Ibibazo bya tiroyide biri mu bantu ba none, bigira ingaruka ku gitsina cyose n'imyaka yose kugeza ku rugero rutandukanye. Indwara zo gusuzuma indwara zishobora kuba zitaramenyekana kenshi kurusha izindi ndwara zose, kandi uburyo busanzwe bwo kuvura/kwandikira indwara ya tiroyide buri inyuma y'imyaka myinshi y'ubusobanuro bwa siyansi kuri iyi ndwara.
Ikibazo tugiye gusubiza muri iyi nkuru ni iki - Ese ubuvuzi bworoheje bushobora kugira uruhare mu gukumira no kuvura ibibazo bya tiroyide/ibibazo byo kugabanuka k'imikorere y'umubiri?
Durebye mu nyandiko za siyansi tubona koubuvuzi bworohejeIngaruka za tiroyide ku mikorere ya tiroyide zasuzumwe inshuro nyinshi, ku bantu (urugero: Höfling DB et al., 2013), imbeba (urugero: Azevedo LH et al., 2005), inkwavu (urugero: Weber JB et al., 2014), n'izindi. Kugira ngo dusobanukirwe impamvuubuvuzi bworohejebishobora kuba bishishikaje cyangwa bitabashimisha, mbere na mbere tugomba gusobanukirwa iby'ibanze.
Intangiriro
Hypothyroidism (tiyode nkeya, tiroyide idakora neza) ikwiye gufatwa nk'ikintu abantu bose bahura nacyo, aho gufatwa nk'ikibazo cy'umukara cyangwa umweru kirangwamo n'abantu bakuze gusa. Nta muntu n'umwe muri iki gihe ufite urugero rwiza rw'imisemburo ya tiroyide (Klaus Kapelari et al., 2007. Hershman JM et al., 1993. JM Corcoran et al., 1977.). Uretse urujijo, hari impamvu n'ibimenyetso bihurirana hamwe n'ibindi bibazo byinshi by'imikorere y'umubiri nka diyabete, indwara z'umutima, IBS, cholesterol nyinshi, kwiheba ndetse no gutakaza umusatsi (Betsy, 2013. Kim EY, 2015. Islam S, 2008, Dorchy H, 1985.).
Kugira "metabolisme buhoro buhoro" mu by'ukuri ni kimwe na hypothyroidism, niyo mpamvu bihura n'ibindi bibazo mu mubiri. Ifatwa nk'indwara ya hypothyroidism iyo igeze ku rugero rwo hasi.
Muri make, hypothyroidism ni ikibazo cyo kubura ingufu mu mubiri wose bitewe n’imikorere mike y’imisemburo ya tiroyide. Impamvu zisanzwe ni ingorabahizi, harimo n’ibintu bitandukanye bikomoka ku mirire n’imibereho nka; stress, umurage, gusaza, ibinure byinshi bitagira imbaraga, kurya karubohidrati nke, kurya karori nke, kubura ibitotsi, kunywa inzoga nyinshi ndetse no gukora imyitozo ngororamubiri ikabije. Izindi mpamvu nko kubaga tiroyide, gufata fluoride, uburyo butandukanye bwo kuvura, n’ibindi nabyo bitera hypothyroidism.
Ubuvuzi bworoheje bushobora gufasha abantu bafite ikibazo cya tiroyide?
Itara ritukura n'iry'urumuri rwa infrared (600-1000nm)bishobora kuba ingirakamaro mu mikorere y'umubiri mu buryo butandukanye.
1. Hari ubushakashatsi bwagaragaje ko gukoresha urumuri rutukura mu buryo bukwiye bishobora kunoza ikorwa ry’imisemburo. (Höfling et al., 2010, 2012, 2013. Azevedo LH et al., 2005. Вера Александровна, 2010. Gopkalova, I. 2010.) Kimwe n’ingingo iyo ari yo yose mu mubiri, thyroid gland ikenera ingufu kugira ngo ikore imirimo yayo yose. Kubera ko hormone ya tiroyide ari ingenzi mu gutuma ingufu zikorwa, urabona uburyo kubura kwayo mu turemangingo tw’ingirabuzimafatizo bigabanya ikorwa ry’imisemburo ya tiroyide - imikorere mibi isanzwe. Thyroid nkeya -> ingufu nkeya -> tiroyide nkeya -> nibindi.
