"Koj tsis tas yuav tso ib tus neeg noj zaub mov": kev sib tham nrog tus kws kho mob endocrinologist Yuri Poteshkin

2024 Tus sau: Malcolm Clapton | [email protected]. Kawg hloov kho: 2023-12-17 03:58

Txog qhov hnyav dhau, khoom noj khoom haus, detox, hormonal cuam tshuam thiab ntshav qab zib.

Yuri Poteshkin - kws kho mob endocrinologist, tus neeg sib tw ntawm kev kho mob sciences, tus thawj coj kho mob ntawm Atlas lub tsev kho mob, tus tswv cuab ntawm European Society of Endocrinology thiab Cochrane Community.

Lifehacker tham nrog Yuri thiab kawm paub yuav ua li cas los tiv thaiv kab mob endocrine, vim li cas peb thiaj li nce qhov hnyav, txawm tias nws qhov ntau dhau los ua rau muaj kev phom sij rau kev noj qab haus huv thiab dab tsi yuav tsum tsis txhob ua rau txhua qhov xwm txheej yog tias koj xav poob phaus. Peb kuj pom tias nws puas tsim nyog ntxuav lub cev ntawm cov co toxins thiab yuav ua li cas kho cov ntshav qab zib kom zoo.

Hais txog endocrinology, kev tiv thaiv kab mob thiab hnyav dhau

endocrinology yog dab tsi thiab vim li cas nws thiaj li xav tau?

Endocrinology siv los ua kev tshawb fawb ntawm cov qog endocrine, cov khoom uas lawv tsim, thiab txhua yam no tswj lub cev ua haujlwm li cas. Kuv xav tias tam sim no nws tab tom nthuav dav nws thaj tsam: nws yog tam sim no, theej, kev tshawb fawb ntawm kev humoral Humoral kev tswj hwm yog ib qho ntawm cov txheej txheem ntawm kev tswj hwm cov txheej txheem tseem ceeb hauv lub cev, nqa tawm los ntawm lub cev ua kua (ntshav, lymph, cov ntaub so ntswg., qaub ncaug) nrog kev pab los ntawm cov tshuaj hormones secreted los ntawm cov hlwb, kabmob, cov ntaub so ntswg. kev cai. Thiab hais lus hauv kev kho mob, endocrinology yog kev qhuab qhia uas kawm txog kab mob ntawm cov qog endocrine.

Hauv qhov xwm txheej dab tsi koj yuav tsum tau mus ncaj qha mus rau endocrinologist, hla tus kws kho mob?

Ib txwm, hauv txhua qhov xwm txheej, ua ntej ntawm tag nrho, koj yuav tsum tsis mus rau tus kws kho mob endocrinologist, tab sis mus rau tus kws kho mob. Cov tom kawg muaj kev pom dav dav thiab muaj kev paub ntau los ntawm ntau yam tshuaj.

Tau kawg, yog tias koj muaj kab mob endocrine ntev lossis koj paub ua ntej tias koj muaj teeb meem endocrine, ces koj tuaj yeem mus rau tus kws kho mob uas tsim nyog.

Tab sis yog tias koj tsis paub meej, mus ntsib kws kho mob. Nws yuav txiav txim siab txog cov teeb meem uas tshwm sim ntau tshaj plaws thiab xa koj mus rau tus kws kho mob zoo. Thaum tus kws kho mob endocrinologist yuav tshem tawm cov kab mob tsuas yog los ntawm nws tus kheej thaj chaw, qhov teeb meem yuav nyob twj ywm. Tsis tas li ntawd, muaj ntau tus kws kho mob ntxiv. Yog li ntawd, nws yog qhov xav tau ntau dua los tiv tauj lawv ua ntej.

Cov neeg feem ntau tig mus rau tus kws endocrinologist nrog dab tsi?

Feem ntau, cov neeg sib cuag uas tau xeem dhau lawv tus kheej thiab tam sim no tsis nkag siab tias yuav ua li cas nrog lawv cov txiaj ntsig. Vim li cas lawv thiaj muab rau lawv, peb tsis tuaj yeem nkag siab txhua lub sijhawm. Tab sis qee zaum, ua tsaug rau qhov no, nws hloov tawm los txheeb xyuas qee yam kab mob.

Thaum ib tus neeg tau txais kev kuaj mob niaj hnub hauv ib lub tsev kho mob, cov kws kho mob sib txawv tau koom nrog. Thiab kuj yog ib tug kws kho mob uas sau tag nrho cov ntaub ntawv, systematizes nws, sib txuas lus nrog cov npoj yaig, thiab ces piav qhia txhua yam rau tus neeg mob. Tab sis thaum tib neeg lawv tus kheej txiav txim siab ua qee yam kev tshuaj ntsuam, lawv muaj ntau cov lus nug. Thiab lawv tsuas yog mus rau tus kws endocrinologist - nug seb nws txhais li cas.

