Ho ea ka National Heart Lung le Blood Institute, batho ba baholo ba ka bang limilione tse 47 United States (hoo e batlang e le karolo ea 25 lekholong ea baahi) ba na le lefu la metsolic, e leng maemo a kotsi a eketsang kotsi ea lefu la pelo, lefu la tsoekere le stroke . Palo ea batho ba nang le lefu la ts'oaetso e boetse e phahama.
Hona joale, bafuputsi ba fumane hore ts'ebetso e tloaelehileng ea qoqotho - boemo bo tsejoang e le subclinical hypothyroidism - ke ntlha ea kotsi bakeng sa lefu la metabolic.
Ke eng Metabolic Syndrome?
Matšoao a metabolism ke lebitso le fuoeng boloetse bo bonahalang hangata ho batho ba nang le boima bo feteletseng kapa bo feteletseng, ba nang le maemo a itseng a eketsang kotsi ea lefu la pelo, lefu la tsoekere, leqeba le mathata a mang a bophelo bo botle. Matšoao a metabolism a fumanoa ha lintlha tse tharo tse latelang tse kotsi li hlahella:
- Leistline e kholo. Hona ho ka thoe ke botenya ba mpa, kapa ho ba le "sebōpeho sa apole" kapa ho ba le "belly belly." Empa ho ea ka Mokhatlo oa Sechaba oa Thuto ea Cholesterol (NCEP) le American Heart Association, litekanyetso tsa "leistline le leholo" li lekanya boholo ba lisenthimithara tse 35 ho basali le lisenthimithara tse 40 ho banna. Bakeng sa batho ba nang le liphatsa tsa lefutso tse nang le lefu la tsoekere, meeli e fokotseha, ka lisenthimithara tse 31 ho ea ho tse 35 ho basali le lisenthimithara tse 37 ho isa ho 39 ho banna.
- Triglycerides e Phahameng / Ho ba ka Phekolo ea Litlhaku Tse Phahameng. Triglycerides ke mofuta oa mafura a potolohang mali le ho eketsa kotsi ea lefu la pelo. Nete e phahameng e nkoa e le limiligrama tse 150 ka deciliter (mg / dL) kapa e phahameng.
- Low HDL / Being on Treatment ea Low HDL. Haholo-density lipoprotein (HDL) ke mofuta oa cholesterol o atisang ho bitsoa "cholesterol" e ntle hobane e thusa ho fokotsa kotsi ea lefu la pelo. Lebelo le ka tlaase ho 40 mg / dL ho banna kapa ka tlaase ho 50 mg / dL ho basali le nkoa e le tlaase.
- Ho hatella khatello ea mali / Phekolo ea khatello ea mali e phahameng. Khatello ea mali e ngotsoe e le lipalo tse peli, e ngotsoeng ka holimo kapa e ka pele ho e 'ngoe, e kang 120/80, kapa e bitsoa "120 ho feta 80." Nomoro e phahameng ke khatello ea mali ea systolic, 'me e nkoa e phahame haeba e feta ka holimo ho 130 le nomoro e tlase - diastolic - e nkoa e phahame haeba e ka hodimo ho 85.
- Ho Itima lijo ka holimo Ho na le tsoekere / Tlhahlobo ea Mali e phahameng ea mali. Ho ja lijo tse nang le tsoekere ea mali, tse tsejoang hape e le ho itima lijo, ho ka qala ho phahamisa e le pontšo ea temoso ea lefu la tsoekere. Lebelo la 100 mg / dL kapa la holimo le nkoa le phahame.
Joalokaha ho boletsoe, bonyane mabaka a mararo a kotsi a ka holimo a tšoaneleha motho ho fumana hore o na le lefu la metabolic. Empa ha motho a e-na le likotsi tse ngata, o na le kotsi ea lefu la pelo, lefu la tsoekere kapa leqeba. Ho ea ka NCEP, motho ea nang le lefu lena la methapoli o na le monyetla o moholo oa ho hlasela lefu la pelo le makhetlo a mahlano ka monyetla oa ho hlaolela lefu la tsoekere joaloka motho ea se nang lefu la metsolic.
