{"id":3827,"date":"2024-04-22T08:28:24","date_gmt":"2024-04-22T05:28:24","guid":{"rendered":"https:\/\/arttmodernmiami.com\/?p=3827"},"modified":"2024-04-25T19:00:00","modified_gmt":"2024-04-25T16:00:00","slug":"nutrition-in-hashimotos-disease","status":"publish","type":"post","link":"https:\/\/arttmodernmiami.com\/tr\/3827\/nutrition-in-hashimotos-disease\/","title":{"rendered":"Ha\u015fimato Tiroidi Hastal\u0131\u011f\u0131nda Beslenme"},"content":{"rendered":"
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\"\"<\/figure><\/div>\n\n\n

Tiroid bezi otoimm\u00fcn s\u00fcre\u00e7lerden en \u00e7ok etkilenen organd\u0131r. Ha\u015fimato hastal\u0131\u011f\u0131 troid bezinin hasar g\u00f6rmesi sonucunda olu\u015fur.<\/p>\n\n\n\n

Tiroid hormonlar\u0131n\u0131n kandaki seviyesi etkilendi\u011finde ila\u00e7la tedavi edilir. Ila\u00e7la tedavi edilen veya edilmeyen ha\u015fimato hastalar\u0131n\u0131n ya\u015fam \u015fekillerinde ve beslenme d\u00fczenlerinde yapt\u0131klar\u0131 de\u011fi\u015fiklikler sonucunda, ya\u015fam kalitesinde ve hastal\u0131\u011f\u0131n seyrinde iyile\u015fmeler oldu\u011funu g\u00f6steren \u00e7al\u0131\u015fmalar vard\u0131r.<\/p>\n\n\n\n

Otoimm\u00fcn protokol diyeti:<\/strong><\/strong><\/p>\n\n\n\n

Ha\u015fimato hastal\u0131\u011f\u0131n\u0131n beslenme tedavisinde v\u00fccuttaki inflamasyonun azalmas\u0131 ve s\u0131zd\u0131ran ba\u011f\u0131rsa\u011f\u0131n tedavisini ama\u00e7layan otoimm\u00fcn protokol diyeti kullan\u0131l\u0131r. Bu diyette tah\u0131llar, kuru baklagiller, s\u00fct grubu besinler, gece g\u00f6lgesi sebzeleri, rafine \u015feker ve rafine ya\u011flar beslenmeden \u00e7\u0131kar\u0131l\u0131r. Do\u011fal beslenmi\u015f hayvan etlerine, sebzelere, kuruyemi\u015flere (yer f\u0131st\u0131\u011f\u0131 hari\u00e7), sa\u011fl\u0131kl\u0131 ya\u011flara bu beslenme d\u00fczeninde yer verilmelidir.<\/p>\n\n\n\n

V\u00fccuttaki oksidatif stresi b\u00f6ylelikle inflamasyonun azaltmaya yard\u0131mc\u0131 ya\u011fl\u0131 bal\u0131klar, baharatlar, sebzeler mutlaka s\u0131kl\u0131kla t\u00fcketilmelidir.<\/p>\n\n\n\n

Doktorun belirledi\u011fi bir s\u00fcre elimine edilen bu besinler bir s\u00fcre sonra yava\u015f yava\u015f beslenme d\u00fczenine eklenir. Ki\u015fiye dokunan besinler bu yolla tespit edilir.<\/p>\n\n\n\n

Bu beslenme d\u00fczeni uygulan\u0131rken maksimum fayda sa\u011flayabilmek ve yeterli besin \u00f6\u011felerini v\u00fccuda alabilmek i\u00e7in mutlaka alan\u0131nda uzman doktor ve diyetisyenden destek al\u0131nmal\u0131d\u0131r.<\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

Glutensiz beslenme: <\/strong><\/strong><\/p>\n\n\n\n

Uzun s\u00fcre imm\u00fcn yan\u0131t\u0131n aktif olmas\u0131 molek\u00fcler mimikri denilen duruma neden olabilir. Molek\u00fcler mimikri, v\u00fccuda giren zararl\u0131 maddelerle v\u00fccut h\u00fccreleri aras\u0131ndaki molek\u00fcler benzerliktir. Sava\u015f halinde olan imm\u00fcn sistem, kendi v\u00fccut dokusuyla zararl\u0131 maddeyi kar\u0131\u015ft\u0131r\u0131r ve kendi dokusuna da sald\u0131r\u0131r. Bunun sonucunda otoimm\u00fcn hastal\u0131klar olu\u015fur. Gluten ile tiroid dokusu aras\u0131nda da molek\u00fcler benzerlik oldu\u011fu d\u00fc\u015f\u00fcn\u00fclmektedir.<\/p>\n\n\n\n

