Njengengxenye yenkqubo ye-endocrine, i-thyroid yakho inendima ebalulekileyo ekuncedeni ukulawula nokugcina ubungakanani kwizinga lakho legazi le-glucose. Kukho ubungqina bekhonkco phakathi kwamanqanaba e-thyroid nomngcipheko wesifo sikashukela. Abaphandi baseKorea benze uvavanyo olunzulu lokuhlola isantya sohlobo lwesifo sikashukela ngokubhekiselele kumanqanaba athile avuselela i-hormone (TSH) kunye neenguqu kwi-TSH, i-thyroxine yamahhala (i-T4 yamahhala) kunye ne-triiodothyronine yamahhala (i-Free T3 ).
Ukuqhawula phantsi iSicwangciso soPhando
Siyazi ukuba ngaphezulu i-hypothyroidism (amanqanaba e-TSH ngaphezulu kwe-10), kwakunye ne-subclinical hypothyroidism, idibene ne-hyperglycemia (isishukela segazi ephakamileyo) kunye nokunyuswa kwe-insulin.
Abaphandi bavavanya abantu abangaphezu kwama-6 200 abaqhelekileyo ababizwa ngokuba yi "euthyroid" -e -roid function, ngaphezu kweminyaka emithandathu. Phakathi kweli qela, abantu abangama-229 bavelisa uhlobo lwesifo sikashukela. Uhlobo lwe-2 lwesifo sikashukela luye lwafunyanwa njengokutya kwe-glucose ngaphezu kwe-126 mg / dL kunye / okanye i-hemoglobin level ezingaphezulu kwama-6.5 ekhulwini.
Abaphandi bahlengahlengela i- hemoglobin A1C (ngamanye amaxesha abizwa ngokuba ngu-A1C), kunye nokutya kwe-glucose, kwaye bazimisele ukufumana okulandelayo:
Ezi zi gulane ezibonisa ukunyuka kwinqanaba labo leTSH, nangona kwinqanaba lokubhekiselele, zineengozi enkulu yokuphuhlisa isifo sikashukela se-2, xa kuthelekiswa nalabo abangenayo i-TSH.
Abathathi-nxaxheba bahlukana ngamaqela amabini, bahlulwe ngokwemibare yemingcipheko yemingcipheko ababeyenayo ekuqaleni kophando.
Izinto ezibangelwa umngcipheko ziquka:
- I-index mass mass (BMI) ngaphezulu kwe-25 kg / m 2
- Ukutya i-glucose ngaphezu kwe-100 mg / dL
- Amanqanaba A1C angaphezulu kwama-5.7 ekhulwini
Iqela 1 (iqela eliphantsi kweengozi) lilingekho ngaphantsi kwezinto ezimbini zobungozi, kwaye iqela eliphezulu lokubeka inengozi 2 linemibandela emibini yobungozi okanye ngaphezulu.
Abathathi-nxaxheba babekwahlukana ngokuthi "kuphuculwe," "ukuzinza," okanye "ukuhlaziywa" ngokusekelwe kwiinguqu kwiimeko zabo zobungozi.
Abo babengenako utshintsho kwimingcipheko behlelwe njengezinzile.
Oko Uphando Oluthole
Phakathi kwabasetyhini abafundayo abaye bahlakulela uhlobo lwesifo sikashukela, babe ne-TSH eyona nto iphezulu kakhulu, nangona kunjalo kusetyenziswa uluhlu lwesalathisi. Ngokomphandi, amadoda kunye nabasetyhini baneziphumo ezifanayo: Amanqanaba e-TSH anyuke ngaphezu kwexesha, kwicandelo lokubhekiselele kuyo, wandise umngcipheko we-2 wesifo sikashukela, ngelixa i-T3 ephezulu kunye ne-free fT4 yanciphisa umngcipheko wesi-2 wesifo sikashukela. Kuzo zonke iindidi, ukwanda kwezinga le-TSH, ngokuhla kwe-T3 kunye ne-T4 yamahhala, kudibaniswe nesiganeko sokwanda kwe-type 2 yeswekile.
Iziphumo zophando zibonisa ukuba utshintsho olwenziwa kwi-TSH kunye ne-hormone ye-thyroid ngaphambi kokuxilongwa kwe-type 2 yeswekile yinto ebangela umngcipheko wokuphuhlisa imeko. Iprogram yokunyuka ngokunyuka kwe-TSH, kunye nokunciphisa kwi-T3 kunye ne-T4 yamahhala, idibene nomngcipheko ophezulu we-type 2 yeswekile. Lo mngcipheko wawubonakala kubo bonke abantu kwaye abaxhomekeke kwisini kunye ne-autoimmune status.
Kuyathakazelisa, ngelixa utshintsho kwi-hormone ye-thyroid alukho bhetele kwizinto zokuziqhelanisa kunokuzila ukutya kwe-glucose okanye ukuhlolwa kwe-HbA1c, ukuhla kwe-T4 yamahhala kunye nokwandisa kwi-TSH babonwa njengengcipheko engcono ye-type 2 yesifo sikashukela kuneBMI okanye iinguqu kwi-BMI.
