Hyperothyroidism Kugwirizana kwa Matenda a Mtima ndi Matenda a Mtima
"Akazi achikulire omwe ali ndi subclinical hypothyroidism anali ochepa kwambiri ngati amayi omwe alibe vutoli amakhala ndi ziphuphu mu aorta.Malingana ndi kafukufuku wofalitsidwa mu Annals wa Internal Medicine , chithokomiro chochepa kwambiri - chikhalidwe chomwe chimadziwika kuti subclinical hypothyroidism - ndicho chiwopsezo chachikulu cha mtima kwa amayi achikulire. Mu kuphunzira kwa Dutch, komwe kumatchedwa "Phunziro la Rotterdam," kunapezeka kuti akazi achikulire omwe ali ndi subclinical hypothyroidism anali opitirira kawiri ngati amayi omwe alibe vutoli kukhala ndi mitsempha mu aorta. Amakhalanso odwala mobwerezabwereza.
Izi zimachitika, zomwe kawirikawiri sizikhala ndi zizindikiro zowoneka bwino kwa odwala, ndipo palibe zizindikilo zomwe zimawoneka kwa madokotala, ndizoopsa zomwe zimawopsyeza mitsempha ndi zowawa za mtima kwa akazi achikulire.
Tizilombo toyambitsa matenda tizilombo toyambitsa matenda timayesedwa ndi mayeso a magazi , omwe amadziwika kuti Matenda a Chithokomiro Chotentha. Kwa cholinga cha phunziro ili, subclinical hypothyroidism imatanthauzidwa ngati TSH mlingo waukulu kuposa 4.0 mU / L pamaso pa nthawizonse ufulu wanu thyroxine (Free T4) mlingo. Clinic hypothyroidism imatanthauzidwa ngati TSH mlingo waukulu kuposa 4.0 mU / L ndipo kuchepa kwa thyroxine msinkhu.
Cholinga cha Phunziro la Rotterdam ndikutsimikizira kuti mapulogalamu owonetsera poyesera ngakhale pang'ono hypothyroidism mwa amayi achikulire angathandize kuteteza matenda a mtima.
Chithokomiro ndi chonyezimira chooneka ngati gulugufe chimene chikulunga mphepo, pambuyo pa "Adam's" mbali ya khosi. Mahomoni opangidwa ndi gland ndi ofunikira kuti athandize kuchepetsa thupi, kukula, ndi mphamvu ya thupi yogwiritsira ntchito zakudya. Chithokomiro chosagwiritsidwa ntchito - hypothyroidism - chiyenera kuti chimakhudza amayi 10 mpaka 20 peresenti ya moyo wawo, ndipo amapezeka kwambiri mwa amayi kuposa amuna. Zizindikiro za hypothyroidism zimaphatikizapo kutopa, kupanikizika, kupindula , kupweteka tsitsi, minofu ndi ululu wothandizira , ndi zizindikiro zina zambiri zowononga komanso zofooketsa. Chithokomiro chochepa chingathenso kugwirizanitsidwa ndi kuchuluka kwa LDL - "cholesterol" choipa - ndi matenda a mtima.
Phunziroli, ngakhale atasintha chifukwa cha zifukwa zina zonse zomwe zimakhudza matenda a mtima - - kuphatikizapo kulemera , kusuta, makasitomala , ndi kuthamanga kwa magazi - amayi omwe ali ndi hypothyroidism anali oposa 70 peresenti kuti akhale odwala aortas - mitsempha ya thupi - kuposa omwe ali ndi ntchito yachibadwa ya maselo. Amakhalanso ndi vuto la mtima wopitirira kawiri. Kukhala ndi hypothyroidism yokhayokha kunabweretsa chiopsezo chowonjezerapo.
Malingana ndi Dr. Paul Ladenson, katswiri wa chithokomiro ku yunivesite ya Johns Hopkins, hypothyroidism ikhoza kukhala yowonjezereka kuposa momwe akuganizira panopa. Kafukufuku wa Ladenson amasonyeza kuti pafupifupi 17 peresenti ya amayi achikulire achimereka ku United States akhoza kukhala ndi vutoli.
Kumunsi kwa Newton Falls, katswiri wa sayansi ya zakuthambo ku Massachusetts Kenneth Blanchard, MD amaona kuti chiwerengerocho chikhoza kukhala chokwera, ndipo hypothyroidism sichidziwika bwino ndi anthu.
Mu bukhu langa, Living Well With Hypothyroidism: Zimene Dokotala Wako Sakukuuzani. . . Kuti Muyenera Kudziwa, Dr. Blanchard akunena kuti mayesero oyenerera a mayesero angakhale aakulu kwambiri ndipo anthu pamapeto a mndandanda sakuchotsedwa kuwona. Blanchard anati:
"Chinthu chofunika kwambiri ndi chimene madokotala amauzidwa nthawi zonse ndikuti TSH ndi mayeso omwe amatipatsa inde kapena ayi. Ndipo, ndikuganiza kuti ndizolakwika. ndipo T3 ikugwiritsidwa ntchito, koma T4 ikusinthira ku T3 pa chiwerengero cha anthu ochepa.
M'buku lake, The Thyroid Solution , Ridha Arem, MD, Pulofesa Wothandizira wa Zamankhwala ku Division of Endocrinology ndi Metabolism ku Baylor College of Medicine, amavomereza kuti hypothyroidism ikhoza kukhalabe ngakhale kuti pali " zambiri ," TSH :
Anthu ambiri akhoza kukhala ndi kusamvana kwapang'ono komwe sikunayambe kuyesa magazi mopitirira malire. Tikaphatikizapo anthu omwe ali ndi makina ochepa omwe amagwiritsa ntchito hypothyroidism omwe amayesa magazi, ndiye kuti kuchuluka kwa hypothyroidism kudzapitirira 10 peresenti ya anthu. Chimene chiri chodetsa nkhaŵa chapadera, ndi chakuti anthu ambiri amene zotsatira zawo zazomwe zimayesedwa ngati zachilendo zingapitirize kukhala ndi zizindikiro za chithokomiro chosawonongeka. Maganizo awo, malingaliro awo, ndi moyo wawo wonse zimakhudzidwa ndi kusamvetseka uku, komabe sakulandira chisamaliro chomwe akufunikira kuti afike pamzu wa mavuto awo .... Ngakhale kuti TSH ili m'gulu lachimake mtundu, munthu akhoza kukhala akuvutika ndi otsika mtengo hypothyroidism ...
Chodziwikiratu ndi chakuti kulingalira kwakukulu kuyenera kuperekedwa poyambitsa hypothyroidism kuyang'ana kwa amayi onse achikulire, ndipo kuyesayesa kuyenera kupangidwira kudziwa momwe zingakhalire bwino TSH mizere yomwe zovuta za mavuto monga matenda a mtima kapena kuumitsa kwa mitsempha zachepetsedwa.