Zvokudya Zvine Utano Zvinobatsira Hashimoto's Thyroiditis

Basa reIodine, Selenium, Iron, uye Vitamin D

Hashimoto's thyroiditis ndiyo chirwere chinowanzogadzirwa nega autommune uye chinokonzera kukanganiswa kwetachiona muUnited States. Kunyange zvazvo zvikonzero zvakananga zveHashimoto's thyroiditis zvisingazikamwi, vatsvakurudzi vakaona kuti pane zvinhu zvakasiyana zvinoita kuti mukurudzire Hashimoto, kusanganisira:

• genetic susceptibility
• hutano
• zvakatipoteredza zvinhu

• immune disorders
• nutritional factors

Vatsvakurudzi vanoparidza mumagazini ino Utachiona hwakatarisa pamigumisiro yezvimwe zvinhu zvinovaka muviri uye ukama hwavo neHashimoto's thyroiditis. Mishonga inongororwa yakaiswa:

• iodine
• selenium
• dare
• vitamini D

Vatsvakurudzi vaiva nezviwanikwa zvinofadza zvinogona kuwedzera basa rekuedza kwekudya uye kuwedzera muHashimoto's thyroiditis.

Iodine

Iodine ndiyo inonyanya kukosha yehomoni yehomoni. Iodine kudya kunowanzoitika kuburikidza nokupinza kweiodine-rich foods, kudya michero yakakurira muvhu rakawanda-iodine, munyu wai iodised , uye iodine. Iodine iri muropa inotorwa nehroroid, iyo inoshandiswa kuumba utachiona hwehomoriya triiodothyronine (T3) uye thyroxine (T4).

Iodine mazinga ane simba guru pamatambudziko ehutano. Kunyanya, kushayikwa kwakanyanya kweiodini kunogona kukonzera utachiona hwakawedzerwa (goiter), chinokonzera hypothyroidism, uye mumadzimai ane pamuviri, zvinogona kukonzera cretinism nekuzvidzora mupfungwa muvana vavo.

Kusina kusimba kweiodine kunogona kukonzera toxic nodular goiter uye hyperthyroidism. Kuwedzerwa kwehuwandu hweodhini kunogona kuwedzera njodzi yekanyoro kana subclinical hypothyroidism uye chirwere cheHashimoto chemoto. Kuwedzerwa kweyodini kunobatanidza nehupamhi hwemaHashimoto's thyroiditis, pamwe nekuwedzera kuwedzera kwechirwere chacho.

Vatsvakurudzi vakurudzira kuti:

Kuti urege kuwedzera hutachiwana hweHashimoto's thyroiditis, zvino zvakakosha kuve nechokwadi, sezvinobvira, iyo iodine inowira inowira mukati memhando shoma yematunhu akakurudzirwa. Pamusoro pehuwandu hwevanhu, izvi zvaizofananidzirwa nehutano hwekuvhenekera urusi iodine muvanhu vakuru ve100-200 lg / L. Zviremera zvinotanga iodine zvigadziro zvekudya mune imwe nyika (semuenzaniso, pasi rose munyuro iodization) dzinoda kuve nechokwadi kuti izvozvi zvinyorwa zvinotanga kunyatsochenjerera.

Heino pfupiso yeododha inoda nezera:

• Kuberekwa kusvika pa10: 90 μg / L
• Zera 11-17: 120-150 μg / L
• Age 15+: 150 μg / L
• Kuberekwa: 200-250 μg / L
• Lactation 200-290 μg / L

Selenium

Iyo mineral selenium inokosha pakugadzirwa kwehomoni yehomoni. Selenium kushayikwa kwave kuchibatanidzwa nehuwandu hwemamiriro ehutachiona, kusanganisira hypothyroidism, subclinical hypothyroidism, Hashimoto's thyroiditis, goiter, kenza yekemikari, uye chirwere cheBraves. Tsvakurudzo dzinoverengeka dzakaratidza kuti utachiona huri kuwanda munzvimbo dzakadzika selenium uye kuti marefu ee selenium anobatanidzwa nehupenyu hweHashimoto's thyroiditis, hypothyroidism, subclinical hypothyroidism, uye goiter.

