Kafukufuku wa 2017 wasonyeza kuti kusiyana kwa mahomoni a chithokomiro m'magulu oyenera omwe angakhalepo angakhudzidwe ndi chiopsezo chowonjezereka cha matenda a shuga. Zotsatirazi ndizofunika kwambiri pa thanzi la anthu omwe ali ndi hypothyroidism.
Kodi Matenda a Magetsi Amatani?
Matenda a zamadzimadzi amatanthauza gulu la zikhalidwe kapena zoopsa zomwe, mutapezeka palimodzi, kuwonjezera chiopsezo cha matenda a mtima, kupweteka, ndi mtundu wa shuga 2.
Pali zizindikiro zazikulu zisanu zomwe zimatanthawuza ku matenda opatsirana. Matendawa amachititsa kuti mukhale ndi matenda osokoneza bongo omwe amachititsa kuti:
- Chiuno chachikulu. Chiuno chachikulu chimatchedwanso kuti kunenepa kwambiri. Malingana ndi National Institutes of Health, izi zimatanthauzidwa ngati nsonga yapamwamba yomwe imayeza masentimita 89 kwa akazi ndi mamita masentimita 102 kwa amuna. Chiuno chachikulu chimapangitsa chiopsezo cha matenda a mtima.
- Mabala akuluakulu a triglyceride, kapena akusowa mankhwala a triglycerides. Triglycerides ndi mtundu wa mafuta m'magazi anu, ndipo nthawi zambiri amayeza pamodzi ndi ma cholesterol anu. Mankhwala ochepa a triglyceride ali osachepera 150. Mipiritsi ya 150 mpaka 199 imalingaliridwa kukhala pamtunda, ndipo chirichonse kuposa 200 chimaonedwa kuti ndipamwamba kwambiri. Matenda a triglycerides amachititsa kuti mukhale ndi matenda a mtima.
- Mliri wa cholesterol wa HDL, kapena ukusowa mankhwala kuti uchepetse cholesterol cha HDL. HDL imayimira makina amphamvu a lipoprotein, ndipo mtundu uwu wa cholesterol umadziwika kuti "wabwino" cholesterol chifukwa umathandiza kufalitsa mitundu ina ya cholesterol mu mitsempha yanu. Chochepa chotchedwa cholesterol cha HDL chimaonjezera chiopsezo cha matenda a mtima.
- Kuthamanga kwa magazi, kapena kusowa mankhwala kuti achepetse kuthamanga kwa magazi. Kupanikizika kwa magazi kumapangitsa kuti magazi anu asokonezeke kwambiri pamakoma anu a mitsempha ngati akuponyedwa ndi mtima wanu. Kuyesedwa kwa magazi kuli ndi nambala ziwiri, mwachitsanzo, 130/80 mmHg. Nambala yapamwamba imatchedwa systolic blood pressure ndipo imayesedwa kwambiri pamene mtima wako ukugunda. Chinthu chimodzi chotsika chimatchedwa kuti diastolic ya magazi ndipo chimayambitsa vuto lapakati pakati pa mtima. Kuthamanga kwa magazi kumatanthawuza ngati mlingo pamwamba pa 140/90 mmHg. Kuthamanga kwa magazi kumawonjezera chiopsezo cha matenda a mtima ndi matenda a sitiroko.
- Kusakaniza kwakukulu kwa shuga (shuga wa magazi), kapena mukusowa mankhwala kuti muchepetse shuga lanu la magazi. Shuga yambiri yamagazi imatchulidwa pamwamba pa 130 mg / dL (milligrams per deciliter) maola 8 musanadye kapena kumwa. Shuga yapamwamba yowonjezera imayambitsa matenda anu a mtima, ndipo ikhoza kukhala chithunzithunzi cha mtundu wa shuga 2.
Chinthu chimodzi chomwe chimayambitsa matenda a kagayidwe kake ndi matenda omwe amadziwika kuti insulin . Mu insulin kukana, thupi lanu limachepetsedwa kwambiri ndi insulini. Ntchito ya insulini ndiyo kuthandiza kusuntha shuga m'magazi ndi m'maselo anu. Pamene mukulimbana ndi insulini, mukhoza kukhala ndi shuga wambiri wa shuga. Izi zingachititse kulemera kwa thupi ndikukupangitsani pa chiopsezo chachikulu chokhala ndi shuga ya mtundu 2.
Zina mwazimene zimayambitsa matenda a kagayidwe kake zimaphatikizapo kunenepa kwambiri, kusachita masewera olimbitsa thupi komanso kuchita masewera olimbitsa thupi, kukalamba, ndi kupsinjika maganizo.
