I-Hypervitaminosis D

I-Hypervitaminosis D yisimo esenzeka ngemuva kokuthatha imithamo ephezulu kakhulu kavithamini D.

Isizathu wukudla ngokweqile kukavithamini D. Amanani adinga ukuba abe phezulu kakhulu, ngaphezulu kakhulu kwalokho abahlinzeki bezokwelapha abavamise ukukusho.

Kube nokudideka okuningi mayelana nokwengezwa kwe-vitamin D. Isibonelelo esinconywayo sansuku zonke (i-RDA) se-vitamin D siphakathi kuka-400 no-800 IU / ngosuku, kuye ngeminyaka yobudala nesimo sokukhulelwa. Izilinganiso eziphakeme zingadingeka kwabanye abantu, njengalabo abanokushoda kukavithamini D, i-hypoparathyroidism, nezinye izimo. Kodwa-ke, iningi labantu alidingi ngaphezu kuka-2,000 IU kavithamini D ngosuku.

Kubantu abaningi, ubuthi bukavithamini D benzeka kuphela ngemithamo kavithamini D ngaphezu kwe-10,000 IU ngosuku.

Ukweqisa kukavithamini D kungadala izinga eliphakeme ngokweqile le-calcium egazini (hypercalcemia). Lokhu kungalimaza kakhulu izinso, izicubu ezithambile, namathambo ngokuhamba kwesikhathi.

Izimpawu zifaka:

• Ukuqunjelwa
• Ukwehla kwesifiso sokudla (i-anorexia)
• Ukuphela kwamanzi emzimbeni
• Ukukhathala
• Ukuchama njalo
• Ukuthukuthela
• Ubuthakathaka bemisipha
• Ukuhlanza
• Ukoma ngokweqile (polydipsia)
• Umfutho wegazi ophezulu
• Ukudlulisa inani elikhulu lomchamo (i-polyuria)

Umhlinzeki wezokunakekelwa kwempilo uzokuhlola abuze ngezimpawu zakho.

Izivivinyo ezinga-odwa zifaka:

• I-calcium egazini
• I-calcium emchameni
• 1,25-dihydroxy uvithamini D amazinga
• I-serum phosphorus
• I-X-ray yethambo

Umhlinzeki wakho uzokutshela ukuthi uyeke ukuthatha uvithamini D. Ezimweni ezinzima, olunye unyango lungadingeka.

Ukubuyiselwa kulindeleke, kepha ukulimala okungapheli kwezinso kungenzeka.

Izinkinga zempilo ezingabangelwa ukuthatha uvithamini D omningi isikhathi eside zifaka:

• Ukuphela kwamanzi emzimbeni
• I-Hypercalcemia
• Ukulimala kwezinso
• Amatshe ezinso

Shayela umhlinzeki wakho uma:

• Wena noma ingane yakho nikhombisa izimpawu ze-hypervitaminosis D futhi nithatha amavithamini D amaningi kune-RDA
• Wena noma ingane yakho nikhombisa izimpawu futhi benithatha incwadi kadokotela noma ifomu likavithamini D

Ukuvimbela lesi simo, naka ngokucophelela umthamo olungile we-vitamin D.

Izithako eziningi zokuhlanganiswa kwamavithamini ziqukethe uvithamini D, ngakho-ke hlola amalebula azo zonke izithako ozithathayo ngokuqukethwe kukavithamini D.

Uvithamini D ubuthi

U-Aronson JK. Ama-analogues ka-Vitamin D. Ku: Aronson JK, ed. Imiphumela emibi kaMeyler yezidakamizwa. Umhla ka-16. I-Waltham, MA: Elsevier; 2016: 478-487.

IGreenbaum LA. Ukushoda kukavithamini D (ama-rickets) nokuningi ngokweqile. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Incwadi kaNelson Yezingane. Umhlaka 21. IPhiladelphia, PA: Elsevier; 2020: isahluko 64.