He whānuitia ngā raruraru tairoi i roto i te ao hou, ā, ka pāngia ngā ira tangata katoa me ngā reanga katoa ki ngā taumata rerekē. Tērā pea he maha ake ngā wā ka ngaro ngā tātaritanga i ngā mate i tētahi atu mate, ā, he maha ngā tau kei muri i te māramatanga pūtaiao mō te mate, ngā maimoatanga/ngā rongoā noa mō ngā raruraru tairoi.
Ko te pātai ka whakautua e mātou i roto i tēnei tuhinga – Ka taea e te rongoā mārama te ārai me te rongoā i ngā raruraru tairoi/ngā raruraru pākia o te pūnaha io?
Mā te tirotiro i ngā tuhinga pūtaiao ka kitea e tātourongoā māramaKua maha ngā wā i rangahauhia ai te pānga o te rongoā ki te mahi a te tairoi, i roto i te tangata (hei tauira, a Höfling DB et al., 2013), i ngā kiore (hei tauira, a Azevedo LH et al., 2005), i ngā rāpeti (hei tauira, a Weber JB et al., 2014), me ētahi atu. Kia mārama ai he aharongoā māramaahakoa he mea e pārekareka ana ki ēnei kairangahau, kāore rānei, me mārama tuatahi tātou ki ngā kaupapa matua.
Kupu Whakataki
Ko te Hypothyroidism (te iti o te tairoi, te kore mahi o te tairoi) me whakaaro he mate e pāngia ana e te katoa, kaua ki te mate pango, mā rānei e pāngia ana e te hunga kaumātua anake. Kāore rawa he tangata i roto i te ao hou e tino pai ana te taumata o ngā homoni tairoi (Klaus Kapelari et al., 2007. Hershman JM et al., 1993. JM Corcoran et al., 1977.). Hei tāpiri atu ki te pōhēhētanga, he maha ngā take me ngā tohu e taupatupatu ana me ētahi atu raruraru pākia o te tinana pērā i te mate huka, te mate ngakau, te IBS, te cholesterol teitei, te pouri me te ngaro o te makawe (Betsy, 2013. Kim EY, 2015. Islam S, 2008, Dorchy H, 1985.).
He rite tonu te 'pūhoi o te pākia o te tinana' ki te hypothyroidism, koia te take e hono tahi ai me ētahi atu raruraru o te tinana. Ka kitea he hypothyroidism haumanu ina tae ki te taumata iti rawa.
I roto i ngā kupu poto, ko te hypothyroidism te āhua o te iti o te whakaputanga pūngao i roto i te tinana katoa nā te iti o te mahi a ngā homoni tairoi. He uaua ngā take matua, tae atu ki ngā momo kai me ngā momo āhua noho pēnei i te ahotea, te ira tuku iho, te koroheketanga, ngā ngako polyunsaturated, te iti o te kai warowaihā, te iti o te kai karori, te kore moe, te waipiro, tae atu ki te nui rawa o te whakakori tinana. Ko ētahi atu āhuatanga pēnei i te pokanga tango tairoi, te kai fluoride, ngā momo rongoā, me ētahi atu ka puta ai te hypothyroidism.
He āwhina pea te rongoā mārama ki te hunga ngoikore te tairoi?
Mārama whero me te mārama pūwhero (600-1000nm)tera pea he whai hua ki te whakahaere i te pākia o te tinana i ngā taumata rerekē.
1. E ai ki ētahi rangahau, mā te whakamahi tika i te mārama whero ka pai ake te hanga o ngā homoni. (Höfling et al., 2010,2012,2013. Azevedo LH et al., 2005. Вера Александровна, 2010. Gopkalova, I. 2010.) Pērā i ngā kiko katoa o te tinana, me whai pūngao te repe tairoiti hei mahi i ana mahi katoa. I te mea he wāhanga matua te homoni tairoiti i roto i te whakaoho i te hanga pūngao, ka kite koe me pēhea te whakaiti i te hanga o te homoni tairoiti mā te korenga o taua mea i roto i ngā pūtau o te repe – he huringa kino tawhito. He iti te tairoiti -> he iti te pūngao -> he iti te tairoiti -> me ētahi atu.