Hypothyroidism ndi Matenda a Metabolic
Mahomoni a chithokomiro ndi ofunikira kuti thupi likhoze kuyambitsa mafuta ndi shuga, komanso kuti akhale ndi thanzi labwino. Pamene muli hypothyroid ndipo mulibe kokwanira kokwanira maselo a chithokomiro, ntchito izi zingakhale zovuta. Phunziroli, lomwe linafalitsidwa m'nkhani ya July 2017 ya magazini ya Throsi , inayeserera anthu oposa 2,000, kuyesa kuchuluka kwa shuga, insulini, free thyroxine (Free T4), ndi mazira a kutentha kwa hormone (TSH) kumayambiriro kwa phunziro, komanso pa maphunziro atatu otsatirawa pazaka zitatu.
Zonsezi, phunzirolo linayang'ana pa data pazaka khumi.
Kafukufukuyu anapeza kuti mwa anthu omwe anali kuphunzira omwe sanali olemera, komanso omwe anali ndi TSH ndi ma T4 omwe alibe ufulu wolemba, mawonekedwe a T4 analibe chidziwitso chofunika kwambiri cha matenda opatsirana. Maseŵera a T4 omasuka pansi-m'magulu otchulidwa-anali okhudzidwa ndi chiopsezo chowonjezeka cha matenda opatsirana. Zotsatirazi zinali zopanda zaka, kugonana, kapena kusagwirizana ndi insulini.
Zotsatira zina zofunikira:
- Maseŵera otsika a T4 omwe ali m'ndandanda wa zolembera adagwirizanitsidwa ndi kuwonjezeka kwa chiwerengero cha thupi (BMI).
- Maseŵera otsika a T4 omwe ali m'ndandanda wa zolembera anaphatikizidwa ndi chiopsezo chowonjezeka cha ma triglyceride.
- Maseŵera otsika a T4 omwe ali m'ndandanda wa zolembera amathandizidwa ndi chiopsezo chowonjezeka cha kuthamanga kwa magazi.
- Maseŵera otsika a T4 m'ndandanda wa zolembera amathandizidwa ndi chiopsezo chowonjezeka cha kunenepa kwa m'mimba.
Ofufuzawo anapeza kuti ma level T4 omasuka kumapeto kwa zolembera zimayanjana ndi chiopsezo chowonjezereka cha matenda a shuga. Iwo adanena kuti "kudziwika kwa magulu a T4 omwe sangakhale oyenera kumatha kusonyeza nkhani zopanda thanzi zomwe zimapangitsa kuti athandizidwe ndi kuyang'ana koyambirira komanso thandizo lachipatala."
Ofufuzawo akulimbikitsanso kuti kufufuza kwina kuchitike kuti mudziwe ngati kusunga ma t4 omasuka pamapeto akumtunduwu kungakuthandizeni kuchepetsa kuteteza insulini komanso kuchepetsa chiopsezo cha matenda opatsirana mthupi mwa anthu omwe alibe vuto la chithokomiro.
Mawu Ochokera
Ngati muli ndi ma t4 otsika aulere, mungafune kuyankhula ndi dokotala wanu powonjezera mlingo wanu wa mankhwala otchedwa hormone m'malo mwake kuti muwathandize kuchepetsa chithandizo cha chithokomiro ndikuchepetsa chiopsezo chanu chokhala ndi mavuto monga matenda a shuga.
Ngati muli pa chiopsezo cha matenda amadzimadzi kapena kuti mwapezeka kale, pali njira zina zofunika zothandizira kusintha:
- Kuchita masewera olimbitsa thupi. Kuchita masewera olimbitsa thupi kumakuthandizani kuchepetsa kunenepa kwambiri kwa m'mimba, kutsika kwa magazi, ndi shuga, ndipo zingakuthandizeni kuchepetsa thupi.
- Kudya zakudya zabwino. Madokotala ambiri amakuuzani kuti mukutsatira chakudya chokhala ndi thanzi la Mediterranean chomwe chimaphatikizapo mafuta abwino (monga mafuta monounsaturated mafuta ndi mapeyala), owonda mapuloteni, zipatso, ndi masamba. Muyeneranso kupeŵa shuga, mafuta okonzedwa bwino, okoma, komanso kumwa mowa.
- Kutaya thupi. Izi zingafunike kusintha pa zomwe mumadya ndi kuchuluka kwa masewero anu.
- Siyani kusuta. Kusuta kungawononge chiopsezo cha matenda a mtima.
- Pezani chithandizo cha shuga wokweza m'magazi. Mankhwala omwe amachititsa kuti thupi lanu likhale lodziwitsidwa monga metformin (Glucophage) kapena mankhwala osokoneza bongo monga Byetta ndi Symlin-akhoza kuthandizira kuteteza insulini ndikuletsa chitukuko cha mtundu wa shuga .
> Chitsime:
> Ladan, M. et. al. "Kusiyanasiyana kwa Serum Free Thyroxine Kuika Maganizo M'kati mwa Malire Akulongosola za Kuwonjezeka kwa Matenda a Zamadzimadzi M'mabuku Osakhala Aakulu: Phunziro la Ophunzira." Chithokomiro. July 2017, 27 (7): 886-893.