisa ukuxhathisa kwe-leptin abane-RMR ezihlala ziphantsi kwezona ziqhelekileyo. Ezi zigulane zivame ukutshisa ama-calorie ama-500 ukuya kuma-600 ngaphantsi komhla kunomntu olinganayo lomzimba.
Ngaloo ndlela, ukuba nethuba elifanelekileyo lokulahlekelwa ubunzima, ezi gulane zinokuzama nokunciphisa iikhalori ngama-calories angama-500 ukuya kuma-600 ngosuku (nje ukugcina ukungabi nesisindo), ukuzivocavoca ngeyure okanye ezimbini ngosuku (nje ukugcina ukufumana ubunzima ) okanye ukulungelelanisa i-thyroid kunye ne-metabolism.
Abantu ziyimpumelelo kakhulu ngenxa yokuba sinokugcina amandla (amanqatha) ngamandla. Kukho iindlela ezininzi zokufumana ubunzima kunye nokuxhatshazwa kwe-leptin yinto enye, ngoko ke sisebenzisa indlela ye-multisystem; akukho namnye umlingo, nangona naluphi na unyango lunokuthi lube nempembelelo emangalisayo kwisigulane esithile.
Ukongeza ukwandisa i-thyroid (khumbula, ukunika i-hormone ye-thyroid ukulahlekelwa isisindo akufanelekanga, kodwa akusiyo into esiyenzayo, apha sikulungisa ukungabikho), iSylin (pramlintide) kunye / okanye i-Byetta (exenatide) inokusebenza kakuhle baninzi. I-Chorionic Gonadrotropin (HCG) yinto enye enokuthi isebenze kwabanye. Nangona ndifumene ukuba i-Wellbutin yokuxhatshazwayo (ubpropion) ayisebenzi kakuhle ekulahlekeni kwesisindo, inhlanganisela ye-Wellbutrin kunye ne-do-ne-naltrexone ephantsi (LDN) inezinye iziphumo ezintle. I-Topamax (i-topiramate) iyinketho kwabanye kodwa ayisoloko ibekezelela. Ukunciphisa ukutya okusemgangathweni, okukhuthaza ukusetyenziswa kwe-metabolism, kunokusetyenziswa, ngakumbi xa i-RMR iphantsi.
UMary Shomon: USimlin kunye ne-Byetta badinga amanxeba amaninzi ngosuku, oku kunokubangela ukuba abantu bangabakhuthazi ukuba bathabathe. Iziyobisi zingenemiphumo emibi yezigulane ezithile-kuquka ukuncwina, ukuhlanza nokukhathala. Zingaphi izigulane zakho zifumene le michiza kunzima ukuqhubeka ithatha? Ingaba unakho naziphi na iingcebiso eziye zancedisa izigulane zijongene nale myeza?
UKom Holtorf, MD: Ukuthatha iincwadana ezinqamlekileyo zitshintshana ngamaxesha amaninzi ngemini kunokuba yingxaki, kodwa xa izigulane zinemiphumo emihle kubaluleke kakhulu. Amacandelo ambalwa: Okokuqala, abanye abantu banenkxalabo yokuba amayeza afuna ifriji, kodwa ngokuqhelekileyo ayimfuneko, njengoko la mayeza azinzileyo kwiqondo eliqhelekileyo lokushisa kwemini. Ngoko akusiyo ingxaki ukuyigcina kwisikhwama sakho okanye kwideskiti yedeski.
Isiphumo esisisigxina esikhulu sisisongela, esenzeka kwi-25% yezigulane. Uninzi lwexesha ludla kwaye linciphisa ngokusetyenziswa okuqhubekayo, kodwa izigulana ezimbalwa aziyi kukwazi ukuzinyamezela. Nge-Byetta, ndincoma ukuqala nge-injection 5 mcg ngaphambi kokutya. Ezinye izigulane ziqala ngesigwebo sokudubula iintsuku ezimbalwa zokuqala (kuphela ukuphosa i-plunger isigxina). Ukuxhalabisa kwabanye abantu kungabangelwa ukuveliswa kwe-acid yesisu, ngoko i-Zantac (ranitidine) okanye iprotonsec inhibitor yezilwanyana - njenge Prilosec (omeprazole), Premecid (lansoprazole), okanye i-Nexium (esomeprazole) umzekelo - luncedo. Kukho ukukhutshwa kwangoko-ngeveki kwinkqubo yokuvunywa kwe-FDA, eboniswe ukuba ineziphumo ezicuthayo ezincinci kunye nokunyuka okulula.
