Peb txhua tus yuav kho sai sai, los ntawm 2018 tag nrho cov ntsev yuav iodized

2024 Tus sau: Seth Attwood | [email protected]. Kawg hloov kho: 2023-12-16 16:06

Tam sim no, nyob rau hauv Russia, ib tug loj tus naj npawb ntawm cov tub ceev xwm, kws kho mob thiab pej xeem cov nuj nqis koom nyob rau hauv cov txheej txheem ntawm kev tswj hwm (popularization) ntawm kev siv ntsev iodized.

Raws li qhov tshwm sim ntawm ntau qhov kev tshaj tawm loj loj, ntau tus neeg hauv peb lub tebchaws ntseeg siab ntseeg tias iodized ntsev yog "qhov pheej yig tshaj thiab zoo tshaj plaws los tiv thaiv cov kab mob iodine deficiency" thiab tseem tsis tau paub txog qhov tshwm sim ntawm kev siv cov ntsev iodized tas li. txuam nrog iodine overdose.

Qhov kev xav tau niaj hnub rau iodine yog: hauv cov menyuam yaus hnub nyoog qis dua 5 xyoos - 90 mcg ntawm iodine ib hnub; hauv cov menyuam yaus hnub nyoog 5 txog 12 xyoos - 120 mcg ib hnub; hauv cov menyuam yaus hnub nyoog qis dua 12 xyoos thiab cov neeg laus - 150 mcg ib hnub; hauv cov poj niam cev xeeb tub - 220 mcg ib hnub; Hauv cov poj niam lactating - 290 mcg ib hnub twg.

Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv ntawm Lavxias Federation tau tsim tsab cai lij choj raws li tag nrho cov av ntsev hauv lub tebchaws yuav raug iodized txhawm rau txo cov thyroid kab mob hauv lub tebchaws.

Lub koom haum thov kom siv cov ntsev iodized yuav tsum tau ua hauv cov menyuam yaus, kev kho mob thiab chaw ua si. Ntsev "Ntxiv" thiab xoom sib tsoo yuav tsum tau iodization. Ib qho tshwj xeeb yuav yog ntsev ntxhib, uas tsis dhau los ntawm ntsev shaker.

Daim nqi yog nyob rau theem ntawm kev sib koom tes ntawm kev sib koom tes.

Raws li Lub Chaw Tshawb Fawb Endocrinological ntawm Ministry of Health ntawm Russia, vim tias tsis muaj iodine hauv tebchaws Russia, ntau dua 1.5 lab tus neeg laus thiab 650 txhiab tus menyuam yaus uas muaj cov thyroid kab mob xav tau kev saib xyuas tshwj xeeb hauv endocrinological txhua xyoo, Lavxias Ministry of Health tau hais.

Tam sim no daim nqi hais tias potassium iodate yuav tsum muaj zog:

- edible ntsev npaj rau kev muag khoom (ntxiv, siab dua thiab thawj qib, grinds No. 0 thiab No.1);

- ntsev uas yog siv nyob rau hauv kev tsim khoom ntawm bakery khoom;

- ntsev, uas yog siv rau ua noj ua haus nyob rau hauv kindergartens, tsev kawm ntawv, tsev kho mob thiab cov koom haum kis las.

Rospotrebnadzor npaj yuav tsim ib daim nqi tsim nyog rau cov tuam txhab tsim khoom noj khoom haus nrog iodine, calcium, hlau, vitamins thiab lwm yam microelements. Daim ntawv teev cov microelements, uas yuav tsum tau enrich cov khoom, yog tam sim no muab tso ua ke.

