Masu bincike daga Norway sun bincika sakamakon TSH akan hadarin cututtukan zuciya
Bincike ya nuna cewa shawo kan hypothyroidism - ƙananan ƙwayar thyroid - kuma hyperthyroidism - high thyroid matakan - suna nasaba da wani ƙari ƙari na cututtukan zuciya na zuciya da cututtukan zuciya (CHD). CHD yana faruwa ne lokacin da plaque ya gina cikin sigogi na jijiyoyin jini, saboda haka ya rage zuciyar jinin jini. Wani binciken da aka gudanar a kasar Norway yayi binciken wannan mataki kuma yayi la'akari da yadda al'amuran ƙwayar jikinka suke da shi akan hadarin cututtukan zuciya.
Binciken TSH da CHD Risk
Fiye da mutane 25,000 sun shiga cikin binciken. An haɗu da mahalarta nazarin cikin nau'o'i daban-daban guda biyar bisa ga ƙarancin maganin hormone (TSH).
- TSH: kasa da 0.50
- TSH: 0.50 zuwa 1.4
- TSH: 1.5 zuwa 2.4
- TSH 2.5 zuwa 3.5
- TSH: 3.6 kuma mafi girma
Don dalilai na binciken, ana danganta layin TSH na 0.50 zuwa 3.5 mIU / L. (Lura: Tsaron yaduwa don dakunan gwaje-gwaje a Amurka yana da yawa da yawa kuma yana gudana daga kimanin 0.50 zuwa 5.5mIU / L. Tun 2002, wasu masu binciken endocrinologists sun bada shawarar cewa za a kara matsakaicin zuwa iyakar 0.30 zuwa 3.0.) Yawanci, TSH a kasa .50 yana nuna hyperthyroidism. Duk wani abu a sama da 5.5 (ga jagororin daidaitacce) alama ce ko hypothyroidism.
A cikin shekaru takwas da suka wuce binciken, mata 228 (1.3 bisa dari) da 182 maza (kashi 2.3) suka mutu saboda cutar cututtukan zuciya. Daga cikin wadannan, mata 192 da maza 164 suna da TSH cikin matakan da aka yi amfani da masu bincike don wannan binciken.
An yi amfani da samfurin TSH na 0.50 zuwa 1.4 a matsayin ƙungiyar jagorancin kwalliya, kuma kamar yadda matakan TSH suka shiga cikin jeri fiye da 1.4, "haɗarin haɗari," wanda a cikin wannan yanayin ya kiyasta hadarin haɗarin cututtukan zuciya na cututtukan zuciya, ya tashi cikin mata . (Yayinda akwai wani tasiri ga maza, bai isa ba a yi la'akari da muhimmanci.)
An sake maimaita bincike a cikin wani bayanan shekaru biyu bayan haka, kuma binciken ya kasance daidai da bincike na farko.
Daga ƙarshe, masu bincike sun yanke shawarar cewa akwai alamar haɗuwa tsakanin ƙananan - amma na asibiti na al'ada - aikin maganin thyroid a cikin mata da cututtukan zuciya na zuciya.
Masu bincike sun ruwaito cewa, ga ilimin su, babu wata gwaji ta gwaji don tantance idan maye gurbin hormone zai iya kare kariya daga cututtukan zuciya. Amma sun lura, cewa wasu bincike sun nuna cewa maganin maye gurbin maganin hormone zai iya inganta matakan cholesterol, inganta aikin endothelial (wani nau'i na cututtuka na jijiyoyin jini) da kuma rage wasu alamun atherosclerosis.
Menene Wannan Ma'anar Ga Jama'a?
Tabbas, waɗannan binciken sune mahimmanci don gudanar da nazarin jinsi na musamman, tare da manufar gano idan sauyawa na maye gurbin karo na mutanen TSH da ke sama da 1.4 zai rage hadarin cututtukan cututtukan zuciya na cututtuka.
Ƙarin nazarin zai zama da muhimmanci ƙwarai a yayin da mata zasu iya haifar da ciwon maganin thyroid da kuma cututtukan zuciya shine babbar hanyar mutuwa ga mata.
Ganin cewa mun rigaya san cewa maye gurbin hormone na maye gurbi na iya inganta alamomi daban-daban don cutar cututtukan zuciya, akwai ƙarin shaida cewa endocrinology da kuma masana'antun gwagwarmaya ya kamata a cimma yarjejeniya a kan ƙaddamar da iyakacin ƙididdiga.
Rage raguwa mai ɗaukar hoto zai iya taimakawa mutane suyi amfani da maganin maganin jininka a jimawa maimakon daga baya.
Source:
Åsvold, Bjørn MD; et. al. "Matsayin karancinka da hadarin cututtuka na cututtuka na fata: Nazarin HUNT," Arch Intern Med. 2008; 168 (8): 855-860.