Tsis tas li ntawd, muaj cov neeg uas muaj qee yam tsos mob - lawv tsis paub tias lawv yog dab tsi thiab yuav tsum tau kuaj dab tsi. Thiab lawv txiav txim siab tias nws yog qhov zoo dua mus ntsib kws kho mob tam sim ntawd. Cov no yog cov neeg tsim nyog zoo kawg nkaus. Thiab zoo li kuv tias muaj tsawg dua ntawm lawv.

Puas yog nws yuav tsum pub ntshav pub dawb rau cov thyroid hormones lossis qee yam zoo li ntawd, yog tias tsis muaj dab tsi cuam tshuam koj?

Muaj cov kev ntsuam xyuas tas li uas yuav tsum tau ua nyob rau lub sijhawm sib txawv - nyob ntawm poj niam txiv neej thiab hnub nyoog. Koj tus kws kho mob tuaj yeem qhia koj txog lawv.

Qee zaum koj tuaj yeem pub ntshav los txiav txim siab qib ntawm cov thyroid-stimulating hormone (TSH). Qhov no yuav tsum tau soj ntsuam rau hyperthyroidism. Yog li koj yuav tsis nco qhov tshwm sim ntawm tus kab mob no, vim hais tias nws cov tsos mob tsis yog tshwj xeeb thiab disguised li anemia, kev coj khaub ncaws tsis xwm yeem thiab ntau ntxiv. Thaum twg yuav tsum kuaj TSH? Kuv yuav hais, tej zaum, qhov phem tshaj plaws - thaum koj yuav luag txhua yam tsos mob. Yeej, cov kws kho mob ua qhov no.

Thiab nws tseem ceeb heev, txawm tias tsis muaj cov tsos mob thiab kev tsis txaus siab, rau txhua tus neeg thaum muaj hnub nyoog 45 xyoos kom dhau lipid spectrum thiab glycated hemoglobin rau kev tshuaj ntsuam ntshav qab zib mellitus thiab lipid metabolism tsis zoo. Rau cov neeg muaj hnub nyoog qis dua 45 xyoos, cov kev sim no yuav tsum tau ua yog tias lawv rog dhau, muaj roj cholesterol siab, ntshav siab, lossis muaj cov txheeb ze muaj ntshav qab zib.

Nws tseem tsim nyog kuaj xyuas tus poj niam yog tias nws rog dhau thiab yug menyuam hnyav dua 3,600 g. Koj yuav tsum tsis txhob txhawj xeeb txog tus menyuam, tab sis leej niam tuaj yeem cuam tshuam cov metabolism hauv carbohydrates thaum cev xeeb tub.

Yuav tiv thaiv kab mob endocrine li cas?

Feem ntau cov kab mob endocrine tshwm sim los ntawm kev sib tsoo - tsuas yog vim peb tsis muaj hmoo. Peb tiv thaiv tsis tau lawv. Tab sis muaj cov uas koj tuaj yeem ua haujlwm nrog - rog thiab ntshav qab zib. Lawv muaj peev xwm thiab yuav tsum tau tiv thaiv. Thiab txhua leej txhua tus paub yuav ua li cas, tab sis tsis muaj leej twg ua nws.

Thawj theem ntawm kev tiv thaiv yog, tau kawg, qee yam kev cai noj zaub mov. Tab sis mas nws yeej tsis noj. Koj tsis tas yuav muab leej twg rau kev noj haus. Koj yuav tsum paub cov hauv paus ntsiab lus ntawm kev noj haus thiab cov cai rau kev xaiv cov khoom. Qhov no yog dab tsi tus kws kho mob endocrinologist ua.

Thiab yog tias muaj lus nug Thiab kuv noj qhov no thiab qhov no, thiab tom qab ntawd qhov no. Nws txhais tau li cas?”, Tom qab ntawd koj twb yuav tsum tau hu rau tus kws qhia zaub mov.

Qhov tseeb, tib neeg txaus siab los hloov cov khoom noj khoom haus. Tab sis kev tawm dag zog lub cev - qib thib ob ntawm kev tiv thaiv - tuaj yeem nyuaj rau kev koom ua ke rau hauv koj txoj haujlwm niaj hnub.

Dab tsi yog qhov mechanism ntawm qhov hnyav nce?

Nws yooj yim txaus. Qhov no yog tus qauv mismatch ntawm kev siv hluav taws xob thiab siv zog siv. Lub complex pib ntxiv. Peb muaj cov txheej txheem tswj kev noj qab haus huv thiab kev tshaib kev nqhis. Rog qhia tag nrho lub cev: txo qab los noj mov, noj txaus. Tab sis vim li cas ib tug neeg tseem ua li no?

