Ndirini pandingangoda mushonga wevhitamini D?

Zvinodhaka Info

Inguva iyoyo yegore apo yakawanda yeUnited States inosangana nemamiriro ekunze asinganetsi uye nenguva shoma muzuva. Kana zvasvika kune hutano hwako, vanhu vazhinji vanowanzo sanganisa mamiriro ekunze echando nefuru kana kutonhora kwakazara. Asi pane chikafu chakakosha icho vazhinji vedu tiri kurasikirwa nacho, kunyanya munguva yechando, uye inoita basa rakakura muhutano hwepfupa rako: vhitamini D. .

Chii chinonzi vitamini D?

Vitamin D is a fat soluble vitamin that is required for calcium to be absorbed into your bones, anodaro Dr. Inna Lukyanovsky, Pharm.D ., mushandi anoshanda wemushonga uye munyori we Iyo Crohn's neColitis Gadzirisa .

Chirag Shah, MD , co-muvambi wePush Hutano, inotsanangura: Vitamin D mhando yemamorekuru inozivikanwa se secosteroid. Vitamin D inoshanda biologically mumuviri uye inobatsira kuwedzera kunwiwa kwema electrolyte, kusanganisira calcium uye magnesium, kubva padumbu remudumbu.

Mune mamwe mazwi, mapfupa ako haagone tora calcium isina vhitamini D . Ndosaka mukaka wemombe wakawanda unotengeswa muzvitoro zveU.S. zvakavakirwa nevhitamini D. Hazvina mhosva kuti yakawanda sei iyo calcium yaunowana kubva muzvikafu, mapfupa ako anozove akapfava uye anotsemuka kunze kwekunge iwe uchitorawo zvakakwana vitamini D kuti uigadzirise.

Nei chiremba achipa vhitamini D?

Zvinyorwa zveVitamin D zvinogona kunge zvichikwira. Imwe fundo yakawana kuti kuyedzwa kwevhitamini D kushomeka uye zvakazotevera zvirevo zvemafuta akasviba mavhitamini zvakawedzera kanopfuura kanomwe pakati pegore ra2008 na2013. Sei kuwedzera kukuru? Vatsvagiri vanotenda kuti zvaikonzerwa nekuwedzera kwepasirese kwekuziva kwevarwere vane vhitamini D inoshaya, pane kuwedzera chaiko kwekushaiwa.

Saka nei chiremba achipa vhitamini D yekuwedzera? Pane zvikonzero zvinoverengeka, asi zvinotanga nekuwanika kwevhitamini.

Tinowana kupi vhitamini D?

Vitamin D inowanikwa kubva kune mashoma masosi ezvekudya mune chero chakakosha huwandu (chiropa, salmon yemusango yakabatwa, uye mashoma mashoma mumukaka wakakomberedzwa), anodaro Arielle Levitan, 1500 , co-muvambi weVous Vitamin uye munyori we Iyo Vitamin Solution . Inogona kuwanikwa kubva pakuonekwa nezuva.

Asi vanhu vazhinji havawani zvakakwana vitamini D kubva pakudya kana kubuda kwezuva. Kana zvirizvo, vangangoda kutora vhitamini D yekuwedzera. Dzimwe nguva vanhu vanogona kuwana zvavanoda kubva kune inopfuura-the-counter (OTC) yekuwedzera, asi vanhu vazhinji vanoda mushonga kubva kuna chiremba wavo. Unogona kuwana generic vhitamini D zvinowedzera mumafamasi uye zvitoro zvemishonga pamwe nemazita ezita ekuwedzera akadai saDrisdol naCalciferol.

Mamiriro ekurapa anoda mushonga wevitamin D

Vitamin D inowanzo gadzirirwa hypoparathyroidism [mamiriro anokonzeresa kushomeka kwecalcium, tsandanyama yemhasuru uye kupora, kushaya simba, uye kuneta], anodaro Dr. Lukyanovsky. Vanachiremba vanogona zvakare kunyorera iyo kune osteomalacia, mamiriro apo pane kupera kwecalcium kubva mupfupa.

Kune mamwe mamiriro ehutano angangoda mushonga wevitamin D. Semuenzaniso, hypocalcemia chiitiko chinoratidzirwa nekukwana calcium muropa. Vanachiremba vanozvibata nemhando dzakasiyana dzevhitamini D inonzi alfacalcidol, calcifediol, calcitriol, uye dihydrotachysterol. Alfacalcidol, calcifediol, uye calcitriol zvakare zvakatemerwa kurapwa kweimwe mhando dzehosha dzepfupa dzinozivikanwa muitsvo dialysis varwere.