Lub tswv yim los tsim ib daim nqi no tau ua raws li lub hauv paus ntawm lub tuam tsev txoj kev npaj ua raws li ib feem ntawm Lub Tswv Yim rau kev txhim kho cov khoom noj khoom haus kom zoo txog xyoo 2030. Raws li cov ntaub ntawv, xyoo 2018 kev npaj cov nqi ntawm kev tiv thaiv kab mob iodine deficiency yuav pib. Ib qhov chaw

Hais txog keeb kwm ntawm qhov teeb meem

Xyoo 1990, lub rooj sib tham ntawm cov thawj coj ntawm ntau lub teb chaws tsim kho tau tshwm sim hauv New York, uas tau txais lub npe hu ua Action Plan rau kev ua raws li Cov Cai ntawm Cov Menyuam Yaus. Cov teb chaws uas tau kos npe rau daim ntawv cog lus yuav txhim kho cov khoom noj khoom haus thiab kev noj qab haus huv ntawm cov menyuam yaus thiab tshem tawm cov kab mob cuam tshuam nrog iodine deficiency thaum kawg ntawm 2000. Ntawm cov teb chaws no yog Russia. Nyob rau tib lub sijhawm, nws tau hais txog universal iodization ntawm cov lus ntsev. Nws tau txiav txim siab tias qhov no yog qhov kev xaiv zoo tshaj plaws thiab tsim nyog rau txhua lub teb chaws los tawm tsam iodine deficiency, tsis hais lawv thaj chaw ntawm kev lag luam lossis cov pej xeem. Kev nce qib ntawm iodized ntsev yog tus kheej los ntawm UN Secretary General Kofi Annan. Tag nrho cov dej num rau kev qhia txog ntsev yog ua raws li kev txhawb nqa ntawm United Nations Children's Fund (UNICEF) Cov txheej txheem ntawm kev ua kom cov neeg ntsev ntsev nrog iodized ntsev tau npog ntau lub ntiaj teb.

"Raws li UNICEF, rau xyoo 2003, ntau dua 70 lub teb chaws hauv ntiaj teb muaj cov cai thiab cov kev cai ntawm qhov yuav tsum tau iodization ntawm ntsev, thiab nyob rau hauv 30 lub teb chaws cov qauv no yog nyob rau theem ntawm kev loj hlob thiab kev saws me nyuam. Raws li qhov tshwm sim, ntau xyoo dhau los, tus naj npawb ntawm cov neeg siv ntsev iodized tau nce zuj zus - los ntawm 10% ntawm cov neeg hauv ntiaj teb hauv xyoo 1990 txog 72% xyoo 2000. Raws li qhov kev txiav txim siab ntawm Lub Rooj Sib Tham Tshwj Xeeb ntawm UN General Assembly tau mob siab rau cov menyuam yaus (Tsib Hlis 2002), qhov teeb meem ntawm kev tshem tawm IDD yuav tsum tau daws nyob rau hauv lub ntiaj teb no thaum kawg ntawm 2005 ".

Tag nrho cov kev xyiv fab no hais txog kev noj qab haus huv ntawm cov me nyuam saib, thaum xub thawj siab ib muag, zoo-zoo. Txawm li cas los xij, tsuas yog thaum xub thawj siab ib muag.

Nws hloov tawm hais tias qhov yuav tsum tau, yuam iodization ntawm tag nrho cov ntxhuav ntsev tsis siv rau lub teb chaws ntawm lub "Golden Billion" - lub teb chaws USA thiab Western Europe, tab sis tsuas yog rau lub "tsim" thiab Eastern Europe.

Vim li cas? Vim tias "raws li UNICEF, tus nqi qis tshaj ntawm iodized ntsev noj tau pom nyob rau sab hnub tuaj Europe thiab hauv cov xeev xws li Azerbaijan, Kyrgyzstan, Tajikistan, Turkmenistan, Georgia, Ukraine, Uzbekistan, Armenia, Kazakhstan, Belarus, Russia." Cov kev cai lij choj ntawm kev yuam ntsev iodization tau nquag lobbied ntawm no, thiab xyaum txhua qhov chaw cov cai no tau txais kev pom zoo. Txawm li cas los xij, qee qhov kev txiav txim siab tseem tab tom ua, tab sis qhov tshwm sim twb tau meej meej ua ntej.

