Created at:1/13/2025
I-Vitamin D iyisondlo esibalulekile esisiza umzimba wakho ukumunca i-calcium futhi ugcine amathambo aqinile. Umzimba wakho ungenza i-vitamin D lapho isikhumba sakho sivezwe elangeni, kodwa abantu abaningi badinga izithasiselo ukuze bathole okwanele, ikakhulukazi ngezinyanga zasebusika noma uma bechitha isikhathi esiningi ngaphakathi endlini.
Cabanga nge-vitamin D njengomsizi womzimba wakho wokwakha nokugcina amathambo namazinyo anempilo. Iphinde isekele amasosha akho omzimba kanye nomsebenzi wemisipha. Uma ungatholi i-vitamin D eyanele, amathambo akho angaba buthakathaka futhi abe brittle, okuholela ezimweni ezinjenge-rickets ezinganeni noma i-osteomalacia kubantu abadala.
I-Vitamin D iphatha futhi ivimbele ukuntuleka kwe-vitamin D, okuvamile ngokumangalisayo emhlabeni wonke. Udokotela wakho angase ancome izithasiselo ze-vitamin D uma izivivinyo zegazi zikhombisa ukuthi amazinga akho aphansi kakhulu, noma uma usengozini yezinkinga zamathambo.
Ukusetshenziswa okuvamile kakhulu kwezokwelapha kufaka phakathi ukwelapha i-rickets ezinganeni, lapho amathambo ethambile futhi egoba ngokungavamile. Kubantu abadala, i-vitamin D isiza ukwelapha i-osteomalacia, isimo lapho amathambo ethambile futhi ebuhlungu. Iphinde isetshenziselwe ukuvimbela i-osteoporosis, ikakhulukazi kubantu abadala asebekhulile abasengozini enkulu yokuphuka kwamathambo.
Udokotela wakho angase akunikeze i-vitamin D uma unezimo ezithile zezokwelapha ezithinta indlela umzimba wakho osebenzisa ngayo lesi sondlo. Lokhu kufaka phakathi isifo sezinso, isifo sesibindi, noma izinkinga ngamagland parathyroid akho. Abantu abaye bahlinzwa i-gastric bypass ngokuvamile badinga izithasiselo ze-vitamin D ngoba imizimba yabo ayikwazi ukumunca izakhamzimba kahle.
Abanye odokotela baphinde bancomela i-vitamin D kubantu abane-multiple sclerosis, izimo ezithile ze-autoimmune, noma izifo zokuphefumula ezivame ukwenzeka, nakuba ucwaningo lusahamba ngalezi zinto ezisetshenziselwayo.
I-Vitamin D isebenza ngokusebenzisa amathumbu akho ukumunca i-calcium ekudleni okudlayo. Ngaphandle kwe-vitamin D eyanele, umzimba wakho ungamunca kuphela cishe i-10-15% ye-calcium oyidlayo, uma kuqhathaniswa ne-30-40% lapho amazinga e-vitamin D elingana.
Uma usuthatha i-vitamin D, isibindi sakho siyiguqula ibe yifomu elibizwa ngokuthi i-25-hydroxyvitamin D. Bese izinso zakho ziyiguqula ibe yi-hormone esebenzayo i-calcitriol, okuyifomu elisetshenziswa ngempela umzimba wakho. Le nqubo ingathatha amasonto amaningana, yingakho ungase ungazizwa ungcono ngokushesha ngemva kokuqala izithasiselo.
Leli fomu elisebenzayo le-vitamin D lisebenza njenge-hormone emzimbeni wakho, lithumela amasignali emathunjini akho, amathambo, nezinso ukugcina amazinga afanele e-calcium ne-phosphorus. Iphinde isize ukulawula ukukhula kwamaseli futhi isekele ikhono lomzimba wakho lokuzivikela lokulwa nezifo.
Thatha i-vitamin D ngendlela eqondile udokotela wakho ayalela ngayo noma njengoba kuqondiswe kulebula lesithasiselo. Abantu abaningi bayayithatha kanye ngosuku, kodwa ezinye izincwadi eziphezulu zingase zithathwe masonto onke noma ngenyanga.
Ungayithatha i-vitamin D ngaphandle noma ngaphandle kokudla, kodwa ukuyithatha nokudla okuqukethe amafutha angasiza umzimba wakho ukuyimunca kangcono. Amavithamini ancibilika ngamafutha njenge-vitamin D amuncwa ngempumelelo enkulu uma kunamafutha akhona ohlelweni lwakho lokugaya ukudla.
