Vakawanda vane chirwere chechiliac vanoedza kushayikwa mumutsetse uyu unokosha
Vanhu vakawanda munguva ichangobva kuongororwa vane chirwere chechiliac vanoona kuti havana uwandu hwevhitamini D, chibereko chakakosha chemapfupa emapfupa uye muviri wose wesimba. Asi kushayikwa kwevitamini D mune celiacs hakusi kungowanikwa munguva ichangobva kuongororwa - inoratidzika kuva yakajairika kune vanhu vakuru nevana avo vakave vaongororwa kwekanguva uye vanoteerera zvakakwana nezvokudya zvisina guten.
Kutaura zvazviri, kushayikwa kwevitamini D kunowanikwa mu 64% yevarume uye 71% yevakadzi vane chirwere chechiliac, vachiita kuti ive dambudziko rinowanzoitika kune avo vane celiac, kunyange zvazvo inowanzoonekwa nevanhu vakawanda.
Nyaya yevaya vane chirwere chechiliac ingadai ichienderera mberi ne malabsorption, kana inogona kuva kusakonzera kwezuva uye kudya kwakakwana kudya. Zvose izvi zvingave zvakanyanyiswa nezvokuti, kusiyana nemagetsi akawanda anokonzerwa ne gluten, zvokudya zveguten-zvisina kufanana hazvikwaniri nemavhithamini akawanda nemaminerari.
Pasinei nezvikonzero, unofanira kufunga kuongororwa kuti uone kuti vitamini D yako yakadini, uye, kana iwe ukava wakaderera mu vitamini D, taura nachiremba wako pamusoro pezvokuwedzera.
Vitamini D Kukwana Kunobatana neMalabsorption
Mune varwere vane chirwere chechiliac avo vasati vatanga kudya-gluten , uye mune vamwe varwere vanokundikana kunamatira kune kudya, villous atrophy inokonzera malabsorption, zvinoreva kuti iwe hausi kutora vitamin D uye zvimwe zvivako kubva muzvokudya uye zvinowedzera iwe uri kupedza.
Vitamin D inoshaya inotungamirirawo kune kushayikwa kwe calcium, sezvo iwe unoda mazinga akakwana e vitamini D kuti uwane calcium muzvokudya. Ichokwadi kuti mazhinji aya haafaniri kushandiswa nemishonga yemakemikari nekuda kwekusagadzikana kwelasise , zvinoreva kuti havadyi yakawanda calcium muzvokudya zvavo zvekare uye vangave vari panjodzi yekushayikwa kwe calcium.
Zviratidzo Zvinosanganisira Mafupa Akakosha, Osteoporosis
Zviitiko zvakawanda zvekushaiwa kwevitamine D hazvipo zviratidzo zvinooneka, saka iwe haungatombozivi kuti unotambura nazvo.
Kurara kwakakwana kwevhitamisi D kunogona kukonzera zvirwere zvemapfupa zvakadai sezviputi muvana uye osteomalacia kuvanhu vakuru. Mumaputi, mapfupa emwana anokundikana kukura zvakanaka, uye maoko emwana nemakumbo zvinowanzokotamiswa. Mu osteomalacia, panguva iyo, pfupa rakarasika rakarasika, rinoguma nemarwadzo uye mapfupa akareruka.
Osteoporosis inoguma nokuderera kwemapfupa uye inogona kutungamirira kumarara. Vanhu vane chirwere chisina kukwana vari pangozi yakanyanya yehuputi.
Vitamin D inoshaya zvakare inogona kukonzera musuru kurwadziwa uye kushaya simba, uye zviratidzo izvi zvingave zvakajairika kupfuura matambudziko emapfupa. Vanhu vane chirwere chisina kuchena vanowanzotaura nezvemasuru uye marwadzo akabatana kana vakadya guten, saka zvingava zvakaoma kutaura kana imwe nyaya yako inobva mukugadzikana kunokonzerwa nemagiden kana chimwe chinhu.
Tsvakurudzo Links Vitamini D Mazinga kuCanscer, Zvirwere Zvokudzivirira
Kunyange zvazvo chinokonzera uye chiitiko chisati chakaratidzwa, vatsvakurudza vezvehutano vakabatanidza kuderera kwemavhitamini D kuwedzera kukanganisa kwemamiriro ezvinhu mazhinji ehutano, zvakadai sekenza yekoloni , kenza yemazamu , kenza yeprotate , hypertension uye zvirwere zvekudzivirira muviri.
