Created at:1/13/2025
I-Calcifediol iyindlela kavithamini D ongase uyinikezwe udokotela wakho uma umzimba wakho udinga usizo lokugcina amazinga kavithamini D enempilo. Empeleni iyindlela esebenza kakhulu yezithasiselo zikavithamini D ezivamile, ezenzelwe ukusebenza kahle kubantu abanobunzima bokucubungula uvithamini D ojwayelekile.
Cabanga nge-calcifediol njengovithamini D oselucutshungulwe ngengxenye ngumzimba wakho. Lokhu kwenza kube lula ngohlelo lwakho ukulusebenzisa, ikakhulukazi uma unezimo zempilo ezithile eziphazamisa ukucutshungulwa okuvamile kukavithamini D.
I-Calcifediol ngokuyinhloko inikezwa ukwelapha ukuntuleka kukavithamini D kubantu abadala abanezifo ezingamahlalakhona zezinso. Izinso zakho zidlala indima ebalulekile ekuguquleni uvithamini D ube yindlela yawo esebenzayo, ngakho-ke uma zingasebenzi kahle, izithasiselo zikavithamini D ezivamile azivami ukwanele.
Ngaphandle kwesifo sezinso, odokotela ngezinye izikhathi banikeza i-calcifediol kubantu abanokuntuleka okukhulu kukavithamini D abangazange basabele kahle ezithasiselweni zikavithamini D ezijwayelekile. Lokhu kungabandakanya abantu abanezifo ezithile zokugaya ukudla ezivimbela ukumuncwa okufanele kukavithamini D.
Udokotela wakho angase futhi akuncomise i-calcifediol uma unezimo ezithinta amaglandla akho e-parathyroid noma uma usebenzisa imithi ephazamisa ukucutshungulwa kukavithamini D. Umgomo uhlala ukubuyisela amazinga akho kavithamini D ebangeni elinempilo ukuze amathambo akho, imisipha, kanye nesistimu yokuzivikela komzimba isebenze kahle.
I-Calcifediol isebenza ngokweqa elinye lezinyathelo ezinkulu umzimba wakho ovame ukuzithatha ukuze uvule uvithamini D. Uma uthatha uvithamini D ovamile, isibindi sakho kufanele siqale siwuguqule ube yi-calcifediol, bese izinso zakho ziguqula i-calcifediol ibe yindlela yokugcina esebenzayo umzimba wakho ongayisebenzisa.
Ngokukunika i-calcifediol ngokuqondile, lo muthi weqa isinyathelo sesibindi ngokuphelele. Lokhu kwenza kube usizo ikakhulukazi kubantu abezinso zabo ezingayicubunguli kahle i-vitamin D noma abadinga amazinga aphezulu e-vitamin D ngokushesha.
I-Calcifediol ithathwa njengomuthi we-vitamin D olunamandla amancane. Inamandla kakhulu kunezinye izithasiselo ze-vitamin D ezivamile kodwa ayinobudlova obungako kunezinye izinhlobo ezinamandla kakhulu ze-vitamin D eziqeshwe ngudokotela. Lokhu kuyenza ibe yindlela emaphakathi enhle kubantu abaningi abadinga okungaphezu kokwengezwa okuyisisekelo.
Thatha i-calcifediol ngendlela eqondile udokotela wakho ayalela ngayo, ngokuvamile kanye ngosuku ngokudla. Ukuyithatha nokudla okuqukethe amafutha kancane kusiza umzimba wakho ukuba umunce kangcono umuthi, njengoba i-vitamin D iyi-vitamin encibilika emafutheni.
Ungathatha i-calcifediol nganoma yisiphi isikhathi sosuku, kodwa abantu abaningi bakuthola kulula ukukhumbula uma beyithatha ekuseni noma kusihlwa. Into ebaluleke kakhulu ukuyithatha njalo cishe ngesikhathi esifanayo nsuku zonke.
Ungagxobi, uhlafune, noma uqhekeze amaphilisi ngaphandle uma udokotela wakho ekutshela ngqo ukuthi wenze kanjalo. Gwinya wonke ngenkomishi yamanzi egcwele. Uma unenkinga yokugwinya amaphilisi, khuluma nodokotela wakho mayelana nokuthi amaphilisi angavulwa yini futhi axutshwe nokudla.
Gwema ukuthatha i-calcifediol ngezithasiselo ze-calcium noma ama-antacid aqukethe i-calcium ngaphandle uma udokotela wakho encoma ngqo le nhlanganisela. Ukuzithatha ndawonye ngezinye izikhathi kungaphazamisa ukumuncwa noma kwandise ingozi yakho yokuthuthukisa i-calcium eningi kakhulu egazini lakho.
