碘缺乏？ Iodine deficiency？

碘过量？别让我陷入“碘”型混乱 Iodine excessive？Don't get me in“iodine”Type chaos

广东推广碘盐已16年，大脖子病少了，甲状腺疾病却越来越高发，由于缺少清晰的检测指引，一些人开始盲目拒绝碘盐 Guangdong promotion DianYan already for 16 years，Big neck disease less，Thyroid disease is more and more high，Due to the lack of clear testing instruction，Some people are beginning to blind refused to DianYan

　　16年前，广东碘盐覆盖率只有48.2%，儿童甲状腺肿大率是国家控制标准上限的2倍多；16年后的今天，广东合格碘盐食用率达到96.1%，大脖子病少了，但甲状腺疾病却多了。据记者调查，在深圳，甲状腺癌正成为发病率增长最快的实体恶性肿瘤，并呈现低龄化的显著特征，平均发病年龄只有38岁。

16 years ago，Guangdong DianYan coverage rate is only 48.2%，Children strumous rate is the national control standard of upper limit more than twice as many；16 years later，Guangdong qualified DianYan edible rate reached 96.1%，Big neck disease less，But thyroid disease but many。According to a survey，In shenzhen，Thyroid cancer incidence is becoming the fastest growth entity malignant tumors，And present DiLingHua remarkable characteristics，The average age of onset only 38。

　　由于缺乏有效的检测渠道，有甲状腺结节(注：甲状腺结节分良性与恶性，良性主要包括结节性甲状腺肿、甲状腺腺瘤等；恶性的则以甲状腺癌为主，还包括甲状腺淋巴瘤、转移瘤等)患者只能简单应对：全家拒吃碘盐；另一边，有病人术后忌口戒盐，反而出现“碘缺乏”。很多人纳闷：“我是碘缺乏还是碘过量？我到底该补碘还是减少碘摄入？”

Due to the lack of effective detection channels，Have thyroid nodule(note：Benign and malignant thyroid nodule points，Benign mainly includes tuberous thyroid is swollen、The thyroid gland tumor, etc；Malignant thyroid cancer is to give priority to，Also include thyroid lymphoma、Metastases, etc)Patients can only simple answers：Family DianYan refusal to eat；The other side，Have quit after patient avoid certain food salt，Appear instead“Iodine deficiency”。A lot of people wonder：“I'm iodine deficiency or iodine excessive？Do I need to fill iodine or reduce the intake of iodine？”

　　近日有消息称，为免食盐摄入过量引发心脑血管疾病，广东全省将推广食用低钠盐。在推广低钠盐的关键时刻，广东推广碘盐之路的经验与困惑，值得重视。

Recently with the news，To avoid excessive salt intake cause disease of heart head blood-vessel，Guangdong province will promote the consumption low sodium salt。Low sodium salt in the promotion of the key moment，Guangdong promotion of the road of DianYan experience and confused，Worth paying attention to。

全家人不敢再吃碘盐 The whole family can't eat again DianYan

　　“我们家现在不敢再吃碘盐了。”深圳的黄先生说，去年年底，他在单位体检中发现甲状腺结节。随后，黄先生的哥哥和太太也在医院检查中发现甲状腺结节。由于结节都不大，三人均不需要做手术。可为什么一家三口同时发现甲状腺结节？黄先生一家从深圳来到广州，辗转数家医院求诊。

“We now can't eat DianYan home again。”Shenzhen Mr. Huang said，By the end of last year，He found in medical units have thyroid nodule。then，Mr. Huang's brother and his wife are in hospital found in check thyroid nodule。Because nodules are not big，Three per capita don't need surgery。Why can a family of three also found thyroid nodule？Mr. Huang a from shenzhen came to guangzhou，Several hospitals in PE。

　　“医生们说，这种情况很平常，怀疑和碘盐有关”，黄先生多方求解，始终找不出准确答案。他们认为，此前食用的碘盐是造成一家三口同时患病的最大嫌凶。今年春节，黄先生甚至给前来拜年的亲朋好友每人准备了两袋“无碘盐”。

“Doctors say，It is not unusual，Suspicion and DianYan relevant”，Mr. Huang multilateral solution，Always can't find out an accurate answer。They think，After the DianYan is caused by eating to all three of the biggest too hard and sick。The Spring Festival，Mr. Huang and even to relatives and friends to come to pay per person are two bags“No DianYan”。

　　由于甲状腺疾病发病率越来越高，一些人开始拒绝碘盐，而这其中不乏盲目者。

Due to the increasing incidence of thyroid disease，Some people are beginning to refuse to DianYan，And that some of the blind。

