Mayeso a 25-hydroxy vitamini D

Mayeso a 25-hydroxy vitamini D ndiyo njira yolondola kwambiri yodziwira kuchuluka kwa vitamini D mthupi lanu.

Vitamini D amathandiza kuchepetsa calcium ndi phosphate m'thupi.

Muyenera kuyesa magazi.

Nthawi zambiri, simusowa kusala. Koma izi zimadalira labotale ndi njira yoyesera yogwiritsidwa ntchito. Tsatirani malangizo aliwonse osadya musanayezedwe.

Pamene singano imayikidwa kuti ikoke magazi, anthu ena amamva kupweteka pang'ono. Ena amangomva kubaya kapena kuluma. Pambuyo pake, pakhoza kukhala kupindika.

Kuyesaku kumachitika kuti mudziwe ngati muli ndi vitamini D wambiri kapena wocheperako m'magazi anu. Kuunikira achikulire onse, ngakhale ali ndi pakati, kutsika kwa mavitamini D otsika sikulimbikitsidwa.

Komabe, kuwunika kumatha kuchitidwa kwa anthu omwe ali pachiwopsezo chachikulu cha kuchepa kwa vitamini D, monga omwe:

• Oposa zaka 65 (khungu la vitamini D limatulutsa khungu ndipo kuyamwa kwa m'matumbo kwa vitamini D kumatsika tikamakalamba)
• Ndi onenepa (kapena achepetsa thupi chifukwa cha opaleshoni ya bariatric)
• Mukumwa mankhwala ena, monga phenytoin
• Khalani ndi matenda ofooka kwa mafupa kapena mafupa owonda
• Khalani ndi nthawi yochepa padzuwa
• Amakhala ndi vuto lotenga mavitamini ndi michere m'matumbo, monga omwe ali ndi ulcerative colitis, matenda a Crohn, kapena matenda a celiac

Vitamini D wamba amayesedwa ngati ma nanograms pa mamililita (ng / mL). Akatswiri ambiri amalimbikitsa kuchuluka pakati pa 20 ndi 40 ng / mL. Ena amalimbikitsa kuchuluka pakati pa 30 ndi 50 ng / mL.

Zitsanzo pamwambapa ndizoyesa wamba pazotsatira za mayesowa. Mitengo yamtengo wapatali imatha kusiyanasiyana pakati pa ma labotore osiyanasiyana. Ma laboratories ena amagwiritsa ntchito miyeso yosiyanasiyana kapena amayesa mitundu yosiyanasiyana. Lankhulani ndi dokotala wanu tanthauzo la zotsatira zanu zoyesa, komanso ngati mungafune mavitamini D owonjezera.

• 25 hydroxy vitamin D3 (cholecalciferol) ndi vitamini D omwe thupi lanu lapanga kapena lomwe mudalowetsa munyama (monga nsomba zamafuta kapena chiwindi) kapena cholecalciferol supplement.
• 25 hydroxy vitamini D2 (ergocalciferol) ndi vitamini D omwe mudadya kuchokera ku zakudya zolimbikitsidwa ndi vitamini D kapena kuchokera ku chowonjezera cha ergocalciferol.
• Mahomoni awiri (ergo- ndi cholecalciferol) amagwiranso chimodzimodzi mthupi. Chofunika kwambiri ndi mulingo wokwanira 25 wa hydroxy vitamini D m'magazi anu.

Mulingo wocheperako kuposa wabwinobwino ukhoza kukhala chifukwa cha kuchepa kwa vitamini D, komwe kumatha kubwera chifukwa cha:

• Kusakhala ndi khungu padzuwa, khungu lakuda, kapena kugwiritsa ntchito zoteteza ku dzuwa kwambiri
• Kusowa vitamini D wokwanira mu zakudya
• Matenda a chiwindi ndi impso
• Kusadya bwino
• Kugwiritsa ntchito mankhwala ena, kuphatikizapo phenytoin, phenobarbital, ndi rifampin
• Kuchepetsa mavitamini D chifukwa chakukalamba, opaleshoni yochepetsa thupi, kapena momwe mafuta samayambira bwino

Mulingo wochepa wa vitamini D umakonda kwambiri ana aku Africa aku America (makamaka m'nyengo yozizira), komanso makanda omwe amayamwitsa mkaka wokha.

Mulingo woposa wabwinobwino ukhoza kukhala chifukwa cha vitamini D wochulukirapo, vuto lotchedwa hypervitaminosis D. Izi zimachitika chifukwa chakudya vitamini D wambiri. Izi zimabweretsa zizindikilo zambiri ndi kuwonongeka kwa impso.

Pali chiopsezo chochepa chotenga magazi anu. Mitsempha ndi mitsempha imasiyana mosiyanasiyana kuchokera pa munthu wina kupita kwina komanso kuchokera mbali imodzi ya thupi kupita mbali inayo. Kutenga magazi kuchokera kwa anthu ena kumatha kukhala kovuta kuposa ena.

Zowopsa zina zomwe zimakoka magazi ndi zochepa, koma mwina ndi izi:

• Kutaya magazi kwambiri
• Ma punctures angapo kuti mupeze mitsempha
• Kukomoka kapena kumva mopepuka
• Hematoma (magazi akuchuluka pansi pa khungu)
• Kutenga (chiopsezo chochepa nthawi iliyonse khungu likasweka)

Mayeso a vitamini D 25-OH; Calcidiol; Mayeso a 25-hydroxycholecalciferol

• Kuyezetsa magazi

Bouillon R. Vitamini D: kuchokera ku photosynthesis, metabolism, ndi zochita mpaka kuchipatala. Mu: Jameson JL, De Groot LJ, de Kretser DM, et al, olemba. Endocrinology: Akuluakulu ndi Ana. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier Saunders; 2016: chap 59.

Chernecky CC, Berger BJ. Vitamini D (cholecalciferol) - plasma kapena seramu. Mu: Chernecky CC, Berger BJ, olemba., Eds. Kuyesa Kwantchito ndi Njira Zakuzindikira. Lachisanu ndi chimodzi. St Louis, MO: Elsevier Saunders; 2013: 1182-1183.

LeFevre ML; Gulu Lankhondo Loteteza ku US. Kuunikira kuchepa kwa vitamini D mwa akulu: Ndemanga ya US Preventive Services Task Force. Ann Intern Med. 2015; 162 (2): 133-140. PMID: 25419853 pubed.ncbi.nlm.nih.gov/25419853/.