Iyo Rima Side yeSimbi - Sei Yakanyanya Kukuvadza Kunokuvadza
Pane zvikonzero zviviri nei mazinga esimbi achidzorwa zvakanyanya mumuviri:
- Iron chinhu chakakosha chekudya chinoita basa mumabasa mazhinji emuviri, saka tinoda kuwana shoma shoma.
- Yakakwira yesimbi inogona kuita chepfu, saka tinofanira kudzivisa kutora wo.
Muviri unogadzirisa mazinga esimbi nekugadzirisa chiyero chekutorwa kwesimbi kubva mudumbu rekudya.
Hepcidin, iyo yemuviri-inodzora mahormone, ine basa rekuchengetedza chiyero chezvitoro zvesimbi. Basa rayo guru nderekudzvinyirira kubatwa kwesimbi.
Chaizvoizvo, aya ndiwo mashandiro ayo ():
- Zvitoro zvesimbi zvakakwirira -> Hepcidin mazinga anowedzera -> Iron absorption inoderera.
- Zvitoro zvesimbi zvakaderera -> Hepcidin mazinga anodzikira -> Iron absorption inowedzera.
Kazhinji yenguva iyi system inoshanda zvakanaka. Nekudaro, mashoma matambudziko anodzvanya kugadzirwa kwehepcidin anogona kutungamira mukuremerwa nesimbi.
Kune rimwe divi, mamiriro ezvinhu anokurudzira kuumbwa kwehepcidin anogona kukonzera kushomeka kwesimbi.
Iron balance inobatwawo nehuwandu hwesimbi mukudya kwedu. Nokufamba kwenguva, kudya kwakaderera musimbi kunogona kukonzera kushomeka. Saizvozvo, kuwedzeredza pane iron supplements kunogona kukonzera yakanyanya iron poisoning.
Mhedziso:
Mwero wekutorwa kwesimbi kubva mudumbu rekudya unodzorwa zvakasimba nehomoni hepcidin. Nekudaro, akati wandei masimbi anorema anogona kukanganisa iyi isina kusimba chiyero.
Iron toxicity
Iron toxicity inogona kuitika kamwe kamwe kana kufambira mberi.
Matambudziko mazhinji ehutano akakomba anogona kukonzerwa nekuwedzeredza netsaona, kushandisa kwenguva refu yekuwedzera-dose yekuwedzera, kana kusagadzikana kwesimbi overload.
Mumamiriro ezvinhu akajairika, iron shoma shoma inotenderera muropa.
Yakasungwa zvakachengeteka kumapuroteni, akadai setransferrin, ayo anodzivirira kubva mukukuvadza.
Nekudaro, iron toxicity inogona kuwedzera zvakanyanya "yemahara" mazinga esimbi mumuviri.
Simbi yemahara ipro-oxidant - iyo inopesana neimwe - uye inogona kukuvadza maseru.
Mamiriro akawanda anogona kukonzera izvi. Izvi zvinosanganisira:
- Iron poisoning: Chepfu inogona kuitika kana vanhu, kazhinji vana, vachitora yakawandisa iron supplement (, ).
- Hereditary hemochromatosis: Genetic disorder inoratidzwa nekunyanyisa kutorwa kwesimbi kubva muchikafu ().
- African iron yakawandisa: Rudzi rwesimbi yekudya yakawandisa inokonzerwa nehuwandu hwe iron mukudya kana zvinwiwa. Yakatanga kuonekwa muAfrica, umo doro rekugadzira raibikwa muhari dzesimbi ().
Acute iron poisoning inoitika apo vanhu vanotora yakawandisa iron supplement. Single doses yakaderera se10 kusvika 20 mg/kg inogona kukonzera zviratidzo zvakaipa. Mishonga inopfuura 40 mg/kg inoda kurapwa ().
Saizvozvowo, kudzokororwa kwepamusoro-dose iron supplementation kunogona kukonzera matambudziko makuru. Iva nechokwadi chekutevera mirairo yesimbi yekuwedzera uye usambotora zvinopfuura zvinokurudzirwa nachiremba wako.
Zviratidzo zvekutanga zvechepfu yesimbi zvinogona kusanganisira kurwadziwa nemudumbu, kusvotwa uye kurutsa.
Zvishoma nezvishoma, iron yakawandisa inowanda munhengo dzemukati, zvichikonzera kukanganisa kunouraya kuuropi uye chiropa.
Kudya kwenguva refu kwepamusoro-dose yekuwedzera kunogona kukonzera zvishoma nezvishoma zviratidzo zvakafanana nesimbi yakawandisa, iyo inokurukurwa zvakadzama pazasi.
Mhedziso:
Iron toxicity inoreva kukuvadza kwesimbi yakawandisa. Izvi zvinogona kuitika kana 1) vanhu vakawandisa pane zvekuwedzera iron, 2) kutora yakakwira-dose yekuwedzera kwenguva yakareba, kana 3) vane chisingaperi iron overload disorder.
