Hypothyroidism na ọrịa shuga mellitus: mmekọrịta ahụ na nyocha na-ewere Siofor na Metformin

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Mmekọrịta dị n'etiti hypothyroidism na ọrịa shuga enweghị isi. Ọkpụkpụ thyroid nwere ike inwe ọgba aghara na ụzọ abụọ - sel gland homonụ nwere ike ịmịpụta ma ọ bụ obere.

Ọkpụkpụ thyroid na-emepụta homonụ abụọ, thyroxine na triiodothyronine. A na-edokwara homonụ ndị a dị ka T 3 na T 4.

N'ịmepụta homonụ, a na-eji ayodiin na tyrosine eme ihe. Maka nhazi nke T 4, 4 mkpirisi ayodiin chọrọ, na maka homonụ nke T3, a chọrọ ụmụ irighiri ihe atọ.

Ihe ịrịba ama nke hypothyroidism n'ahụ mmadụ

Site na nzụlite nke mmepe nke hypothyroidism na ndị ọrịa nwere ọrịa mellitus ma ọ bụ na ndị nwere nsogbu nke ya, nsogbu ndị a na-esite:

  1. Malfunctions na arụ ọrụ nke metabolism metabolism n'ime ahụ. N'ime ọbara, enwere onodu cholesterol, a na-ebelata oke abụba dị mma.
  2. Ọnya anụ ahụ, mbelata nke anụ ahụ. Ndị ọrịa na-ahụ mmepe nke atherosclerosis na stenosis, nke na-enyere aka ịbawanye n'ihe egwu nke nkụchi obi na ọrịa strok.

Ọgba aghara na - ebilite na hypothyroidism n'oge mmepe nke ọrịa shuga nwere ike ịkpalite nkụchi obi ma ọ bụ ọrịa strok, ọbụna na ndị na-eto eto.

Maka etolite hypothyroidism, ọdịdị nke akara ndị a bụ njirimara:

  • oke ibu na-egosi;
  • sistemmuzu okpo iku ume ala;
  • afọ ntachi na-apụta;
  • ike ọgwụgwụ pụtara;
  • Ihu nwoke na nwanyi adighi ike.

N'ihe banyere mmepe nke hypothyroidism n'otu oge na nrụpụta insulin na-emebi emebi site na pancreas, a na-emewanye mgbaàmà njirimara niile.

Na hypothyroidism, ọnọdụ na - ebilite nke enwere mbelata nke homonụ thyroid dịka thyroxine na triiodothyronine, ọnọdụ a na - eduga n'ịbelata ike nke usoro metabolic niile.

Site na mbelata nke ọnụ ọgụgụ homonụ thyroid, enwere mmụba na ụba nke TSH n’ahụ - homonụ na-akpali akpali nke gland na-akụ.

Hypothyroidism bụ usoro nke nwayọ na-etolite. E gosipụtara mbelata nke ọrụ thyroid gland n'ime mmadụ site na mgbaàmà ndị a:

  • ike adighi ike
  • arthralgia,
  • paresthesia
  • bradycardia
  • angina pectoris
  • arrhythmia
  • ọnọdụ ojoo
  • arụmọrụ belatara
  • mụbaa n’arụ ahụ.

Hypothyroidism n'oge ọganihu ya na-eme ka mmepe nke nsogbu nke ndidi na carbohydrates, na-eme ka ohere mmadụ na-ebute oria nke 2 nwee ike ịbawanye ike. Iji meziwanye ọnọdụ ahụ na metabolism metabolism na ahụ, ndị dọkịta na-atụ aro ị theụ ọgwụ Siofor, nke nwere mmetụta hypoglycemic.

Siofor bụ otu nke biguanides.

Mmekọrịta dị n'etiti nsogbu na pancreas na thyroid gland

Nchoputa nke ndi oria ndi nwere nsogbu n’azu ihe abua ahu n’egosi na olile anya nke onye choputara oria abuo n’anu nwere abawanye ma oburu n’onye mmadu gha emeghari.

A dụrụ ndị ọrịa dị otú ahụ ọdụ ka ha na-eduzi ọkwa TSH kwa afọ 5. Ọnụọgụ hypothyroidism dịkarịsịrị n'etiti ndị bi na ya ruru 4%; ụdị ụdị nsogbu ahụ na-aputa ihe dị ka pasentị 5% n'ime ụmụ nwanyị yana pasentị 2-4 n'ime ụmụ nwoke.

Ọ bụrụ na hypothyroidism tolite n'ahụ nke onye ọrịa na-arịa ọrịa shuga mellitus, ilebanye anya steeti ọrịa shuga na-agbagha. Nke bụ eziokwu bụ na iji ọgwụ hypothyroidism, ụzọ a na-esi enweta glucose.

Ọgwụ kachasị mma iji belata shuga dị n'ahụ anụ ahụ hypothyroidism bụ Siofor. N'ihe banyere ọganihu nke ọrịa shuga n'ime ahụ megide hypothyroidism, onye ọrịa na-enwe ike ọgwụgwụ oge niile yana mbelata nke mmega ahụ yana mbelata metabolism.

Ọ bụ shuga na glucose

Site n'ịrụ ọrụ pancreas na gland thyroid, ihe shuga dị na 1 liter nke ọbara dịgasị n'etiti usoro physiological. N'ihe banyere imebi, ngbanwe na ọnụọgụ shuga na 1 liter nke plasma ọbara na-apụta.

Ihe dị n’ime glucose dị na 1 l na-agbanwe agbanwe, na-eduga n’ọtụtụ mgbanwe ma n’ụzọ nke ịbawanye ma wedata olu nke glucose na 1 l nke plasma, na nke a bụ ruo n’ọ̀fọdụ nke ụdị shuga 2.

Iji dozie ọdịnaya nke homonụ thyroid na ahụ onye ọrịa, a na-eji usoro ọgwụgwọ mkpụrụ ọgwụ eme ihe. Maka ọgwụgwọ, a na-eji Levothyroxine eme ihe.

A na-ekpebi iji ọgwụ a n'otu n'otu ma ọ bụrụ na ọkwa nke TSH dị na ahụ sitere na 5 ruo 10 mU / l. na T 4 bụ nke nkịtị. Ọgwụ ọzọ eji agwọ ọgwụ bụ L-thyroxine. Mgbe ị na-eji ọgwụ a, ekwesịrị icheta na ọkara ndụ bụ nkezi nke ụbọchị 5, ngụkọta oge nke ime ihe bụ ụbọchị 10-12.

Mgbe ị na-eji levothyroxine, ekwesịrị ịhapụ ịhapụ ị ofụ ọgwụ ọ bụla. Ebumnuche a, a na-ewere TSH kwa izu 5. Vidiyo dị n'isiokwu a ga-akọwa mmekọrịta dị n'etiti gland thyroid na ọrịa shuga.

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