UMary Shomon: Ukhankanyile ukuba kwezinye izigulane, unako ukuthatha i-injection ye-10 mcg ye-Byetta kathathu imihla ngemihla, kunye nokutya. Iyiphi inqanaba lokunyanga elifanelekileyo leSylin?
UKom Holtorf, MD: I- nausea ayifumananga kakhulu yempembelelo yecandelo leSylin, xa kuthelekiswa ne-Byetta, ngoko ikhethekileyo kwezinye izigulane. I-Symlin, i-dose eyiyo eyi-120 mcg, kathathu ngamaxesha. Bobabini i-Byetta kunye ne-Symlin baneengxaki eziphantsi kakhulu ze-hypoglycemia ngaphandle kokuba u-insulini okanye kwiyeza ze-sulfonylurea zesifo sikashukela .
UMary Shomon: Uvakalelwa kukuba ukubuyela kwi-T3 yinkinga. Ngaba ungasitshela kancinci malunga nokujika kweT3?
I-Kent Holtorf, MD: I- T4 inokuguqulwa ibe yi-T3, i-hormone esebenzayo enefuthe elixilisayo, okanye ukuguqula i-T3, eyona ifomu engasebenziyo ye-T3, kwaye ikhusela imiphumo ye-T3. Oogqirha - kuquka i- endocrinologists - bafundiswa ukuba baphinde baphinde bahlasele i-T3 nje kuphela, kodwa uphando lubonisa ukuba lunempembelelo enamandla ye-antithyroid. Enyanisweni, kuye kwaboniswa ukuba i-inhibitor enamandla kakhulu yempembelelo ye-thyroid kuneTTU, iyeza elisebenzisa i-hyperthyroidism. Ukutshintsha i-T3 ngokungafaniyo kuyahambelana namazinga e-T3 ye-intracellular, ngoko ke umakishi we-tissue hypothyroidism, kunye namazinga aphezulu (okanye amanqanaba aphantsi e-Free T3 / RT3) ebonisa ukungabikho okukhulu.
UMary Shomon: Kutheni uziva uguqula i-T3 idlala indima ekwenzeni kunzima izigulane ezithile ze-thyroid ukuba zinciphise umzimba?
UKentor Holtorf, MD: Ukutshintsha kweT3 kuveliswa ngexesha loxinzelelo okanye kwindlala ekunciphiseni imetabolism, kunye nokukhathazeka okungapheliyo okanye ukutya, i-RT3 inokuhlala iphakanyisiwe, igxininisa isisu se-thyroid kunye nesetabolism. Abantu abanokutya okungasigxina - okanye abo balahlekelwa yimilinganiselo ebalulekileyo yesisindo - baya kuba ne-metabolism ephantsi kunomntu onesisindo esifanayo kunye nobunzima be-muscle abangazange balahlekelwe bunzima obukhulu okanye badla ngokudlulileyo kwixesha elidlulileyo. Oku kuboniswe kwisifundo seLeibel eshicilelwe kwiphepha leMetabolism , elibizwa ngokuthi "Ukunciphisa amandla okweMandla kwiNtsholongwane eNgciphekileyo." Olu phofu lucatsanisa umlinganiselo we-basal uqobo lwabantu abaye balahlekelwa ubunzima obunzima kulabo bobunzima obufanayo abangazange balahlekelwa ubunzima obunzima kwixesha elidlulileyo. Ababhali bafumene ukuba abo babesidla kunye nokulahlekelwa ubunzima kwixesha elidlulileyo, ngokuqhelekileyo, i-25% ye-metabolism ephantsi kunezigulane zokulawula ezingakhange zilahlekelwe ubunzima obukhulu.
Bonke abo qeqeshi kunye nempilo yeengxaki engazange ibe neengxaki zesisindo esitshoyo ukuba zenze njengokuba zenzayo aziqapheli ukuba yiyiphi inzuzo kubantu abanobunzima bexesha elide. Ewe, ngaba aba qeqeshi abanakukwazi ukugcina ubunzima babo nge-metabolism engama-20 ukuya kuma-40% ngaphantsi kwesiqhelo.
Sivavanya umlinganiselo wokuhlaziya umzimba kwizigulane zethu ze-thyroid kwaye ufumanisa ukuba uhambelana ngokuthe ngqo kwi-T3. Ephakamileyo i-T3 ephezulu, i-lower down metabolism, baninzi abantu abanomlinganiselo wesistim e-20 ukuya kuma-40% ngaphantsi kunokuba kulindeleke ukuba i-index ye-mass mass (BMI). Akukho mntu ukholelwa ukuba bancinane kangakanani, kwaye zenziwa zive ngathi ziyimpumelelo - nangona yenza konke okulungileyo. Kuze kubekho ukungaqhelekanga kwazo, ukutya kunye nokuzilolonga ngokuqinisekileyo kuyahluleka ukufezekisa impumelelo yesikhathi eside.