Thaum peb tham txog qhov hnyav me ntsis, ces tus cwj pwm coj tuaj yeem ua lub luag haujlwm. Piv txwv li, ib tug neeg tsis txawm xav txog thiab tsis tau tsom mus rau kev tswj lub cev hnyav. Zoo, nws noj thiab noj, qab thiab qab. Tag nrho cov no tuaj yeem raug kho nrog kev paub txog tus cwj pwm kev coj cwj pwm, kev cuam tshuam kev noj haus, thiab kev ua lub cev.

Thiab hauv cov neeg uas muaj lub cev hnyav dua (tshaj li 35), cov teeb meem puas siab puas ntsws twb tsis muaj kev sib txuas. Raws li txoj cai, lawv twb muaj qhov tseem ceeb ntawm kev txaus siab ntawm zaub mov. Thiab qhov no tuaj yeem tshwm sim vim muaj ntau yam laj thawj: kev nyuaj siab, kev ntxhov siab, tus cwj pwm zoo, kev xav tau tsis txaus thiab ntau ntxiv.

Nws kuj yog feem ntau hais tias ib tug neeg zoo li "vim cov tshuaj hormones." Qhov no muaj tseeb li cas?

Yog lawm, vim yog lawv, ib tug neeg tuaj yeem ua tau zoo. Tab sis txawm tias vim yog cov tshuaj hormones, nws yuav tsis tuaj yeem nce lub cev qhov ntsuas ntau dua 35. Piv txwv li, nrog hypothyroidism, qhov hnyav nce mus txog 5% ntawm qhov hnyav. Ntawd yog, tus neeg hnyav 70 kg, thiab dhau los ua 73. Pom zoo, tsis yog qhov sib txawv loj.

Ntawm txhua kis ntawm kev rog rog, pathology ntawm endocrine system vim qhov ua rau qhov hnyav nce tsuas yog 2%.

Dab tsi tactics rau kev kho mob rog ua haujlwm?

Thaum ib tug neeg saib xyuas nws tus kheej, nws pib xav tias: “Yog li ntawd, kuv pib noj cov khoom qab zib lossis rog ntau dua. Vim li cas? Nws yuav tsum nug cov lus nug no, txheeb xyuas cov zaub mov, kos cov lus xaus, txiav txim siab thiab hloov cov khoom noj.

Thaum peb, kws kho mob endocrinologist, piav qhia cov hauv paus ntsiab lus, peb suav nrog tus neeg paub qab hau uas yuav nkag siab tias qee yam hloov pauv. Yog li ntawd, nws yuav ua li no: “Yog lawm, kuv tau pib noj ntau yam khoom tsis raug. Tam sim no kuv yuav hloov mus rau lwm tus thiab nrhiav seb qhov twg yog qhov teeb meem. Tej zaum kuv yuav tsum mus ntsib kws kho mob hlwb, hloov haujlwm, lossis ua lwm yam."

Thiab cov tactics ntawm no yog qhov yooj yim heev. Nrog rau lub cev qhov Performance index txog li 27, peb tsuas muaj khoom noj khoom haus thiab lub cev ua si hauv peb lub arsenal. Thaum BMI nce mus txog 27 lossis ntau dua, kev kho tshuaj tuaj yeem txuas nrog. Piv txwv li, yog tias muaj teeb meem hauv daim ntawv ntawm hypercholesterolemia, ntshav siab thiab lwm yam teeb meem.

Thiab nrog BMI ntawm 35 lossis ntau dua, nws yog qhov tsim nyog los sau tshuaj thiab / lossis kev kho mob phais. Txhua yam ntawm no twb loj heev, vim hais tias rog yog inevitably fraught nrog sib koom pathology. Nws kuj tuaj yeem ua rau muaj teeb meem nrog cov hlab plawv thiab ntshav qab zib.

Thiab cov lus qhia phem yog dab tsi? Tsis muaj teeb meem dab tsi koj yuav tsum ua yog tias koj xav kom poob phaus?

Cov lus qhia tsis zoo tshaj plaws yog txwv koj cov calories kom tsawg. Thiab txawm muaj teeb meem ntau dua yog kev txwv lub zog. Tag nrho cov no ua rau lub fact tias ib tug neeg pom nws tus kheej nyob rau hauv ib qho teeb meem uas nws tsis muaj zog los ua hauj lwm tam sim no.

Thiab nws yuav twv yuav raug hu tsis koom nrog kev tawm dag zog lub cev. Thiab yog tias nws pib, nws yuav ua rau catabolism, vim tias cov leeg nqaij yuav pib tawg. Qhov no yuav tsum tsis txhob ua.

Kev txwv tsis pub calorie hnyav yog qhov tsis zoo rau cov txiaj ntsig ntev. Yog lawm, ib tug neeg tuaj yeem poob phaus sai sai siv txoj kev no. Tab sis qhov kev poob phaus sai no xaus nrog kev rov qab los: qhov hnyav tsuas yog rov qab los.

