Ofufuza a ku Norway anafufuza zotsatira za TSH pa matenda a mtima
Kafukufuku wasonyeza kuti odwala ambiri otchedwa hypothyroidism - otsika chithokomiro - komanso hyperthyroidism - mkulu wa chithokomiro - ali ndi chiopsezo chowonjezeka cha matenda a mtima (CHD). CHD imachitika pamene pulasitiki imamera mkati mwa mitsempha yamakono, potero imaletsa mtima wanu wa magazi olemera okosijeni. Kafukufuku wopangidwa ku Norway anafufuza pang'onopang'ono motere ndikuyang'ana momwe chithokomiro choyenera chimayambira pachiopsezo cha matenda a mtima.
Kufufuza TSH ndi CHD ngozi
Anthu opitirira 25,000 anaphatikizidwa mu phunzirolo. Ophunzirawo anagawidwa m'magulu asanu osiyana malinga ndi chithokomiro chawo cholimbikitsa tizilombo (TSH):
- TSH: zosakwana 0.50
- TSH: 0.50 mpaka 1.4
- TSH: 1.5 mpaka 2.4
- TSH 2.5 mpaka 3.5
- TSH: 3.6 ndi apamwamba
Pa cholinga cha phunziroli, mtundu wa reference wa TSH unatanthauzidwa kukhala 0.50 mpaka 3.5 mIU / L. (Zindikirani: The reference range for laboratories ku United States nthawi zambiri imakhala yotalika ndipo imatha kuyambira 0,50 mpaka 5.5mIU / L Kuyambira chaka cha 2002, akatswiri ena ochita masewera olimbitsa thupi adalimbikitsa kuti mlingowu ukhale wochepa mpaka 0,30 mpaka 3.0.) Kawirikawiri, TSH pansipa .50 imasonyeza hyperthyroidism. Chilichonse chomwe chili pamwamba pa 5.5 (kuti chikhale chotsatira) ndicho chizindikiro kapena hypothyroidism.
Pazaka zoposa zisanu ndi zitatu zotsatila phunziroli, amayi 228 (1.3 peresenti) ndi amuna 182 (2.3 peresenti) adafa ndi matenda a mtima. Mwa awa, akazi okwana 192 ndi amuna 164 anali ndi miyezo ya TSH m'mabuku omwe ofufuza anagwiritsa ntchito pa phunziroli.
Mtundu wa 0,50 mpaka 1.4 wa TSH unagwiritsidwa ntchito ngati gulu loyambitsana, ndipo ngati ma TSH alikwera m'masamba opitirira 1.4, "chiŵerengero choopsa," chomwe chimawonetsa kuti chiwopsezo cha matenda oopsa a mtima, nawonso anawuka mwa akazi . (Ngakhale kuti panali amuna ena omwe akukwera, sikunali kokwanira kuwerengedwa kuti ndi ofunika kwambiri.)
Kufufuzako kunabwerezedwa muzaka zina zotsatira pambuyo pake, ndipo zotsatirazo zinali zogwirizana ndi kafukufuku woyamba.
Pomalizira pake, ochita kafukufukuwo anapeza kuti pali kugwirizana pakati pa ntchito yochepa koma yachithokomiro mwa amayi komanso matenda oopsa a mtima.
Ofufuzawa anafotokoza kuti, pa kudziwa kwawo, palibe mayesero alionse a kachipatala kuti aone ngati kutentha kwa ma hormoni kungathandize kuteteza ku matenda a mtima. Komabe, anapeza kuti kafukufuku wina wasonyeza kuti mankhwala a chithokomiro amatha kupititsa patsogolo mitsempha ya kolesterolini, kumapeto kwa matenda otchedwa endothelial ntchito komanso kuchepetsa zizindikiro zina za matenda a atherosclerosis.
Kodi Izi Zikutanthauza Chiyani kwa Anthu Onse?
Zoonadi, zotsatirazi zimakhala zofunikira kwambiri kuti maphunziro apadera a amuna ndi akazi azichitika, ndi cholinga chodziwiratu kuti mankhwala a chithokomiro m'malo mwa anthu omwe ali ndi chiwerengero cha TSH pamwamba pa 1.4 akhoza kuchepetsa chiopsezo cha matenda a mtima.
Maphunziro ena angakhale ofunikira kwambiri ngati amayi ali ndi kachilombo koyambitsa matenda a chithokomiro ndi matenda a mtima ndiwo omwe amachititsa kuti amayi aphedwe.
Popeza tikudziŵa kale kuti kutentha kwa ma chithokomiro kumatha kusintha zozizwitsa zosiyanasiyana za matenda a mtima, pali umboni wochuluka wosonyeza kuti mapuloteni ovomerezeka ndi ma laboratory akuyenera kuti agwirizanitse pokhapokha atalandira zolemba zochepa zomwe zikuwoneka bwino.
Kuchepetsa zolemba zapamwambazi kungathandize anthu kupeza mankhwala a chithokomiro posakhalitsa.
Chitsime:
Åsvold, Bjørn MD; ndi. al. "Mitsempha ya Thyrotropin ndi Ngozi ya Matenda a Mliri wa Coronary Heart: The Study HUNT," Arch Intern Med. 2008; 168 (8): 855-860.