The New England Journal of Medicine yakabudisa tsvakurudzo inobva kuChina iyo inotarisa ukama huri pakati pehudhi nehutachiona. Ichitaura mumuna waJune 2006, vatsvakurudzi vakapedzisa kuti "kudarika zvakakwana kana kukwana kwakanyanya kweyodini kunogona kutungamirira ku hypothyroidism uye autoimmune thyroiditis."
Izvi zvakawanikwa zvakaperekedzwa nehurukuro naDr. Robert Utiger, uyo akati "zviduku zviduku zvekuwedzera kweiodine zvakapererwa nehuwandu hwehutachiona hwekushaiwa kweiodini," kuwedzera kukakavara pamusoro peodhiyo, kunyanya, iodization yemunyu, uye iodine supplementation,
Kusakwana kweIodine
Kune rumwe rutivi rwepikisano ndiyo nyaya yakakomba yekushaiwa iodine. Iodine inowanikwa kuburikidza nekudya, mvura, munyu iodizedzi, uye kuwedzera. Utachiona hunoshandisa iodine kuti utange hormone yehutano , kuita iodine chinhu chinokosha, chidimbu chinodiwa.
Iodine inonyanya kukosha kuvakadzi vane pamuviri nemakumbo, pamwe nevana vaduku. Maererano neWorld Health Organization (WHO), inofungidzirwa vanhu 2 bhiriyoni, kusanganisira 285 mamiriyoni emakore ekuchikoro, vane iodine yakashaya. Uye pakati pavo, chirwere chinoshaya iodine (IDD) chinokanganisa mamiriyoni 740 - pamwe nemamiriyoni makumi mashanu avo vanotambura nehumwe hutano hwakakonzerwa nehutachiona hwehuyodini.
Maererano neInternational Council for the Control of Iodine Deficiency Disorders (INCCIDD):
Kushayikwa kweIodine ndiyo inonyanya kukonzera kukanganisa kwepfungwa nekukuvara kwehupi munyika. Inodzikisawo kupona kwevana, inokonzera goiters, uye inokanganisa kukura nekuvandudza. Kushayikwa kweIodine kuvhiringidzika mumadzimai ane pamuviri kunokonzera kupererwa, kuberekwa, uye zvimwe zvinetso. Vana vane IDD vanogona kukura, vasina hanya, vanongororerwa mupfungwa, uye vasingakwanisi kufamba kwemazuva ose, kutaura, kana kunzwa.
Kune nzvimbo dzakawanda dzenyika umo kushayikwa kweIodine ndiyo dambudziko guru rehutano. Iyo INCCIDD ine mepu inotsvaga iyo inoratidza iodine chikafu munyika yose. Iyi mepu inoratidza kuti kunyange nzvimbo dzakawanda dzeWestern Hemisphere inogona kunge yakakwana muIodine, Europe, Russia, Asia, Australia neAfrica, dzine nzvimbo dzakasiyana-siyana dzekushayikwa.
Iodine Kuwedzerwa
Kune rumwe rutivi rwepikisano ndiko kubvuma kuti iodine yakawandisa inogona kukonzera autoimmune chirwere chetachiona uye hypothyroidism.
Maererano nezvidzidzo zvemhuka, kuwedzerwa kwehuwandu eodhini kunogona kutanga uye kuwedzera kupindira kwetachiona ne lymphocytes. Lymphocytes ichena masero eropa anowanikwa nekuda kwekusagadzikana kusingaperi kana kutsamwa. Mukuwedzera, huwandu hweodhuini hudzivirira hutachiona hwekwakwanisa kuita hormone.
MuNew England Journal yekuongorora, vatsvakurudzi, vachitungamirirwa naDkt Weiping Teng, weChina Medical University muShinyang, vakatarisa maitiro ehutachiona ekupa kuwedzera kune mapoka matatu akasiyana: vanhu vaiva nevanyoro-iodine-vasina simba, avo vane inodine yakakwana yekudya, uye avo vane inodhaka yakawandisa. Vakaona kuti kugovera iodine kuvanhu vakange vane kukwana kana kukwana kwakanyanya kweyodine kunogona kutungamirira ku hypothyroidism autoimmune thyroiditis.
