Iodine ibalulekile kwimpilo ye-thyroid kwaye iyona nto isondlo esakhiwa njengesakhiwo sokwakha umzimba wakho ukuba wenze i-hormone ye-thyroid. Kubaluleke kakhulu ukuba abafazi abakhulelweyo bane-iodine eyaneleyo, njengoko ukhulelwe kakhulu kwandisa imfuno ye-iodine eyaneleyo.
I-iodine enganeleyo kumfazi okhulelweyo, ngakumbi ngexesha le-trimester yokuqala, unokuba nemiphumo emibi kwimpilo yomama nomntwana.
Ukuntuleka kwe-iodine ebonakalayo kumfazi okhulelweyo kunokuphazamisa ukuphuhliswa kwengqondo yengane, kwaye idibene nesimo esibizwa ngokuba yi-cretinism kubantwana.
Ukuntuleka kwe-iodine emhlabeni jikelele
Ehlabathini lonke, ukungabikho kwe-iodine kubafazi abakhulelweyo ngumngeni omkhulu wempilo karhulumente, kwaye ukungafumaneki kwe-iodine kuthathwa njengeyona nto ibangela ukukhuseleka kwengqondo kunye nokukhubazeka kwengqondo.
Ngenxa yeenkqubo ze-iodization kunye ne-iodine eyongeziweyo ekutya okucutshungulwayo, iUnited States ayinakuthathwa njengengxaki enkulu ye-iodine. Ucwaningo luye lwabonisa, nangona kunjalo, ukuba eUnited States, kukho umonakalo obhebhekisayo ekunqongopheni kwe-iodine elula phakathi kwabasetyhini abakhulelweyo. Kuloo nto, ininzi yemibutho-kuquka i-Endocrine Society, i-American Thyroid Association, kunye ne-American Academy ye-Pediatrics, phakathi kwezinye-zikhokelo zesikhokelo zikhuthaza ukuba bonke abafazi bafumana i-vitamin yobusuku bendala yokubeletha esondeza i-150 μg ye-iodine imihla ngemihla, kwaye ukuba oku kufuneka kuqhutywe ngaphambi kokukhulelwe, ngexesha lokukhulelwa, kwaye ngexesha lokuncelisa.
Uphando olupapashwe ngasekuqaleni kuka-2017 luhlolisise ukuqonda kokutya kwe-iodine phakathi kwabagqithisi kunye nabancinci eMelika. Injongo yocwaningo yayikufumanisa indlela aba basebenzi abaphatha ngayo iingcebiso malunga nokuxhaswa kwe-iodine kubasetyhini abayinyamekelayo, ukususela ekuqaleni ngaphambi kokuncelisa.
Uphando lwe-imeyile luthunyelwe kubabelekazi abangama-5,220 kwaye lwavulwa ngama-350 (6.7 ekhulwini). Uphando luthunyelwa kubanikazi bamayeza abayi-21,215 baza bavula ii-2,524, okanye i-11.9 ekhulwini. Ekugqibeleni, ama-3.6 ekhulwini (189) ababelethisi kunye ne-1.2 ekhulwini (258) yezigqirha ziphendule kulo uphando. Nangona izinga lokuphendula lalingezantsi, abaphandi bathi i-demographical, uphando lwaluyiminyaka yonke kunye ne-geography, ekhokela abaphandi ukuba bakholelwe ukuba izinga lokuphendula lilingene ngokwaneleyo malunga nokuthatha izigqibo eziphambili.
Iziphumo eziphambili: Indlela abaqeqeshi bezeMpilo abaphatha ngayo iodode
- Iipesenti ezingama-33 kuphela zezigqirha kunye nababelethisi abahlolisisiweyo babecinga ukuba isimo se-iodineskazi kwabasetyhini abase-US babenalo.
- Phantse zonke izithinteli kunye nababelethisi bancoma amavithamini angaphantsi kokubeletha, kodwa malunga nama-70 ekhulwini athetha ngabo bahloliswanga okanye abazange bacebise ukuba abo mavithamini abathintekayo baquka iodine.