Tsis tas li ntawd, nyob rau hauv lub teb chaws ntawm Western kev ywj pheej, tus nqi ntawm iodine nyob rau hauv iodized ntsev yog 23 mg / kg, nyob rau hauv Denmark feem ntau 8-12 mg / kg, nyob rau hauv lub symposium nyob rau hauv lub teb chaws USA nyob rau hauv 1996 cov qauv tau txais kev pom zoo hais tias iodine ib. kilogram ntsev yuav tsum suav rau 12,5 milligrams. Thiab rau peb thiab lwm lub teb chaws qis dua, WHO rau qee yam teeb tsa 40 +/- 15 mgq ib kg ntawm cov khoom. Xws li yog qhov overdose! Thiab qhov no txawm tias qhov tseeb tias lub rooj ntsev ib txwm yuav tsis yog.

Tau kawg, qhov kev kho mob muaj peev xwm ntawm iodine tsim nyog tau txais kev nrov nrov. Qhov peev xwm no nthuav dav dhau peb qhov kev paub tias iodine yog lub tsev tseem ceeb rau cov thyroid hormones.

Txawm li cas los xij, cov teebmeem ntawm ntsev iodization tsis zoo li lawv zoo li thaum xub thawj siab ib muag. Interestingly, txawm hais tias siv dav siv ntsev iodized, endemic goiter thiab hypothyroidism tseem yog ib qho teeb meem loj rau li ntawm xya feem pua ntawm cov neeg hauv ntiaj teb.

Xav txog qhov piv txwv no

Tus kws kho mob Askiv Sir Robert McCarrison tau piav qhia txog qhov tshwm sim tsis meej ntawm cov neeg nyob hauv cuaj lub zos hauv Hunza Himalayan Valley. Kev ua neej nyob ntawm cov neeg nyob hauv cov zos, cascading raws roob dej, xyaum tsis txawv ntawm cov qauv xws li kev nyab xeeb, av (thiab cov ntsiab lus ntawm iodine hauv nws) thiab dej.

Txawm li cas los xij, cov neeg nyob hauv lub zos, nyob rau ntawm qhov chaw siab tshaj, tsis raug kev txom nyem los ntawm hypothyroidism thiab nto moo rau kev noj qab haus huv zoo thiab kev ua neej ntev. Hauv qhov sib piv, cov neeg nyob hauv lub zos qis tshaj plaws muaj qhov tshwm sim ntawm cov kab mob goiter, lwm yam kab mob hypothyroidism, thiab nrog cov teeb meem kev noj qab haus huv.

Nws tsis yog ib qho nyuaj rau kwv yees tias yog vim li cas rau qhov tshwm sim no yog ib qho dej ntau. Cov dej yog siv rau haus, da dej, ntxhua khaub ncaws, ntxuav tais diav, watering nroj tsuag thiab pov tseg nws tshaj tom qab sau ripened. Yog li ntawd, lub zos siab tshaj plaws muaj cov dej ntshiab tshaj plaws ntawm nws qhov chaw pov tseg. Thiab txhua lub zos downstream tau txais dej ntshiab tsawg dua. Ib qhov chaw

Cov kab mob ntawm cov thyroid caj pas tsis yog tsuas yog tsis muaj IODINE xwb, tab sis ib puag ncig TOXINS

Kev koom tes ntawm goiter nrog dej muaj kuab paug nyob rau hauv qhov dej raws li ib tug ua rau hypothyroidism tau piav nyob rau hauv cov cheeb tsam ze rau mines, industrial nroj tsuag, landfills thiab inorganic farmland (Eduardo Gaitan). Paradoxically, qhov muaj feem ntau ntawm goiter nyob rau hauv cov cheeb tsam no tau sau npe txawm tias tsis muaj iodine deficiency. Tsis tas li ntawd, ib qho ntawm cov laj thawj ua rau cov teeb meem thyroid yog qhov tsis zoo ecology.