2. Te rongoā māramaIna whakamahia tika ki te kaki, tera pea ka pakaru tēnei huringa kino, i roto i te ariā mā te whakapai ake i te wātea o te pūngao ā-rohe, ā, ka piki ake anō te hanga homoni tairoi tūturu e te repe. Mēnā ka whakahokia mai he repe tairoi hauora, ka puta he maha ngā pānga pai, i te mea ka whiwhi te tinana katoa i te pūngao e hiahiatia ana (Mendis-Handagama SM, 2005. Rajender S, 2011). Ka tīmata anō te hanga homoni steroid (testosterone, progesterone, me ētahi atu) – ka whakarei ake te wairua, te hiahia me te ora, ka piki ake te pāmahana o te tinana, ā, ka hurihia ngā tohu katoa o te ngoikore o te pākia o te tinana (Amy Warner et al., 2013) – tae atu ki te āhua tinana me te ataahua o te moepuku ka piki ake.
3. Haunga ngā painga pūnaha pea mai i te pānga o te tairoi, ko te whakamahi i te mārama ki hea i te tinana ka puta he pānga pūnaha, mā te toto (Ihsan FR, 2005. Rodrigo SM et al., 2009. Leal Junior EC et al., 2010). Ahakoa kāore he mitochondria o ngā toto toto whero; kei roto i ngā pereti toto, ngā toto toto mā me ētahi atu momo pūtau kei roto i te toto ngā mitochondria. Kei te rangahauhia tēnei anake kia kitea ai me pēhea, ā, he aha hoki ka taea ai e ia te whakaiti i te mumura me ngā taumata cortisol – he homoni ahotea e ārai ana i te whakahohenga T4 -> T3 (Albertini et al., 2007).
4. Mēnā ka whakamahia te rama whero ki ngā wāhi motuhake o te tinana (pērā i te roro, te kiri, ngā wheua, ngā patunga, me ētahi atu), e whakapae ana ētahi kairangahau tera pea ka kaha ake te pānga o te rama ki te rohe. Ka kitea pai tēnei i roto i ngā rangahau mō te whakaora rama i ngā mate kiri, ngā patunga me ngā mate pāwera, i roto i ngā rangahau maha ka taea te whakaiti i te wā whakaora mā terama whero, rama pūwhero rānei(J. Ty Hopkins et al., 2004. Avci et al., 2013, Mao HS, 2012. Percival SL, 2015. da Silva JP, 2010. Gupta A, 2014. Güngörmüş M, 2009). Tērā pea he rerekē te pānga ā-rohe o te mārama, engari he rite tonu ki te mahi tūturu o te homoni tairoi.
Ko te ariā matua, e whakaaetia whānuitia ana mō te pānga tika o te rongoā mārama, ko te whakaputanga pūngao pūtau. E kiia ana ko ngā pānga ka puta mai i te photodissociating nitric oxide (NO) mai i ngā whākōkī mitochondrial (cytochrome c oxidase, me ētahi atu). Ka taea e koe te whakaaro ko te NO he whakataetae kino ki te hāora, he rite ki te waro monoxide. Ko te tikanga, ka aukati te NO i te whakaputanga pūngao i roto i ngā pūtau, ka hanga he taiao tino maumau pūngao, ka piki ake te cortisol/ahotea i muri iho.Rama wheroe whakaarohia ana hei ārai i tēnei paihana waikura hauota, me te ahotea e puta mai ana, mā te tango atu i ngā mitochondria. Pēnei, ka taea te whakaaro ko te mārama whero he 'whakakorenga tiaki i te ahotea', kaua ki te whakanui tonu i te whakaputanga pūngao. He tuku noa i ngā mitochondria o ō pūtau kia mahi tika mā te whakaiti i ngā pānga whakaiti o te ahotea, i tētahi ara kāore e taea e te homoni tairoi anake.
Ahakoa ka whakapai ake te homoni tairoi i te maha me te whai huatanga o ngā mitochondria, ko te whakapae mō te whakaora mārama he mea pea ka whakarei ake, ka whakarite hoki i ngā pānga o te tairoi mā te aukati i ngā ngota kino e pā ana ki te ahotea. Tērā pea he maha atu ngā tikanga ā-kore e taea ai e te tairoi me te mārama whero te whakaiti i te ahotea, engari kāore mātou e kōrero mō ēnei i konei.
Ngā tohu o te tere pākia iti/hypothyroidism
Te tere o te manawa iti (i raro i te 75 bpm)
Te pāmahana tinana iti, iti iho i te 98°F/36.7°C
Kei te mātao tonu (ina koa ngā ringaringa me ngā waewae)
Kiri maroke i ngā wāhi katoa o te tinana
Ngā whakaaro pōuri/riri
Te āhua o te ahotea/manukanuka
Kohu roro, ānini
Te tupu puhoi o te makawe/ngā maikuku
Ngā raruraru whekau (te mate puku, te mate puku, te IBS, te SIBO, te pupuhi, te mamae o te uma, me ētahi atu)
Te mimi pinepine
Te iti/te kore hiahia moepuku (me/ranei te ngoikore o te ure/te koretake o te hinu whakahinuhinu o te tara)
Te ngoikore o te rewena/candida
Te huringa paheketanga koretake, te taumaha, te mamae
Te kore tamariki
Te tere o te angiangi/te hoki whakamuri o te makawe. Te angiangi o ngā tukemata
Moe kino
Me pēhea te mahi a te pūnaha tairoi?