UMary Shomon: Ucinga ngantoni na ukuba uphendule kakhulu iT3 kakhulu kwaye ufuna unyango?
UKom Holtorf, MD: Njengawo onke into emachiza kukuqhubeka, kodwa abantu abaneempilo bahlala phantsi kwe-250 pg / ml kwaye kufuneka babe ne-T3 / reverse ratio ye-T3 ephezulu kune-1.8 ukuba i-T3 ikhululekile i-ng / dl okanye i-0.018 ukuba ikhululekile I-T3 i-pg / ml.
UMary Shomon: Unjani ukuphatha amanqanaba e-T3 aphezulu?
UKentor Holtorf, MD: Iphakamileyo ye-T3, i-T4 engaphelelanga kuphela iya kulungiselelwa. Ukuhlanganiswa kwe-T4 / T3 kubaluleke kakhulu kunamalungiselelo e-T4 kuphela, njenge- Levoxyl kunye ne-Synthroid , kodwa kumazinga aphezulu athatyathwe ngokukhawuleza akhululwe T3 aphezulu.
UMary Shomon: Ziziphi iinguqu zokutya kunye neendlela zokuphila ozicebisayo kunye nale ndlela yokwelapha?
UKenthel Holtorf, MD: Uninzi lwezigulane eziza zingena kwiintlobo ezininzi zokutya kunye nezinguquko zendlela yokuphila kwaye ngokubanzi ziyazi kakuhle kuloo ndawo. Izidlo ze-carbohydrate ezantsi ziyakunciphisa umsebenzi we-thyroid kwaye ukhuphuke umlinganiselo we-T3 ngaphezu kokunciphisa ikhalori kunye ne-carbohydrate eyaneleyo, ngoko xa ukutya okuncinane kwe-carbohydrates kungabangela ukulahleka kobunzima bokuqala, izigulane ziyakwazi ukuphinda zibukhali ngaphandle kokuba i-T3 iphendulwe.
UMary Shomon: Ngaba unokusinika ingqondo yokulahlekelwa kwesisindo esinezigulane ze- thyroid , emva kokuvavanya, ukubonisa ukuchaswa kwe-leptin, kunye nokuphakama okuphezulu kweT3, kwaye uqale unyango lwakho kule miqathango?
UKentor Holtorf, MD: Sizama ukuphanda kwaye siphathe ezininzi iintsholongwane kunye neemeko ezinokuzenzekelayo. Siphumelele ngoluhlu olubanzi lwabantu ngabanye, kulabo bafuna ukulahlekelwa iipounds ezimbalwa kulabo abangaphezu kwekhulu okanye ngaphezulu. Eyona nto iyanelisayo ngabantu abalahlekelwa ngu-50 ukuya ku-100 iipounds okanye ngaphezulu. Utshintsha ngokupheleleyo ubomi bawo.
Siphinde sibone izigulane ezininzi ezingenayo emva kwesisu se-gastric-those who did not lose weight or have gained weight or all their weight. Uninzi lunamazinga e-thyroid ezincinci kunye nokuxhathisa okukhulu kwe-leptin. Zingakwazi nokuba ne-hormonal growth growth.
Sinomntu oyedwa owayesidla iikhalori ezili-800 ngosuku emva kokuba enesisindo sokugcoba kwaye wayesenayo isisindo. Akukho mntu wayekholelwa ukuba yonke into ayidla kwaze kwaba yilapho bamfaka esibhedlele baze bahlolisise ukutya kwakhe. Bamgxininisa i-thyroid, njengoko wayeneTSH ejwayelekile , i-T4 ne-T3. Xa sasihlolisise ukubuyela kwakhe kwi-T3, nangona kunjalo, kwaye yayingaphezu kwama-800 kwaye i-leptin yakhe yayingama-75. Sihlolisise umlinganiselo we-metabolic kwaye yayingu-45% ngaphantsi kwesiqhelo. Ukutya okukuphela kwodwa kwakuya kusebenza kunye nesigulane.