2. Ubuvuzi bworohejeIyo ikoreshejwe neza ku ijosi ishobora gusenya uru rugendo rubi, mu buryo bw’imitekerereze binyuze mu kunoza ikoreshwa ry’ingufu mu gace runaka, bityo imisemburo karemano ya tiroyide yongera gukorwa n’iyo misemburo. Iyo misemburo ya tiroyide imeze neza igarutse, ingaruka nyinshi nziza zibaho, kuko umubiri wose amaherezo ubona imbaraga ukeneye (Mendis-Handagama SM, 2005. Rajender S, 2011). Imisemburo ya steroide (testosterone, progesterone, nibindi) yongera kwiyongera - amarangamutima, ubushake n’imbaraga birarushaho kwiyongera, ubushyuhe bw’umubiri buriyongera kandi mu by’ukuri ibimenyetso byose by’imikorere mibi y’umubiri birahinduka (Amy Warner et al., 2013) - ndetse n’isura y’umubiri n’ubwiza bw’imibonano mpuzabitsina biriyongera.
3. Hamwe n'inyungu zishobora guterwa no kwangirika kwa tiroyide, gushyira urumuri aho ari ho hose ku mubiri bishobora gutanga ingaruka ku mubiri, binyuze mu maraso (Ihsan FR, 2005. Rodrigo SM et al., 2009. Leal Junior EC et al., 2010). Nubwo uturemangingo dutukura tw'amaraso tutagira mitochondria; uduce duto tw'amaraso, uturemangingo tw'umweru tw'amaraso n'ubundi bwoko bw'uturemangingo tuba mu maraso tuba dufite mitochondria. Ibi byonyine birimo kwigwa kugira ngo harebwe uburyo n'impamvu bishobora kugabanya ububyimbirwe n'urugero rwa cortisol - imisemburo y'stress ibuza T4 -> T3 gukora (Albertini et al., 2007).
4. Iyo umuntu ashyize urumuri rutukura ku bice bimwe na bimwe by'umubiri (nk'ubwonko, uruhu, amabya, ibikomere, nibindi), bamwe mu bashakashatsi bavuga ko bishobora gutanga imbaraga zikomeye mu gace runaka. Ibi bigaragazwa neza n'ubushakashatsi bwakozwe ku kuvura urumuri ku ndwara z'uruhu, ibikomere n'indwara zandura, aho mu bushakashatsi butandukanye igihe cyo gukira gishobora kugabanuka biteweurumuri rutukura cyangwa infrared(J. Ty Hopkins n'abandi, 2004. Avci n'abandi, 2013, Mao HS, 2012. Percival SL, 2015. da Silva JP, 2010. Gupta A, 2014. Güngörmüş M, 2009). Ingaruka z'urumuri mu gace runaka zishobora kuba zitandukanye ariko zigahuza n'imikorere karemano y'imisemburo ya tiroyide.
Inyigisho nyamukuru kandi yemewe muri rusange y’ingaruka zitaziguye z’ubuvuzi bw’urumuri ikubiyemo gukora ingufu z’uturemangingo. Ingaruka zivugwa ko ziterwa ahanini no gutandukanya nitric oxide (NO) na enzymes za mitochondrial (cytochrome c oxidase, nibindi). Ushobora gutekereza ko NO ari umuhatana wa ogisijeni, kimwe na monoxide ya karuboni. NO ihagarika gukora ingufu mu turemangingo, bigatuma habaho ibidukikije bisesagura ingufu cyane, ibyo bikazamura cortisol/stress.Itara ritukuraItekerezo ryakozwe kugira ngo rikumire ubu burozi bwa nitric oxide, n'ihungabana rivamo, binyuze mu kubukuraho muri mitochondria. Muri ubu buryo urumuri rutukura rushobora gufatwa nk ''uburinzi bwo kwanga stress'', aho kongera ingufu ako kanya. Ni ukugira ngo mitochondria y'uturemangingo twawe ikore neza binyuze mu kugabanya ingaruka zo kugabanya stress, mu buryo imisemburo ya tiroyide yonyine idakora.
Nubwo rero imisemburo ya tiroyide yongera umubare n'imikorere ya mitochondria, igitekerezo kijyanye no kuvura urumuri ni uko bishobora kongera no kwemeza ingaruka za tiroyide binyuze mu kubuza molekile mbi zifitanye isano n'stress. Hashobora kubaho ubundi buryo butandukanye butaziguye butuma tiroyide n'urumuri rutukura bigabanya stress, ariko ntabwo tuzabireba hano.
Ibimenyetso by'umuvuduko muke w'imikorere y'umubiri/hypothyroidism
Igipimo cy'umutima kiri hasi (munsi ya 75 bpm)
Ubushyuhe bw'umubiri buri hasi, munsi ya 98°F/36.7°C
Buri gihe wumva ubukonje (cyane cyane amaboko n'ibirenge)
Uruhu rwumye aho uri hose ku mubiri
Ibitekerezo by'umujinya / umujinya
Kumva ufite stress / guhangayika
Igihu cyo mu bwonko, kuribwa umutwe
Umusatsi/inzara zikura buhoro buhoro
Ibibazo by'amara (kuribwa mu nda, kuribwa mu nda, IBS, SIBO, kubyimba inda, kuribwa mu gifu, nibindi)
Kwihagarika cyane
Ubushyuhe buke/nta bushyuhe (ndetse/cyangwa guhagarara nabi / amavuta make yo mu gitsina)
Kurwara umusemburo/candida
Ukwezi kudahuza, kuremereye, kubabaza
Ubugumba
Umusatsi woroshye/ugabanuka vuba. Ingohe zoroshye
Gusinzira nabi
Sisitemu ya tiroyide ikora ite?
