Ambiri omwe ali ndi matenda a leliac amayesedwa m'thupili lovuta kwambiri
Anthu ambiri omwe amapezeka posachedwa ndi matendawa, amapeza kuti ali ndi vitamini D, omwe ali ndi zakudya zofunikira kwambiri m'thupi komanso thupi lonse la mphamvu. Koma kuchepa kwa vitamini D mu celiacs sikumangokhala kokha kumene kukupezeka - kumawoneka kuti ndi wamba kwa akuluakulu ndi ana omwe apezekapo kwa kanthawi ndipo amatsatira kwambiri zakudya zopanda thanzi.
Ndipotu, kusowa kwa vitamini D kumawombera amuna 64 ndi 71% mwa amayi omwe ali ndi matenda a celiac, zomwe zimakhala zovuta kwambiri kwa iwo omwe ali ndi celiac, ngakhale kuti anthu ambiri amakhala ovuta.
Nkhani kwa iwo omwe ali ndi matenda a leliac akhoza kupitilirabe malabsorption, kapena kungakhale kusowa kwa dzuwa komanso kudya zakudya zokwanira. Zonsezi zikhoza kuwonjezereka ndi kuti, mosiyana ndi zakudya zambiri zamtundu wa gluteni, zakudya za gluten zambiri sizilimbidwa ndi mavitamini owonjezereka ndi mchere.
Ziribe zifukwa, muyenera kulingalira kuti muyesedwe kuti mudziwe mlingo wanu wa vitamini D, ndipo ngati mutakhala ndi vitamin D, muuzeni dokotala wanu za mankhwala owonjezera.
Kulephera kwa Vitamini D ogwirizana ndi Malabsorption
Odwala omwe ali ndi matenda a celiac omwe sanayambe kudya zakudya zopanda thanzi , komanso odwala ena omwe amalephera kutsatira ndondomeko ya zakudya, atrophy yoopsa imayambitsa malabsorption, kutanthauza kuti simukudya vitamini D komanso zakudya zina zomwe zimadya zakudya. kukuthandizani kuti mukudya.
Kulephera kwa Vitamini D kumapangitsanso kuchepa kwa kashiamu, chifukwa mukufunikira vitamini D okwanira kuti mupeze zakudya zamtundu wa calcium. Inde, ambiri a celiacs amapewa mkaka chifukwa cha kusagwirizana kwa lactose , kutanthauza kuti iwo samadya kashiamu wambiri pa zakudya zawo ndipo akhoza kukhala ali pangozi yowonjezera kashiamu.
Zizindikiro Zikuphatikiza Mitsempha Yosalekeza, Kufooka kwa Mitsempha
Nthawi zambiri vuto la vitamini D liribe chizindikiro chodziwikiratu, kotero simungadziwe kuti mukuvutika nacho.
Kutaya kwa vitamini D kwakukulu kungayambitse matenda a mitsempha ngati ana aang'ono ndi osteomalacia mwa akuluakulu. Mu ziphuphu, mafupa a mwana amalephera kukula bwino, ndipo mikono ndi miyendo ya mwanayo imakhala yoweramitsidwa nthawi zambiri. Mu osteomalacia, panthawiyi, mafupa amatayika, amachititsa ululu ndi mafupa ofewa.
Mafupa a m'mimba amachititsanso kuti mafupa azifooka ndipo amatha kuphulika. Anthu omwe ali ndi matendawa ali pachiopsezo chachikulu cha matenda a osteoporosis.
Kulephera kwa Vitamini D kungachititsenso minofu kupweteka ndi kufooka, ndipo zizindikirozi zingakhale zofala kuposa matenda a mafupa. Anthu omwe ali ndi matenda oopsawa amapereka ululu wopweteketsa thupi akamagwiritsira ntchito gluten, choncho zimakhala zovuta kudziwa ngati vuto lanu limachokera kumalo osungunuka amodzi kapena chinthu china.
Research Links Mavitamini D MaseĊµera a Khansa, Matenda Odzipiritsa
Ngakhale kuti zotsatira ndi zotsatira sizinavomerezedwe, akatswiri azachipatala agwirizanitsa mavitamini D otsika kuti awononge ngozi za matenda ambiri, monga khansa yamtumbo , kansa ya m'mawere , khansa ya prostate , matenda oopsa kwambiri ndi matenda omwe amadzimadzimitsa.
