Pafupifupi aliyense amene akufuna kulemera kwake ndipo wapeza zovuta-ndipo tiyeni tiyang'ane nazo, zomwe zikuphatikizapo ambiri a ife-tafunsapo ngati kutenga hormoni ya chithokomiro, monga levothyroxine, ingathandize zinthu pang'onopang'ono. Pambuyo pa zonse (tikhoza kulingalira), aliyense amadziwa kuti anthu omwe ali ndi vuto la chithokomiro losagwira ntchito nthawi zambiri amalemera, ndipo anthu omwe amadzipweteka kwambiri pa chithokomiro amatha kulemera.
Choncho, mwachidziŵikire, mahomoni a chithokomiro amathandiza kwambiri kulemera kwa munthu.
Kotero, sizingakhale zomveka kufunsa madotolo athu kuti adziwonetse kokha maselo a chithokomiro yowonjezera, kuti athandizidwe pang'ono pang'ono, ndikutiyambitsa ife njira yoyenera?
Zimatuluka si ife oyambirira kufunsa funso ili. Kugwiritsa ntchito "hormone" yowonjezereka monga njira yoperekera kulemera kunalingaliridwa (ndipo, kwa kanthawi, kanagwiritsidwe ntchito) mmbuyomo. Pali zifukwa ziwiri zomwe sizigwiritsidwe ntchito masiku ano.
Choyamba, kafukufuku wasonyeza kuti sikugwira ntchito. Chachiwiri, zochitika zimasonyeza kuti pali zowopsya zowopsa kuti mutenge "hormone" yowonjezera.
Kodi Chiyanjano N'chiyani Pakati pa Hormone ya Chithokomiro ndi Kulemera?
Mlingo wa hormoni ya chithokomiro m'thupi ndizofunikira kwambiri pakuletsa thupi lathu lonse.
Mmene thupi lathu limagwirira ntchito ndizochepa momwe timayendera mpweya wathu m'moyo wathu wa tsiku ndi tsiku, ndi mphamvu zathu zomwe timadya pochita zimenezi.
Zomwe zimapangitsa thupi lathu kukhala ndi mphamvu, timakhala ndi mphamvu zambiri; ndiko kuti, ma calories wambiri omwe tikuyaka.
Kaya tipindula kapena kutaya thupi, kwenikweni, nkhani ya caloric. Kulingalira kwa caloriki kumatsimikiziridwa ndi kuchuluka kwa makilogalamu omwe timatengera m'magazi athu (mwachitsanzo, zomwe timadya), kuchepetsa kuchuluka kwa makilogalamu omwe timawotcha (ie, kwathunthu kagayidwe kake).
Choncho, njira imodzi yochepetsera thupi ndiyo kuonjezera chiwerengero cha ma calories omwe timayaka. Ndipo njira yowongoka kwambiri yogwiritsira ntchito makilogalamu ambiri angakhale kuwonjezera machitidwe athu a tsiku ndi tsiku.
Njira yina yochitira izo, ngati ikanatha kuchitidwa bwino, iyenera kuwonjezera mlingo wathu wamadzimadzimadzi (BMR) -chiwerengero cha ziwerengero zomwe timayaka pamene tikupuma. Apa, m'lingaliro, mahomoni a chithokomiro amathandiza kulemera kwa munthu.
Momwemonso, BMR yathu imagwira ntchito ya mahomoni a chithokomiro m'magazi athu. Ndipotu, m'mbuyomu (asanayambe kuyesa magazi kuti ayese ntchito ya chithokomiro), kuyeretsa BMR inali njira yabwino yodziwira ntchito ya chithokomiro cha munthu. Ma BMRs ankagwiritsidwa ntchito ndi chithokomiro chosagwira ntchito, ndipo BMRs imakhala yogwirizana ndi chithokomiro chopitirira muyeso.
Ndipo ndithudi, anthu ambiri omwe amapanga tizilombo toyambitsa matenda amapezeka kuti akulemera, pamene ambiri omwe ali ndi hyperthyroidism amachepetsa thupi.
