Ukuhlolwa kwe-25-Hydroxy Vitamin D

-Delile

• Kungani kwenziwa i-25-hydroxy vitamin D test?
• Kwenziwa kanjani ukuhlolwa kwamavithamini D angama-25-hydroxy?
• Ukuhlola imiphumela yokuhlolwa kwe-vitamin D engu-25-hydroxy
• Izingozi zokuhlolwa kwe-vitamin D engu-25-hydroxy
• Umbono

Luyini uvivinyo lwe-25-hydroxy vitamin D?

Uvithamini D usiza umzimba wakho ukumunca i-calcium futhi ugcine amathambo aqinile kuyo yonke impilo yakho. Umzimba wakho ukhiqiza uvithamini D lapho imisebe yelanga ye-UV ixhumana nesikhumba sakho. Eminye imithombo emihle yevithamini ifaka izinhlanzi, amaqanda, nemikhiqizo yobisi eqinisiwe. Iphinde itholakale njengesengezo sokudla.

Uvithamini D kufanele uhambe ngezinqubo eziningana emzimbeni wakho ngaphambi kokuba umzimba wakho uwusebenzise. Ukuguqulwa kokuqala kwenzeka esibindini. Lapha, umzimba wakho uguqula uvithamini D ube yikhemikhali elaziwa njenge-25-hydroxyvitamin D, ebizwa nangokuthi i-calcidiol.

Ukuhlolwa kwe-vitamin D engu-25-hydroxy kuyindlela engcono yokuqapha amazinga kavithamini D. Inani le-25-hydroxyvitamin D egazini lakho liyinkomba enhle yokuthi ungakanani uvithamini D umzimba wakho onawo. Isivivinyo singanquma ukuthi amazinga akho kavithamini D aphakeme kakhulu noma aphansi kakhulu.

Isivivinyo saziwa nangokuthi ukuhlolwa kwe-vitamin D engu-25-OH kanye nokuhlolwa kwe-calcidiol 25-hydroxycholecalcifoerol. Kungaba inkomba ebalulekile ye-osteoporosis (ubuthakathaka bamathambo) nama-rickets (ukungasebenzi kahle kwethambo).

Kungani kwenziwa i-25-hydroxy vitamin D test?

Udokotela wakho angacela ukuhlolwa kwe-vitamin D engu-25-hydroxy ngezizathu eziningana ezahlukene. Kungabasiza ukuthi bazi ukuthi uvithamini D omningi noma omncane kakhulu ubangela ubuthakathaka bamathambo noma okunye okungahambi kahle. Futhi ingaqapha abantu abasengozini yokuba nokushoda kukavithamini D.

Labo abasengozini enkulu yokuba namazinga aphansi kavithamini D afaka:

• abantu abangatholi kakhulu ilanga
• abantu abadala asebekhulile
• abantu abakhuluphele ngokweqile
• izingane ezinceliswa ibele kuphela (ifomula ivame ukuqiniswa ngovithamini D)
• abantu abaye bahlinzwa esiswini ngokudlula
• abantu abanesifo esithinta amathumbu futhi senza kube nzima ukuthi umzimba umunce izakhi zomzimba, njengesifo sikaCrohn

Udokotela wakho angafuna futhi ukuthi wenze uhlolo lwamavithamini D angama-25-hydroxy uma sebevele bekutholile ukuthi unenkinga kavithamini D futhi bafuna ukubona ukuthi ukwelashwa kuyasebenza yini.

Kwenziwa kanjani ukuhlolwa kwamavithamini D angama-25-hydroxy?

Udokotela wakho uzokutshela ukuthi ungadli lutho amahora amane kuya kwayisishiyagalombili ngaphambi kokuhlolwa.

Ukuhlolwa kwe-vitamin D engu-25-hydroxy kudinga ukuhlolwa kwegazi okuvamile. Umhlinzeki wakho wezokunakekelwa kwempilo uzodonsa igazi emthanjeni osengalweni yakho esebenzisa inaliti. Umunwe osheshayo uzohlinzeka ngokwanele ngesampula segazi ezinganeni nasezinsaneni.

Ukuhlola imiphumela yokuhlolwa kwe-vitamin D engu-25-hydroxy

Imiphumela izoncika eminyakeni yakho yobudala, ubulili, nezindlela zokuhlola ezisetshenzisiwe. Imiphumela nayo ingahluka kancane kusuka kubhu kuya kwelebhu.

Ngokwe-Office of Dietary Supplements (ODS), amazinga kavithamini D alinganiswa ngezinga lama-25-hydroxy kuma-nanomoles / litre (nmol / L) noma ama-nanograms / milliliter (ng / mL). Imiphumela ingakhombisa okulandelayo:

• ukuntula: ngaphansi kuka-30 nmol / L (12 ng / mL)
• ukuntuleka okungenzeka: phakathi kwama-30 nmol / L (12 ng / mL) kanye nama-50 nmol / L (20 ng / mL)
• amazinga ajwayelekile: phakathi kwama-50 nmol / L (20 ng / mL) no-125 nmol / L (50 ng / mL)
• amazinga aphezulu: aphezulu kune-125 nmol / L (50 ng / mL)

Uma amazinga akho kavithamini D ephansi futhi unezimpawu zobuhlungu bamathambo, udokotela angancoma ukuskena okukhethekile ukuhlola ukuminyana kwethambo. Odokotela basebenzisa lokhu kuskena okungenabuhlungu ukuhlola impilo yethambo lomuntu.

Amazinga egazi aphansi ka-25-hydroxy vithamini D ngokuvamile asho okukodwa (noma ngaphezulu) kokulandelayo:

• awudli ukudla okulinganiselayo, okuphelele
• amathumbu akho awamunci kahle uvithamini
• awusebenzisi isikhathi esanele ngaphandle ukumunca amazinga anele kavithamini D ngokushiswa yilanga

Obunye ubufakazi buhlobanisa ukushoda kukavithamini D engcupheni ephezulu yomdlavuza othile, izifo zomzimba, kanye nesifo senhliziyo.

Amazinga egazi aphezulu kavithamini D ngokuvamile abangelwa ukuthatha amaphilisi amavithamini amaningi nezinye izithako zokudla okunempilo. Ukweqiwa okuphezulu kukavithamini D kungaholela esimweni esibizwa nge-hypervitaminosis D. I-Hypervitaminosis yisimo esingajwayelekile kodwa esibi kakhulu esingakubeka engcupheni yezinkinga zesibindi noma zezinso.

Amazinga aphezulu awavamile ngenxa yokudla amavithamini amaningi ngokudla noma ngokushiswa yilanga.

Udokotela wakho uzokusiza ekuchazeni imiphumela yokuhlolwa kwakho futhi anqume ukuthi unakho yini ukushoda kukavithamini D.

Izingozi zokuhlolwa kwe-vitamin D engu-25-hydroxy

Njenganoma yikuphi ukuhlolwa kwegazi okuvamile, izingozi zokuhlolwa kwamavithamini angama-25-hydroxy zincane futhi zifaka:

• ukopha ngokweqile
• ubumhlophe
• ithuba elincane lokutheleleka lapho inaliti ihlaba khona isikhumba sakho

Umbono

Uvithamini D ubalulekile emzimbeni. Ukushoda nganoma yisiphi isikhathi kungadala izinkinga. Udokotela wakho angancoma izithasiselo noma ezinye izindlela zokwelashwa uma untula kakhulu. Ukudla ukudla okuqukethe i-vitamin D ngaphezu kokungeza izithako kuhlobo lwakho kungasiza ukugcina amazinga akho e-vitamin D azinzile.