I- New England Journal of Medicine yashicilela ucwaningo oluvela eChina olubheke ubuhlobo phakathi kwesifo se-iodine nesifo se-thyroid. Ukubika ngo-June ka-2006, abacwaningi baphetha ngokuthi "ukudliwa ngokweqile noma ngokweqile kwe-iodine kungaholela ku-hypothyroidism nakwe-autoimmune thyroiditis."
Lokhu kutholakala kwakuhambisana nokuhlelwa nguDkt. Robert Utiger, owathi "izingozi ezincane zokweqile okungapheli kwe-iodine zikhulu kakhulu yizicabangela ezinkulu zokuntuleka kwe-iodine," okwandisa ukungqubuzana ne-iodine, ikakhulukazi i-iodization kasawoti, kanye ne-iodine supplementation,
Ukwehla kwe-iodine
Ngakolunye uhlangothi lwengxabano yinkinga ebalulekile yokuntuleka kwe-iodine. Iodine itholakala ngokudla, amanzi, usawoti odidayo, kanye nokwengezwa. I-thyroid isebenzisa iodine ukuze ikhiqize i- hormone yegciwane , okwenza i-iodine ibe izakhi ezibalulekile, ezidingekayo.
Iodine ibaluleke ngokukhethekile kubesifazane abakhulelwe namabele, kanye nezingane ezincane. Ngokusho kweWorld Health Organization (WHO), abantu abangaba yizigidi eziyizinkulungwane ezimbili, kuhlanganise nabantwana abayizigidi ezingu-285 esikoleni, banamakhono e-iodine. Futhi phakathi kwazo, ukukhubazeka kwe-iodine ukuphazamiseka (i-IDD) kuthinta izigidi ezingaba ngu-740 - cishe abangaba yizigidi ezingu-50 kubo bahlushwa uhlobo oluthile lokulimala kwengqondo okubangelwa ukuntuleka kwe-iodine.
NgokweMkhandlu Womhlaba Wonke Wokulawulwa Kwezinkinga Zokukhubazeka Kwe-Iodine (INCCIDD):
Ukuntuleka kwe-iodine yimbangela eyodwa evamile yokugwema kwengqondo okuvinjelwe nokulimala komqondo emhlabeni. Kanciphisa ukunciphisa ingane, kubangele abagibeli, futhi kubangele ukukhula nokuthuthukiswa. Ukwehluleka kwe-iodine ukukhathazeka kwabesifazane abakhulelwe kubangelwa ukukhubazeka, ukubeletha, nezinye izinkinga. Izingane ezine-IDD zingakhula zikhukhumezekile, zingenandaba, ziphuthelwe ngokwengqondo, futhi zingakwazi ukuhamba ngendlela evamile, inkulumo noma ukuzwa.
Kunezindawo eziningi zezwe lapho ukuntuleka kwe-iodine kuyinkinga enkulu yezempilo. I-INCCIDD inemephu e-intanethi ekhombisa ukudla kwe-iodine emhlabeni wonke. Le mephu yembula ukuthi nakuba izindawo eziningi zeNtshonalanga yeHemisphere zivame ukwanele kwi-iodine, iYurophu, iRussia, i-Asia, i-Australia ne-Afrika, zinezindawo ezihlukahlukene ezingozini.
Iodine Excess
Ngakolunye uhlangothi lombango ukuqaphela ukuthi i-iodine ngokweqile kungabangela isifo se-autoimmune nesifo se- hypothyroidism.
Ngokwezifundo zezilwane, ukudla okuphezulu kwe-iodine kungaqala futhi kwandise ukungena kwe-thyroid ngama-lymphocytes. Ama-lymphocyte amhlophe amangqamuzana egazi athola ngenxa yokulimala okungapheli noma ukucasuka. Ngaphezu kwalokho, inani elikhulu le-iodine livimba ikhono le-thyroid lokwenza i-hormone.
Kulolu cwaningo lwe- New England Journal , abacwaningi, abaholwa nguDkt. Weiping Teng, weChina Medical University e-Shenyang, babheka imiphumela yegciwane yokunikeza amaqembu amathathu ahlukene: abantu ababengenalo iodine elincane, abadla kahle iodine, futhi labo abadla ngokweqile iodine. Bathola ukuthi ukunikeza ama-iodine kubantu abanesisindo esidingekayo noma ngokweqile i-iodine kungaholela ku-hypothyroidism autoimmune thyroiditis.