Yap\u0131lan \u00e7al\u0131\u015fmalarda Ha\u015fimato hastal\u0131\u011f\u0131nda glutensiz beslenmenin olumlu etkileri g\u00f6zlemlenmi\u015ftir.<\/p>\n\n\n\n

Bu diyette gluten i\u00e7eren besinler (\u00e7avdar, bu\u011fday, arpa, yulaf) beslenmeden \u00e7\u0131kar\u0131l\u0131r. Uygulama s\u0131ras\u0131nda lif i\u00e7eri\u011fi d\u00fc\u015f\u00fck glutensiz \u00fcr\u00fcnlerin, besinlerin ve unlar\u0131n\u0131n (m\u0131s\u0131r, patates, pirin\u00e7 vb.) g\u00fcnl\u00fck t\u00fcketiminin artmas\u0131 lif al\u0131m\u0131n\u0131n azalmas\u0131na, kan \u015fekeri dengesizliklerinin artmas\u0131na neden olur. Bu nedenle glutensiz ve lif i\u00e7eri\u011fi y\u00fcksek besinlerin t\u00fcketimi daha uygun olacakt\u0131r (karabu\u011fday, kinoa gibi).<\/p>\n\n\n\n

Yap\u0131lan bir di\u011fer hata ise kuru baklagillerin ve unlar\u0131n\u0131n t\u00fcketiminin artt\u0131r\u0131lmas\u0131d\u0131r. Bu besinlerin i\u00e7eri\u011finde bulunan lektin proteini de s\u0131zd\u0131ran ba\u011f\u0131rsa\u011f\u0131n artmas\u0131na ve v\u00fccuttaki inflamasyonun artmas\u0131na sebep olabilir. Bu nedenle t\u00fcketim miktarlar\u0131 konusunda dikkatli olunmal\u0131d\u0131r.<\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

Antiinflamatuar diyet:<\/strong><\/strong><\/p>\n\n\n\n

Besin a\u00e7\u0131s\u0131ndan yo\u011fun bir diyet, Hashimoto tiroiditi semptomlar\u0131n\u0131n \u015fiddetini azaltmaya ve genel sa\u011fl\u0131\u011f\u0131n\u0131z\u0131 iyile\u015ftirmeye yard\u0131mc\u0131 olabilir.<\/p>\n\n\n\n

Sebzeler: pancar, brokoli, kabak, enginar, ku\u015fkonmaz, havu\u00e7, biber, roka, mantar, tatl\u0131 patates, kabak vb.<\/p>\n\n\n\n

Tohumlar, kuruyemi\u015fler: badem, f\u0131nd\u0131k, kabak \u00e7ekirde\u011fi, ceviz, pekan, badem ezmesi, tahin, \u00e7\u00f6rek otu, \u00e7\u00f6rek otu vb.<\/p>\n\n\n\n

Sa\u011fl\u0131kl\u0131 ya\u011flar: zeytinya\u011f\u0131, zeytin, avokado, avokado ya\u011f\u0131, hindistan cevizi ya\u011f\u0131, \u015fekersiz hindistan cevizi gevre\u011fi, tam ya\u011fl\u0131 yo\u011furt, hindistan cevizi yo\u011furdu vb.<\/p>\n\n\n\n

Baharatlar, otlar ve \u00e7e\u015fniler: sumak, zerde\u00e7al, fesle\u011fen, biberiye, k\u0131rm\u0131z\u0131biber, safran, karabiber, tahin, bal, limon suyu, elma sirkesi vb.<\/p>\n\n\n\n

Hayvansal protein: somon, yumurta, morina, hindi, tavuk vb.<\/p>\n\n\n\n

Meyveler: meyveler, armutlar, elmalar, \u015feftaliler, turun\u00e7giller, ananas, muz vb.<\/p>\n\n\n\n

Glutensiz tah\u0131llar: karabu\u011fday, kinoa, siyah pirin\u00e7 vb.<\/p>\n\n\n\n

Fasulye ve mercimek: nohut, siyah fasulye, mercimek vb.<\/p>\n\n\n\n

S\u00fct \u00fcr\u00fcnleri ve s\u00fct \u00fcr\u00fcn\u00fc olmayan ikameler (kalsiyum ve\/veya D vitamini ile zenginle\u015ftirilmi\u015f): Hindistan cevizi s\u00fct\u00fc, Hindistan cevizi yo\u011furdu, badem s\u00fct\u00fc, tam ya\u011fl\u0131 \u015fekersiz yo\u011furt, ke\u00e7i peyniri vb.<\/p>\n\n\n\n

