Kumvetsetsa Zomwe Zimayambitsa, Mphamvu, ndi Chithandizo
Vitamini D ndiwopatsa thanzi la mafupa, calcium balance, ndi chitetezo cha mthupi - komabe nthawi zambiri chimakhala chochepa mwa anthu ambiri omwe ali ndi HIV. Ngakhale zifukwa izi zingakhale zambiri, n'zoonekeratu kuti kachilombo ka HIV, mwa iwoeni, kamathandiza kuti izi zikhale zovuta komanso kuti kuperewera kosalephereka kungakhudze moyo wanu wautali.
Kodi Vitamini D Yathu Ndi Kuti?
Vitamini D ndi imodzi mwa mavitamini osungunuka ndi mafuta.
Mosiyana ndi mavitamini ena, amapezeka m'mabuku ochepa chabe - monga nsomba ndi zakudya zolimba, monga mkaka ndi tirigu. Mavitamini D ambiri amapangidwa m'thupi mwathu kutuluka dzuwa.
Pamene khungu lathu limatulukira kuwala kwa dzuwa, kuwala kwa khungu la kolesitolomu kumatulutsidwa m'magazi, kutengera chiwindi. Kamodzi pachiwindi, chimasandulika 25-hydroxyvitamin D. Mamolekyumu ndiye amapita ku impso kumene amasandulika kukhala 1,25 dihydroxyvitamin D , mavitamini D. omwe amagwira ntchito.
Munthu akhoza kutenga vitamini D kuchokera ku mavitamini, monga vitamini limodzi kapena gawo la multivitamin. Palinso malangizo a vitamini D omwe amaperekedwa kwa odwala ena omwe ali ndi matenda omwe amachititsa kuti akhale ndi mavitamini ochepa a Vitamini D.
N'chifukwa Chiyani Anthu Amakhala Vitamini D Okwanira?
Pali zifukwa zingapo zomwe zimapangitsa munthu kukhala ndi vuto la vitamini D. Kwa anthu ena, matenda ena amagwirizana ndi matendawa, monga matenda a chiwindi ndi impso - popeza chiwindi ndi impso zimathandiza kuti vitamini D mu thupi mukhale ndi mphamvu.
Matenda a Celiac , kapena matenda ena omwe amachititsa kuti mavitamini D asatenge bwino m'matumbo, amachititsanso kuti vitamini D isalephereke.
Anthu omwe sakhala ndi kuwala kwa dzuwa komanso / kapena amakhala ndi vitamini D osaperewera akhoza kukhala ndi vuto la vitamini D. Izi zimakhala zofala makamaka kwa anthu okalamba omwe amakhala m'mabanja okalamba.
Kunenepa kwambiri ndi mankhwala omwe amakhudza momwe vitamini D amapangidwira m'thupi, ngati mankhwala ena opatsirana , amachititsa munthu kukhala ndi vuto la vitamini D.
Kodi kugwirizana pakati pa HIV ndi Vuto la Vitamin D ndi chiyani?
Malinga ndi kafukufuku wa 2012 mu Journal of Antimicrobial Chemotherapy, anthu opitirira 85 peresenti ya anthu omwe ali ndi kachilombo ka HIV ali ndi mavitamini ochepa otsika - chifukwa chake chiwerengerochi sichikudziwika bwino.
Kuphatikiza apo, pali umboni wa sayansi wosonyeza kuti mankhwala ena opatsirana pogonana, amalepheretsa momwe Vitamin D imagwiritsidwira m'thupi. Izi zimapangitsa kuti vitamini D iwonongeke kwa anthu omwe ali ndi HIV.
Mwa awa, Sustiva (efavirenz) amaonedwa kuti ndi wodalirika, komanso mankhwala ena onse (monga Atripla) omwe ali ndi efavirenz. Pakalipano, palibe mankhwala ena opatsirana pogwiritsa ntchito ma ARV omwe asonyeza kuti ali ndi vuto la kuchepa kwa vitamini D.
Kodi Kutaya kwa Vitamini D Kumapezedwa Bwanji ndi Kutengedwa?
Poyerekeza kuchuluka kwa 25-hydroxyvitamin D m'magazi, dokotala akhoza kudziwa ngati munthu ali ndi vitamini D okwanira m'thupi lake.
Mwamwayi, pali njira yosavuta yobwezeretsera mavitamini D - poyamwitsa vitamini D. Dokotala akhoza kulamula mlingo woyenerera iwo - mlingo wamba womwe umaperekedwa ndi 50,000 UU wa vitamini D omwe amatengedwa kamodzi sabata iliyonse sabata 8.
Pambuyo pobwezeretsa mlingo wa vitamini D, adokotala amatha kupereka mlingo wa mavitamini DU 400 mpaka 800 omwe amatengedwa pamlomo pa tsiku. Akatswiri ena amati mavitamini D apamwamba amafunika tsiku ndi tsiku kuti akhalebe olimba.
Kuthamanga kwa vitamini D kumalimbikitsidwa pamene magulu 25-hydroxyvitamin D amagwera pansi pa 10 ng / ml.
Ndikofunika kuzindikira kuti ngakhale kuti vuto la Vitamini D limagwirizanitsidwa ndi dzuwa lochepa, ndikofunikira kwambiri kuti munthu adziteteze ku dzuwa, monga momwe akulimbikitsira ndi American Academy of Dermatology.
Ndingatani?
Pa ulendo wanu wotsatira dokotala , kambiranani naye za vitamini D.
Onetsetsani kuti kusowa kwanu si vuto kwa inu, komanso kuti mukuchita zonse zomwe mungathe kuti mukhale ndi thanzi la vitamini lofunika kwambiri. Ngati mutatenga kale mankhwala enaake, onetsetsani kuti mukumuzani dokotala wanu, komanso mankhwala ena, mankhwala kapena ayi, mwina mutenga.
Zotsatira:
Allavena C et al. "Kutaya kwa vitamini D kawirikawiri kwa odwala kachilombo ka HIV: zotsatira za kachilombo ka HIV ndi mankhwala ochepetsa kachilombo ka HIV". J Antimicrob Amatha. 2012 Sep; 67 (9): 2222-30.
Cannell, JJ, Hollis BW, Zasloff M, Heaney RP. "Kuzindikira ndi Chithandizo cha kusowa kwa Vitamini D" .Expert Opin Pharmacother2008 Jan; 9 (1): 107-18.
Pinzone MR. "Kulephera kwa vitamini D mu kachilombo ka HIV: mliri wosadetsedwa komanso wodwalayo". Eur Rev Med Pharmacol Sci. 2013 May; 17 (9): 1218-32.
Yin M. "Vitamini D, fupa, ndi kachirombo ka HIV." Mtundu Wotsitsika Wapamwamba. 2012 Dec; 20 (5): 168-72.