Uma uthatha ifomu eliwuketshezi, linganisa umthamo wakho ngokucophelela nge-dropper noma idivayisi yokulinganisa eza nomkhiqizo. Ungasebenzisi izipuni zasendlini, ngoba ngeke zikunike umthamo oqondile owudingayo.
Zama ukuthatha i-vitamin D ngesikhathi esifanayo nsuku zonke ukukusiza ukuthi ukhumbule. Abantu abaningi bakuthola kulula ukuyithatha ngesidlo sasekuseni noma isidlo sakusihlwa. Uma uthatha eminye imithi, hlola nomuthi wakho mayelana nesikhathi, njengoba eminye imithi ingathinta ukuthi i-vitamin D isebenza kahle kangakanani.
Isikhathi ozosidinga ngaso uvithamini D sincike ekutheni uwuthathaphi nokuthi ubunciphile kangakanani lapho uqala. Uma welapha ukuntula, ungase udinge imithamo ephezulu amasonto angu-6-12, kulandelwe umthamo wokugcina.
Ukuvimbela ukuntula, abantu abaningi badinga ukuthatha uvithamini D isikhathi eside, ikakhulukazi uma bengatholi ilanga eliningi noma benazo izici eziyingozi zokuntuleka kukavithamini D. Udokotela wakho cishe uzohlola amazinga egazi lakho ngemva kwezinyanga ezimbalwa ukuze abone ukuthi ukwelashwa kusebenza kahle kangakanani.
Uma uthatha uvithamini D ngesimo esithile sezokwelapha njenge-osteoporosis, ungase udinge ukuqhubeka nawo unomphela njengengxenye yohlelo lwakho lokwelapha olujwayelekile. Udokotela wakho uzoqapha inqubekela phambili yakho futhi alungise umthamo njengoba kudingeka.
Ungalokothi uyeke ukuthatha uvithamini D onqunywe ngudokotela ngokuphazima kweso ngaphandle kokukhuluma nodokotela wakho kuqala, ikakhulukazi uma uwuthatha ngesimo sezokwelapha. Udokotela wakho angase afune ukunciphisa umthamo wakho kancane kancane noma akuqhubekisele kwenye indlela.
Abantu abaningi bawuthola kahle uvithamini D uma uthathwa ngemithamo efanele. Imiphumela emibi ivame ukuba mnene futhi ivame ukuhlobana nokuthatha uvithamini D omningi ngokuhamba kwesikhathi.
Imiphumela emibi ejwayelekile ongase uyithole ihlanganisa isicanucanu, ukuhlanza, noma ukuphazamiseka kwesisu. Lezi zimpawu zivame ukuthuthuka uma uthatha uvithamini D nokudla noma unciphisa umthamo kancane. Abanye abantu futhi babika ukuzwa bekhathele noma benomuzwa wokuba nekhanda elibuhlungu lapho beqala ukuthatha uvithamini D.
Nawa amanye imiphumela emibi ejwayelekile engenzeka ngokwengezwa kukavithamini D:
Lezi zimpawu zivame ukuba mnene futhi zivame ukunyamalala njengoba umzimba wakho uzivumela ukuba zithuthuke. Uma ziqhubeka noma zikuphazamisa, khuluma nodokotela wakho mayelana nokulungisa umthamo wakho.
Imiphumela emibi kakhulu ingenzeka ngobuthi be-vitamin D, obenzeka uma uthatha okuningi kakhulu isikhathi eside kakhulu. Lokhu akuvamile kodwa kungaba kubi uma kwenzeka.
Izimpawu zobuthi be-vitamin D zihlanganisa:
Uma uhlangabezana nanoma yiziphi zalezi zimpawu ezimbi, xhumana nodokotela wakho ngokushesha. Ubuthi be-Vitamin D budinga ukunakekelwa kwezokwelapha futhi kungase kudingeke ukwelashwa ukuze kwehliswe amazinga e-calcium yakho yegazi.
Abantu abaningi bangathatha ngokuphepha izithasiselo ze-vitamin D, kodwa izimo ezithile zezokwelapha zidinga ukuqapha okukhethekile noma ukulungiswa komthamo. Udokotela wakho uzocabangela impilo yakho yonke neminye imithi ngaphambi kokuncoma i-vitamin D.
Kufanele uqaphele kakhulu nge-vitamin D uma unezifo zezinso, njengoba izinso zakho zidlala indima ebalulekile ekucubunguleni i-vitamin D. Abantu abanezifo zamatshe ezinso noma umlando wamatshe ezinso bangase badinge ukuqapha okukhethekile, ngoba i-vitamin D ingakhuphula ukumuncwa kwe-calcium.
