Ndingawufuna nini ugqirha kavithamini D?

Ulwazi lweziyobisi

Ngelo xesha lonyaka xa uninzi lwaseMelika ludibana nemozulu eyoyikisayo kunye nexesha elincinci elangeni. Xa kuziwa kwimpilo yakho, abantu abaninzi bathambekele ekudibaniseni imozulu yobusika kunye nomkhuhlane okanye ukubanda okuqhelekileyo. Kodwa kukho isondlo esibalulekileyo esiphoswayo sithi, ngakumbi ebusika, kwaye sidlala indima enkulu kwimpilo yakho: ivithamini D. .

Yintoni ivithamin D?

UVitamin D yivitamin enyibilikayo enamafutha efunekayo ukuze ikhalsiyam ingene emathanjeni akho, utsho UGqirha Inna Lukyanovsky, uGqirha ., ugqirha osebenzayo kunye nombhali we ICrohn's kunye neColitis Fix .

Chirag Shah, MD , Umseki-mbumbano wePush Health, uyacacisa: I-Vitamin D luhlobo lweemolekyuli eyaziwa ngokuba yi-secosteroid. Vitamin D iyasebenza emzimbeni kwaye inceda ukwandisa ukufunxwa kwee-electrolyte, kubandakanya ikhalsiyam kunye nemagniziyam, ukusuka kwithumbu lesisu.

Ngamanye amagama, amathambo akho awanako ukufunxa calcium ngaphandle ivithamin D . Yiyo loo nto uninzi lobisi lweenkomo oluthengiswa kwiivenkile zokutya zaseU.S. luqiniswe ngevithamini D. Nokuba ungakanani na loo calcium inkulu oyifumana ekutyeni, amathambo akho aya kuthamba kwaye aqhekeke ngaphandle kokuba nawe uthatha ivithamin D eyaneleyo ukuyicubungula.

Kutheni le nto ugqirha emisela ivithamin D?

Imigqaliselo kaVitamin D inokunyuka. Isifundo esinye ufumanise ukuba ukuvavanyelwa ukusilela kwe vithamin D kunye nemiyalelo elandelayo ye vithamini enyibilikayo etyebileyo inyuke ngaphezu kokuphindwe kasixhenxe phakathi kuka-2008 no-2013. Abaphandi bakholelwa ukuba kungenxa yokwanda komhlaba jikelele kwizigulana ezinesifo se-vitamin D, endaweni yokwanda kweemfuno.

Ke kutheni ugqirha enokuyalela ukongezwa kwe-vitamin D? Kukho izizathu ezininzi, kodwa kuqala ngokufikeleleka kweevithamini.

Sifumana phi ivithamin D?

I-Vitamin D ifumaneka kwimithombo embalwa yokutya kuyo nayiphi na into ebalulekileyo (isibindi, isalmon ebanjwe endle, kunye nexabiso elincinci kubisi oluqinileyo), utsho UArielle Levitan, ngo-1500 , umququzeleli weVous Vitamin kunye nombhali Isisombululo seVitamin . Inokufumaneka ngokuvezwa lilanga.

Kodwa abantu abaninzi abafumani vithamin D yaneleyo ekutyeni okanye ekuvezweni lilanga. Ukuba kunjalo, banokufuna ukuthatha isongezelelo se-vitamin D. Ngamanye amaxesha abantu banokufumana into abayifunayo kwi-over-the-counter (OTC) yokuncedisa, kodwa abantu abaninzi badinga umyalelo kumgqirha wabo. Unokufumana isongezelelo se-vitamin D kwii-pharmacy nakwii-drugstores kunye ne-brand-name supplements ezifana ne-Drisdol ne-Calciferol.

Iimeko zonyango ezifuna amayeza ka-vitamin D

U-Vitamin D uqhele ukumiselwa kwi-hypoparathyroidism [imeko ebangela ukunqongophala kwe-calcium, iicramps zezihlunu kunye nokuqaqamba komzimba, ubuthathaka nokudinwa], utshilo uGqirha Lukyanovsky. Oogqirha banokumisela i-osteomalacia, imeko apho kukho ukupheliswa kwe-calcium kwithambo.

Kukho ezinye iimeko zonyango ezinokubangela ukuba kunikwe amayeza ka-vitamin D. Umzekelo, i-hypocalcemia yimeko ephawulwe nge-calcium engonelanga egazini. Oogqirha bayayinyanga ngeentlobo ezithile zevithamini D ebizwa ngokuba yialfacalcidol, calcifediol, calcitriol, kunye ne-dihydrotachysterol. I-Alfacalcidol, i-calcifediol, kunye ne-calcitriol zikwanyanzelwe unyango lweentlobo ezithile zesifo samathambo esiqhelekileyo kwizigulana ze-dialysis.

