Optimal Treatment for Hypothyroidism: Kent Holtorf, MD

Dr. Kent Holtorf Amapereka Njira Yake Yoperekera Chithokomiro Chosachitidwa

Mmodzi mwa akatswiri otsogolera odwala matenda a mahomoni, Kent Holtorf, MD, wandiuza maganizo ake za zomwe zimapangitsa kuti munthu asamangoganizira za mankhwala a hypothyroidism, omwe ali ndi luso lodziŵa matenda a hormone ndi hypothyroidism .

Malingana ndi Dr. Holtorf, chithandizo chabwino cha chithokomiro chimayamba ndi matenda oyenerera ndipo chimapitirira ndi supplementation ndi mankhwala abwino a chithokomiro pa mlingo woyenera kuti muthe kuchita chithokomiro chabwino kwambiri cha ma chithokomiro.

Dr. Holtorf akuwona kuti ngakhale kuti miyezo ndi zoyenera za mayesero osiyanasiyana zimathandiza kupeza chithandizo chabwino kapena mlingo woyenera kwambiri, kuyesa kumakhala kosavuta kumvetsetsa pansi pa zikhalidwe zosiyanasiyana. Choncho, sadalira kapena kugwiritsa ntchito kuyezetsa kachilombo kaye ngati cholinga chokha chokhazikitsa malo ambiri mwa odwala, popeza wapeza kuti maselo osiyana siyana amafunikira kwa wodwalayo.

Kwa Dr. Holtorf, chithandizo chabwino chimafuna kumvetsa zovuta za chithokomiro ntchito. Katemera wa chithokomiro wagwiritsidwa ntchito mopitirira malire pofuna kuyesa kugwiritsa ntchito mayeso osavuta (mwachitsanzo, TSH) kutanthawuzira "machitidwe" a chithokomiro . Malingana ndi Dr. Holtorf, malingaliro osavuta ameneŵa amatha pamene wina amvetsetsa njira zambiri zomwe zimafunika kuti akwaniritse chithokomiro chabwino kwambiri cha chithokomiro.

Dr. Holtorf anati:

Zoyezetsa zowonongeka, zowonongeka, zimangowonongeka zowonongeka pamene chithokomiro chimayambitsa vuto. Poyamba hypothyroidism (pamene chithokomiro chimayambitsa vutoli) ndizo zomwe zimawoneka kuti, zifukwa zina za chithokomiro chochepa kwambiri kapena chaching'ono chimakhala chofala koma sichipezeka kawirikawiri. Zifukwa zina izi ndizo:

• Kusokoneza kwa hypothalamus ndi pituitary
• zonyamula mafoni osokonezeka
• osauka T4 ku T3 kutembenuka,
• kuwonjezereka kwapangidwe ka T3
• kutsekemera kwa chithokomiro
• Kutsekemera kwa chithokomiro kunachititsa kuti jekeseni ikuthandizidwa.

Ngati pali vuto lililonse mwazinthu izi, padzakhala ntchito yowonongeka yomwe imakhala yosaoneka.

Dr. Holtorf amakhulupirira kuti ngati njira zambiri zowonongeka kwa chithokomiro zitha kumveka, mayesero a ma laboratory - mogwirizana ndi zizindikiro ndi zizindikiro zina za thupi - zingagwiritsidwe ntchito bwino ngati zida zothandizira kupeza chithandizo chabwino.

Dr. Holtorf amapereka chitsanzo:

Ngati palinso vuto lopanda matenda, limakhala ndi matenda aakulu, kutupa, kupweteka, kutsegula m'mapulasitiki monga bisphenol A (BPA), matenda opatsirana, kunenepa kwambiri ndi shuga, supraphysiologic serum levels of T3 adzafunika kuthana ndi vutoli. Zikatero, mayesero a chithokomiro cha seramu sangakhale odalirika kotero mayesero ena ayenera kugwiritsidwa ntchito kuti athe kudziwa bwino ntchito ya chithokomiro. Izi zingaphatikizepo mahomoni ogonana omwe amamanga mlingo wa globulin (SHBG), tendon reflex kuthamanga msanga komanso mlingo wamadzimadzi. Mayeserowa ayenera kutanthauziridwa pamodzi ndi kuyesa zizindikiro, zomwe ziridi njira yofunikira kwambiri yodziwira chithandizo chabwino.

Mayesero Othandiza Pofufuza Zomwe Zidzakhala Zosintha Kwambiri pa Chithokomiro

Dr. Holtorf ali ndi mayesero angapo omwe amamverera kuti ndi othandiza kuthandizira kutenganso chithokomiro chabwino.

