Hypersecretion of thyroid hormone in hyperthyroidism promotes metabolism of essence, fat and protein, and accelerates oxidation. The body's heat production and heat dissipation are obviously increased, and the basal metabolic rate is abnormally increased. It is necessary to increase energy every day to correct the energy consumption in the body. Based on the above reasons, the diet of hyperthyroidism patients must pay attention to high calorie, high protein and high vitamins and supplement calcium, phosphorus, potassium, zinc and magnesium to correct the consumption caused by high metabolism. Improve the general situation.
1) Three highs, one ban and one right amount; Refers to a high-calorie, high-protein and high-vitamin diet, avoiding breaking the dietary rules and supplementing calcium and phosphorus in moderation.
1) increase heating; Adequate carbohydrates should be given daily to correct excessive consumption, and the daily energy supply is 65,438+02,540 ~ 65,438+04,630 dry coke (3,000 ~ 3,500 kcal), which is 50% ~ 75% higher than that of normal people, so as to meet the increase of metabolic rate caused by excessive thyroxine secretion.
2) Ensure the supply of protein; Protein's daily body weight per kilogram 15g, but animal protein should be limited.
3) Pay attention to the supply of vitamins, which should be rich. Because of high metabolic energy consumption, a lot of enzymes are consumed, and various water-soluble vitamins, especially B vitamins and vitamin D, are the main vitamins to ensure the intestinal absorption of calcium and phosphorus. It is necessary to ensure the supply and supplement vitamin A and vitamin C.
4) Appropriate calcium and phosphorus supplementation; In order to prevent osteoporosis and pathological fractures, the supply of calcium and phosphorus should be appropriately increased, especially for patients and the elderly who have long been unable to control their symptoms.
5) Avoid foods and medicines containing iodine; Iodine is the raw material for synthesizing thyroid hormone. There is a lot of iodine in the thyroid gland, which accelerates the formation of thyroid hormone. Therefore, iodine can induce hyperthyroidism and aggravate the symptoms of hyperthyroidism, and iodine-containing foods and drugs should be avoided. All kinds of iodine-containing contrast agents should also be used with caution.
2) increase the number of meals;
3) Dietary allocation
1) Appropriate food selection: According to the patient's usual eating habits, you can choose various starchy foods, such as rice, noodles, steamed bread, vermicelli, potatoes, pumpkins, etc. All kinds of animal foods, such as beef, pork, mutton, all kinds of fish, etc. All kinds of fresh fruits and foods rich in calcium and phosphorus, such as milk, nuts, fresh fish, etc. You can choose oranges and apples when potassium is low.
2) Avoid choosing food; Avoid foods containing iodine, such as kelp, seaweed, Nostoc flagelliforme and iodized salt. Local Chinese medicines such as Muzhen Kunshi, seaweed, Prunella vulgaris, Salvia miltiorrhiza, Scrophularia, Cyperus tuber, Fritillaria thunbergii and so on are also used.
3) Pay attention to the sexual and taste functions of food. From the perspective of Chinese medicine, direct selection of food has the function of nourishing yin, such as soft-shelled turtle, soft-shelled turtle and duck. Eat less warm, spicy and irritating food, such as roosters.
Principles and requirements of diet therapy for hyperthyroidism
(1) Give adequate carbohydrate and fat. Carbohydrate and fat can save protein, and if the supply is sufficient, protein can play its unique physiological function. Give adequate vitamins and inorganic salts. Vitamins and inorganic salts can regulate physiological functions and improve metabolism, especially vitamin B and vitamin C. Adequate calcium and iron should be given to prevent deficiency.
(2) Appropriately increase animal viscera, fresh green leafy vegetables, or supplement vitamin preparations.
(3) Appropriate control of foods with more cellulose. Hyperthyroidism patients often have diarrhea, such as excessive supply of cellulose-rich food will aggravate diarrhea.
(4) Avoid irritating tea, coffee, cigarettes and wine.
Recipe example
Breakfast: milk (fresh milk 250g, sugar 10g), boiled eggs 1 (eggs 50g), bread 75g, vegetable fried rape (rape 10g).
Extra meal: fruit (200 grams of apples) and 50 grams of biscuits.
Lunch: rice (rice 100g), braised beef (beef 150g), stewed tofu with Chinese cabbage (Chinese cabbage 100g, tofu 100g).
Meal: red lotus root starch (50 grams of lotus root starch) and 50 grams of cake.
Dinner: steamed stuffed bun 100g (flour 100g, lean pork 50g, Chinese cabbage 20g), moo Shu pork 100g (lean pork 30g, yellow flower 10g, fungus 5g), tomato and egg soup (tomato 50g, egg 50g).
Dinner: milk (fresh milk 250g, sugar 10g).
40 grams of cooking oil for a whole day.
The above recipes contain 3059 kilocalories (12780 kilojoules).
Medicinal diet therapy
(1) bergamot porridge: 9 grams of bergamot, seaweed 15 grams, 60 grams of japonica rice, and appropriate amount of brown sugar. Boil bergamot and seaweed with appropriate amount of water to remove residues, then add japonica rice and brown sugar to cook porridge. Daily 1 dose, taken continuously for 10 to 15 days, can regulate mental depression and emotional changes, and can soothe the liver and clear heat.
(2) kelp seaweed drink: kelp, seaweed and oyster are decocted in water. 1 Once a day for several days, it can soothe the liver, clear heat, regulate qi and relieve depression.
(3) Green persimmon cake: green persimmon1000g, and proper amount of honey. Remove pedicels from green persimmons, clean them, mash them and wring them into juice, put them in a pot and concentrate them until thick, then add 1 times honey, continue to fry them until thick, then turn off the fire and cool them, and assemble them for later use. Twice a day, each time 1 tablespoon, with boiled water 10 days to 15 days. It is mainly used for clearing away heat and purging fire, and is used for people who are uneasy, irritable and irritable, and have a hot face.
(4) Bulbus Fritillariae Cirrhosae seaweed porridge: Bulbus Fritillariae Cirrhosae, Herba Zosterae Marinae and Radix Salviae Miltiorrhizae each 15g, Coicis Semen 30g, wax gourd 60g and appropriate amount of brown sugar. Bulbus Fritillariae Cirrhosae and Radix Salviae Miltiorrhizae decoct soup first, and then remove dregs and add other flavors to cook porridge. Bring warm clothes on an empty stomach every morning 15 ~ 20 days. Can be used for treating cervical swelling, nausea, loose stool and other diseases.
(5) Stir-fry Dictyophora indusiata and Dictyophora edulis: Dictyophora indusiata and Dictyophora edulis 15g, oyster 30g, and appropriate amount of brown sugar. Decoct the juice with water and remove the residue. Daily 1 dose for 7 days to 10 days. Has effect in resolving phlegm, promote diuresis, softening and resolving hard mass.
(6) Assorted tofu: 4 pieces of tofu, tomato150g, auricularia auricula15g, winter bamboo shoots15g, peas15g, wet starch 9g, raw oil 9g, onion, ginger and salt 9g.