Indima ye-iodine, iSelenium, i-Iron, ne-Vitamin D
I-Hashimoto's thyroiditis yinto eqhelekileyo yesifo kunye neyona nto iphambili yeengxaki ze-thyroid e-United States. Nangona izizathu ezithile zeHashimoto's thyroiditis aziwayo, abaphandi baye baqinisekisa ukuba kukho izinto ezininzi ezibangela ukuphuhliswa kweHashimoto, kuquka:
- ukufumana imfuyo
- ukuzalwa
- izinto zendalo
- izifo zokuzivikela
- izinto ezinomsoco
Abaphandi babika kwiphephancwadi I- Thyroid ibhekiselele kwimiphumo ethile yondlo kunye nolwalamano lwabo noHashimoto's thyroiditis. Ukuhlolwa okunesondlo kuquka:
Abaphandi banokufumana iziphumo ezinomdla ezinokuthi zandise indima yokuvavanya isondlo kunye nokuxhaswa kwindlela yokwelashwa kaHashimoto's thyroiditis.
Iodine
Iodine iyona isithako esisisiseko sehomoni ye-thyroid. I-intake ye-iodine ivela ngokuyinhloko ngokungenisa i-iodine-rich riches foods, ukutya ukutya okuveliswe kwihlabathi elinotyebile, i- idizedityu , kunye ne-iodine supplements. Iodine egazini ithathwa yi-thyroid, apho isetyenziselwa ukwakha i-hormone ye-thyroid i-triiodothyronine (T3) kunye ne-thyroxine (T4).
Amazinga e-iodine anempembelelo enkulu kwiingxaki ze-thyroid. Ngokukodwa, ukusilela kakhulu kwe-iodine kunokubangela i-thyroid eyandisiweyo (goiter), i-hypothyroidism, kunye nabasetyhini abakhulelweyo, kunokubangela ukuba i-cretinism kunye nokukhulelwa kwengqondo kubantwana babo.
Ukusilela kwe-iodine ye-iilder kungabangela i-goxic nodular goiter kunye ne-hyperthyroidism. Amanqanaba angaphezulu kwe-iodine anokunyusa umngcipheko we-hypothyroidism omncinci okanye ongaphantsi kwe-hypothyroidism kunye nesifo se-Hashimoto. Ukutya okuphezulu kwe-iodine kuhambelana namazinga aphezulu kaHashimoto's thyroiditis, kunye nokugqithisa kwesi sifo.
Abaphandi bathi:
Ukuze ugweme umngcipheko ophezulu weHashimoto's thyroiditis, kubalulekile ke ukuba uqinisekise ukuba i-iodine intake ingena kwiindawo ezincinci zamanqanaba anconywayo. Kwimihlaba yabantu, oku kuya kubelwa yinkxalabo ye-iodine ye-urine kwi-100-200 lg / L. Amagunya okuzisa i-iodine ukulungiswa kokutya kwilizwe (umzekelo, i-universal salt iodization) kufuneka iqinisekise ukuba isilungiso esinjalo senziwa ngokuqaphela.
Nantsi isishwankathelo seemfuno ze-iodine ngokudala:
- Ukuzalwa ukuya kwi-10: 90 μg / L
- Ubudala 11-17: 120-150 μg / L
- I-15+ yobudala: 150 μg / L
- Ukukhulelwa: 200-250 μg / L
- Ukubambisana 200-290 μg / L
Selenium
I-mineralal selenium ibalulekile ekuveliseni ihomoni ye-thyroid. Ukuntuleka kweSelenium kuye kwadibaniswa neemeko ze -roid, kuquka i-hypothyroidism, i-hypothyroidism yamagqabantshintshi, i-Hashimoto's thyroiditis, i-goiter, umdlavuza we-thyroid kunye ne-Graves's disease. Izifundo ezininzi zibonise ukuba iimeko ze-thyroid zixhaphake kakhulu kwiindawo ezine-selenium ephantsi kwaye amanqanaba aphezulu ase-selenium anxulumene nomngcipheko we-Hashimoto's thyroiditis, i-hypothyroidism, i-subclinical hypothyroidism kunye ne-goiter.
