A matsayin ɓangare na tsarin endocrine, thyroid din yana da muhimmiyar gudummawa wajen taimakawa wajen tsara da kuma kula da ma'aunin glucose na jini. Akwai wasu shaidu na haɗin kai tsakanin matakan thyroid da kuma hadarin irin ciwon sukari iri na 2. Masu binciken Koriya sunyi nazari mai zurfi don kimanta yawan nau'in ciwon sukari iri na 2 kamar yadda ya dace da matakan da ke cikin TSH, kazalika da thyroxine (Free T4), da kuma kyauta na triiodothyronine (Free T3). ).
Kaddamar da Zane na Nazarin
Mun san cewa yawancin hypothyroidism (TSH matakin da ke sama da 10), da kuma hypothyroidism, suna hade da hyperglycemia (ƙananan jini sugar) da kuma ƙara yawan insulin.
Masu bincike sun kimanta mutane fiye da 6,200 waɗanda suka kasance da aka sani da "euthyroid" -yroid aiki, fiye da shekaru shida. Daga cikin wannan rukuni, mutane 229 suka ci gaba da ciwon sukari 2. An gano cututtukan sukari na 2 irin su glucose mai azumi fiye da 126 mg / dL da / ko matakin A1C haemoglobin sama da kashi 6.5.
Masu bincike sun gyara gadacin A1C wato Halinglobin (wasu lokuta ana kiransu A1C), da glucose mai azumi, kuma sun ƙaddara maɓallin maɓalli na gaba:
Wadanda marasa lafiya suka nuna karawa a matakin su na TSH, har ma a cikin jerin zangon, suna da haɗari mafi girma na ciwon sukari irin na 2, kamar yadda aka kwatanta da wadanda ba su da elevations a TSH.
Mahalarta sun rarraba cikin ƙungiyoyi biyu, suna rarraba bisa lambobin lamarin haɗari da suke da shi a farkon bincike.
Matsanancin hadarin lamarin ya hada da:
- Rajista ta jiki (BMI) a sama da 25 kg / m 2
- Glucose azumi sama da 100 MG / dL
- A1C matakan sama da kashi 5.7
Rukuni na 1 (ƙungiyar mai ƙananan haɗari) na da ƙananan abubuwa biyu na haɗari na rayuwa, kuma ƙananan haɗari 2 yana da abubuwan haɗari na rayuwa guda biyu ko fiye.
An rabawa masu halartar a matsayin "ingantaccen," "barga," ko "ƙaddara" bisa ga canje-canje a cikin abubuwan haɗarin.
Wadanda ba su da wani canji a cikin hadarin lamarin sun kasance sun zama barga.
Abin da Sakamakon Bincike
Daga cikin matan da suka yi nazarin wadanda suka ci cututtukan sukari na 2, suna da TSH mafi girma, duk da cewa har yanzu suna cikin layi. Bisa ga masu bincike, maza da mata suna da irin wannan sakamako: TSH nauyin da ya karu a tsawon lokaci, a cikin maƙallan tunani, ya kara yawan cututtukan cututtuka na 2, yayin da T3 mafi girma da kuma kyauta fT4 sun rage yawan cututtukan sukari na 2. A cikin dukkan kungiyoyi, haɓaka a matakan TSH, tare da rage a T3 da T4 kyauta, an danganta shi da ƙara yawan ciwon sukari na iri na 2.
Sakamakon binciken ya nuna cewa canje-canje da ke faruwa a cikin TSH da matakan hormone na thyroid kafin ganewar asali na ciwon sukari na 2 shine haɗari na hadarin bunkasa yanayin. Hanyar inganta TSH da hankali, tare da ragewa a T3 da T4 kyauta, an hade da haɗarin ƙwayar ciwon sukari na 2. Wannan haɗari ya kasance a fili a yawancin jama'a kuma bai dogara da jinsi da kuma halin da kake ciki ba.
Abin sha'awa shine, yayin da canje-canje a cikin hormones na thyroid ba sune mafi mahimmanci fiye da glucose azumi ko HbA1c gwaji, da rashin karuwar T4 kyauta da karuwa a TSH an dauke su mafi kyau masu hangen nesa na irin ciwon sukari 2 kamar BMI ko canzawa zuwa BMI.
