I- New England Journal of Medicine yashicilele uphando oluvela eChina olujongene nolwalamano phakathi kwe-iodine ne-disease ye-thyroid. Ukunika ingxelo ngoJuni ka-2006, abaphandi baphetha ngelithi "ngaphezu kokwaneleyo okanye ukugqithisa ngokweqile iodine kungaholela kwi-hypothyroidism kunye ne-auto-bloodmone thyroiditis."
Ezi ziphumo zihambelana nomhleli nguDkt. Robert Utiger, owathi "imingcipheko encinci ye-iodine engapheliyo iphezulu ngaphezu kweengozi ze-iodine," eyongezelela kwingxabano malunga ne-iodine, ingakumbi i-iodization yetyuwa, neyodine supplementation,
Ulwaphulo lwe-iodine
Ngakolunye uhlangothi lwengxabano yinkinga ebalulekileyo yokunqongophala kwe-iodine. Iodine itholakala ngokutya, amanzi, ityuwa edidiweyo kunye nokuxhaswa. I-thyroid isebenzisa iodine ukuvelisa i -hormone ye-thyroid , okwenza iodine ibaluleke kakhulu, izondlo eziyimfuneko.
Iodine ibaluleke kakhulu kubafazi abakhulelweyo kunye nabantwana, kunye nabantwana abancinci. Ngokwe-World Health Organisation (WHO), abantu abaqikelelwa kwiibhiliyoni ezi-2, kuquka ne-285 yezigidi zeminyaka esikolweni, abanakho i-iodine. Kwaye phakathi kwabo, ukukhubazeka kwe-iod (i-IDD) ichaphazela izigidi ezingama-740 - malunga nezigidi ezingama-50 zazo zihlupheke ngenye indlela yomonakalo wengqondo ngenxa ye-iodine.
Ngokutsho kweBhunga lamazwe ngamazwe lokuLawula ukukhubazeka kwe-iodine (INCCIDD):
Ukuntuleka kwe-iodine yinto ebangela kakhulu ukukhuseleka kwengqondo kunye nokulimala kwengqondo kwihlabathi. Kwakhona kunciphisa nokuphila komntwana, kubangele i-goiters, kwaye kuphazamise ukukhula nophuhliso. Ukuntuleka kwe-iodine ukukhathazeka kwabasetyhini abakhulelweyo kubangelwa ukulahlekelwa ngamathambo, iintsholongwane kunye nezinye iingxaki. Abantwana abanesifo se-IDD banako ukukhula bexakekile, bengenakukhathazeka, bekhulelwe ngengqondo, bengakwazi ukuhamba, ukuthetha okanye ukuva.
Kukho iindawo ezininzi zehlabathi apho ubunqongophe be-iodyo bubunzima bezempilo. I-INCCIDD inemephu ekhompyutheni ebonisa i-iodine isondlo emhlabeni wonke. Le mephu ibonisa ukuba ngelixa iindawo ezininzi zeNtshona yeNtlanga zihlala zanele kwi-iodine, iYurophu, iRashiya, iAsia, iAustralia kunye ne-Afrika, zineenkalo ezinobungozi bokungabikho.
Iodine Excess
Ngakolunye uhlangothi lwengxabano kukuqaphela ukuba iodine engapheliyo inokubangela isifo se-thyroid kunye ne-hypothyroidism.
Ngokutsho kwezilwanyana zezilwanyana, i-iodine high intake ingabangela kwaye ibuhlungu kakhulu ukungena kwe-thyroid ngama-lymphocytes. I-lymphocytes ngamangqamuzana egazi amhlophe aqokelela ngenxa yokulimala okungapheliyo okanye ukucaphuka. Ukongezelela, ixabiso elikhulu le-iodine livimba ikhono le-thyroid ukwenza i-hormone.
Kulo uphando olutsha lwe-New England Journal , abaphandi, abaholwa nguDkt. Weiping Teng, kwiYunivesithi yezoLimo yaseChina e-Shenyang, babhekise kwimiphumo ye-thyroid yokunikezela okongezelelweyo kumaqela athathu ahlukeneyo: abantu ababengenalo i-iodine engenalutho, kunye nalabo abanomdla ogqithiseleyo we-iodine. Bafumanise ukuba ukunika iodine kubantu abanokwaneleyo okanye ukungena ngokweqile kwi-iodine kungakhokelela kwi-hypothyroidism autoimmune thyroiditis.
