{"id":8289,"date":"2019-02-06T11:38:07","date_gmt":"2019-02-06T11:38:07","guid":{"rendered":"http:\/\/avrupapress.com\/main\/?p=8289"},"modified":"2019-11-14T23:09:55","modified_gmt":"2019-11-14T23:09:55","slug":"8289","status":"publish","type":"post","link":"https:\/\/avrupapress.com\/main\/2019\/02\/06\/8289\/","title":{"rendered":"T\u0130RO\u0130D HASTALARINDA BESLENME"},"content":{"rendered":"\n

T\u0130RO\u0130D HASTALARINDA BESLENME<\/strong><\/p>\n\n\n\n

      Tiroid hormon bozuklu\u011fu \u00fclkemizde s\u0131k\ng\u00f6r\u00fclen bir hastal\u0131kt\u0131r. Tedavi edilmezse ciddi sa\u011fl\u0131k sorunlar\u0131na neden\nolabilmektedir. Anne karn\u0131ndan itibaren fet\u00fcs\u00fcn iyot ihtiyac\u0131na dikkat\nedilmelidir. Eksiklik oldu\u011fu takdirde e\u011fer tedavi edilmezse zeka gerili\u011fi,\npremat\u00fcre do\u011fum, preeklampsi, ablosya plesanta, geri d\u00f6n\u00fc\u015f\u00fc olmayan santral\nsinir sistemi bozukluklar\u0131 g\u00f6r\u00fclebilmektedir. Bu ayki yaz\u0131mda b\u00fcy\u00fck \u00f6nemi olan\ntiroid hormonlar\u0131n\u0131, tiroid bezinin bozulmas\u0131yla meydana gelen hastal\u0131klar\u0131 ve\nbeslenme tedavilerinde hangi \u00f6nerilere uymam\u0131z gerekti\u011finden bahsedece\u011fim.<\/p>\n\n\n\n

      Tiroid hormonlar\u0131n\u0131n \u00fcretilmesi, sal\u0131nmas\u0131 ve\ndepolanmas\u0131 tiroid bezinin g\u00f6revidir. Bu hormonlar kaslar\u0131n d\u00fczg\u00fcn \u00e7al\u0131\u015fmas\u0131nda,\nenerji dengesinin sa\u011flanmas\u0131nda ve v\u00fccut \u0131s\u0131s\u0131n\u0131n kontrol\u00fcnde \u00f6nemli bir yere\nsahiptir. Kad\u0131nlar\u0131n do\u011fum yapmas\u0131 ve menopoz s\u00fcre\u00e7lerindeki hormonal\nde\u011fi\u015fiklikler erkeklere oranla daha \u00e7ok tiroid rahats\u0131zl\u0131klar\u0131na\nyakalanmalar\u0131na neden olmaktad\u0131r. <\/p>\n\n\n\n

      T3 ve T4 i\u00e7lerinde iyot bulunan tiroid\nhormonlar\u0131d\u0131r. TSH ise tiroid hormonlar\u0131n\u0131 d\u00fczenleyen bir hormondur. G\u00fcnl\u00fck\niyot ihtiyac\u0131 kar\u015f\u0131lanmad\u0131\u011f\u0131nda eksiklikler g\u00f6r\u00fclmektedir. WHO\u2018nun verilerine\ng\u00f6re g\u00fcnl\u00fck iyot ihtiyac\u0131m\u0131z\u0131 kar\u015f\u0131layacak tuz miktar\u0131 5 gramd\u0131r.<\/p>\n\n\n\n

      Tiroid hormonlar\u0131 testis, akci\u011fer, dalak,\nretina, beyin gibi baz\u0131 dokular\u0131n aktivitesi hari\u00e7 di\u011fer dokularda\nmetabolizmay\u0131 artt\u0131rmaktad\u0131r. V\u00fccudumuzda protein sentezi artt\u0131\u011f\u0131 i\u00e7in de\nb\u00fcy\u00fcme ve geli\u015fmede de art\u0131\u015f g\u00f6r\u00fclecektir. Tiroid hormonlar\u0131n\u0131n fazla \u00e7al\u0131\u015fmas\u0131\nproteinlerin y\u0131k\u0131m\u0131n\u0131n yap\u0131m\u0131n\u0131n \u00f6n\u00fcne ge\u00e7mesine ve kas kay\u0131plar\u0131na sebep\nolmaktad\u0131r. Ayr\u0131ca albuminlerin de y\u0131k\u0131m\u0131 artt\u0131\u011f\u0131ndan bireylerde hafif hipoalbuminemi\nde olabilmektedir. \u0130\u00e7 salg\u0131 bezlerinin aktivitesinde de artmalar ya\u015fanacakt\u0131r. <\/p>\n\n\n\n