Ukusilela kweVitamin D

Zonke iingcali zethu zonyango zisixelela ukuba esinye sezizathu zixhaphakileyo ekumiseleni ivithamin D kukusilela kwayo. Ukuba isigulana sihlangabezana namava Iimpawu zokunqongophala kukavithamini D , ezinje ngokulahleka kwethambo, ukulahleka kweenwele, ithambo kunye nentlungu emva, kunye nobunzima bokuphola kumanxeba, umboneleli wabo wezempilo uya kuthi aodole uvavanyo lwelebhu ukuqinisekisa ukusilela kwe-vitamin D

Amanqanaba egazi I-nanograms ezingama-20 / i-milliliter ukuya kwi-50 ng / mL ye-vitamin D ithathwa njengoluhlu oluqhelekileyo kubantu abaphilileyo. Ukuba iziphumo zebhabhu zibonisa inqanaba eliphantsi le-vitamin D elingaphantsi kwe-12 ng / mL, oko kubonisa ukusilela kwe-vitamin D

Ukusilela kweVitamin D nzulu kakhulu. Ukuba inani levithamini D egazini liphantsi kakhulu, kunokubangela imeko ebizwa ngokuba ziiRickets ebantwaneni. Iirickets sisifo esinqabileyo. Yenza ukuba amathambo abantwana athambe kwaye agobe, ngamanye amaxesha enza imilenze yesaphetha. Abantwana base-Afrika baseMelika basemngciphekweni omkhulu wokufumana iirickets.

Njengoko sele kukhankanyiwe apha ngasentla, abantu abadala banokufumana iziphumo zonyango ngenxa yokungonelanga kwivithamini D, kubandakanya isifo samathambo i-osteomalacia.

Abanye oogqirha bacinga ukuba ivithamin D inokudibaniswa neemeko zonyango ezininzi, njengoxinzelelo lwegazi oluphezulu, isifo seswekile, umhlaza kunye ne-multiple sclerosis. Abaphandi bafunda izixhumanisi ezinokubakho, kodwa uphando olongezelelweyo lufunekayo ngaphambi kokuba siqonde ngokwenene ubudlelwane phakathi kwe-vitamin D kunye nale miqathango.

Abemi abasemngciphekweni okhethekileyo wokunqongophala kukavithamini D

Nazi Abanye abantu abasesichengeni sokuswela i-vitamin D , kwaye banokufuna ukuthatha i-counter-counter okanye izongezo zemithi ngaphandle kweempawu.

• Iintsana ezanyiswa: UVitamin D akakho ngokwexabiso elibalulekileyo kubisi lomntu lwebele, kwaye iAmerican Academy of Pediatrics icebisa ngokuchasana nokuveza iintsana ekukhanyeni kwelanga ngaphandle kwelanga. Oku kuthetha ukuba ezi ntsana zisengozini yokunqongophala kukavithamini D, kwaye nakwiiRickets. Kuya kufuneka bathathe isongezelelo sokutya seeyunithi ezingama-400 zamazwe aphesheya (IU) zevithamini D ngosuku.
• Abantu abadala abadala: Ekwaluphaleni, ulusu alunako ukufunxa ivithamin D elangeni.
• Abafazi abakhulelweyo: Ngexesha lokukhulelwa, abanye abantu basetyhini basemngciphekweni omkhulu wokunqongophala kukavithamini D. Ukuthatha isongezelelo se-vitamin D yemihla ngemihla ye-4,000 IU ngexesha lokukhulelwa kunokunciphisa umngcipheko wesifo seswekile kunye nokusebenza kwangoko.
• Abantu abatyebe kakhulu: Amanqatha omzimba wabo angabopha kwi-vitamin D ethile kwaye ayithintele ukuba ifike egazini.
• Abantu abaye benza utyando ngokudlula.
• Abantu abane osteoporosis , isifo sezintso, okanye isifo sesibindi .
• Abantu abanesikhumba esimnyama: Inani eliphezulu lombala wesikhumba lenza kube nzima ngakumbi ukuvelisa ivithamin D elangeni.
• Abantu abanesifo sikaCrohn okanye isifo se-celiac: Oku kuphazamiseka kubangela ukuba umzimba ubenengxaki yokuphatha amanqatha, ayimfuneko ukuze kufunwe la mafutha anyibilikayo.
• Abantu abane-hyperparathyroidism: Oku kuthetha ukuba imizimba yabo inehomoni eninzi kakhulu, elawula inqanaba lomzimba wecalcium.
• Abantu abathatha amayeza athile: Amanye amayeza, anje ngecholestyramine, amachiza okulwa ukuxhuzula, i-glucocorticoids, amayeza e-HIV / AIDS, kunye neziyobisi ezichasayo, zinokuchaphazela umzimba wakho we-vitamin D.

I-Vitamin D2 vs. D3

Ngaba uyazi ukuba i-vitamin D ngokwenene iza ngeendlela ezininzi? Ezona ntlobo zibalulekileyo zevithamini D kwimpilo yakho D2 kwaye D3 .

