Abacwaningi baseNorway bahlola umphumela we-TSH enkingeni yesifo senhliziyo
Ucwaningo luye lwabonisa ukuthi ama-hypothyroidism amaningi kakhulu - amazinga aphansi wegciwane - kanye ne-hyperthyroidism - amazinga aphezulu e-thyroid - ahlobene nengozi eyengeziwe yokwelashwa kwe- coronary (CHD). I-CHD ivela lapho i-plaque ikhiqiza ngaphakathi kwe-artery coronary, ngaleyo ndlela ilahla inhliziyo yakho yegazi eline-oxygen. Ucwaningo oluqhutshwa eNorway luthathe lolu cwaningo ngesinyathelo esisodwa futhi lubukeka ukuthi amazinga ajwayelekile wegciwane abe nomngcipheko wesifo senhliziyo esibulalayo.
Ukuhlola i-TSH ne-CHD Risk
Abantu abangaphezu kuka-25,000 bafakiwe kulolu cwaningo. Abahlanganyeli bokutadisha babehlukaniswe ngezigaba ezahlukene eziyisihlanu ngokuya ngezinga labo le- hormone le-hormone le-stimulating (TSH):
- I-TSH: ngaphansi kuka-0.50
- I-TSH: 0.50 kuya ku-1.4
- I-TSH: 1.5 kuya ku-2.4
- I-TSH 2.5 kuya ku-3.5
- I-TSH: 3.6 nangaphezulu
Ngenhloso yocwaningo, ububanzi bezinkomba ze-TSH buchazwe njenge-0.50 kuya ku-3.5 mIU / L. (Qaphela: Ibanga lokubhekiselwa ama laboratories e-United States livame kakhulu futhi ligijima lisuka ku-0.50 kuya ku-5.5mIU / L. Kusukela ngo-2002, ezinye ze-endocrinologists ziye zancoma ukuthi izinga lifinyelelwe ku-0.30 kuya ku-3.0.) Ngokujwayelekile, I-TSH ngezansi .50 ibonisa i-hyperthyroidism. Noma yini engaphezulu kwe-5.5 (emikhombandlela evamile) ikhombisa noma i-hypothyroidism.
Ngesikhathi esilandelayo esilandelayo eminyakeni eyisi-8 yocwaningo, abesifazane abangu-228 (amaphesenti angu-1.3) namadoda angu-182 (amaphesenti angu-2.3) abulawa ngesifo senhliziyo. Kulaba, abesifazane abangu-192 namadoda angu-164 babe namazinga e-TSH ngaphakathi kwendawo yokubhekisela abacwaningi abasetshenziselwa kulolu cwaningo.
I-0.50 kuya ku-1.4 ububanzi be-TSH isetshenziselwa njengeqembu lokulawula okuyisisekelo, futhi njengoba amazinga e-TSH aphakama emazingeni aphezulu kunama-1.4, "isilinganiso sobubi," okukuleli cala kulinganiselwa ukuthi ingozi ehambisana naso isifo senhliziyo esibulalayo, futhi savuka kwabafazi . (Nakuba kwakukhona ukuphakama kwamadoda, kwakungenakwanela ukuba kubhekwe njengezibalo ezibalulekile.)
Ukuhlaziywa kwaphindaphindiwe kwenye eminye iminyaka emilandelayo kamuva, futhi ukutholakala kwaphinde kwahambisana nokucwaninga kokuqala.
Ekugcineni, abacwaningi baphetha ngokuthi kukhona uxhumano olucacile phakathi komsebenzi ophansi kodwa osebenza ngokweqile emzimbeni kwabesifazane kanye nesifo senhliziyo esibulalayo.
Abacwaningi babike ukuthi, ngolwazi lwabo, akubanga nanoma yiziphi izivivinyo zokwelapha ukucacisa ukuthi ukukhishwa kwe-hormone ye-thyroid kungasiza ekuvikeleni ngokumelene nesifo senhliziyo. Nokho, baqaphele ukuthi olunye ucwaningo luye lwabonisa ukuthi ukwelashwa esikhundleni se-hormone ye-thyroid kungathuthukisa amazinga e-cholesterol, kuthuthukise umsebenzi wokugcina (isilinganiso sezifo zamathambo) futhi unciphise ezinye izibonakaliso ze-atherosclerosis.
Lokho Kusho Ukuthini Emphakathini?
Ngokuqinisekile, lezi zithole zenza kubaluleke kakhulu ukuthi kuqhutshwe izifundo ezengeziwe zobulili, ngenhloso yokunquma ukuthi i-hormone yegciwane esikhundleni sabantu abanezinga le-TSH ngaphezu kwe-1.4 lizonciphisa ingozi yesifo senhliziyo esibulalayo.
Ucwaningo olwengeziwe luyoba lukhulu kakhulu njengoba abesifazane besengcono ukuthuthukisa isifo segciwane nesifo senhliziyo yisisusa esiholela ekufeni kwabesifazane.
Njengoba sisazi ukuthi isifo se-hormone ye-thyroid singathuthukisa izimpawu ezihlukahlukene zesifo senhliziyo, kukhona ubufakazi obandayo bokuthi umphakathi we-endocrinology kanye ne-laboratory udinga ukugcina isivumelwane ngokuthola uhlelo lokunconywa olunconywayo.
Ukunciphisa ibanga lokubhekisela kungasiza abantu ukufinyelela imithi ye-thyroid ngokushesha kunokuba kamuva.
Umthombo:
Åsvold, uBjørn MD; et. al. "Izinga le-Thyrotropin kanye Neengozi Yezifo Zezinhliziyo Ezibulalayo Ezibulalayo: Isifundo se-HUNT," i-Arch Intern Med. 2008; 168 (8): 855-860.