Chero chero ani zvake aida kurasikirwa nehutano uye akawana zvakaoma-uye regai tatarisane nazvo, izvo zvinosanganisira vazhinji vedu-takazvibvunza kana kutora hormone yekemikari, yakadai savothyroxine, inogona kubatsira zvinhu zvishoma. Pashure pezvose (tinogona kufunga), munhu wese anoziva kuti vanhu vane chirwere chetachiona chisina kuchena chinowanzowedzera kuwanda, uye vanhu vane gland remishonga yakanyanyisa kuderedza zvinonzi vanorema.
Zviri pachena kuti, ipapo, mahomoni ehomoriya anotora chikamu chinokosha mukugadzirisa uremu hwomunhu.
Saka, hazvirevi here kubvunza vanachiremba vedu kuti vanongororei imwe yerodhoni yakakura yehomoni, zvakakwana kuti tisiye kurasikirwa kwedu zvishomanana, uye kuti titange munzira yakarurama?
Iyo inopera isu hatisi vekutanga kubvunza mubvunzo uyu. Kushandiswa kwe "yekare" yehutori hormone senzira yekugadzira kurasikirwa kwakaonekwa (uye, kwenguva yakati, yakashandiswa) munguva yakapfuura. Pane zvikonzero zviviri zvisingashandisi nhasi.
Chokutanga, zvidzidzo zvakaratidza kuti hazvishandi. Chechipiri, ruzivo runoratidza kuti kune zviitiko zvakakura zvekutora "kuwedzera" utachiona hwehomori.
Unhu Hurei pakati peTroroid Hormone nekurema?
Nhamba ye hormone yekemikari mumuviri inonyanya kukosha pakurongedza kushandiswa kwese kwemasabolism.
Nhengo yedu yemetabolism inonyanya kukosha kwokuti oksijeni yatinopisa sei muupenyu hwehupenyu hwedu hwezuva nezuva, uye kuti simba ratinopedza sei pakuita saizvozvo.
Izvo zvinowedzera kushandiswa kwemasabetism, simba ratinoshandisa; iyo ndiyo, iyo inowedzera makoriri isu tiri kupisa.
Zvichida tinowana kana kurasikirwa nehutano, zvakakosha, nyaya ye caloric balance. Caloric balance inotsanangurwa nemazana emakirori atinopinda muropa redu (kureva, izvo zvatinodya), kuderedza mazana emakoriri atinopisa (kureva,, zvese metabolism yedu yose).
Saka, imwe nzira yekuderedza uremu inenge iri kuwedzera nhamba yekoriori yatinopisa. Uye nzira yakajeka zvikuru yekushandisa yakawanda yakawanda inenge iri kuwedzera mabasa edu ezuva nezuva.
Imwe nzira yekuita nayo, kana ichikwanisa kuitwa nenzira yakachengeteka, ingadai ichiwedzera nyanzvi yezvinyorwa zvinokonzerwa nemagetsi (BMR) -kudaro nhamba yekoriori yatinopisa patinozorora. Ikoko ndiko, pane imwe nharo, hormone yehrodhi inobatsira pakugadzirisa uremu hwomunhu.
Kusvika pamwero mukuru, BMR yedu inoshanda yehutachiona hwetrojoni muropa redu. Mune dzimwe nguva, munguva dzakapfuura (kusati kweropa kuongororwa kwaive kuwanika kuyera utachiona hunoita), kuenzanisa BMR yaiva nzira inobatsira yekuongorora huro hwehutano hwehutano hwevanhu. Low BMRs yaibatanidza nehutachiona husingashandisi, uye BMR yakakwirira yakabatanidzwa nehutachiona husina simba.
Uye zvechokwadi zvakakwana, vanhu vakawanda vanovaka hypothyroidism vanozviwana vachiwana kuwanda, asi vazhinji vane hyperthyroidism vacharasikirwa nehutemi.