Ukongezwa kwe-Selenium kuye kwaboniswa ukuba kuphuculwe ukuphucula okukhulu kwizigulane zezigulane ezinezifo zesohlo ezincinci.
Uphando luye lwabonisa ukuba abafazi abakhulelweyo nabaye baphakamisa i- thyroid ( peroxidase antibodies) (TPOAb) banakho ukuphucula izimo ze -roid ngexesha kunye nangemva kokukhulelwa xa bengenalo i-selenium. Ukuncedisa i-selenium iyanciphisa amanqanaba e-antibody amanqanaba kakhulu kubasetyhini abakhulelweyo abane-TPOAb ephakamileyo. Kwisifundo esinye, emva kwexesha lokugqibela, emva kwama-44 ekhulwini kwabasetyhini be-TPOAb abazange bathathe i-selenium bavelise i-thyroiditis, xa kuthelekiswa ne-27 engama-27 ekhulwini labasetyhini.
Ukungena kwe-selenium kuyahlukahluka kunye ne-geography esekelwe kwimixholo ye-selenium yomhlaba, kunye namazinga ase-selenium ekudleni. Umthombo obalulekileyo we-selenium yi-nut yaseBrazil, kodwa umxholo wabo we-selenium uyahluka, okwenza kube yindlela engathembekiyo yokuqinisekisa ukunakekelwa okwaneleyo kwe-selenium. Enye imithombo efanelekileyo ye-selenium ibandakanya inyama yenyama, ivenkile zasemanzini, okusanhlamvu kunye neenhlamvu.
Abaphandi bathi:
Kunengqiqo ukuqinisekisa ukuba i-selenium intlawulo iyanele, enikwe iindima ezenziwa ngu-selenium kwimpilo yabantu kwaye ikakhulukazi kwi-thyroid. Abagqirha kufuneka baqaphele ngokukodwa ukuqinisekisa ukuba i-selenium intlawulo / isimo sanele. Abasetyhini banomngcipheko omkhulu weengxaki ze-thyroid kwaye banako ukufumana imfuneko ephezulu yelenenium eyongezelelweyo, ngokukodwa xa ukhulelwa. Ukuba kukho kubonakala ngathi bambalwa okanye akukho mithombo ye-selenium enezifo kwisondlo sesigulane, ukuxhaswa kwezilwanyana eziphantsi (50-100 mcg / ngosuku) kuphakanyisiwe. Nangona isigulane esine-HT siphathwe nge-levothyroxine, umntu kufuneka aqonde ukuba ezinye izifundo zifumene ukuba ukunika i-selenium kunye ne-levothyroxine kukhokelela ekunciphiseni okukhulu kwi-TPOAbs. Kwakhona kubalulekile ukukhumbula ukuba nangona i-selenium ibalulekile, ukungena ngokweqile kwe-selenium inetyhefu, kunye nezongezelelo ze-selenium ezingama-200 lg / ngosuku, ngokuqhelekileyo kuthathwa njengekhuselekile, ziye zahlanganiswa nemiphumo emibi.
Intsimbi
I-Iron iyiminerali ebalulekileyo kwiinkqubo ezininzi zenyama, kuquka ukuveliswa kwamahomoni e-thyroid. Izifundo zibonise ukuba amanqanaba angaphantsi esinyithi axhulumene nokunyuka kwe-hyplinroidism kunye namanqanaba aphantsi ka-T4 kunye ne-T3. Ngenxa yokuba iHashimoto's thyroiditis isifo esizimele, izigulane nazo zisengozini enkulu yezinye iimeko ezizimeleyo, eziquka isifo se-celiac kunye ne-gastritis ye-autoimmune, ezo zombini zingonakalisa ukungena kwensimbi.
Amanqanaba esinyithi asezantsi anxulumene neempawu eziqhubekayo kwizigulane eziphathwe nge-hypothyroidism, kwaye uphando oluninzi luye lwabonisa ukuba ukongeza ukongezwa kwesinyithi kwiyeza levothyroxine kunokunceda kakhulu ukuphucula iimpawu.
Abaphengululi baphetha ukuba xa izinga lezinyithi liphantsi, "ukuxhaswa kokubuyisela i-iron okwaneleyo kufuneka kuqaliswe kwaye kuya kunceda ukukhusela impembelelo engafanelekanga yokusebenza kwintsimbi kwi-thyroid function".