Kotero izo zonse zikuwoneka zosavuta, sichoncho? Aliyense amene akufuna kulemera kwake ayenera kungotenga mahomoni a koriyosi, kuonjezera ndalama zawo zamakono kuti asamalire pang'onopang'ono, ndipo kulemera kwake kuyenera kuyamba-ayi?
Ndipo izi ndi chimodzimodzi madokotala achifundo kapena oganiza omwe amagwiritsidwa ntchito nthawi imodzi kuti azipereka mahomoni a chithokomiro kuti awonongeke. Mwamwayi, zotsatira zomwe adachita zinali zokhumudwitsa.
N'chifukwa Chiyani Kutenga Chithokomiro Chokwanira N'kopanda Pang'ono Kuposa Inu?
Anthu omwe ali ndi chithokomiro chodziwika bwino omwe atenga mahomoni a chithokomiro pofuna kuyesa kulemera kwake sakhala otayika kwambiri, ngati alipo, akulemera. Pali zifukwa zosachepera ziwiri zomwe zakhala zikuchitika.
Choyamba, pamene mahomoni a chithokomiro ndi ofunika kwambiri a kagayidwe kameneka, si okhawo omwe amadziwika. Kulemera kapena kuperewera kwalemera kumatsimikiziridwa ndi zovuta zovuta pakati pa zinthu zambiri za thupi, zomwe mahomoni a chithokomiro ali amodzi.
Zinthu zimenezi zimapanga timapepala ta m'mimba, mahomoni ena, komanso mbali zosiyanasiyana za ubongo wathu kuti tizigwiritsa ntchito mphamvu zathu komanso mphamvu zathu zamakono.
Zimakhala zovuta kufotokozera zomwe zidzachitike tikasintha mbali imodzi ya machitidwe ovuta, monga ma hormone a chithokomiro. Zoonadi, sikutheka kunena zomwe zidzachitike kulemera kwake kwa munthu pamene muwapatsa hormone ya chithokomiro. Kawirikawiri, zimachitika, osati zambiri zomwe zimachitika.
Chachiwiri, kafukufuku wanena tsopano kuti kupereka levothyroxine (T4) ngakhale pa mlingo waukulu-wapamwamba mokwanira kuti athetseretu maselo a TSH , omwe amachitika kwa anthu ambiri omwe amachizidwa khansa ya chithokomiro - sikuti amachititsa kuti BMR iwonjezeke konse, monga poyerekeza ndi "zachizolowezi" zolamulira. Mwa kuyankhula kwina, kukankhira mahomoni a chithokomiro molimbika kuti muthamangitse TSH ngakhale ngakhale, otsika kwambiri sangathe kudalira ngati njira yowonjezera kwambiri BMR. N'kutheka kuti kupereka T3 kuwonjezera pa T4 kungapereke zotsatira zosiyana, koma madokotala ambiri amakayikira kugwiritsa ntchito chilichonse kupatula T4 pochiza matenda a chithokomiro.
Pomalizira, tiyenera kuyang'ana zochitika zenizeni za anthu omwe apezeka ndi hypothyroidism, ndipo kenako amachizidwa ndi mahomoni a chithokomiro. Ambiri mwa anthuwa alemera kwambiri, ndipo iwo (ndi madokotala awo) amaganiza kuti kulemera kwawo kwakukulu kumangosungunuka kamodzi kokha mahomoni a chithokomiro athandizidwa mokwanira. Ndipo nthawizina izo zimachitika kwenikweni. Koma kawirikawiri, kafukufuku wasonyeza, anthuwa amalephera kulemera kwambiri, ngati alipo, ndipo kawirikawiri amatha kulemera kwambiri pamene mahomoni a chithokomiro amakhala ovomerezeka.
