Thursday, September 12, 2013

Shandong starts disease epidemiology of thyroid gland to investigate Instruct science to enrich the iodine

Shandong starts disease epidemiology of thyroid gland to investigate Instruct science to enrich the iodine
In the morning of October 27, it is held that Shun ploughs street Shun refined community of the way to investigate the unveiling ceremony in Shizhong District in thyroid gland disease epidemiology organized by Ministry of Public Health. It is reported, this investigation goes on in ten cities such as Beijing, Shanghai, Jinan at the same time, it is our country that organizes such large-scale urban thyroid gland disease to investigate for the first time, the investigative action of Jinan is implemented by division of endocrinology of provincial hospital of Shandong.
The relevant expert of division of endocrinology of provincial hospital says, some regional iodine in our country is scarce, the residents of some areas do not lack the iodine. So, the standard is ultra quantity for some areas, insufficient as to some areas that the unified one enriches the iodine. At present, method and enriching the iodine amount how to choose to enrich the iodine to different areas, have not implemented the pertinence measure yet.
According to the introduction of Xia Qing, coordinator of project team, the iodine element comes from water, food, marine product,etc., because of the individual difference, different individuals have different demands on iodine element. The element content of iodine of different areas is not the same, it is larger than the iodine content in the hinterland such as eastern Shandong area of our province. In August of this year, some areas produce " the iodine is panic " ,How to eat and become discussing the topic warmly of some people with iodized salt scientifically. As to this, Xia Qing says, at present, the data of various fields are still insufficient, whether have relation not to have a final conclusion with iodized salt and thyroid gland disease yet on earth. Disease epidemiology of this thyroid gland is investigated in order to understand resident's iodine nutritional status better, find out the morbidity situation of thyroid gland disease, in order to make scientific adding the iodine scheme.
It is reported, thyroid gland disease is a endocrine field, among them women's morbidity is above the male sixfold, have 10%-20% people suffer from the intersection of thyroid gland and disease in the woman over the 40, treat, lead in China also less than 2%ing. In various thyroid gland disease patients of over 200 million in the whole world, are 98 million in Asia. However, public concern about thyroid gland disease and cognition degree are not high at present.
It is introduced, this investigation will carry on questionnaires and physical examinations of thyroid gland disease to 1500 residents in the whole city, and follow up a case by regular visits to and reexamine in three years, the following up a case by regular visits to rate will be up to 80%. Investigate that the professional clinician will carry on the free physical examination, and set up personal health file, offer health consultation, in order to help public awareness disease, standardize the treatment.
Little materials: The microelement " The iodine "
The iodine is the essential microelement of human body, formates one of the main raw materials of hormone of thyroid gland for the thyroid gland. In 2001, World Health Organization, United Nations Children's Fund and world prevented and cured the recommendation delivery volume standard that the iodine deficiency committee proposed the intaking amount of human iodine, namely the children daily 90�� g under the age of 6; 6-12 years old person daily 120�� g; And adult daily 150�� g over 12; Gestation or women breast-feeding their children, daily requirement rises to 200�� g.
The intersection of iodine and ultra quantity and can lead to the fact a series of disease while being enough, the human iodine content is suitable, observing one of the indexes is MUI (the iodine median of urine) ,Generally speaking, MUI is that the iodine is suitable for the state (iodine capacity) among 100-199�� g/L ; Smaller than 99�� g/L insufficient, apt to cause iodine deficiency for iodine; 200-299�� g/L is that the iodine exceeds the capacity, easy to cause first and overbearing; It is that the iodine is excessive, easy to cause first overbearing and one's own immunity thyroid gland disease to be greater than 300�� g/L.
It is the generally acknowledged best method of enriching the iodine in the world at present that the salt adds the iodine, the salt that the national standard stipulates adds the iodine amount is 20-50mg/kg at present. First is overbearing, the thyroiditis (bridge one disease) , thyroid tumors are all unsuitable to enrich the iodine, it should be prudent too that the high iodine area enriches the iodine. So, how the national related departments make reason people, scheme of enriching the iodine of suiting measures to local conditions, it is particularly important.
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