Vitamin D zvakare iri pakati pegakava rehutano nekuda kwekuita kwayo kunopfuura hutano hwemapfupa. Imwe ongororo yekiriniki ichangoburwa muvarwere vakambobatwa nechirwere chemoyo inoratidza kuti manejimendi ayo ... personalized vitamin D3 Inogona kuderedza njodzi yechiitiko chechipiri chemoyo, nguva dzose pasi pekutarisirwa kwechiremba.
Zvichakadaro, nyanzvi dzeSpanish dzinoratidza kuti kushomeka uku kwakajairika munharaunda yedu mukati memwedzi inotonhora: palatitudo senge Spain, UVB mwaranzi kubva mumatsutso kusvika muchirimo haina kukwana kugadzira mazinga akakwana. Naizvozvo, kuwedzera mazano Ivo vanotarisa pamapoka enjodzi, ane yambiro yakajeka nezve dosi uye rudzi rwekugadzirira.
Muedzo wakasarudzika unoratidza kudzokororwa kudiki nevhitamini D3
Vatsvagiri kubva kuIntermountain Health vakapa data kubva muyedzo isina kujairika (TARGET-D) mune varwere vane acute coronary syndrome. Muboka rakarapwa, chirwere chacho chakagadziriswa. cholecalciferol (vitamini D3) kuzadzisa nhanho dzeropa, nekutarisa nguva nenguva uye kugadzirisa kunoenderana nemhedzisiro.
Chidzidzo ichi chaisanganisira vanhu 630 vakateverwa kwemakore anopfuura mana. Pakutanga, inopfuura 85% yakanga ine zvakadzika pazasi [imwe chikumbaridzo]. 40 ng / mLMukupindira kweprotocol, chikamu chakakosha chaida madhasi ekutanga ari pedyo ne5.000 IU / zuva kuti asvike kune chinangwa, nguva dzose ine vitamin D uye calcium monitoring kuti urege kutyisa.
Muchikamu chekutanga chakabatanidzwa (kufa, kukanganisa kwemoyo, sitiroko, kana kuchipatara), hapana misiyano yakakura yakaonekwa pakati pemapoka. Zvisinei, kuongorora kwakaratidza kuti Ngozi yekurohwa kwemoyo mutsva yakaderedzwa nehafu mune avo vakatevera chinangwa-inotungamirwa dosing chirongwa.
Vanyori havana kuona chero mhedzisiro yakaipa yakabatana nekuwedzera mukati meyedzo protocol, kunyangwe ivo vakasimbisa kuti zvakawanikwa ndezvekutanga uye zvinoda kusimbiswa mumasampuri akakura uye mabhuku akaongororwa nevezera.
Migumisiro iyi inorevei, uye chii chasara kuti chisimbiswe?
Maitirwo emuyedzo anosimuka kubva pane akatemerwa madosi uye anonangana nekuwana chinangwa chakatarwa nekutarisa nguva nenguva uye kugadzirisa. Iri zano rinogona kutsanangura chiratidzo chakaonekwa mune reinfarctions zvichienzaniswa nezvidzidzo zvekare yunifomu supplementation pasina kurangarira nhanho dzekutanga.
Zvisinei nekuvimbisa kweiyo data, vaongorori vanobvuma kuti miyedzo mikuru inodiwa kuongorora kukanganisa kune zvimwe zviitiko zvemoyo uye kuona kana kudzikiswa kwemoyo. njodzi ye reinfarction Inorambira muhuwandu hwakasiyana uye hutano masisitimu.
Zvakakodzera kuyeuka kuti, kunze kwekuyedzwa, general chengetedzo kurudziro inopa zano pamusoro pekupfuura iyo 4.000 IU / zuva pasina kutarisirwaMuchidzidzo ichi, iwo madosi akakwira akashandiswa nekudzora kwepedyo, saka haafanirwe kuwedzeredzwa pasina inowirirana yekiriniki yekuongorora.
Kushaikwa kweVitamin D muSpain: matsutso-yechando uye mapoka enjodzi
Munyika yedu, endocrinologists vanosimbisa kuti, nekuda kwelatitude uye mararamiro emararamiro, cutaneous synthesis yevhitamini D haina kukwana kubva mumatsutso kusvika muchirimo. Zvinhu zvakadai se zera rekukura, ganda rakasviba rudzi, basa remukati, kufutisa, kana masangano wedzera dambudziko racho.