Muchidzidzo, vatsvakurudzi vakawana kuti zvinhu zvinowanzoisa njodzi yekuenderera mberi kwe subclinical hypothyroidism zvinosanganisira:
- TSH kumusoro 6
- High levels of antithyroid antibody (thyroid peroxidase antibody kana thyroglobulin antibody)
- Kushandurwa kweIodine kunotapira kubva pakuneta kwakanyanyisa kune zvakakwana kudarika
Vakawanawo kuti zvikonzero zvakakonzera ngozi kune itsva subclinical hypothyroidism muvanhu vakatanga nehutano hwehutano hunosanganisira:
- TSH iri guru kupfuura 2
- High antithyroid antibody
- Kushandura iodine kunotapira kubva kunononoka kusvika kune zvakakwana kudarika, kana kuwedzerwa iodine yakawandisa
Vatsvakurudzi vakapedzisa vachiti:
... kunyange zvazvo iodine supplementation inofanira kushandiswa kudzivirira nekurapa zvirwere zvekushaya iodine, kuwedzerwa kunofanira kuchengetedzwa panzvimbo yakachengeteka. Nhamba dzakanyanya kudarika (kureva urinary urinary iodine excretion, 200 kusvika 299 μg per litre) kana kudarika (median urinary iodine excretion,> 300 μg per litita) haisi kuve yakachengeteka, kunyanya kune vanhu vanogona kunge vane zvirwere zvinokonzerwa nehutachiona kana kushaya iodine. Zvirongwa zvekuwedzera zvinofanira kuenzaniswa kune imwe nzvimbo. Hapana iodine supplementation inofanira kugoverwa kune zvikamu umo iyo iodine inodya inokwana, asi munyu mune zvikamu umo iodine ine kudya inoshaya inofanira kuwedzererwa neodhini maererano nehuwandu hwekushaiwa kweiodini.
Chinokosha Chinokosha: Vatsvakurudzi vakanga vachirondedzera zvakanyanya hypothyroidism seTSH iri pamusoro pe 4.8, uye yakasununguka maT4 emazinga. Subclinical hypothyroidism yakarondedzerwa seTSH iri pamusoro 4.8, ine mavara akasiyana siyana eT4 mazinga. IAmerican Association of Clinical Endocrinologists, pamwe neNational Academy of Clinical Biochemistry, yakakurudzirwa pakupera kwa2002 / kutanga kwa2003 kuti TSH yakarongeka yakarongedzwa zvakanyanya kusvika ku3 kusvika ku03. Saka pfungwa iyo mumwe munhu aizotaridzirwa kuti ndiyo yakawanda inonzi hypothyroid inogona kunge yakasiyana, zvichibva pamitemo iyi itsva .
Unoda Iodini Here?
Makumi emakumi apfuura apfuura, iodization yemunyu yakazvipira kuUnited States nedzimwe nyika dzakabudirira senzira yekudzivirira kukanganisa kweiodini. Munzvimbo idzi nehuni iodizedzi, matambudziko eIodine anoshaya zvose asi akabviswa, uye vazhinji veAmerica vane iodine yakakwana.
Mumakumi maviri emakore adarika, zvisinei, kuderedzwa kwemunyu kunotora zvikonzero zvehutano, kuderedzwa kushandiswa kwemunyu inonzi iodized muzvokudya zvinoshandiswa, uye kuti iodization haisi mvumo muU.S. (kunyange zvakadaro, zvimwe 70% yeetafura yemunyu inonzi iodized) zvakaguma nokuderera kwemaodhiini kunyange munyika dzakadai seAmerica Saka mushure menguva apo kushayikwa kweiodine muU.S. kwainge kwave kuri kubviswa, ikozvino kunonoka nekuramba ichikwira kumusoro.
Chinonyanya kukosha ndechevakadzi vane pamuviri. Kutaura zvazviri, uwandu hwevakadzi vane pamuviri vane uroyi hweiodine hwakawedzera muUnited States kwemakore makumi maviri apfuura Utiger, kubva pa1 muzana chete muna 1970 kusvika kune 7 muzana muna 2002. Vakadzi ava nevana vavo vanotarisana nehuwandu hwehuwandu hwehuwandu husina kukwana muodhi yavo kudya.