Kafukufuku wasonyeza kuti anthu okhala m'mapiri apamwamba-omwe alibe kuwala kwa dzuwa amadziwika kwambiri ndi mtundu wa shuga wa shuga , multiple sclerosis ndi nyamakazi ya nyamakazi . Ngakhale izi sizikutsimikizira ndi zotsatira zake, madokotala ena akulimbikitsa odwalawa kuti aziwonjezera ndi vitamini D.
Kafukufuku wina omwe adawoneka pa mavitamini D kwa anthu omwe ali ndi matenda a celiac adapeza kuti 25% anali osauka, ndipo mavitamini D otsika kwambiri adayambitsa chiopsezo cha khungu la psoriasis, lomwe limagwiritsidwa ntchito ndi gluten . Koma phunziroli silinapeze kuti vitamini D yotsikayo imapangitsa anthu okhala ndi chiopsezo choterechi kuti asatengeke ku matenda ena omwe amadzimadzimadzi okha.
Mipamwamba yapamwamba ikhoza kukhala yofunikira kubwezeretsa miyezo yeniyeni
Asayansi sanavomereze kuti mlingo wa vitamini D wokwanira ndi wotani, koma mlingo wosachepera 20 ng / mL umaonedwa kuti uli wosayenerera, komabe pakati pa 20 ng / mL ndi 29 ng / mL sali okwanira. Akatswiri ena amakhulupirira kuti pakati pa 50 ndi 60 ng / mL palipakati.
Ngati mwapezeka kuti muli ndi matenda a celiac ndipo mayesero ena amasonyeza kuti mulibe vitamini D, dokotala wanu angakulimbikitseni kuti mutenge mlingo waukulu kwambiri kuti mubweretse msinkhu wanu mofulumira. Komabe, musayambe kumwa mankhwala akuluakulu popanda kuchuluka kwa mlingo wanu wa vitamini D ndi dokotala wanu, popeza ndizotheka kuwonjezera mavitamini D omwe amatengedwa pamlomo.
Nyuzipepala ya National Academy of Sciences yakhazikitsa mapiritsi otetezeka a vitamini D supplementation pa 2,000 IU / tsiku, ngakhale izi zingasinthe ndi kufufuza kwina. Vitamini D yopezeka tsiku lililonse yotchedwa US Adended Daily Allowance ndi 400 IU.
N'zotheka kupeza mayeso a vitamini D popanda dokotala wanu kupyolera mu Vitamin D Council, gulu lopanda phindu lomwe laperekedwa kuti lipititse patsogolo kufufuza ndi kuzindikira za anthu za mavitamini D's. Ngati mumasankha njirayi, muyenera kutsata dokotala musanasankhe kumwa mlingo wa vitamini D.
Ndi Kutheka Kwambiri, Dzuwa Litha Kupatsa Vitamini D
Mukhozanso kuyesetsa kukweza mavitamini D anu pogwiritsa ntchito zakudya zanu - nsomba zonenepa ndi mavitamini D omwe amathandizira mkaka ndi zosankha zabwino - komanso njira yakale, pogwiritsa ntchito dzuwa.
Ngati nthawi zonse mumakhala pafupi ndi mphindi 20 mpaka 30 dzuwa (kutalika ngati muli ndi khungu lakuda) ndi khungu lanu lotseguka panthawi yachisanu, chilimwe ndi miyezi ikugwa, mukhoza kupanga vitamini D, malinga ndi Vitamin D Council. Khalani osamala kuti musatenthe khungu lanu, chifukwa izi zimabweretsa chiopsezo cha khansara ya khungu popanda kupereka zina zowonjezera mavitamini D.
Zotsatira:
Harvard Health Publications. Nthawi ya Vitamini D.
Javorsky BR et al. Matenda a Viitamin D mu Matenda a m'mimba. Gastroenterology Yothandiza. March 2006, p. 52-72.
Ounivesite ya Oregon State University Linus Pauling Institute Micronutrient Center. Vitamini D.
Tavakkoli A et al. Vitamini D Chikhalidwe ndi Kusagwirizanitsa Magulu ku Celiac Disease. Journal of Clinical Gastroenterology. > 2013 Jul; 47 (6): 515-9.