Sechikamu chegadziriro ye endocrine, utachiona hwako hunoita basa rinokosha pakubatsira kuronga nekuchengetedza muyero muropa rako rekuisa glucose. Pane humwe uchapupu hwekubatanidza pakati pehutachiona hwehutachiona uye ngozi yerudzi rwechipiri rwechirwere cheshuga. Vatsvakurudzi veKorea vakanyora zvakadzama kuti vaongorore kutaridzika kwechirwere cheshuga cheshuga sezvinopindirana nehutachiona hwehutachiona hunokonzera hormone (TSH) mazinga pamwe nekuchinja kwaTSH, pasina thyroxine (Free T4), uye free triiodothyronine (Free T3 ).
Kuputsa Pasi Dzidziro Yokudzidza
Isu tinoziva kuti overtropothyroidism (TSH mizinga iri pamusoro pe10), pamwe ne subclinical hypothyroidism, inobatanidza ne hyperglycemia (yakasimudzirwa shuga yeropa) pamwe nekuwedzera insulini kusagadzikana.
Vatsvakurudzi vaongorore vanhu vanopfuura 6 200 avo vaive vazivikanwa se "euthyroid" -heroid basa, kupfuura makore matanhatu. Pakati peboka iro, vanhu 229 vakatanga chirwere chechirwere cheshuga. Rudzi rwechipiri chirwere cheshuga rwakaratidzwa sekutsanya glucose kupfuura 126 mg / dL uye / kana hemoglobin A1C level kumusoro kwe6,5 muzana.
Vatsvakurudzi vakagadziriswa ne hemoglobin A1C (dzimwe nguva inonzi A1C) mazita, pamwe nekutsanya glucose, uye yakagadzirisa chinotevera chinotevera:
Varwere ivavo vakaratidza kuwedzerwa muTSH yavo, kunyange mukati mechirongwa chekutarisa, vaiva nemukana mukuru wekudzidzira chirwere cheshuga chechipiri, kana ichienzaniswa nevaya vasina kukwira muTSH.
Vadzidzi vacho vakapatsanurana kuva mapoka maviri, akagoverwa maererano nenhamba dzehutachiona hwezvinhu zvinenge dzavaiva nazvo pakutanga kwekutsvakurudza.
Izvozvo zvinokonzera ngozi zvinosanganisira:
- Muviri mass index (BMI) inopfuura 25 kg / m 2
- Kuchengeta glucose kupfuura 100 mg / dL
- A1C mazinga anodarika 5.7 muzana
Boka 1 (boka rakaderera-risina) raive nemaminetsi mashoma maviri emagetsi, uye boka guru risina ngozi 2 rakange rine maviri kana kupfuura zvinokonzera kupisa mungozi zvinhu.
Vatori vechikamu vakagoverwa se "kuvandudzwa," "kugadzikana," kana kuti "kuwedzerwa" zvichienderana nekuchinja kwezviitiko zvavo.
Vaya vakanga vasina kuchinja mumamiriro ezvinhu akaipisisa vakaiswa sechisimba.
Zvakaita Tsvakurudzo
Pakati pevakadzi vakadzidza ivo vakagadzira chirwere cheshuga chechipiri, vaiva nechepamusoro-soro rekutanga reTSH, kunyange vachiri mukati mezera rekutarisa. Maererano nevatsvakurudzi, varume nevadzimai vaiva nemigumisiro yakafanana: TSH mazana akakura kupfuura nguva, mukati mekutsvaga mabheji, akawedzera chirwere cheshuga cheshuga, asi yakakwirira T3 uye pasina fT4 yakaderedza chirwere cheshuga chechipiri. Mumapoka ose, kuwedzera kwemazinga eTSH, nekuderera kweT3 uye kusununguka T4, kwakabatana nekuwedzera kwechiitiko chechipiri cheshuga.
Zvigumisiro zvekudzidza zvinoratidza kuti kuchinja kunoitika muTSH nemakemikari ehomoni yehutano usati wagadziriswa rudzi rwechipiri chirwere cheshuga chinhu chinokonzera ngozi yekuvandudza mamiriro acho. Chimiro chekuwedzera zvishoma nezvishoma TSH, pamwe nekuderera muT3 uye kusununguka T4, yakabatanidzwa nehuwandu hwehutachiwana hwechirwere cheshuga. Iyi njodzi yaive pachena kuvanhu vose uye yakanga isingabatsiri pahutano uye nehutachiona hwehutachiona.
Zvinofadza kuti, kana kuchinja kwehomoni yehutori hakusi nani kunofanirwa kuongorora zvinopfuura kutsanya glucose kana kuongorora kweHbA1c, kupera muhurukuro T4 uye kuwedzerwa muTSH kwakaonekwa sehupi hunofanirwa kunyanya kufungidzira chirwere cheshuga cheshuga kupfuura BMI kana kuchinja kune BMI.
