Iodine ibalulekile ekusebenzeni kwe-thyroid enempilo futhi ingumsoco oyinhloko osebenza njengesakhiwo sokwakha amandla omzimba wakho wokwenza i-hormone ye-thyroid. Kubaluleke kakhulu ukuthi abesifazane abakhulelwe banesisindo esanele, njengoba ukukhulelwa kukhulisa kakhulu isidingo se-iodine eyanele.
Iodine enganele kumuntu okhulelwe, ikakhulukazi phakathi nenyanga yokuqala, ingaba nemiphumela emibi empilweni yomama nomntwana.
Ukwehluleka okukhulu kwe-iodine owesifazane okhulelwe kungaphazamisa ukuthuthukiswa kwezinzwa zezingane, futhi kuhlobene nesimo esibizwa ngokuthi i-cretinism ezinganeni.
Ukwehla Kwe-iodine Emhlabeni Wonke
Emhlabeni jikelele, ukuntuleka kwe-iodine kwabesifazane abakhulelwe kuyinselele enkulu yezempilo yomphakathi, kanti ukuntuleka kwe-iodine kubhekwa njengesizathu esiholela ekuvinjeni kwengqondo nokukhubazeka kwengqondo.
Ngenxa yezinhlelo ze-iodization ne-iodine eyongezwe ekudleni okucutshungulwayo, i-United States ayibhekwa njengenkinga enkulu yokuntuleka kwe-iodine. Ucwaningo luye lwabonisa ukuthi, e-United States, kukhona umkhuba owohloka ekubhekaneni nokuntuleka kwe-iodine encane phakathi kwabesifazane abakhulelwe. Ukuze kube njalo, izinhlangano eziningana-kuhlanganise ne-Endocrine Society, i-American Thyroid Association, ne-American Academy of Pediatrics, phakathi kwabanye-zinezinhlahlandlela ezihlelekile zithi bonke abesifazane bathola i-vitamin yansuku zonke ngaphambi kokubeletha okunikeza 150 μg ye-iodine nsuku zonke, futhi ukuthi lokhu kufanele kwenzeke ngaphambi kokukhulelwe, ngesikhathi sokukhulelwa, kanti ngenkathi kubeletha.
Ucwaningo olunyatheliswa ekuqaleni kuka-2017 lwaluhlolisisa ukuqwashisa kwe-iodine phakathi kwezidakamizwa nababelethisi e-United States. Umgomo wocwaningo kwakuwukubona ukuthi lezi zisebenzi zithatha kanjani izincomo mayelana nokuxhaswa kwe-iodine kwabesifazane abazinakekelayo, kusukela ekutholeni ngaphambi kokuncelisa.
Ucwaningo lwama-e-mail lwathunyelwa kubabelethisi abangu-5,220 futhi lwavulwa ngu-350 (amaphesenti angu-6.7). Le nhlolovo yathunyelwa kwabangu-21.215 izidakamizwa futhi yavulwa ngu-2 524, noma i-11.9%. Ekugcineni, amaphesenti angu-3.6 (189) ababelethisi kanye namaphesenti angu-1.2 (258) wezigameko ezithinta izidakamizwa basabela kulolu cwaningo. Ngenkathi izinga lokuphendula liphansi, abacwaningi bathi ukubalwa kwabantu ngokwemvelo, lolu cwaningo lwalumele iminyaka yonke kanye ne-geography, eholele abacwaningi ukuba bakholelwe ukuthi izinga lokuphendula lalingene ngokwanele kulokho okuzokwenza khona iziphetho ezibalulekile.
Ukuthola okuyisisekelo: Indlela abaqeqeshi bezempilo abaphatha ngayo iodine
- Amaphesenti angu-33 kuphela ezithinta izidakamizwa nababelethisi abacwaningiwe babecabanga ukuthi isimo se-iodine kwabesifazane abakhulelwe e-US kwakungenalutho.
- Cishe zonke izithandankulu nababelethisi babetusa amavithamini okubeletha ezigulini, kodwa cishe amaphesenti angu-70 athi ngalabo abacatshangelwe ukuthi abavame ukuvakashela noma abazange bakhuthaze ukuthi lawo mavithamini asebeletha ahlanganisa i-iodine.
- Phakathi kwalabo abancoma iodine eyengeziwe ngaphambi, ngesikhathi, noma emva kokukhulelwa, ngaphansi kwamaphesenti angu-45-batusa i-150 μg ye-iodine nsuku zonke ngesikhathi sokukhulelwa esungulwe yimikhombandlela.
