Hypothyroidism Xiriirka Dhibaatada Wadnaha iyo Dhibaatooyinka Wadnaha
"Dumarka waaweyn ee qaba hypotyroidism-ka qanjirada qiyaas ahaan laba jeer ayay u badan tahay in haweenku aanay lahayn xaalad xannibaad ah oo ku taal xannuunka, waxay sidoo kale laba jeer u muuqdeen inay wadeen weeraro wadnaha ah."Sida laga soo xigtay cilmibaarista lagu soo daabacay Annals of Internal Medicine , wax yar oo aan qarsoodi lahayn - xaalad loo yaqaanno hypotyroidism subclinical - waa khatarta cudurada wadnaha ee weyn ee haweenka waaweyn. Daraasadda Dutch-ka, oo loo yaqaan "Rotterdam Study," waxaa la ogaaday in dumarka waawayn ee qaba hypotyroidism qiyaas ahaan labanlaab ay u badan yihiin dumarka iyada oo aan lahayn xaaladdan si ay u xannibmaan tuubada. Waxay sidoo kale laba jeer u badan tahay inay ku dhaceen weeraro wadnaha ah .
Xaaladdan caadiga ah, oo inta badan aan lahayn calaamado muuqda oo loogu talagalay bukaanada, iyo calaamadaha la arko ee dhakhaatiirta, ayaa ah arrin adag oo halis u ah labadaba adkeynta halbowlayaasha iyo weerarada wadnaha ee dumarka da'da weyn.
Hoos-u-qaadista 'hypothyroidism' waxaa lagu ogaan karaa baaritaanka dhiigga , oo loo yaqaan ' Test hormone stimulating hormone (TSH)'. Ujeeddooyinka daraasaddan, hypotyroidism subclinical ayaa lagu qeexay heerka u sareeya ee ka sareeya 4.0 mU / L marka ay joogaan heerka tyroxin bilaashka ah (T4 Free T4). Hivotiroidism-ka ayaa lagu qeexay inuu yahay heer TSH marka ka sarreysa 4.0 mU / L iyo heerkulka tayriska ee bilaashka ah.
Raadinta Daraasada Rotterdam waa calaamad xoogan oo muujinaysa barnaamijyada baaritaanka si loo qiimeeyo xitaa hypothyroidism ee dumarka waayeelka ah waxay caawin karaan ka hortagga jirada wadnaha.
Qanjirka 'thyroid' waa qanjaruuji-qaabeeya oo qallafsan oo daboolaya hareeraha qorraxda, ka dambeysa 'Adam's Apple' qaybta qoorta. Hormoodyada ay soo saaraan qanjidhka ayaa muhiim u ah kor u qaadista dheef-shiid kiimikaad, korriin, iyo kartida jirka ee wax looga qabto calories. Qanjo-shaybaar aan la shaacin - hypothyroidism - ayaa lagu qiyaasay inuu saameyn ku yeesho inta u dhaxaysa 10 ilaa 20 boqolkiiba haweenka noloshooda, waxayna ku badan yihiin dumarka ragga. Calaamadaha hypothyroidism waxaa ka mid ah daal, niyadjab, miisaan korodh , timo lumis, murqo xanuun iyo muruqyo isku dhafan , iyo calaamado badan oo dabadheeraad ah. Qanjirka 'Thyroid' ayaa sidoo kale lala xiriiri karaa heerarka kordhaya ee LDL - "xun" kolesteroolka - iyo cudurada wadnaha.
Daraasaddan, xitaa ka dib marka loo eego tirooyinka kale ee saameynaya khatarta wadnaha - sida miisaanka , sigaarcabka, heerarka kolestaroolka , iyo cadaadiska dhiigga - haweenka qaba hypothyroidism waxay ahaayeen boqolkiiba 70 ay u badan tahay inay adkeeyeen aortas - xididka ugu weyn ee jirka - marka loo eego kuwa leh hawlo hormoon caadi ah. Waxay sidoo kale lahaayeen laba jeer ka badan halista wadno-xanuunka . Qaadashada hypothyroidism-ka ootammmuni wuxuu kordhiyay khatarta xitaa.
Sida laga soo xigtay Dr. Paul Ladenson, oo ku takhasusay tifaftiraha jaamicadda Johns Hopkins University, hypothyroidism ayaa laga yaabaa inuu ka badnaado sida hadda loo maleynayo. Ladenson's daraasaddiisa ayaa muujineysa in inta badan 17 boqolkiiba haweenka Maraykanka ka weyn ee Maraykanku yeelan karaan xaaladdan.
Lower Newton Falls, Massachusetts endocrinologist Kenneth Blanchard, MD waxay dareensan tahay in tirada dhab ahaantii ay noqon karto mid ka saraysa, iyo in cudurka hypothyroid-ka aan la fahmin dadka.
Buugeyga, Nolol Wanaagsan ee Hypothyroidism: Maxay Takhtarkaagu kuu sheegin? . . Waxaad u Baahan Tahay Inaad Ogaato, Dr. Blanchard ayaa sheegay in kala duwanaanta caadiga ah ee tijaabooyinka ay noqon karto mid aad u ballaaran oo dadku markay dhammaadaan kala duwanaanta ayaa laga reebay baadhitaano ansax ah. Blanchard:
"Waxyaabaha ugu muhiimsani waa dabeecadaha dhakhtarku marwalba u sheegay waa in baaritaankani yahay baaritaankeena inoo siinayo jawaab haa ah ama aan jawaab laheyn, dhab ahaantii, waxaan u maleynayaa in si khalad ah u khaldan yahay. iyo T3 ayaa ku jira wareegtada, laakiin T4 waxaa lagu beddelaa T3 heerka pituitary T3 waxaa lagu qiyaasaa heerka pituitary waxay si been ah u xakameyn kartaa TSH.
Buugga uu qoray, "The Thyroid Solution" , Ridha Arem, MD, Associate Professor ee Daawada qaybta Endocrinology iyo Metabolism at Baylor College of Medicine, ayaa sidoo kale ogolaatay in la helo hypothyroidism inkastoo " heerarka caadiga ah ," heerarka TSH :
Dad badan ayaa laga yaabaa inay qabaan iskahorimaadyo daqiiqado ah oo aan weli keenin baaritaano aan caadi ahayn. Haddii aan ku darno dadka qaba hypothyroidism oo dhiiggooda tijaabada dhiiggu caadi yahay, inta jeer ee cudurka hypothyroidism uusan shaki ka badnayn 10 boqolkiiba dadka. Waa maxay walwal gaar ah, inkasta oo ay tahay dad badan oo natiijadooda tijaabada ah la tirtiray sida caadiga ah ay sii wadi karto calaamadaha cudurka qanjidhka aan firfircooneyn. Niyadjabka, dareenka, iyo fayoobaanta guud ayaa saameeya isudheellitankan, hase yeeshee aysan helin xannaanada ay u baahan yihiin si ay u helaan dhibka dhibaatooyinkooda .... Xitaa haddii heerka TSH hoos ku jiro qaybta hoose ee caadiga kala duwan, qof ayaa laga yaabaa inuu wali ka jiran yahay hypothyroidism-ga hooseeya ...
Waa maxay caddayntu waa in tixgelin dhab ah la siiyo in la sameeyo baaritaanka hypothyroidism dhamaan dumarka waawayn, iyo dadaalkaas waa in la sameeyaa si loo go'aamiyo bedelka ugu sarreeya ee Cusbitaalka ee khatarta dhibaatooyinka sida xanuun wadnaha ama adkeynta xididdada halbowlayaasha.