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style="display:block;font-family:Microsoft YaHei;font-size:20px;color:#000000;font-weight:normal;text-decoration:none;"> 如何防治碘缺乏??？ </div> <div id="vhvpp75" class="artview_info" style="display:block;font-family:Microsoft YaHei;font-size:12px;color:#5A5A5A;font-weight:normal;text-decoration:none;"> <div id="77zdpnx" class="sourcedata" style="width: 226px; max-width: 1200px;"> <span id="jvvb7xh" class="detail_head_title pub_txt_span"><span class="pub_txt">發布時間: </span>2019/07/18 08:20:5</span> <span id="z7fpbfn" class="text-source-left01" >|</span> <span id="bzz5nxj" class="detail_head_title times_txt_span" style="padding-left: 20px">645<span class="times_txt">次瀏覽</span></span> </div> </div> <div id="px7zltn" class="artview_content" style="display:block;font-family:Microsoft YaHei;font-size:12px;color:#5A5A5A;font-weight:normal;text-decoration:none;"> <div id="jjj57pz" class="artview_detail" setsid="article144"> <p>2019年是第26個全國“防治碘缺乏病日”，今年的活動主題是“科學補碘益智，健康扶貧利民”。鄭州市衛健委舉辦以“如何防治碘缺乏?。俊睘橹黝}的在線訪談活動，對人民群眾普遍關心的問題進行了權威解讀，現將訪談內容以問答的形式整理如下：</p><p><br/></p><p>問：碘是什么，它對人體健康的意義是什么？</p><p><br/></p><p>答：碘是一種鹵族化學元素，它在人體的含量僅有20—50毫克（平均30毫克），盡管含量極低，卻是人體新陳代謝和生長發育必不可少的微量營養素，也是人體合成甲狀腺激素的主要原料。甲狀腺激素參與身體新陳代謝，維持所有器官的正常功能，促進人體，尤其是大腦的生長發育。人體的碘完全依賴自然環境的供應，而且必需每天攝入，所以是必需的微量元素。</p><p><br/></p><p>問：缺碘會對人體造成什么損害？</p><p><br/></p><p>答：孩子大腦發育從母親懷孕就開始了，胎兒期和嬰幼兒期（1-3歲）是孩子大腦發育的關鍵時期。胎兒所需要的碘全部來自母親。因此，孕婦碘營養不足會造成胎兒缺碘。如果孩子在胎兒期和嬰幼兒期缺碘，會影響大腦正常發育，嚴重的會造成克汀病、聾啞、不可逆的智力損傷和精神運動功能障礙等。如果孕期嚴重缺碘會出現流產、早產、死產和先天畸形。成年人缺碘可能會導致甲狀腺功能低下，容易疲勞、精神不集中、工作效率下降。</p><p><br/></p><p>問：碘缺乏病是怎么造成的？</p><p><br/></p><p>答：碘缺乏病是由于外環境缺碘，造成人體碘攝入不足而發生的一系列疾病的總稱。我國大部分地區外環境（水、土壤等）幾乎都缺碘，尤其山區、丘陵、河谷地帶、荒漠化地區和河流沖刷地區缺碘較為嚴重。我國2000年消除碘缺乏病以前，碘缺乏病區的兒童中5-15％有輕度智力障礙（智商50-69個點），6.6‰的人患地方性克汀病（呆傻癥），嚴重影響當地人口素質。鄭州所轄11個縣（市）、區均屬缺碘地區。鄭州市疾病預防控制中心近年對全市11個縣（市）、區孕婦碘營養監測結果顯示，12%的孕婦尿碘水平低于最低限值（100ug/L），30%的孕婦尿碘水平低于國際組織專家推薦值（150ug/L）。</p><p><br/></p><p>問：如何防治碘缺乏病？</p><p><br/></p><p>答：碘缺乏病是可以預防的，最簡便、安全、有效的預防方式是食用碘鹽。外環境缺碘的現狀很難改變，如果停止補碘，人體內儲存的碘最多能維持3個月，因此要長期堅持食用碘鹽。妊娠期和哺乳期婦女對碘的需要量明顯多于普通人群，需要及時補充適量的碘。1999年，鄭州市8—10歲學生甲腫率、尿碘中位數和居民合格碘鹽食用率三項指標提前一年達到消除碘缺乏病標準，實現了消除碘缺乏病階段目標。自2000年以來，我市完成的各類監測或調查（碘缺乏病監測、碘鹽監測、高水碘地區調查和高危地區調查）結果顯示，人群碘營養總體上處于適宜范圍。 2018年10月，在全省地方病防治“十三五”規劃中期評估中，鄭州市順利通過省級評估，持續保持了消除碘缺乏病狀態。</p><p><br/></p><p>問：食用碘鹽或碘攝入量增加與甲狀腺癌的發生相關嗎？</p><p><br/></p><p>答：隨著碘缺乏危害被有效防控，是否存在碘過量的危害逐漸引起關注。2018年全國第三屆碘與甲狀腺疾病大會研究表明，碘缺乏對個體危害要顯著高于碘過量帶來的危害。有研究提示，當前甲狀腺癌的“流行”部分歸因于甲狀腺篩查，并與高分辨率B超的廣泛應用而產生的對隱匿癌或微小癌的過度診斷相關。</p><p><br/></p><p>國家衛生健康委發布的《2019年防治碘缺乏病宣傳核心信息》顯示，近年來，全球主要國家無論是否采取補碘措施，無論碘攝入量是增加、穩定或下降，甲狀腺癌的發生率都增加，并且主要以直徑小于1.0厘米的微小癌增加為主。相當一部分甲狀腺微小癌具有惰性進展特點，惡性度低，預后良好?；颊咭爮呐R床醫生要求，進行正確治療或跟蹤觀察。甲狀腺微小癌在人群中患病率較高，隱匿性大且不易被發現，可能陪伴終身。據很多發達國家的尸檢報告，生前未被發現的甲狀腺癌患病率高達5.6%～35.6%，其中微小癌占到67%。</p><p><br/></p><p>因此，要科學合理食用加碘食鹽，預防出生缺陷，防治碘缺乏病。并且隨著碘缺乏病防治工作的深入和人群營養水平的提高，政府及有關部門會根據人群碘營養水平，調整食鹽加碘的濃度，以達到科學補碘，防治碘缺乏病的目的。</p> <div style="clear:both;"></div> </div> </div> <div id="ddfz75x" class="artview_prev_next"> <div style="margin-top:20px;width:100%;"> <div style="" class="prevlist"> <a class="prev_next_link" href="http://www.hayaofans.com/news/a672.html">上一篇：權威解答：碘與甲狀腺病的關系</a> <div style="clear:both;"></div> </div> <div style="" class="nextlist"> <a 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