Thiab lwm txoj kev tsis zoo siv los ntawm ntau tus kws tshaj lij yog suav calories.

Qhov tseeb yog tias tib neeg pib thab thiab txhawj xeeb ntau thaum lawv suav pes tsawg calories lawv tau siv nyob rau ntawd thiab tuaj ntawm no. Qhov no thaum kawg ua rau neurosis.

Thiab cov uas peb tab tom tham txog tam sim no feem ntau yuav muaj cov yam ntxwv ntawm kev puas siab puas ntsws. Koj yuav tsum ceev faj nrog lawv. Lawv yuav tsum tsis txhob ceeb. Thiab cov txheej txheem kho qhov hnyav yuav tsum tau yooj yim rau lawv. Tom qab tag nrho, nws yog ib txwm tsis kaj siab rau peb thaum ib tug neeg txawv teb chaws cuam tshuam hauv peb lub neej.

Thiab xav txog tias koj tau hais kom tas li: "Tam sim no koj yuav noj qhov no." Nej teb tias nej tsis nyiam, tiamsis lawv hais rau nej tias: "Tsis yog, nej tsuas noj qhov no xwb." Koj xav li cas? Cia li xa rau koj tus kheej mus rau ntuj txiag teb tsaus. Tej zaum ib tug yuav muaj kev mloog lus thiab yuav ua raws li tus qauv ib ntus. Tab sis txawm lawv yuav muaj qhov txwv ntawm kev ua siab ntev.

Yog li ntawd, nws yog qhov zoo dua tsis suav calories, tab sis khaws daim ntawv teev npe lossis yees duab cov zaub mov uas koj tau noj thiab qhia rau koj tus kws kho mob. Thiab nws yuav maj mam thiab smoothly kho cov zaub mov. Nws yog qhov yooj yim. Ntseeg kuv, txhua qhov kev hloov pauv peb ua rau kev noj haus yog qhov yeej. Peb yuav tsum tso ib tug neeg uas muaj kev hloov pauv mus tas li kom nkag siab txog kev noj mov.

Puas yog qhov hnyav dhau ib txwm muaj teeb meem? Los yog muaj qee yam ntau yam thaum koj tsis tuaj yeem txhawj xeeb txog koj txoj kev noj qab haus huv?

Thawj qhov yuav tsum paub yog tias qhov hnyav dhau los ua rau koj cov pob qij txha. Koj yuav xav tias nws tsis yog tag kis lossis hnub tom qab tag kis, tab sis thaum muaj hnub nyoog 60 xyoo. Txhua tus neeg nyob ib puag ncig koj mam li pib xyaum Nordic taug kev, thiab koj yuav tsis muaj peev xwm txav tau ib txwm vim koj lub hauv caug mob.

Yog tias peb tham txog kev hloov pauv hauv metabolic, ces nws txaus los ntsuas ntshav siab rau ob peb hnub. Yog tias nws tsis nce siab tshaj 135 txog 85, koj tsis tas yuav txhawj xeeb ntau dhau. Thiab yog tias nws nce siab tshaj 135, ces qhov no, ib yam nkaus, tej zaum yuav tsis muaj teeb meem. Tab sis nyob rau hauv cov ntaub ntawv no, nws yog tsim nyog muab ib tug niaj hnub ntsuas ntshav siab kom peb paub tseeb hais tias nws yog siab los yog tsawg, seb puas muaj tee thaum nruab hnub thiab hmo ntuj. Qhov no yog txhua yam tseem ceeb heev.

Cov ntsiab lus tom ntej no yog kev kuaj glycohemoglobin, uas pab ntsuas qhov nruab nrab cov ntshav qabzib hauv peb lub hlis dhau los. Yog tias qhov tshwm sim tsis nyob hauv qhov qub, qhov no yog qhov cim ntawm qhov pib mob ntshav qab zib. Tswj nws. Qhov no yog qhov teeb meem tshaj plaws hauv cov neeg rog rog.

Thiab qhov kawg yog lipid spectrum. Cov no yog cov roj (cholesterol) tag nrho, tsawg thiab siab ceev lipoproteins, triglycerides. Tau kuaj xyuas lawv qib hauv cov ntshav. Yog tias cov txiaj ntsig nyob hauv qhov qub, koj tsis tas yuav txhawj xeeb.

Yog tias ib qho ntawm cov saum toj no tsis sib haum rau cov qauv - qhov no yog qhov laj thawj xav txog kev poob phaus. Los ntawm txoj kev, kev haus luam yeeb yog txwv tsis pub.

Ntawd yog, yog tias, nrog qhov hnyav dhau, tag nrho cov ntsuas saum toj no yog qhov qub, ces koj tsis tuaj yeem txhawj xeeb ntau dhau?

