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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">medinfo</journal-id><journal-title-group><journal-title xml:lang="ru">Актуальные проблемы теоретической и клинической медицины</journal-title><trans-title-group xml:lang="en"><trans-title>Actual Problems of Theoretical and Clinical Medicine</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2790-1289</issn><issn pub-type="epub">2790-1297</issn><publisher><publisher-name>Казахстанско-Российский медицинский университет</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.64854/2790-1289-2025-49-3-13</article-id><article-id custom-type="elpub" pub-id-type="custom">medinfo-812</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОБЗОР ЛИТЕРАТУРЫ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVEWS</subject></subj-group></article-categories><title-group><article-title>ВЛИЯНИЕ НЕБЛАГОПРИЯТНЫХ ФАКТОРОВ ОКРУЖАЮЩЕЙ СРЕДЫ НА ЧАСТОТУ ВОЗНИКНОВЕНИЯ ПАТОЛОГИИ ЩИТОВИДНОЙ ЖЕЛЕЗЫ СРЕДИ НАСЕЛЕНИЯ</article-title><trans-title-group xml:lang="en"><trans-title>THE INFLUENCE OF ADVERSE ENVIRONMENTAL FACTORS ON THE FREQUENCY OF THYROID PATHOLOGY AMONG THE POPULATION</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0001-2197-3253</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Назарова</surname><given-names>Л. З.</given-names></name><name name-style="western" xml:lang="en"><surname>Nazarova</surname><given-names>L. Z.</given-names></name></name-alternatives><bio xml:lang="ru"><p>PhD докторант 3 курса по ОП Общественное здравоохранение КазНМУ им. С.Д. Асфендиярова</p></bio><bio xml:lang="en"><p>PhD-докторант, КазНМУ им. С.Д. Асфендиярова</p></bio><email xlink:type="simple">lailanazar92@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0001-9987-8336</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Мабрук</surname><given-names>М. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Mabrouk</surname><given-names>M. A.</given-names></name></name-alternatives><email xlink:type="simple">mohmabrouk28@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0004-9193-9378</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Абдирова</surname><given-names>Т. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Abdirova</surname><given-names>T. M.</given-names></name></name-alternatives><email xlink:type="simple">t_abdirova@mail.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0001-9639-8054</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Сабри</surname><given-names>М. Р.</given-names></name><name name-style="western" xml:lang="en"><surname>Sabri</surname><given-names>M. R.</given-names></name></name-alternatives><email xlink:type="simple">msabri.edu@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-5869-1789</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Айтамбаева</surname><given-names>Н. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Aitambayeva</surname><given-names>N. N.</given-names></name></name-alternatives><email xlink:type="simple">aitambaeva.nadira@gmail.com</email><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-2060-8158</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Нарымбаева</surname><given-names>Н. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Narymbayeva</surname><given-names>N. N.</given-names></name></name-alternatives><email xlink:type="simple">n.narymbay@gmail.com</email><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0002-4546-1452</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Светланова</surname><given-names>Ш. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Svetlanova</surname><given-names>Sh. М.</given-names></name></name-alternatives><email xlink:type="simple">sshnara99@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-4337-1779</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Сактапов</surname><given-names>А. К.</given-names></name><name name-style="western" xml:lang="en"><surname>Saktapov</surname><given-names>A. K.</given-names></name></name-alternatives><email xlink:type="simple">akylbekzone@mail.ru</email><xref ref-type="aff" rid="aff-4"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-7013-3461</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Сыдықова</surname><given-names>Б. Қ.</given-names></name><name name-style="western" xml:lang="en"><surname>Sydykova</surname><given-names>B. K.</given-names></name></name-alternatives><email xlink:type="simple">bibinursk@gmail.ru</email><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0006-3760-9831</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Аханов</surname><given-names>Г. Ж.</given-names></name><name name-style="western" xml:lang="en"><surname>Akhanov</surname><given-names>G. Zh.</given-names></name></name-alternatives><email xlink:type="simple">ahanovgj@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru">«Казахский Национальный медицинский университет им. С. Д. Асфендиярова»<country>Казахстан</country></aff><aff xml:lang="en">S. D. Asfendiyarov Kazakh National Medical University<country>Kazakhstan</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru">Казахстанский медицинский университет «ВШОЗ»<country>Казахстан</country></aff><aff xml:lang="en">Kazakhstan’s Medical University «KSPH»,<country>Kazakhstan</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru">Казахстанский медицинский университет «ВШОЗ»<country>Казахстан</country></aff><aff xml:lang="en">Kazakhstan’s Medical University «KSPH»<country>Kazakhstan</country></aff></aff-alternatives><aff-alternatives id="aff-4"><aff xml:lang="ru">Казахстанский медицинский университет «ВШОЗ»,&#13;
Казахский национальный университет им. Аль-Фараби<country>Казахстан</country></aff><aff xml:lang="en">Kazakhstan’s Medical University «KSPH»,&#13;
