Zomwe Zimakhudza Matenda a Hashimoto

Udindo wa Iodini, Selenium, Iron, ndi Vitamini D

Hashimoto's thyroiditis ndi matenda omwe amadziwika bwino kwambiri omwe amachititsa kuti anthu azidwala matenda a chithokomiro ku United States. Ngakhale kuti zomwe zimayambitsa Hashimoto's thyroiditis sizidziwike, ofufuza apeza kuti pali zifukwa zambiri zomwe zimathandiza kuti Hashimoto aphunzitsidwe, kuphatikizapo:

• chibadwa chokwanira
• chibadwidwe
• zinthu zachilengedwe

• matenda a chitetezo cha mthupi
• chifukwa cha zakudya

Ochita kafukufuku omwe analemba m'nyuzipepalayi Chithokomiro ankawoneka zotsatira za zofunikira za zakudya komanso ubwenzi wawo ndi Hashimoto's thyroiditis. Zakudya zomwe anayezetsa zikuphatikizapo:

• ayodini
• selenium
• chitsulo
• vitamini D

Ofufuzawa anali ndi zotsatira zochititsa chidwi zomwe zingapangitse kuti anthu ayambe kuyerekezera zakudya zowonjezera komanso mankhwala owonjezera m'thupi mwa Hashimoto's thyroiditis.

Iodini

Iodini ndizofunika kwambiri pa mahomoni a chithokomiro. Kudyetsa ayodini kumabwera makamaka mwa kumeza zakudya zakuchuluka za ayodini, kudya zokolola zomwe zimakula mu nthaka yochuluka kwambiri ya ayodini, mchere wodetsedwa ndi ayodini, ndi ayodini. Iodini m'magazi imatengedwa ndi chithokomiro, kumene imagwiritsidwa ntchito kupanga mahomoni a chithokomiro triiodothyronine (T3) ndi thyroxine (T4).

Mazira a ayodini amachititsa kwambiri matenda a chithokomiro. Kwenikweni, kusowa kwakukulu kwa ayodini kungayambitse chithokomiro chofutukuka (goiter), kuyambitsa hypothyroidism, komanso kwa amayi apakati, kungayambitse cretinism ndi kutaya mtima kwa ana awo.

Kusoŵa kwa ayodini kosakwanira kungayambitse poizoni nodular goiter ndi hyperthyroidism. Mavitamini ochuluka kwambiri a ayodini angathe kuwonjezera chiopsezo cha hypothyroidism chochepa kapena chochepa komanso matenda a Hashimoto. Kudya kwambiri kwa ayodini kumagwirizanitsidwa ndi miyezo yapamwamba ya chithokomiro cha Hashimoto, komanso kuwonjezereka kwa matendawa.

Ofufuzawa analimbikitsa kuti:

Pofuna kupewa chiopsezo chochuluka cha matenda a chithokomiro cha Hashimoto, ndikofunika kuti, ngati n'kotheka, kudya kwa iodin kukugwera m'magawo ochepa. Pa chiwerengero cha anthu, izi zikhoza kuimiridwa ndi ndondomeko yamakono yodzikongoletsera m'makina akuluakulu a 100-200 lg / L. Akuluakulu omwe amachititsa kuti ayodini azikhala ndi chakudya chamtundu wina (mwachitsanzo, chilengedwe chonse cha mchere) ayenera kuonetsetsa kuti chidziwitsochi chimayambitsidwa bwino.

Pano pali chidule cha zosowa za ayodini ndi zaka:

• Kubadwa kwa zaka 10: 90 μg / L
• Zaka 11-17: 120-150 μg / L
• Zaka 15+: 150 μg / L
• Mimba: 200-250 μg / L
• Kulumikiza 200-290 μg / L

Selenium

Senienium ya mchere ndi yofunika kwambiri pakupanga mahomoni a chithokomiro. Kulephera kwa Selenium kwakhala ndi matenda ambiri a chithokomiro, kuphatikizapo hypothyroidism, subclinical hypothyroidism, Hashimoto's thyroiditis, goiter, khansa ya chithokomiro, ndi matenda a Graves. Kafukufuku wambiri wasonyeza kuti matenda a chithokomiro amapezeka kwambiri m'madera omwe ali ndi selenium komanso kuti hayi yapamwamba ya selenium imayambitsa matenda a Hashimoto's thyroiditis, hypothyroidism, subclinical hypothyroidism, ndi goiter.