Kulo cwaningo, abaphandi bafumanisa ukuba izinto ezinobungozi eziphambili zokuqhubela i-hyplinroidism ezincinci ziquka:
- TSH ngentla 6
- Amanqanaba aphezulu e-antithyroid antibody (i-thyroid peroxidase antibody okanye i-thyroglobulin antibody)
- Ukutshintshwa kwe-iodine ekudleni kwintsilelo ebonakalayo kancinci kunezinto ezaneleyo
Kwakhona bafumanisa ukuba izinto ezibalulekileyo zengozi ze- hyplinroidism ezitsha zamathambo kubantu abaqalisa umsebenzi we-thyroid ziquka:
- I-TSH nqanaba elingaphaya kwe-2
- Amanqanaba e-anti antithyroid aphezulu
- Ukutshintshwa kwe-iodine ekudleni kwintsipheko engapheliyo kunokuba yaneleyo, okanye ukungena kwe-iodine ngokweqile
Abaphandi bathi:
... nangona i-iodine supplementation ifanele iphunyezwe ukukhusela nokuphatha izifo zokungabikho kwe-iodine, ukuxhaswa kufuneka kugcinwe kwindawo ekhuselekileyo. Amanqanaba angaphezu kwaneleyo (ukuphela kwe-iodine ye-iodine exretion, 200 ukuya ku-299 μg ngeli-litre) okanye ukugqithisa (i-300 μg ngetekisi), ayibonakali ekhuselekileyo, ingakumbi kubantu abanokuthi bangakwazi ukufumana izifo ze -roid okanye i-iodine. Iiprogram zokuncedisa kufuneka zilungiswe kwindawo ethile. Akukho zongezelelo ze-iodine kufuneka zinikezelwe kwingingqi apho i-iodine ingenayo iyanele, ngelixa i-ityuwa kwimimandla apho i-iodine ingenayo ingenayo ifunekayo ifanele ibe yongezwa nge-iodine ngokwezinga lokuntuleka kwe-iodine.
Ingqalelo ebalulekileyo: Abaphandi bachaza ngokugqithiseleyo i- hypothyroidism njenge-TSH ngaphezulu kwe-4.8, kunye namazinga aphezulu e-Free T4. I-hyplinroidism yamagqabantshintshi yachazwa njenge-TSH ngaphezulu kwe-4.8, kunye neendawo eziqhelekileyo zama-T4 zamazinga. I-American Association ye-Clinical Endocrinologists, kunye ne-National Academy ye-Clinical Biochemistry, inconywe ngasekupheleni kuka-2002 / ekuqaleni kuka-2003 ukuba uluhlu oluqhelekileyo lwe-TSH lucacile kakhulu ukuya ku -3 ukuya ku-3.0. Ngoko i ngongoma apho umntu angathathwa njengokwakheka kakhulu i-hypothyroid ingahluka, ngokusekelwe kwezi zikhokelo ezintsha .
Ngaba Unayo Iodine?
Kwiminyaka emininzi edlulileyo, iodidiyali yetyuwa yayisungulwe ngokuzithandela e-US nakwamanye amazwe ashishino njengeendlela zokulwa nokusilela kwe-iodine. Kule mimandla ngetyuwa e-iodidi, ukuphazamiseka kwe-iodine ukuphazamiseka konke kwaphela, kwaye abaninzi baseMelika banayo iodine eyaneleyo.
Ngexesha leminyaka emibini edlulileyo, ke, ukunciphisa ityuwa ngenxa yezizathu zempilo, ukunciphisa ukusetshenziswa kwetyuwa e-iodidi ekutya okucutshulweyo, kunye nokuba iodidiyali ayikho imfuneko e-US (nangona kunjalo, i-70% yeetafile zetyuwa idiodised) kwaphumela ekudleni kwe-iodine nakumazwe afana ne-US Ngoko emva kwexesha apho ukungakwazi kwe-iod e-US bekuye kwaphela kwaphela, ngoku kuya kuhamba ngokunyuka.
Into ebaluleke kakhulu kubafazi abakhulelweyo. Enyanisweni, izinga labasetyhini abakhulelweyo abane-iodine ukusilela kwenyuka e-US kwiminyaka engama-20 edlulileyo u-Utiger, ukusuka kuma-1 ekhulwini kuma-1970 ukuya kuma-7 ekhulwini ngo-2002. Aba bafazi kunye neentsana zabo babhekana nobungozi obukhulu kwi-iodine enganeleyo ukutya.
