Vitamin D a me nā mea hoʻohui e pili ana (alaloa waha, alaloa parenteral)

Calciferol, Delta D3, DHT, DHT Intensol, Drisdol, Hectorol, Rayaldee, Rocaltrol, Vitamin D, Zemplar, D-Vi-Sol, Radiostol Forte

ʻO nā wikamina he mau hui kemikala e pono ai ʻoe no ka ulu a me ke olakino. Pono lākou i kahi liʻiliʻi wale nō a loaʻa i nā meaʻai āu e ʻai ai. He mea pono ka wikamina D no nā iwi a me nā niho ikaika. Hiki i ka nele o ka wikamina D ke alakaʻi i kahi kūlana i kapa ʻia ʻo rickets, ʻoi aku hoʻi i nā keiki, kahi nā iwi a me nā niho nāwaliwali. I nā mākua, hiki ke hoʻoulu i kahi kūlana i kapa ʻia ʻo osteomalacia, kahi e nalowale ai ke kalipuna mai nā iwi a nāwaliwali. Hiki i kāu kauka ke mālama i kēia mau pilikia ma o ka kuhikuhi ʻana i ka wikamina D no ʻoe. Hoʻohana ʻia kekahi manawa ka wikamina D e mālama i nā maʻi ʻē aʻe kahi ʻaʻole hoʻohana pono ʻia ke kalipuna e ke kino. ʻO Ergocalciferol ke ʻano o ka wikamina D i hoʻohana ʻia i nā mea hoʻohui wikamina. Hiki i kekahi mau kūlana ke hoʻonui i kou pono no ka wikamina D. ʻO kēia mau mea: Eia kekahi, ʻoi aku ka nui o ka nele o ka wikamina D i nā kānaka a me nā pēpē hānai ʻūhā ʻaʻole i loaʻa ka lā, a me nā kānaka ʻili ʻeleʻele. Pono e hoʻoholo ʻia ka pono hoʻonui ʻia no ka wikamina D e kāu limahana mālama ola. ʻO Alfacalcidol, calcifediol, calcitriol, a me dihydrotachysterol nā ʻano o ka wikamina D i hoʻohana ʻia e mālama i ka hypocalcemia (ʻaʻole lawa ke kalipuna i ke koko). Hoʻohana ʻia hoʻi ʻo Alfacalcidol, calcifediol, a me calcitriol e mālama i kekahi mau ʻano o ka maʻi iwi e hiki ke loaʻa me ka maʻi puʻupaʻa i nā mea maʻi e hele nei i ka dialysis puʻupaʻa. ʻAʻole i hōʻoia ʻia nā ʻōlelo e pili ana i ka wikamina D no ka mālama ʻana i ka maʻi ʻāʻī a me ka pale ʻana i ka maka pōkole a i ʻole nā ​​pilikia o nā aʻalolo. Hiki i kekahi mau mea maʻi psoriasis ke pōmaikaʻi mai nā mea hoʻohui wikamina D; akā naʻe, ʻaʻole i hana ʻia nā haʻawina i kaohi ʻia. Hāʻawi ʻia ka wikamina D injectable e a ma lalo o ka nānā ʻana o kahi limahana mālama ola. Loaʻa wale nō kekahi mau ikaika o ergocalciferol a me nā ikaika a pau o alfacalcidol, calcifediol, calcitriol, a me dihydrotachysterol me ke kauoha a kāu kauka. Loaʻa nā ikaika ʻē aʻe o ergocalciferol me ka ʻole o ke kauoha. Eia naʻe, he manaʻo maikaʻi paha ia e nīnau i kāu limahana mālama ola ma mua o ka lawe ʻana i ka wikamina D ma kāu iho. Hiki i ka lawe ʻana i nā nui nui ma luna o nā manawa lōʻihi ke hoʻoulu i