　　深圳市南山人民医院的十几名甲状腺瘤患者，手术后竟出现“碘缺乏”。“这些患者手术前是碘过量，手术后过于注重防止碘的摄入，不吃碘盐和海产品，反而出现碘摄入量不够”，南山人民医院甲乳科主任医师陶霖玉认为，出现这种状况很重要的原因是，病人对自身的碘摄入量没有清晰的认识。“没有出现结节的时候，病人是否需要调整自己的碘摄入量，目前的检测还无法给他们清晰的指引”。

Shenzhen nanshan people's hospital of more than a dozen patients with thyroid neoplasms，After surgery that appear“Iodine deficiency”。“These patients before surgery iodine is excessive，After surgery pays more attention to prevent iodine intake，Don't eat DianYan and seafood，But there is not enough iodine intake”，Nanshan people's hospital of director of division of a milk TaoLinYu think doctors，Has this kind of situation is very important reason is，The patient to their own iodine intake without clear understanding。“Did not appear nodules，Whether the patient need to adjust their iodine intake，The current detection can't give them clear guidelines”。

医院单列设立甲乳科 Hospital set up a single, breasts

　　“碘”型混乱的背后，是近年来甲状腺疾病发病的居高不下。陶霖玉所在的深圳市南山人民医院甲乳科成立于2000年。“正是由于甲状腺和乳腺发病率不断走高，因此单列了甲乳科”。陶霖玉称，2000年前后深圳先后有四家医院开设了专门的甲乳科。

“iodine”Type of chaos behind，In recent years, the onset of thyroid disease remains high。TaoLinYu shenzhen nanshan people's hospital in a milk branch was established in 2000。“It is because of the thyroid and mammary gland incidence rising high，So a single, the milk”。TaoLinYu says，Before and after 2000, there have been four shenzhen hospital opened the special armor milk families。

　　“从2008年甲状腺纳入体检常规检查开始，病例增长趋势十分明显。”陶霖玉介绍，目前的甲状腺疾病患者和2000年相比已经增加了3-4倍。不仅普通市民患病，医生自己也未能幸免。2011年，南山人民医院本院三四名医生发现甲状腺结节。

“From 2008 thyroid into medical routine examination began，Cases growth trend is very clear。”TaoLinYu introduced，The current thyroid disease patients and 2000 than has been increased to 3 to 4 times。Not only the ordinary citizens sick，The doctor did not survive。2011 years，Nanshan people's hospital three or four doctors found the thyroid nodule。

　　甲状腺疾病肆虐之下，宝安文汇社区的一所小学校，由于体检中一下发现七八名教师患有甲状腺瘤需要手术，寻找代课老师成了头疼的问题。

Thyroid disease scares under，Baoan wenhui community a school，Due to a physical examination under eight teachers have found thyroid tumor need surgery，Looking for a substitute teacher became a problem。

深圳甲状腺癌年增一成 Shenzhen in thyroid cancer increased by ten percent

　　深圳市慢性病防治中心的数字触目惊心———从2007年到2011年的监测数据来看，甲状腺癌已经成为发病率增长最快的实体恶性肿瘤，年增长比例达到10%以上。2007年，甲状腺癌还不能挤进深圳癌症排名前十，现在已经位列第六，2011年有600多人新患上甲状腺癌。不仅如此，甲状腺癌的平均发病年龄只有38岁，低龄化正成为深圳甲状腺癌发病的显著特征。

Shenzhen chronic disease prevention and control center digital shocking-from 2007 to 2011 years of monitoring data and see，Thyroid cancer incidence has become the fastest growing entity malignant tumors，In grew more than 10%。2007 years，Thyroid cancer can't squeeze into shenzhen cancer ranked in the top 10，Now ranked sixth，In 2011, more than 600 people suffer from new thyroid cancer。Not only that，The average age of onset of thyroid carcinoma only 38 years old，DiLingHua is becoming shenzhen thyroid cancer the salient features of the disease。

　　放大到全国，国际甲状腺知识宣传周透露出另一个惊人数字———目前我国至少有9000万甲减患者、1000万甲亢患者、1000万甲癌患者和2亿甲状腺结节患者，其中白领女性甲状腺疾病5年翻一倍。 (李青)

Amplified to the national，International thyroid knowledge publicity week revealed another astonishing Numbers--at present our country at least 90 million JiaJian patients、10 million patients with hyperthyroidism、10 million cancer patients and 200 million a thyroid nodule patients，One white-collar female thyroid disease 5 years doubled。 (dubost)