Kwakhona, ii-toxins ezifana ne-biphenyl-A inokubamba i-receptor i-receptors yonke indawo emzimbeni ngaphandle kwe-pituitary, eneentlobo ezahlukeneyo zokufumana. Ngoko ngenxa yobume obunobuninzi bee-toxins, ndikholelwa ukuba wonke umntu unobungozi obunokwenziwa kwe-thyroid engafunyanwa yi-TSH. Abantu basola ukungenisa ukutya kunye nokungabikho kokuzivocavoca kwiingxaki zokukhuluphala kweli lizwe, kodwa ndicinga ukuba ingxaki enkulu yi-toxic-disrupting toxins, kunye noxinzelelo.
Ukongeza, ukutya ukutya kuboniswa ukuba kunganciphisi kuphela ukuguqulwa kwe-T4-to-T3 kunye nokwanda kwe-T3, kodwa kwakhona kuboniswe ukunciphisa inani le-receptors ye-peripheral - kodwa kwakhona, kungekhona kwi-pituitary - ngoko ke inani elifanayo i-thyroid inefuthe elincinci, kodwa i-TSH ayitshintshi. Oku kubonisa ukubaluleka kokuhlolwa kweetekisi kunye nokujoliswe ekujoliseni kokusebenza kwe-thyroid kwi-individual. Kwakhona, abafazi banemitholampilo encinci ye-thyroid kunamadoda, okwenza ukuba bavelele ngakumbi kwiincinci ze-serum ze-hormone ze-thyroid.
UMary Shomon: Ngaba uhlola ukukhawuleza kwe-glucose kunye namazinga e-insulin, kunye / okanye ukwenza iimvavanyo zokunyamezela i-glucose nezigulane zakho ezigqithiseleyo kwaye zinzima ukulahlekelwa ubunzima?
UKom Holtorf, MD: Sizila ukudla i-glucose kunye nokuzila ukudla kwe-insulini, kunye ne-Hemaglobin A1C (HA1C) iimvavanyo, ukujonga ukuxhatshazwa kwe-insulin , kungekhona nje ukujonga "eziqhelekileyo." Olunye ibhare ebalulekileyo ukufumana i-hormone yesondo ebopha i-globulin (SHBG). Ikhuthazwa esibindi ekuphenduleni i-hormone ye-thyroid kunye ne-estrogen, ngoko kuya kuba luncedo kumgangatho we-tisiti we-thyroid.
Kumfazi wesandulela, inqanaba limele libe ngaphezu kwe-70. Ukuba akunjalo, kubonisa ukuba kukho amazinga aphantsi e-thyroid. Oku kuyinyani ngokukodwa ukuba loo ntokazi isetyenziselwa ukutshintsha i-thyroid, kuba - ngenxa yokudlula kokuqala kwe-metabolism-isibindi sakhe siya kuba namazinga aphezulu e-thyroid kunezinye izicubu. Ngaloo ndlela, ukuba i-SHBG iphantsi, lonke umzimba liphantsi kwe-thyroid.
(Qaphela: Lo vavanyo aluncedo ukuba ibhinqa lisetyenziselwa ukutshintshwa kwe-estrogen ngomlomo, kuba oko kuya kuphakamisa i-SHBG ngokukhawuleza ngenxa yezinga eliphezulu le-estrogen kwisibindi. Uvavanyo luchanekileyo kubasetyhini abasebenzisa amalungiselelo e-transdermal estrogen, nangona kunjalo.)