Saka zvose zvinoratidzika sezviri nyore nyore, handizvo here? Munhu wose anoda kuora muviri anofanira kungotora hormone yakawanda yekodemoni, awedzere mari yavo yekorori kuti ashandise caloriic yavo muhutano hwakashata, uye uremu hunofanira kutanga kubuda-kwete?
Uye iyi ndiyo chaiyo iyo madhigirii ane mutsa kana kuti anofungidzira akashandiswa panguva imwechete kuti ataure mahomoni ehutachiona kuti uwedzere kurasikirwa. Zvinosuruvarisa, zvigumisiro pavakaita izvi kazhinji zvakaodza mwoyo.
Sei Kutora Chirwere Chiwedzere Chisingakoshi Kupfuura Iwe Unogona Kufunga
Vanhu vane utachiona hwemazuva ano avo vakatora mahomoni ehutachiona mukuedza kushaya uremu kazhinji havana kurasikirwa zvakawanda, kana zvakadaro, zvakakura. Pane zvikonzero zvikonzero zviviri izvi zvakave zvakadaro.
Kutanga, apo utachiona hwehomoni hunokosha hunokonzerwa nemetabolism, haisi ivo chete vanogadzirisa. Kuwedzerwa kweupfumi kana kurasikirwa kunonyatsotsanangurwa nekubatana kwakaoma pakati pezvinhu zvakawanda zve physologic, izvo mahomoni ehomoni ari imwe chete.
Izvi zvinokonzerwa nehutano hwechiviri zvinoshanda pamaturakiti edu emimba, mamwe mahomoni, uye zvikamu zvakasiyana zvehuropi hwedu kuronga zvose simba redu rekushandisa uye caloric kudya.
Zvakaoma zvikuru kufanotaura zvichazoitika kana tikashandura chimwe chezvinhu zvakaoma izvi, zvakadai semakironi emuhomoni. Zvechokwadi, hazvibviri kutaura kuti chii chichaitika kune uwandu hwomumwe munhu kana iwe uchivapa utachiona hwehomoni. Kazhinji kazhinji, inosvika, kwete zvakawanda zvinoitika.
Chechipiri, zvidzidzo zvino zvakaratidza kuti kupa levothyroxine (T4) kunyange mumakirwe akakwirira-akakwirira zvakakwana kuti abvise zvachose mazinga eTSH , ayo anoitwa nevanhu vakawanda avo vakambobatwa nekenza yekenza - hazviiti kuti kuwedzerwa BMR zvachose, se achienzaniswa ne "chimiro" chekuita. Mune mamwe mazwi, kushandira mahomoni ekorosi zvakaoma zvakakwana kuti utakure TSH kunyange kune, zvikuru kwazvo mazinga haagoni kuvimbwa senzira yekuwedzera zvikuru BMR. Zvinokwanisika kuti kutungamirira T3 kuwedzera kune T4 kunogona kupa mhinduro yakasiyana, asi vanachiremba vakawanda havadi kushandisa chinhu kunze kweT4 mukurapa mamiriro ehutano.
Pakupedzisira, tinofanirwa kutarisa hupenyu chaihwo hwevanhu vakamboonekwa vane hypothyroidism, uye vanozobatwa nehomoni yekemikari. Vazhinji vevanhu ava vava kuwandisa, uye ivo (uye vanachiremba) vanofungidzira kuti kuwedzera kwavo kurema kunongonyangarika kana mahomoni echitachiona akatsiviwa zvakakwana. Uye dzimwe nguva izvo chaizvoizvo zvinoitika. Asi zvakanyanya kakawanda, zvidzidzo zvakaratidza, vanhu ava vanokundikana kurasikirwa nehuwandu hukuru, kana chero, uye kazhinji kazhinji ivo vachawana huwandu hwakawanda sezvo hutachiona hwehutachiona hunojairika.
