Lapho Ukuntuleka Kuholela Ekuhluphekeni Kwekhanda
Uke wezwa abangane bakho bekhuluma ngezinga labo levithamini D? Ingabe udokotela uhlole izinga lakho ekuhloleni kwakho kwonyaka?
Nakuba i-vitamin D idlala indima emthini wezempilo, kukhona idatha engavumelani nendima yayo kwezinye izimo zezokwelapha, ezifana nesifo senhliziyo, izifo ezizimele , umdlavuza, nobuhlungu, njengokubuhlungu okungapheli kanye nezinsizwa.
Kuyini i-Vitamin D?
I-Vitamin D iyinvithamini enamafutha anesisindo ekhona ngamafomu amabili:
- i-cholecalciferol (i-vitamin D3): etholakala ekukhanyeni kwe-ultraviolet engena esikhunjeni futhi ifakwe ezinhlanzi ezinamafutha, njenge-salmon ne-tuna.
- i-ergocalciferol (i-vitamin D2 ) : etholakala ku-sterol fungal, i-ergosterol, futhi itholakale ngokwemvelo emakhowe amisiwe, ama-shiitake.
Zombili izinhlobo zamavithamini D zisetshenziselwa ukuqinisekiswa kokudla kanye nezithako ezenziwe nge-vitamin D.
Kuyini Ukuntuleka Kwevithamini D?
Lapho umuntu ekhona i-vitamin D engakwazi, amazinga e- hormone e- parathyroid ekukhuleni komzimba, okwenza ukuba i-calcium ikhishwe emathanjeni. Lokhu kuholela ekuthunjini kwethambo, okwenza ukuba izingane zibe ne-osteomalacia kubantu abadala-abantu abanesifo se-osteomalacia babhekene nobuhlungu obuthakathaka nobuhlungu obuthakathaka.
Uma udokotela wakho enquma ukuhlola isimo sakho se-vitamin D, uzokala izinga lakho lama-25-hydroxyvitamin D.
Yini Ebangelwa Ukuntuleka Kwevithamini D?
Izimo eziningi zezokwelapha zingahle zibeke abantu ekutheni i-vitamin D ilahleke kuhlanganise:
- ukungondleki
- isifo noma isibindi sesifo
- gut malabsorption, njengesifo se-celiac
- ukuthatha imithi evimbela i-vitamin D emasabini (isibonelo, imishanguzo ethile yokulwa ne-anti-seizure)
Ukukhanya kwelanga elincane ukukhathazeka kwe-vitamin D, ikakhulukazi labo abahlala emakhaya asebekhulile noma abahlala ezindaweni zokuhlala ezincane.
I-Vitamin D ne-Pain Head
Kungase kube khona ukuxhumana phakathi kwekhanda kanye nokuntuleka kwe-vitamin D. Ngo-2009, abacwaningi ababili eNdiya bashicilela iphepha e- Headache- isifundo esincane kweziguli eziyisishiyagalombili ezinezinkinga zombili vithamini D kanye nezinsizwa ezingapheliyo ezinhlobonhlobo .
Zonke iziguli ezicwaningweni zazinamazinga aphansi okuthiwa amavithamini D (amazinga angu-25-hydroxyvitamin D <10ng / mL), futhi ayengenaso ukuphumula okuncane kwezinwele zabo ngezidakamizwa ezivamile. Iziguli zafakwa nge-vitamin D nsuku zonke (1000-1500IU) ne-calcium (1000mg), futhi zathola ukusizwa ikhanda ngaphakathi kwamasonto ambalwa wezokwelapha.
Abacwaningi babe nomuzwa wokuthi ukuxilongwa kwekhanda okuhlangenwe nakho kwababambiqhaza kwakuthiwa yi-vitamin D eyengeziwe futhi hhayi ama-calcium supplements. Bachaza ukuthi amazinga e-calcium abuyele evamile kungakapheli isonto, kepha iziguli azizwa zikhululekile izinhlungu zekhanda lawo amasonto amane kuya kwanguyisithupha, lapho amazinga abo e-vitamin D aqala ukubuyela evamile.