Yog, sib nrug los ntawm kev sib koom ua ke yav tom ntej. Thiab yog tias muaj cov txheeb ze uas muaj ntshav qab zib, kuv yuav sim ua raws li kuv qhov hnyav. Nws qhov ntau dhau ua rau lub sijhawm dhau mus.

Yog tias txhua yam ua tiav raug, kev txhim kho ntawm ntshav qab zib mellitus yuav pib thaum muaj hnub nyoog 60-70 thiab yuav mob hnyav dua.

Tab sis yog tias koj tsis saib xyuas koj tus kheej, thaum muaj hnub nyoog 40 xyoo koj yuav muaj teeb meem thiab noj ntau cov tshuaj. Ntawd yog, tsuas yog los ntawm kev tswj hwm qhov hnyav, koj tuaj yeem nce 30 xyoo ntawm lub neej zoo.

Hais txog kev noj haus, detox thiab hormonal cuam tshuam

Koj xav li cas txog cov zaub mov tshiab, piv txwv li, kev noj zaub mov paleo lossis keto noj? Puas muaj tej yam uas siv tau tiag tiag?

Zoo, kuv tuaj yeem cuam tshuam nrog lawv li cas yog tias kuv tau hais tias kev noj zaub mov yuav tsum tau hloov kho kom zoo thiab ua tib zoo. Lawv yuav tsum tau yoog raws tus neeg txoj kev ua neej kom lawv nyob nrog nws mus ib txhis. Thiab tag nrho cov kev noj haus yog ib ntus. Peb tsis tuaj yeem muab ib qho ntawm lawv mus tas li.

Tau kawg, cov khoom noj no muaj cov kiv cua. Tab sis lub cev ntawm txhua tus neeg yog tus kheej, thiab tsis yog txhua tus tuaj yeem tiv taus ntev li cas lwm tus ua raws li.

Thiab yog tias koj tsuas yog saib cov txheeb cais, ces cov txiaj ntsig ntawm cov neeg uas nyob rau tib lub keto noj zaub mov tsis zoo: lawv tuaj yeem txhim kho lossis ua rau cov kab mob ntev ntev lossis lwm yam teeb meem kev noj qab haus huv. Feem ntau, cov zaub mov no tau tsim los kho mob vwm. Nyob rau hauv txhua rooj plaub, xaiv cov khoom noj khoom haus zoo ua haujlwm zoo. Thiab yog tag nrho.

Thiab qhov tseeb, txhua yam kev noj haus zoo sib xws. Tsis muaj ntau cov khoom xyaw hauv peb cov khoom noj, thiab peb muaj ob peb txoj kev xaiv. Ib qho ntawm cov hauv paus ntsiab lus ntawm kev kho cov khoom noj khoom haus - txwv kev noj qab haus huv - yog tam sim no nyob rau hauv tag nrho cov tswv yim.

Tsis tas li ntawd, kev noj zaub mov tau muab faib ua ob hom: nrog kev txwv ntawm carbohydrates thiab txwv cov rog thiab cov protein. Thiab cov zaub mov feem ntau yog cov tshuaj tiv thaiv carbohydrate. Piv txwv li, tib paleo thiab keto noj zaub mov.

Tseeb tiag, txhawm rau kom carbohydrates nyob rau hauv kev noj haus thiab ua haujlwm zoo, koj yuav tsum ua haujlwm zoo thiab ua tiav nrog tus neeg. Thiab qhov no yog ib txoj hauj lwm nyuaj rau cov neeg uas xav sau ib phau ntawv txog kev noj haus thiab tsuas yog rov ua dua cov kev xav ntawm nws. Yog hais tias lawv hais tias: "Nyob me ntsis", ib pawg ntawm cov lus nug nthuav yuav tshwm sim tam sim ntawd, ib tug la "me ntsis yog npaum li cas?" Yog li ntawd, nws yooj yim dua rau lawv hais tias: “Tsis txhob noj tag nrho. Peb cov yawg koob tsis tau noj, thiab peb tsis tas yuav. " Tiamsis peb cov yawg koob tsis tau nyob ntev.

Tam sim no nws tseem yog fashionable los ntxuav lub cev ntawm tej "toxins". Vim li cas koj yuav tsum tsis txhob ua qhov no?

Vim tsis muaj co toxins. Thaum peb hais lo lus no, tej zaum ib daim duab ntawm tej kas tham ntawm cov kua ntsuab, ib yam ntawm cov boiling tshuaj lom, pops nyob rau hauv ib tug neeg lub taub hau. Thiab ntawm no yog lo lus nug: ua li cas koj xav tias tej yam zoo li no tau nkag mus rau hauv peb lub cev? Tsis muaj leej twg siv lawv lub hom phiaj.