Matšoao a metabolism a atisa ho hlaha ho batho ba feteletseng haholo kapa ba mafura haholo, ba sa keng ba ikoetlisa, kapa ba nang le lijo tse khothalletsang insulin ho hanyetsa. Histori ea lelapa le lilemo li boetse li na le lisosa tse ka sehloohong.
Tšebelisano ea Thyroid
Hona joale bafuputsi ba fumane hore liphetoho tse poteletseng tsa qoqotho li eketsa kotsi ea lefu la metsolic.
Tšebelisano pakeng tsa overt hypothyroidism le kotsi e eketsehileng ea lefu la pelo e seng e thehiloe. Empa lipatlisiso tse phatlalalitsoeng khatisong ea February 2007 ea Journal of Clinical Endocrinology le Metabolism li fumane hore ho na le kamano pakeng tsa mosebetsi oa qoqotho le lefu la ts'oaetso ho batho ba nang le maemo a tloaelehileng a ho susumetsa li-hormone (TSH).
Seo bafuputsi ba se fumaneng ke hore ho ba nang le maemo a tloaelehileng a TSH, boemo ba qoqotho ea qoqotho bo tsejoang e le mahala T4 bo ne bo le bohlokoa. Libaka tsa T4 tsa mahala tse neng li le tlase butle, empa li ntse li le ka har'a mefuta e tloaelehileng, li ekelitse kotsi ea likotsi tse ngata tsa likotsi tsa metabolism.
Maemong a ka tlase a hormone e 'ngoe ea qoqotho, T3 e sa lefelloeng, e ne e amahanngoa le lisosa tse kotsi ho kenyeletsa k'holeseterole e phahameng, LDL k'holeseterole le triglycerides.
Bafuputsi ba ile ba etsa qeto ea hore ho batho ba nang le maemo a tloaelehileng a TSH, esita le liphetoho tse nyenyane T4 mahala le maemong a mahala a T3 a ka ba le phello kotsing ea lefu la metabolism le lefu la pelo.
Bafuputsi ba eletsa hore ho etsoe thuto ho fumana hore na ho phekoloa kapele ha ho se sebetse ha qoqotho ho ka fokotsa kotsi.
Seo se Bolelang Seo U se Bolelang
Haeba lipatlisiso tsa nakong e tlang li fumana hore phekolo ea pele e thusa, mahala T4 le mahala T3, eseng feela TSH, e tla ba litekanyo tse kholo tsa liqeto tsa lefuo le ho phekola.
Patlisiso ena e boetse e fana ka maikutlo a hore haeba o ntse o phekoloa bakeng sa hypothyroidism, o lokela ho hlahlojoa bakeng sa matšoao a lefu la metsoallo. Haeba u le hypothyroid, u tla batla ho etsa sohle se matleng a hao ho fokotsa lisosa tsa hau tsa likotsi.
Ho sebetsana le maemo a kotsi ho ka ba thata, empa ka kakaretso, ho kenyelletsa motsoako oa mekhoa e latelang kapa e latelang:
- Boiteko bohle ba ho theola boima ba 'mele, ho akarelletsa le lijo le boikoetliso
- Liphetoho tse khethehileng tsa phepo bakeng sa ho loantša insulin ho hanyetsa le ho ntlafatsa maemo a k'holeseterole
- Koetlisa
- Meriana ea ho theola triglycerides, ho phahamisa HDL, khatello e tlaase ea mali, ho fokotsa / ho laola tsoekere ea mali
Lisebelisoa
> Roos, Annemieke, le. al. "Mosebetsi oa Thyroid o Kopantsoe le Likarolo tsa Metabolism Syndrome Lihloohong Tsa Euthyroid," Journal of Clinical Endocrinology & Metabolism Vol. 92, No. 2 491-496, Inthaneteng
> Mayo Clinic, "Metabolic Syndrome," Mayo Foundation bakeng sa Thuto ea Bongaka le Lipatlisiso, ka 1998-2007
> Mokhatlo oa National Lung Lung le Blood Institute, "Ke eng Metabolism Syndrome," April 2007, Inthaneteng