- Phakathi kwalabo bacebisa iodeysi eyongezelelweyo ngaphambi, ngexesha, okanye emva kokukhulelwa, ngaphantsi kwe-45-cent ekhulwini-banconywa i-150 μg ye-iodine imihla ngemihla ngexesha lokukhulelwa elimiselwe zizikhokelo.
Ukushwankathela, malunga neepesenti ezingama-75 zezigqirha kunye nababelethisi abahlolisweyo abacebisi ukuba iodine, okanye bacebisa inani elingafanelekiyo le-iodine kwizigulane zabo ngexesha lokuqala, ukukhulelwa, kunye ne-lactation.
Ukuqonda iziphumo
Ngokucacileyo, kukho ukuhluleka kwababelethisi kunye nabancinci ukuba bacebise i-iodine yokuxhaswa kwabasetyhini ngaphambi kokuba okanye ngexesha lokukhulelwa, kwaye emva kokukhulelwa xa beluncelisayo. Ngelishwa, malunga nesiqingatha sabaphenduliweyo bakholelwa ngokungafanelekileyo ukuba abafazi base-US banesimo esaneleyo se-iodine. Amanqanaba angama-33 ayengazi ukuba ukukhubazeka kwe-iodine yomama kuyingozi kwintsana ekhulayo.
Oku kungabikho kolwazi, kunye nokungaphumeleli ukulandela izikhokelo ezicetywayo, kunokusenokungcolisa impilo yengqondo yabantwana abazalwa ngabantwana abangenayo i-iodine.
Oku kuthetha ntoni kuwe
NgokweBhunga leZondlo ezithintekayo (CRN), kuphela ama-15 ukuya kwe-20 ekhulwini ngamabhinqa abakhulelweyo nabaqhawulayo athatha isongezelelo okanye i-vitamin engaphantsi kokuzala i-iodine.
Kungakhathaliseki ukuba unayo ifom ye-thyroid, okanye ukuba uyakhulelwa okanye uncelisa, iingcali zincoma ukuba uqinisekise ukuba i-vitamin yakho yokubeleka imihla ngemihla ifake i-150 μg ye-iodine.
Qaphela ukuba akwanele ukuthatha i-vitamin yokubeletha. Iimpawu ezininzi-eziquka ezo zichazwe ngamagqirha-ababandakanyi iodine. Uya kufuneka uhlolisise amalebula ngokucophelela ukuqinisekisa ukuba uphawu oluthengayo kwi-counter okanye oluchazwe ngudokotela wakho luquka inani eliphakanyisiweyo le-iodine.
Qaphela: i-Kelp isongezelelo, ngelixa iqukethe iodine, ayikwazi ukubonelela isilinganisi esilinganiselweyo, kwaye ayikho imithombo ekhuthazwayo ye-iodine kubafazi ngaphambi, ngexesha nangemva kokukhulelwa.
> Imithombo:
> Alexander, E, Pearce, E et al. "Izikhokelo ze-American Thyroid Association ye-Diagnosis kunye noLawulo lweZifo zeTyroid ngexesha loKhulelwa kunye nePostpartum. "I-Thyroid. NgoJanuwari 2017, Ngaphambi kokushicilelwa kwikhompyutha, ngaphambi kokushicilelwa.
> I-CRN Izikhokelo eziphakanyisiweyo ze-Iodine Inani kwi-Multivitamin / Mineral Supplements for Pregnancy and Lactation.
http://www.crnusa.org/self-regulation/voluntary-guidelines-best-practices/crn-recommended-guidelines-iodine-quantity
> de Escobar DM, et al. "I-hormone ye-thyroid yamantombazana ngaphambi kokukhulelwa kunye nophuhliso lobuchopho bomntwana." I-Best Tract Res Clinic Endocrinol Metab 2004; 18: 225-248.
> Leung AM, et al. I-Content ye-iodine yama-multivitam e-United States. I-NEJM 2009; 360: 939-940.
> Simone, D, Pearce E., kunye noBraverman L. "I-Iodine Supplementation kwabasetyhini Ngethuba lokuqala, Ukukhulelwa, kunye nokuLinganisa: I-Practicic Practice Current by the US Abstetricians and Midwives." I-Thyroid. Disemba 2016, ngaphambi kokushicilelwa. i-doi: 10.1089 / yakho.2016.0227.