Peb nyob hauv lub ntiaj teb uas muaj cov kab sib txawv thiab cov khoom sib txawv. Ntau pua txhiab xyoo ntawm kev hloov pauv, peb tau tsim cov metabolism tshwj xeeb. Peb muaj lub siab, tshwj xeeb enzymes kom inactivate ntau yam. Ntawd yog, peb tau yoog rau qee yam khoom uas nkag mus rau hauv peb lub cev, thiab peb muaj txhua yam peb xav tau los tshem tawm lawv.

Tsis tas li ntawd, txhua yam uas nyob hauv peb yog ib feem ntawm qhov system tag nrho. Tag nrho cov tshuaj biochemical hauv peb lub cev muaj kev sib cuam tshuam. Thiab koj tsis tuaj yeem "huv" ib yam dab tsi yam tsis hloov qhov sib npaug ntawm cov rog sib txawv. Thiab nws yog ib qho nyuaj heev rau unbalance no system.

Rau tag nrho cov txheej txheem ntawm kev lim ntshav, yuav tsum muaj cov lus qhia tsis txaus ntseeg - piv txwv li, tshuaj lom nrog tshuaj lom. Los yog, nrog cov kab mob hypercholesterolemia, cov kws kho mob siv plasmapheresis los txo cov lipids. Vim ib tug neeg hauv lub xeev no phem heev uas tsis muaj lwm yam ua.

Tej zaum ib tug yuav xav tias txij li thaum nws tseem pab lawv, vim li cas kuv yuav tsum tsis txhob ua ib yam. Tab sis nws tsis ua haujlwm li ntawd. Cov laj thawj zoo yog xav tau. Thiab yog hais tias lawv tsis nyob ntawd, ces xws li tu yuav tsis tau tsuas yog tsis pab, tab sis kuj ua mob.

Tsis muaj cov co toxins uas tsis tau npaj rau hauv peb. Thiab yog tias qee yam tshuaj lom peb, ces, feem ntau yuav, ib tug neeg nchuav tshuaj lom.

Toxins nyuaj kom tau los ntawm cov khoom noj ib txwm, tshwj xeeb tshaj yog nyob rau hauv cov koob tshuaj zoo. Thiab qhov tseem ceeb tshaj plaws - nyob rau hauv cov koob tshuaj uas tuaj yeem raug tshem tawm los ntawm txoj kev "tu" lub cev.

Tab sis muaj txoj kev ruam kiag li. Piv txwv li, ntau tus sim ntxuav lub cev los ntawm txoj hnyuv siv enemas. Tab sis peb muaj microbiota nyob ntawd uas zoo li qub. Nws ua kom peb txoj kev noj qab haus huv los ntawm kev sib npaug ntau pua hom kab mob. Yog tias koj xav tias ib yam dab tsi tsis ncaj ncees lawm nrog nws, mus ntsib kws kho mob noj zaub mov thiab tus kws kho mob plab. Lawv yuav pom nws cov muaj pes tsawg leeg thiab hais tias nws tuaj yeem txhim kho qee yam.

Thiab yog tias koj ua ib yam dab tsi ntawm koj tus kheej, koj yuav ua rau muaj kev cuam tshuam loj heev ntawm cov kab mob sib npaug. Thiab yog li ntawd, cov kab mob pathogenic microorganisms, uas ib txwm muaj nyob rau hauv me me, sib npaug thiab pib cov txheej txheem inflammatory.

Yog tias koj saib peb lub nroog, koj tuaj yeem pom tias daim duab zoo tshaj plaws ntawm lub ntiaj teb rau ib tus neeg yog lub ntiaj teb ib puag ncig dov rau hauv asphalt, zoo nkauj square bushes thiab laj kab. Yog tias koj lub cev zoo li "huv", ces nws tsuas yog tuag. Ib yam li ntuj tuag thaum txiv neej los.

Txhawm rau cuam tshuam nrog cov kab ke no, koj xav tau lub khoos phis tawj supercomputer uas muaj cov ntaub ntawv ntawm yuav ua li cas cov txheej txheem biochemical hauv ib tus neeg tshwm sim. Tab sis nws tsis yog. Peb txawm yog ib tug proteome Ib tug proteome yog ib tug sau ntawm lub cev proteins uas tsim los ntawm ib tug cell, ntaub so ntswg los yog kab mob nyob rau hauv ib tug tej lub sij hawm ntawm lub sij hawm. tsis tau decrypted thiab peb ua tsis tau nws tseem. Nws yog txhua yam nyuaj. Yog li ntawd, koj yuav tsum tsis txhob mloog cov neeg uas tau nyeem ib phau ntawv ntawm biochemistry ib zaug thiab hais tias tam sim no lawv yuav kho txhua yam rau koj.

