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taj"><p>地方性甲狀腺腫大通常是由于缺碘引起的。碘是合成甲狀腺激素的重要原料，長(zhǎng)期碘攝入不足會(huì)導(dǎo)致甲狀腺代償性增生，形成甲狀腺腫大。地方性甲狀腺腫大的發(fā)生與自然環(huán)境缺碘、飲食結(jié)構(gòu)單一、碘鹽攝入不足等因素有關(guān)。</p><p><img class="up_image_20111121" src="https://file.bohe.cn/fhfile1/M00/79/5F/o4YBAGhKqnSALuEeAAerMA8jS1k664.jpg"></p><p>土壤和水源中碘含量低是導(dǎo)致地方性甲狀腺腫大的重要原因。山區(qū)、高原等地區(qū)由于地質(zhì)原因，土壤和水源中碘含量普遍較低，生長(zhǎng)在這些地區(qū)的農(nóng)作物和飲用水含碘量也相應(yīng)減少。長(zhǎng)期生活在這些地區(qū)的居民，如果未通過(guò)其他方式補(bǔ)充碘，就容易出現(xiàn)碘缺乏。</p><p>以當(dāng)?shù)刈援a(chǎn)食物為主的單一飲食結(jié)構(gòu)容易導(dǎo)致碘攝入不足。海產(chǎn)品如海帶、紫菜、海魚等含碘豐富，但在內(nèi)陸地區(qū)或經(jīng)濟(jì)欠發(fā)達(dá)地區(qū)，這些食物攝入量較少。長(zhǎng)期缺乏含碘豐富的食物，加上主食中碘含量低，容易造成碘缺乏。</p><p><img class="up_image_20111121" src="https://file.bohe.cn/fhfile1/M00/31/C2/oYYBAGhKqnSAfOfDAAll-dYykfw818.jpg"></p><p>未食用加碘鹽或加碘鹽使用不當(dāng)是常見原因。我國(guó)自1995年起實(shí)行全民食鹽加碘政策，但在一些偏遠(yuǎn)地區(qū)，可能仍存在未普及加碘鹽或居民儲(chǔ)存、使用食鹽不當(dāng)?shù)那闆r。高溫烹飪、長(zhǎng)期暴露于潮濕環(huán)境等都會(huì)導(dǎo)致食鹽中碘的流失。</p><p>青少年、孕婦等特殊人群對(duì)碘的需求量增加。青春期生長(zhǎng)發(fā)育迅速，孕婦要為胎兒提供碘，這些情況下如果碘攝入不足，更容易出現(xiàn)甲狀腺腫大。這類人群需要特別注意碘的補(bǔ)充。</p><p>除碘外，硒、鐵等微量元素缺乏也可能影響甲狀腺功能。硒是甲狀腺激素代謝的重要輔助因子，鐵缺乏會(huì)影響甲狀腺過(guò)氧化物酶的活性。這些營(yíng)養(yǎng)素的缺乏雖然不是直接原因，但會(huì)加重碘缺乏的影響。</p><p>預(yù)防地方性甲狀腺腫大，有效的方法是保證充足的碘攝入。建議食用加碘鹽，適量增加海帶、紫菜等富碘食物的攝入。孕婦、青少年等特殊人群可在醫(yī)生指導(dǎo)下適當(dāng)補(bǔ)充碘劑。同時(shí)要注意均衡飲食，保證其他營(yíng)養(yǎng)素的攝入。對(duì)于已經(jīng)出現(xiàn)甲狀腺腫大的患者，應(yīng)及時(shí)就醫(yī)，在醫(yī)生指導(dǎo)下進(jìn)行治療，不可自行服用碘劑或甲狀腺激素類藥物。定期進(jìn)行甲狀腺功能檢查，監(jiān)測(cè)病情變化也很重要。</p></div> <div id="lfqr6l5uj" class="f24 fc9 lh40 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