Vitamin D kushomeka

Dzese nyanzvi dzezvehutano dzinotiudza kuti chimwe chezvikonzero zvakajairika zvekumisikidza vhitamini D kushomeka kwayo. Kana murwere ari kusangana zviratidzo zvevhitamini D kushomeka , senge kurasikirwa nefupa, kurasikirwa nevhudzi, pfupa uye kurwadziwa musana, uye kunetseka kupora kubva kumaronda, mupi wezvehutano anokwanisa kuraira bvunzo yebazi kuti asimbise kushomeka kwevhitamini D.

Mazinga eropa e 20 nanograms / millilita kusvika 50 ng / mL yevhitamini D inoonekwa mukati meyakajairika renji kune vanhu vane hutano. Kana zvabuda murabhoritari zvichiratidza yakaderera vhitamini D mwero iri pazasi pe12 ng / mL, izvo zvinoratidza kushomeka kwevhitamini D.

Vitamin D kushomeka yakakomba kwazvo. Kana huwandu hwevhitamini D muropa hwakadzika kwazvo, hunogona kukonzera mamiriro anonzi maRickets muvana. Rickets chirwere chisingawanzo. Zvinokonzeresa kuti mapfupa evana ave akapfava uye kukotama, dzimwe nguva achigadzira makumbo euta. Vana vemuAfrica veAmerica vari panjodzi yepamusoro yekutorwa mariketi

Sezvambotaurwa pamusoro, vanhu vakuru vanogonawo kutambura mhedzisiro yekurapwa kubva kune isina kukwana vhitamini D, kusanganisira chirwere chepfupa osteomalacia.

Vamwe vanachiremba vanofunga kuti vhitamini D inogona kusunganidzwa kune mamwe marapirwo, senge yakakwira BP, chirwere cheshuga, gomarara, uye multiple sclerosis. Vatsvagiri vari kudzidza zvingangoita zvinongedzo, asi kumwe kutsvagurudza kunodiwa tisati tanyatsonzwisisa hukama huripo pakati pevhitamini D nemamiriro aya.

Vagari vari panjodzi yakakosha yekushomeka kwevhitamini D

Pane vamwe vanhu vari kunyanya kunetseka kushomeka kwevhitamini D , uye vangangoda kutora pamusoro-the-counter kana mishonga yekuwedzera mishonga kunyange pasina zviratidzo.

• Vacheche vakaberekwa: Vitamin D haipo muhuwandu hwakakosha mumukaka wemukaka wevanhu, uye iyo American Academy yePediatrics inokurudzira kupokana nekufumura vacheche kunongedza zuva pasina zuva. Izvi zvinoreva kuti vacheche ava vari panjodzi yekushomeka kwevhitamini D, uye pamwe maRickets. Ivo vanofanirwa kutora chikafu chinowedzera chemazana mana emunyika mayunitsi (IU) evitamini D pazuva.
• Vakwegura vakuru: Mukukwegura, ganda rinenge risingakwanise kutora vhitamini D kubva kuzuva.
• Vakadzi vane pamuviri: Panguva yekuzvitakura, vamwe vakadzi vari pangozi yekushomeka kwevhitamini D. Kutora vhitamini D yemazuva ese yekuwedzera ye4,000 IU panguva yekuzvitakura kunogona kudzora njodzi yekubata gestational chirwere cheshuga uye yekutanga basa.
• Vanhu vakafuta: Mafuta avo emuviri anokwanisa kusunga kune imwe vhitamini D uye achidzivirira kubva mukusvika muropa.
• Vanhu vane gastric inopfuura kuvhiyiwa.
• Vanhu vane osteoporosis , chirwere cheitsvo, kana chirwere chechiropa .
• Vanhu vane ganda rakasviba: Iyo yakakwira huwandu hweganda pigmentation inoita kuti zvinyanye kuoma kuburitsa vhitamini D kubva kunezuva.
• Vanhu vane chirwere cheCrohn kana chirwere checeliac: Matambudziko aya anokonzeresa kuti muviri utadze kubata mafuta, izvo zvinodikanwa kuitira kuti utore mafuta aya anonyungudika mavhitamini.
• Vanhu vane hyperparathyroidism: Izvi zvinoreva kuti miviri yavo ine yakawandisa yeparathyroid hormone, iyo inodzora mwero wecalcium yemuviri.
• Vanhu vanotora mimwe mishonga: Mimwe mishonga, yakadai se cholestyramine, anti-seizure drug, glucocorticoids, mishonga yeHIV / AIDS, uye antifungal zvinodhaka, zvinogona kukanganisa muviri wako metabolism wevitamini D.

Vitamin D2 vs. D3

Wanga uchiziva here kuti vhitamini D inouya nenzira dzakasiyana? Iwo maviri akanyanya kukosha mafomu e vitamini D kune hutano hwako D2 uye D3 .