Selenium supplementation yakaratidzawo kuti inotungamirira kukurudzira kukuru muvarwere veCheves vane chirwere chetachiona chemaono.

Kutsvakurudza kwakaratidzawo kuti vakadzi vane pamuviri uye avo vakakwira zvetachiona peroxidase antibodies (TPOAb) vanowanzoita zvirwere zvehutano panguva uye mushure mokunge vaita pamuviri kana vasina kukwana muSenienium. Kuwedzera ne selenium kunoderedza antibody mazinga zvikuru muvakadzi vane pamuviri vane TPOAb yakakwirira. Mune kumwe kuongorora, mushure mokunge mushure mokunge vaenda shure, nguva inopfuura 44 muzana yevakadzi ve TPOAb-positive vasina kutora selenium yakagadzira thyroiditis, kana ichienzaniswa nechekare inopfuura 27 muzana yevakadzi vanotora selenium.

Kunwa kwe selenium kunowanzosiyana nema geography inobva pane zvakagadzirwa nesenienium yevhu, uye senienium mazinga muzvokudya. Chinhu chinokosha cheSenienium ndicho chizimbe cheBrazil, asi senienium yavo inogadzikana, zvichiita kuti ive nzira isingatendese yekugonesa kudya kwakakwana kwe selenium. Imwe mhando yakanaka ye selenium inosanganisira nyama yenyama, maruva, zviyo, uye mbeu.

Vatsvakurudzi vakapedzisa vachiti:

Zvinonzwisisika kuona kuti selenium kudya kunokwana, ichipiwa mabasa anonzi selenium mune hutano hwevanhu uye kunyanya murotori. Vanachiremba vanofanira kuve vakangwaririra kunyatsoona kuti selenium kudya / mamiriro akakwana. Vakadzi vari pangozi yakawanda yehutano hwehutano uye vanogona kunge vane zvinodiwa zvakanyanya kune senienium inowedzera, kunyanya pakuberekwa. Kana zvichiita seine mashomanana kana kuti hapana senienium-pfuma inowanikwa mukudya kwevarwere, pasi-dose supplementation (50-100 mcg / zuva) inoratidzwa. Kunyange kana murwere ane HT ari kurapwa nevothyroxine, munhu anofanira kuziva kuti zvimwe zvidzidzo zvakawana kuti kupa selenium uye levothyroxine kwakaguma nekuderedza kukuru kwe TPOAbs. Zvakakoshawo kurangarira mupfungwa kuti kunyange selenium inokosha, kudya zvakanyanya senienium inotyisa, uye zvinowedzera zve selenium ye 200 lg / day, inowanzoonekwa seyo yakachengeteka, yakabatanidzwa nehuwandu hwehuipi.

Iron

Iron ndiyo mineral inokosha kumabasa akawanda emumuviri, kusanganisira kubudiswa kwehomoni yehomoni. Zvidzidzo zvakaratidza kuti masimbi ematare akaderera akabatanidzwa nekuwedzera kwekuwedzera kwe subclinical hypothyroidism uye mashoma mazinga T4 naT3. Nemhaka yokuti Hashimoto's thyroiditis chirwere chisingagadziriswi, varwere vanewo mungozi yakakura yemamwe mamiriro ekudzivirira, kusanganisira chirwere chechiliac uye autoimmune gastritis, izvo zvose zvinogona kukanganisa kupinza kwesimbi.

Kuderera kwesimbi kunobatanidza nezviratidzo zvinoramba zvichirwere kune varwere vanorapwa ne hypothyroidism, uye zvidzidzo zvakasiyana-siyana zvakaratidza kuti kuwedzera iron kuwedzera supplementation kune levothyroxine kurapa kunogona kunyatsobatsira kubvisa zviratidzo.