Imisemburo ya tiroyide ibanza gukorwa mu ngirabuzimafatizo ya tiroyide (iherereye mu ijosi) cyane cyane T4, hanyuma ikanyura mu maraso ikagera mu mwijima no mu zindi ngingo, aho ihinduka imiterere ikora cyane - T3. Iyi misemburo ya tiroyide ikora cyane hanyuma ikagera kuri buri turemangingo tw’umubiri, igakora imbere mu turemangingo kugira ngo irusheho gukora ingufu z’uturemangingo. Bityo, ngirabuzimafatizo ya tiroyide -> umwijima -> uturemangingo twose.
Ni iki gikunze kugenda nabi muri ubu buryo bwo gukora? Mu ruhererekane rw'imikorere y'imisemburo ya tiroyide, ikintu icyo ari cyo cyose gishobora guteza ikibazo:
1. Imisemburo ya tiroyide ubwayo ntiyashoboraga gukora imisemburo ihagije. Ibi bishobora guterwa no kubura iyode mu mirire, aside nyinshi z'ibinure bita polyunsaturated (PUFA) cyangwa goitrogens mu mirire, kubagwa mbere kwa tiroyide, indwara yitwa 'autoimmune' ya Hashimoto, n'ibindi.
2. Umwijima ntushobora kuba 'ukora' imisemburo (T4 -> T3), bitewe no kubura isukari/glycogen, cortisol nyinshi, kwangirika k'umwijima bitewe n'umubyibuho ukabije, inzoga, ibiyobyabwenge n'indwara, icyuma cyinshi, n'ibindi.
3. Uturemangingo dushobora kuba tudafata imisemburo ihari. Gufata imisemburo ya tiroyide mu turemangingo akenshi biterwa n’imirire. Ibinure byinshi biva mu ndyo (cyangwa ibinure bibitswe bisohoka mu gihe cyo kugabanya ibiro) mu by’ukuri bibuza imisemburo ya tiroyide kwinjira mu turemangingo. Isukari, cyangwa isukari muri rusange (fructose, sucrose, lactose, glycogen, nibindi), ni ingenzi mu kwinjiza no gukoresha imisemburo ya tiroyide ikora.
Imisemburo ya tiroyide mu turemangingo
Iyo nta mbogamizi ihari ku ikorwa ry’imisemburo ya tiroyide, kandi ikaba ishobora kugera ku turemangingo, ikora mu buryo butaziguye kandi butaziguye ku buryo bwo guhumeka mu turemangingo - bigatuma isukari yuzuye (iba muri dioxyde de carbone). Iyo idafite imisemburo ihagije ya tiroyide yo 'guhuza' poroteyine za mitochondrial, uburyo bwo guhumeka ntibushobora kurangira kandi akenshi buvamo aside lactic aho kuba umusaruro wa dioxyde de carbone.
Imisemburo ya tiroyide ikora kuri mitochondria no ku ngirabuzimafatizo z'uturemangingo, igatera ingaruka z'igihe gito n'iz'igihe kirekire zinoza imikorere ya oxidative. Muri ngirabuzimafatizo, T3 ifatwa nk'igira ingaruka ku mikorere ya za jeni zimwe na zimwe, biganisha kuri mitochondria, bivuze mitochondria nyinshi/nshya. Kuri mitochondria isanzweho, igira ingaruka nziza ku ngufu binyuze muri cytochrome oxidase, ndetse no gukuraho guhumeka bivuye mu ikorwa rya ATP.
Ibi bivuze ko isukari ishobora gusunikwa mu nzira yo guhumeka bitabaye ngombwa ko ikora ATP. Nubwo ibi bishobora gusa nkaho ari ugupfusha ubusa, byongera ingano ya dioxyde de carbone nziza, kandi bigahagarika isukari kuba irundanyije nk'aside lactic. Ibi bishobora kugaragara cyane ku barwayi ba diyabete, bakunze kugira aside lactic nyinshi bigatera indwara yitwa lactic acidosis. Abantu benshi bafite hypothyroidism ndetse bakora aside lactic nyinshi iyo baruhutse. Imisemburo ya tiyode igira uruhare rutaziguye mu kugabanya iyi mimerere mibi.