IODINE ntau dhau tsis muaj kev phom sij tsawg dua li qhov tsis muaj.

Ua kom tiav kev hloov cov ntsev yooj yim nrog iodized ntsev yuav ua rau, ntawm kev lees txais koob tshuaj ntawm 40 mg / kg, mus rau kev siv ntau dhau ntawm iodine, mus txog rau kev txhim kho iodism, tshwj xeeb tshaj yog thaum siv iodine. Qhov koob tshuaj iodine txhua hnub tsuas yog 0.025 mg ntawm cov poov tshuaj iodate, qhov tseeb, iodized ntsev muaj 16 npaug ntau dua nyob rau hauv ib hnub, qhov no yog ze rau qhov siab tshaj plaws txhua hnub koob tshuaj, qhov tsis tu ncua ntawm cov uas yog fraught nrog teeb meem. Tias yog vim li cas cov kws kho mob endocrinologist muaj peev xwm pom zoo tias cov neeg noj qab haus huv siv cov ntsev iodized tsis pub ntau tshaj 6 lub hlis hauv ib xyoos, thiab txawm tias tom qab ntawd tsis nyob hauv txhua cheeb tsam. iodization ntawm tag nrho cov khoom noj yuav ua rau muaj kev sib kis ntawm iodism, tshwj tsis yog tias cov tshuaj iodine txo qis rau qib qub.

Kev nce qib ntawm cov khoom noj iodized yog nyob rau hauv tag nrho viav vias. Kev tshaj tawm hauv TV "txog cov txiaj ntsig ntawm cov khoom siv iodized", cov ntawv xov xwm, hauv Internet txhua qhov chaw "qhia" tias iodized ntsev yog panacea rau cov thyroid kab mob, thiab lwm yam. Tag nrho cov xa mus rau qhov tseeb hais tias nrog ib tug tsis muaj iodine nyob rau hauv lub cev, lub metabolism raug cuam tshuam, lub luag hauj lwm ntawm cov thyroid caj pas yog cuam tshuam, kev pheej hmoo ntawm atherosclerosis thiab rog nce, kev tiv thaiv tsis muaj zog, kev pheej hmoo ntawm cov teeb meem ntawm cev xeeb tub thiab yug me nyuam., thiab cov mob ntawm daim tawv nqaij, rau tes thiab plaub hau zuj zus. Lub ntsiab lus tseem ceeb yog nyob rau hauv nqe lus hais tias nrog kev tsis muaj iodine hauv cov menyuam yaus, tej zaum yuav muaj qhov txo qis hauv kev puas siab puas ntsws thiab txawm tias qhov xwm txheej hnyav, cretinism tuaj yeem txhim kho. Thiab qhov tseeb nws yog.

Tsuas yog qee qhov laj thawj lawv tsis nco qab hais tias nrog ntau dhau ntawm iodine hauv lub cev, tus mob tuaj yeem tshwm sim, uas yog hu ua iodism. Feem ntau cov yam ntxwv tshwm sim ntawm iodism yog pustular daim tawv nqaij ua pob liab vog, edema, xeev siab, ntuav, bronchitis, kua ntswg, conjunctivitis, kub taub hau, mob pob qij txha, thiab lwm yam.

Ib qho dhau ntawm iodine muaj cov tshuaj lom, uas yog, muaj tshuaj lom rau lub cev. Tsis tas li ntawd, thiaj li hu ua iodine-induced thyrotoxicosis (IIT) yuav tshwm sim. Kev loj hlob ntawm IIT feem ntau tshwm sim hauv cov neeg laus uas muaj cov thyroid kab mob xws li kab mob los yog tsis muaj kab mob (sporadic) goiter, Graves' kab mob, los yog ib qho autonomic thyroid nodule. Thaum siv cov khoom siv iodized, cov tshuaj muaj iodine, lawv tsim IIT, uas tuaj yeem txiav txim siab los ntawm cov tsos mob xws li arrhythmia, plawv tsis ua hauj lwm, tsis muaj zog, kev nyuaj siab.