Uzak durulmas\u0131 gereken besinler:<\/strong><\/strong><\/p>\n\n\n\n

Rafine \u015fekerli besinler, katk\u0131 maddeli paketli g\u0131dalar, fast food, dondurulmu\u015f besinler, glutenli tah\u0131llar (bu\u011fday, arpa, \u00e7avdar, yulaf) ve bunlar\u0131n unlar\u0131n\u0131n kullan\u0131ld\u0131\u011f\u0131 makarna ve hamur i\u015fleri, dondurulmu\u015f haz\u0131r yemekler, i\u015flenmi\u015f etleri t\u00fcketmemek Ha\u015fimato hastal\u0131\u011f\u0131n\u0131n semptomlar\u0131n\u0131n \u015fiddetini azaltmaya ve genel sa\u011fl\u0131\u011f\u0131n\u0131z\u0131 iyile\u015ftirmeye yard\u0131mc\u0131 olabilir.<\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

\u00d6nemli vitamin ve mineraller:<\/strong><\/strong><\/p>\n\n\n\n

Selenyum; yeterli selenyum alman\u0131n tiroid antikorlar\u0131n\u0131 azaltmaya ve Hashimoto tiroiditi olan ki\u015filerde iyile\u015ftirmeye yard\u0131mc\u0131 olabilece\u011fini g\u00f6steriyor. Brezilya f\u0131nd\u0131\u011f\u0131, bal\u0131k, k\u0131rm\u0131z\u0131 et selenyum i\u00e7eri\u011fi y\u00fcksek g\u0131dalard\u0131r.<\/p>\n\n\n\n

D Vitamini; Hashimoto tiroiditi olan ki\u015filerin bu vitamin d\u00fczeylerinin genel pop\u00fclasyona g\u00f6re \u00f6nemli \u00f6l\u00e7\u00fcde daha d\u00fc\u015f\u00fck oldu\u011fu g\u00f6sterilmi\u015ftir. Ayr\u0131ca, \u00e7al\u0131\u015fmalar d\u00fc\u015f\u00fck D vitamini d\u00fczeylerini Hashimoto tiroidit \u015fiddetiyle ili\u015fkilendirmi\u015ftir.<\/p>\n\n\n\n

\u00c7inko; tiroid fonksiyonu i\u00e7in gereklidir. Ara\u015ft\u0131rmalar, tek ba\u015f\u0131na veya selenyumla birlikte kullan\u0131ld\u0131\u011f\u0131nda yeterli \u00e7inko al\u0131m\u0131n\u0131n hipotiroidizmi olan ki\u015filerde tiroid fonksiyonunu iyile\u015ftirebilece\u011fini g\u00f6stermektedir. Kakao ve bitter \u00e7ikolata, et, kefir, yo\u011furt, kabak \u00e7ekirde\u011fi, f\u0131nd\u0131k, \u0131spanak, mantar \u00e7inko i\u00e7eri\u011fi y\u00fcksek g\u0131dalard\u0131r.<\/p>\n\n\n\n

Demir; hashimoto tiroiditi olan ki\u015filerin anemi geli\u015ftirme olas\u0131l\u0131\u011f\u0131 daha y\u00fcksektir. K\u0131rm\u0131z\u0131 et, kuru baklagilleri ve sakatatlar\u0131n demir i\u00e7eri\u011fi y\u00fcksektir.<\/p>\n\n\n\n

B kompleks vitaminleri; Hashimoto tiroiditi olan ki\u015filer de ayn\u0131 \u015fekilde B12 vitamini a\u00e7\u0131s\u0131ndan d\u00fc\u015f\u00fck olma e\u011filimindedir. K\u0131rm\u0131z\u0131 et, bal\u0131k, yumurtan\u0131n B12 i\u00e7eri\u011fi y\u00fcksektir.<\/p>\n\n\n\n

Magnezyum; Hashimoto tiroiditi riskinin artmas\u0131 ve tiroid antikorlar\u0131n\u0131n y\u00fcksek olmas\u0131 ile ili\u015fkilidir. Kakao ve bitter \u00e7ikolata, kabak \u00e7ekirde\u011fi, avokado, f\u0131nd\u0131k, tam tah\u0131ll\u0131 tah\u0131l \u00fcr\u00fcnleri, baz\u0131 ya\u011fl\u0131 bal\u0131klar (somon) ve ye\u015fil sebzeler, yo\u011furt, kefir magnezyum i\u00e7eri\u011fi y\u00fcksek g\u0131dalard\u0131r.<\/p>\n\n\n\n

Sevgili Ha\u015fimato hastalar\u0131, beslenme d\u00fczeninizde yapaca\u011f\u0131n\u0131z bu de\u011fi\u015fikliklerin ya\u015fam kalitenizde g\u00f6zle g\u00f6r\u00fcl\u00fcr bir \u015fekilde artt\u0131raca\u011f\u0131na emin olabilirsiniz. Bu de\u011fi\u015fimi yaparken bir diyetisyenden yard\u0131m alman\u0131z\u0131 \u00f6neririm.<\/p>\n\n\n\n

