خمول الغدة الدرقية (hypothyroidism)

• عشان نعرف الشخص عندو خمول غدة او زيادة فرط في الغدة لام نشوف التحاليل حقت TSH +T3 +T4

- Usually during pregnancy +oral contraceptive +estrogen use >> ↑ T3 +↑ T4

- The optimal iodine intake 150 µg

- دائما الناس اللي عندهم خمول في الغدة نلقى عندهم نقص في فيتامين A وكمان اليود ونلقى عندهم ارتفاع في الكالسيوم

---

Nutrition:

Assessment Data: Low serum levels of T4 and T3 with increased TSH. Unplanned weight gain of 30 lb (13 kg) in past 2 years.

Nutrition Diagnosis (PES): Overweight as related to excess food and nutrition related knowledge deficit and hypothyroidism as evidenced by reports of over-consumption of high fat/calorie dense food and beverages, BMI 30

Interventions: weight control/ exercise plan with promotion of a diet including 30–40% fat, 45–50% complex carbohydrates, and 15–20% protein +Recommend ↑intake of fluid and foods high in fiber.

Recommendation:

-good sources of carotenoids such as lycopene (tomatoes+ carrots) b/c Since T3 is an important hormone needed for vitamin A metabolism, serum levels may be low in this population.

-fiber-rich foods as well as fluids.

-cabbage, turnips, rapeseed, peanuts, cassava, cauliflower, broccoli, and soybeans may block uptake of iodine by body cells; they are inactivated by heating and cooking.

يعني كيف ننصح المرضى اننا نقولهم اتجنبو الزهرة والكرنب وزبدة الفول السوداني والبروكلي ولو مرة مشتهين ياكلوها يحاولو يطبخوها

-Achieve optimal iodine intakes from iodized salt (in the range of 150–250 _g/d for adults)