Raws li kev ceeb toom kev kho mob rau cov kab mob hauv qab no, iodine yuav tsum tau noj nrog ceev faj heev, thiab qee zaum nws yuav tsum tsis txhob muaj tag nrho: thyroid gland hyperfunction; Nodular toxic thiab diffuse toxic goiter, urticaria, tachycardia, hypersensitivity rau iodine, nephritis, hemorrhagic diathesis, benign thyroid nodules, autoimmune lesions, malignant qog ntawm cov thyroid caj pas, kab mob raum, kub siab, ntau yam dej-ntsev metabolism thiab ib co ntawm cov kab mob ntawm cov thyroid caj pas.

Tsis tas li ntawd, muaj teeb meem ntawm hyperthyroidism. Tus kab mob no tshwm sim los ntawm kev tsim cov thyroid hormones ntau dhau, nws tuaj yeem tshwm sim nrog inflammatory lossis qog nqaij hlav ntawm cov thyroid caj pas, tom qab kev ua haujlwm, kev tswj hwm ntawm radioactive iodine, thiab lwm yam. Cov tsos mob ntawm hyperthyroidism muaj xws li tachycardia, kub siab, tsis muaj cua sov siab ntev, poob phaus nrog kev noj qab haus huv zoo, raws plab, thiab khaus. R. Roziev tau sau tseg tias nyob rau hauv cov teb chaws uas universal ntsev iodization yog legalized, tus naj npawb ntawm cov neeg mob hyperthyroidism yog ho ntau dua nyob rau hauv lub teb chaws uas tsis muaj xws li txoj cai ("Uchitelskaya Gazeta" No. 19. 2004). R. Roziev tau sau tseg tias nyob rau hauv cov teb chaws uas loj iodization ntawm ntsev tau qhia, cov pej xeem tshwj xeeb yog raug kev txom nyem los ntawm cov kab mob ntawm cov thyroid caj pas. ("Uchitelskaya Gazeta" # 19.2004). Txawm tias tus neeg txhawb nqa ntawm universal ntsev iodization, kev kawm T. Sh. Shermanov pom zoo tias cov nyhuv ntawm iodine rau tib neeg lub cev yog qee zaum teeb meem: "Qhov tseeb, kev noj iodine ntau dhau tuaj yeem ua rau muaj qhov tshwm sim ntawm thyroiditis thiab toxic goiter."

Hauv cov cheeb tsam ntawm kev siv ntsev iodized, qhov tshwm sim ntawm hyperthyroidism, hypothyroidism ntawm qhov tsis yog-autoimmune xwm (cov nyhuv Wolff-Chaikoff yog kev tiv thaiv kev tiv thaiv kev loj hlob ntawm hyperthyroidism) thiab tshwj xeeb tshaj yog autoimmune thyroiditis (Hashimoto tus kab mob) nce. Interestingly, nyob rau hauv lub tebchaws United States, Hashimoto tus kab mob twb tsis paub txog kom txog thaum lub dav qhia txog iodized ntsev.

Cov kws tshawb fawb los ntawm Iran tau sau npe nce plaub npaug ntawm qhov tshwm sim ntawm Hashimoto tus kab mob hauv tsuas yog rau xyoo (!) Tom qab pib ua ntsev iodization loj heev. Cov kev tshawb fawb zoo sib xws tau los ntawm lwm lub tebchaws. Peb tsis muaj cai tso tseg qhov tseeb ntawm kev tshawb fawb no, txij li ntau dua 90% ntawm cov neeg mob HYPOTHYROIDISIS yog AUTOIMMUNE NATURE.

Yog tias tag nrho cov ntsev yog iodized, ces ua li cas rau cov neeg uas muaj kab mob endocrine?