Simbi yakawandisa
Iron overload inoreva kuunganidzwa zvishoma nezvishoma kwesimbi yakawandisa mumuviri. Zvinokonzerwa nehurongwa hwemuviri hwekutadza kuchengetedza simbi mukati memiganhu ine hutano.
Kune vanhu vazhinji, iron yakawandisa haisi dambudziko. Nekudaro, idambudziko kune avo vane genetically predisposed kune yakawandisa iron absorption kubva mudumbu rekudya.
Chirwere chesimbi chinonyanyozivikanwa ndechenhaka. Izvi zvinotungamirira mukuunganidzwa kwesimbi munyama uye nhengo (,).
Nokufamba kwenguva, hemochromatosis isina kurapwa inowedzera njodzi yearthritis, kenza, matambudziko echiropa, chirwere cheshuga uye kukundikana kwemoyo ().
Muviri hauna nzira iri nyore yekubvisa iron yakawedzerwa. Nzira inonyanya kushanda yekubvisa iron yakawandisa ndeye kurasikirwa neropa.
Naizvozvo, vakadzi vari kumwedzi havanyanyi kutambura nesimbi yakawandisa. Saizvozvowo, vaya vanopa ropa kakawanda vanenge vari pangozi shoma.
Kana iwe uchiwanzoita iron yakawandisa, unogona kuderedza njodzi yehutano hwehutano ne:
- Deredza kudya kwaunoita chikafu chine iron, senyama tsvuku.
- Ipa ropa nguva dzose.
- Dzivisa kutora vhitamini C neine iron-rich food.
- Dzivisa kushandisa midziyo yesimbi yekubikira.
Nekudaro, kana usati waonekwa kuti une iron yakawandisa, kazhinji hazvikurudzirwe kuderedza kutora kwako iron.
Mhedziso:
Iron overload inoratidzwa nekuwanda kwearon mumuviri. Chirwere chinowanzoitika ndechenhaka yehemochromatosis, iyo inogona kutungamirira kumatambudziko akawanda ehutano. Izvi hazvinetse vanhu vazhinji.
Iron uye njodzi yekenza
Hapana mubvunzo kuti kuwandisa kwesimbi kunogona kukonzera kenza mumhuka nevanhu (,).
Zvinoita sokuti kupa ropa nguva dzose kana kurasikirwa neropa kunogona kuderedza ngozi iyi ().
Observational studies dzinoratidza kuti high heme iron intake inogona kuwedzera njodzi yecolon cancer (,).
Miedzo yemakiriniki muvanhu yakaratidza kuti heme iron kubva kune zvinowedzera kana nyama tsvuku inogona kuwedzera kuumbwa kwecarcinogenic N-nitroso compounds mumugwagwa wekudya (,).
Kubatanidzwa kwenyama tsvuku negomarara inyaya ine nharo. Kunyangwe paine nzira dzinogoneka dzinotsanangura chinongedzo ichi, humbowo huzhinji hunobva pane zvidzidzo zvekucherechedza.
Mhedziso:
Iron overload kusagadzikana kwakabatanidzwa kune yakawedzera njodzi yegomarara. Zvidzidzo zvakare zvinoratidza kuti heme iron inogona kuwedzera njodzi yekenza yekoloni.
Iron uye njodzi yehutachiona
Iron yakawandisa uye kushayikwa kwesimbi kunoratidzika kuita kuti vanhu vawedzere kubatwa nehutachiona (,).
Pane zvikonzero zviviri zveizvi ():
- Masoja ekudzivirira zvirwere anoshandisa iron kuuraya mabhakitiriya anokuvadza, saka imwe simbi inodiwa kurwisa utachiona.
- Yakakwira simbi yemahara inosimudzira kukura kwebhakitiriya nemavhairasi, saka iron yakawandisa inogona kuita zvinopesana uye. wedzera njodzi yezvirwere.
Ongororo dzinoverengeka dzinoratidza kuti kuwedzera kwesimbi kunogona kuwedzera kuwanda uye kuomarara kwehutachiona, kunyangwe zvidzidzo zvishoma zvakawana pasina mhedzisiro (,,,,,,).
Vanhu vane nhaka yehemochromatosis vanonyanya kubatwa nehutachiona ().
Kune varwere vari pangozi yakakura yekutapukirwa, iron supplementation inofanira kuva sarudzo inonyatsoziva. Njodzi dzose dzinogona kuitika dzinofanirwa kutariswa.
Mhedziso:
Iron overload uye high-dose iron supplementation inogona kuwedzera njodzi yehutachiona mune vamwe vanhu.
Takeaway message
Muchidimbu, iron inogona kuva nengozi muhuwandu hukuru.
Nekudaro, kunze kwekunge uine iron yakawandisa dambudziko, iwe kazhinji haufanirwe kunetseka nezvekuwana yakawandisa iron kubva mukudya kwako.
Iron supplementation inyaya yakasiyana. Inobatsira avo vasina simbi, asi inogona kukuvadza kune avo vasina kukwana.
Usambotora iron supplements kunze kwekunge chiremba wako azvikurudzira.