Esicwaningweni, abacwaningi bathola ukuthi izici eziyinhloko zokubeka ingozi ekuqhubekeni kwe-subclinical hypothyroidism zihlanganisa:
- TSH ngenhla 6
- Amazinga aphakeme e-antithyroid antibody (i-thyroid-peroxidase antibody noma i-thyroglobulin antibody)
- Ukushintshwa kwe-iodine kudla ngokusweleka okuncane kunokwanele
Baphinde bathola ukuthi izici eziyinhloko zokubeka ingozi ye- subclinical hypothyroidism kubantu abaqala ngomsebenzi ovamile we -roid bahlanganisa:
- I-level ye-TSH engaphezu kuka-2
- Amazinga e-antithyroid anti-antibody
- Ukushintshwa kwe-iodine kudla ukudla okuncane ngokwanele kunokwanele, noma ukudla ngokweqile kwe-iodine
Abacwaningi baphetha ngokuthi:
... nakuba i-iodine supplementation kufanele isetshenziswe ukuze kuvinjelwe futhi ilawule izifo ezingenayo i-iodine, ukwesekwa kufanele kugcinwe ezingeni eliphephile. Amaningi angaphezu kokwanele (ama-urine iodine excretion ephakathi kwamanzi, 200 kuya ku-299 μg ilitha ngalinye) noma ngokweqile (i-medium ye-urinary i-excodtion,> 300 μg ngelitha ngalinye) akubonakali ukuthi uphephile, ikakhulukazi kubantu abangenakukwazi ukuthola izifo ze -roid noma ukuntuleka kwe-iodine. Izinhlelo zokuxhaswa kufanele zifane nesifunda esithile. Ayikho i-iodine supplementation okufanele inikezwe ezindaweni lapho i-iodine yokudla iwanela khona, kanti usawoti ezindaweni lapho i-iodine edla khona khona kufanele ihlanganiswe ne-iodine ngokwezinga lokuntuleka kwe-iodine.
Isaziso esibalulekile: Abacwaningi babechaza ngokweqile i- hypothyroidism njenge-TSH engaphezulu kwe-4.8, enezinga eliphezulu lama-T4 aphezulu. I-subclinical hypothyroidism yachazwa njenge-TSH ngenhla 4.8, ngamanqanaba ajwayelekile we-T4 yamahhala. I-American Association of Endocrinologist Clinic, kanye neNational Academy of Clinical Biochemistry, eyanconywa ngasekupheleni kuka 2002 / ekuqaleni kuka 2003 ukuthi uhla lwejwayelekile lwe-TSH ludlulele kakhulu ku-.3 kuya ku-3.0. Ngakho iphuzu lapho omunye umuntu azobhekwa njengama-hypothyroid ngokweqile angase ahluke, ngokusekelwe kulezi ziqondiso ezintsha .
Ingabe Udinga i-Iodine?
Emashumini eminyaka adlule, u-iodization usawoti wawunqunywe ngokuzithandela e-US nakwamanye amazwe athuthukile njengendlela yokulwa nokuntuleka kwe-iodine. Kulezi zindawo ngosawoti e-iodidi, ukukhathazeka kwe-iodine ukukhathazeka konke kwaphela kodwa iningi lamaMelika linayo i-iodine eyanele.
Kodwa phakathi neminyaka engamashumi amabili edlule, ukunciphisa uketshezi kasawoti ngenxa yezizathu zempilo, ukunciphisa ukusetshenziswa kosawoti e-iodidi ekudleni okucutshungulwayo, nokuthi iqiniso lokuthi iodization ayimpoqo e-US (ngakho-ke, okungu-70% wetafula usawoti i-iodized) kwaholela ekudleni kwe-iodine ngisho nakwamanye amazwe afana ne-US Ngakho emva kwesikhathi lapho ukungabi khona kwe-iodine e-US bekuye kwaphela kwaphela, manje sekuhamba kancane ngokunyuka okuqhubekayo.
Ukukhathazeka okukhulu kunabesifazane abakhulelwe. Eqinisweni, izinga labesifazane abakhulelwe abanesifo se-iodine selenyukile e-US phakathi neminyaka engu-20 edlule. Sebenzisa, kusukela kumaphesenti angu-1 kuphela kuma-1970 kuya kuma-7 amaphesenti ngo-2002. Laba besifazane nabantwana babo babhekana nezingozi ezinkulu kakhulu ngenxa ye-iodine enganele ukudla.
