I-Hypothyroidism Ubuhlobo Nezifo Zenhliziyo Nezinkinga Zenhliziyo
"Abesifazane abakhulile abane-subclinical hypothyroidism cishe babebaphindwe kabili njengoba abesifazane abangenalo lesi simo babe nokuvinjelwa kwe-aorta. Babenokuphindwa kabili amathuba okuhlaselwa yinhliziyo."Ngokusho kocwaningo olwanyatheliswa ku- Annals of Internal Medicine , i-thyroid engasebenzi kakhulu - isimo esibizwa ngokuthi i-subclinical hypothyroidism - yisifo esiyinhloko senhliziyo yabafazi asebekhulile. Esifundweni saseDutch, esibizwa ngokuthi "Isifundo se-Rotterdam," kwafunyanwa ukuthi abesifazane asebekhulile abane-subclinical hypothyroidism cishe cishe kabili njengoba abesifazane abangenalo lesi simo babe nemingcele e-aorta. Babuye babe kabili amathuba okuba bahlaselwe yinhliziyo .
Lesi simo esivamile, esingaba khona izimpawu ezibonakalayo ezigulini, futhi azikho izimpawu ezibonakalayo zodokotela, kuyisimo esiyinhloko esinobungozi kokubili ukuqina kwe-arteries nokuhlaselwa kwenhliziyo kwabesifazane abadala.
I-subclinical hypothyroidism itholakala ngokuhlolwa kwegazi , okubizwa ngokuthi i- Thyroid Stimulating Hormone (TSH). Ngenhloso yalolu cwaningo, i-subclinical hypothyroidism yachazwa njengezinga le-TSH elingaphezu kuka-4.0 mU / L phambi kwenhlobo evamile ye-thyroxine (i-Free T4). I-hypicalroidism yezokwelapha yayichazwa njengezinga le-TSH eliphakeme kune-4.0 mU / L futhi kunciphise izinga le-thyroxine lamahhala.
Ukuthola isifundo se-Rotterdam kuyisimo esiqinile sokuthi izinhlelo zokuhlola ukuhlola ngisho ne-hypothyroidism encane kwabesifazane abadala zingasiza ekuvimbeleni ukugula kwengqondo.
I-thyroid iyi-gland efana ne-butterfly egibela isiphephelo, ngemuva kwendawo "ye-Adam" yezintamo. Amahomoni akhiqizwa yi-gland kubalulekile ekuvuseleleni umzimba, ukukhula, kanye nomthamo womzimba wokwenza amakholori. I-thyroid engasebenzi kakhulu - i-hypothyroidism - kulinganiselwa ukuthi izothinta abesifazane abangamaphesenti angu-10 ukuya kwangu-20 ngesikhathi sokuphila, futhi ivame kakhulu kwabesifazane kunamadoda. Izimpawu ze-hypothyroidism zihlanganisa ukukhathala, ukucindezeleka, ukutholakala kwesisindo , ukulahlekelwa izinwele, ubuhlungu bomzimba nobuhlungu obuhlangene , nezinye izimpawu eziningi ezingapheli nezikhubaza. I-thyroid ephansi ingaxhunyaniswa namazinga okwanda we-LDL - "okubi" ye-cholesterol - nesifo senhliziyo.
Esikhathini sokucwaninga, ngisho nangemva kokuhlelwa kwezibalo kuzo zonke ezinye izici ezithinta ingozi yesifo senhliziyo - - kufaka phakathi isisindo , ukubhema, amazinga e-cholesterol , nokucindezelwa kwegazi - abesifazane abane-hypothyroidism babengamaphesenti angu-70 amathuba okuba ne-aortas enzima - umthambo omkhulu womzimba - kunalabo abanomsebenzi ovamile we-hormone. Babenokuphindwe kabili ingozi yokuhlaselwa yinhliziyo . Ukuba ne-hypothyroidism ngokuzenzakalelayo kwandisa ingozi ngisho nangaphezulu.
NgokukaDkt. Paul Ladenson, isazi se-thyroid kuYunivesithi yaseJohn Hopkins, i-hypothyroidism ingase ibe yinto evame kakhulu kunalokho okucatshangwa njengamanje. Ucwaningo lukaLadenson lubonisa ukuthi amaphesenti angu-17 abesifazane baseMelika asekudala aseMelika angase abe nesimo.
I-Newton Falls engezansi, i-endocrinologist yaseMassachusetts uKennel Blanchard, MD uzwa ukuthi inamba ingase ibe ephakeme, futhi ukuthi i-hypothyroidism ingatholakali kubantu.
Encwadini yami, Living Well With Hypothyroidism: Okuthi Udokotela Wakho Akakutshelani. . . Okuthi Kumelwe Ukwazi, uDkt. Blanchard uthi izilinganiso ezijwayelekile zokuhlolwa kungenzeka zibe zikhulu kakhulu futhi abantu ekupheleni kwemigqa bangabandakanyi ukuhlolwa okulungile. UBlanchard uthi:
"Into eyinhloko yilokho odokotela abatshelwe ngaso sonke isikhathi ukuthi i-TSH iyisivivinyo esisinika impendulo yebobo noma cha. Futhi, eqinisweni, ngicabanga ukuthi lokho akuyikho ngempela. I-TSH ye-pituitary ayilawulwa nje kuphela ukuthi ingakanani i-T4 futhi i-T3 isakaza , kodwa i-T4 iguqulwa ibe yi-T3 ezingeni le-pituitary. I-T3 eyengeziwe ekhiqizwa ezingeni le-pituitary ingaqeda amanga iTSH.
Encwadini yakhe, I-Thyroid Solution , i-Ridha Arem, MD, uProfesa woMnyango wezokwelapha ku-Division of Endocrinology kanye neMetabolism e-Baylor College of Medicine, uyavuma nokuthi i-hypothyroidism ingase ikhona naphezu " kokujwayelekile ," amazinga e-TSH :
Abantu abaningi bangase babe nokungalingani okuncane okungazange kubangele ukuhlolwa kwegazi okungavamile. Uma sifaka abantu abane-grade-grade hypothyroidism abahlolwa igazi abavamile, imvamisa ye-hypothyroidism ngokungangabazeki yayizodlula amaphesenti ayishumi abantu. Yikuphi okukhathazayo okukhethekile, ukuthi, abantu abaningi abaneziphumo zabo zokuhlolwa ezivuthwa njengesijwayelekile bangase baqhubeke babe nezimpawu ze-thyroid ezingasebenzi. Imicabango yabo, imizwelo yabo, kanye nenhlalakahle yabo yonke bayathinteka ngalokhu ukungalingani, kodwa abatholi ukunakekelwa okudingayo ukuze bafinyelele empandeni yezinkinga zabo .... Ngisho noma izinga le-TSH liyingxenye engezansi yejwayelekile ububanzi, umuntu angase ahlupheke nge-grade-grade hypothyroidism ...
Kusobala ukuthi ukucatshangelwa okujulile kufanele kunikelwe ekumiseni ukuhlolwa kwe-hypothyroidism kubo bonke abesifazane asebekhulile, nokuthi kufanele kwenziwe imizamo yokunquma imigqa ephezulu ye-TSH lapho izingozi zezinkinga ezifana nesifo senhliziyo noma ukuqina komzimba ziyancipha.