I-Vitamin D isiphinde yaba sesikhungweni senkulumompikiswano yezempilo ngenxa yendima yayo engaba khona ngale kwempilo yamathambo. Uhlolo lwakamuva lomtholampilo ezigulini ezihlaselwe isifo senhliziyo luphakamisa ukuthi abaphathi balo... i-vitamin D3 yomuntu siqu Kunganciphisa ingozi yesehlakalo sesibili senhliziyo, njalo ngaphansi kokuqondisa kodokotela.
Khonamanjalo, ochwepheshe baseSpain baveza ukuthi lokhu kuntuleka kuvamile esifundeni sethu phakathi nezinyanga ezibandayo: ezindaweni ezifana neSpain, imisebe ye-UVB kusukela ekwindla kuya entwasahlobo ayanele ukuhlanganisa amazinga anele. Ngakho-ke, izincomo zokwengeza Bagxila emaqenjini ezingozi, anezixwayiso ezicacile mayelana nomthamo kanye nohlobo lokuzilungiselela.
Ukuhlolwa okungahleliwe kuphakamisa ukuvuselelwa okumbalwa nge-vitamin D3
Abacwaningi abavela ku-Intermountain Health bethule idatha evela ocwaningweni olungahleliwe (TARGET-D) ezigulini ezine-acute coronary syndrome. Eqenjini eliphathwayo, umthamo walungiswa. i-cholecalciferol (i-vitamin D3) ukuze kuzuzwe amazinga egazi aqondiwe, ngokuqapha ngezikhathi ezithile kanye nokulungiswa okusekelwe emiphumeleni.
Ucwaningo lubandakanya abantu abangama-630 abalandelwa iminyaka engaphezudlwana nje kwemine. Ekuqaleni, ngaphezu kwama-85% ayenokugxila ngaphansi [komkhawulo othile]. 40 ng / mlKuphrothokholi yokungenelela, ingxenye ebalulekile yayidinga imithamo yokuqala esondele ku-5.000 IU/ngosuku ukuze ifinyelele ibanga eliqondiwe, njalo ngovithamini D nokuqapha kwe-calcium ukuze kugwenywe ubuthi.
Emphumeleni oyinhloko ohlanganisiwe (ukufa, ukwehluleka kwenhliziyo, ukushaywa unhlangothi, noma ukulaliswa esibhedlela), akukho mehluko obalulekile owabonwa phakathi kwamaqembu. Nokho, ukuhlaziya kwabonisa ukuthi Ingozi yokuhlaselwa yinhliziyo entsha yehliswe cishe ngesigamu kulabo abalandela uhlelo lokudosa oluqondiswa umgomo.
Ababhali abatholanga noma yimiphi imiphumela emibi efanele okuxhunyaniswe nokwengezwa ngaphakathi kwephrothokholi yesilingo, nakuba begcizelele ukuthi okutholakele kungokokuqala futhi kudinga ukuqinisekiswa kumasampula amakhulu kanye nokushicilelwe okubuyekezwe ngontanga.
Isho ukuthini le miphumela, futhi yini esazoqinisekiswa?
Indlela yocwaningo iyasuka kumithamo engaguquki futhi igxile ekufinyeleleni ibanga eliqondiwe ngokuqapha kanye nokulungiswa ngezikhathi ezithile. Leli su lingachaza isignali ebonwe ekubuyiselweni kabusha uma kuqhathaniswa nezifundo zangaphambilini ukwesekwa okufanayo ngaphandle kokucabangela amazinga esisekelo.
Ngaphandle kwemvelo ethembisayo yedatha, abacwaningi bayavuma ukuthi izivivinyo ezinkulu ziyadingeka ukuze kuhlolwe umthelela kwezinye izehlakalo zenhliziyo kanye nokuqinisekisa ukuthi ukuncipha ingozi reinfarction Iyaqhubeka kubantu abahlukahlukene kanye nezinhlelo zezempilo.
Kuhle ukukhumbula ukuthi, ngaphandle kokuhlolwa, izincomo ezijwayelekile zokuphepha zeluleka ngokumelene nokweqa 4.000 IU/ngosuku ngaphandle kokugadwaOcwaningweni, imithamo ephezulu isetshenziswe ngokulawulwa okuseduze, ngakho-ke akufanele ikhishwe ngaphandle kokuhlolwa komtholampilo okuhambisanayo.
Ukushoda kwe-Vitamin D eSpain: Amaqembu ekwindla-ebusika kanye nezingozi
Ezweni lethu, izazi ze-endocrinologists zigcizelela ukuthi, ngenxa yemikhuba ye-latitude kanye nendlela yokuphila, ukwakheka kwe-vitamin D akwanele kusukela ekwindla kuya entwasahlobo. Izinto ezifana iminyaka yobudala, uhlobo lwesikhumba esimnyama, umsebenzi wasendlini, ukukhuluphala, noma ukufakwa ezikhungweni khulisa inkinga.