Abanye ochwepheshe batusa ukuthi i-iodine supplementation ibe yindlala ngesikhathi sokuqala kokukhulelwa nokukhulelwa. Isibonelelo sokudla esinconyelwe i-iodine singama-200 mcg / ngosuku ngesikhathi sokukhulelwa kanye no-75 mcg / ngosuku ngenkathi ibeletha.
Konke thina, impendulo yempilo ephezulu ye-thyroid, ngakho-ke, ukuthola okwanele - kodwa hhayi kakhulu - iodine. Ungase ungabi nelutho iodine uma unesizathu sezempilo, uthathe usawoti odicilelwe i-iodised ngaphandle kokudla kwakho, noma ungene emanzini anosawoti angelona iodidi.
Ngakho-ke, udinga i-iodine eyengeziwe? Ungatshela kanjani ukuthi uthola i-iodine eyanele? Akunakwenzeka ukuzilinganisa ngokwakho. Ungenza isilinganiso esibi kakhulu, noma kunjalo, ngokusekelwe emibuzweni elandelayo:
- Usebenzisa usawoti iodididi?
- Udla usawoti omningi nsuku zonke?
- Uthatha i-vitamin noma i-addode nge-iodine? (Iodine engakanani engezansi?)
- Ingabe udla, inyama, imikhiqizo yobisi noma izilwane zasolwandle njalo?
Abanye abasebenzayo, abaphelele kanye nabasebenzisa ama-herbal bacishe baphenduke ngamadolo ekuphikiseni kwabo ukuthi noma ubani onenkinga ye-thyroid kudinga i-iodine supplementation (noma iodine ye-liquid noma i-herb equkethe i-iodine, njenge-kelp noma i-bladderwrack). Lokhu kungathuthukisa izimpawu kanye nezinkinga ezimbi ze -roid kwabanye abantu.
Kodwa, ngaphandle uma uhlela ukukhulelwa, okwamanje ukhulelwe noma uncelisa, uzofuna ukucophelela ngokuthatha iodine ngaphandle kokuthi wena nomsebenzi wakho nibone ubufakazi obunamandla obukhulu bokuthi unamandla. Uma udokotela wakho ekhuthaza i-iodine supplementation njengokwelashwa kwe-thyroid, ungase ufise ukucela ukuhlolwa okuningiliziwe okungalinganisa amazinga we-iodine - ukuhlolwa kwe-urinary excretion. Loluhlolo oluhlola i-iodine elidonswe emcinini, futhi lunikeza ukuhlolwa okungaqondile kodwa okunembile kwamazinga we-iodine, futhi kungabhala ukungabi nalutho.
Futhi, qaphela lokho okubizwa ngokuthi " ukwesekwa kwe-thyroid " amavithamini kanye namafomula engeziwe, okufaka phakathi u-Alvidar othengiswa kakhulu futhi okhuthazwayo. Iningi, njengo-Alvidar, lifaka amanani amaningi e-iodine, futhi uma ungenalo i-iodine, ingakwazi ukuphela ibe nomthelela ongahlosiwe nokuphambene wokwenza impawu zakho zibe zimbi nakakhulu futhi zivuse isimo sakho se-thyroid.
> Imithombo:
> Teng, Weiping MD, et. al. "Impumelelo ye-Iodine Infection kwizifo ze-Thyroid eChina" I- New England Journal of Medicine , uMqulu 354: 2783-2793, Juni 29, 2006, Inombolo 26 Abstract
> Utiger, Robert DMD "I-Iodine Nutrition - Okungcono Kakhulu," I- New England Journal of Medicine, Umqulu 354: 2819-2821, Juni 29, 2006, Inombolo 26
> Higdon, Jane Ph.D. et. al. "I-iodine," i- Micronutrient Information Center , iLinus Pauling Insitute, i-Oregon State University, isihloko se-2003
> Umkhandlu Wamazwe Omhlaba Wokulawulwa Kwezinkinga Zokuntula Iodine
> Shomon, Mary J. Umhlahlandlela we-Thyroid ukuze Ukhule, Ukukhulelwa Nokuphumelela Ukubeletha, I- Thyroid-Info, ka-2006