Vitamin D2 yaziwa ngokuba mzantsqbali ngelixa i-vitamin D3 yaziwa njenge kucofedal , utsho uGqirha Shah. I-Vitamin D2 ihlala ivela kwimithombo esekwe kwizityalo ngelixa i-vitamin D3 ifumaneka ngokubanzi kwimithombo yezilwanyana.

Kwaye asithethi nje ukutya apha. Khumbula, abantu zizilwanyana, nazo. Ke ivithamin D efunxwa lulusu lwakho yifom ye-D3.

Ugqirha Levitan uthi abantu abadinga izongezo ze vithamin D kufuneka bathathe i-D3. Le yeyona ndlela isebenzayo kwi-vitamin D emzimbeni wakho, njengoko isibindi siguqula i-D2 ukuya kwi-D3. Nangona uninzi lwabantu lunokusebenzisa ngokulula i-D2.

Yintoni amandla-amayeza ka-vitamin D?

Siye sathetha kakhulu malunga nemigqaliselo ye-vitamin D. Kodwa inyani kukuba, oogqirha abaninzi bamisela abaguli ukuba bathathe izongezo ezingaphezulu kwekhawunta. Amanani aphakamileyo Izongezelelo ze-OTC ziyafumaneka kwi-400 IU, 800 IU, 1000 IU, 2000 IU, 5000 IU, kunye neepilisi ezili-10 000 ze-IU kunye namaconsi olwelo.

Amandla kagqirha e-vitamin D aqukethe idosi ephezulu ye-50,000 IU. Kodwa iingcali zethu zithi le dosi ayimfuneko kubantu abaninzi.

Eyona ndlela yokuthatha uvithamin D kukuhamba idosi yonyaka yonke ngokusebenzisa irejimeni ebhalwe igama lomntu, utshilo uGqirha Levitan. Inani elifunwa ngumntu ngamnye liyahluka ngokuxhomekeke ekubeni ungubani, uhlala phi, ubuhlanga, imiba yezonyango nokunye. Kukho imveliso yonyango yemiyalelo yedosi ‘mega dose’ ye-D3, enokuthathwa ngeveki nganye kwifom yeethebhulethi. Nangona kunjalo, ezi kunqabile ukuba zifuneke ngaphandle kweemeko ezigwenxa nakubantu abaneengxaki zokufakwa kwe-GI (okt, isifo sikaCrohn). Ekugqibeleni uninzi lwabantu lunokugcina inqanaba eliqhelekileyo le-vitamin D kunye nedosi yemihla ngemihla phakathi kwe-800 kunye ne-2000 IU mihla le. Oku kungathathwa kwithebhulethi, kwi-capsule, okanye kwiifom zokuwisa. Eyona ndlela yokufumana kanye le nto uyifunayo kukuthatha irejimeni yesiko eyenziwe ngugqirha ukuhlangabezana neemfuno zakho zeevithamini.

Iziphumo ebezingalindelekanga zeVitamin D kunye nokunxibelelana

NgokukaGqr.Lukyanovsky, ezi zinto zilandelayo zinokuba ziziphumo ebezingalindelekanga zokongezwa kweevithamini D:

• Intlungu yethambo
• Ubuthathaka bemisipha
• Isihlunu, ukugabha, okanye ukuqhina
• Ukunxanwa okugqithisileyo
• Ukuchama rhoqo
• Amatye eentso
• Ukudideka okanye ukudideka
• Ukwehla kobunzima okanye ukungathandi ukutya
• Ukudinwa

Ugqirha Lukyanovsky ucacisa ukuba izongezo ze Vitamin D zinokusebenzisana kakubi namayeza athile, ke thetha nogqirha wakho ngaphambi kokuba uwathathe ukuba uthatha naliphi na kula machiza.

• Amayeza eswekile
• Amayeza oxinzelelo lwegazi
• Izongezo zeCalcium
• IiAntacids
• ICorticosteroids , Njenge-prednisone
• Amayeza okuphulukana nobunzima, kubandakanya iAlli (orlistat)
• I-Questran, i-LoCholest, okanye i-Prevalite (cholestyramine)
• Amayeza okuhlutha, kubandakanya i-phenobarbital kunye ne-Dilantin (phenytoin)

Kuyenzeka ukuba usebenzise ivithamin D. Ukuba ukutya kwakho yonke imihla ivithamin D kuyodlula kude isibonelelo sokutya esinconywayo (RDA) kunokukhokelela kwityhefu ka-vitamin D, ebangela ukwakhiwa kwecalcium egazini (hypercalcemia), isicaphucaphu nokugabha.

Njengawo nawaphi na amayeza, kuya kufuneka usoloko ufuna iingcebiso zonyango ngaphambi kokuba uthathe isongezelelo se-vitamin D, nokuba ingaphezulu kwekhawuntari. Ayisiyiyo kuphela into yokuba izongezo zinokunxibelelana namanye amayeza owathathayo, okanye zichaphazele iimeko onokuba nazo, kodwa kuya kufuneka uyazi idosi efanelekileyo ye-vitamin D, nawe.