Vatsvakurudzi vakagumisa kuti kana mashizha ari pasi, "kuwedzera kwekugadzirisa zvakakwana zvesimbi kunofanira kuiswa uye kuchabatsira kudzivirira zvinokanganisa zvinokonzerwa nehutachiona hwehutano."

Vitamin D

Vitamini D inosanganisira mavitamini uye anonyatsogadzirisa mahomoni. Chimwe chimiro, vitamini D2, inobva pakudya, uye imwe iyo mafomu, vitamin D3, inobva pane chiedza chezuva. Kunyange zvazvo vitamini D isina kuratidzika kuti inobatsira zvakanakira chirwere chetrojeni, inoratidzika ine nhengo mukudzivirira muviri uye inofungidzirwa kuti inobatsira pakudzivirira pakusangana kwezvimoto. Tsvakurudzo dzinoverengeka dzakaratidza kuwirirana pakati pemadhura ezasi e vitamini D ane ngozi yakawanda yehuwandu hweHashimoto's thyroiditis. Panewo zvidzidzo zvinoratidza kuti TSH inodonha uye T3 mazinga anomuka semakamu ekuwedzera mavitamini D.

Kushaikwa kwevhitamini D kunowanikwa pasi pose. Mune zvidzidzo izvo zvakaongorora kubatana pakati pevhitamin D neHashimoto, chirwere che vitamini D chinorondedzerwa sevhitamini D-25 yeanodarika <50 nmol / L.

Vatsvakurudzi vakagumisa kuti nepo kutsvakurudza hakuratidzi kuti kushayikwa kwe vitamini D ndiko kunokonzera Hashimoto's thyroiditis, "zvingava kuchenjera kuve nechokwadi kuti varwere vanorega kudarika zvakanyanya mavitamini D."

Shoko Rinobva

Pakupedzisira, vatsvakurudzi vakapedzisa kuti:

• Kusingaperi, kutsvaga kwenguva yakareba kuwandisa kweyodini kunogona kukonzera Hashimoto's thyroiditis.
• Senienium inokwana yakakosha kune utachiona uye selenium supplementation inogona kuderedza utachiona hweperoxidase antibodies (TPOAb), uye inogona kuvandudza zvose hypothyroidism uye postpartum thyroiditis.
• Kushayiwa kwedare kunogona kukanganisa kubudiswa kwehomoni yehomoni.
• Vanhu vane Hashimoto's thyroiditis vanowanzoshayiwa simbi nekuti vazhinji vevarwere ava vanewo gadziritis yega autommune, iyo inovhiringidza kushandiswa kwesimbi.
• Kuderera kwevhitamini D kunoonekwa muHashimoto's thyroiditis varwere, sekuenzaniswa nevanhu vane utachiona hwemazuva ose.
• Vashandi vanofanira kutarisa simbi mumatambudziko avo vaHashimoto, kunyanya kuvakadzi vachiri kuenda kumwedzi, uye kugadzirisa kukanganisa kupi zvako.
• Vashandi vanofanira kutarisa mavitamini D mahara mumarwere avo aHashimoto, uye vagadzirise kukanganisa kupi zvako.
• Selenium inofanira kuongororwa, kunyanya munzvimbo dzine uroyi hunodikanwa kana kuwedzerwa, uye kana senienium mazinga ari pasi, kana kuti murwere ari munzvimbo inowanikwa nechepasi ye-selenium kudya, varwere vanofanira kuwedzera pamwe ne 50 kusvika 100 mcg / zuva reSenienium .

Tichipa izvo zvatinoziva pamusoro pebasa rinokosha rezvibereko izvi, sechikamu chekurapa kwako kweHashimoto's thyroiditis unogona kushanda nemushandi wako kuti uongorore mazinga ako eododhi, selenium, iron, uye vitamini D, uye kururamisa kusakwana kupi zvako.

> Kwakabva:

> Shiqian H, naRayman M. "Nhamba Dzakawanda Zvezvokudya uye Dambudziko reHashimoto's Thyroiditis." Thyroid. Bhuku 27, Nhamba 5, 2017, DOI: 10.1089 / thy.2016.0635