25-hōʻike hoʻāʻo vitamika D hydroxy

ʻO ka hoʻāʻo 25-hydroxy wikamina D ke ala pololei loa e ana i ka nui o ka wikamina D i kou kino.

Kōkua ka Wikamina D i ka mālama ʻana i ka pae o ka calcium a me ka phosphate i loko o ke kino.

Pono kahi laʻana koko.

ʻO ka maʻamau, ʻaʻole pono ʻoe e hoʻokē ʻai. Akā pili kēia i ka hale hana a me ka hana hoʻāʻo i hoʻohana ʻia. E hāhai i nā ʻōkuhi no ka ʻai ʻole ma mua o ka hoʻāʻo.

Ke hoʻokomo ʻia ke kui kele e huki i ke koko, manaʻo kekahi poʻe i ka ʻeha kaulike. ʻIke wale kekahi i kahi ʻōniʻu a i ʻole kui. Ma hope, aia paha kekahi ʻōkā.

Hana ʻia kēia hoʻāʻo e hoʻoholo inā he nui a he liʻiliʻi paha kāu mau huamini D i kou koko. ʻO ka loiloi ʻana i nā mākua āpau, ʻoiai ke hāpai, no ka mea ʻaʻole koi ʻia nā pae vitamona D haʻahaʻa.

Eia nō naʻe, hiki ke hana i ka kānana ʻana i ka poʻe e makaʻu nui nei no ka hemahema o ka wikamina D, e like me ka poʻe:

• Aia ma luna o ka makahiki 65 (hana ʻili ka huaola D a me ka omo omo o ka huaora D i lalo ke ʻelemakule)
• He momona (a ua lilo kaupaona mai ke kahakaha bariatric)
• Ke lawe nei i kekahi mau lāʻau, e like me phenytoin
• Loaʻa ka osteoporosis a i ʻole nā ​​iwi lahilahi
• Loaʻa ka palena papaha lā
• Loaʻa nā pilikia i ka lawe ʻana i nā wikamina a me nā meaola i loko o ko lākou ʻōpū, e like me nā mea me ka maʻi ulcerative colitis, ka maʻi Crohn, a me nā maʻi celiac

Ua ana ʻia ka laulā maʻamau o ka wikamina D ma ke ʻano he nanograms i ka milliliter (ng / mL). Paipai nā loea he nui i kahi pae ma waena o 20 a 40 ng / mL. Paipai kekahi i kahi pae ma waena o 30 a me 50 ng / mL.

ʻO nā laʻana ma luna he ana maʻamau no nā hopena o kēia mau hoʻāʻo. Hiki ke loli iki nā pae waiwai maʻamau i waena o nā hale hana ʻokoʻa. Hoʻohana kekahi mau keʻena hoʻokolohua i nā ana ʻokoʻa a hoʻāʻo paha i nā laʻana like ʻole. E kamaʻilio me kāu kauka e pili ana i ke ʻano o kāu mau hopena hōʻike kikoʻī, a inā paha ʻoe e pono i nā mea hoʻoluʻu wikamina D.

• ʻO ka 25 hydroxy wikamina D3 (cholecalciferol) ka wikamina D a kou kino ponoʻī i hana ai a i ʻoluʻolu ai ʻoe mai kahi kumu holoholona (e like me ka iʻa momona a i ke ake) a i ʻole kahi kōpena cholecalciferol.
• ʻO ka 25 hydroxy wikamina D2 (ergocalciferol) ka wikamina D āu i omo ai mai nā meaʻai i hoʻopaʻa ʻia me ka lāʻau vitamona D a i ʻole kahi waihona ergocalciferol.
• Hana like nā hormones ʻelua (ergo- a me cholecalciferol) i ke kino. ʻO ka waiwai nui ka pae holoʻokoʻa 25 hydroxy vitamina D i kou koko.

