Ukuthandwa kwezithasiselo ze-vitamin D akubonisi zimpawu zokuncipha, futhi eSpain, abantu abaningi bayazithatha zodwa. Lokhu kuchuma kuza nezixwayiso ezivela kochwepheshe abanxusa ukuqapha nokwahlulela kwezokwelapha ukuze kugwenywe izinkinga ezinkulu.
I-Vitamin D ibalulekile ekumuncweni kwe-calcium nokugcina impilo yamathambo , kanye nokudlala indima ekusebenzeni kwemisipha kanye nokuzivikela komzimba. Kodwa-ke, kubantu abaphilile, ubufakazi bezinzuzo ezinde bulinganiselwe, futhi ukuyithatha ngokungadingekile kungaba nezingozi okufanele zicatshangelwe.
Izingozi zokweqisa kanye nezexwayiso zomtholampilo
Odokotela bezifo ze-nephrologists bagcizelela ukuthi ukusetshenziswa ngokweqile kwaleli vithamini kungaholela ekugugulekeni kwamatshe ezinso ngisho nasekuhlulekeni kwezinso . Emsebenzini wabo, abanye odokotela baye belapha iziguli ngamatshe ezinso ngemva kokulandela izindlela zokwengeza ngaphandle kokuhlolwa kwangaphambilini noma ngenxa yamaphutha omthamo.
Indlela esebenza ngayo iyaziwa kakhulu: i-vitamin D ikhulisa ukumuncwa kwe-calcium emathunjini . Uma idlula, le calcium ejikelezayo ingabangela i-hypercalcemia futhi ibekwe lapho kungafanele ibe khona, okuholela ezimpawini ezifana nokucanuzela kwenhliziyo, ukuhlanza, ukukhathala okukhulu, ukungasebenzi kahle kwemisipha, futhi, ezimweni ezimbi kakhulu, ukulimala kwezinso.
Omunye umkhuba oyinkinga ukusetshenziswa okungalawulwa kwama -ampoules anomthamo ophezulu , noma ukudideka umthamo wanyanga zonke nowansuku zonke, okwandisa kakhulu ingozi yobuthi. Ukwengezwa kwezingane ngaphandle kwezinkomba zezokwelapha nakho kuyangabazeka ngenxa yokuntuleka kokusekelwa okuqinile kwesayensi.
Ngaphandle kwezimo ezithile zezokwelapha, ochwepheshe baveza ukuthi, kubantu abaphilile, i-vitamin D ayibonakali inciphisa izehlakalo zenhliziyo, izimila, noma ukwaphuka kwamathambo . Ingaba wusizo ezimweni ze -osteoporosis, isifo sezinso, noma ukuntuleka okuqinisekiswe ukuhlolwa kwegazi.
Ikhonjiswa nini futhi yimiphi imithamo ephephile?
Ukwengezwa kuyacatshangelwa uma kukhona ukuntuleka okuqinisekisiwe , ukuchayeka elangeni isikhathi eside, izinkinga zokumuncwa, noma izimo ezifana ne -osteoporosis . Kulezi zimo, uchwepheshe wezempilo unikeza umthamo kanye nohlelo lokuqapha olufanele isiguli ngasinye.
Njengesiqondiso esijwayelekile, ukudla okunconywayo kwansuku zonke kungaba ngu -15 mcg (600 IU) kubantu abadala abaneminyaka engu-70 ubudala kanye no- 20 mcg (800 IU) kulabo abaneminyaka engaphezu kuka-70. Ukuhlala ngaphansi komkhawulo ophezulu obekezelelekayo ongu-4000 IU ngosuku kunciphisa ingozi yobuthi; ukudlula njalo leli nani kudinga ukubhekwa eduze kwezokwelapha.
Ngokuphathelene nesikhathi, ukuhambisana kubalulekile , futhi kufanele kuthathwe ngokudla okunikeza amafutha anempilo ukuze kuthuthukiswe ukumuncwa (isibonelo, i-avocado, amantongomane, noma inhlanzi enamafutha ). Qaphela ukusebenzisana okungenzeka nemithi efana nama-statin, ama-corticosteroids, noma ama-diuretics e-thiazide. Futhi iphuzu elibalulekile: imiphakathi yesayensi ayincomi ukwengezwa njalo kwabantu abadala abanempilo .
