Malinga ndi National Heart Lung ndi Blood Institute, anthu pafupifupi 47 miliyoni ku United States (pafupifupi 25 peresenti ya anthu) ali ndi matenda a shuga, kuphatikizapo chiopsezo cha matenda, matenda a shuga, ndi sitiroko . Chiŵerengero cha anthu omwe akudwala matenda amadzimadzi amakhalanso akukula.
Tsopano, ochita kafukufuku apeza kuti chithokomiro chochepa kwambiri -chikhalidwe chomwe chimadziwika kuti subclinical hypothyroidism - ndicho chiwopsezo cha matenda amadzimadzi.
Kodi Metabolic Syndrome ndi chiyani?
Matenda a zamadzimadzi ndi dzina lopatsidwa matenda omwe amapezeka nthawi zambiri kwa anthu omwe ali olemera kwambiri kapena olemera kwambiri, komanso omwe ali ndi zizindikiro zomwe zimapangitsa kuti matenda a mtima, shuga, kupweteka, ndi mavuto ena azachuma apweteke. Matenda a zamadzimadzi amapezeka ngati zitatu mwazifukwa zisanu zotsatirazi zikuwonekera:
- Mtsinje waukulu. Izi zikhoza kutchulidwa ngati kunenepa kwamimba, kapena kukhala "mawonekedwe a apulo" kapena kukhala ndi "Buddha belly." Koma malinga ndi National Cholesterol Education Program (NCEP) ndi American Heart Association, ziyeneretso za "lalikulu waistline" zikuyendera masentimita 35 kwa akazi ndi masentimita makumi anayi kwa amuna. Kwa anthu omwe ali ndi matenda odwala matenda a shuga, malirewo ndi otsika, pamasentimita 31 mpaka 35 kwa akazi ndi mainchesi 37 mpaka 39 kwa amuna.
- Kutukulidwa kwa Triglycerides / Kukhala Kuchiza kwa High Triglycerides. Triglycerides ndi mtundu wa mafuta omwe amazungulira m'magazi ndipo amachititsa ngozi ya mtima. Mbali yapamwamba imatchedwa 150 milligrams pa deciliter (mg / dL) kapena apamwamba.
- Low HDL / Being on Treatment for Low HDL. Kachilombo kameneka kamene kamakhala koopsa kwambiri (HDL) ndi mtundu wa cholesterol womwe nthawi zambiri umatchedwa "wabwino" cholesterol chifukwa umachepetsa chiopsezo cha matenda a mtima. Mlingo wosachepera 40 mg / dL mwa amuna kapena osachepera 50 mg / dL mwa amayi amaonedwa ngati otsika.
- Kuchulukitsidwa kwa Magazi / Chithandizo cha Kupanikizika Kwambiri kwa Magazi. Magazi amalembedwa ngati nambala ziwiri, zolembedwa pamwamba kapena patsogolo pake, monga 120/80, kapena "120 pazaka 80." Nambala yaikulu ndi systolic ya magazi, ndipo imatengedwa ngati ikukwera pamwamba pa 130 ndi nambala yapansi - diastolic - imatengedwa ngati ili pamwamba pa 85.
- Kusakaniza Kwambiri Mwazi wa Magazi / Chithandizo cha Zakudya Zambiri za Magazi. Kusakaniza shuga wa magazi, komwe kumatchedwanso kuti kudya kwa shuga, kungayambe kukweza ngati chizindikiro chenicheni cha shuga. Mlingo wa 100 mg / dL kapena wapamwamba umatengedwa kuti uli pamwamba.
Monga taonera, zosachepera zitatu mwazidziwitso zomwe zili pamwambapa zimapatsa munthu kuti adziwe matenda a kagayidwe kake. Koma munthu amakhala ndi ziopsezo zambiri, amakhala ndi chiwopsezo chachikulu cha matenda a mtima, shuga, kapena sitiroko. Malingana ndi NCEP, munthu amene ali ndi matenda amadzimadzi amatha kukhala ndi matenda a mtima ndipo nthawi zambiri amakhala ndi matenda a shuga ngati munthu wopanda vuto la kagayidwe kake.
