Tadusi d ucci — iwaliwen n TBIBEC.COM Dr MOUATASSIM

🥩 Tadusi: managu ad tssiwḍt s uduktur?

Ucci d aseɣẓan amzwaru n tdusi izemren ad yettwabeddel. Uṣṣiṭ n tdusi ittuɣal aṭṭ ɣ Fṛansa u ittak addu ɣf tazdayt, iḍ d uẓẓug.

Min ilaq ad ittwacfa

• Uṣṣiṭ (uzal, vitamin D, B12) ittuɣal aṭṭ ɣ Fṛansa
• Tadusi tettak addu ɣf tazdayt, iḍ, addad n wul d uẓẓug
• Asfsi n idammn ilaq aṭṭ i usfsi ittwaqqnen
• Asmuttg ittɣaman izemr ɣ usqsi ɣf internet

Asmuttg n tdusi — asfsi n idammn, iwaliwen s ufrus d usmuttg ittɣaman

«Inni-iyi min tettcit, ad ak-iniɣ min tgit» — Anthelme Brillat-Savarin

Tadusi d asas n tdusi. Ɣ Fṛansa, 80% n imezdaɣ ɣur-sen uṣṣiṭ n vitamin D, am yiwen seg sin n ifṛansisiyen ɣur-s uẓẓug, u iḍniyen n taggayt n ugerru ttawaḍen 10% n tmeṭṭutin. Asqsi n tdusi issken uṣṣiṭ, isbeddel ucci u iḥḍu iḍniyen n usmuttg. Asqsi ɣf internet amanfaɛ i usmuttg ittɣaman war tanfellt.

📋 Amnay kaml — umuy

• 1 Asmuttg n tdusi: isfka ilaqen
• 2 Uṣṣiṭ ittuɣalin ɣ Fṛansa
• 3 Taggayt n ugerru d usmuttg
• 4 Askkar, akulistirul d uḥḍu
• 5 Iwaliwen n ucci s ufrus

📊 1. Asmuttg n tdusi: isfka ilaqen

NFS, ferritin, vitaminat, TSH, askkar n idammn, akulistirul

📋 Isfka n usmuttg n tdusi

• NFS — tikkal tazeggaɣt/timellalt — asmuttg: Hb >12 g/dL (tameṭṭut), >13 (argaz) — kraygat usggʷas
• Ferritin — aḥḍu n uzal — asmuttg: >15 µg/L (tameṭṭut), >30 (argaz) — kraygat usggʷas
• Vitamin D — 25-OH vitamin D — asmuttg: >30 ng/mL — amwan/amenzu
• TSH — twuri n taggayt n ugerru — asmuttg: 0,4-4 — kraygat usggʷas (tmeṭṭutin)
• Askkar n idammn ɣ uẓum — asmuttg: <1,10 g/L — kraygat usggʷas
• HbA1c — askkar n idammn n 3 n wayyur — asmuttg: <5,7% — ma yellan uskkar
• Akulistirul kaml — tifiyyi ɣ idammn — asmuttg: <2 g/L — kraygat usggʷas (ugar 50)
• Vitamin B12 — uṣṣiṭ n B12 — asmuttg: >200 — ma tellan issinn

📖 Isfka nniḍen ittwaḥḍan

• T3/T4 azziz: asmuttg kaml n taggayt n ugerru ma tgʷa TSH war tettwassn
• Anti-TPO: aḍni n taggayt n ugerru s tfekka n yiman
• Asfsi kaml n tifiyyi: HDL, LDL, triglycerides
• Asid urik, CRP, ionogramme, asfsi n wadif

💊 2. Uṣṣiṭ ittuɣalin ɣ Fṛansa

Vitamin D, uzal, iyud — issinn d tifrat

💊 Krad n uṣṣiṭ imuqranen

🦘 3. Taggayt n ugerru d usmuttg

Uṣṣiṭ n taggayt, ugar n twuri n taggayt, Hashimoto, Basedow

🦘 Iḍniyen n taggayt n ugerru

• Uṣṣiṭ n taggayt — tazdayt, ugar n uẓẓug, asemmiḍ, uḍu n uzar — TSH ↑, T4 ↓ — Levothyrox
• Ugar n twuri — nuqṣ n uẓẓug, azrib n wul, anɛay, tudsi — TSH ↓, T4 ↑ — imgalen n taggayt, iyud imseḍ
• Hashimoto — uṣṣiṭ ittɣaman — Anti-TPO + — Levothyrox
• Basedow — ugar n twuri + tuffra n tiṭṭ — Anti-TSI + — imgalen n taggayt

⚠️ Min ilaq ad ittwassen

• Taggayt n ugerru tettawaḍ tmeṭṭutin 10 n tikkal ugar n irgazen
• Asmuttg n TSH ittwasumer kraygat usggʷas ɣ tmeṭṭutin ugar 35
• Tamsgant d wakud n uḥbas n tmeṭṭut d wakuden n uxṭṭṛ

🍬 4. Askkar, akulistirul d uḥḍu

Asfsi, aswa d uḥḍu n iḍniyen n usmuttg

🍬 Aswa n usmuttg

🥩 5. Iwaliwen n ucci s ufrus

Asas n ucci ittwaṣelḥen d usmuttg ɣ usqsi ɣf internet

🍕 Isas

• 5 n ifellaḥen/n uḍen s wass
• Aserɣin kaml ugar n win ittwasfa
• Proteinat ɣ kraygat tirmt
• 1,5 L n waman s wass ɣ uẓẓel
• Anqes n uskkar ittwarna d tisent
• 3 n tirmatin ittɣaman, war ucci ger-sent

📱 Asmuttg ɣ usqsi ɣf internet

• Asfsi n idammn ittwakkes ɣ usqsi
• Ammud ɣ 24-48 n tsragin ɣ lmexber
• Asqsi n usmuttg d usfru n yigmḍanen
• Aɣawas n ucci s ufrus ɣf tnmettit-nnek d tilisa-nnek

🩺 Asqsi abibs?

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