Ucwaningo olwenziwa ngo-2017 lubonise ukuba ukuhlukahluka kwehomoni ye-thyroid kwisalathiso esiqhelekileyo kunokudibene nomngcipheko ophezulu we-syndrome. Ezi ziphumo zibalulekileyo kwimpilo yabantu abane-hypothyroidism.
Yintoni i-Syndrome yeMetabolic?
I-syndrome ye-Metabolic ibhekisela kwiqela leemeko okanye izinto ezinobungozi, xa zifunyaniswa ndawonye, zandisa ingozi yesifo senhliziyo, isifo sobungozi, kunye nohlobo lwe-2 lweswekile.
Kukho imimiselo emihlanu ebalulekileyo ekubhekiselele kwisifo se-metabolic syndrome. Ukuxilongwa kwesifo se-metabolic syndrome senziwa xa ubuncinane ubuncinane bezinto ezinobungozi bokuzibandakanya, ezibandakanya:
- Umqolo omkhulu. Inqanawa enkulu ikwabizwa ngokuba yindoda yokukhuluphala kwesisu. Ngokutsho kweZiko lezeMpilo leSizwe, oku kuchazwa njengendoda enqabileyo engama-intshi angu-89 (iisentimitha ezingama-89) yabasetyhini kunye nama-intshi angu-102 (amasentimitha angu-102) amadoda. Inqaba enkulu inyusela ingozi yesifo senhliziyo.
- Amanqanaba aphezulu e-triglyceride, okanye afuna unyango lwe-triglyceride ephezulu. I-Triglycerides yintlobo yamanqatha egazini lakho, kwaye zidla ngokulinganiswa kunye namazinga e-cholesterol yakho. Amanqanaba aqhelekileyo e-triglyceride angaphantsi kwama-150. Amanqanaba angama-150 ukuya ku-199 athatyathwa njengomda ophezulu, kwaye nantoni na ngaphezu kwe-200 ithathwa njengezinga eliphezulu. I-triglycerides ephakamileyo yandisa ingozi yesifo senhliziyo.
- Inqanaba le-HDL le-cholesterol eliphantsi, okanye lifuna imithi yokunciphisa i-cholesterol ye-HDL. I-HDL imele i-lipoprotein ephezulu, kwaye olu hlobo lwe-cholesterol luyaziwa ngokuba yi-"cholesterol" efanelekileyo kuba inceda ukucacisa ezinye iintlobo ze-cholesterol ngaphandle kwemibhobho yakho. I-cholesterol ye-HDL ephantsi yandisa ingozi yesifo senhliziyo.
- Umxinzelelo ophezulu wegazi, okanye ufuna imithi yokunciphisa uxinzelelo lwegazi. Uxinzelelo lwegazi lubonisa ukuba nzima kangakanani igazi lakho ngokubhekisele kwiindonga zakho zeetridi njengoko iqhutywe yintliziyo yakho. Ukunyuswa kwengcinezelo yegazi kunamanani amabini, umzekelo, 130/80 mmHg. Inombolo ephezulu ibizwa ngokuba ngumxinzelelo wegazi we-systolic kwaye ulinganisa uxinzelelo ophezulu xa intliziyo yakho ibetha. Umgangatho ophantsi ubizwa ngokuba yi-diastolic yexinzelelo lwegazi kwaye ulinganisa uxinzelelo oluphantsi phakathi kweentliziyo. Uxinzelelo lwegazi oluphezulu luchazwa njengezinga elingaphezu kwe 140/90 mmHg. Umxinzelelo ophezulu wegazi ukwandisa umngcipheko wesifo senhliziyo kunye nesifo.
- Ukutya okuphezulu okuphezulu (ishukela yegazi), okanye ufuna imithi yokunciphisa ushukela wegazi. Isetyhu ephezulu yegazi ichazwa njengaphezulu kwe-130 mg / dL (iiligidi nge-deciliter) 8 iiyure emva kokungadli okanye ukusela. Isetyhu ephezulu yegazi ikwandisa umngcipheko wesifo senhliziyo, kwaye ingaba yinto engaphambili yolu hlobo lwesifo sikashukela.
Enye yezinto eziphambili ze-metabolic syndrome yimeko eyaziwa ngokuba yi- insulin . Ngoxinzelelo lwe-insulin, umzimba wakho uba mncinci kwi-insulin. Umsebenzi we-insulin kukunceda ukuhambisa ishukela yegazi ngaphandle kwegazi kunye nakwiiseli zakho. Xa unqabile kwi-insulin, unokuhlakulela amanqanaba aphezulu ashukela aphezulu. Oku kungenza uzuze umzimba kwaye kukubeka engozini ephezulu yokuphuhlisa isifo sikashukela se-2.
Ezinye izinto ezichaphazelayo ekuphuhliseni i-syndrome ye-metabolic ziquka ukukhuluphala, ukungabikho kokuzivocavoca kunye nokusebenza ngokomzimba, ukwandisa ubudala, kunye nokuxinezeleka okungapheliyo.