      Tiroid hormonlar\u0131ndan olan T3 hormonu\nglikozun v\u00fccutta yap\u0131m\u0131, emilimi ve kullan\u0131m\u0131nda g\u00f6rev almaktad\u0131r. Fazla\nsalg\u0131lanmas\u0131 durumunda kandaki glikoz miktar\u0131 artt\u0131\u011f\u0131ndan ins\u00fclin ihtiyac\u0131\ngere\u011finden fazla olacakt\u0131r bu da ileride diyabet riskini a\u00e7\u0131\u011fa \u00e7\u0131karmaktad\u0131r. Yap\u0131lan\n\u00e7al\u0131\u015fmalara g\u00f6re obez bireylerde T3 ve T4 hormonlar\u0131 normal seviyede olmas\u0131na\nkar\u015f\u0131n TSH seviyelerinde art\u0131\u015f g\u00f6r\u00fclmektedir. Bu da BK\u0130\u2019nin artt\u0131\u011f\u0131 durumlarda\nTSH\u2019nin de artabilece\u011fini bizlere g\u00f6stermektedir. <\/p>\n\n\n\n

       Lipid metabolizmas\u0131 \u00fczerinde tiroid\nhormonlar\u0131n\u0131n i\u015flevi bulunmaktad\u0131r. Karbonhidrat ve protein metabolizmas\u0131nda\noldu\u011fu gibi lipidlerin yap\u0131m ve y\u0131k\u0131m\u0131nda da tiroid hormonlar\u0131 g\u00f6revlidir.\nFazla salg\u0131lanmas\u0131 lipidlerin v\u00fccuttaki depolar\u0131n\u0131n azalmas\u0131na, serum\nlipidlerinde d\u00fc\u015fmelerin ya\u015fanmas\u0131na neden olmaktad\u0131r. LDL kolestrolu d\u00fc\u015fer. Ya\u011f\ndokular\u0131nda bulunan ya\u011flar\u0131n par\u00e7alanmas\u0131yla kana ge\u00e7i\u015f sa\u011flan\u0131r ve kan ya\u011f\nasitleri y\u00fckselir.<\/p>\n\n\n\n

      Tiroid hormonlar\u0131n\u0131n fazlal\u0131\u011f\u0131n\u0131n uzun\ns\u00fcre devam etti\u011fi durumlarda kemiklerde kalsiyum eksikli\u011fi ya\u015fanabilmektedir.<\/p>\n\n\n\n

      Tiroid bezinden a\u015f\u0131r\u0131 T3 ve T4 sal\u0131nmas\u0131\ndurumuna hipertiroidi, TSH seviyelerinin y\u00fcksek T3 ve T4 de\u011ferlerinin d\u00fc\u015f\u00fck\nolma durumuna hipotiroidi, v\u00fccudun ba\u011f\u0131\u015f\u0131kl\u0131k sisteminin tiroid bezlerini\nyabanc\u0131 madde olarak g\u00f6r\u00fcp onu yava\u015f yava\u015f tahrip etmesine hashimoto tiroidi,\nba\u011f\u0131\u015f\u0131kl\u0131k sisteminin tiroid bezlerini a\u015f\u0131r\u0131 uyar\u0131p salg\u0131lar\u0131n artmas\u0131na neden\nolan hastal\u0131\u011fa ise graves hastal\u0131\u011f\u0131 denmektedir. <\/p>\n\n\n\n

       Hipertiroidinin tedavisi aksat\u0131lmamal\u0131d\u0131r.\nMenopoza giren kad\u0131nlarda kemik k\u0131r\u0131\u011f\u0131, osteoporoz, kalp yetmezli\u011fi, kan\nbas\u0131nc\u0131nda art\u0131\u015f, ritim bozuklu\u011fu ya\u015fanmaktad\u0131r. <\/p>\n\n\n\n