nā hopena maikaʻi ʻole. No ke olakino maikaʻi, he mea nui ia e ʻai ʻoe i ka ʻai kaulike a like ʻole. E hahai pono i kekahi papahana ʻai āu e kuhikuhi ai kāu limahana mālama ola. No kāu pono wikamina a me/a i ʻole mineral kūikawā, e noi i kāu limahana mālama ola no ka papa inoa o nā meaʻai kūpono. Inā manaʻo ʻoe ʻaʻole lawa nā wikamina a me/a i ʻole nā ​​minelala i kāu ʻai, hiki iā ʻoe ke koho e lawe i kahi mea hoʻohui ʻai. Loaʻa wale nō ka wikamina D maoli i ka iʻa a me nā aila iʻa-ʻaʻa. Eia naʻe, loaʻa nō hoʻi ia i ka waiū (wikamina D-hoʻoikaika). ʻAʻole hoʻopilikia ka kuke ʻana i ka wikamina D i nā meaʻai. Ke kapa ʻia kekahi manawa ka wikamina D ʻo ka "wikamina lā" ʻoiai ua hana ʻia ia i kou ʻili ke hōʻike ʻia ʻoe i ka lā. Inā ʻai ʻoe i ka ʻai kaulike a hele i waho i ka lā ma kahi o 1.5 a 2 mau hola i ka hebedoma, pono ʻoe e loaʻa ana i nā wikamina D āpau āu e pono ai. ʻAʻole e pani nā wikamina wale nō i ka ʻai maikaʻi a ʻaʻole e hāʻawi i ka ikehu. Pono nō hoʻi kou kino i nā mea ʻē aʻe i loaʻa i nā meaʻai e like me ka protein, nā minelala, nā kalapona, a me ka momona. ʻAʻole hiki i nā wikamina iho ke hana pinepine me ka ʻole o nā meaʻai ʻē aʻe. No ka laʻana, pono ka momona i mea e hiki ai ke komo i ka wikamina D i ke kino. Ho'ākāka ʻia ka nui o ka wikamina D i kēlā me kēia lā ma kekahi mau ʻano like ʻole. I ka wā ma mua, ua hōʻike ʻia ka RDA a me ka RNI no ka wikamina D ma Units (U). Ua pani ʻia kēia huaʻōlelo e nā micrograms (mcg) o ka wikamina D. Ho'ākāka pinepine ʻia nā komo i kēlā me kēia lā i ʻōlelo ʻia ma mcg a me Units e like me kēia: E hoʻomanaʻo: Loaʻa kēia huahana i nā ʻano dosage e like me kēia:

Inā lawe ʻoe i kahi mea hoʻohui meaʻai me ka ʻole o ka lāʻau lapaʻau, e heluhelu pono a hahai i nā ʻōlelo aʻo āpau ma ka lepili. No kēia mau mea hoʻohui, pono e noʻonoʻo i kēia mau mea: E haʻi aku i kāu kauka inā ua loaʻa iā ʻoe kekahi hopena maʻamau ʻole a i ʻole ka maʻi ʻili i nā lāʻau lapaʻau i kēia hui a i ʻole nā ​​lāʻau lapaʻau ʻē aʻe. E haʻi pū aku i kāu limahana mālama ola inā loaʻa iā ʻoe nā ʻano ʻē aʻe o nā maʻi ʻili, e like me nā meaʻai, nā mea hoʻoluʻu, nā mea mālama, a i ʻole nā ​​holoholona. No nā huahana ʻole i ka lāʻau lapaʻau, e heluhelu pono i ka lepili a i ʻole nā ​​mea hoʻohui pūʻolo. ʻAʻohe pilikia i hōʻike ʻia i nā keiki me ka lawe ʻana i nā nui i ʻōlelo ʻia i kēlā me kēia lā. Ua hōʻike kekahi mau haʻawina ua pilikia paha nā pēpē e hānai ʻia ana ma ka umauma, ʻoi aku