Kwesinye isifundo se-Journal of Headache Pain , abacwaningi bathola ukuthi ngezinga elihamba phambili (elisondela eNyakatho naseNingizimu Pole nakude kude ne-equator), ukusabalala kwezinsizi, kokubili imithi yezinhlungu kanye nezinhlobonhlobo zekhanda lokuhlukunyezwa , kwanda.
Njengoba kungenzeka usuyazi kakade, ukukhuphuka kwe-latitude (noma ngaphezulu okuvela ku-equator) kuyahambisana nengqikithi encane kakhulu nesikhathi esifushane sokukhanya kwelanga. Ngelanga elingaphansi, kune-vitamin D encane, okungenzeka ukuthi amazinga aphansi jikelele.
I "kungani" ngemuva kwalokhu okungaxhunyaniswa phakathi kwe-vitamin D kanye nekhanda akucaci kahle. Enye kungenzeka ukuthi amazinga aphansi e-vitamin D akhuthaza ubuhlungu besifuba nokuvuvukala, okungaholela ekuboniseni isimiso sezinzwa. Okunye kungenzeka ukuthi kusukela i-vitamin D edingekayo ekutheni umthamo we-magnesium ukhiqizwe, izinga eliphansi le-vitamin D lingakhuthaza ukuntuleka kwe-magnesium.
Siyazi ukuthi ukulahlekelwa kwe-magnesium kuye kwahlotshaniswa nokuthuthukiswa kwezinhloko zekhanda lokuhlupha.
Uyini i-Vitamin D Level ephelele?
Nakuba kungekho ukuvumelanisa ngezinga eliphezulu le-vitamin D, ochwepheshe abaningi bakholelwa ukuthi izinga lama-25-hydroxyvitamin D lama-nanogram angu-20 nge-milliliter noma i-ng / mL noma eliphansi alinalo. Kuye ngezinkinga zakho zezokwelashwa, udokotela wakho angakhetha ngisho nezinga eliphakeme le-vitamin D-azikho imikhombandlela eqondile ngalesi sikhathi.
Izwi elivela
Khumbula ukuthi isixhumanisi noma ubudlelwane akusho ukuthi omunye ubangela omunye. Isithombe esikhulu lapha ukuthi i-vitamin D ephansi ingase ibe nomthelela ebuhlungu bekhanda elingapheli. Ngamanye amazwi, ikhanda lingase livame kakhulu kubantu abahlala kude ne-equator lapho kunokukhanya kwelanga. Kodwa ngokuqinisekile akuyona umthetho okhuni futhi okusheshayo kanye nezifundo ezingaphezulu, ikakhulukazi ukuhlolwa okulawulwa ngokungahleliwe okukhulu, okudingekayo ukuze kukhulume kangcono lobu buhlobo.
Ukuqaphela ukuhlangana okungenzeka phakathi kwekhanda kanye ne-vitamin D kuzokukwenza ube nesiguli esengeziwe. Cabanga ngokuxoxa ngombono wakho ngodokotela on vitamin D noma ezinye izindlela zokwelapha ezikhanda ikhanda lakho, ikakhulukazi uma zingathuthuki ngohlelo lwakho lwamanje.
Imithombo:
I-Holick MF. Ukuntuleka kwe-Vitamin D. I-New England Journal of Medicine. 2007; 357 (3): 266-81.
I-Holick MF et al. Ukuhlola, ukwelashwa, nokuvimbela ukuntuleka kwe-vitamin D: Isiqondiso somkhuba we-Endocrine Society. I-Journal of Clinical Endocrinology & Metabolism. 2011; 96 (7): 1911-30.
UMotaghi T et al. Ubuhlobo phakathi kwamazinga e-serum we-vitamin D ne-migraine. I-J Res Med Sci . 2013 Mar; 18 (Isilondolozi 1): S66-S70.
Prakash S, Mehta, NC, Dabhi AS, Lakhani O, Khilari M, Shah ND. Ukusabalalisa kwekhanda kungase kuhlotshaniswe ne-latitude: indima engenzeka ye-Vitamin D ukuntuleka? I Journal of Headache & Pain. 2010; 11 (4): 301-7
Prakash, S. Shah ND. Ukuhlukunyezwa okungapheli-hlobo lwezinwele ezinomthamo we-vitamin D: inhlangano engavamile noma ye-causal? Izinwele. . 2009 ; 49 (8): 1214-22.