Overall, binciken ya kammala cewa sauye-sauye da sauye-sauye a cikin hormones na thyroid, wanda a baya ba a san shi a matsayin wani abu mai hadari ba, ya zama ƙarin haɗari ga ciwon sukari na 2, har ma a cikin mutanen da basu da matukar "al'ada" matakan thyroid kuma babu wani abu da ke da alaka da shi. thyroid cuta ko thyroid autoimmunity.
Ta yaya Glucose da Insulin Work
Yana da muhimmanci a fahimci yadda glucose da insulin ke aiki.
Glucose-irin nau'in sukari-yana samar da makamashi zuwa jikin ku. Glucose ya zo daga abincinku kuma daga hanta, wanda ya sa ya kuma adana glucose. Yawancin lokaci, lokacin da glucose ya sauke, hanta yana daukan nau'in glucose-glycogen-kuma ya karya shi don ci gaba da ba da gudummawar glucose.
Insulin wani hormone ne wanda aka samar da ka. Ƙunƙarar-tare da thyroid-yana cikin ɓangaren tsarin endocrine. Insulin yana jawo glucose daga jinin jini kuma yana taimakawa ta motsa cikin jikinka don isar da makamashi. Yayin da jini ya saukad da shi, haka ne matakin insulin naka yana ɓoyewa.
Idan kuna da ciwon sukari na iri na 2, kamar yadda glucose ke ginawa a cikin jini, ko dai pancreas ba zai iya saki isasshen insulin ba, ko kwayoyinku ba su amsa da insulin, wanda ake kira insulin resistance. Idan ba ku da yanayin likitanci, amma sun kara yawan sakamakon gwajin TSH-koda kuwa sun fada a cikin zangon zane-zaku iya yin nazarin lokaci na hadarinku ga ciwon sukari na iri 2.
Rubutun cututtukan cututtuka na 2 da cututtuka
Bugu da ƙari, ƙãra a cikin matakan TSH, wasu cututtuka masu haɗari ga ciwon sukari na 2 sun hada da:
- Yawan nauyi
- Matsayi mafi girma na mai ciki
- Rashin aiki da motsa jiki
- Tarihin kansa ko tarihin iyali na irin ciwon sukari na 2
- Kasancewa nahiyar Afirka, Hispanic, Native American, ko Asia-Amurka
- Shekaru: hadarin ya tashi bayan shekaru 45
- Tarihin prediabetes (jini mai karuwa)
- Tarihin ciwon sukari
- Tarihin polycystic ovarian syndrome (PCOs)
Ya kamata ku kasance masu ilimin game da alamun bayyanar cututtuka da alamun gargadi na farko da ku iya ci gaba da ciwon sukari na irin 2 , wanda zai iya haɗawa da:
- Ƙara ƙishirwa
- Dry baki
- Urination akai-akai
- Ƙara yawan yunwa, musamman bayan cin abinci
- Rashin wahala da ci
- Ƙwaƙwalwa da tingling a hannuwanku da ƙafafunku
- Pain a cikin ƙuruwanku
- Raɗa waraka da raunuka da cututtuka
- Binciken tsoro
- Wucin zuciya, rashin ciki
- Bacewar asarar rashin daidaituwa ko riba
- Dry, itchy fata
- Sauran ciwo mai yisti da yawa
- Erectile dysfunction (impotence)
Bincike da kuma magance irin 2 Ciwon sukari
Kwararku na iya yin gwadawa na lokaci don kimantawa don diagnose type 2 ciwon sukari. Masanan sun hada da:
- Glucose mai azumi mai azumi
- Gwacose haƙuri haƙuri
- Hemoglobin A1c (HbA1c) gwajin, wanda ya ba da ma'auni na matakan jini a cikin watanni da suka gabata
Magance ga ciwon sukari na iri 2 yana mayar da hankali ga rage yawan jini, yawanci ta hanyar haɗuwa da magungunan da ke taimakawa wajen inganta yanayin jiki zuwa insulin, da canje-canje na abinci, motsa jiki, da kuma salon canji wanda zai iya taimakawa wajen rage yawan glucose a jini . Idan an gano ka, za ka iya mamaki da mamaki. Yi aiki tare da likitanka don samun lambobinka karkashin iko kuma mafi kyau kula da lafiyarka.
> Source:
> Fun, J. Jee, H. et al. "Ƙungiya tsakanin Canje-canje a cikin Hormones Thyroid da Tashin Cututtuka 2 na Tashin hankali: Nazarin Harshen Kwana na Bakwai," Thyroid. Janairu 2017, 27 (1): 29-38. Doi: 10.1089 / Your.2016.0171.