Ka puta tuatahi te homoni tairoiti i roto i te repe tairoiti (kei roto i te kaki) hei T4, kātahi ka haere mā te toto ki te ate me ētahi atu kiko, ka hurihia hei momo hohe ake – T3. Kātahi ka haere tēnei momo hohe ake o te homoni tairoiti ki ia pūtau o te tinana, ka mahi i roto i ngā pūtau hei whakapai ake i te whakaputanga pūngao pūtau. Nō reira, ko te repe tairoiti -> te ate -> ngā pūtau katoa.
He aha te nuinga o te wā ka hē i roto i tēnei tukanga whakaputa? I roto i te mekameka mahi o te homoni tairoi, ka raru pea tetahi wāhi:
1. Kāore pea te repe tairoiti e whakaputa i ngā homoni e tika ana. Tērā pea nā te korenga o te iodine i roto i te kai, te nui rawa o ngā waikawa ngako polyunsaturated (PUFA) me ngā goitrogen i roto i te kai, te pokanga tairoiti o mua, te mate e kiia nei ko te 'autoimmune' a Hashimoto, me ētahi atu.
2. Kāore pea te ate e 'whakahohe' ana i ngā homoni (T4 -> T3), nā te korenga o te hukahuka/glycogen, te nui rawa o te cortisol, te kino o te ate i te momona, te waipiro, ngā raau taero me ngā mate urutā, te nui rawa o te rino, me ētahi atu.
3. Kāore pea ngā pūtau e mimiti i ngā homoni e wātea ana. Ko te mimiti o te homoni tairoi kaha e ngā pūtau he mea nā ngā āhuatanga kai. Ko ngā ngako polyunsaturated mai i te kai (mai i ngā ngako kua rongoatia rānei e tukuna ana i te wā e whakaiti ana i te taumaha) ka ārai i te homoni tairoi kia uru ki ngā pūtau. Ko te hukahuka, arā, ngā huka whānui (fructose, sucrose, lactose, glycogen, me ētahi atu), he mea nui mō te mimiti me te whakamahinga o te homoni tairoi kaha e ngā pūtau.
Te homoni tairoi i roto i te pūtau
Ki te kore he arai mō te hanga o te homoni tairoi, ā, ka taea e ia te tae atu ki ngā pūtau, ka mahi tika, ā-kore rānei i runga i te tukanga manawa i roto i ngā pūtau – ka arahi ki te waikura katoa o te hukahuka (ki te hauhā waro). Ki te kore he nui te homoni tairoi hei 'wehe' i ngā pūmua mitochondrial, kāore e taea e te tukanga manawa te whakaoti, ā, ko te nuinga o te wā ka puta ko te waikawa lactic kaua ko te hua whakamutunga o te hauhā waro.
Ka mahi te homoni tairoiti ki ngā mitochondria me te pūtake o ngā pūtau, ka puta he pānga wā poto me te wā roa e whakapai ake ana i te pākia o te waikura. I roto i te pūtake, e whakaarohia ana ka awe te T3 i te whakaaturanga o ētahi ira, ka arahi ki te mitochondriogenesis, arā, he nui ake/he mitochondria hou. Ki runga i ngā mitochondria kua tīariari kē, ka puta he pānga whakapai ake i te pūngao mā te cytochrome oxidase, me te wetewete i te manawa mai i te hanga ATP.
Ko te tikanga o tēnei, ka taea te pana i te hukahuka ki raro i te ara manawa, me te kore e hiahiatia te whakaputa ATP. Ahakoa he ahua moumou tēnei, ka whakanui ake i te nui o te hauhā waro whai hua, ā, ka aukati i te kohi hukahuka hei waikawa lactic. Ka kitea tēnei i roto i ngā tāngata mate huka, he maha ngā wā ka nui te waikawa lactic e puta ana, ka arahi ki te āhua e kiia nei ko te lactic acidosis. He maha ngā tāngata hypothyroid e whakaputa ana i te waikawa lactic nui i te wā e okioki ana. He mahi tika tā te homoni tairoi ki te whakamamae i tēnei āhua kino.