hoʻi me nā makuahine ʻili ʻeleʻele, a me ka liʻiliʻi o ka mālamalama o ka lā i ka nele o ka wikamina D. Hiki i kāu limahana mālama ola ke kauoha i kahi mea hoʻohui wikamina/minela e loaʻa ana i ka wikamina D. Hiki i kekahi mau pēpē ke maʻalahi i nā nui liʻiliʻi o ka alfacalcidol, calcifediol, calcitriol, dihydrotachysterol, a i ʻole ergocalciferol. Eia kekahi, hiki i nā keiki ke hōʻike i ka ulu lohi ke loaʻa iā lākou nā nui nui o ka alfacalcidol, calcifediol, calcitriol, dihydrotachysterol, a i ʻole ergocalciferol no ka manawa lōʻihi. Ua hana ʻia nā haʻawina ma ka doxercalciferol a i ʻole paricalcitol i nā poʻe makua wale nō, a ʻaʻohe ʻike kikoʻī e hoʻohālikelike ana i ka hoʻohana ʻana o ka doxercalciferol a i ʻole paricalcitol i nā keiki me ka hoʻohana ʻana i nā hui makahiki ʻē aʻe. ʻAʻohe pilikia i hōʻike ʻia i nā poʻe ʻelemakule me ka lawe ʻana i nā nui i ʻōlelo ʻia i kēlā me kēia lā. Ua hōʻike nā haʻawina ua emi paha ka nui o ka wikamina D i loko o ke koko o nā poʻe ʻelemakule ma mua o nā poʻe ʻōpio, ʻoi aku hoʻi ka poʻe i loaʻa ka liʻiliʻi o ka mālamalama o ka lā. Hiki i kāu limahana mālama ola ke ʻōlelo aku iā ʻoe e lawe i kahi mea hoʻohui wikamina e loaʻa ana i ka wikamina D. He mea nui loa ia e loaʻa iā ʻoe ka nui o ka wikamina D ke hāpai ʻoe a hoʻomau ʻoe i ka loaʻa ʻana o nā nui kūpono o nā wikamina i kou hāpai ʻana. ʻO ka ulu olakino a me ka hoʻomohala ʻana o ka pēpē e hilinaʻi ana i ka lako mau o nā meaʻai mai ka makuahine. Pono paha ʻoe i nā mea hoʻohui wikamina D inā he mea ʻai ʻai wale ʻoe (vegan-vegetarian) a i ʻole loaʻa ka liʻiliʻi o ka mālamalama o ka lā a ʻaʻole ʻoe e inu i ka waiū i hoʻoikaika ʻia me ka wikamina D. ʻO ka lawe ʻana i ka nui o ka alfacalcidol, calcifediol, calcitriol, dihydrotachysterol, a i ʻole ergocalciferol hiki ke pōʻino i ka pēpē. ʻO ka lawe ʻana ma mua o ka mea i ʻōlelo ʻia e kāu limahana mālama ola hiki ke hana i kāu pēpē i ʻoi aku ka maʻalahi ma mua o ka maʻamau i kona hopena, hiki ke hana i nā pilikia me kahi gland i kapa ʻia ʻo ka parathyroid, a hiki ke hana i ka hemahema i ka naʻau o ka pēpē. ʻAʻohe noiʻi ʻia ʻana o ka Doxercalciferol a i ʻole paricalcitol i nā wahine hāpai. Eia naʻe, ua hōʻike nā haʻawina i nā holoholona ua hana ka paricalcitol i nā pilikia i nā pēpē hou. Ma mua o ka lawe ʻana i kēia lāʻau, e hōʻoia i ka ʻike o kāu kauka inā hāpai ʻoe a i ʻole hiki iā ʻoe ke hāpai. He mea nui loa ia e loaʻa iā ʻoe nā nui kūpono o nā wikamina i