Indima ye-Iodine, iSelenium, Iron, ne-Vitamin D
I-Hashimoto's thyroiditis yisifo esizijwayele kakhulu se-autoimmune futhi imbangela enkulu yezinkinga ze-thyroid e-United States. Nakuba izimbangela eziqondile zeHashimoto's thyroiditis aziwa, abacwaningi baye bafakazela ukuthi kunezici eziningana ezibangela ekuthuthukiseni kukaHashimoto, okufaka:
- ukutholakala kwezakhi zofuzo
- ukuzalwa
- izici zemvelo
- izifo zokuzivikela emzimbeni
- izici zokudla okunomsoco
Abacwaningi ababika kulo magazini I- Thyroid ibheka imiphumela yezici ezithile zokudla okunempilo kanye nobuhlobo babo noHashimoto's thyroiditis. Izakhi ezihlolwe zihlanganisa:
Abacwaningi babe nokutholwa okuthakazelisayo okungase kwandise indima yokuhlolwa okunomsoco nokuxhaswa kwezempilo eHashimoto's thyroiditis.
I-iodine
I-iodine yisithako esiyinhloko sehomoni ye-thyroid. Ukudla kwe-iodine kuvela ikakhulu ngokungenisa ukudla okune-iodine, ukudla umkhiqizo okhulile enhlabathini ene- iodine , usawoti e-iodidi , nezithako ze-iodine. Iodine egazini legazi ithathwa yi-thyroid, lapho isetshenziselwa ukwakha ama-hormone e-thyroid (T3) ne-thyroxine (T4).
Amazinga e-iodine anomthelela omkhulu ezinkingeni zegciwane. Ngokusobala, ukuntuleka okukhulu kwe-iodine kungabangela i-thyroid ekhulisiwe (goiter), i-trigger hypothyroidism, nakwabesifazane abakhulelwe, kungabangela i-cretinism nokuphuza kwengqondo ezinganeni zabo.
Ukuntuleka kwe-iodine okudala kungabangela i-nodular goiter enobuhlungu kanye ne-hyperthyroidism. Amazinga amaningi ngokweqile we-iodine angandisa ingozi ye-hypothyroidism emnene noma engaphansi kwamagciwane kanye nesifo se-Hashimoto esizimele. Ukudla okungaphezulu kwe-iodine kuhlotshaniswa namazinga aphezulu ka-Hashimoto's thyroiditis, kanye nokwanda kakhudlwana kwalesi sifo.
Abacwaningi batusa:
Ukuze ugweme ingozi enkulu ye-Hashimoto's thyroiditis, ngakho-ke kubalulekile ukuqinisekisa ukuthi, uma kungenzeka, ukuthi i-iodine adake ingena ngaphansi kwezinga elincanyana lamazinga anconyiwe. Ngesibalo sabantu, lokhu kuzobe kuboniswe ukuhlushwa kwe-iodine ephakathi kwamadoda ase-100-200 lg / L. Iziphathimandla ezethula ukulungiswa kwe-iodine yokudla ezweni (isib. I-iodization yonke yelinesi) zidinga ukuqinisekisa ukuthi isilungiso esinjalo senziwa ngokucophelela.
Nasi isifingqo sezimfuneko ze-iod by yobudala:
- Ukuzalwa kuya eminyakeni eyi-10: 90 μg / L
- I-11-17 yobudala: 120-150 μg / L
- I-15+ yobudala: 150 μg / L
- Ukukhulelwa: 200-250 μg / L
- I-Lactation 200-290 μg / L
Selenium
I-selenium yamaminerali ibalulekile ekukhiqizeni i-hormone yegciwane. Ukuntuleka kwe-Selenium kuye kwahlotshaniswa nezimo eziningi ze -roid, kuhlanganise ne-hypothyroidism, i-subclinical hypothyroidism, i-Hashimoto's thyroiditis, i-goiter, umdlavuza we-thyroid, nesifo se-Graves. Ucwaningo oluthile lubonise ukuthi izimo ze-thyroid zivame kakhulu ezindaweni ezine-selenium encane nokuthi amazinga aphezulu ase-selenium ahlobene nengozi yokunciphisa i-Hashimoto's thyroiditis, i-hypothyroidism, i-subclinical hypothyroidism ne-goiter.