Ukufingqa, cishe amaphesenti angama-75 ezithweswa izidakamizwa kanye nababelethisi abacwaningwayo ayincoma i-iodine nhlobo, noma batusa inani elinganele ngokwanele le-iodine ngeziguli zabo ngesikhathi sokuqala, ukukhulelwa, nokulahlwa.
Ukuqonda Okutholakele
Ngokusobala, kukhona ukwehluleka okujwayelekile kwababelethisi kanye nezidakamizwa ukuncoma i-iodine supplementation kwabesifazane ngaphambi noma ngesikhathi sokukhulelwa, nangemva kokukhulelwa lapho kuncelisa. Ngeshwa, cishe isigamu sabasolwa nabo bakholelwa ngokungalungile ukuthi abesifazane base-US banesimo esanele se-iodine. Amaphesenti angama-33 ayengazi ukuthi ukulahlekelwa kwe-iodine yomama kuyingozi enganeni ekhulayo.
Lokhu kuntuleka kolwazi, nokuhluleka ukulandela imihlahlandlela ephakanyisiwe, kungase kube ukwehlisa impilo yezinzwa zezingane ezibelethwe omama abangenayo i-iodine.
Lokhu kusho ukuthini kuwe
Ngokusho koMkhandlu weZindleko Zokudla (Resourceable Nutrition) (CRN), amaphesenti angama-15 ukuya kwangu-20 kuphela abesifazane abakhulelwe nabesifazane abakhulelwe bathatha i-vitamin noma i-vitamin engakabantwana ephethe i-iodine eyanele.
Kungakhathaliseki ukuthi unesifo se-thyroid noma ngabe awunalo yini, uma ungumuntu wesifazane ohlela ukukhulelwa, noma uma ukhulelwe noma ukondla, ochwepheshe batusa ukuthi uqinisekise ukuthi i-vitamin yakho yansuku zonke yokubeletha ihlanganisa i-150 μg ye-iodine enconyiwe.
Qaphela ukuthi akwanele ukuthatha noma iyiphi i-vitamin yokubeletha. Imikhiqizo eminingi-kuhlanganise nalawo enqunywe odokotela-angafaki iodine. Kuzodingeka uhlole amalebula ngokucophelela ukuqinisekisa ukuthi umkhiqizo owuwuthengisa phezu kwe-counter noma u-odokotela wakho uhlanganisa inani eliphakanyisiwe le-iodine.
Qaphela: Izithako ze-Kelp, ngenkathi zine-iodine, zingase zinganikezi isilinganiso esingajwayelekile, futhi akuzona umthombo ophakanyisiwe we-iodine kwabesifazane ngaphambi, ngesikhathi nangemva kokukhulelwa.
> Imithombo:
> Alexander, E, Pearce, E et al. "Imihlahlandlela ye-American Thyroid Association yokuHlola nokuPhathwa kwezifo ze-Thyroid ngesikhathi sokukhulelwa kanye ne-Postpartum. "I-Thyroid. NgoJanuwari 2017, Ngaphambi kokushicilelwa kuyi-inthanethi, ngaphambi kokuphrinta.
> I-CRN Imikhombandlela Ephakanyisiwe Ye-Iodine Quantity ku-Multivitamin / Mineral Supplements for Ukukhulelwa kanye ne-Lactation.
http://www.crnusa.org/self-regulation/voluntary-guidelines-best-practices/crn-recommended-guidelines-iodine-quantity
> de Escobar DM, et al. "Amahomoni we-maternal thyroid ekuqaleni kokukhulelwa nokuthuthukiswa kobuchopho bomntwana." I-Best Pract Res Clin Endocrinol Metab 2004; 18: 225-248.
> Leung AM, et al. "Okuqukethwe kwe-Iodine yama-multivitamini engakazalwa ngaphambi kwe-United States." NEJM 2009; 360: 939-940.
> Simone, D, Pearce E., noBraverman L. "Iodine Supplementation kwabesifazane Ngesikhathi sokuqala, Ukukhulelwa, nokuLactation: Ukusebenza Kwamanje Kwemitholampilo Yabahlengikazi Nezinsikazi zase-US." I-Thyroid. Disemba 2016, ngaphambi kokuphrinta. doi: 10.1089 / thy.2016.0227.