Wargeyska New England Journal of Medicine ayaa daabacay cilmi baaris ka timid Shiinaha oo eegaya xidhiidhka ka dhexeeya calaamadaha iodine iyo cudurka qanjirka. Warbixinta jariidada 2006, cilmi-baarayaashu waxay soo gabagabeeyeen in "in ka badan cuntooyinka ku filan ama ka badan ee iodine ay keeni karto hypothyroidism iyo autoimmune thyroiditis."
Natiijooyinkaasi waxaa weheliyay tifaftire Dr. Robert Utiger, oo sheegay in "khatarta yaryar ee xad-dhaafka iodine-ka ah ay ka sii daran tahay khataraha halista ah ee yaraanta iodine," isagoo intaa ku daray muranka ka dhashay iodine, gaar ahaan, iodisinta cusbo, iyo dheellitirka iodine,
Iodine Deficiency
Hal dhinac oo ka mid ah muranka ayaa ah arin khatar ah oo ku timaadda yaraanta iodine. Iodine waxaa laga helaa cunto, biyo, cusbo ioded, iyo dhameystirid. Qanjirka 'thyroid' wuxuu isticmaalaa iodine si uu u soo saaro hoormoonka tayroodhka , taasoo ka dhigaysa iodine muhiim u ah, nafaqo lagama maarmaan ah.
Iodine ayaa si gaar ah muhiim ugu ah haweenka uurka leh iyo uurjiifka, iyo sidoo kale carruurta yaryar. Sida laga soo xigtay Ururka Caafimaadka Adduunka (WHO), qiyaastii 2 bilyan oo qof, oo ay ku jiraan 285 milyan oo carruur ah oo da'da dugsiga dhigta ah, ayaa iodine ku yar. Waxaa ka mid ah, cilladaha iodine-ka yaraanta (IDD) waxay saameeyeen 740 milyan - iyada oo ku dhowaad 50 milyan oo iyaga ka mid ah ay la kulmaan nooc ka mid ah dhaawaca maskaxda oo ka yimaada yaraanta iodine.
Sida laga soo xigtay Golaha Caalamiga ah ee Ilaalinta Iodine Deficiency Disorders (INCCIDD):
Yaraanta Iodine waa halista ugu badan ee keenta maskaxda maskaxda oo laga hortago iyo dhaawaca maskaxda adduunka. Waxay sidoo kale hoos u dhigeysaa badbaadada carruurta, waxay keeneysaa garsoorayaasha, waxayna caqabad ku tahay korniinka iyo horumarka. Ciladaha iodine la'aanta ee haweenka uurka leh waxay keenaan dhicin, dhalmo, iyo dhibaatooyin kale. Carruurta leh IDD waxay kori karaan faaqidaad, nacas, maskax ahaan caajis ah, oo aan awoodin dhaqdhaqaaqa, hadalka, ama maqalka.
Waxaa jira meelo badan oo aduunka ah oo iodine yaraanta ay tahay dhibaato caafimaad oo daran. INCCIDD waxay leedahay khariidad internet ah oo muujinaysa nafaqada iodine ee adduunka oo idil. Khariidadan ayaa muujinaysa in inta badan goobaha reer galbeedka galbeedku ay u muuqdaan kuwo ku filan iodine, Europe, Ruushka, Aasiya, Australia iyo Afrika, waxay leeyihiin meelo halis ugu jira yaraanta.
Iodine Excess
Dhinaca kale khilaafka waa aqoonsiga in iodine-ka xad-dhaafka ahi uu kicin karo cudurka tayroodhka ee autoimmune iyo hypothyroidism.
Sida laga soo xigtay cilmibaarista xayawaanka, qaadashada iodine-ka sareeya waxay bilaabi kartaa oo ka sii dari kartaa infiltration of thyroid by lymphocytes. Lymphocytes waa unugyada dhiigga cad oo soo ururiya dhaawac culus ama xanaaq. Intaa waxaa dheer, xaddi badan oo iodine ah ayaa xannibaya awoodda tayroodhka ee hormoonka.
Daraasadan cusub ee cilmi-baarista ee New England Journal oo ay hoggaaminayaan Dr. Weiping Teng, oo ka tirsan Jaamacadda China Medical University ee Shenyang, waxay eegtay saamaynta qanjidhada ah ee lagu siinayo saddex qaybood oo kala duwan: dadka ay ahaayeen kuwo yar yar oo iodine-ku filan, kuwa haysta helitaan ku filan iodine, iyo kuwa leh qaadashada iodine xad-dhaaf ah. Waxay ogaadeen in daaweynta iodine ee dadka qaada ama ku filan ee iodineka ah ay keeni karto hypothyroidism autoimmune thyroiditis.