Al-Farabi Kazakh National University<country>Kazakhstan</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2025</year></pub-date><pub-date pub-type="epub"><day>25</day><month>09</month><year>2025</year></pub-date><volume>0</volume><issue>3</issue><fpage>191</fpage><lpage>212</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Назарова Л.З., Мабрук М.А., Абдирова Т.М., Сабри М.Р., Айтамбаева Н.Н., Нарымбаева Н.Н., Светланова Ш.М., Сактапов А.К., Сыдықова Б.Қ., Аханов Г.Ж., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Назарова Л.З., Мабрук М.А., Абдирова Т.М., Сабри М.Р., Айтамбаева Н.Н., Нарымбаева Н.Н., Светланова Ш.М., Сактапов А.К., Сыдықова Б.Қ., Аханов Г.Ж.</copyright-holder><copyright-holder xml:lang="en">Nazarova L.Z., Mabrouk M.A., Abdirova T.M., Sabri M.R., Aitambayeva N.N., Narymbayeva N.N., Svetlanova S.М., Saktapov A.K., Sydykova B.K., Akhanov G.Z.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://kazrosmedjournal.krmu.edu.kz/jour/article/view/812">https://kazrosmedjournal.krmu.edu.kz/jour/article/view/812</self-uri><abstract><p>Заболевания щитовидной железы возникают как из-за внутренних, так и из-за внешних факторов. Изменяющиеся экологические и радиационные условия способствуют росту распространенности и изменению характера заболеваний щитовидной железы. В этом обзоре представлены современные данные о том, как внешние воздействия влияют на структуру и функцию щитовидной железы, включая недавние открытия, механизмы и области, требующие дальнейших исследований.</p><sec><title>Цель исследования</title><p>Цель исследования. Анализ научных источников, которые рассматривают влияние неблагоприятных производственных факторов окружающей среды на функционирование щитовидной железы.</p></sec><sec><title>Материалы и методы</title><p>Материалы и методы. Поиск исследований был проведён в электронных базах данных PubMed, Web of Science и Scopus с использованием соответствующих терминов и ключевых слов. Включены только оригинальные наблюдательные исследования, изучающие воздействие вредных факторов окружающей среды на возникновение патологий щитовидной железы.</p></sec><sec><title>Результаты</title><p>Результаты. Высокие уровни тяжёлых металлов (Pb, Hg, Cd, As) связаны с повышенным риском рака щитовидной железы. В нефтегазовых регионах у детей выявляется повышенное содержание марганца, бора, ванадия и кремния в волосах, что нарушает усвоение йода и вызывает йододефицит. Кадмий снижает уровень тиреотропного гормона, способствуя развитию гипертиреоза. В районах, подвергшихся радиационному воздействию (например, Чернобыль, Семей), чаще наблюдаются узловые образования и аутоиммунный тиреоидит. Мелкие твердые частицы (PM2.5, PM10) повышают риск рака щитовидной железы, а воздействие загрязнённого воздуха во время беременности изменяет уровень Т4 у новорождённых.</p></sec><sec><title>Заключение</title><p>Заключение. Экологические загрязнители, включая тяжёлые металлы, воздействие радиации, промышленные отходы и загрязнители, химические вещества, нарушающие работу эндокринной системы, играют значительную роль в возникновении и прогрессировании заболеваний щитовидной железы. Рост хронических заболеваний, в том числе патологий щитовидной железы, служит маркером экологического загрязнения.</p></sec></abstract><trans-abstract xml:lang="en"><p>Thyroid diseases arise from both internal and external factors. Changing environmental and radiation conditions are increasing their prevalence and altering thyroid disease patterns. This review highlights current insights into how environmental influences affect thyroid structure and function, outlining recent discoveries, mechanisms, and areas needing further research.</p><sec><title>The purpose of the study</title><p>The purpose of the study. To review scientific literature that investigates the effects of adverse industrial environmental factors on thyroid gland function.</p></sec><sec><title>Materials and Methods</title><p>Materials and Methods. A search for relevant studies was conducted in electronic databases, including PubMed, Web of Science, and Scopus, using specific terms and keywords. Only original observational studies examining the impact of harmful environmental factors on the development of thyroid pathology were included.</p></sec><sec><title>Results</title><p>Results. High levels of heavy metals (Pb, Hg, Cd, As) are linked to increased thyroid cancer risk. In oil and gas regions, children exhibit elevated levels of manganese, boron, vanadium, and silicon in their hair, which can interfere with iodine uptake and lead to iodine deficiency. Cadmium lowers thyroid-stimulating hormone, contributing to hyperthyroidism. Radiation-exposed areas (e.g., Chernobyl, Semipalatinsk) show more nodules and autoimmune thyroiditis. Fine particles (PM2.5, PM10) increase the risk of thyroid cancer, and prenatal air pollution affects newborn T4 levels. Organic and inorganic pollutants disrupt thyroid hormone production and promote cancer.</p></sec><sec><title>Conclusion</title><p>Conclusion. Environmental contaminants, including heavy metals, radiation exposure, industrial residues and pollutants, and endocrine-disrupting chemicals, play a significant role in the occurrence and progression of thyroid disorders. The rise in chronic diseases, including thyroid pathologies, serves as a marker of environmental pollution. Further research is needed to explore the mechanisms by which environmental factors affect thyroid function. It is essential to develop prevention and monitoring strategies, particularly in environmentally unfavorable regions.</p></sec></trans-abstract><kwd-group xml:lang="ru"><kwd>дисфункция щитовидной железы</kwd><kwd>эндокринные разрушители</kwd><kwd>воздействие окружающей среды.</kwd></kwd-group><kwd-group xml:lang="en"><kwd>thyroid dysfunction</kwd><kwd>endocrine disruptors</kwd><kwd>environmental exposure.</kwd></kwd-group><funding-group xml:lang="en"><funding-statement>нет</funding-statement></funding-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Yakubouski S. U., et al. Epidemiology of benign thyroid disorders in the adult population of the Republic of Belarus: Analysis of nationwide statistics 2009 to 2019 // Problems of Endocrinology. – 2022. – Vol. 68(3). – P. 30-43. – DOI 10.14341/probl12844.</mixed-citation><mixed-citation xml:lang="en">Yakubouski S. U., et al. 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