I-supplementation ye-Selenium nayo iboniswe ukuthi ibangele ukuthuthukiswa okuphawulekayo kweziguli ze-Graves 'ezinezifo zeso eliphansi.
Ucwaningo luye lwabonisa nokuthi abesifazane abakhulelwe nalabo abaye baphakamisa amakhemikhali e-peroxidase ye-thyroid (TPOAb) amathuba okuthuthukisa izimo ze -roid ngesikhathi nangemva kokukhulelwa uma bengenalo selenium. Ukwengeza ama-antienike we-selenium anciphisa kakhulu ama-anti-abnome akhulelwe kakhulu nge-TPOAb ephakeme. Esicwaningweni esisodwa, emva kwesikhathi sokuhamba kwesikhathi, amaphesenti angaphezu kuka-44 amakhosikazi we-TPOAb-positive ayengathathi selenium athuthukise i-thyroiditis, uma kuqhathaniswa namaphesenti angaba ngu-27 abesifazane abasebenzisa i-selenium.
Ukungena kwe-selenium kuvame ukuhluka nge geography ngokusekelwe kokuqukethwe kwe-selenium yenhlabathi, kanye namazinga ase-selenium ekudleni. Umthombo oyinhloko we-selenium yi-nut yaseBrazil, kodwa okuqukethwe kwabo kwe-selenium kuyashintsha, okwenza kube yindlela engathembeki yokuqinisekisa ukunakekelwa okwanele kwe-selenium. Enye imithombo enhle ye-selenium ihlanganisa inyama yenyama, ama-seafood, okusanhlamvu, nezinhlamvu.
Abacwaningi baphetha ngokuthi:
Kunengqondo ukuqinisekisa ukuthi ukudla okune-selenium kukwanele, kunikezwe izindima ezithandwa ngu-selenium empilweni yabantu ikakhulukazi kwi-thyroid. Abahlengikazi kudingeka baqaphele ngokukhethekile ukuqinisekisa ukuthi isilwane / isimo se-selenium sanele. Abesifazane basengozini enkulu yezinkinga ze-thyroid futhi ngaleyo ndlela bangaba nesidingo esiphezulu salenium eyengeziwe, ikakhulukazi ekukhulelwe. Uma kubonakala sengathi bambalwa noma akukho mthombo ocebile we-selenium ekudleni kwesiguli, ukuxhaswa kwe-dose ephansi (50-100 mcg / usuku) kuphakanyisiwe. Ngisho noma isiguli esine-HT siphathwa nge-levothyroxine, umuntu kudingeka aqaphele ukuthi ezinye izifundo zathola ukuthi ukunikeza i-selenium kanye nevothyroxine kwaholela ekunciphiseni okukhulu kwe-TPOAbs. Kubalulekile ukukhumbula ukuthi nakuba selenium ibalulekile, ukudlala ngokweqile kwe-selenium kuyingozi, futhi izithako ze-selenium ezingama-200 lg / ngosuku, okubhekwa njengokuthi ziphephile, ziye zahlanganiswa nemiphumela enobuthi.
I-Iron
I-iron iyimithi yamaminerali ebalulekile ezinkambisweni eziningi zomzimba, kuhlanganise nokukhiqizwa kwamahomoni wegciwane. Ucwaningo luye lwabonisa ukuthi amazinga ensimbi aphansi ahlobene nokukhula kwe-subclinical hypothyroidism namazinga aphansi ka-T4 no-T3. Ngenxa yokuthi i-Hashimoto's thyroiditis iyisifo esizimele, iziguli nazo zisengozini enkulu yezinye izimo ezizimele, kuhlanganise nesifo se-celiac nesifo esisodwa se-gastritis, okubili okungabangela ukungena kwensimbi.
Amazinga aphansi e-iron ahlotshaniswa nezimpawu eziqhubekayo ezigulweni eziphathwe nge-hypothyroidism, futhi izifundo eziningana zibonise ukuthi ukwengeza uketshezi lwe-iron ekwelashweni kwe-levothyroxine kungasiza ngokuphumelelayo ekunciphiseni izimpawu.