Vitamin D
I-Vitamin D ibini i-vitamin kunye ne-precursor ye-hormone. Ifomu enye, i-vitamin D2, ivela kwi-dietary intake, kwaye enye ifomu, i-vitamin D3, ixhomekeke ekukhanyeni kwelanga. Nangona i-vitamin D ingazange iboniswe ukuba ibe nefuthe ngqo kwi-thyroid gland, kubonakala ngathi inendima ekukhuselweni komzimba kwaye kucatshangelwa ukuba inendima ekukhuseleni ukuphendula ngokuzenzekelayo. Izifundo eziliqela zibonise ukulungelelanisa phakathi kwamanqanaba aphantsi e-vitamin D enomngcipheko ophezulu kunye namazinga kaHashimoto's thyroiditis. Kukho izifundo ezibonisa ukuba i-TSH iyancipha kunye namanqanaba e-T3 aphakama njengoko amazinga e-vithamini D ayanda.
Ukuntula kwi-vitamin D kuqhelekileyo kwihlabathi lonke. Kwizifundo eziye zavavanya ikhonkco phakathi kwe-vitamin D kunye ne-Hashimoto, isifo se-vitamin D sichazwa njengezinga le-vitamin D-25 ngaphantsi kwe-50 nmol / L.
Abaphandi baphetha ukuba ngelixa uphando alubonakali ukuba ukungabikho kwe-vitamin D yimbangela yeHashimoto's thyroiditis, "kuya kuba bubulumko ukuqinisekisa ukuba izigulane ziphepha ukugqithiseleka kwamavithamini D."
ILizwi
Ekugqibeleni, abaphandi bathi:
- Ukungapheliyo kwexesha elide, kwixesha elide kwiimodeli ze-iodine kunokubangela uHashimoto's thyroiditis.
- I-selenium eyaneleyo kumsebenzi we-thyroid kunye nesongezelelo se-selenium inganciphisa i-thyroid peroxidase antibodies (TPOAb), kwaye ingakwazi ukuphucula kokubili i-hypothyroidism kunye ne-postpartum thyroiditis.
- Ukusilela kwensimbi kunokuphazamisa umveliso we-hormone ye-thyroid.
- Abantu abaneHashimoto's thyroiditis bahlala bengenasinyithi ngenxa yokuba ezininzi zezi zigulane nazo zine-gastritis, eziphazamisa ukungena kwensimbi.
- Amanqanaba aphantsi ka vithamini D abonakala kwizigulane zikaHashimoto's thyroiditis, xa kuthelekiswa nabantu abanomsebenzi oqhelekileyo we-thyroid.
- Iingcali kufuneka zijonge amanqanaba esinyithi kwizigulane zazo zikaHashimoto, ngokukodwa kubasetyhini abasesesikhathini, kwaye balungele nayiphi na ilahleko.
- Iingcali kufuneka zihlolisise amazinga e-vitamin D kwizigulane zazo ze-Hashimoto, kwaye zilungise nayiphi na ilahleko.
- I-Selenium kufuneka ihlolwe, ngokukodwa kwiindawo apho kunqongophala kwe-iodine okanye ubuninzi, kwaye ukuba izinga le-selenium liphantsi, okanye ukuba isigulane sinendawo kwindawo ephantsi ye-selenium, iigulane kufuneka zongezelele nge-50 ukuya kwi-100 mcg / imini ye-selenium .
Ukunikezela oko sikuyazi malunga nendima ebalulekileyo yalezi zondlo, njengenxalenye yonyango lwakho lweHashimoto's thyroiditis ungafuna ukusebenza kunye nogqirha wakho ukuvavanya amanqanaba akho e-iodine, selenium, isinyithi, kunye ne-vitamin D, kwaye ulungelelanise nayiphi na ukungaphumeleli.
> Umthombo:
> IShiqian H, kunye noRayman M. "Izinto ezininzi zeNutrition kunye neengozi yeHashimoto's Thyroiditis." Thyroid. Umqulu 27, iNombolo 5, 2017, INGXELO: 10.1089 / yakho.2016.0635