Imihlahlandlela yamazwe ngamazwe neyaseYurophu incoma ukuthi kugxilwe ukwesekwa emaqenjini asengozini enkulu: Abantu abangaphezu kweminyaka engama-75, abasezikhungweni, abesifazane abakhulelwe nabancelisayo, kanye nabantu abanesikhumba esimnyamaLabo abagwema ukuchayeka elangeni kanye neziguli ezinezifo zokugaya ukudla ezithinta ukumuncwa (njengesifo se-celiac) noma abasebenzisa izidakamizwa eziphazamisayo (ama-corticosteroids, amanye ama-hypolipidemic agents, i-orlistat, ama-resin, phakathi kwabanye).
Ngaphambi kokuqala ukwelashwa, kuphakanyiswa ukuthi kulinganiswe i-25-hydroxyvitamin D ukulungisa umthamo uma kukhona izimpawu ze-musculoskeletalIzici zobungozi noma umlando wokuntuleka. Kubantu abadala abanempilo abangenazo izici zobungozi, uhlobo lokuvimbela lungacatshangelwa ekwindla-ebusika ngaphandle kokuhlolwa kwangaphambili, kusetshenziswa imithamo elondolozayo.
Imithombo yokudla kanye nokuchayeka elangeni: yini ongayilindela
Ukudla kunikeza uvithamini D, kodwa ngokwezibalo zabantu, ngokuvamile kuwumthombo omncane. Imithombo ihlanganisa... izinhlanzi ezinamafutha, amaqanda nesibindikanye nemikhiqizo yobisi nokunye ukudla okuqinisiwe. EYurophu, ukuqiniswa akukona okuhlelekile njengase-United States, ngakho ukuzuza amazinga anele ngokudla kukodwa kunzima uma kungenakukhanya kwelanga okwanele.
Lokhu kudla kuhlinzeka nge-calcium namanye ama-micronutrients anenzuzo empilweni ye-musculoskeletal. Noma kunjalo, ochwepheshe bayagcizelela ukuthi ngaphandle kokuchayeka okwanele kwe-UVB, izingxenye ezijwayelekile Abavamisile ukugcina ukugxila okuhle egazini, ikakhulukazi ezinyangeni ezibandayo.
Ukwengeza eSpain: ukuhlaziywa, umthamo namafomu atholakalayo
Ngo umkhuba emtholampilo, imithamo nsuku zonke i-cholecalciferol (i-vitamin D3) Imithamo engaphansi kuka-2.000 IU/ngosuku ngokuvamile ibhekwa njengephephile. Okubizwa ngokuthi "imithamo yokuphahlazeka" akukhuthazwa, futhi kuhle ukugwema ukudlula i-4.000 IU/ngosuku ngaphandle kokugadwa kochwepheshe ukuze kuncishiswe ingozi ye-hypercalcemia nezinkinga zezinso.
Nasendaweni yethu iyasetshenziswa I-calcifediol (25-hydroxyvitamin D)Abanye ochwepheshe baxwayisa ngengozi ephezulu yobuthi kanye nokusebenza kahle okuphansi uma kuqhathaniswa ne-cholecalciferol, ngakho-ke batusa ukubeka phambili i-vitamin D3 ngaphandle uma kuboniswe ngokuqondile. Ifomu kanye nomthamo kufanele kube ngabanye ngokuya ngamazinga ayisisekelo, ukugula, kanye nemithi ehambisanayo.
Ukukhuluphala kanye nokuntuleka kwevithamini D: izimpawu ezivela eGalicia
Ukuhlaziywa kwendawo ezikhungweni zezempilo endaweni yaseVigo kuchaza ubudlelwano obuphambene phakathi kwenkomba yesisindo somzimba kanye novithamini D, kushoda kuma-87% yabahlanganyeli kanye nezibalo ezimbi kakhulu ezindaweni zasemadolobheni. I-hypothesis ihlanganisa ukuchayeka kancane elangeni kanye nokugcinwa kwevithamini kuzicubu ze-adipose.
Ngenxa yalesi simo, i-Galician Health Service (Sergas) ikhiphe izincomo ezivumela odokotela bomndeni. Khombisa ukwesekwa ezigulini ezikhuluphele Uma kukhona izinsolo ezisekelwe kahle zokuntula, ngisho nangaphandle kokuhlaziywa kwangaphambili, isilinganiso se-pragmatic ebusweni bokusabalala okuphezulu kwe-hypovitaminosis.
Ngaphandle kwempilo yamathambo, izifundo okuxoxwe ngazo zixhumanisa ukuntula ezinhlelweni ezihlukahlukene (amasosha omzimba, inhliziyo nemithambo yegazi, izinzwa, noma i-endocrine-metabolic), nakuba izinzuzo ezengeziwe zamathambo zokwengezwa kubantu abaningi zihlala zingacacile. ukuhlolwa kwesayensi.
Intshisekelo kuvithamini D iyakhula ngokutholwa okusha kwezifo zenhliziyo nedatha yendawo mayelana nokuntula, kodwa ukhiye uhlala ubhalansile: ukukhomba ukuthi ubani ozuza kakhulu, kusetshenziswa imithamo ephephile futhi ubeke phambili i-cholecalciferol ngokulandelwa lapho kufaneleka, kuyilapho ucwaningo luqhubeka ukuze lucacise umthelela walo ezenzakalweni zenhliziyo kanye nempilo yomphakathi.