Abaningi abanesifo se-celiac bahluleka kulo mzimba obalulekile
Abantu abaningi abasanda kutholakala ukuthi banesifo se-celiac bathola ukuthi abanamandla ku-vitamin D, isisindo esibucayi kokubili impilo yethambo kanye namandla onke omzimba omzimba. Kodwa ukuntuleka kwe-vitamin D ku-celiacs akukhawulelwanga kwamuva okutholiwe - kubonakala sengathi kuvamile kubantu abadala nasezingane eziye zaxilongwa okwesikhashana futhi ezihambisana ngokuqinile nokudla okungenalutho kwe-gluten.
Eqinisweni, ukutholakala kwevithamini D kwenzeka ngamaphesenti angama-64% nabesifazane abangu-71% abanesifo se-celiac, okwenza kube yinkinga evamile kakhulu kulabo abane-celiac, nakuba kujwayelekile kubantu abaningi.
Inkinga kulabo abanesifo se-celiac ingase iqhubekele ukushaywa kwe-malabsorption, noma kungaba ukungabi khona kwelanga nokudla okuwanele kokudla. Zombili lezi zingase zikhungathekiswe yiqiniso lokuthi, ngokungafani nemikhiqizo enqolowa equkethe izinhlobo zokhula, ukudla okungalawa gluten ngokuvamile akuqinisekisile ngamavithamini namaminerali engeziwe.
Kungakhathaliseki ukuthi kungani, kufanele ucabangele ukuhlolwa ukuze unqume izinga lakho levithamini D, futhi, uma uthola i-vitamin D encane, khuluma nodokotela wakho mayelana nezithako.
Ukwehla kwe-Vitamin D kuhlanganiswe ne-Malabsorption
Ezigulini ezinezifo ezingenalo i-celiac ezingakaqali ukudla okungeyona i- gluten , kanti kwezinye iziguli ezingakwazi ukunamathela ekudleni, i-atrophy enonya idala i-malabsorption, okusho ukuthi awunamatheli vitamin D kanye nezinye izakhi ezivela ekudleni futhi izithako ozisebenzisayo.
Ukuntuleka kwe-Vitamin D kuholela ekudleni kwe-calcium, ngoba udinga amazinga ananele kavithamini D ukuze uthole i-calcium ekudleni. Yiqiniso, eziningi ze-celiacs zigwema imikhiqizo yobisi ngenxa yokungabekezelelani kwe- lactose , okusho ukuthi ayidli i-calcium kakhulu ekudleni kwayo futhi kungenzeka ukuthi isengozini yokulahlekelwa kwe-calcium.
Izimpawu Zihlanganisa Amathanga Amandla, I-Osteoporosis
Amaningi amaningi okuntuleka kwevithamini D akakho izimpawu ezibonakalayo, ngakho-ke cishe ngeke uqaphele ukuthi uhlupheka ngakho.
Ukwehluleka okukhulu kwe-vitamin D kungabangela izifo zethambo njengezinhlayiyana ezinganeni kanye ne-osteomalacia kubantu abadala. Ezingxenyeni, amathambo wengane akwazi ukuthuthukisa kahle, futhi izingalo nemilenze yengane ngokuvamile zikhothama. E-osteomalacia, okwamanje, isakhiwo sesithambo silahlekile, okubangelwa ubuhlungu namathambo athambile.
I-osteoporosis ibuye ibangele ukwehlisa amathambo futhi ingabangela ukwehlukana. Abantu abanesifo se-celiac basengozini enkulu ye-osteoporosis.
Ukuntuleka kwe-Vitamin D nakho kungabangela ubuhlungu nobukhulu buthakathaka, futhi lezi zimpawu zingase zivame kakhulu kunezinkinga zethambo. Abantu abanesifo se-celiac bavame ukubika ubuhlungu besisindo kanye nomzimba lapho beqede i-gluten, ngakho-ke kungase kube nzima ukutshela ukuthi ngabe icala lakho livela ekungcoleni kwe-gluten ngengozi noma okunye okunye.
Izixhumanisi Zokucwaninga Izinga lamavithamini D e-Cancer, Izifo ezizimele
Nakuba imbangela nomphumela kungakaze kuboniswe, abacwaningi bezokwelapha baye baxhuma amazinga aphansi kavithamini D ukuze kube nemingcipheko ephakeme yempilo eminingi, njengomdlavuza wekolon , umdlavuza webele , umdlavuza wesifo sofuba , umfutho wegazi ophezulu kanye nezifo ezizimele.