Ngokubanzi, uphando luye lwagqiba ukuba utshintsho olufihlakeleyo kwi-hormone ye-thyroid, eyadlulayo kwixesha elidlulileyo lingabonakali njengengozi yengozi, kubonakala ngathi yengozi eyongezelelweyo yesifo sikashukela se-2, nakubantu abanomdla "oqhelekileyo" we-thyroid kwaye akukho preexisting isifo se-thyroid okanye i-thyroid.
Indlela i-Glucose ne-Insulin Yisebenza ngayo
Kubalulekile ukuqonda indlela i-glucose kunye ne-insulin esebenza ngayo.
I-glucose-uhlobo lweswekile-linika amandla kwiiseli zakho. I-glucose ivela ekudleni kwakho nakusibindi sakho, esenza kwaye igcine i-glucose. Ngokuqhelekileyo, xa amanqanaba akho e-glucose ehla, isibindi sakho sithatha ifom egciniweyo ye-glucose-glycogen-kwaye iyayiphula ukuze iqhubeke nokuhambisa umgca we-glucose.
I-insulin yi-hormone eveliswa ngama-pancreas. I-pancreas-kunye ne-thyroid-inxalenye yenkqubo yakho ye-endocrine. I-insulin idonsa i-glucose ngaphandle kwegazi lakho kwaye inokunceda ukuba ihambe kwiiseli zakho ukunika amandla. Njengokuba ushukela wegazi lihla, kunjalo nenqanaba le-insulin yakho i-pancreas iyimfihlo.
Ukuba unesifo sikashukela se-2, njengoko i-glucose yakha kwigazi lakho, mhlawumbi i-pancreas ayikwazi ukukhulula i-insulin eyaneleyo, okanye iiseli zakho aziphenduli kwi-insulin, eyaziwa ngokuba yi-insulin. Ukuba awunayo imeko ye-thyroid, kodwa uye waba nemiphumo ephakamileyo yokuhlolwa kwe-TSH-nokuba ngaba i-range-reference you-you may want to have a review periodic of your risk of diabetes type 2.
Uhlobo lweSifo seSifo seSifo seSifo seSabetes kunye neMpawu
Ukongeza kwenyuka kwizinga le-TSH, ezinye izinto ezinobungozi zesifo sikashukela se-2 ziquka:
- Ukugqithisa
- Ipesenti ephezulu yamathambo esiswini
- Ukungabikho komsebenzi kunye nokuzivocavoca
- Imbali yomntu okanye yentsapho yohlobo lwe-2 lweswekile
- Ukuba ngumAfrika-waseMelika, waseSpain, waseMerika waseMerika, okanye waseAsia-American
- Ubudala: umngcipheko ukhuphuka emva kweminyaka engama-45
- Imbali ye-prediabetes (isishukela segazi ephakamileyo)
- Imbali yesifo sikashukela sesifo sikashukela
- Imbali ye-polycystic ovarian syndrome (i-PCOs)
Kufuneka ube nolwazi malunga neempawu kunye nezibonakaliso zokuqala ezinokuthi unokuphuhlisa uhlobo lwesifo sikashukela , esinokubandakanya:
- Ukomeleza ukoma
- Umlomo omile
- Ukuvuthwa rhoqo
- Ukwandisa indlala, ngakumbi emva kokutya
- Ukukhathala nokudinwa
- Ubungqina kunye nokubetha ezandleni zakho nasezinyaweni
- Ubuhlungu emathole akho
- Ukuphulukiswa okufutshane kweexeba kunye nokusika
- Umbono ongezantsi
- Ukutshatyalaliswa, ukudandatheka
- Ukulahleka kwesisindo okanye ukufumana ubunzima
- Emile, isikhumba esilula
- Iziganeko ezingakumbi zesisu zesisu
- Ukungasebenzi kwe-Erectile (ukungabi namandla)
Ukuchonga nokuPhatha i-Type 2 yeswekile
Ugqirha wakho unokwenza uvavanyo lokuhlola ixesha elifanelekileyo ukuvavanya uvavanyo lwesifo sikashukela se-2. Uvavanyo lubandakanya:
- Ukuzila ukutya kwegazi
- Uvavanyo lwe-glucose ukunyamezela
- Uvavanyo lwe-Hemoglobin A1c (HbA1c), olunika umlinganiselo wezinga leshukela legazi kwiinyanga eziliqela ezidlulileyo
Unyango lwe-type 2 lweswekile lujolise ekunciphiseni ushukela wegazi, ngokuqhelekileyo ngokudibanisa amachiza anceda ukuphucula ukuqonda komzimba kwi-insulin, kunye nokutshintsha kwezondlo, ukuzivocavoca, kunye nokuguquka kwendlela yokuphila enokukunceda ukunciphisa amanqanaba onke e-glucose kwigazi . Ukuba ufumene unyango, unokumangaliswa kwaye uyothuka. Sebenzisana nogqirha wakho ukuze ufumane amanani akho phantsi kolawulo kwaye ulunakekele impilo yakho.
> Umthombo:
> Ukuzonwabisa, J. Jee, H. et al. "Ukubambisana phakathi kweenguqu kwiiHormones zeTroid kunye noNyathelo loNyango lwesiThuga sesiSweyi: Isifundo soNyaka-esiBhozo sonyaka," i-Thyroid. NgoJanuwari 2017, 27 (1): 29-38. i-doi: 10.1089 / yakho.2016.0171.