Dzimwe nyanzvi dzinokurudzira kuti iodine supplementation ive yakakwana munguva yekutanga kutora mimba uye pamuviri. Izvo zvinorayirwa kudya kwemari yeodhiya ndeye 200 mcg / zuva panguva yekuzvitakura uye 75 mcg / zuva panguva yekuyamwisa.
Kune vamwe vose, mhinduro yehutano hwehutano hwakanaka, naizvozvo, kuwana zvakakwana - asi kwete zvakawanda-iodine. Iwe unogona kunge usina kukwana iodine kana iwe, nokuda kwehutano, ucheke huni iodizedhe kubva pane zvekudya kwako, kana kushandura kune isina-iodized sea salt.
Saka, unoda iodine yepamusoro here? Unogona sei kuudza chokwadi kana uri kuwana iodine yakakwana? Hazvikwanisi kuisa iwe pachako. Iwe unogona kuita tsvina yakawanda, zvisinei, zvichibva pamibvunzo inotevera:
- Unoshandisa munyu we iodizedzi here?
- Unodya munyu wakawanda sei zuva nezuva?
- Iwe unotora vitamini kana kuwedzera ne iodine here? (Iodine yakawanda iri muwedzera?)
- Unodya, nyama, mishonga yemakaka kana maruva nguva dzose here?
Mamwe maitiro, mamwe maitiro uye vashandi vemishonga vanenge vava kuda kupfugama mabhesi mukusimbisa kwavo kuti chero munhu ane dambudziko rehutori inoda iodine supplementation (ingava iodine yemvura kana mishonga ine iodine, yakadai sekelp kana bladderwrack). Izvi zvinogona kuwedzera zviratidzo uye zvinetso zvakanyanya zvehutori mune vamwe vanhu.
Asi, kunze kwekuti iwe uri kuronga kuva nepamuviri, iye zvino ari pamuviri kana iwe uri kunyamwa, iwe unoda kuva wakangwarira nezvekutora iodine kunze kwekuti iwe nemuongorori wako mune humwe uchapupu hwakasimba hwekuti iwe hauna kukwana. Kana nyanzvi yako inokurudzira iodine supplementation sekurapa kwehutano, unogona kuda kukumbira mimwe miedzo chaiyo inokwanisa kuyera mazinga eodhi - chirongwa che "urinary excretion". Uyu muedzo unotarisa iodine yakadhindwa mumuguta, uye inopa kuenzanirana asi kwakanyatsorongeka kuongororwa kwemaodhini, uye inogona kunyora kukwana.
Uyewo, chenjerera kune izvo zvinonzi " utachiona hwetachiona " vitamini uye zvinyorwa zvekuwedzera, kusanganisira yakatengesa zvikuru uye yakasimudzira Alvidar. Yakawanda, saAlvidar, inosanganisira yakawanda yeodhini, uye kana iwe hauna iodine-yakakosha, inogona kuguma iine chiitiko chisingafungiri uye chinopesana nekuita kuti zvirwere zvako zvive zvakanyanya uye kuwedzera hutachiona hwako.
> Sources:
> Teng, Weiping MD, et. al. "Chiitiko cheIodine Kubatwa neTyroid Diseases muChina" New England Journal of Medicine , Bhuku 354: 2783-2793, June 29, 2006, Nhamba 26 Abstract
> Utiger, Robert DMD "Iodine Nutrition - Zvimwe Zvakanaka," New England Journal of Medicine, Bhuku 354: 2819-2821, June 29, 2006, Nhamba 26
> Higdon, Jane Ph.D. et. al. "Iodine," Micronutrient Information Center , Linus Pauling Insit, Oregon State University, 2003 Nyaya
> International Council for the Control of Trouble Iodine Deficiency Disorders
> Shomon, Mary J. The Thyroid Guide kune Uchero, Kuberekwa uye Kufuridzira Kubudirira, Thyroid-Info, 2006