தைராய்டு ஆராய்ச்சியில் அறிக்கைகள்

Screening study of iodine deficiency status and thyroid diseases in Caucasian children

Abstract

Shota Janjgava

Contingent upon the accessibility of iodine, the thyroid organ can upgrade or cutoff the utilization of iodine for thyroid hormone creation. At the point when remuneration falls flat, as in seriously iodine-lacking populaces, hypothyroidism and formative cerebrum harm will be the overwhelming issues. This is, out of all correlation, the most genuine relationship among infection and the degree of iodine consumption in a populace. In less extreme iodine lack, the typical thyroid organ can adjust and keep thyroid hormone creation inside the typical range. Be that as it may, the drawn out thyroid hyperactivity related with such transformation prompts thyroid development, and during follicular cell expansion there is a propensity to transformations prompting multifocal self-sufficient development and capacity. In populaces with gentle and moderate iodine inadequacy, such multifocal self-governing thyroid capacity is a typical reason for hyperthyroidism in older individuals, and the commonness of thyroid amplification and nodularity is high. The normal serum TSH tendsto diminishing with age in such populaces brought about by the high recurrence of independent thyroid hormone creation. Then again, epidemiological examinations have indicated that hypothyroidism is more pervasive in populaces with a high iodine consumption. Most likely, this is likewise an intricacy to thyroid variation to iodine admission. Numerous thyroid cycles are hindered when iodine admission turns out to be high, and the recurrence of apoptosis of follicular cells gets higher. Unusual restraint of thyroid capacity by high levels of iodine is particularly normal in individuals influenced by thyroid autoimmunity (Hashimoto's thyroiditis). In populaces with high iodine consumption, the normal serum thyroidstimulating hormone (TSH) will in general increment with age. This marvel is particularly articulated in Caucasian populaces with a hereditarily decided high inclination to thyroid autoimmunity. A little inclination to higher serum TSH might be noticed as of now when iodine admission is brought from somewhat lacking to sufficient, however there is at present no proof that marginally raised serum TSH in older individuals prompts an expansion in bleakness and mortality. End: Even minor contrasts in iodine admission between populaces are related with contrasts in the event of thyroid problems. Both iodine consumption levels underneath and more the suggested span are related with an expansion in the danger of sickness in the populace. Ideally, iodine admission of a populace ought to be kept inside a moderately limited stretch where iodine insufficiency problems are forestalled, yet not higher. Checking and changing of iodine admission in a populace is a significant piece of preventive medication. Materials & Methods: 52,328 children with age range 6-16 years were included in the study. Children were screened by Palpation and ultrasonography of the thyroid gland, after that, with children who have had changes were made: TSH and Anti-TPO. According to the laboratory and clinical condition we divided children into five groups: 1) Without changes, 2) With hypothyroidism, 3) With hyperthyroidism, 4) With nodular goiter, 5) With autoimmune thyroiditis. And this was a cross-sectional investigation of youngsters 6 months at a tertiary kids' emergency clinic. Essential results were spot pee iodine focus (UIC), serum thyrotropin, and free thyroxine levels.