ʻImi ʻia ka wikamina D: he aha ia no, pehea e hana ai a me nā hopena
Anter
ʻO ka hoʻāʻo vitamina D, ʻo ia hoʻi ʻo hydroxyvitamin D a i ʻole 25 (OH) D hōʻike, e nānā i ka hoʻoliʻiliʻi o ka wikamina D i loko o ke koko, no ka mea, he wikamina nui ia no ka hoʻoponopono ʻana o ka phosphor a me nā pae calcium, he kuleana nui i ka pūnao iwi, no ka laʻana.
Nonoi pinepine ʻia kēia hōʻoia e ke kauka e nānā i ka hoʻōla hou me ka lāʻau D a i ʻole ke loaʻa nā hōʻailona a me nā ʻōuli e pili ana i ka decalcification o ka iwi, e like me ka ʻeha a me ka nāwaliwali o nā ʻiʻo, no ka laʻana, noi pinepine ʻia me nā huahana o ka calcium, PTH a phosphorous i loko o ke koko.
He aha ka manaʻo o nā hopena
Mai nā hopena o ka hana 25-hydroxyvitamin D hiki ke hōʻike inā lawa ka nui o ka huaora D i ke kanaka e holo i loko o ke koko e mālama i ka olakino iwi. Wahi a ka manaʻo 2017 o ka Brazilian Society of Clinical Pathology / Laboratory Medicine a me ka Brazilian Society of Endocrinology and Metabology [1], lawa nā pae o ka wikamina D:
- No ka poʻe olakino:> 20 ng / mL;
- No ka poʻe no ka hui pilikia: ma waena o 30 a me 60 ng / mL.
Hoʻohui ʻia, hoʻoholo ʻia aia ka makaʻu o ka ʻona a me ka hypercalcemia ke kiʻekiʻe ka pae o ka wikamina D ma mua o 100 ng / mL. E pili ana i nā pae i manaʻo ʻia ʻaʻole lawa a lawa ʻole paha, ke mālama ʻia nei nā noiʻi me kēia pahuhopu, eia naʻe ke koi ʻia nei e hele pū me ke kauka nā poʻe e hōʻike nei i nā waiwai ma lalo o ka ʻōlelo aʻoaʻo a, e like me ka pae i ʻike ʻia, hoʻomaka ʻia ka lapaʻau kūpono loa. .
Hoemi i nā waiwai vitamine D
Hōʻike nā helu i hōʻemi ʻia o ka huaola D i ka hypovitaminosis, ma muli paha o ka hōʻike iki ʻana i ka lā a i ʻole lawe liʻiliʻi ʻana i nā meaʻai i loko o ka wikamina D a i ʻole nā mea i hele mua, e like me ka hua manu, ka iʻa, ka tī a me nā lau. E ʻike i nā meaʻai ʻē aʻe i waiwai i ka wikamina D.
Hoʻohui ʻia, ʻo nā maʻi e like me ke ake momona, cirrhosis, lawa ʻole o ka pancreatic, maʻi maʻi, rickets a me nā osteomalacia a me nā maʻi e alakaʻi ai i ka mumū i loko o ka ʻōpū e hiki ai ke hōʻemi a me ka hemahema o ka wikamina D.
Hoʻonui i nā waiwai o ka wikamina D
ʻO ka hoʻonui ʻia o nā waiwai o ka wikamina D e hōʻike nei i ka hypervitaminosis, i hana ʻia ma muli o ka hoʻohana ʻana o ka nui o ka wikamina D no kahi lōʻihi. ʻO ka hoʻolōʻihi lōʻihi ʻana i ka lā ʻaʻole i hopena i ka hypervitaminosis, no ka mea hiki i ke kino ke hoʻoponopono i ka nui o ka wikamina D a ke ʻike ʻia nā concentrations maikaʻi loa, ua hōʻike ʻia ua oki ʻia ka synthesity o ka wikamina D e ka hoʻonāukiuki ʻana o ka lā a, no laila , ʻaʻohe pae ʻona. o ka wikamina D ma muli o ka hoʻolōʻihi ʻia ʻana i ka lā.