Ubude bokwelashwa nge-calcifediol buyahluka kakhulu kuye ngesimo sakho somuntu ngamunye nezimo zezempilo ezingaphansi. Abanye abantu bayayidinga izinyanga ezimbalwa nje ukuze balungise ukuntula kwe-vitamin D, kanti abanye abanezifo ezingamahlala-mandla ezinso bangase bayidinge isikhathi eside.
Udktela wakho uzoqapha amazinga egazi akho e-vitamin D njalo, ngokuvamile njalo ezinyangeni ezimbalwa ekuqaleni, bese kuba njalo uma amazinga akho esezinzile. Lokhu kuhlolwa kwegazi kusiza ukuthola ukuthi umthamo wakho wamanje uyasebenza yini nokuthi udinga ukuqhubeka yini nokwelashwa.
Kubantu abanezifo ezingamahlalakhona zezinso, ukwelashwa nge-calcifediol kuvame ukuqhubeka unomphela njengengxenye yokuphatha lesi simo. Kodwa-ke, umthamo wakho ungase ulungiswe phezulu noma phansi ngokuya ngemiphumela yakho yelabhorethri nokuthi uzizwa kanjani.
Ungalokothi uyeke ukuthatha i-calcifediol ngokuzumayo ngaphandle kokukhuluma nodokotela wakho kuqala. Amazinga akho e-vitamin D angase aphinde ehlise, okungenzeka ukuthi kuholele ezinkingeni zamathambo noma ezinye izinkingoti, ikakhulukazi uma unesimo esibangela ukuthi i-vitamin D ingasebenzi kahle.
Abantu abaningi bayayibekezelela kahle i-calcifediol, kodwa njenganoma imuphi umuthi, ingabangela imiphumela emibi. Imiphumela emibi evame kakhulu ivame ukuba mncane futhi ihlobene nokuba ne-vitamin D eningi ohlelweni lwakho.
Nansi imiphumela emibi ongase uyithole, futhi kuyasiza ukwazi ukuthi abantu abaningi abanayo imiphumela emibi nhlobo:
Le miphumela emibi ejwayelekile ivame ukuthuthuka njengoba umzimba wakho ujwayela umuthi noma uma udokotela wakho enciphisa umthamo wakho kancane.
Imiphumela emibi engathi sína ayivamile kodwa idinga ukunakekelwa kwezokwelapha ngokushesha. Xhumana nodokotela wakho ngokushesha uma uhlangabezana nokuhlanza okuqhubekayo, ubuhlungu obukhulu besisu, ukudideka, ukushaya kwenhliziyo okungajwayelekile, noma izimpawu zezinkinga zezinso njengoshintsho kumaphethini okuchama.
Ngokuvamile, ngezinye izikhathi abanye abantu bangase bathuthukise i-hypercalcemia, okusho ukuthi i-calcium eningi kakhulu egazini. Lokhu kungabangela ubuthakathaka bemisipha, ubuhlungu bamathambo, ukucindezeleka, noma amatshe ezinso. Udokotela wakho uzoqapha amazinga akho e-calcium ngokusebenzisa izivivinyo zegazi ukuvimbela lokhu.
I-Calcifediol ayifanele wonke umuntu, futhi udokotela wakho uzoqapha umlando wakho wezokwelapha ngaphambi kokuyinika. Abantu abanezimo ezithile badinga ukugwema lo muthi noma bawuse ngokucophelela okukhulu.
Akufanele uthathe i-calcifediol uma une-hypercalcemia (i-calcium eningi kakhulu egazini lakho) noma uma unokungezwani ne-vitamin D noma yiziphi izithako emuthini. Udokotela wakho uzohlola amazinga akho e-calcium ngaphambi kokuqala ukwelashwa.
Abantu abanezinhlobo ezithile zamatshe ezinso, ikakhulukazi lawo enziwe nge-calcium, bangase badinge ukugwema i-calcifediol noma bayise ngokucophelela okukhulu ngaphansi kokuqashwa kwezokwelapha okuseduze. Umuthi ungase wenze la matshe athambekele ekwakhekeni.
Uma une-sarcoidosis, isimo esithinta amasosha akho omzimba, i-calcifediol ingase ingakulungele. Lesi simo singenza umzimba wakho uzwele kakhulu ku-vitamin D, okungenzeka ukuthi kuholele emazingeni e-calcium ayingozi.
Abesifazane abakhulelwe nabancelisayo kufanele baxoxe ngokusebenzisa i-calcifediol ngokucophelela nodokotela babo. Ngenkathi i-vitamin D ibalulekile ngesikhathi sokukhulelwa, ukulinganiswa kudingeka kulawulwe ngokucophelela ukuze kugwenywe izinkinga kumama nomntwana.