TSH -Dr. Holtof imagwiritsa ntchito TSH pamwamba pa 2 ngati chisonyezero chotsimikizika kuti pali tizilombo toyambitsa matenda a tizilombo. Dokotala Holtorf anati: "TSH yachibadwa sichiteteza kuti chithokomiro chisawonongeke ndipo TSH yochepa imasonyezedwa kuti ndi chisonyezero cha chithokomiro chokhala ndi tizilombo 20% pa nthawi (80% nthawi yomwe siili). TSH imakhala yosauka kwambiri kwa tizilombo toyambitsa matenda ngati pali kutupa, kuvutika maganizo, matenda aakulu, kudya kwa nthawi yaitali, kunenepa kwambiri, kupanikizika, matenda otopa kwambiri, fibromyalgia, shuga, insulini kukana , kuthamanga kwa leptin. "

T4 --D. Holtof amakhulupirira kuti ndi T4, ngati pali vuto la kuthamanga kwa hormone (T4 ndi T3 ikulowetsedwa mu selo), miyezo ya T4 yapamwamba ikhoza kugwirizanitsidwa ndi magulu apansi a chithokomiro.

Free T3 - Dokotala Holtorf amakhulupirira kuti kawirikawiri, T3 yaulere iyenera kukhala pamtunda wa 25 pacentile wamtundu woyenera. Dr. Holtorf anati: "Chizoloŵezi; koma, chimagwiritsidwa ntchito polemba T4, yomwe imatembenuzidwira ku T3 mu selo ndiyeno ndalama zomwe zimabwerera mmbuyo mu seramu ndizomwe zili" zachibadwa ".

Pomwe mukuchitira ndi T3, izi sizomwe ziliri choncho mipangidwe yeniyeni yowerengera sitingagwiritsidwe ntchito. "

Kutembenuzira T3- Malinga ndi Dr. Holtorf, Reverse T3 ndi chizindikiro cha kuchepa kwa T4 mpaka T3 kutembenuka ndi kuchepetsedwa kwa kayendedwe ka T4 mu selo - ndipo ntchito ya antityroid (imateteza zotsatira za chithokomiro) - ndipo iyenera kukhala yochepera 150.

SHBG - Magulu amphamvu a mahomoni omwe amamanga majeremusi (SHBG) ndi chizindikiro cha chithokomiro, kotero ngati amayi osakwana 70 alionse, Dr. Holtorf akuwona kuti ndi chizindikiro cha chithokomiro chochepa kapena chokhachokha cha chithokomiro. Ngati chithokomiro chimaloledwa ndipo SHBG sichikulirakulira, amamva kuti izi ndizomwe amatsutsa chithokomiro.

Leptin -Dr. Holtof imakhulupirira kuti mlingo wa serum leptin uyenera kukhala wosachepera 12. Kukula kwa leptin kumakhala kovuta kwambiri, komwe kumalepheretsa kutulutsa TSH ndi T4 kutembenuza T3. Choncho, ndipamwamba kwambiri leptin imakhala yopanda phindu TSH imakhala.

Iron / Iodini -D. Holtorf amakhulupirira kuti zitsulo ndi ayodini ziyenera kuyang'anitsidwa ndi zofooka ziyenera kuchitidwa, monga momwe ziyenera kuwonetsetsa chithokomiro.

Mlingo Wophatikiza Mavitamini (BMR) -Dr. Holtorf amapeza kuti ma chithokomiro a tizilombo ndizomwe zimapangitsa kuti thupi lonse liziyenda bwino kwambiri kotero kuti chiwerengero cha kagayidwe kanyama kamene kangakhoze kuonedwa kuti ndi golide wa chikhalidwe cha chithokomiro cha thupi. Choncho, BMR ingagwiritsidwe ntchito pofuna kuthandizira kudziwa malo abwino kwambiri. Izi ndi mayeso omwe angathe kuchitidwa m'maofesi ena.

Pulogalamu ya Tendon Reflex Yotsitsimula - Malinga ndi Dr. Holtorf, kafukufuku wambiri wasonyeza kuti izi ndizoyeso molondola kuposa maselo a seramu, chifukwa ndi kuchuluka kwa maselo, m'malo mwa seramu, ndipo mulingo woyenera kwambiri uyenera kukhala mofulumira kuposa 110 msec.

Kent Holtorf, MD ndi amene anayambitsa Holtorf Medical Group, yomwe imaphatikizapo kuchiza zovuta za endocrine, mahomoni ndi matenda ena ku California's Bay Area ndi ku Los Angeles.

Webusaiti ya Holtorf ya gulu lachipatala: www.holtorfmed.com

_Chitsime:

_{Imeli Yoyambira ndi Kent Holtorf, MD - December 2010}