Tsoom fwv tuaj yeem zam tau yooj yim zam kev tsis txaus siab thiab kev tawm tsam yog tias nws tsis tau hais kom muaj txheej txheem thoob ntiaj teb thiab yuav tsum tau ua kom muaj zog zaub mov nrog hlau thiab iodine (dab tsi ntxiv?), tab sis yuav tau muab sijhawm rau cov neeg siv khoom (thiab tus neeg mob) txiav txim siab. rau nws tus kheej noj dab tsi thiab yuav kho li cas. Txhawm rau ua qhov no, nws tsuas yog tsim nyog los qhia txog quota rau cov tuam txhab tsim khoom tsim cov khoom "ua kom zoo" nrog cov khoom ntxiv, thiab muaj cov khoom ntxiv hauv cov khoom yuav tsum tau qhia ntawm lub ntim. (Tom qab tag nrho, lawv qhia ib qho barcode ntawm pob khoom?). Txawm li cas los xij, tsoomfwv tsis xav ua qhov no.

Yog li ntawd, cov pej xeem ntawm Lavxias teb sab Federation raug txwv tsis pub muaj cai xaiv thaum yuav khoom tseem ceeb - ntsev thiab mov ci - thiab raug yuam kom ua nruj ua tsiv "kev kho mob", uas tuaj yeem ua rau muaj teeb meem kev noj qab haus huv rau ib feem tseem ceeb ntawm cov pejxeem. Tag nrho cov no tshwm sim nrog kev cuam tshuam tsis tu ncua ntawm cov qauv thoob ntiaj teb supranational, lub hom phiaj tseem ceeb ntawm "kev npaj pej xeem" ntawm lub ntiaj teb.

Cia li xav tias, yog tias tag nrho cov ntsev yog iodized, ces nws yuav siv rau hauv kev tsim khoom noj khoom haus, thiab hauv tsev ua noj, thiab thaum ntxiv ntsev rau cov tais diav npaj, thiab hauv cov kaus poom. Peb yuav noj ntau npaum li cas iodine thaum kawg, tsis muaj leej twg paub thiab, pom meej, yuav tsis paub. Feem ntau yuav muaj ntau. Yuav ua li cas qhov no tshwm sim tsis tau tsuas yog rau cov neeg mob, tab sis kuj rau cov neeg noj qab haus huv?

Nws kuj tseem pom tseeb tias universal ntsev iodization yog ib qho lag luam loj heev rau tib neeg noj qab haus huv:

• Kev xa khoom ntawm cov cuab yeej siv rau ntsev iodization rau tag nrho cov chaw lag luam ntsev
• Tsis tu ncua ntawm cov tshuaj reagent
• Kev pov tseg tas mus li (tom qab 6-12 lub hlis) ntawm tag nrho cov ntsev, raws li qhov tseeb tias lub txee lub neej ntawm iodized ntsev nyob ntawm 6 mus rau 12 lub hlis, nyob ntawm seb cov tshuaj inorganic siv (iodate lossis potassium iodide).
• Kev loj hlob nyob rau hauv imports ntawm "iodized ntsev" (nws yuav "yuam sij hawm" paub nyob rau hauv lub neej yav tom ntej uas zoo ntawm domestic iodized ntsev tsis tau raws li thoob ntiaj teb cov qauv, los yog tus nqi ntawm cov nqi xauj tsev thiab hluav taws xob rau zus tau tej cov iodized ntsev yog siab heev. Nws yog qhov zoo dua los yuav cov ntsev iodized ntshuam.)

Kev tshaj tawm thiab piav qhia ua haujlwm ntawm cov pej xeem txog cov txiaj ntsig ntawm kev siv ntsev iodized tuaj yeem ua tiav ntawm kev siv nyiaj txiag.

Thiab tseem, qhov twg yog qhov lav tias iodine yuav ntxiv rau hauv pob nrog cov ntawv sau iodized ntsev, thiab tsis yog iodine thiab ntxiv rau lwm yam tshuaj. ntsiab?