Hypothyroidism kunye ne-Metabolic Syndrome
I-hormone ye-thyroid ibalulekile ukuba umzimba ube namandla okugubungela amafutha kunye ne-glucose, nokugcina uxinzelelo lwegazi olusempilweni. Xa u- hypothyroid kwaye ungenayo eyaneleyo yokujikeleza i-hormone ye-thyroid, le mi sebenzi inokukhubazeka. Isifundo, esapapashwa kwiphepha le-July 2017 kwiphepha leTyroid , livavanywe ngabantu abangaphezu kwe-2,000, ukulinganisa amazinga abo okuzila ukudla, i-insulin, i-thyroxine yamahhala (i-T4 yamahhala), kunye namazinga e-hormone (TSH) avuselela i-thyroid isifundo, kunye neengxelo ezintathu zokulandelelana kwiminyaka emithathu.
Ngokubanzi, isifundo sibheke idatha malunga neminyaka eyi-10.
Uphononongo lufumene ukuba kulabo bantu kwisifundo abangazange banzima, kwaye ngubani ophethe i-TSH kunye namazinga ekhululekile e-T4 kwinqanaba lereferensi, inqanaba le-T4 lamahhala lalisengumcebisi obalulekileyo we-syndrome ye-metabolic. Amanqanaba e-T4 aphantsi aphantsi-kwinqanaba lokubhekiselele-lalinxulumene nobungozi obunzulu bokukhula kwesifo se-metabolic syndrome. Ezi ziphumo zazizimeleyo kwixesha elide, ngesondo, okanye ukuxhathisa kwe-insulin ekhoyo ngaphambili.
Ezinye iziphumo ezibalulekileyo:
- Amanqanaba e-T4 aphantsi aphantsi kwinqanaba lokubhekiselela laye lahlanganiswa kunye nenani lokunyuka komzimba (BMI).
- Amanqanaba e-T4 aphantsi aphantsi kwerhafu yokubhekiselele ayexhamene nobungozi obandayo bezinga le-triglyceride.
- Amanqanaba e-T4 aphantsi aphantsi kwerhafu yokubhekiselele ayexhatyiswe ingozi yokunyuka kwengcinezelo yegazi.
- Amanqanaba e-T4 aphantsi aphantsi kwerhafu yokubhekiselele ayexhamene nobungozi obuninzi bokukhuluphala kwesisu.
Abaphandi baphetha ukuba amazinga e-T4 akhululekileyo ekupheleni kwebala lokubhekiselelana nawo adibene nomngcipheko ophezulu we-syndrome. Bacetyisa ukuba "ukufunyanwa kwamanqanaba angama-T4 aphantsi aqhelekileyo kungabonisa izifundo ezingekho phantsi kwempilo kunye neziganeko zobungozi ezidibeneyo ezinokuzuza kwi-screening yokuqala kunye nokungenelela kwonyango."
Abaphandi bancoma ukuba kwenziwe uphando oluthe gqolo ukuba kuqinisekiswe ukuba ukugcina ii-T4 zamaziko ekhululekile ekupheleni kwendawo yokubhekisa kunokukunceda ukunciphisa ukunyanzeliswa kwe-insulin nokunciphisa umngcipheko wokuphuhlisa isifo se-metabolic kubantu abangenalo imeko ye -roid.
ILizwi
Ukuba unamazinga aphantsi aphantsi kwama-T4, unokufuna ukuthetha nodokotela wakho malunga nokwandisa umlinganiselo wakho weyeza le-hormone ye-thyroid ukuze uphucule unyango lwakho lwe-thyroid kwaye unciphise umngcipheko wokuba neengxaki ezifana nesifo se-metabolic syndrome.
Ukuba usemngciphekweni wesifo se-metabolic okanye sele sele ufunyaniswe ukuba kukho, kukho ezinye iindlela eziphambili zokunceda ukuwuyeka:
- Ukuzivocavoca. Ukuzivocavoca kukunceda ukunciphisa ukukhuluphala kwesisu, ukunyuka kwengcinezelo yegazi kunye ne-glucose, kwaye kunokukunceda ulahlekelwe isisindo.
- Yidla ukutya okunempilo. Oogqirha abaninzi bacetyisa ukuba ulandela ukutya okunomsoco-oluthile lweMedithera oluquka "amahle" amafutha (njengamafutha e-monounsaturated kwioli yeoli kunye ne-avocados), iiprotheni eziqhenqileyo, iziqhamo kunye nemifuno. Kufuneka uphephe ushukela, i-carbohydrates ecocekileyo, i-sweeteners, kunye nokunciphisa utywala.
- Yehla emzimbeni. Oku kungadinga utshintsho kwizinto kunye nokutya okuninzi kunye nokwanda kwinqanaba lakho lokuzilolonga.
- Yeka ukutshaya. Ukubhema kunokunyusa ingozi yesifo senhliziyo.
- Fumana unyango lweashukela ephezulu yegazi. Izidakamizwa eziphucula ukuqonda kwakho kwe-insulin-njenge- metformin (i-Glucophage) okanye iziyobisi ezinjenge-Byetta kunye neSylin-zinokukunceda ukuguqulwa kwe-insulin kwaye ukhusele ukuphuhliswa kwesifo sikashukela se-2 .
> Umthombo:
> Ladan, M. et. al. "Utshintsho kwiSerum Free Thyroxine Ukugxininisa ngaphakathi kweNdawo yokuLungisa iNgxelo yokuPhathwa kweMetabolic Syndrome kubantu abadala abangabantu abaqhelekileyo: Uvavanyo lweqela." I-Thyroid. Julayi 2017, 27 (7): 886-893.