Yuav ua li cas yog tias ib tug neeg raug kuaj mob ua ntej ntshav qab zib? Thiab dab tsi tsis ncaj ncees lawm thiab kev ntshai uas koj feem ntau ntsib hauv cheeb tsam no?

Feem ntau kuv tuaj hla kev puas siab puas ntsws ntawm cov noog. Kuv pom cov neeg uas tsis tau kho tau ntau xyoo. Lawv tuaj thiab hais tias, "Kuv tau kuaj pom tias muaj ntshav qab zib ntau xyoo dhau los." Hmoov tsis zoo, ntawm kuv lub sijhawm teem tseg, tus neeg zoo li no yuav raug kuaj mob ntshav qab zib.

Yog tias peb pom cov ntshav qab zib nyob rau theem ntxov tshaj plaws, ces peb muab kev kho me me - ib qho tshuaj. Thiab nws tau txhawb cov neeg mob yam tsis muaj tshuaj ntxiv rau lub sijhawm ntev - 5-10 xyoo. Thiab yog tias tib neeg tsis tau txais kev kho mob, tsis quav ntsej txog kev noj zaub mov kom raug, tsis txhob ua si thiab tsis saib xyuas lawv qhov hnyav, tom qab 5 xyoos lawv yuav dhau los ntawm ntshav qab zib mellitus.

Nws txoj kev kho mob tsis yog ib qho tshuaj ntxiv lawm. Kuv xav tias nws yuav tsum qhia meej rau koj tias nws yog qhov zoo dua los noj 1-2 tshuaj tom qab 10 xyoo dua tom qab 5 xyoos twb tau ntau. Thiab qhov tseem ceeb tshaj: yog tias qab zib siab, lub xeev ntawm kev noj qab haus huv yog maj mam tab sis muaj tseeb deteriorating.

Yuav ua li cas yog tias ib tug neeg twb tau kuaj mob ntshav qab zib mellitus?

Yog tias mob ntshav qab zib hom 2 raug kuaj pom, thawj kauj ruam yog yuav tsum tau kuaj xyuas cov teeb meem lig. Tus kab mob no tsis tshwm sim tam sim ntawd. Thiab thaum lub sijhawm tus neeg mus rau ntshav qab zib, nws tuaj yeem muaj teeb meem nrog lub qhov muag, lub raum lossis cov hlab ntsha.

Koj kuj yuav tsum tau txais cov tshuaj thiab cov lus pom zoo ntawm kev noj haus thiab kev ua neej los ntawm koj tus kws kho mob. Thiab tag nrho cov no yuav tsum tau ua ib zaug thiab tib lub sijhawm.

Puas muaj qhov tshwm sim xws li kev ua txhaum lossis tsis ua tiav ntawm keeb kwm hormonal, uas piav qhia txog qhov tshwm sim ntawm qee yam kab mob?

Tsis muaj qhov zoo li hormonal. Ib tug neeg muaj ntau yam kab mob endocrine. Lawv raug tswj me ntsis txawv. Raws li txoj cai, yog tias ib tus ntawm lawv muaj qhov ua tsis tiav, peb tuaj yeem tham txog qhov tshwm sim ntawm qee yam pathology.

Yog hais tias qhov tsis ua hauj lwm tshwm sim ib zaug rau txhua tus, ces qhov no yog ib qho teeb meem loj uas nyuaj rau nco. Thiab feem ntau txhua yam ua ke tawg thaum lub caj pas pituitary ua tsis tiav. Ib tug neeg muaj qhov tsis txaus ntawm yuav luag tag nrho cov qog endocrine.

Xav txog tias nrog cov zaus uas hais txog kev cuam tshuam hormonal, kev ua haujlwm ntawm tag nrho cov kabmob yuav cuam tshuam rau tib neeg.

Vim li cas tib neeg ceev faj txog tshuaj hormonal? Lawv qhov kev ntshai npaum li cas cuam tshuam nrog kev muaj tiag?

Nws zoo nkaus li kuv tias cov tshuaj hormonal raug kho tsis zoo vim yog glucocorticoids, tshwj xeeb - prednisolone. Vim hais tias ntawm pawg tshuaj no, tib neeg xav tias txhua yam tshuaj hormonal ua rau qhov hnyav nce. Thiab lawv xav tsis thoob thaum kuv qhia lawv tias muaj cov uas ua rau nws poob.

Thiab txawm tias glucocorticoids los ntawm lawv tus kheej yuav tsis ntxiv qhov hnyav. Piv txwv li, thaum kuv sau tshuaj hormonal los kho lub raum tsis ua haujlwm, kuv piav qhia tias yog tias koj noj lawv, koj qab los noj mov yuav rov qab los thiab koj yuav pib noj ntau dua. Ces lawv hais rau kuv tias: "Yog, tsis ua li cas, yog, yog tias kuv tsis nce qhov loj me, qhov hnyav yuav nyob li qub." Kuv teb: "Zoo heev." Cov neeg mob ua qhov no, thiab txhua yam tseem nyob li qub.