He mahi anō tā te homoni tairoiti i roto i te tinana, arā, ko te hono atu ki te huaora A me te cholesterol hei hanga i te pregnenolone – te matūtake mō ngā homoni steroid katoa. Ko te tikanga o tēnei, ko te iti o ngā taumata tairoiti ka hua ake he iti o te progesterone, te testosterone, me ētahi atu. Ka iti hoki ngā taumata o ngā tote au, ā, ka whakararu i te nakunaku. Ko te homoni tairoiti pea te homoni tino nui i roto i te tinana, e kiia ana ko ia te kaiwhakahaere i ngā mahi nui katoa me ngā kare ā-roto o te oranga.
Whakarāpopototanga
E whakaarohia ana te homoni tairoi e ētahi ko te 'homoni matua' o te tinana, ā, ko te hanga e whakawhirinaki ana ki te repe tairoi me te ate.
Ka whakaoho te homoni tairoi kaha i te whakaputanga pūngao mitochondrial, te hanganga o ngā mitochondria me ngā homoni steroid.
Ko te Hypothyroidism he āhua o te ngoikore o te kaha pūtau me ngā tohu maha.
He uaua ngā take o te iti o te tairoi, e pā ana ki te kai me te momo noho.
Ko ngā kai iti-warowaihā me te nui o te PUFA i roto i ngā kai he tino take, me te ahotea anō hoki.
Tairoitirongoā mārama?
I te mea kei raro i te kiri me te ngako o te kaki te repe tairoiti, ko te hihi tata-whero te momo mārama e tino rangahauhia ana mō te maimoatanga tairoiti. He tika tēnei nā te mea he nui ake te uru atu i te whero e kitea ana (Kolari, 1985; Kolarova et al., 1999; Enwemeka, 2003, Bjordal JM et al., 2003). Heoi, kua rangahauhia te whero he iti te roanga ngaru tae atu ki te 630nm mō te tairoiti (Morcos N et al., 2015), nā te mea he repe papatahi noa iho.
Ko ngā aratohu e whai ake nei e whaihia ana i roto i ngā rangahau:
Ngā rama LED/rēhiara whero-wheroi roto i te awhe 700-910nm.
100mW/cm², neke atu rānei te mātotoru mana
E hangai ana ēnei aratohu ki ngā roangaru whai hua i roto i ngā rangahau kua whakahuatia i runga ake nei, me ngā rangahau mō te urunga ki roto i ngā kiko kua whakahuatia ake nei. Ko ētahi atu o ngā mea e pā ana ki te urunga ko; te pāorooro, te kaha, te kaha, te pa o ngā kiko, te pōraruraru me te ōritetanga. Ka taea te whakaiti i te wā tono mēnā ka whakapaitia ētahi atu mea.
I te kaha tika, ka pā pea ngā rama LED infrared ki te repe tairoi katoa, mai i mua ki muri. Ka puta hoki ngā painga o ngā roangaru whero e kitea ana i runga i te kaki, ahakoa me whakamahi he taputapu kaha ake. Nā te mea he iti ake te uru o te whero e kitea ana e ai ki te kōrero kua whakahuatia ake nei. Hei whakatau tata, me whai hua pai ngā LED whero 90w+ (620-700nm).
Ētahi atu momohangarau whakaora māramaHe pai ngā taiaho iti, mēnā ka taea e koe te utu. He maha ake ngā rangahau mō ngā taiaho i roto i ngā tuhinga i ngā LED, heoi, e kiia ana he ōrite te pānga o te mārama LED (Chaves ME et al., 2014. Kim WS, 2011. Min PK, 2013).
Kāore ngā rama wera, ngā rama mura me ngā sauna infrared e tino whai hua ana mō te whakapai ake i te tere o te pākia o te tinana/te ngoikore o te io. Nā te whānui o te koki hihi, te wera nui/te koretake me te maumau o te whānuitanga hihi tēnei.
Raina Matua
Mārama whero, mārama pūwhero rāneimai i tētahi pūtake LED (600-950nm) ka tirohia mō te tairoi.
Ka tirohia, ka inehia hoki ngā taumata o ngā homoni tairoi i roto i ia rangahau.
He uaua te pūnaha tairoi. Me aro atu hoki ki te kai me te momo noho.
Kua tino rangahauhia te rama whakaora LED, te LLLT rānei, ā, ka tino haumaru. Ko ngā rama LED infrared (700-950nm) te mea e pai ana ki tēnei mara, ā, he pai hoki te whero e kitea ana.