Matenda amadzimadzi amayamba kufalikira kwa anthu omwe ali olemera kwambiri kapena olemera kwambiri, omwe sagwira ntchito, kapena omwe amadya zakudya zomwe zimayambitsa matenda a insulini. Mbiri ya banja ndi zaka ndizo zomwe zimayambitsa.
Chiyanjano cha Chithokomiro
Ofufuza tsopano apeza kuti ngakhale kusintha kwachinsinsi kwa chithokomiro kumawonjezera chiopsezo cha matenda a shuga.
Kugwirizana pakati pa overt hypothyroidism ndi chiopsezo cha matenda a mtima kwakhazikitsidwa kale. Koma kafukufuku wofalitsidwa mu February 2007 wa Journal of Clinical Endocrinology ndi Metabolism adapeza kugwirizana pakati pa matenda a chithokomiro ndi matenda a kagayidwe kake m'thupi mwa anthu omwe ali ndi miyeso yowonongeka ya majeremusi (TSH).
Zimene ofufuza adapeza zinali kuti mwa iwo omwe ali ndi maselo oyenera a TSH, mlingo wa hormone wotchedwa T4 ufulu unali wofunikira. Maseŵera a T4 omwe sanali otsika, koma adakali ochepa, anawonjezera chiopsezo cha zifukwa zambiri zoopsa za matenda a shuga.
Mankhwala otsika otere a hormone, a T3 omasuka, adagwirizanitsidwa ndi zinthu zoopsa kuphatikizapo cholesterol chokwanira, LDL cholesterol, ndi triglycerides.
Ofufuzawo anapeza kuti anthu omwe ali ndi maseŵero abwino a TSH, ngakhale kusintha pang'ono kwa T4 kwaulere ndi ma t3 opanda ufulu angathe kuwonetsa chiopsezo cha matenda a kagayidwe kake ndi matenda a mtima.
Ofufuzawo amalimbikitsa kuti pakhale phunziro kuti apeze ngati chithandizo choyambitsa matenda a chithokomiro chikhoza kuchepetsa chiopsezo.
Kodi Izi Zikutanthauza Chiyani Kwa Inu?
Ngati kafukufuku wamtsogolo akupeza kuti mankhwala oyambirira amathandiza, T4 omasuka ndi T3 omasuka, osati TSH yekha, adzakhala ziyeso zazikulu paziganizo za matenda a chithokomiro ndi chithandizo cha chithokomiro.
Kafukufukuyu akuwonetsanso kuti ngati mukuchiritsidwa ndi hypothyroidism, muyenera kuyang'anitsitsa chifukwa cha zizindikiro za matenda opatsirana. Ngati muli hypothyroid, muyenera kuyesetsa kuti muchepetse vuto lanu lachidziwitso.
Kuwongolera zinthu zoopsa kungakhale kovuta, koma kawirikawiri, kumaphatikizapo kuphatikiza njira iliyonse kapena njira izi:
- Kuyesera kwathunthu kuti tipewe kulemera, kuphatikizapo zakudya ndi masewera olimbitsa thupi
- Zakudya zamakono zimasintha kulimbana ndi matenda a insulini komanso kumapangitsa kuti mafuta asapangidwe
- Kuchita masewera olimbitsa thupi
- Mankhwala ochepetsa triglycerides, amwetse HDL, kuthamanga kwa magazi, kuchepa / kuyendetsa shuga la magazi
Zotsatira
> Roos, Annemieke, ndi. al. Ntchito ya Chithokomiro Imayanjanitsidwa ndi Zophatikiza za Matenda a Zamadzimadzi mu Euthyroid Subjects, " The Journal of Clinical Endocrinology & Metabolism Vol. 92, No. 2 491-496, pa intaneti
> Chipatala cha Mayo, "Metabolic Syndrome," Mayo Foundation for Medical Education and Research, 1998-2007
> National Heart Lung ndi Blood Institute, "Kodi Metabolic Syndrome," April 2007, Online