Daraasaddan, cilmi baarayaashu waxay ogaadeen in waxyaabaha asaasiga ah ee khatarta ah ee sii socota ee loo yaqaan 'hypothyroidism'
- TSH kor ku xusan 6
- Heerarka sare ee antibiyootiinka (antibiootide antibioti ama antibody thyroglobulin)
- Isbedel ku yimaada iodine-ka oo ka yara khafiifsan wax aan ka filnayn wax ka badan
Waxa kale oo ay ogaadeen in waxyaabaha muhiimka ah ee khatarta ugu weyn ee cudurka hypotyroidism ee dadka ee bilaabay waxqabadka tayroodhka caadiga ah:
- TSH heerka ka weyn 2
- Heerarka sare ee antidiotiyada lidka ku ah
- Isbeddel ku yimaada iodine-ka oo ka yimaada qafiif ah wax yar oo ka badan kan ku filan, ama ka-qaadashada xad-dhaafka ah ee iodine
Cilmi baadhayaasha ayaa soo gabagabeeyay:
... inkastoo ay tahay in la dheellitiro cudurka iodine si looga hortago oo loo daaweeyo cudurada iodine-deficiency, dhammaystirka waa in lagu hayaa heer amaan ah. Heerarka oo ka badan kuwa ku filan (dhexdhexaadinta maqaarka iodine ee dhexdhexaad ah, 200 ilaa 299 μg halkii litir) ama xad-dhaaf ah (dhexdhexaadinta kaadida iodine), 300 μg halkii litir) ha u muuqan mid badbaado leh, gaar ahaan dadka nugul ee qaba cudurada tayroodh casriga ah ama yaraanta iodine. Barnaamijyada dhamaystirka ah waa in loo qoondeeyaa gobol gaar ah. Maqnaanshaha la'aanta iodine ee gobollada ay ka mid tahay iodine waa ku filan tahay, halka milixda gobollada ay ku yar tahay cuntooyinka yar yar ee iodine waa in la buuxiyo iodine iyadoo la eegayo heerka iodine yaraanta.
Fikradda Muhiimka ah: Cilmi-baadhayaashu waxay qeexeen hypothyroidism-ga oo ah qawaan ka sareeya 4.8, iyada oo heerarka T4-ga oo kordhay. Hoos-u-qabadka 'hypothyroidism' waxaa lagu qeexay sida TSH ka sarreeya 4.8, oo leh heerarka caadiga ah ee T4 ee caadiga ah. Agaasimaha Maraykanka ee Caafimaadka Endocrinologists, oo ay la socoto Akademiyada Qaranka ee Biyakajiyadda Biyuhu, ayaa lagu taliyay dhammaadkii 2002 / horraantii 2003 oo ah in heerka qadadka caadiga ah ee Qiitaa uu si aad ah ugu yaraaday .3 ilaa 3.0. Sidaa daraadeed barta qofka loo tixgelin lahaa hypothyroid si ka duwan ayaa laga yaabaa inuu ka duwan yahay, iyada oo ku saleysan tilmaamaha cusub .
Ma u Baahantahay Iodine?
Tobonaan sano ka hor, iodisinta milixda ayaa si ikhtiyaari ah loogu meeleeyay Maraykanka iyo dalal kale oo warshad leh sida macnaheedu yahay ka hortagga yaraanta iodine. Meelahaas oo leh cusbo ioded ah, dhibaatooyinka iodine-yada oo dhan ayaa dhan laakiin la baabi'iyey, badankoodna waxay leeyihiin iodine ku filan.
Intii lagu jiray labadii sano ee la soo dhaafay, si kastaba ha ahaatee, hoos u dhigista cusbada sababo caafimaad awgeed, cusbada loo isticmaalo cusbada iodiyey ee cuntooyinka la karsado, iyo xaqiiqda ah in iodisku aan qasab ahayn Maraykanka (xitaa markaa, 70% waxay sababtay hoos u dhac ku yimaadda daawaynta iodine xitaa wadamada sida Maraykanka ah Sidaa darteed ka dib markii muddo yar oo iodine ah ee Maraykanku uu ahaa oo dhan, laakiin la tirtiray, hadda waxay ku socotaa mid gaabis ah oo kor u kacsan.
Walaaca ugu weyni waa dumarka uurka leh. Dhab ahaantii, heerka haweenka uurka leh ee yaraanta iodine-ka ayaa kordhay dalka Maraykanka 20kii sanno ee ugu dambeeyay, Utiger, laga soo bilaabo boqolkiiba hal boqolkiiba 1970-kii illaa 7 boqolkiiba 2002. Haweenka iyo carruurtooda waxay la kulmaan halisaha ugu weyn ee ka-soo-baxa iodine cunto.