Kakawanda, chidzidzo chacho chakagumisa kuti kuchinja kusina kuchena kwehomoni yekemikari, iyo yaimbove isina kuzivikanwa seyengozi, inoita seimwe ngozi kune chirwere cheshuga chechipiri, kunyange kune vanhu vane "zvekare" maitiro ehutachiona uye hapana preexisting chirwere chetachiona kana utachiona autoimmunity.
Iyo Glucose uye Insulin Dzinoshanda Sei?
Zvinokosha kunzwisisa kuti glucose uye insulini inoshanda sei.
Glucose-rudzi rwehuga-inopa simba kumasero ako. Iyo glucose inobva pakudya kwako uye kubva pachiropa chako, iyo inoita uye inochengeta glucose. Kazhinji, kana mazinga ako eglucose achidonha, chiropa chako chinotora gorocose-glycogen-uye inoriputsa kuitira kuti urambe uchienderera mberi kweglucose.
Insulin inonzi hormone inokonzerwa nepancreas yako. Iyo ganda-pamwe chete nehutachiona-chikamu chekuguma kwako. Insulini inobudisa glucose kubva muropa rako uye inobatsira kuti iende mumasero ako kuti upe simba. Sezvakaita madonhwe emashuga yeropa, ndizvo zvinoita kuti uwandu hwe insulini yako pancreas huvhare.
Kana uine chirwere cheshuga chechipiri, sezvo glucose inowedzera muropa rako, kana pancreas yako haikwanise kusunungura insulin yakakwana, kana kuti masero ako haapindi kune insulini, inozivikanwa se insulin yekudzivirira. Kana iwe usina chirwere chetachiona, asi wakaramba uchingowedzera mhinduro dzeTSH-kunyange kana zvikawira mukati mezvinyorwa-iwe unogona kuve nenguva yekuongororwa kwengozi yako yechirwere cheshuga.
Ita 2 Diabetes Risk Factors uye Symptoms
Mukuwedzera kune kuwedzera kwemazinga eTSH, zvimwe zvipingamupinyi zvinokonzera chirwere cheshuga chechipiri chinosanganisira:
- Kuva kunyanyisa
- Nhamba yepamusoro yemafuta emimba
- Kushaikwa kwebasa uye kurovedza muviri
- Nhoroondo yemunhu kana yemhuri yechirwere cheshuga cheshuga
- Kuva African-American, Hispanic, Native America, kana Asian-America
- Zera: njodzi inokwira pashure pemakore makumi mashanu
- Nhoroondo ye prediabetes (yakasimudzirwa shuga yeropa)
- Nhoroondo yegestational chirwere cheshuga
- Nhoroondo ye polycystic ovarian syndrome (PCOs)
Iwe unofanirwawo kuva nezivo pamusoro pezviratidzo uye zviratidzo zvokutanga-nyevero kuti iwe unogona kuva nerudzi rwechipiri chirwere cheshuga , chinogona kusanganisira:
- Nyota yakawedzera
- Dry mouth
- Kuramba uchidzoka
- Kuwedzera nzara, kunyanya mushure mekudya
- Kuneta uye kuneta
- Unhu uye kugunun'una mumaoko ako netsoka
- Marwadzo mumhuru dzenyu
- Kupera zvishoma kuporesa maronda uye kupwanya
- Chiratidzo chakasvibiswa
- Kunyangadza, kuora mwoyo
- Kusatsanangurira kuora kurasikirwa kana kuwedzera kuwedzera
- Dry, chivara chinopisa
- Zvimwe zvinowanzoita mbiriso zvirwere
- Erectile dysfunction (impotence)
Kuongorora uye Kuchengeta Rudzi rwechipiri rweShuga
Chiremba wako anogona kuongorora nguva nenguva kuti aongorore kuti anonzi chirwere cheshuga cheshuga. Miedzo inosanganisira:
- Kutsanya ropa glucose
- Chirwere chemaglucose kushivirira kuongororwa
- Hemoglobin A1c (HbA1c) test, iyo inopa chiyero chemashuga eropa mukati memwedzi yakati yapfuura
Chirwere chechirwere cheshuga chechipiri chinotarisa mukuderedza shuga yeropa, kazhinji kuburikidza nekusanganiswa kwemishonga inobatsira kuvandudza kushushikana kwomuviri kune insulin, uyewo kuchinja kwezvokudya, kurovedza muviri, uye mararamiro emararamiro anokwanisa kubatsira kuderedza huwandu hweglucose muropa . Kana iwe wakamboonekwa, unogona kushamisika uye kushamiswa. Shingaira nachiremba wako kuti uwane nhamba dzako pasi pesimba uye zvakanaka kutarisira utano hwako.
> Kwakabva:
> Kufara, J. Jee, H. et al. "Kushamwaridzana Pakati Pokuchinja muHormi Hormones uye Nhengo Yechiitiko 2 Chirwere Cheshuga: Chidzidzo cheMakore Makore manomwe," Utachiona. January 2017, 27 (1): 29-38. doi: 10.1089 / thy.2016.0171.