Abantu abanezimo ezilandelayo badinga ukugadwa ngokucophelela kwezokwelapha lapho bethatha i-vitamin D:
Uma ukhulelwe noma uncelisa, ngokuvamile ungaqhubeka nokuthatha i-vitamin D, kodwa udokotela wakho uzonquma umthamo olungile kuwe. Ukuthatha i-vitamin D eningi ngesikhathi sokukhulelwa kungalimaza ingane yakho, ngakho-ke kubalulekile ukulandela isiqondiso sezokwelapha.
Imithi ethile ingase ihlangane ne-vitamin D noma ithinte indlela umzimba wakho oyicubungula ngayo. Lokhu kuhlanganisa ama-diuretics e-thiazide, ama-steroid, kanye nemithi ethile yokulwa nokuthuthumela. Hlala utshela udokotela wakho ngayo yonke imithi kanye nezithasiselo ozithathayo.
I-Vitamin D iyatholakala ngaphansi kwamagama amaningi e-brand kanye namafomu ajwayelekile. Ama-brand ajwayelekile okuyalelwa ngudokotela ahlanganisa i-Drisdol, equkethe i-vitamin D2, kanye ne-Calciferol, elinye ifomu le-vitamin D2.
Izithasiselo ezingathengwa ngaphandle kwemvume kadokotela zitholakala kabanzi futhi zihlanganisa ama-brand afana ne-Nature Made, Kirkland, kanye nama-brand amaningi esitolo. Lezi ngokuvamile ziqukethe i-vitamin D3, okuyinto odokotela abaningi abayithandayo ngoba ingase isebenze kangcono ekunyuseni amazinga egazi.
Uzothola futhi i-vitamin D ihlanganiswe ne-calcium emikhiqizweni efana ne-Caltrate Plus noma i-Os-Cal. Le mikhiqizo ehlanganisiwe ingaba lula uma udinga womabili ama-nutrients, kodwa qiniseka ukuthi uthola amanani afanele awo ngamunye.
Umehluko omkhulu phakathi kwe-vitamin D okuyalelwa ngudokotela kanye ne-over-the-counter ngokuvamile yilinganiso. Amafomu okuyalelwa ngudokotela avame ukuqukethe imithamo ephezulu kakhulu yokwelapha ukushoda, kuyilapho izithasiselo ezingathengwa ngaphandle kwemvume kadokotela zivame ukuba zokunakekela kwansuku zonke.
Ukuvezwa kwelanga lemvelo yiyona ndlela engokwemvelo yokuthola i-vitamin D, njengoba isikhumba sakho siyikhiqiza uma sivezwe emisebeni ye-UVB. Kodwa-ke, lokhu akuhlali kulula noma kuphephile, ikakhulukazi kubantu abanengozi yomdlavuza wesikhumba noma labo abahlala ezindaweni ezisenyakatho.
Imithombo yokudla ye-vitamin D ihlanganisa izinhlanzi ezinamafutha njenge-salmon, i-mackerel, kanye ne-sardines. Amaqanda, isibindi senkomo, kanye nokudla okuqinisiwe njengobisi, okusanhlamvu, kanye nejusi le-orange kungahlinzeka nge-vitamin D ethile, nakuba kunzima ukuthola okwanele ekudleni kuphela.
Uma ungakwazi ukubekezelela izithasiselo ze-vitamin D ngomlomo, udokotela wakho angase ancome imijovo ye-vitamin D. Lezi zinikezwa ngaphakathi kwemisipha futhi zingaba usizo kubantu abanezinkinga ezinkulu zokungamuncwa noma labo abangakwazi ukuthatha imithi ngomlomo.
Abanye abantu bahlola izibani ze-UV ezenzelwe ukukhuthaza ukukhiqizwa kwe-vitamin D, kodwa lezi kufanele zisetshenziswe ngaphansi kokugadwa kwezokwelapha ngenxa yezingozi zomdlavuza wesikhumba. Indlela ephephe kakhulu ngokuvamile iyinhlanganisela yokuchayeka elangeni okuphephile, ukudla okucebile nge-vitamin D, kanye nezithasiselo njengoba kudingeka.
I-Vitamin D ne-calcium zisebenzisana, ngakho akuyona ngempela indaba yokuthi enye ingcono kunenye. I-Vitamin D isiza umzimba wakho ukuba umunce i-calcium, kuyilapho i-calcium inikeza izakhi zokwakha amathambo namazinyo aqinile.
