Mhlawumbi uye wakuva malunga nokubaluleka kwe-vitamin D kunye nokuba ezinye iingcali zezempilo zicebisa ukuba ufumane enye yale vithamini ebalulekileyo. Ngokukodwa, ukuvavanywa nokuxhaswa nge-vitamin D kuye kwandiswe ngokunyanisekileyo kwi- thyroid, i- autoimmune, kunye nokugulisa izigulane.
Kodwa yintoni ukucinga kunye nesayensi emva kwezi ngcebiso?
Ndineli thuba lokuba ne-Q & A emfutshane kunye noRichard Shames, MD-udokotela osebenzayo, umbhali wenani leencwadi ezidumileyo kwizifo ze-thyroid, kunye nomqeqeshi we-thyroid-ngesihloko sokuba kutheni i-vitamin D ibaluleke kakhulu kwizigulane ze-thyroid.
1. Kutheni uvakalelwa kukuba i-vitamin D ibaluleke kakhulu kubantu abaneengxaki ze-thyroid?
URichard Shames, MD: Le vithamini iyinto ebaluleke kakhulu kumsebenzi we- thyroid okwangoku uphakanyiswe ngabaphandi ukuba babe ne-hormone okanye i-pro-hormone. Ngoku siyazi ukuba ukuhlukahluka kwe-thyroid ukusebenza okanye ukungasebenzi emzimbeni wakho kuxhomekeke kubukho be-vitamin D, okwenza ukuba kungekhona nje inzuzo, kodwa kubaluleke kakhulu kwimpilo ye-thyroid.
2. Uphi i-vitamin D ifanelekile, ngokubhekiselele kwezinye izondlo ezinokunceda kwimpilo ye-thyroid, umzekelo, selenium, ubhedu, kunye ne-zinc, kunye nemiba efana nokuphepha i- soy eninzi, nokulinganisela i-iodine ?
URichard Shames, MD: Kungekudala ndaqeqesha isigulane esinononophelo kunye nesazela esine-hypothyroidism.
Wayethabatha inani elifanelekileyo lamaminerali ashiwo apha; kwaye ngaphezu koko, wayethabatha amayeza okuphuza ukuphucula impilo yakho ye-thyroid, kunye ne-pro-hormone yokukhulelwa, ukwandisa ukufumaneka kwe-hormonecortisol ye-adrenal. Ngaphezu koko, wayethabatha imithi yonyango ye-thyroid , ehlanganiswe ne- T4 / T3 inhlanganisela, kunye nenani elincinci le-thyroid elichongiweyo lokuphelela.
Nangona yonke le migudu, wayengafumani iziphumo ezintle ngokwempawu zokunceda impawu. Emva kokutshekisha izinga lakhe le-vitamin D, ndifumanisa ukuba kuluhlu oluqhelekileyo, kwaye sikhulisa ukufikelela kwinqanaba eliqhelekileyo ukuya phezulu. Ngaloo ndlela ke waqala ukwenza ngokufanelekileyo.
3. Kutheni ucinga ukuba oku kusebenza?
URichard Shames, MD: unyango lwe-thyroid alukho kakuhle-kwaye alukwazi ukusebenza-ukuba awunayo i-vitamin D eyaneleyo inyathelo lokugqibela lokunciphisa umzimba, eyenzeka kwindawo apho i-hormone ye-thyroid isebenza. Oku kwenzeka ngaphakathi kwinucleus yeseli. I-Vitamin D ifuna ukuba khona kumanqanaba okwaneleyo kwiseli ukwenzela ukuba i-hormone ye-thyroid ithintele eso sisele. Yingakho i-vitamin D ibaluleke kangaka.
4. Ngaba sithola i-vitamin D ngokwaneleyo ukusuka kwelanga okanye i-multivitamines, okanye kufuneka siyongeze?
URichard Shames, MD: Ezi ntsuku abantu basebenzisa ilanga, kwaye bahlala ngaphakathi basebenza kwiikhomputha zabo ngokuphindaphindiweyo. Ngoko ke, sithobela i-vitamin D engaphantsi kwelanga. Ukongezelela, i-multivitamines inokuba ne-400 IU ye-Vitamin D, eyayiyimilinganiselo ye-RDA esuka kuphando olwenziwe kwiminyaka ye-1940 neye-1950. Namhlanje, lophando lubuzwa, nabaphandi abaninzi ngoku bacebisa ubuncinci be-1 000 ukuya ku-2,000 kwi-IU yemihla ngemihla, isixa esedlula ngaphezu kwezinto ezifunyenwe kwii-multivitamines ezininzi.
Kwimeko apha ngasentla, umzekelo, isigulane sam sidinga i-4 000 i-IU imihla ngemihla ukuphumeza iziphumo zakhe ezilungileyo.
5. I-vitamin D ingahlolwa njani?
URichard Shames, MD: Ndiyakholwa ukuba ukuhlolwa kwegazi nge-vitamin D kubalulekile kunoma ubani ojongene ne- hypothyroidism . Uhlobo oluqhelekileyo lwamanqanaba e-vitamin D luvela malunga no-30 ukuya ku-100. Qhubeka ukhumbule ukuba nje ekupheleni kwebala eliqhelekileyo akuyi kwenza umsebenzi owaneleyo kumntu onesifo se-thyroid esingasebenzi. Izigulane zeChroid zifuna ukuba "zizaliswe" -kuloo nto ithetha ubuncinane ubunqanaba be-50-60 okanye ngaphezulu.
6. Ukuba ungezantsi okanye uphantsi oqhelekileyo, ngaba kukho uhlobo oluthile lwe-vitamin D olucebisayo?
URichard Shames, MD: Qinisekisa ukuba yi-vitamin D3.
Ngokuqhelekileyo ndincoma ukuba izigulane zam zithathe ubuncinane ii-2,000 iU ngosuku ngosuku lwesondlo, 4,000 ngosuku xa ziphela ekupheleni kwebala eliqhelekileyo, kunye nama-6,000 ngosuku ukuba iimvavanyo zabo zibonisa amanqanaba e-vitamin D ngaphantsi kweqhelekileyo. Ndiyacetyiswa ngokuphindaphindiweyo kwezigulane kwiinyanga ezimbini ukuya kwethathu, kwaye emva koko ufumana ukuphindwa kwakhona ukujonga ukuphuculwa. Ndidla ngokuba nezigulane ezisezantsi okanye ukuhamba kumda ukuya kwi-dose yokugcinwa kwe-2 000 ye-IU xa amazinga egazi sele afinyelele kuma-50 ukuya kuma-60 okanye angcono.
> Umthombo:
> Intlanganiso ye-imeyile kunye noRichard Shames, MD, Oktobha 2015