甲状腺激素代谢在不同年龄段的风险低于最佳和过度
U Feldt-Rasmussen1,2,3, G Effraimidis4,5,6, S Bliddal4
1Department of Medical Endocrinology and Metabolism, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark. ufeldt@rh.dk.
Journal of endocrinological investigation
|November 28, 2023
概括
在甲状腺功能低下症中,优化甲状腺素 (LT4) 剂量至关重要. 无论是治疗不足还是治疗过度,都会对所有年龄组的健康造成严重后果,需要更多的医疗保健和政治关注.
科学领域:
- 内分泌学 在内分泌学.
- 公共卫生 公共卫生
背景情况:
- 甲状腺功能低下症是一种广泛的非传染性疾病,具有重大可预防的健康影响.
- 这种情况影响了所有年龄段的个体,在诊断和管理方面提出了独特的挑战.
研究的目的:
- 审查甲状腺功能低下症中低最佳和过度的勒沃甲状腺素 (LT4) 替代疗法的后果.
- 强调需要改善医疗保健和政治关注管理这种情况的需要.
主要方法:
- 这项研究采用了叙事审查方法.
- 该综述综合了有关LT4治疗对不同年龄人口的影响的现有文献.
主要成果:
- 治疗不足的儿童可能会导致不可逆转的发育问题,而在成年人中,它会导致功能障碍和心血管风险增加.
- 成年人过度的LT4与心脏死亡率,骨质疏松症和心理不稳定性有关. 在孕期妇女中,它会影响生育能力和怀孕结果.
- 在老年人中,仔细的TSH评估至关重要,以防止过度治疗,从而增加死亡风险.
结论:
- 甲状腺功能低下症的非最佳和过度的LT4替代导致个人毁灭性和社会经济上具有挑战性的后果.
- 需要从医疗保健和政治系统中增加关注,以减轻甲状腺功能低下症的这些可预防的结果.
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