I-Calcifediol itholakala ngaphansi kwegama lomkhiqizo elithi Rayaldee e-United States. Lena inguqulo yegama lomkhiqizo ye-calcifediol evame ukunqunywa ukuthi uzohlangana nayo.
Izinhlobo ze-generic ze-calcifediol zingase zitholakale, futhi ziqukethe isithako esifanayo esisebenzayo njengenguqulo yegama lomkhiqizo. Umshwalense wakho ungase ukhethe inguqulo ye-generic, noma udokotela wakho angase abe nokukhetha okusekelwe ezidingweni zakho ezithile.
Njalo qiniseka ukuthi uthatha uhlobo olufanayo noma inguqulo ejwayelekile ngokuqhubekayo, njengoba abakhiqizi abahlukene bangase babe nezindlela ezihlukene kancane. Uma ikhemisi lakho likushintshela kwenye inguqulo, yazisa udokotela wakho ukuze akwazi ukuqapha impendulo yakho.
Kukhona ezinye izindlela ze-calcifediol, kuye ngezidingo zakho ezithile zikavithamini D kanye nezimo zempilo ezingaphansi. Izithasiselo ezijwayelekile zikavithamini D3 (cholecalciferol) zivame ukuba yindlela yokuqala yabantu abanokuntuleka kukavithamini D okuncane.
Kubantu abadinga uvithamini D odokotela abawubhala ngemiyalelo, i-calcitriol ingenye inketho. Lena yindlela esebenza kakhulu kavithamini D, kodwa idinga ukuqashwa okucophelelayo ngoba inamandla kune-calcifediol.
I-Ergocalciferol (uvithamini D2) ingenye inketho kadokotela, nakuba ngokuvamile ithathwa njengengasebenzi kangako kunezinqubo zokwelapha ezisekelwe kuvithamini D3. Udokotela wakho angase azame lokhu uma ungenakuzithwala ezinye izinhlobo zikavithamini D.
Abanye abantu bayazuza ku-paricalcitol, okuyindlela yokwenziwa kavithamini D esebenzayo evame ukusetshenziswa ezifweni zezinso. Ukukhetha phakathi kwalezi zinketho kuncike ekusebenzeni kwezinso zakho, amazinga e-calcium, nokuthi usabela kanjani ekwelashweni.
I-Calcifediol ne-calcitriol ngamunye unokuhle kwakhe, futhi ukuthi iyiphi engcono kuncike esimweni sakho sezokwelapha. I-Calcifediol ivame ukukhethwa kubantu abanezifo ezingapheli zezinso abadinga ukufakwa esikhundleni sikavithamini D isikhathi eside.
I-Calcifediol ivame ukuba nomphumela ohlala isikhathi eside emzimbeni wakho uma uqhathaniswa ne-calcitriol, okusho ukuthi ungayithatha kaningi. Lokhu kungakwenza kube lula ekwelashweni kwesikhathi eside futhi kungaholela emazingeni kavithamini D azinzile.
Ngakolunye uhlangothi, i-Calcitriol iyona fomu esebenza kakhulu likavithamini D futhi isebenza ngokushesha. Udokotela wakho angase akhethe i-calcitriol uma udinga ukulungiswa okusheshayo kokuntuleka kukavithamini D noma uma unezimpawu ezinzima ezihlobene novithamini D ophansi.
Ukwenza isinqumo kuvame ukuncika ekusebenzeni kwezinso zakho, ukuthi udinga imiphumela ngokushesha kangakanani, nokuthi ukubekezelela kahle kangakanani imithi ngayinye. Udokotela wakho uzocabangela zonke lezi zinto lapho enquma ukuthi iyiphi inketho engcono kakhulu esimweni sakho esithile.
I-Calcifediol ngokuvamile iphephile kubantu abanesifo sikashukela, futhi ukugcina amazinga avithamini D anele kungase kube usizo ekulawuleni ushukela wegazi. Ezinye izifundo zikhomba ukuthi ukuntuleka kukavithamini D kungase kwenze ukumelana ne-insulin kube kubi kakhulu, ngakho ukukulungisa kungasiza ekuphathweni kwesifo sikashukela.
Nokho, uma unesifo sikashukela nesifo sezinso, udokotela wakho uzodinga ukukuqapha eduze ngenkathi uthatha i-calcifediol. Zombili lezi zimo zingathinta indlela umzimba wakho obhekana ngayo ne-calcium ne-phosphorus, ngakho ukuhlolwa kwegazi okuvamile kubalulekile.
Njalo tshela udokotela wakho ngemithi yakho yesifo sikashukela lapho uqala i-calcifediol, njengoba amazinga avithamini D alungile angase athinte ukuthi imithi yakho yesifo sikashukela isebenza kahle kangakanani. Lokhu akuyona ngempela inkinga, kodwa kuyinto okufanele iqembu lakho lezempilo liyazi.