Zvidzidzo zvakaratidza kuti vanhu vanogara munzvimbo dzakakwirira-uko kune chiedza chiduku chezuva-vanoona mazinga akakwirira e- type 1 chirwere cheshuga , multiple sclerosis uye rheumatoid arthritis . Kunyange zvazvo izvi zvisingaiti chinokonzera uye chiitiko, vamwe vanachiremba vanokurudzira varwere ava kuzowedzera ne vitamini D.
Chimwe chidzidzo chakatarisa vitamini D zvinowanikwa nevanhu vane chirwere chechiliac chakawana kuti 25% vakanga vasina kukwana, uye kuti iyo yakaderera mavitamini D yakakonzera njodzi ye autoimmune skin condition psoriasis, iyo yakabatanidzwa kune gluten kushandiswa . Asi chidzidzo icho hachina kuwana kuti vitamini D yakaderera inoita kuti vanhu vane celiac vatambudzike kune dzimwe zvirwere zvinokonzerwa nemagetsi.
Maitiro Makakwirira Angave Anodiwa Kudzorera Nhamba Dzakanaka
Masayendisiti haana kubvumirana pamusoro pehuwandu hwe vitamin D yako inofanirwa kuva, asi uwandu hunopfuura 20 ng / mL hunofungidzirwa husina kukwana, asi uwandu pakati pe20 ng / mL ne 29 ng / mL hahukwani. Dzimwe nyanzvi dzinofunga kuti hutano hwakanaka huri pakati pe50 ne60 ng / mL.
Kana iwe uchangobva kuonekwa kuti une chirwere cheecliac uye kuongorora kwakaratidza kuti hauna hutamini D, chiremba wako anogona kukurudzira kuti utore doses guru kwazvo kuitira kuti uwedzere uwandu hwako nokukurumidza. Zvisinei, iwe haufaniri kutora maitiro makuru pasina kutarisa zvakaringana kwehuwandu hwevhitamin D yako nachiremba wako, sezvo zvichikwanisika kuderedza vitamini D inotorwa nemuromo.
Sangano reNational Academy of Sciences rakagadzirisa chikamu chepamusoro che vitamini D supplementation pa 2,000 IU / zuva, kunyange izvi zvingachinja nekutsvakurudza mberi. Ikozvino maUnited States Inotenderwa Daily Allowance ya vitamini D i 400 IU.
Zvinoita kuti uwane zvirongwa zve vitamin D kunze kwekubatanidza chiremba wako kuburikidza neVitamin D Council, boka risina purogiramu rakazvitsaurirwa pakuvandudza tsvakurudzo nekuziviswa kwevoruzhinji nezvemafaro e vitamin D's. Kana ukasarudza nzira iyi, zvakadaro, iwe unofanira kufambidzana nachiremba wako usati wasarudza kutora maitiro akawanda e vitamin D kuwedzera.
Nekujekesa Zvakakwana, Zuva Rinogona Kupa Vitamini D
Iwewo unogona kutsvaga kusimudza mazinga ako eVitamin D kuburikidza nekudya kwako - mafuta ehove uye mavitro D-supplemented mazai emisi ndezvakanaka - uye nenzira yekare, nekugadzira zuva.
Kana iwe nguva dzose uchipedza maminitsi makumi maviri nemakumi matatu muzuva (nguva yakareba kana iwe une ganda rakasviba) nehuzhinji rweganda rako rakafurika mukati megore, zhizha nemwedzi yekuwa, iwe unogona kuunza vitamini D yakakura, maererano neVitamin D Council. Ingwarira kuti usapisa ganda rako, sezvo izvi zvinokonzera njodzi yekenza yemaperembudzi pasina kupa chero mamwe mavitamini D anobatsira.
Sources:
Harvard Health Publications. Nguva Yokuwedzera Vitamin D.
Javorsky BR et al. Viitamin D Kushayikwa Muzvirwere Zvepabonde. Practical Gastroenterology. March 2006, p. 52-72.
Oregon State University Linus Pauling Institute Micronutrient Center. Vitamin D.
Tavakkoli A et al. Vitamini D Mamiriro Ezvo uye Akasagadzikana Kuzvidzivirira muCeliac Disease. Zvinyorwa zveKliniki Gastroenterology. > 2013 Jul; 47 (6): 515-9.