Kusvitsa kwechidiki muTSH: Zvinogona Kuita Kuti Uremerwe Here?

Tsvakurudzo yakabudiswa mumagazini yaMay 2005 ye Journal of Clinical Endocrinology uye Metabolism yakagadzirisa kupesana kwepakananga munyika ye endocrinology pamusoro pekuti kana kunyange kunyange zvishoma zvinyorwa zvegreatyroidy zvinogona kukonzera kana kubatsira pakuwedzera kuwedzera.

Muchidzidzo chacho, icho chaitarisa zvinopfuura 4600 zvidzidzo zvekuongorora, vatsvakurudzi vakaongorora kubatana pakati pehutachiona hwehutachiona (hunotaridzwa nehutori inokurudzira hormone - TSH - mazinga ) uye Body Mass Index (BMI) - kuverenga kunotarisa kukwirira kwomunhu , kuenzaniswa nehuremu, uye inoronga vanhu muzvikamu zvakasiyana-siyana zvezviyero, kusanganisira pasi pehupamhi, huwandu hunorema, kuwandisa, uye kuoma.

Zvakawanikwa nevatsvakurudzi ndezvekubatana kwakanaka pakati pe BMI neTSH. Izvi zvinoreva kuti BMI yakasimuka seTSH yakasimuka, ichiratidza kuwirirana zvakananga pakati pezinga reTSH rakakura uye uremu hwemuviri. Paivawo nekushamwaridzana kusina kunaka pakati pe BMI uye Free T4 , zvinoreva kuti se Free T4 (chiyero chekupararira kwetachiona hormone thyroxine muropa) inokwira, mabhesi e BMI.

Kunyange pakati pevanhu vaive neTSH maitiro akawira mukati mezvinonzi "reference range" - kana "mararamiro akaenzana" - avo vane mazamu akawira pamucheto wakakwirira weanowanzoita rutivi rwekuyera kweTSH test - munyaya iyi TSH ye4,5 - yakayera makirogiramu anenge 12 kupfuura aya avo vaiva neTSH pamucheto wepasi wekutarisa, uye vane TSH miviri ye 0.28.

Kakawanda, vatsvakurudzi vakagumisa kuti utachiona hunoshanda - kunyange kana maTSH akawira mukati memutsara wekutarisa - chinhu chinobatsira kusimbisa uremu hwemuviri, uye kunyange hutachiona hweTSH hwakasimudzwa hunobatanidzwa nekuwedzera kwekuitika kwekuneta.

Zvinofadza, utachiona hunoita zvakakonzerwa neBMI sekuita basa!

Vatsvakurudzi vakaonawo kuti kunyange kusiyanana kwechirwere chetachiona - mukati mekutaridzirwa kwezera re Free T4 - kunogona kuita kuti mutemo wehuremu hwemuviri huve muhuwandu. Zvinofungidzirwa kuti kutenderera kwetachiona hormone kunogona kukanganisa muviri we "kurara kwesimba rinoshandiswa." Maererano nevatsvakurudzi,

"Munharaunda umo basa rekuita basa rave richiderera zvishoma nezvishoma, kunyange mupiro mutsva kumashandisirwo emagetsi anoshandiswa kuburikidza nemhomoni yekotori inogona kukwana kuti kuwedzere kuBMI."

Vatsvakurudzi vakapedzisa vachiti:

"... isu tinoratidzira kuti kusiyana kwetachiona kunoshanda pane izvo zvinoonekwa sezvakanakira zvinosangana nekusiyana kweBMI, kunokonzerwa nekuchinja kwechinguva chiduku mumashandisirwo emagetsi.Izvi zvinowanzotaurwa kana unyoro huno hutano huripo. Kuipa kwakadaro kwehutachiona huri pamusoro uye kunogona kushandiswa nemamiriro ezvinhu ezvakatipoteredza.Sezvo zviduku zvisinganetsi muhutachiona zvinowanzoonekwa, utachiona hunoita hunokosha hunoita kuti huwandu hwekuwedzera kwehuwandu huve nehuwandu hwevanhu. "

Yokudzidza 2010

Chimwe chidzidzo chakabudiswa mu Journal of Clinical Endocrinology uye Metabolism chakatsigira izvi.

Bernadette Biondi's Thyroid and Obesity: Unhu Hwakakosha, hunoti:

"... subclinical uye yakawanda hypothyroidism yakabatana nepamusoro yeBMI uye kupararira kwakanyanya kwekuneta kwevari vaviri vanoputa uye vasingatendi.Ave ichitaura kuti zvishoma zvishoma muSerum TSH inokonzerwa nekusachinja kwakanyanya mu-T4 muyero panguva yekushandura kurapwa kunosanganiswa ne zvakanyanya kuchinja kushandiswa kwekushandisa kwemari mu hypothyroid varwere.Ukuongorora uku kunotsigira hutachiona hwehutachiona hwehutachiona husina kunaka hunobatanidza nekuchinja kukuru kwehutano hwemuviri uye zvichida hunomiririra dambudziko rekuwedzera kudarika uye kuneta. "
... Zvakakosha kucherechedza kuti kuwedzera kwekuwedzera kwekuneta kwepasi pose kunogona kuwedzera kufananidzira tsanangudzo yekuti TSH yakawanda inodzidza muhuwandu hwevanhu. Kutsvakurudza kwakawanda kunodiwa kuti uone kana chirwere chetachiona chisina kuchena uye chiitiko chinenge chichiwedzera kukura kweTSH, kureva kumucheto wepamusoro wekutarisa maruva, inobatanidzwa pakuvandudza kuneta. Uyezve, zvidzidzo zvinotarisirwa kuisa basa rinogona kuitwa nepamusoro yeeptin maitiro mukuwedzera kukurudzirwa kune utachiona autoimmunity, iyo inosanganisira pangozi yakakura yekukudziridza subclinical kana overtothyroidism.

Kuwedzera muviri uye utachiona husina kunaka huri zvirwere zvinowanikwa, uye saka varapi vanofanira kunge vakanyatsotarisa kuve nekugona kwehutachiona kusagadzikana mune varwere vakawanda. "

ZVIMWE ZVINOGONA

Pano pane mamwe masimba ane chokuita nekurema, kusakwanisa kuderedza uremu, nekubatanidza nehutachiona basa:

Mhedziso: Knudsen N, et. al. "Zviduku zvakasiyana-siyana muhutano hwehutori zvingave zvakakosha kuMuviri weMisa Index uye kuitika kwekuneta kwevanhu." J Clin Endocrinol Metab 2005 May 3