Nhungamiro dzepasirese neEuropean dzinokurudzira kutarisisa kuwedzeredza pamapoka ane njodzi yepamusoro: Vanhu vanopfuura makore 75, avo vari muzvikoro, vakadzi vane pamuviri uye vanoyamwisa, uye vanhu vane ganda rakasvibaAvo vanodzivisa kubuda kwezuva uye varwere vane zvirwere zvekugaya zvinokanganisa kunwa (zvakadai sechirwere chechiliac) kana vanotora zvinodhaka zvinokanganisa (corticosteroids, mamwe hypolipidemic agents, orlistat, resins, pakati pevamwe).
Usati watanga kurapwa, zvinokurudzirwa kuyera 25-hydroxyvitamin D kugadzirisa muyero kana paine zviratidzo zve musculoskeletalZvinhu zvine njodzi kana nhoroondo yekushaikwa. Muvanhu vakuru vane hutano vasina zvinhu zvine njodzi, chirongwa chekudzivirira chinogona kutariswa mumatsutso-muchando pasina kuongororwa kusati kwaitwa, uchishandisa madhasi anochengetedza.
Zvokudya zvekudya uye kuratidzwa kwezuva: chii chekutarisira
Kudya kunopa vhitamini D, asi muhuwandu hwehuwandu, inowanzova diki sosi. Kwakabva kunosanganisira... hove dzine mafuta, mazai uye chiropapamwe chete nezvinogadzirwa nemukaka nezvimwe zvekudya zvakasimbiswa. MuEurope, kusimbaradza hakuna kurongeka sekuUnited States, saka kuwana mwero wakakwana kuburikidza nekudya chete kwakaoma kana pasina chiedza chezuva chakakwana.
Izvi zvikafu zvinopawo calcium uye mamwe mamicronutrients anobatsira kune musculoskeletal hutano. Kunyangwe zvakadaro, nyanzvi dzinosimbirira kuti pasina kukwana UVB kuratidzwa, zvikamu zvakajairika Havawanzo chengetedza maitiro akanyanya muropa, kunyanya mumwedzi inotonhora.
Kuwedzera muSpain: ongororo, dosage uye mafomu aripo
Muchiito chekiriniki, madhesi ezuva nezuva e cholecalciferol (vitamini D3) Mishonga iri pasi pe2.000 IU/zuva inowanzoonekwa yakachengeteka. Vanodaidzwa kuti "crash doses" vanoodzwa mwoyo, uye zvinokurudzirwa kudzivirira kudarika 4.000 IU / zuva pasina kutariswa nenyanzvi kuderedza njodzi yehypercalcemia nezvinetso zveitsvo.
Munharaunda yedu inoshandiswa zvakare calcifediol (25-hydroxyvitamin D)Vamwe vanamazvikokota vanonyevera nezve njodzi yakanyanya yehupfu uye kuderera kwekuita kana ichienzaniswa necholecalciferol, saka vachikurudzira kukoshesa vhitamini D3 kunze kwekunge yanyatsoratidzwa. Chimiro uye dosage zvinofanirwa kuve zvakasarudzika zvinoenderana nedanho rekutanga, comorbidities, uye concomitant mishonga.
Kufutisa uye kushaikwa kwevhitamini D: zviratidzo kubva kuGalicia
Ongororo yenzvimbo munzvimbo dzehutano munzvimbo yeVigo inotsanangura hukama hwakasiyana pakati pe body mass index uye vitamin D, ine yakaratidza kushomeka pa87% yevatori vechikamu uye nhamba dzakaipisisa munzvimbo dzemumaguta. Iyo hypothesis inosanganisira kushomeka kwezuva uye kuchengetwa kwevhitamini muadipose tissue.
Nekuda kwechiitiko ichi, iyo Galician Health Service (Sergas) yakapa kurudziro inobvumira vanachiremba vemhuri. Ratidza kuwedzera mune varwere vakafuta Kana pane kusava nechokwadi kwakanyatsogadziriswa kwekushayikwa, kunyange pasina kuongororwa kwekare, chiyero chepragmatic pamberi pehuwandu hwehuwandu hwe hypovitaminosis.
Pamusoro pehutano hwemapfupa, zvidzidzo zvakabvunzurudzwa zvinobatanidza kushomeka kune akasiyana masisitimu (immune, moyo, tsinga, kana endocrine-metabolic), kunyangwe mabhenefiti ekuwedzera-skeletal ekuwedzera muhuwandu hwevanhu anoramba asina kujeka. kuongorora kwesainzi.
Kufarira vhitamini D kuri kukura nezvitsva zvakawanikwa mucardiology uye data yemuno pamusoro pekushomeka, asi kiyi inoramba iripo: kuziva kuti ndiani anobatsira zvakanyanya, uchishandisa. mishonga yakachengeteka uye kukoshesa cholecalciferol nekutevera kana zvakakodzera, apo tsvakurudzo inofambira mberi kuti ijekese maitiro ayo pazviitiko zvemwoyo uye hutano hwevanhu.