Ukuthatha i-calcium ngaphandle kwe-vitamin D eyanele kufana nokuzama ukwakha indlu ngaphandle kwamathuluzi afanele. Umzimba wakho awukwazi ukusebenzisa i-calcium ngempumelelo lapho amazinga e-vitamin D ephansi. Yingakho odokotela abaningi bencoma ukuzithatha ndawonye noma ukuqinisekisa ukuthi unamazinga afanele womabili.
Ukuze uthole impilo yamathambo, ochwepheshe abaningi bancoma ukuthola zombili izakhamzimba ngamanani afanele kunokugxila kwenye nje. Indlela efanele ngokuvamile ihlanganisa izithasiselo ze-vitamin D kanye ne-calcium evela emithonjeni yokudla noma izithasiselo, kuye ngezidingo zakho.
Udokotela wakho angasiza ekunqumeni ukuthi ngabe udinga i-vitamin D yodwa, i-calcium yodwa, noma zombili ngokuya ngemiphumela yakho yegazi, ukudla, kanye nezici eziyingozi zezinkinga zamathambo.
Abantu abanezifo zezinso bangathatha i-vitamin D, kodwa badinga izinhlobo ezikhethekile kanye nokuqapha okucophelelayo. Izinso zakho zidlala indima ebalulekile ekuguquleni i-vitamin D ibe yifomu layo elisebenzayo, ngakho izifo zezinso zingathinta indlela umzimba wakho oziqhubula ngayo.
Uma unezifo zezinso, udokotela wakho angase akubhalele i-calcitriol noma i-paricalcitol, esezivele zisezinhlotsheni ezisebenzayo umzimba wakho ongazisebenzisa. Le mithi idinga ukuhlolwa kwegazi njalo ukuqapha amazinga akho e-calcium ne-phosphorus futhi uqinisekise ukuthi umthamo wakho ulungile.
Uma ngabe uthatha umthamo ophindwe kabili ngengozi ngosuku olulodwa, ungesabi. Yeqa umthamo wakho olandelayo bese ubuyela esimisweni sakho esijwayelekile. Umthamo owodwa owengeziwe akunakwenzeka ukuthi ubangele izinkinga, kodwa ungenzi lokho kube umkhuba.
Uma ubuthatha okuningi kakhulu kunokuba kunqunywe izinsuku eziningana noma amasonto, xhumana nodokotela wakho. Bangase bafune ukuhlola amazinga e-calcium yegazi lakho futhi balungise umthamo wakho. Izimpawu zikavithamini D owedlulele zihlanganisa isicanucanu, ukuhlanza, ubuthakathaka, nokoma ngokweqile.
Uma uphuthelwa umthamo kavithamini D, wuthatha ngokushesha lapho ukhumbula, ngaphandle uma sekuseduze isikhathi somthamo wakho olandelayo. Ungathathi imithamo emibili ngesikhathi esisodwa ukuze ulungise umthamo ophuthelwe.
Njengoba uvithamini D uhlala ohlelweni lwakho isikhashana, ukuphuthelwa umthamo ngezikhathi ezithile ngeke kubangele izinkinga ngokushesha. Kodwa-ke, zama ukuwuthatha ngokuqhubekayo ukuze ugcine amazinga aqhubekayo emzimbeni wakho.
Ungayeka ukuthatha uvithamini D lapho udokotela wakho enquma ukuthi amazinga egazi lakho alungile futhi awusengozini yokuntuleka. Lesi sinqumo sincike ezimweni zakho ngazinye, okuhlanganisa ukuchayeka kwelanga, ukudla, nempilo yonke.
Abanye abantu badinga ukuthatha uvithamini D isikhathi eside, ikakhulukazi uma benezici eziqhubekayo zengozi njengokuchayeka elangeni okulinganiselwe, izinkinga zokungamuncwa, noma izimo ezithile zezokwelapha. Udokotela wakho uzokuqondisa ukuthi ngabe uvithamini D kufanele abe yingxenye yesikhashana noma yesikhathi eside yomkhuba wakho wezempilo.
Uvithamini D angase asebenzisane nemithi ethile, ngakho-ke kubalulekile ukutshela udokotela wakho ngayo yonke imithi nezithasiselo ozithathayo. Ama-diuretics e-Thiazide angakhuphula amazinga e-calcium uma ehlanganiswe novithamini D, okungenzeka kubangele izinkinga.
Imithi enjenge-phenytoin, phenobarbital, kanye ne-rifampin ingakwazi ukukhulisa ngokushesha indlela umzimba wakho ohlukanisa ngayo uvithamini D, okungenzeka idinge imithamo ephezulu. Udokotela wakho uzocabangela lezi zindlela zokuxhumana lapho enquma umthamo wakho ofanele wevithamini D.