hiki i kāu pēpē ke loaʻa pū nā wikamina e pono ai e ulu pono. Pono paha nā pēpē e hānai ʻia ana ma ka umauma a loaʻa ka liʻiliʻi o ka lā i ka hoʻohui ʻana o ka wikamina D. Eia naʻe, ʻo ka lawe ʻana i nā nui nui o kahi mea hoʻohui meaʻai i ka wā e hānai ana i ka umauma hiki ke pōʻino i ka makuahine a i ʻole ka pēpē a pono e pale ʻia. He mau nui liʻiliʻi wale nō o ka alfacalcidol, calcifediol, calcitriol, a i ʻole dihydrotachysterol e komo i loko o ka waiū umauma a ʻaʻohe hōʻike ʻia o kēia mau nui i hana i nā pilikia i nā pēpē hānai. ʻAʻole maopopo inā komo ka doxercalciferol a i ʻole paricalcitol i loko o ka waiū umauma. E hōʻoia ua kūkākūkā ʻoe i nā pilikia a me nā pono o ka mea hoʻohui me kāu kauka. ʻOiai ʻaʻole pono e hoʻohana pū ʻia kekahi mau lāʻau lapaʻau, i nā hihia ʻē aʻe, hiki ke hoʻohana pū ʻia ʻelua mau lāʻau lapaʻau like ʻole ʻoiai inā hiki ke loaʻa kahi pilina. I kēia mau hihia, makemake paha kāu kauka e hoʻololi i ka nui, a i ʻole pono paha nā ʻōlelo aʻo ʻē aʻe. Ke lawe ʻoe i kekahi o kēia mau mea hoʻohui meaʻai, he mea nui loa ia e ʻike kāu limahana mālama ola inā lawe ʻoe i kekahi o nā lāʻau lapaʻau i helu ʻia ma lalo nei. Ua koho ʻia nā pilina ma lalo nei ma muli o ko lākou koʻikoʻi a ʻaʻole pono ia he mea āpau. ʻAʻole ʻōlelo ʻia ka hoʻohana ʻana i nā mea hoʻohui meaʻai i kēia papa me kekahi o nā lāʻau lapaʻau ma lalo nei. Hiki i kāu kauka ke hoʻoholo ʻaʻole e mālama iā ʻoe me nā mea hoʻohui meaʻai i kēia papa a hoʻololi paha i kekahi o nā lāʻau lapaʻau ʻē aʻe āu e lawe nei. ʻAʻole ʻōlelo ʻia ka hoʻohana ʻana i nā mea hoʻohui meaʻai i kēia papa me kekahi o nā lāʻau lapaʻau ma lalo nei, akā hiki ke koi ʻia i kekahi mau hihia. Inā kauoha ʻia nā lāʻau lapaʻau ʻelua, hiki i kāu kauka ke hoʻololi i ka nui a i ʻole ka pinepine o kāu hoʻohana ʻana i kekahi a i ʻole nā ​​lāʻau lapaʻau ʻelua. ʻAʻole pono e hoʻohana ʻia kekahi mau lāʻau lapaʻau i ka manawa a puni ka ʻai ʻana i ka meaʻai a i ʻole ka ʻai ʻana i kekahi mau ʻano meaʻai ʻoiai hiki ke loaʻa nā pilina. ʻO ka hoʻohana ʻana i ka waiʻona a i ʻole ka paka me kekahi mau lāʻau lapaʻau hiki ke hana i nā pilina. E kūkākūkā me kāu limahana mālama ola i ka hoʻohana ʻana i kāu lāʻau lapaʻau me ka meaʻai, ka waiʻona, a i ʻole ka paka. Hiki i ka loaʻa ʻana o nā pilikia olakino ʻē aʻe ke hoʻopilikia i ka hoʻohana ʻana i nā mea hoʻohui meaʻai i kēia papa. E hōʻoia e haʻi aku i kāu kauka inā loaʻa iā ʻoe nā pilikia olakino ʻē aʻe, ʻoi aku hoʻi: