25-hydroxy vhitamini D bvunzo

Iyo 25-hydroxy vhitamini D bvunzo ndiyo nzira yakatwasuka yekuyera kuti yakawanda sei vhitamini D iri mumuviri wako.

Vitamin D inobatsira kudzora calcium uye phosphate mazinga mumuviri.

Muenzaniso weropa unodiwa.

Kazhinji, iwe haufanire kutsanya. Asi izvi zvinoenderana nerabhoritari uye nzira yekuyedza yakashandiswa. Tevera chero mirayiridzo yekusadya usati waedzwa.

Kana tsono ikaiswa kukweva ropa, vamwe vanhu vanonzwa kurwadziwa zvine mwero. Vamwe vanongonzwa kubaya kana kubaya. Mushure meizvozvo, panogona kunge paine kurovera.

Iyi bvunzo inoitwa kuti uone kana uine yakawandisa kana ishoma vhitamini D muropa rako. Kuongororwa kwevakuru vese, kunyangwe kana vaine nhumbu, kune yakaderera vhitamini D mazinga kazhinji haakurudzirwe.

Zvisinei, kuongororwa kunogona kuitwa kune vanhu vari pangozi yakakura yekushayikwa kwevhitamini D, sevaya:

• Vari pamusoro pemakore makumi matanhatu nemashanu (zvese kugadzirwa kweganda kwevhitamini D uye kunwiswa kwematumbo kwevhitamini D kunova kwakaderera sezvatinokwegura)
• Vakafutisa (kana kurasikirwa uremu kubva kuvhiya yebariatric)
• Vari kutora mimwe mishonga, senge phenytoin
• Iva ne osteoporosis kana mapfupa matete
• Iva nezuva rakajeka
• Une matambudziko ekutora mavitamini uye zvinovaka muviri mumatumbu avo, senge iwo ane ulcerative colitis, chirwere cheCrohn, kana chirwere checeliac

Iyo yakajairwa huwandu hwevhitamini D inoyerwa seananograms pamamirilita (ng / mL). Nyanzvi zhinji dzinokurudzira padanho pakati pe20 uye 40 ng / mL. Vamwe vanokurudzira danho riri pakati pe30 uye 50 ng / mL.

Iyi mienzaniso iripamusoro zviyero zvakajairika zvemhedzisiro yeiyi bvunzo. Zvakajairika kukosha masenduru anogona kusiyana zvishoma pakati pemarabhoritari akasiyana. Mamwe marabhoritari anoshandisa zviyero zvakasiyana kana kuyedza sampuro dzakasiyana. Taura nachiremba wako nezve zvinorehwa nemimwe miedzo yako, uye kuti ungangoda here vitamini D zvinowedzera.

• 25 hydroxy vitamin D3 (cholecalciferol) ndiyo vhitamini D yakaitwa nemuviri wako kana yaunotora kubva kune mhuka (senge hove ine mafuta kana chiropa) kana cholecalciferol yekuwedzera.
• 25 hydroxy vitamin D2 (ergocalciferol) ndiyo vhitamini D iyo iwe yaunotora kubva kuzvikafu zvakasimbiswa nemiti vhitamini D kana kubva kune ergocalciferol yekuwedzera.
• Iwo mahormone maviri (ergo- uye cholecalciferol) anoshanda zvakafanana mumuviri. Iko kukosha kwakakosha izere makumi maviri neshanu hydroxy vhitamini D mwero muropa rako.

Iyo yakaderera-kupfuura-yakajairwa nhanho inogona kuve nekuda kwekushomeka kwevhitamini D, iyo inogona kukonzeresa kubva ku:

• Kusava nekuratidzwa kweganda kune chezuva, rakasviba ganda rine ganda, kana kushandiswa kusingagumi kweiyo yepamusoro-SPF sunscreen
• Kushaya vhitamini D yakakwana mukudya
• Chiropa uye itsvo zvirwere
• Kusadya zvakanaka
• Kushandiswa kwemimwe mishonga, kusanganisira phenytoin, phenobarbital, uye rifampin
• Yakashata vhitamini D yekumwa nekuda kwezera remberi, kurema-kurasikirwa kuvhiya, kana mamiriro umo mafuta asina kunyudzwa mushe

Iyo yakaderera vhitamini D mwero inowanzoitika muAfrica vana vevana (kunyanya munguva yechando), pamwe nevacheche vanoyamwiswa chete.

Iyo yepamusoro-kupfuura-yakajairwa nhanho inogona kunge yakakonzerwa nekuwandisa vhitamini D, mamiriro anonzi hypervitaminosis D. Izvi zvinonyanya kukonzerwa nekutora zvakawandisa vhitamini D. Zvinogona kukonzera calcium yakawandisa mumuviri (hypercalcemia). Izvi zvinotungamira kune akawanda zviratidzo uye kukuvara kweitsvo.

Pane njodzi shoma inosanganisirwa nekutorwa kweropa rako. Tsinga uye tsinga zvinosiyana muhukuru kubva kumunhu kuenda kune mumwe uye kubva kune rimwe divi remuviri kuenda kune rimwe. Kutora ropa kubva kune vamwe vanhu kunogona kunge kwakaoma kupfuura kubva kune vamwe.

Dzimwe njodzi dzinosangana nekutorwa kweropa idiki, asi dzinogona kusanganisira:

• Kuwedzera kubuda ropa
• Akawanda punctures ekutsvaga mutsinga
• Kufenda kana kunzwa kushaya musoro
• Hematoma (ropa rinoungana pasi peganda)
• Utachiona (hushoma njodzi chero nguva ganda parinovhunika)

25-OH vhitamini D bvunzo; Calcidiol; 25-hydroxycholecalciferol bvunzo

• Kuongorora ropa

Bouillon R. Vitamin D: kubva kuphotosynthesis, metabolism, uye chiito kumakiriniki ekushandisa. Muna: Jameson JL, De Groot LJ, de Kretser DM, et al, eds. Endocrinology: Vakuru uye Chiremba. 7th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits. 59.

Chernecky CC, Berger BJ. Vitamini D (cholecalciferol) - plasma kana serum. Mune: Chernecky CC, Berger BJ, eds. Rabhoritari Kuyedza uye Maitiro Ekuongorora. 6th ed. St Louis, MO: Elsevier Saunders; 2013: 1182-1183.

LeFevre ML; US Yekudzivirira Services Task Force. Kuongorora kushomeka kwevhitamini D muvakuru: US Preventive Services Task Force kukurudzira chirevo. Ann Mukati Med. 2015; 162 (2): 133-140. PMID: 25419853 pubmed.ncbi.nlm.nih.gov/25419853/.