Hiki i kahi pae haʻahaʻa ma mua o ka maʻamau ma muli o ka lawa ʻole o ka wikamina D, i hiki ke hopena mai:

• Ka loaʻa ʻole o ka ʻili i ka lā o ka lā, ka ʻili ʻeleʻele ʻeleʻele, a i ʻole ka hoʻohana mau ʻana o ka sunscreen SPF kiʻekiʻe
• Ka nele o ka wikamina D lawa i ka papaʻai
• Nā maʻi ate a me nā hakuʻala
• ʻAnoʻai maikaʻi ʻole
• Hoʻohana o kekahi mau lāʻau, e like me phenytoin, phenobarbital, a me rifampin
• Ka maikaʻi ʻole o ka wikamina D ma muli o ka makahiki holomua, ʻoki kaumaha ʻana, a i ʻole nā ​​kūlana i lawe ʻole ʻia ai ka momona

ʻOi aku ka maʻamau o ka pae vitamin D haʻahaʻa i nā keiki ʻApelika ʻAmelika (ʻoi aku i ka hoʻoilo), a ʻo nā pēpē hoʻi i hānai wale ʻia.

ʻO kahi pae ʻoi aku ka kiʻekiʻe ma mua o ka maʻamau ma muli o ka nui o ka wikamina D, kahi ʻano i kapa ʻia ʻo hypervitaminosis D. ʻO kēia ke kumu pinepine ʻia e ka lawe ʻana i ka nui o ka wikamina D. Hiki iā ia ke hopena i ka nui o ka calcium i loko o ke kino (hypercalcemia). ʻO kēia ke alakaʻi i nā ʻōuli he nui a me ka hōʻino ʻana o ka hakuʻala.

ʻAʻohe pilikia iki i ka lawe ʻia ʻana o kou koko. ʻOkoʻa nā aʻa a me nā aʻa i ka nui mai kekahi kanaka a i kekahi ʻē aʻe a mai kekahi ʻaoʻao o ke kino i kekahi. ʻOi aku ka paʻakikī o ka lawe ʻana i ke koko mai kekahi poʻe ma mua o nā poʻe ʻē aʻe.

ʻO nā pilikia ʻē aʻe e pili ana i ke kau ʻana o ke koko he liʻiliʻi, akā hiki ke hoʻopili ʻia:

• Kahe nui ke koko
• Nā punctures he nui e ʻimi i nā uaua
• Pāleʻale a ʻoluʻolu paha
• Hematoma (hōʻiliʻili koko ma lalo o ka ʻili)
• Maʻiʻaʻai (i iki kamepiula i kēlā me kēia manawa ka ʻili i haki)

25-OH hōʻike wikamina D; Calcidiol; 25-hoʻāʻo hydroxycholecalciferol

• Hōʻaʻo koko

ʻO Bouillon R. Wikamina D: mai ka photosynthesis, metabolism, a me ka hana i nā noi lapaʻau. I: Jameson JL, De Groot LJ, de Kretser DM, et al, eds. Endocrinology: Makua a Pediatric. ʻEpekema 7 Piladelapia, PA: Elsevier Saunders; 2016: chap 59.

Chernecky CC, Berger BJ. Wikamina D (cholecalciferol) - plasma a serum paha. I: Chernecky CC, Berger BJ, hua. Nā Hoʻokolohua Laboratory a me nā kaʻina hana Diagnostic. ʻElua huaʻōlelo St Louis, MO: Elsevier Saunders; 2013: 1182-1183.

LeFevre ML; ʻO ka Hana Hana Hana Hana Preventive US. ʻO ka loiloi no ka lawa ʻole o ka wikamina D i nā mākua: ʻO ka ʻōlelo aʻoaʻo ʻōlelo aʻoaʻo a US Preventive Services Force. ʻO Ann Intern Med. 2015; 162 (2): 133-140. PMID: 25419853 pubmed.ncbi.nlm.nih.gov/25419853/.