Khubarada qaarkood waxay ku talinayaan in dheellitirka iodine ay noqoto mid heer caadi ah inta lagu jiro mudada uurka iyo uurka. Kaalmada nafaqada ee lagu taliyey ee iodine waa 200 mcg / maalmood inta lagu jiro uurka iyo 75 mcg / maalin inta aad naas nuujineyso.
Inta kale ee naga mid ah, jawaabta caafimaad ee loo yaqaan "thyroid health" waa sidaas, si loo helo wax ku filan - laakiin aan aad u badneyn - iodine. Waxaa laga yaabaa in aad ku yar tahay iodine haddii aad leedahay, sababo caafimaad awgeed, cusbada ioday ka gooyay cuntadaada, ama aad ku beddeshay milix aan kudheer lahayn.
Sidaas, ma u baahan tahay iodine supplemental? Sidee baad u sheegi kartaa haddii aad helayso iodine ku filan? Waa wax aan suurtagal ahayn in lagu gaaro adiga keligaa. Waxaad samayn kartaa qiyaas aad u adag, si kastaba ha ahaatee, iyada oo ku saleysan su'aalaha soo socda:
- Miyaad isticmaashaa cusbo kaniiniga ah?
- Intee in leeg ayaad cusbo ku cunaysaa maalin kasta?
- Miyaad qaadataa fitamiin ama kaabis ah iodine? (Imisa goos ayaa iodine ku jirta dheeriga ah?)
- Miyaad cuntaa, hilib, cuntooyinka caanaha ah ama badeecada si joogto ah?
Dhaqaatiirta kale duwan, kuwa dhajiska ah iyo kuwa dhirta dhirta ayaa ah ku dhowaad jilibka ku tiirsan yihiin in qof kasta oo qaba dhibaatada thyroid uu u baahan yahay dheecaan iodine (iodine dareere ah ama geedo ay ku jirto iodine, sida kelp ama bladderwrack). Tani waxay sii xumayn kartaa calaamadaha iyo dhibaatooyinka qallafsan ee dadka qaarkood.
Laakiin, haddii aadan qorsheyneynin inaad uur yeelato, haddaad uur leedahay ama aad naas nuujinayso, waxaad u baahan doontaa inaad ka taxadarto qaadashada iodinta haddii adiga iyo dhakhtarkaaga aad hayso caddayn aad u xoogan oo aad ku yar tahay. Haddii dhakhtarkaagu kugula taliyo iodine supplementation daaweynta thyroid, waxaa laga yaabaa inaad weydiisato baaritaan gaar ah oo qiyaasi kara heerarka iodine - "baaritaanka kaadida". Baaritaankani oo qiimeynaya iodine kaadida ee kaadida, oo siinaya qiimeyn aan toos ahayn, laakiin si qumman u qiimeyn ah heerka iodine, oo dokumenti karti yar.
Sidoo kale, iska ilaali habka loo yaqaan " thyroid support " ee fiitamiinada iyo foomamka dheeraadka ah, oo ay ku jiraan suuqyada aadka u liita iyo kor u qaada Alvidar. Inta badan, sida Alvidar, waxaa ku jira xaddi badan oo iodine ah, iyo haddii aanad iodine-yaysan haysan, waxay ku dhammaan karaan inay yeeshaan saameyn aan la isku halleyn oo ka soo horjeeda dhab ahaantii ay ka dhigayaan calaamadahaaga oo sii xumeynaya xaaladaada tirtirkaaga.
> Ilo:
> Teng, Walaashka MD, et. al. "Saamaynta Iodine Intake ee Cudurka Qanjidhka ee Shiinaha" " Journal of New England Journal of Medicine , Volume 354: 2783-2793, Juun 29, 2006, Lambarka 26 Abstract
> Utiger, Robert DMD "Iodine Nutrition - More Is Mudan", " New Journal Journal of Medicine, Volume 354: 2819-2821, Juun 29, 2006, Lambarka 26
> Higdon, Jane Ph.D. et. al. "Iodine," Xarunta Macluumaadka Micronutrient , Linus Pauling Insitute, Jaamacadda Gobolka Oregon, 2003
> Golaha Caalamiga ah ee Xakameynta Xanuunka Iodine Deficiency Disorders
> Shomon, Mary J. Tilmaamaha Tilmaamaha ee Maqnaanshaha, Uurka iyo Naas-nuujinta Nabadgelyada, Tirakoob-Macluumaadka, 2006