      Hipotiroidi tedavisinde ila\u00e7 kullan\u0131lmas\u0131\n\u00f6nemlidir \u00e7\u00fcnk\u00fc tahrip olan bezlerden bir daha hormon salg\u0131lanmas\u0131\nolmamaktad\u0131r. Bu y\u00fczden hormonlar\u0131n v\u00fccuda d\u0131\u015far\u0131dan verilmesi gerekmektedir.\nHipotiroidi kalbi etkileyen \u00f6nemli bir durumdur. \u0130leriki zamanlarda ki\u015fide\nartm\u0131\u015f damar sertli\u011fi; d\u00fc\u015f\u00fck kalp at\u0131m h\u0131z\u0131; LDL, total kolestrol ve\ntrigliserit d\u00fczeylerinde art\u0131\u015f; kalp zar\u0131nda s\u0131v\u0131 toplanmas\u0131; normalden y\u00fcksek\nkan bas\u0131nc\u0131 ve kalp yetmezli\u011fi ihtimalleri a\u00e7\u0131\u011fa \u00e7\u0131kmaktad\u0131r.<\/p>\n\n\n\n

      Tiroid hastal\u0131klar\u0131nda ila\u00e7 tedavilerinin\nyan\u0131nda beslenme tedavisi de \u00f6nemli bir yer tutmaktad\u0131r. Asl\u0131nda tam olarak\nkesin belirlenmi\u015f bir tedavi metodu yoktur fakat tiroid hormonu bozukluklar\u0131\nile meydana gelen di\u011fer hastal\u0131klar\u0131n tedavisini sa\u011flamak tiroid hormon\nseviyelerinin normale d\u00f6nd\u00fc\u011f\u00fcn\u00fc bizlere g\u00f6stermektedir. Tiroid ile beraber daha\n\u00e7ok metabolik sendrom dedi\u011fimiz durumla kar\u015f\u0131la\u015f\u0131r\u0131z. Bu hastal\u0131\u011f\u0131n i\u00e7inde\nkoroner arter hastal\u0131\u011f\u0131, dislipidemi, hipertansiyon, glukoz intolerans\u0131 ve abdominal\nobezite yer almaktad\u0131r. Zincirleme birbirlerini tetiklemektedirler. Bu sebeple\nmetabolik sendromun olu\u015fturdu\u011fu komplikasyonlar\u0131 tedavi etmek \u015fu an i\u00e7in daha\netkili olacakt\u0131r.<\/p>\n\n\n\n

      Hipertiroidi olanlar deniz tuzunu\nkullanmamal\u0131d\u0131rlar. Deiyonize tuz tercih etmelilerdir. \u0130yot i\u00e7eren takviye\ng\u0131dalar, haz\u0131r soslar ve deniz \u00fcr\u00fcnleri dikkat edilerek kullan\u0131lmal\u0131d\u0131r.\nHipotiroidli hastalar\u0131n iyotlu tuz kullanmalar\u0131nda bir sak\u0131nca yoktur. A\nvitamini, demir, selenyum ve \u00e7inkonun diyetteki miktarlar\u0131 kontrol edilmelidir.\nKi\u015filerde a\u011f\u0131rl\u0131k kayb\u0131 ya\u015fanmas\u0131; karbonhidrat, protein ve ya\u011f miktarlar\u0131n\u0131n beslenme\nprogram\u0131nda dengeli da\u011f\u0131lmas\u0131; fiziksel aktivitenin biraz daha artt\u0131r\u0131lmas\u0131 ve\nbol su t\u00fcketimi \u015fu an i\u00e7in uygulanan ve sonu\u00e7 g\u00f6r\u00fclen bir tedavi y\u00f6ntemidir.<\/p>\n\n\n\n

      Guatrojenik besinler v\u00fccutta y\u0131k\u0131ma\nu\u011frad\u0131klar\u0131nda tiroid sentezinde iyotun kullan\u0131lmas\u0131n\u0131 engellerler. Bu nedenle\nhamile ve emziren anneler gibi iyot ihtiyac\u0131 fazla olan bireylerin, hipotiroidi\ngibi v\u00fccudunda yetersiz iyot bulunan ki\u015filerin guatrojenik besinlere dikkat\nedip kullan\u0131m\u0131n\u0131 k\u0131s\u0131tlamal\u0131 hatta duruma g\u00f6re hi\u00e7 t\u00fcketmemelidirler. Brokoli,\nm\u0131s\u0131r, \u015feftali, \u00e7in lahanas\u0131, karnabahar, \u00e7ilek, tatl\u0131 patates, soya s\u00fct\u00fc,\ntofu, soya fasulyesi, kara lahana, turp, \u0131spanak, yer f\u0131st\u0131\u011f\u0131, lahana, \u015falgam,\narmut, \u00e7am f\u0131st\u0131\u011f\u0131, badem, br\u00fcksel lahanas\u0131, b\u00f6\u011f\u00fcrtlen guatrojenik besinlere\n\u00f6rnektir. Lahana ve \u0131spana\u011f\u0131n \u00f6nce ha\u015flan\u0131p sonra dondurularak a\u011fart\u0131lmas\u0131yla\nguatrojenin etkisi hafiflemektedir. Sebzeleri pi\u015firerek t\u00fcketmek de etkiyi\nazaltan bir di\u011fer uygulamad\u0131r. Selenyum ve iyot i\u00e7eren besinlerin t\u00fcketimi,\nguatrojenin tiroid hormonu sentezinde iyodun kullan\u0131m\u0131n\u0131n engellenmesini \u00f6nler.\nPeynir, ay \u00e7ekirde\u011fi, bal\u0131k, et, pi\u015fmi\u015f fasulye, tofu selenyum bak\u0131m\u0131ndan\nzengin besinlerdir.<\/p>\n\n\n\n