Imisemburo ya tiroyide ifite undi murimo mu mubiri, ihuzwa na vitamine A na cholesterol bigatuma habaho pregnenolone - iherezo ry’imisemburo yose ya steroid. Ibi bivuze ko urugero ruto rwa tiroyide rutuma progesterone, testosterone, nibindi biba bike. Hari kandi n’urusenda ruto rw’umunyu mu nda, bityo bikabangamira igogora. Imisemburo ya tiroyide ishobora kuba ari yo misemburo y’ingenzi mu mubiri, bivugwa ko igenzura imikorere yose y’ingenzi n’ibyiyumvo by’ubuzima bwiza.
Incamake
Imisemburo ya tiroyide bamwe bayifata nk' 'imisemburo ikomeye' y'umubiri kandi umusaruro wayo ushingiye ahanini ku ngirabuzimafatizo ya tiroyide n'umwijima.
Imisemburo ya tiroyide ikora itera imbaraga za mitochondria, ikorwa ry’imisemburo myinshi ya mitochondria, n’imisemburo ya steroid.
Hypothyroidism ni ikibazo cyo kubura ingufu mu turemangingo hamwe n'ibimenyetso byinshi.
Impamvu zitera kugabanuka kwa tiroyide ni ingorabahizi, zijyanye n'imirire n'imibereho.
Indyo ifite karubohidrati nke n'ibinure byinshi bya PUFA mu ndyo ni byo bintu bibi cyane, hamwe n'umuvuduko w'ihungabana.
Tiroyideubuvuzi bworoheje?
Kubera ko imiterere y'urumuri rwa tiroyide iherereye munsi y'uruhu n'ibinure byo mu ijosi, hafi ya infrared ni bwo bwoko bw'urumuri bwigwa cyane mu kuvura tiroyide. Ibi birumvikana kuko rurushaho kwinjira kurusha umutuku ugaragara (Kolari, 1985; Kolarova et al., 1999; Enwemeka, 2003, Bjordal JM et al., 2003). Ariko, umutuku uri hasi cyane nka 630nm wakoreweho ubushakashatsi kuri tiroyide (Morcos N et al., 2015), kuko ari imiterere y'urumuri isanzwe.
Amabwiriza akurikira akunze kubahirizwa mu bushakashatsi:
Itara rya infrared/lasermu ruhererekane rwa 700-910nm.
100mW/cm² cyangwa ubucucike bw'ingufu burenze
Aya mabwiriza ashingiye ku mibare y’uburebure bw’urumuri mu bushakashatsi bwavuzwe haruguru, ndetse n’ubushakashatsi ku kwinjira kw’uturemangingo nabwo bwavuzwe haruguru. Zimwe mu ngingo zigira ingaruka ku kwinjira harimo; guhumeka, imbaraga, ubukana, gukorana kw’uturemangingo, uburinganire n’ubwuzuzanye. Igihe cyo gukoresha gishobora kugabanuka iyo hari izindi ngingo zinoze.
Mu mbaraga zikwiye, amatara ya LED ya infrared ashobora kugira ingaruka ku ngirabuzimafatizo yose ya tiroyide, kuva imbere kugeza inyuma. Umucyo utukura ugaragara ku ijosi nawo uzatanga inyungu, nubwo hazakenerwa igikoresho gikomeye. Ibi biterwa nuko umutuku ugaragara udakunze kwinjira nkuko byavuzwe. Nk'uko byagaragajwe, amatara atukura ya 90w+ (620-700nm) agomba gutanga inyungu nziza.
Ubundi bwoko bwaikoranabuhanga ryo kuvura hakoreshejwe urumurink'uko laser zo ku rwego rwo hasi ari nziza, niba ubishoboye. Laser yigwa kenshi mu bitabo kurusha LED, icyakora muri rusange urumuri rwa LED rufatwa nk'urungana mu mikorere (Chaves ME et al., 2014. Kim WS, 2011. Min PK, 2013).
Amatara ashyushya, incandescent na sauna za infrared ntabwo ari ingirakamaro cyane mu kunoza umuvuduko w'imikorere y'umubiri / hypothyroidism. Ibi biterwa n'inguni nini y'imirasire, ubushyuhe bwinshi/imikorere mibi ndetse n'uburyo bwo gusesagura.
Umurongo w'ingenzi
Itara ritukura cyangwa infraredInyigo ivuye ku isoko ya LED (600-950nm) ikorerwa kuri tiroyide.
Ingano y'imisemburo ya tiroyide irasuzumwa kandi igapimwa muri buri bushakashatsi.
Uduce twa tiroyide turagoye. Imirire n'imibereho bigomba kwitabwaho.
Uburyo bwo kuvura urumuri rwa LED cyangwa LLLT bwizwe neza kandi butuma habaho umutekano mwinshi. Amatara ya infrared (700-950nm) akundwa cyane muri uru rwego, umutuku ugaragara na wo ni mwiza.