Isifo sikashukela nesifo se-ovary syndrome (PCOS) sinqanda i-SHBG, ngenxa yamanqanaba angama-T3 angasondelanga kule miqathango. Kwakhona, ukuba uhlola i-SHBG ngaphambi kokuhamba endaweni ye -roid kwaye ubone utshintsho oluncinane ngonyango, lubonisa ukuba unobunzima be-thyroid. Ufuna kwakhona ukujonga oku kulandelayo:
- ukukhula okufana nokukhula kwe-insulin 1 (IGF-1)
- ukukhula okufana nokukhula kwe-insulini ebopha iprotheni 3 (IGFBP3)
- dehydroepiandrosterone (DHEA)
- testosterone
- i-hormone ye-luteini (LH)
- i-follicle stimulating hormone (FSH)
- iodine iodine
- cortisol
- hormone ye-adrenocorticotropic (ACTH)
- Iprotheyini esebenzayo e-C (CRP) - ukuvuvukala kunciphisa i-TSH kwaye kwandisa i-rT3
- homocysteine - umakishi wee-vitamin eziphantsi ze-thyroid nezezantsi
- i-lipids - i- cholesterol ephakamileyo imakishi ye-thyroid ephantsi kunye ne-triglycerides ephakamileyo ngummakishi we-insulin ukumelana
- isinyithi kunye ne ferritin - ferritin kuyadingeka ukuba kusebenze i-thyroid, ezininzi iimpawu abantu abazenzayo ekudiseni i-anemia ene-ferritin ephantsi ngokwenene ngenxa ye-tissue ye-thyroid activation
- i-vitamin D - kufuneka ibe ngaphezu kwama-80
- i-thyroid i-peroxidase antibodies (TPO) kunye ne-antithyroglobulin antibodies - isifundo esithakazelisayo senza i- thyroid i-biopsies kubantu abadiniweyo kwaye bafumanisa ukuba, nangona bengenabo ubungqina be-TPO okanye i-antithyroglobulin antibodies, abaninzi babenokuvutha kwesifo se-thyroid kwaye baphendule ngokuphawulekayo kwi-thyroid endaweni yawo amanqanaba ayekwehlu oluqhelekileyo
- inqanaba le-serotonin - ngokuqhelekileyo inqanaba le-serotonin eliphantsi okanye eliphantsi eliphantsi kwe-thyroid ngenxa yokuveliswa kwe-serotonin nge-low -roid ne-anti-depressants ayiyi kusebenza xa amazinga e-T3 axhomekeke
Izigulane ezidandathekileyo ziza kuba ne-TSH ephantsi kunye ne-T4 ephezulu, ephezulu okanye ephezulu ehamba phambili T3 kunye ne-T3 ephantsi. Oogqirha abaninzi baya kuhlola i-TSH kunye ne-T4 kwaye bagxininise ukuba isigulane sisifo esiphezulu se-thyroid (esekelwe kwi-TSH esiphantsi kunye nokuphela kwe-T4) kodwa ngokwenene banamazinga e-T3 aphantsi kakhulu (njengoko kuboniswe ngama-T3 aphantsi) . Ezi gulane zihlala ziphendula kakuhle kwi-T3. Ukunikezelwa kwemithi ye-serotonin yemvelo okanye ngomjovo kungaphinda kusebenze kakhulu kwizigulane ezichasayo (abo abangazange baphendule okanye baphendule kakubi kumachiza) ngaphandle kweempembelelo eziqhelekileyo ezichasayo.
UMary Shomon: Ukuba umntu uphakamise ushukela wegazi olubonisa ukunyamezela kwe-insulin - kodwa ingagqirha isifo sikashukela - ngaba uzibeka kwi-Glucophage (metformin) thintelo?
UKom Holtorf, MD: Ewe, akunakuqonda ukulinda de umntu onesifo sikashukela asebenzise i-metformin okanye ezinye iindlela zokungenelela. Sisebenzisa kwakhona izongezelelo, intandokazi yethu yiGlucoSX. Ngoxa i-metformin yayisisiseko sokukhushulwa kwe-insulin, ngokuqhelekileyo siye sagqitha i-metformin kwaye saqhubeka senze i-Byetta kunye neSylin, ngenxa yokukhululeka kokulahleka kwesisindo.
UMary Shomon: Izigulane ezininzi ze-thyroid ziye zandibuza nge-HCG (i-chorionic gonadotropin) yonyango yokulahleka kwesisindo, kuquka i-injection injections kunye ne-sublinguals, kunye neefom ye-HCG. Ndiye ndadibana nabaninzi bebhinqa ababengama-hypothyroid, balinganiselwa kuma-lbs 200, kwaye bahamba kwiinkqubo ze-HCG, baza balahlekelwa ngamapounds angama-25 okanye ngaphezulu kwikhosi ye-HCG ye-40 ngosuku. Ndiyazi oogqirha abaninzi abaqala ukuwusebenzisa. Ziziphi iingcamango zakho malunga nale ndlela yokukhethwa komzimba?
Sifumene i-HCG isebenza kubasetyhini abaninzi. Sifumene i-injection ye-HCG injini ukuba isebenze ngakumbi kune-HCG okanye i-HCG. Kwakhona, kuba kufuneka unike i-dose ephakamileyo kakhulu kunye ne-transdermally-ngenxa yokunciphisa ukunciphisa - kungabizi kakhulu ukuyenza njengento encinci ye-injection.
UKentor Holtorf, MD ngumsekeli we-Holtorf Medical Group eCalifornia.
> Imithombo:
> Holtorf, MD, Kent. Udliwano-ndlebe noMary Shomon. Oktobha 2009.
> Leibel RL, uHirsch J. "Izidingo zamandla ezincinci kwizigulane ezancinciweyo." Metabolism. 1984 Feb; 33 (2): 164-70. I-intanethi.