Nei izvi zvichiitika? Chikamu chemhinduro yacho ingave kuti kurapwa neT3 kuwedzera kune T4 kwakakosha mune vamwe vanhu kuwedzera BMR, saka kurapwa naT4 pachaga hakugone kukwana. Asi kunyange mu hypothyroid vanhu vanobatwa neT3, uye avo vane mazinga eTSH vakaderedzwa pasi kusvika kune chikamu chepakati chetsika dzakanaka (zvichiratidza kukwana kwakakwana kwechirwere), kushaya kurasikirwa kwakanyanya kunowanzova kwakaoma zvikuru.
Chiri kuitika, zvichida, ndechokuti kana iwe ukatsiva mahomoni ehutori muhuwandu hwevanhu vane hutachiona hwe hypothyroidism, uri kutowedzera BMR yavo kune imwe nzvimbo, asi hazvikwanisi kuita kuti varasikirwa nehuwandu hwakawanda hwehuwandu. Kana zvose zvataurwa uye zvaitwa, iwe wakangozvishandura kubva pakuwedzerwa kwehuwandu hwehutachiona hwevanhu kuti uite zvishoma kudarika kuwandisa euthyroid (kureva, chirwere chetachiona). Vakatendeuka kune yako chaiyo, isiri-hypothyroid, munhu ane uwandu hwepamusoro, munhu anorema zvakanyanya nokuda kwekudya kusina kunaka, kupera kwemaitiro, uye / kana maitiro ezvakaberekwa. Saka, iyo inobatwa ne hypothyroid munhu anozviwana ari munzvimbo imwecheteyo sewe munhu ane simba pamusoro pehutano hwehutano. Uye anozviona zvakangooma zvakaoma kuti urege kurasikirwa.
Izvi, zvakajeka mamiriro ezvinhu zvinofanira kutitaurira zvakadzama uye zvakajeka kuti, nepo utachiona hwehutori hwakakosha kune metabolism yedu, haisi chirongwa chekureruka kwekureruka.
Sei Uchitora Zvimwe Zvimwe Zvinokonzera Utachiona Zvinetso
Kunze kwekuti kuwedzera hurosiyo yehutoni hakusi yakakosha pakubereka kuora kwekurema, kunewo zvipingamupinyi pakuita kudaro. Pakati padzo pane chirongwa chepfungwa chinosangana nemweya (kusanganisira atrial fibrillation ), kurasikirwa kwemafupa emapfupa , kuderedzwa kwemafupa emasimba, uye kuzvidya mwoyo. Nhamba dzakawanda dzehomoni yehutori dzinodiwa nekuda kwehutano hwedu, asi "kuwedzera" mahomoni ehutori anogona kukonzera zvinetso zvakakomba.
Shoko Rinobva
Kune vanhu vane hypothyroidism, kutora mahomoni ehutori kunodiwa kuti udzose hutano, asi kazhinji hahubudiriri mukugadzira kurasikirwa kweruchida. Kana iwe usisiri hypothyroid, kutora utachiona hwetrojoni mukuedza kuderedza uremu hakusi kungoita chete kukundikana, asiwo kunogona kuisa pachena kune zvinokonzera matambudziko.
> Sources:
> Hoogwerf BJ, Nuttall FQ. Yenguva refu yekureruka kwehuremu muTeated Hyperthyroid uye Hypothyroid Subjects. Am J Med. 1984 Jun; 76 (6): 963-70.
> Jensen MD, Ryan DH, Apovian CM, et al. 2013 AHA / ACC / TOS Nhungamiro yehutungamiri hwehuwandu hwehuwandu hwehuwandu uye huwandu hwevakawanda muvanhu vakuru: Mharidzo yeAmerican College of Cardiology / American Heart Association Task Force pamusoro pekushandisa mazano uye Obesity Society. Circulation 2014; 129: S102.
> Samuels MH, Kolobova I, Smeraglio A, et al. Migumisiro yaLevothyroxine Kudzorerwa kana Kuderedza Kurapa paNyongodzero yeMagetsi uye Muumbi weMutumbi.Thyroid. 2016 Mar 1; 26 (3): 347-355. doi: 10.1089 / thy.2015.0345