Kusintha kwapang'ono kwa TSH: Kodi Kungakuthandizeni Kulemera Kwako?

Kafukufuku wofalitsidwa m'magazini ya May 2005 ya Journal of Clinical Endocrinology ndi Metabolism wapangitsa kuti pakhale kusagwirizana pakati pa dziko la endocrinology ngati ngakhale ngakhale hypothyroidism ingapangitse kapena kuwonjezera kulemera.

Phunziroli, lomwe linkawunika zoposa 4600 kafukufuku, ofufuza anafufuza kugwirizana pakati pa ma chithokomiro (kuyesedwa ndi kutentha kwa hormone - TSH - mazinga ) ndi Body Mass Index (BMI) - chiwerengero chomwe chimayang'ana kutalika kwa munthu , poyerekeza ndi kulemera kwake, ndipo amagaƔira anthu m'zigawo zolemera, kuphatikizapo kuchepetsa thupi, kulemera kwake, kulemera kwambiri, ndi kunenepa kwambiri.

Chimene ofufuza adapeza chinali mgwirizano wabwino pakati pa BMI ndi TSH. Izi zikutanthauza kuti BMI inawuka ngati TSH idawuka, kusonyeza kugwirizana pakati pa miyezo ya TSH yokwera ndi kulemera kwa thupi. Panalinso kugwirizana kolakwika pakati pa BMI ndi Free T4 , kutanthauza kuti monga Free T4 (chiwerengero cha kusungunuka kwa chithokomiro cha thyroxine m'magazi) kumatuluka, madontho a BMI.

Ngakhale pakati pa anthu omwe anali ndi mazinga a TSH omwe analowa mkati mwa otchedwa "reference range" - kapena "zachilendo" - omwe magulu awo adagwa pamapeto apamwamba a zolembera za TSH - TSH ya 4.5 - inkalemera mapaundi 12 kuposa omwe anali ndi TSH pamapeto otsika, ndi TSH yamkati ya 0.28.

Kafukufuku, ochita kafukufuku anapeza kuti chithokomiro chimagwira ntchito ngakhale pamene TSH imafika pazinthu zolembera - ndi chinthu chomwe chimathandiza kudziwa kulemera kwa thupi, ndipo ngakhale maselo a TSH okwera kwambiri amathandizidwa ndi kuwonjezeka kwa kunenepa kwambiri.

Chochititsa chidwi, kutentha kwa chithokomiro kumakhudza mofanana ndi BMI monga zochitika zathupi!

Ofufuzawo anapeza kuti ngakhale kutayira kambirimbiri kwa chithokomiro - mkati mwazithunzi za Free T4 - kungapangitse kuti thupi likhale lolemera kwambiri. Zikuganiza kuti mahomoni otulutsa chithokomiro angakhudze thupi la "kugona kwa magetsi." Malinga ndi ochita kafukufuku,

"M'madera amene ntchito zolimbitsa thupi zachepa pang'onopang'ono, ngakhale ndalama zochepa zogwiritsira ntchito ndalama zomwe zimagwiritsidwa ntchito pogwiritsa ntchito mahomoni a chithokomiro zingakhale zokwanira kuti akwaniritse ku BMI."

Ofufuzawo anamaliza kuti:

"... ife tikupereka kuti chithokomiro chosiyana chimagwira ntchito zomwe zimayesedwa kuti zimakhala zosiyana ndi za BMI, zomwe zimachitika chifukwa cha kusintha kwakukulu kwa mphamvu zamagetsi. Kuwonongeka kwa chithokomiro koteroko ndi kwakukulu ndipo kungakhudzidwe ndi zachilengedwe. Monga kuchepa kwazing'ono pa chithokomiro kumakhala kofala, chithokomiro chimakhala chofunikira kwambiri kuti chiwerengero cha kunenepa kwa anthu chiwonjezeke. "

Phunziro la 2010

Kafukufuku wina wofalitsidwa mu Journal of Clinical Endocrinology ndi Metabolism adatsimikizira izi.

Bernadette Biondi wa Chithokomiro ndi Kunenepa Kwambiri: Ubale Wochititsa Chidwi, umati:

"... magulu akuluakulu omwe amagwiritsidwa ntchito ndi magulu akuluakulu omwe amagwiritsidwa ntchito kwambiri ndi omwe ali ndi BMI komanso kuchuluka kwa kunenepa kwambiri kwa anthu osuta komanso osasuta. Kusintha kwapadera kwa magetsi ku hypothyroid odwala. Maphunzirowa amachirikiza umboni wa chipatala kuti kuchepa kwa chithokomiro kumakhala ndi kusintha kwakukulu kwa kulemera kwa thupi ndipo mwachiwonekere kumaimira chiopsezo cha kuwonjezera kunenepa ndi kunenepa kwambiri. "
... Ndikofunika kudziwa kuti kuchulukitsitsa kwa kunenepa kwambiri padziko lapansi kungapangitse kufotokoza tanthauzo lachikhalidwe cha TSH mu maphunziro a anthu. Kafufuzidwe kafukufuku wambiri ndi wofunikira kudziwa ngati kuchepa kwa hormone yosavuta komanso kuwonjezeka kwa TSH kuwonjezereka, mwachitsanzo, kumapeto kwa zolembera, kumaphatikizapo kukula kwa kunenepa kwambiri. Kuwonjezera pamenepo, kufufuza kumafunika kuti pakhale udindo waukulu wa ma leptin omwe amachititsa kuti chiopsezo cha chithokomiro chikhale chokwanira, chomwe chimapangitsa kuti pakhale chiopsezo chachikulu chokhala ndi matenda opatsirana pogonana.

Kunenepa kwambiri ndi kutsekemera kwa chithokomiro ndi matenda wamba, ndipo chifukwa chake odwala ayenera kusamala kwambiri kuti chithandizo cha chithokomiro chikhale chovuta kwa odwala ambiri. "

ZINTHU ZAMBIRI

Nazi zina zowonjezera zokhudzana ndi kulemera, kusakhoza kuchepetsa thupi, ndi kugwirizana kwa chithokomiro ntchito:

Chitsime: Knudsen N, et. al. "Kusiyana kwakukulu kwa chithokomiro kungakhale kofunikira ku Misala ya Thupi la Thupi ndi kuchitika kwa kunenepa kwambiri kwa anthu." J Clin Endocrinol Metab 2005 May 3