Ngaphezu kwalokho, akuyona yonke imikhiqizo efanayo: eminye igcwele kakhulu futhi umthamo wayo awunembile. Ukufunda amalebula ngokucophelela, ukugwema imithamo emikhulu , nokufuna iseluleko sezokwelapha ngaphambi kokuxuba amafomethi noma izinhlobo ezahlukene kubalulekile ukuvimbela ukweqisa ngengozi.
Imithombo ethembekile kavithamini D kanye nemikhuba esebenzayo
Isikhumba senza i-vitamin D ihlanganiswe nokukhanya kwelanga (UVB) . Ngokuvamile, imizuzu emi-5 kuya kwengama-30 yokuchayeka emini, izikhathi eziningana ngesonto, inganele kuye ngohlobo lwesikhumba, isizini, kanye nobubanzi. Ngisho noma une-sunscreen, i-vitamin D isengakhiqizwa , kodwa kungcono ukubeka phambili ukuphepha kwesikhumba futhi ugweme ukushiswa yilanga.
Ukudla kusiza ukuhlangabezana nezidingo zokudla okunempilo: inhlanzi enamafutha (i-salmon, i-mackerel, ama-sardine), amaqanda, nokudla okuqinisiwe (ubisi neziphuzo ezisekelwe ezitshalweni, i-yogurt, kanye nokusanhlamvu). Amakhowe atholakala ekukhanyeni kwe-ultraviolet nawo ayaphawuleka , njengoba engomunye wemithombo embalwa ebalulekile engeyona eyezilwane.
Kunamaqembu asengozini enkulu yokuba namazinga aphansi: abantu asebekhulile, labo abanesikhumba esimnyama , labo abahlala ezindaweni eziphakeme, noma labo abanesifo sesibindi noma sezinso, kanye nezinkinga zokugaya ukudla ezikhawulela ukumuncwa . Kulezi zimo, ukuhlolwa kwegazi nokubonisana nodokotela kuyindlela ephephile kakhulu yokwenza.
Okushiwo ubufakazi bamuva nje
Emkhakheni wokugaya ukudla, izifundo ezishicilelwe ziphawule ukuthi abantu abaningi abane -irritable bowel syndrome abanamazinga anele e-vitamin D nokuthi, lapho la mazinga ekhuphuka, ezinye iziguli zibika ukuqunjelwa okuncane, ubuhlungu, kanye nokuqunjelwa . Lokhu kuyimiphumela ethembisayo, kodwa kusadingeka izivivinyo ezinkulu neziklanywe kahle.
Olunye ucwaningo, oluholwa yithimba leyunivesithi yase-US, luphakamisa ukuthi ukwengezwa kwe-magnesium kungakhuthaza i-microbiota yamathumbu enamandla amakhulu okukhiqiza i-vitamin D, futhi, ngendlela yendawo, kuguqula izinqubo ezihlotshaniswa nomdlavuza we-colorectal . Umphumela wabonakala ikakhulukazi kwabesifazane futhi kubonakala sengathi uncike ezinhlotsheni ze- gene ye -TRPM7 , okukhomba emasu okuvimbela enziwe ngokwezifiso.
Lezi zingcezu zihlangana ndawonye zibe yiphazili eyinkimbinkimbi: i-vitamin D ayilona ikhambi, kodwa ubudlelwano bayo nokuzivikela komzimba, ukuvuvukala, kanye ne-gut microbiota buyacwaningwa. Okwamanje, lolu lwazi alusekeli ukwengezwa okubanzi kwabantu abanempilo; nokho, luqinisa umqondo wokuhlukanisa izinqumo ngokwezidingo zezokwelapha.
Ukugxila ezintweni ezibalulekile kuyasiza: i-vitamin D iwusizo futhi iyadingeka, kodwa ukusetshenziswa kwayo ngokungakhethi kungaba nemiphumela emibi. Ngokuhlolwa kwegazi kwangaphambilini, imithamo efanele, kanye nemithombo ethembekile (ukudla, ukuchayeka elangeni ngendlela efanele, kanye, uma kudingeka, isithasiselo esinikezwe udokotela kahle), ingozi iyancishiswa, futhi uthola okuningi ezinzuzweni zayo.