Ucwaningo luye lwabonisa ukuthi abantu abahlala ezindaweni eziphakeme-lapho kungekho khona ilanga elincane-bathola amazinga aphezulu e- type 1 yesifo sikashukela , i- multiple sclerosis ne- arthritis ye-rheumatoid . Yize lokhu kungabonakali imbangela nemiphumela, abanye odokotela bayakhuthaza lezi ziguli ukuba zengeze nge-vitamin D.
Ucwaningo olulodwa olwalubheka amazinga e-vitamin D kubantu abanesifo se-celiac bathola ukuthi ama-25% ayengenalutho, nokuthi amazinga aphansi e-vitamin D aphakamisa ingozi yesimo se-autoimmune isikhumba psoriasis, esiye sahlanganiswa nokusetshenziswa kwe-gluten . Kodwa leso sifundo asizange sithole ukuthi i-vitamin D ephansi yenza abantu abanezifo ezingathandeki ezikhungweni ezizimele ezizimele.
Amanani aphezulu angase adingeke ukubuyisela amazinga avamile
Ososayensi abavumelani ngokuthi izinga lakho le-vitamin D elifanele kangakanani, kodwa izinga elingaphansi kuka-20 ng / mL libhekwa lilahlekile, kanti izinga eliphakathi kuka-20 ng / mL no-29 ng / mL alanele. Abanye ochwepheshe bakholelwa ukuthi ububanzi obuhle buphakathi kuka-50 no-60 ng / mL.
Uma usuvele uthola ukuthi unesifo se-celiac futhi ukuhlolwa okuqhubekayo kubonisa ukuthi awunakho i-vitamin D, udokotela wakho angancoma ukuthi uthathe amanani amaningi kakhulu ukuze ulethe izinga lakho ngokushesha. Kodwa-ke, akufanele neze uthathe amanani amakhulu ngaphandle kokuqapha ngokucophelela izinga lakho le-vitamin D ngudokotela wakho, ngoba kungenzeka ukuba usebenzise i-vitamin D ngokweqile ngomlomo.
I-National Academy of Sciences isibeke umkhawulo ophephile wokuphelelisa u-vitamin D ku-2,000 IU / ngosuku, nakuba lokhu kungashintsha ngokucwaninga okuqhubekayo. I-vitamin D ye-400 IU yamanje ephakanyisiwe yansuku zonke.
Kungenzeka ukuthola ukuhlolwa kwe-vitamin D ngaphandle kokubandakanya udokotela wakho nge-Vitamin D Council, iqembu elingenzi inzuzo elinikezelwe ekuthuthukiseni ucwaningo nokuqwashiswa komphakathi ngezinzuzo ze-vitamin D's. Uma ukhetha lo mzila, noma kunjalo, kufanele ulandele udokotela wakho ngaphambi kokuba uthathe isinqumo sokuthatha ama-vitamin D amaningi.
Ngokubonakala okulindelekile, i-Sunlight ingahlinzeka nge-Vitamin D
Ungakwazi futhi ukufuna ukuphakamisa amazinga akho e-vitamin D ngokusebenzisa izinhlanzi zakho zokudla - ezinamafutha kanye nemikhiqizo yobisi ehambisana ne-vitamine yizinqumo ezinhle - nendlela endala, ngokusuka ilanga.
Uma uchitha njalo imizuzu engama-20 ukuya kwangu-30 elangeni (isikhathi eside uma unesikhumba esimnyama) isikhumba sakho esikhulu sitholakala entwasahlobo, ehlobo nasezinyangeni zokuwa, ungaveza i-vitamin D ephawulekayo, ngokusho kweVitamin D Council. Masiqaphele ukuthi ungashisi isikhumba sakho, ngoba lokhu kuphakamisa ingozi yomdlavuza wesikhumba ngaphandle kokunikeza noma iyiphi inzuzo eyengeziwe ye-vitamin D.
Imithombo:
I-Harvard Health Publications. Isikhathi se-vitamin D.
UJavorsky BR et al. I-Viitamin D Ukuntula Kwezifo Zomzimba. Gastroenterology ewusizo. March 2006, iphe. 52-72.
I-Oregon State University iLinus Pauling Institute Isikhungo Sezinkampani Zomdabu. I-Vitamin D.
I-Tavakkoli A et al. I-Vitamin D Isimo Nokuzivumelanisa Ngokuzenzakalelayo Emzimbeni We-Celiac. Journal of Gastroenterology Clinic. > 2013 Jul; 47 (6): 515-9.