E- Hashimoto's thyroiditis , ama-antibodies ahlasela isifo se-thyroid, futhi ngokuhamba kwesikhathi abantu abaningi baba i-hypothyroid. Ukuvimbela ukubhujiswa kwalesi sifo, futhi ngenxa yalokho, ukuvimbela ukuqhubekela phambili kwi- hypothyroidism, bekulokhu kugxile ocwaningweni.
Ucwaningo oluningi luye lwahlola ubuhlobo phakathi kwamazinga e-vitamin D ne-Hashimoto's thyroiditis, futhi ucwaningo luye lwabonisa ukuthi abantu abane-Hashimoto's thyroiditis cishe banamazinga aphansi e-vitamin D.
Manje, isifundo se-2017 eshicilelwe ku- International Journal of Vitamin and Nutrition Research sahlola imiphumela ye-vitamin D yokwelashwa ngenkambo nokuqhubeka kwe-Hashimoto's thyroiditis. Umgomo kwakuwukuhlola izinguquko emazingeni e-antibody emva kokuthola ukwelashwa kwe-vitamin D.
Mayelana ne-Vitamin D
I-vitamin D iyi-vithamini ebalulekile futhi isebenza njenge-hormone emzimbeni wakho. Ukwenza i-vitamin D uma isikhumba sakho sibonakala elangeni. Ungathola futhi i-vitamin D ekudleni nasezingenizeni.
Ochwepheshe abaqondi ngokugcwele ukuthi i-vitamin D isebenza kanjani emzimbeni wakho, kodwa bayazi ukuthi inemisebenzi eminingi ebalulekile:
- Kukusiza ukwakha nokugcina amathambo anamandla namazinyo
- Usiza isimiso sakho somzimba omzimba ukusebenza kangcono, futhi uhlale ulinganisiwe
- Usiza ngomsebenzi wemisipha yakho
- Usiza ngokulawulwa kwamazinga e-insulin kanye nezinsiza ekulawuleni isifo sikashukela
- Usiza ngezempilo nenhliziyo
- Usiza uhlelo lwakho lokuphefumula
- Usiza ngentuthuko yobuchopho
Ukuntuleka kwe-vitamin D kuchazwa ngokuthi kunamazinga angu-25-hydroxy vitamin D angaphansi kuka-20 ng / mL. Ukuntuleka kwe-Vitamin D kuye kwahlanganiswa nengozi ekhulayo yezimo zempilo ezihlukahlukene , kuhlanganise nesifo sofuba, umdlavuza, isifo sofuba, uhlobo lwe-2 lwesifo sikashukela, umfutho wegazi ophezulu / ukucindezeleka, ukucindezeleka, isifo se-Alzheimer, kanye nezifo eziningi ezizimele, kuhlanganise ne-auto-immune Hashimoto's thyroiditis nesifo se-Graves.
Ngokusho kwabacwaningi, ukutholakala kwevithamini D kukhula e-United States, kanti amaphesenti angu-70 amantombazane kanye nabantu abadala base-US babheka ukuthi i-vitamin D ayinamandla. Ingxenye yesifo sobunzima be-vitamin D ngenxa yokusetshenziswa kakhudlwana kwelanga, okuvimbela ikhono lomzimba ukukhiqiza i-vitamin D. Isikrini selanga esinesisindo sokuvikela ilanga (SPF) esingama-15, isibonelo, singanciphisa ukukhiqizwa kwakho kwevithamini D cishe amaphesenti angu-99. Kukhona nemithombo embalwa yokudla ka vithamini D ekudleni kwaseMelika. I-vitamin iyatholakala kakhulu ezinhlanzi ezinamafutha njenge-salmon, i-tuna, ne-mackerel, nasemikhiqizweni ene-vitamin D, njengobisi.
I-Vitamin D ne-Hashimoto's Thyroiditis
Ucwaningo lwafunda iqembu lezifundo; isigamu sazo esasiphakamise amasosha omzimba we-peroxidase (TPO), okuwubufakazi besifo sikaHashimoto, kanti enye ingxenye yayinezinga elivamile le-antibody ye-thyroid. Wonke amalungu eqembu lokutadisha anikezwa ama-50.000 amayunithi amavithamini D masonto onke amaviki ayisishiyagalombili. Ama-antibodies awo e-thyroid ahlolisiswa futhi ngemva kwezinyanga ezimbili ngemuva kokuphela kwesifo sabo se-vitamin D.