Uma ngengozi uphuza i-calcifediol eningi kunaleyo ebekiwe, ungangeni ekuqeqeshweni, kodwa xhumana nodokotela wakho noma isikhungo sokulawula ubuthi ukuze uthole isiqondiso. Ukuphuza uvithamini D omningi kungaholela ku-hypercalcemia, kodwa lokhu kuvame ukuthuthuka kancane kancane kunokuba ngokushesha.
Qaphela izimpawu ezinjengokucasuka, ukuhlanza, ukwanda komzwelo wokoma, ukuvama ukuchama, noma ukudideka, futhi funa ukwelashwa uma lokhu kwenzeka. Udokotela wakho angase afune ukuhlola amazinga akho e-calcium ngokuhlolwa kwegazi ukuze aqiniseke ukuthi awaphezulu kakhulu.
Ezimweni eziningi, ukuthatha ngengozi umthamo owengeziwe noma emibili ngeke kubangele ingozi enkulu, kodwa kusabalulekile ukuthola iseluleko sezokwelapha. Udokotela wakho angase ancome ukuyeka okwesikhashana umuthi noma ukulungisa umthamo wakho ngokuya ngezimpawu zakho nemiphumela yelabhorethri.
Uma uphuthelwa umthamo we-calcifediol, wuthatha ngokushesha lapho ukhumbula, ngaphandle uma sekuseduze isikhathi somthamo wakho olandelayo ohleliwe. Kulokho, weqa umthamo ophuthelwe bese uqhubeka neshejuli yakho ejwayelekile.
Ungathathi imithamo emibili ngesikhathi esisodwa ukuze ulungise umthamo ophuthelwe, ngoba lokhu kungaholela kuvithamini D eningi kakhulu ohlelweni lwakho. I-Calcifediol ihlala emzimbeni wakho izinsuku eziningana, ngakho ukuphuthelwa umthamo owodwa ngezikhathi ezithile akunakwenzeka ukuthi kubangele izinkinga.
Uma uvame ukukhohlwa imithamo, zama ukusetha isikhumbuzi sefoni noma uthathe umuthi wakho ngesikhathi esifanayo nomunye umsebenzi wansuku zonke njengokuxubha amazinyo akho. Ukuthatha imithamo ngokuqhubekayo kusiza ukugcina amazinga e-vitamin D ezinzile emzimbeni wakho.
Kufanele uyeke kuphela ukuthatha i-calcifediol uma udokotela wakho ekutshela ukuthi kuphephile ukwenza kanjalo. Lesi sinqumo sisekelwe emazingeni egazi lakho le-vitamin D, izimo zempilo ezingaphansi, nokuthi usabela kahle kangakanani ekwelashweni.
Kubantu abanezifo ezingamahlalakhona zezinso, ukwelashwa nge-calcifediol kuvame ukuqhubeka isikhathi eside ngoba isimo esingaphansi esithinta i-vitamin D metabolism asinyamalali. Kodwa-ke, umthamo wakho ungase ulungiswe ngokusekelwe ekuhlolweni kwegazi okuvamile.
Uma unikezwe i-calcifediol ngenxa yokuntuleka kwe-vitamin D okwesikhashana, udokotela wakho angase akuqhubekisele ekuthathweni kwesithasiselo se-vitamin D esivamile uma amazinga akho esebuyiselwe. Lokhu kushintsha kufanele kwenziwe ngaso sonke isikhathi ngaphansi kokuqondisa kwezokwelapha ukuvimbela amazinga akho ukuthi awe futhi.
Ungathatha ezinye izithasiselo nge-calcifediol, kodwa ezinye zingaphazamisa ukumuncwa kwayo noma zikhuphule ingozi yakho yemiphumela emibi. Hlala uxoxa nganoma yiziphi izithasiselo ozithathayo nodokotela wakho ngaphambi kokuqala i-calcifediol.
Izithasiselo ze-calcium zidinga ukunakekelwa okukhethekile ngoba i-calcifediol ikhuphula ukumuncwa kwe-calcium emathunjini akho. Ukuthatha zombili ndawonye kungase kukhuphule amazinga akho e-calcium aphezulu kakhulu, ngakho udokotela wakho uzodinga ukuqapha lokhu ngokucophelela.
Izithasiselo ze-magnesium ngokuvamile ziphephile nge-calcifediol futhi zingase zibe usizo, njengoba i-magnesium isiza nge-vitamin D metabolism. Kodwa-ke, izithasiselo zensimbi zingaphazamisa ukumuncwa kwe-calcifediol, ngakho udokotela wakho angase ancome ukuzithatha ngezikhathi ezihlukene zosuku.