Abacwaningi baphetha ngokuthi uma amazinga e-iron ephansi, "ukuxhaswa kokubuyisela insimbi okwanele kufanele kusungulwe futhi kuzosiza ekuvimbeleni imiphumela engalungile yokuntuleka kwensimbi emsebenzini we -roid."
I-Vitamin D
I-Vitamin D kokubili i-vitamin kanye ne-hormone precursor. Ifomu elilodwa, i-vitamin D2, livela ekudleni kokudla, kanti enye indlela, i-vitamin D3, incike ekukhanyeni kwelanga. Nakuba i-vitamin D engakaze ibonwe ukuthi ibe nomthelela oqondile kwi-gland yegciwane, kubonakala sengathi inendima ekuzivikelweni komzimba futhi kucatshangwa ukuthi inendima ekuvikeleni ekuphenduleni komuntu siqu. Ucwaningo oluthile lubonise ukulingana phakathi kwamazinga aphansi kavithamini D enengozi ephakeme yezinga likaHashimoto's thyroiditis. Kunezifundo ezikhombisa ukuthi i-TSH yehla kanye namazinga ka-T3 akhula njengoba amazinga e-vitamin D ekhuphuka.
Ukuntuleka kwe-vitamin D kuvamile kuwo wonke umhlaba. Ezicwaningweni eziye zahlola ukuxhumana phakathi kwevithamini D nesifo sikaHashimoto, ukutholakala kwevithamini D kuchazwa njengezinga levithamini D-25 elingaphansi kuka <50 nmol / L.
Abacwaningi baphetha ngokuthi ngenkathi ucwaningo lungabonakali ukuthi ukutholakala kwevithamini D kuyimbangela ye-Hashimoto's thyroiditis, "kungaba ukuhlakanipha ukuqinisekisa ukuthi iziguli zigwema ukungaphezu kwamandla e-vitamin D."
Izwi elivela
Ekugcineni, abacwaningi baphetha ngokuthi:
- Ukwehliswa okungapheli, isikhathi eside kwezinga eliphakeme ngokwe-iodine kungabangela i-Hashimoto's thyroiditis.
- I-selenium edingekayo ekusebenzeni kwe-thyroid kanye ne-selenium supplementation inganciphisa amandla e-peroxidase antibodies (TPOAb) ye-thyroid, futhi ingathuthukisa kokubili i-hypothyroidism ne-postpartum thyroiditis.
- Ukuntuleka kwensimbi kungaphazamisa ukukhiqizwa kwehomoni ye-thyroid.
- Abantu abane-Hashimoto's thyroiditis bahlale bengenalutho ngoba eziningi zalezi ziguli nazo zine-gastritis ye-autoimmune, ephazamisa ukungena kwensimbi.
- Amazinga aphansi kavithamini D abonakala ezigulini zikaHashimoto's thyroiditis, uma kuqhathaniswa nabantu abanomsebenzi ovamile we-thyroiditis.
- Abasebenzi kufanele bahlole amazinga e-iron ezigulini zabo zikaHashimoto, ikakhulukazi kwabesifazane abasenesikhathi sokuya esikhathini, futhi baqondise noma yikuphi ukuhluleka.
- Abahlengikazi kufanele bahlole amazinga e-vitamin D ezigulini zabo zikaHashimoto, futhi balungise noma yikuphi ukuhluleka.
- I-Selenium kufanele ihlolwe, ikakhulukazi ezindaweni lapho kunesifo se-iodine noma ngokweqile, futhi uma amazinga ase-selenium ephansi, noma uma isiguli sisezindaweni ezinomsoco we-selenium, iziguli kufanele zihlanganise nge-50 kuya ku-100 mcg / ngosuku selenium .
Njengoba sinikeza ukuthi yini esikwaziyo ngendima ebalulekile yalezi zakhi, njengengxenye yokwelashwa kwakho kwe-Hashimoto's thyroiditis ungase ufune ukusebenza nodokotela wakho ukuhlola amazinga akho e-iodine, selenium, iron, ne-vitamin D, futhi ulungisa noma yikuphi ukuhluleka.
> Umthombo:
> Shiqian H, noRayman M. "Izindlela Eziningi Zokudla Nengozi YeHashimoto's Thyroiditis." I-Thyroid. Umqulu 27, Inombolo 5, 2017, i-DOI: 10.1089 / thy.2016.0635