Vitamin D2 inozivikanwa se zvidee nepo vhitamini D3 ichizivikanwa se cvoconline , anodaro Dr. Shah. Vitamin D2 kazhinji inotangira kubva kumiti-yakavakirwa masosi apo vhitamini D3 inowanzo kuwanikwa mumhuka.

Uye isu hatisi kungotaura chikafu pano. Rangarira, vanhu mhuka, zvakare. Saka vhitamini D iyo ganda rako rinotora kubva kuzuva ndiyo fomu D3.

Dr. Levitan vanoti vanhu vanoda vhitamini D zvinowedzera vanofanira kutora D3. Iyi ndiyo inonyanya kushanda vhitamini D mumuviri wako, sezvo chiropa chinoshandura D2 kuenda kuD3. Kunyangwe vanhu vazhinji vachigona nyore kugadzirisa D2 zvakare.

Chii chinonzi mushonga-simba vhitamini D?

Isu tanga tichitaura zvakawanda nezvezvinyorwa zvevhitamini D. Asi chokwadi ndechekuti, vanachiremba vazhinji vanoraira varwere vavo kuti vatore pamusoro-pe-counter vhitamini D anowedzera. Doses yepamusoro yeOTC zvinowedzera zviripo mu400 IU, 800 IU, 1000 IU, 2000 IU, 5000 IU, uye mapiritsi zviuru gumi eIU uye madonhwe emvura.

Prescription simba vhitamini D ine yakakwira dosi ye50,000 IU. Asi nyanzvi dzedu dzinotaura kuti iyi dosi haina kudikanwa kune vanhu vazhinji.

Nzira yakanakisa yekutora vhitamini D ndeyekuita zuva rega rega kutenderera kuburikidza neyakagadziriswa vhitamini regimen, anodaro Dr. Levitan. Huwandu hunodiwa nemunhu mumwe nemumwe hunosiyana zvichienderana nekuti ndiwe ani, kwaunogara, dzinza, nyaya dzekurapa nezvimwe. Kune 'mega dose' mishonga yemishonga yeD3, iyo inogona kutorwa vhiki nevhiki mufomu yepiritsi. Zvisinei, izvi hazviwanzo kudiwa zvimwe kunze kwezviitiko zvakanyanyisa uye muvanhu vane nyaya dzekudyiwa kweGI (Ie., chirwere cheCrohn). Pakupedzisira vanhu vazhinji vanogona kuchengetedza yakajairwa vhitamini D nhanho ine muyero wezuva nezuva pakati pe800 na2000 IU zuva nezuva. Izvi zvinogona kutorwa muhwendefa, capsule, kana kudonha mafomu. Nzira yakanakisa yekuwana chaizvo izvo zvaunoda kutora chiremba-chakagadzirwa tsika regimen kuti uwane yako chaiyo vhitamini zvido.

Vitamin D mhedzisiro uye kusangana

Sekureva kwaDr Lukyanovsky, zvinotevera zvinogona kuve mhedzisiro mhedzisiro yevhitamini D inowedzera:

• Kurwadziwa kwepfupa
• Tsvina kushaya simba
• Kushungurudza, kurutsa, kana kuvimbiswa
• Nyota yakanyanya
• Kakawanda weti
• Itsvo matombo
• Kuvhiringidzika kana kusagadzikana
• Kurera huremu kana kushaya kudya
• Kuneta

Dr. Lukyanovsky anotsanangura kuti Vitamin D zvinowedzera zvinogona zvakare kusangana zvisina kunaka nemimwe mishonga, saka taura nachiremba wako usati wazvitora kana uri kutora chero ipi yemishonga iyi.

• Chirwere cheshuga
• Ropa rekumanikidza mishonga
• Calcium inowedzera
• Antacids
• Corticosteroids , senge prednisone
• Kurema-kurasikirwa nemishonga, kusanganisira Alli (orlistat)
• Questran, LoCholest, kana Prevalite (cholestyramine)
• Kutora mishonga, kusanganisira phenobarbital uye Dilantin (phenytoin)

Izvo zvinokwanisika kudya zvakawandisa vhitamini D. Kana kudya kwako kwezuva nezuva kwevhitamini D kuchipfuura kwakakurudzirwa chikafu chekudya (RDA) kunogona kutungamira kune vhitamini D chepfu, iyo inokonzeresa kuvaka calcium muropa (hypercalcemia), kuda kurutsa, uye kurutsa.

Sezvo nemishonga ipi neipi, iwe unofanirwa kugara uchitsvaga kuraira kubva kune wako wekuchengeta hutano usati watora vhitamini D yekuwedzera, kunyangwe iri pamusoro-pe-counter. Kwete chete zvinokwanisika kuti izvo zvekuwedzera zvibatanidzwe nemimwe mishonga yauri kutora, kana kukanganisa mamiriro aungave uine, asi iwe unofanirwa kuziva iyo chaiyo dosi revhitamini D iwe, futi.