Nchifukwa chiyani izo zimachitika? Mbali ya yankho lingakhale kuti mankhwala ndi T3 kuwonjezera pa T4 ndi kofunikira kwa anthu ena kuti awonjezere BMR, kotero kuti mankhwala ndi T4 okha sangakhale okwanira. Koma ngakhale anthu omwe amagwiritsidwa ntchito ndi T3, komanso amene TSH amawathira pansi pamtundu wochepa (kutanthauza kuti pali chithokomiro chokwanira), kuwonongeka kwakukulu nthawi zambiri kumakhala kovuta kwambiri.
Chimene chikuchitika, mwinamwake, ndi chakuti mukasintha mahomoni a chithokomiro pa anthu onenepa kwambiri omwe ali ndi hypothyroidism, mukuwonjezera BMR awo, koma osapangitsa kuti awonongeke kwambiri. Zonse zikadzanenedwa ndikuchitidwa, mwangozimasintha kuti musakhale olemera kwambiri kuposa anthu ena omwe ali ndi kachilombo koyambitsa euthyroid Iwo atembenuzidwa kukhala anu enieni, osaphatikizapo thupi, oposa kunenepa kwambiri, munthu amene akulemera kwambiri chifukwa cha zakudya zoperewera, kuchepa kwa ntchito, ndi / kapena ziwalo za chibadwa. Choncho, mankhwala omwe amagwiritsidwa ntchito ndi hypothyroid munthu amapezeka kuti ali ndi chikhalidwe chimodzimodzi ngati munthu woposa kunenepa kwambiri amene ali ndi chithokomiro choyenera. Ndipo amapeza kuti ndizovuta kuti awonongeke.
Izi, zomwe zimakhala zofala kwambiri, ziyenera kutiuza momveka bwino kuti, pamene kutentha kwa hormone n'kofunika kwambiri ku thupi lathu, sizowonjezera kuperewera kwa thupi.
Chifukwa Chotsatira Chithokomiro Chowonjezerapo Mavuto
Kuwonjezera apo kuti kutenga mahomoni ambiri a chithokomiro siwothandiza kwambiri pakupanga kulemera kolemetsa kwakukulu, palinso zoopsa kuchita zimenezo. Zina mwazi ndi ziwalo za mtima zakupha (kuphatikizapo kupha tizilombo toyambitsa matenda ), kutayika kwa mafupa , kuchepa kwa mitsempha ya mitsempha, ndi matenda ovutika. Mahomoni ambiri a chithokomiro ndi ofunikira kuti tikhale ndi thanzi lathu, koma "owonjezera" mahomoni a chithokomiro akhoza kuchititsa mavuto aakulu.
Mawu Ochokera
Kwa anthu omwe ali ndi hypothyroidism, m'malo moyenera mahomoni a chithokomiro amafunika kubwezeretsa thanzi, koma nthawi zambiri sagwira ntchito yopanga kulemera kwa thupi. Ngati mulibe hypothyroid, kutenga hormoni kuti muchepetse kulemera sikungowonjezereka, komanso kungakuwonetseni ku zotsatira zovuta.
> Zotsatira:
> Hoogwerf BJ, Nuttall FQ. Kuchepetsa kulemera kwa nthawi yayitali mu Zomwe zimayendetsedwa ndi Hyperthyroid ndi Hyphyothyroid Subjects. Am J Med. 1984 Jun, 76 (6): 963-70.
> Jensen MD, Ryan DH, Apovian CM, ndi al. 2013 AHA / ACC / TOS Malangizo Otsogolera Otsogolera Kulemera Kwambiri ndi Kulemera kwa Okalamba: Lipoti la American College of Cardiology / American Heart Association Task Force on Practice Guidelines ndi The Obesity Society. Circulation 2014; 129: S102.
> Samuels MH, Kolobova I, Smeraglio A, et al. Zotsatira za Levothyroxine Kupititsa patsogolo kapena Kupatsa Thandizo pa Zopereka Zamagetsi ndi Kupanga Thupi.Thyroid. 2016 Mar 1; 26 (3): 347-355. do: 10.1089 / thy.2015.0345