Selenium supplementation yasonyezedwanso kuti ikuyambitsa kusintha kwakukulu kwa odwala a Graves omwe ali ndi matenda a maso a ubongo wofatsa.

Kafukufuku wasonyeza kuti akazi omwe ali ndi mimba komanso omwe amachititsa kuti peroxidase (TPOAb) azikwera kwambiri (chithokomiro) amatha kukhala ndi chithokomiro panthawi yomwe ali ndi mimba komanso atakhala ndi mimba ngati alibe mphamvu. Kuonjezera ndi selenium kutsika kwadongosolo la antibody kwambiri mwa amayi apakati omwe ali ndi TPOAb okwezeka. Mu kafukufuku wina, pambuyo pa nthawi yopuma, amayi oposa 44 peresenti ya amayi opatsirana a TPOAb omwe sanatenge selenium anayamba kutulutsa tizilombo toyambitsa matenda, poyerekeza ndi amayi oposa 27 peresenti ya amayi omwe amatenga selenium.

Kuchuluka kwa selenium kumakhala kosiyana ndi geography yokhudzana ndi selenium yomwe ili m'nthaka, komanso seenienium yomwe imadya chakudya. Chinthu chofunika kwambiri cha selenium ndi Brazil nut, koma selenium yawo imakhala yosiyana, ndipo imakhala njira yosakhulupirika yoonetsetsa kuti chakudya cha selenium chili chokwanira. Zina zowonjezera za selenium zikuphatikizapo nyama, chakudya, nsomba, ndi mbewu.

Ofufuzawo anamaliza kuti:

Ndizomveka kuonetsetsa kuti chakudya cha selenium chili chokwanira, chifukwa cha maudindo omwe selenium amagwira nawo m'thupi komanso makamaka chithokomiro. Madokotala ayenera kukhala osamala kwambiri kuti selenium idye / chikhalidwe chokwanira. Azimayi ali ndi chiopsezo chachikulu cha matenda a chithokomiro ndipo amatha kukhala ndi chofunika kwambiri pa selenium yowonjezera, makamaka pa mimba. Ngati zikuwoneka kuti ndizochepa kapena palibe zowonjezera za selenium m'magulu a wodwala, peresenti ya dose supplementation (50-100 mcg / day) imaperekedwa. Ngakhalenso ngati wodwala ndi HT akuchiritsidwa ndi levothyroxine, wina ayenera kudziwa kuti kafukufuku wina anapeza kuti kupatsa selenium komanso levothyroxine kunachepa kwambiri ku TPOAbs. Ndikofunika kukumbukira kuti ngakhale selenium ndi yofunikira, kudya kwambiri kwa selenium ndi poizoni, ndipo maselo a selenium a 200 mg / day, omwe amadziwika kuti ndi otetezeka, agwirizanitsidwa ndi zotsatira zoopsa.

Iron

Iron ndi mchere wofunika kwambiri kuntchito zambiri, kuphatikizapo kupanga mahomoni a chithokomiro. Kafukufuku wasonyeza kuti zitsulo zazitali zimayenderana ndi kuchulukitsitsa kwa subclinical hypothyroidism ndi T4 ndi T3. Chifukwa chakuti Hashimoto's thyroiditis ndi matenda okhaokha, odwala ali pachiopsezo chachikulu cha matenda ena, kuphatikizapo matenda a leliac ndi ma gastritis omwe amadzimadzimadzimadzimodzi, omwe amachititsa kuti chithokomiro chisawonongeke.

Mankhwala otsika otsika amapezeka ndi zizindikiro zosalekeza kwa odwala omwe amachititsidwa ndi hypothyroidism, ndipo kafukufuku wina wasonyeza kuti kuonjezera chithandizo chachitsulo ku levothyroxine chithandizo chingathandize kuthetsa zizindikiro.