Abacwaningi benza izinto eziningi ezithakazelisayo:
- Uma kuqhathaniswa neqembu lokulawula elingenalo i-Hashimoto, amalungu eqembu lokutadisha ayenamaHashimoto's thyroiditis ayenamazinga aphansi e- vitamin D ekuqaleni kokufunda.
- Kulezi ziguli ezaba nesifo sikaHashimoto, amazinga e-antibody we-thyroid ayencipha kakhulu ngemva kwamasonto ayisithupha ama-vitamin D therapy.
- Kulezi ziguli ezaba nesifo sikaHashimoto, i-HDL yabo (ama-high-density lipoprotein cholesterol, ama-"cholesterol amahle") aphuculwe kakhulu ngemva kwamasonto angu-8 ka-vitamin D therapy.
Abacwaningi baphetha ngokuthi ukwelapha iziguli zikaHashimoto ezinevithamini D kunganciphisa inqubo yokuthuthukisa i-hypothyroidism, futhi kunciphisa izingozi zesifo senhliziyo kulezi ziguli. Bancoma ukulinganisa kwamazinga kavithamini D ezigulini zikaHashimoto, kanye ne-vitamin D yokwelapha ukulungisa noma yikuphi ukuhluleka.
Izwi elivela
Uma une-Hashimoto, kufanele uthathe i-vitamin D? Isinyathelo sokuqala esibalulekile ukuthi udokotela wakho ahlole ukuhlolwa kwegazi, ukuhlola amazinga akho ama-25-hydroxy vithamini D. Uma izinga lingaphansi kuka-20, kufanele nakanjani uxoxe nodokotela wakho ukwesekwa kwe-vitamin D ekwengeziwe.
I-Institute of Medicine incoma i-allowance ephakanyisiwe yokudla (RDA) yama-unit angama-international angu-500 (IU) we-vitamin D kuwo wonke umuntu kufinyelela eminyakeni engama-70, no-800 IU kulabo abangaphezu kuka-70. Kodwa kuhlanganisa ne-RDA ye-vitamin D ngokwanele impilo enhle ? Impendulo ingxabano. Abasebenzi abaningi abahlanganisayo kanye nama-naturopaths batusa ukuthi i-cutoff ephansi ye vitamin D enempilo ingama-50 ng / mL, futhi amazinga angaphezu kwama-50 ayadingeka ukuze amasosha omzimba kanye nezinzuzo ze-vitamin D. Zikhulume nodokotela noma udokotela ngezinga eliphakeme le-vitamin D ukubhekela impilo yakho enhle.
> Imithombo:
> Holick MF. I-Sunlight ne-vitamin D yezempilo namathambo nokuvimbela izifo ezizimele, amagciwane, nesifo senhliziyo. I-Am J Clin Nutr . 2004 80 ( > suppl >): 1678S- 88S.
> Hu S, Rayman MP. "Izakhi Eziningi Zokudla Nengozi YeHashimoto's Thyroiditis. "I-Thyroid. Ngo-2017 Meyi; 27 (5): 597-610. doi: 10.1089 / thy.2016.0635. Epub 2017 Apr 6.
> Ke > W, et al. "Izinga lika-25-Hydroxyvitamin D serum kuHashimoto's thyroiditis, kodwa hhayi isifo se-Graves asinalutho. "Endocr J. 2017 Jun 29; 64 (6): 581-587. i-doi: 10.1507 / endocrj.EJ16-0547. Epub 2017 Apr 11.
> Ucan > B, et al. "Ukwelashwa kwe-Vitamin D ezigulane neHashimoto's Thyroiditis kunganciphisa ukuthuthukiswa kwe-Hypothyroidism." Int J Vitam Nutr Res. 2017 Jul 12: 1-9. i-doi: 10.1024 / 0300-9831 / a000269.
> I-Vitamin D Council. "Kuyini i-Vitamin D." https://www.vitamindcouncil.org