Vatsvakurudzi vekuNorway vakaongorora kushanda kweTSH pahutano hwemwoyo
Kutsvakurudza kwakaratidza kuti overtropothyroidism - yakadzika utachiona hwehutachiona - uye hyperthyroidism - yakakwirira yehutachiona hutano - yakabatanidzwa nehuwandu hwehutachiona hwemwoyo (CHD). CHD inowanikwa apo bhokisi rinowedzera mukati memakironary coronary, nokudaro uchidzivisa mwoyo wako we-oxygen-rich blood. Chidzidzo chakaitwa muNorway chakatora tsvakurudzo iyi imwe danho mberi uye yakatarisa kuitika kwehutachiona hwemazuva ose huri panjodzi yekuuraya chirwere chemwoyo.
Kuongorora TSH uye CHD Risk
Vanhu vanopfuura 25 000 vakabatanidzwa muchidzidzo. Vadzidzi vakadzidza vakaiswa muzvikamu zvishanu zvakasiyana maererano nehutachiona hwavo huchikurudzira hormone (TSH) level:
- TSH: pasi pe 0.50
- TSH: 0.50 kusvika 1.4
- TSH: 1.5 kusvika 2.4
- TSH 2.5 kusvika ku 3.5
- TSH: 3.6 uye yakakwirira
Nechinangwa chekudzidza, TSH reference reference yakarondedzerwa se 0.50 kusvika 3.5 mIU / L. (Cherechedza: Inotsanangurwa yebazi ye laboratories muUnited States inowanzoita yakawanda uye inomhanya kubva kune 0,50 kusvika ku55mIU / L Kubva muna 2002, mamwe magumo ekupedzisira ekutenderera akatsigira kuti chiyero chigoverwa kusvika kune 0,30 kusvika ku 3.0.) Kazhinji, TSH pasi apa .50 inoratidza hyperthyroidism. Chimwe chinhu chiri pamusoro pe55 (chepamutemo) chinoratidza kana hypothyroidism.
Munguva yemakore masere masere ekutevera kwekudzidza, vakadzi 228 (1.3 muzana) uye varume 182 (2.3 muzana) vakafa nehosha coronary heart. Kubva ava, vakadzi ve192 nevarume 164 vaive neTSH mahara mukati mekutarisa nzvimbo iyo vatsvakurudzi vakashandiswa mukudzidza.
I-0.50 kusvika ku4 1.4 TSH yakashandiswa seboka rekutanga rokutonga, uye sezvo mazinga eTSH akwira mumaseresi akakwirira kudarika 1.4, "dambudziko rehuwandu," iyo munyaya ino inofungidzira ngozi yerufu inouraya chirwere chemwoyo, yakasimukawo mumadzimai . (Pakanga paine kuwedzera kwevarume, zvakanga zvisingakwaniki kuti zviongorwe kuti zvinowanikwa.)
Kuongorora kwacho kwakadzokororwa mune imwezve kutevera makore maviri gare gare, uye zvakawanikwa zvakave zvakare zvakafanana nekutanga kutsvakurudza.
Pakupedzisira, vatsvakurudzi vakagumisa kuti kune hukama hwakajeka pakati pehutsika-asi hutano hwakanaka - utachiona hunoita basa muvakadzi uye hunouraya coronary heart disease.
Vatsvakurudzi vakatsanangura kuti, kune ruzivo rwavo, hapasina chero keriniki miedzo kuti aone kana utachiona hwekushandura hutachiona hunogona kudzivirira kudzivisa chirwere chemwoyo chinonzi coronary. Vakatarisa, zvisinei, kuti kumwe kutsvakurudza kwakaratidza kuti utachiona hwemishonga inoshandiswa mushonga unogona kuwedzera cholesterol, hunovandudza endothelial basa (chiyero chezvirwere zvevascular) uye kuderedza zvimwe zviratidzo zvehutachiona.
Izvi Zvinorevei Pasi Pose?
Zvechokwadi, izvi zvakawanikwa zvinoita kuti zvive zvakanyanya kukosha kuti zvidzidzo zvakasiyana-siyana zvehutano zviitwe, nechinangwa chokugadzirisa kana utachiona hwehomori hwevanhu vane TSH huri pamusoro pe 1.4 huchaderedza dambudziko rekuuraya chirwere chemwoyo chinouraya.
Zvimwe zvidzidzo zvaizova zvakakosha zvikuru sezvo vakadzi vanowanzova nehutachiona hwehutano uye chirwere chemwoyo ndicho chinokonzera rufu rwevakadzi.
Tichifunga kuti isu tatoziva kuti utachiona hwekurohwa hutori hunovandudza zviratidzo zvakasiyana-siyana zvechirwere chepfungwa, pane humwe huchapupu huri kuwedzera hwekuti endocrinology uye laboratori inharaunda inoda kusvika pakubvumirana pamusoro pekubvuma kugadziriswa kunyoresa ruzivo rworuzhinji.
Kunyoresa ruzivo rwenharaunda kunogona kubatsira vanhu kuti vawane mushonga wekemikari nokukurumidza panzvimbo pfupi.
Kunobva:
Åsvold, Bjørn MD; et. al. "Thyrotropin Levels uye Njodzi yeFatal Coronary Heart Disease: HUNT Kudzidza," Arch Intern Med. 2008; 168 (8): 855-860.