Ulwalamano lwe-Hypothyroidism kwiintliziyo zeengqondo kunye neengxaki zeCardia
Abasetyhini abasebekhulile abane-subclinical hypothyroidism babedla ngokuphindwe kabini njengabesifazane abangenalo mqathango ukuba banqande kwi-aorta.Ngokomphando opapashwe kwi- Annals of Internal Medicine , i-thyroid engasebenzi phantsi-imeko ebizwa ngokuba yi-subclinical hypothyroidism-iyingozi enkulu yentliziyo yabasetyhini abadala. Kwisifundo se-Dutch, esibizwa ngokuthi "i-Rotterdam Study," kwafunyanwa ukuba abafazi asebekhulile abane-subclinical hypothyroidism babebaphindwe kabini njengabesifazane abangenalo mqathango ukuba banqandeke kwi-aorta. Kwakhona babedla ngokuphindaphindiweyo ukuba babe neentliziyo .
Lo mqathango oqhelekileyo, oqhelekileyo awunaso iimpawu ezibonakalayo kwizigulane, kwaye akukho zibonakaliso ezibonakalayo zoogqirha, ngumngcipheko okhuselekileyo wokubandezeleka kwemibhobho kunye nokuhlaselwa kwentliziyo kubasetyhini abadala.
I-subclinical hypothyroidism ifunyaniswa nokuhlolwa kwegazi , eyaziwa ngokuba nguvavanyo lwe - Thyroid Stimulating Hormone (TSH). Ngeenjongo zale sifundo, i-hyplinroidism yamacclinical ichazwe njengezinga le-TSH elingaphezu kwe-4.0 mU / L phambi kohlobo oluqhelekileyo lwe-thyroxine (i-Free T4). I-hypicalroidism yeklinikhi yachazwa njengezinga le-TSH elingaphezu kwe-4.0 mU / L kunye nokwehla kwenqanaba le-thyroxine.
Ukufunyanwa kwe-Rotterdam kuluphawu oluqinileyo lokuba iinkqubo zokuphonononga ukuhlola nokuba encinci ye-hypothyroidism kubasetyhini abadala banokukunceda ukukhusela isifo senhliziyo.
I-thyroid yinto efana ne-butterfly eyenze ijikeleze i-windpipe, emva kwe "Apple Adam" kwindawo yentamo. Amahomoni aveliswa yi-gland kubalulekile ekuvuseleleni umthamo, ukukhula, kunye nomzimba womzimba wokusebenzisa iikhalori. I-thyroid engapheliyo-hypothyroidism - iqikelelwa ukuba inokuchaphazela amaninzi kuma-10 ukuya kuma-20 ekhulwini kwabasetyhini ngexesha lokuphila, kwaye iyaqhelekileyo kubasetyhini kunamadoda. Iimpawu ze-hypothyroidism ziquka ukukhathala, ukuxinezeleka, ukuzuza ubunzima , ukulahleka kweenwele, ubuhlungu beentlungu kunye kunye , kunye nezinye ezininzi iimpawu ezingapheliyo kunye nezifo. I-thyroid ephantsi iyakwazi ukudibaniswa namazinga anyuliweyo e-LDL- "okubi" ye-cholesterol - nesifo senhliziyo.
Esi sifundo, nangona emva kokulungelelaniswa kwezibalo kuzo zonke ezinye izinto ezichaphazela ingozi yesifo senhliziyo - - kubandakanya ubunzima , ukutshaya, i- cholesterol , kunye nexinzelelo legazi - abafazi abane-hypothyroidism babengama-70 ekhulwini amathuba okuba abe ne-aortas enzima - kunezo eziqhelekileyo zomsebenzi wehommoni. Kwakhona babenomngcipheko kabini wokuhlaselwa kwentliziyo . Ukuba i-hypothyroidism ye-autoimmune yandisa ingozi ngakumbi.
Ngokutsho kukaDkt. Paul Ladenson, ingcali ye-thyroid kwiYunivesithi yaseYohn Hopkins, i-hypothyroidism inokuba yinto eqhelekileyo kunokuba icinga ngoku. Ucwaningo lukaLadenson lubonisa ukuba amaninzi ama-17 ekhulwini aseMerika aseMelika angase abe nemeko.
Umzantsi weNewton Falls, i-endocrinologist yaseMassachusetts uKennel Blanchard, MD uvakalelwa kukuba inamba ingaba phezulu, kwaye ukuba i-hypothyroidism ingaphantsi kwala manani.
Kwincwadi yam, Ukuphila kakuhle ne-Hypothyroidism: Oko Ugqirha Akunakukuxelela. . . Okufuneka Ukwazi, uDkt. Blanchard uthi iziqendu eziqhelekileyo zeemvavanyo zinokuba zikhulu kakhulu kwaye abantu ekupheleni kwemigangatho ayifakiwe kwi-diagnostic efanelekileyo. UBlanchard uthi:
"Into ephambili yile nto leyo oogqirha abahlala besitsho ngayo kukuba iTSH ngumvavanyo osinika u-ewe okanye akukho mpendulo." Ewe, eneneni, ndicinga ukuba oko kungalunganga. kwaye i-T3 iyasasazeka, kodwa i-T4 iguqulwa kwi-T3 kwinqanaba le-pituitary.
Kwincwadi yakhe, i -Thyroid Solution , i-Ridha Arem, MD, uNjingalwazi oManyeneyo wezeMpilo kwiCandelo le-Endocrinology kunye neMetabolism e-Baylor College of Medicine, naye uyavuma ukuba i-hypothyroidism inokuthi ikhona nangona " uhlobo oluqhelekileyo ," amazinga e-TSH :
Abantu abaninzi banokubandezeleka kokungalingani kwamancinci angakabikho ukuhlolwa kwegazi okungavumelekanga. Ukuba siquka abantu abane-grade-grade hypothyroidism abanokuhlolwa kwegazi eziqhelekileyo, ukuphindaphindiweyo kwe-hypothyroidism ngokuqinisekileyo kuya kuba ngaphezu kweepesenti ezili-10 zabantu. Yintoni enokukhathazeka ngokukhethekileyo, nangona kunjalo, kukuba abantu abaninzi abaneziphumo zabo zokuvavanywa zivuthwa njengesiqhelo zingaqhubeka ziba neempawu ze-thyroid engasebenzi. Iimvakalelo zabo, iimvakalelo, kunye nentlalo-ntle iyathinteka kukungalingani, kodwa abakufumani nkathalo abayifunayo ukuba bafike kwiingcambu zabo iingxaki .... Nangona iqondo le-TSH likwinqanaba elincinane leqhelekileyo Uluhlu, umntu usenokuba nobunzima be-hypothyroidism ...
Oko kucacileyo kukuba ukuqwalaselwa ngokucokisekileyo kufuneka kunikwe ukubeka i-hypothyroidism ukuhlola bonke abafazi asebekhulile, kwaye kufuneka kwenziwe imizamo yokuchonga iindawo eziphezulu ze- TSH apho iingozi zeengxaki ezifana nesifo senhliziyo okanye ukuqina kweetriyiti zancitshiswa.