Ukuqonda izizathu, i-Impact, kunye noTyango
I-Vitamin D ibaluleke kakhulu kwisondlo semfuyo, i-calcium balance, kunye nomzimba wokuzivikela- kodwa ngokuqhelekileyo kufunyaniswa ukuba iphantsi kubantu abaninzi abaphila ne-HIV. Nangona izizathu zezi zinto zingabaninzi, kuyacaca ukuba ukusuleleka kwintsholongwane kaGawulayo, kwaye ngokwayo, kunomdla kule nto kwaye ukungazinzi ngokuqhubekayo kunokuba nefuthe elibi kwimpilo yakho yexesha elide.
Sifumana phi iVithamini D yethu?
I-Vitamin D yenye yevithamini ezinomzimba ezinomsoco.
Ngokungafani nezinye iivithamini, zifumaneka kuphela kwimithombo emininzi yokutya - njengeentlanzi ezithile kunye nokutya okuqinisiweyo, njengobisi kunye nosawoti. Uninzi lwe-vitamin D lwenziwa emzimbeni wethu emva kokukhanya kwelanga.
Xa isikhumba sethu somzimba sibonakala kwimisebe yelanga ye-ultraviolet, i-molecule efana ne-cholesterol ikhutshelwe kwigazi, yenza indlela yayo kwisibindi. Ngesinye isibindi esesibindi, siguqulelwa sibe ngama-25-hydroxyvitamin D. Le molekyuli ihamba kwiimpongo apho iguqulelwa ibe yi- 1,25 i-dihydroxyvitamin D , ifomu esebenzayo ye-vitamin D.
Umntu unokufumana iVithamini D ukusuka kwii-supplements, mhlawumbi njenge-vitamin enye okanye njengenxalenye ye-multivitamin. Kukho nemigqaliselo ye-vitamin D enikwe izigulane ezithile ezinezifo ezithintelayo ukuba zibe namazinga aphantsi e-vitamin D.
Kutheni Abantu Benza I-Vithamini D Yanele?
Kukho izizathu ezibangela ukuba umntu abe nobunzima be-vitamin D. Kwabanye abantu, izifo ezithile zixhomekeke kwimeko, njengobindi kunye nesifo sesifo - ekubeni isibindi kunye nomsebenzi wezintso kubalulekile kwi-vitamine D emzimbeni.
Izifo zeCeliac , okanye ezinye izifo ezithintela ukutyunjwa okufanelekileyo kwe-vitamin D emanzini, zingabangela ukuba i-vitamin D iswele.
Abantu abafumana ilanga elincane kunye / okanye ukutya okunomsocoko kwi-vitamin D banako ukuhlakulela ukungabikho kwe-vitamin D. Oku kuqhelekileyo kubantu asebekhulile abahlala emakhaya asebekhulile.
Ubutyebi kunye nemichiza echaphazela indlela i-vitamin D eyenziwa ngayo emzimbeni, njengamachiza athile okulwa ne-anti-seizure , angakhokelela umntu ukuba abe ne-vitamin D.
Yiyiphi i-Connection phakathi kwe-HIV kunye nobuthakathaka be-Vitamin D?
Ngokwe-2012 yophando kwi- Journal of Antimicrobial Chemotherapy, ngaphezu kwama-85 ekhulwini abantu abane-HIV banamazinga aphantsi e-vitamin D -isizathu esicacileyo sokuba kutheni le pesenti iphezulu kakhulu.
Ukongezelela, kukho ubungqina benzululwazi obonisa ukuba imithi ethile ye-antiretroviral, iphazamise indlela iVithamini D eyenziwa ngayo emzimbeni. Oku kunokuba negalelo ekunqongopheni kwe-vitamin D kubantu abanentsholongwane kaGawulayo.
Kule ndawo, uSustiva (efavirenz) uthathwa njengesicatshulwa esisisigxina, kunye naliphina inkunkuma (umz., I-Atripla) equle efavirenz. Okwangoku, akukho nanye imichiza ye-antiretroviral ibonise le nqanaba lombutho kwi-vitamin D.
Ukunqongophala kweVithamini D kuyayifumana njani kwaye ilandelwa
Ngokulinganisa inani lama-25-hydroxyvitamin D egazini, ugqirha unokukwazi ukuba umntu unayo i-vitamin D emzimbeni.
Ngenhlanhla, kukho indlela elula yokubuyisela iimveliso ze-vitamin D - ngokuthatha izithako ze-vitamin D. Ugqirha unako ukumisela umthamo ofanelekileyo kubo - i-dose eqhelekileyo echanekileyo yi-50,000 IU ye-vitamin D esetyenziswe ngomlomo kanye ngeveki kwiiveki eziyi-8.
Emva kokubuyisela izinga le-vitamin D, ugqirha uya kubeka i-dose ye-400 ukuya ku-800 IU ye-vitamin D3 esetyenziswe ngomlomo ngemini. Ezinye iingcali zibonisa ukuba i-vitamin D ephezulu ifunekayo imihla ngemihla ukugcina ibhalansi ephilileyo.
Ukuguqulwa kwe-Vitamin D kuyanconywa xa ama-25-hydroxyvitamin D awela phantsi kwe-10 ng / ml.
Kubalulekile ukuba uqaphele ukuba nangona ulwaphulo lwe-Vitamin D ludibaniswa nokukhanya kwelanga, kubalulekile ukuba umntu azikhusele ekungcoliseni ilanga ilanga, njengoko kucetyiswa yi-American Academy of Dermatology.
Ndingenza ntoni?
Ngotyelelo lwakho loogqirha ozayo, uthetha naye malunga ne-vitamin D.
Qinisekisa ukuba ukusilela akuyona ingxaki kuwe, kwaye ukuba wenza konke onokukwazi ukugcina inqanaba eliphilileyo le-vitamin ebalulekileyo. Ukuba usuvele uthatha naziphi na izongezo, qi niseka ukuba ucebise ugqirha wakho ngale nto, kunye nayiphi ezinye iziyobisi, umyalelo okanye awunayo, unokuthi uthathe.
Imithombo:
Allavena C et al. "Ixesha eliphakamileyo lobunzima be-vitamin D kwizigulane ezinegciwane lesandulela ngculaza: imiphumo yezinto ezinxulumene ne-HIV kunye nezidakamizwa ezichasene ne-antiretroviral". J Antimicrob Chemother. 2012 Sep; 67 (9): 2222-30.
Cannell, JJ, Hollis BW, Zasloff M, Heaney RP. "Ukuxilongwa kunye nokunyangwa kwe-Vitamin D" .Expert Opin Pharmacother2008 Jan; 9 (1): 107-18.
UMnuz "Ubunzima beVithamini D ekusulelekeni kosuleleka ngu-HIV: ingqungquthela engabonakaliyo kwaye engaphantsi." Eur Rev Med Pharmacol Sci. NgoNovemba ka-2013; 17 (9): 1218-32.
Yin M. "I-Vitamin D, ithambo, kunye ne-HIV." I-Antivir Med. 2012 Dec; 20 (5): 168-72.