Ofufuzawo anapeza kuti ngati zitsulo zili zochepa, "zowonjezereka zowonjezereka zowonjezera zitsulo ziyenera kukhazikitsidwa ndipo zidzathandiza kupeŵa zotsatira zowonongeka za chithokomiro cha chitsulo."

Vitamini D

Vitamini D ndizoyambitsa vitamini ndi hormone. Mtundu umodzi, vitamini D2, umachokera ku zakudya, ndipo mawonekedwe ena, vitamini D3, amadalira kuwala kwa dzuwa. Ngakhale kuti vitamini D siinatsimikizidwe kuti imatulutsa chithokomiro, imawoneka kuti imagwira ntchito yotetezera thupi ndipo imalingalira kuti ili ndi mbali yoteteza kuteteza zochita zawo. Kafukufuku wambiri wasonyeza mgwirizano pakati pa mavitamini D ochepa omwe ali ndi chiopsezo chachikulu komanso cha chiwerengero cha Hashimoto's thyroiditis. Palinso maphunziro omwe amasonyeza kuti TSH akutsikira ndi ma T3 akukwera pamene mavitamini D akuwonjezeka.

Kulephera kwa vitamini D kumafala padziko lonse lapansi. Mu maphunziro omwe awonetsa kugwirizana pakati pa vitamini D ndi matenda a Hashimoto, kuchepa kwa vitamini D kumatanthawuza ngati mlingo wa vitamini D-25 wosakwana <50 nmol / L.

Ochita kafukufukuwo anapeza kuti ngakhale kuti kafukufuku samasonyeza kuti vuto la vitamini D ndilo chifukwa cha chithokomiro cha Hashimoto, "ndibwino kuonetsetsa kuti odwala amapewa kuperewera kwa vitamini D."

Mawu Ochokera

Pamapeto pake, ofufuza anapeza kuti:

• Kukhalitsa, kwa nthawi yayitali kutayika kwa ayodini wambiri kungayambitse chithokomiro cha Hashimoto.
• Seloenium yochuluka ndi yofunika kwambiri kuti chithokomiro chiteteze komanso selenium yowonjezerapo ingachepetse chitetezo cha peroxidase (TPOAb), ndipo imatha kusintha zonse hypothyroidism ndi postpartum thyroiditis.
• Kuperewera kwa chitsulo kungalepheretse kupanga mahomoni a chithokomiro.
• Anthu omwe ali ndi chithokomiro cha Hashimoto nthawi zambiri sakhala ndi chitsulo chifukwa ambiri mwa odwalawa ali ndi gastritis, zomwe zimalepheretsa kuyamwa kwachitsulo.
• Mavitamini a vitamini D amapezeka m'magulu a Hashimoto's thyroiditis, poyerekeza ndi anthu omwe ali ndi chithokomiro choyenera.
• Ogwira ntchito ayenera kuyang'ana zitsulo kwa odwala awo a Hashimoto, makamaka kwa amayi omwe adakali kumaliseche, ndikukonza zofooka zilizonse.
• Ogwira ntchito ayenera kuyang'ana mavitamini D m'magulu awo a Hashimoto, ndikukonza zofooka zilizonse.
• Selenium iyenera kuyesedwa, makamaka m'madera omwe mulibe kusowa kwa ayodini kapena kupitirira, ndipo ngati seloenium ili ndizitali, kapena ngati wodwalayo ali m'madera omwe ali ndi chakudya chochepa chotchedwa selenium, odwala ayenera kupatsirana ndi 50 mpaka 100 mcg / day selenium .

Tapatsidwa zomwe tikudziwa zokhudza ntchito yofunikira ya zakudyazi, monga gawo la mankhwala anu a Hashimoto's thyroiditis mungagwire ntchito ndi dokotala wanu kuti muone momwe mumayendera ayodini, selenium, iron, ndi vitamini D, ndikukonza zofooka zilizonse.

> Chitsime:

> Shiqian H, ndi Rayman M. "Zambiri Za Zakudya Zakudya Ndiponso Kuopsa kwa Hashimoto's Thyroiditis." Chithokomiro. Vesi 27, Nambala 5, 2017, DOI: 10.1089 / thy.2016.0635