Bu ay\u0131n parlak fikri<\/strong>: Yemeklerden bir saat \u00f6nceki ve bir saat sonraki s\u00fcre\u00e7te ve yemek s\u0131ras\u0131nda s\u0131v\u0131 t\u00fcketmemek ve lokmalar\u0131n\u0131z\u0131 en az 20 kez \u00e7i\u011fnemek sindirim sistemi \u015fik\u00e2yetlerinizi azaltacak, kilo vermenize yard\u0131mc\u0131 olacakt\u0131r. Deneyimlerinizi benimle payla\u015f\u0131rsan\u0131z sevinirim.<\/p>\n\n\n\n

Uzman Diyetisyen Esra Toktay<\/p>\n\n\n\n

Fonksiyonel T\u0131p Diyetisyeni<\/p>\n\n\n\n

<\/a>Mail : <\/a>dytesratoktay@gmail.com<\/a><\/pre>\n\n\n\n
Instagram : @uzmandiyetisyenesratoktay<\/pre>\n\n\n\n
References<\/a><\/p>\n\n\n\n
\nhttps:\/\/pubmed.ncbi.nlm.nih.gov\/32588591\/\n<\/div><\/figure>\n\n\n\n
\nhttps:\/\/pubmed.ncbi.nlm.nih.gov\/29143786\/\n<\/div><\/figure>\n\n\n\n
\nhttps:\/\/pubmed.ncbi.nlm.nih.gov\/35743024\/\n<\/div><\/figure>\n\n\n\n
\nhttps:\/\/pubmed.ncbi.nlm.nih.gov\/30060266\/\n<\/div><\/figure>\n\n\n\n
\nhttps:\/\/pubmed.ncbi.nlm.nih.gov\/34362024\/\n<\/div><\/figure>\n\n\n\n
\nhttps:\/\/pubmed.ncbi.nlm.nih.gov\/36839399\/\n<\/div><\/figure>\n\n\n\n
\nhttps:\/\/pubmed.ncbi.nlm.nih.gov\/35563541\/\n<\/div><\/figure>\n","protected":false},"excerpt":{"rendered":"
Tiroid bezi otoimm\u00fcn s\u00fcre\u00e7lerden en \u00e7ok etkilenen organd\u0131r. Ha\u015fimato hastal\u0131\u011f\u0131 troid bezinin hasar g\u00f6rmesi sonucunda olu\u015fur. Tiroid hormonlar\u0131n\u0131n kandaki seviyesi etkilendi\u011finde ila\u00e7la tedavi edilir. Ila\u00e7la tedavi edilen veya edilmeyen ha\u015fimato hastalar\u0131n\u0131n ya\u015fam \u015fekillerinde ve beslenme d\u00fczenlerinde yapt\u0131klar\u0131 de\u011fi\u015fiklikler sonucunda, ya\u015fam kalitesinde ve hastal\u0131\u011f\u0131n seyrinde iyile\u015fmeler oldu\u011funu g\u00f6steren \u00e7al\u0131\u015fmalar vard\u0131r. Otoimm\u00fcn protokol diyeti: Ha\u015fimato hastal\u0131\u011f\u0131n\u0131n beslenme […]<\/p>\n","protected":false},"author":4,"featured_media":3829,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[68],"tags":[140,139,19,93,141],"translation":{"provider":"WPGlobus","version":"3.0.0","language":"tr","enabled_languages":["en","tr"],"languages":{"en":{"title":true,"content":true,"excerpt":false},"tr":{"title":true,"content":true,"excerpt":false}}},"_links":{"self":[{"href":"https:\/\/arttmodernmiami.com\/tr\/wp-json\/wp\/v2\/posts\/3827"}],"collection":[{"href":"https:\/\/arttmodernmiami.com\/tr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/arttmodernmiami.com\/tr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/arttmodernmiami.com\/tr\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/arttmodernmiami.com\/tr\/wp-json\/wp\/v2\/comments?post=3827"}],"version-history":[{"count":4,"href":"https:\/\/arttmodernmiami.com\/tr\/wp-json\/wp\/v2\/posts\/3827\/revisions"}],"predecessor-version":[{"id":3837,"href":"https:\/\/arttmodernmiami.com\/tr\/wp-json\/wp\/v2\/posts\/3827\/revisions\/3837"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/arttmodernmiami.com\/tr\/wp-json\/wp\/v2\/media\/3829"}],"wp:attachment":[{"href":"https:\/\/arttmodernmiami.com\/tr\/wp-json\/wp\/v2\/media?parent=3827"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/arttmodernmiami.com\/tr\/wp-json\/wp\/v2\/categories?post=3827"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/arttmodernmiami.com\/tr\/wp-json\/wp\/v2\/tags?post=3827"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}