Ezinye iingcali zincoma ukuba i-iodine supplementation ibe ngumgangatho oqhelekileyo ngexesha lokuqala kokukhulelwa nokukhulelwa. Isibonelelo sokutya esicetywayo se-iodine singama-200 mcg / ngosuku ngexesha lokukhulelwa kunye ne-75 mcg / ngosuku ngexesha lokuncelisa.
Konke kuthi, impendulo yempilweni ye-thyroid ephezulu kukuba, ukuze ufumane okwaneleyo-kodwa kungekhona kakhulu-iodine. Unokuba uswelekile kwi-iodine ukuba unesizathu sempiliso, usike ityuwa e-iodidi ngaphandle kokutya kwakho, okanye utshintshele kwi-salt salt.
Ngoko, ngaba ufuna iodode eyongezelelweyo? Ungazixelela njani ukuba ufumana iodode eyaneleyo? Akunakukwazi ukulinganisa ngokwakho. Unokwenza uqikelelo olunzima kakhulu, nangona kunjalo, kusekelwe kule mibuzo elandelayo:
- Ngaba usebenzisa ityuwa edidiyelwe?
- Udla ityuwa ngaphi na?
- Ngaba uthatha i-vitamin okanye i-addode nge-iodine? (Uninzi lwe-iodine kangakanani kwi-supplement?)
- Ngaba uyadla, inyama, iimveliso zobisi okanye ukutya kwezilwanyana rhoqo?
Olunye uhlobo, abaxhasi kunye nabasebenzi bezonyango baphawula ngamadolo ngokunyanzelisa ukuba nabani na abaneengxaki ze-thyroid badinga i-iodine supplementation (okanye iodesi okanye i-herd iqukethe iodine, njengekelp okanye ibladderwrack). Oku kunokunyusa iimpawu kunye neengxaki ze-thyroid ezimbi kwabanye abantu.
Kodwa, ngaphandle kokuba uceba ukukhulelwa, okwangoku ukhulelwe okanye uncelisayo, uya kufuna ukuba uqaphele ngokuthatha iodode ngaphandle kokuba wena kunye nomlingisi wakho unobungqina obuqinileyo bokuba ungekho. Ukuba ugqirha wakho uncoma ukongezwa kwe-iodine njengonyango lwe-thyroid, unokufisa ukucela uvavanyo oluthile olunokulinganisela amanqanaba e-iodine - uvavanyo lwe-urinary excretion. Olu vavanyo oluvandlakanyo lwe-iodine lukhutshwe kumchamo, kwaye lunikeza uvavanyo oluchanekileyo kodwa oluchanekileyo lwamanqanaba e-iodine, kwaye luyakwazi ukubhala ukusilela.
Kwakhona, jonga i-vitamin ne-supplement form, kubandakanyeka kakhulu kwi-vitamin kunye ne-supplemental formula, kuquka u-Alvidar. Uninzi, njengo-Alvidar, lubandakanya inani elininzi le-iodine, kwaye ukuba awunayo i-iodine-deficiency, unokuphelisa ukuba ube nomphumo ongenakulindelekanga kunye nokuchasene noko ukwenza iimpawu zakho zibe zibi ngakumbi kwaye zikhubekise imeko yakho ye-thyroid.
> Imithombo:
> Teng, Weiping MD, kunye. al. "Impembelelo ye-Iodine Intake kwii-Thyroid Izifo e-China" I- New England Journal of Medicine , uMqulu 354: 2783-2793, Juni 29, 2006, Inani lama-26
> Utiger, uRobert DMD "I-Iodine Isondlo - Okuninzi Kona," I- New England Journal of Medicine, Umqulu 354: 2819-2821, Juni 29, 2006, Inani 26
> Higdon, Jane Ph.D. et. al. "Iodine," iZiko loLwazi lweMicronutrient, iLinus Pauling Insit, iYunivesithi yaseOregon State, 2003
> IBhunga lamazwe ngamazwe loLawulo lweengxaki ze-Iodine Defence Disorders
> Shomon, uMary J. Isikhokelo se-Thyroid ekukhuliseni, ukukhulelwa nokuphumelela ukubeleka, i- Thyroid-Info, ngo-2006