      Ki\u015fide yukar\u0131daki belirtiler g\u00f6r\u00fcl\u00fcyorsa\nya da doktor taraf\u0131ndan tiroid bozuklu\u011fu te\u015fhisi konulmu\u015fsa bir diyetisyene\ngiderek kendisine \u00f6zel beslenme program\u0131 uygulanmal\u0131d\u0131r. \u00c7\u00fcnk\u00fc ki\u015finin ya\u015f\u0131,\ncinsiyeti, boyu, kilosu, ya\u015fad\u0131\u011f\u0131 \u00e7evre vb. bir\u00e7ok \u00e7evresel ve fiziksel fakt\u00f6r\nbeslenme program\u0131n\u0131 etkilemektedir. Doktor ve diyetisyenin i\u015f birli\u011fi i\u00e7erisinde\nuzun vadede bir program uygulanmal\u0131d\u0131r.<\/p>\n\n\n\n

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D\u0130YET\u0130SYEN AY\u015eENUR RAB\u0130A \u00d6NEN<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"

T\u0130RO\u0130D HASTALARINDA BESLENME       Tiroid hormon bozuklu\u011fu \u00fclkemizde s\u0131k g\u00f6r\u00fclen bir hastal\u0131kt\u0131r. Tedavi edilmezse ciddi sa\u011fl\u0131k sorunlar\u0131na neden olabilmektedir. Anne karn\u0131ndan itibaren fet\u00fcs\u00fcn iyot ihtiyac\u0131na dikkat edilmelidir. Eksiklik oldu\u011fu takdirde e\u011fer tedavi edilmezse zeka gerili\u011fi, premat\u00fcre do\u011fum, preeklampsi, ablosya plesanta, geri d\u00f6n\u00fc\u015f\u00fc olmayan santral sinir sistemi bozukluklar\u0131 g\u00f6r\u00fclebilmektedir. Bu ayki yaz\u0131mda b\u00fcy\u00fck \u00f6nemi olan tiroid […]<\/p>\n","protected":false},"author":11,"featured_media":8859,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[14,16,3,17,18,15,19,2,1],"tags":[2737,4675],"class_list":["post-8289","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-avrupa","category-belcika","category-dunya","category-ekonomi","category-kultur-sanat","category-spor","category-tanitim","category-turkiye","category-uncategorized","tag-beslenme","tag-tiroid"],"yoast_head":"\nT\u0130RO\u0130D HASTALARINDA BESLENME - AvrupaPress<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/avrupapress.com\/2019\/02\/06\/8289\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"T\u0130RO\u0130D HASTALARINDA BESLENME - AvrupaPress\" \/>\n<meta property=\"og:description\" content=\"T\u0130RO\u0130D HASTALARINDA BESLENME       Tiroid hormon bozuklu\u011fu \u00fclkemizde s\u0131k g\u00f6r\u00fclen bir hastal\u0131kt\u0131r. Tedavi edilmezse ciddi sa\u011fl\u0131k sorunlar\u0131na neden olabilmektedir. Anne karn\u0131ndan itibaren fet\u00fcs\u00fcn iyot ihtiyac\u0131na dikkat edilmelidir. Eksiklik oldu\u011fu takdirde e\u011fer tedavi edilmezse zeka gerili\u011fi, premat\u00fcre do\u011fum, preeklampsi, ablosya plesanta, geri d\u00f6n\u00fc\u015f\u00fc olmayan santral sinir sistemi bozukluklar\u0131 g\u00f6r\u00fclebilmektedir. 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