Dab tsi myths hauv endocrinology koj tsis nyiam tshaj plaws?

Kuv yeej tsis nyiam nws thaum lawv hais tias nws muaj peev xwm kho tau qee yam kab mob loj yam tsis muaj tshuaj. Nws zoo nkaus li kuv tias qhov no tsis yog qhov kev xav tsis zoo xwb, tab sis cov lus qhia lub hom phiaj tsim los ntawm charlatans. Thiab lawv txhawb nws ntawm lawv tus kheej nyiam.

Piv txwv li, muaj Graves' kab mob, ib qho kab mob autoimmune uas lub cev tawm tsam nws cov thyroid receptors. Yog li ntawd, ib tug neeg cov leeg nqaij atrophy thiab teeb meem plawv tshwm sim. Tej zaum nws yuav pw saum txaj. Txawm hais tias thaum pib ntawm tus kab mob, nws feem ntau zoo nkaus li zoo heev. Tab sis dhau sij hawm, nws pib to taub tias ib yam dab tsi tsis ncaj ncees lawm.

Tus neeg no tuaj cuag kws kho mob. Thiab peb hais tias muaj ob txoj kev xaiv. Thawj yog kev kho tshuaj. Peb xaiv nws rau 1-1, 5 xyoo thiab saib. Yog tias qhov rov tshwm sim tshwm sim, koj yuav tsum tau mus rau qhov kev xaiv thib ob - kev phais lossis kev kho mob radioiodine.

Lawm, muaj cov neeg nyob rau hauv ib puag ncig kev kho mob uas hais tias qhov no yuav tsum tsis txhob ua. Lawv sau cov zaub mov thiab lwm yam tsis muaj tseeb.

Yog li ntawd, tom qab 5-7 xyoo ntawm xws li "kev kho mob", tus neeg no tuaj rau peb nyob rau hauv ib tug mob hnyav heev: nws plam tag nrho cov muaj feem ntawm kev noj qab nyob zoo.

Tseem muaj cov neeg hais tias yuav tsum tsis txhob siv cov tshuaj insulin rau hom 1 ntshav qab zib. Nws yog ib zaj dab neeg mob siab. Insulin tau tsim nyob rau thaum pib ntawm lub xyoo pua xeem thiab tau cawm ntau tus neeg txoj sia. Ua ntej ntawd, ntshav qab zib hom 1 yog ib yam kab mob tuag taus.

Thiab tam sim no, tawm tsam keeb kwm yav dhau los ntawm qhov tseeb tias txhua yam zoo thiab tib neeg tsis tuag yooj yim los ntawm nws, kev xav ntawm ntau yam nruab nrab pib tshwm sim, leej twg hais tias yuav tsum tsis txhob siv cov tshuaj insulin. Cov neeg uas nws tau muab rau thiab leej twg tsis siv nws yuav mus rau kev saib xyuas hnyav thiab muaj feem ntau ntawm kev tuag.

Tab sis insulin yog txoj hauv kev nyab xeeb tshaj plaws los them rau cov metabolism hauv carbohydrate, uas tuaj yeem siv rau txhua qhov teeb meem nyuaj. Piv txwv li, yog tias ib tug neeg tsis nco qab, muaj teeb meem ua pa lossis mob hnyav nrog tus mob coronavirus.

Yog li qhov kuv ntxub tshaj plaws yog qhov uas tuaj yeem ua phem rau tib neeg. Ntawm no, theej, peb tsis txawm hais txog dab neeg, tab sis hais txog kev cuam tshuam kev sib raug zoo.

Cov lus qhia dab tsi koj tuaj yeem muab cov neeg nyeem ntawm Lifehacker ua tus kws kho mob endocrinologist?

Raws li tus kws endocrinologist, kuv tsis tuaj yeem muab tswv yim, vim kuv ntsuas tus neeg tag nrho. Qhov kev pom zoo dav dav yog kom tau txais tus kws kho mob tus kheej zoo thiab ntsib nws tsawg kawg ib xyoos ib zaug. Nws yuav saib xyuas koj kev noj qab haus huv, qhia thiab pab koj.

Tus kws kho mob yuav tso cai rau koj ua qhov koj xav tau hauv lub neej - ua tsaug rau qhov tseeb tias koj yuav muaj kev noj qab haus huv rau nws. Thiab koj yuav tsis yuav nws nyob rau hauv ib txoj kev yog tias koj tau poob nws. Koj tuaj yeem khwv tau koj tus kheej, los ntawm koj tus kheej ua haujlwm. Thiab tus kws kho mob yuav pab koj kom tsis txhob ua yuam kev.