桥本甲状腺炎有治疗饮食吗?-文献综述

W. Pawlak, M. Dudkiewicz, W. Pawłocik, L. Wojtala, K. Kapłon, D. Maciejewska
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引用次数: 0

摘要

桥本甲状腺炎(HT)是目前发现的最常见的自身免疫性疾病之一。它主要影响中年妇女,其症状并不特殊。一旦怀疑HT,就需要进行实验室检测。疾病可以用左旋甲状腺素治疗,但生活方式的选择也会影响HT。材料和方法:通过PubMed和GoogleScholar已经确定了大量关于饮食和补充剂的各种科学报告。目的:介绍关于桥本患者补充和饮食的最新研究及其建议。结论:ht的补充和饮食选择是一个广泛讨论的话题。是否需要实施维生素D、硒、铁和无麸质、无乳糖饮食是有争议的,因为数据并不明确。意识到补充剂和潜在的不足会对疾病产生影响,因此,有必要测试其水平。碘是一种必需的微量元素,但它的过量和不足都会影响健康,尽管它的低水平对胎儿发育极为有害。相当多的文献表明,无麸质饮食可能对HT患者有益,并且这组患者患乳糜泻的可能性更高。无乳糖饮食被证明可以降低TSH水平,尽管对这两种元素之间关系的更多关注和研究可能会产生有趣的发现。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Is there a diet for Hashimoto Thyroiditis?- review of literature
Introduction: Hashimoto Thyroiditis (HT) isnowadays found to be one of the most commonautoimmune disorder. It affects mainly middle- agedwomen and its symptoms are not peculiar. Thelaboratory tests need to be carried out once HT issuspected. Disease is treated with levothyroxine butalso lifestyle choices can influence HT.Materials and methods: Numerous and variousscientific reports on diets and supplementations havebeen identified through PubMed and GoogleScholar.Objectives: Presentation of the latest research andits recommendations regarding supplementation anddiet for Hashimoto patients.Conclusions: Supplementation and diet choices inHT is a widely discussed subject. It is debatablewhether vitamin D, selenium, iron and gluten free,lactose free diet need to be implemented as data isnot unequivocal. Awareness of supplementation andpotential deficiencies can have an influence on thedisease, hence, there is recognised need to test itslevels. Iodine is a needed microelement but its excessas well as its insufficient level affects on health,although its low level is extremely harmful for fetaldevelopment. A considerable amount of theliterature has revealed that a gluten free diet could bebeneficial for HT patients and there is a higherlikelihood of Celiac disease in this group. Lactosefree diet was shown to lower TSH level although agreater focus and research on the relationshipbetween those two elements could produceinteresting findings.
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