Vitamin D (ergocalciferol-D2);cholecalciferol-D3, alfacalcidol) bụ vitamin na-agbaze abụba nke na-enyere ahụ gị aka ịmịnye calcium na phosphorus.Inwe ezigbo ego nkevitamin D, calcium, na phosphorus dị mkpa maka iwulite na idobe ọkpụkpụ siri ike.A na-eji vitamin D agwọ ma gbochie ọrịa ọkpụkpụ (dị ka rickets, osteomalacia).A na-emepụta vitamin D mgbe anụ ahụ na-ekpughere ìhè anyanwụ.Igwe mkpuchi anwụ, uwe nchebe, obere ikpughe na ìhè anyanwụ, akpụkpọ ahụ gbara ọchịchịrị, na afọ nwere ike igbochi ịnweta vitamin D zuru ezu site na anyanwụ. A na-eji vitamin D na calcium agwọ ma ọ bụ gbochie ọkpụkpụ ọkpụkpụ (osteoporosis).A na-ejikwa vitamin D na ọgwụ ndị ọzọ na-agwọ obere calcium ma ọ bụ phosphate nke nsogbu ụfọdụ kpatara (dị ka hypoparathyroidism, pseudohypoparathyroidism, hypophosphatemia ezinụlọ).Enwere ike iji ya na ọrịa akụrụ iji mee ka ọkwa calcium dị mma ma kwe ka ọkpụkpụ na-eto eto.A na-enye ụmụ ọhụrụ na-enye ara ara n'ihi na mmiri ara ara na-enwekarị obere vitamin D.
Otu esi ewere vitamin D:
Were vitamin D n'ọnụ dịka a gwara gị.A na-etinye vitamin D kacha mma mgbe e richara nri, mana enwere ike iji ya ma ọ bụ enweghị nri.A na-ewerekarị Alfacalcidol na nri.Soro ntuziaka niile na ngwugwu ngwaahịa.Ọ bụrụ na ị nwere ajụjụ ọ bụla, jụọ dọkịta gị ma ọ bụ onye na-ere ọgwụ.
Ọ bụrụ na dọkịta gị enyela ọgwụ a, were dị ka dọkịta gị gwara ya.Usoro onunu ogwu gị dabere na ọnọdụ ahụike gị, oke mkpughe anyanwụ, nri, afọ, na nzaghachi ọgwụgwọ.
Ọ bụrụ na ị na-ejiụdị mmiri mmirinke ọgwụ a, jiri nlezianya tụọ dose ahụ site na iji ngwaọrụ pụrụ iche / ngaji.Ejila ngaji ezinụlọ n'ihi na ị gaghị enweta ọgwụ ziri ezi.
Ọ bụrụ na ị na-ewerembadamba nkume a na-ata aṅụ or wafer, tachaa ọgwụ ahụ nke ọma tupu ilo ya.Ejila wafer dum.
| Nhazi | Serum 25-hydroxy Vitamin D larịị | Usoro onunu ogwu | nlekota oru |
| Enweghị vitamin D siri ike | <10ng/ml | Ịkwado doses:50,000IU otu ugboro kwa izu maka ọnwa 2-3Usoro nlekọta:800-2,000IU otu ugboro kwa ụbọchị | |
| Enweghị vitamin D | 10-15ng / ml | 2,000-5,000IU otu ugboro kwa ụbọchịMa ọ bụ 5,000IU otu ugboro kwa ụbọchị | Kwa ọnwa 6Kwa ọnwa 2-3 |
| Mgbakwunye | 1,000-2,000IU otu ugboro kwa ụbọchị |
Ọ bụrụ na ị na-ewere mbadamba nkume ndị na-agbari ngwa ngwa, kpoo aka gị tupu ijikwa ọgwụ ahụ.Tinye ọgwụ ọ bụla na ire, kwe ka ọ gbazee kpamkpam, wee loda ya na mmiri ma ọ bụ mmiri.Ịkwesighi iji mmiri were ọgwụ a.
Ụfọdụ ọgwụ (bile acid sequestrants dị ka cholestyramine/colestipol, mineral mmanụ, orlistat) nwere ike ibelata absorption nke vitamin D. Were gị doses nke ọgwụ ndị a dị ka o kwere mee site na gị doses nke vitamin D (opekata mpe 2 awa iche, ogologo ma ọ bụrụ kwere omume).Ọ nwere ike ịdị mfe ịṅụ vitamin D n'oge ụra ma ọ bụrụ na ị na-aṅụkwa ọgwụ ndị ọzọ.Jụọ dọkịta gị ma ọ bụ onye na-ere ọgwụ ogologo oge ị kwesịrị ichere n'etiti doses na maka enyemaka ịchọta usoro onunu ogwu nke ga-arụ ọrụ na ọgwụ gị niile.
Na-aṅụ ọgwụ a mgbe niile ka ị nweta uru kacha mma na ya.Iji nyere gị aka icheta, were ya n'otu oge kwa ụbọchị ma ọ bụrụ na ị na-ewere ya otu ugboro n'ụbọchị.Ọ bụrụ na ị na-aṅụ ọgwụ a naanị otu ugboro n'izu, cheta na ị na-aṅụ ya n'otu ụbọchị ahụ kwa izu.Ọ nwere ike inye aka iji ihe ncheta kaa kalenda gị.
Ọ bụrụ na dọkịta gị akwadoro ka ị na-agbaso nri pụrụ iche (dị ka nri dị elu na calcium), ọ dị ezigbo mkpa ịgbaso nri ahụ iji nweta uru kachasị na ọgwụ a na iji gbochie mmetụta ọjọọ.Ejila mgbakwunye/vitamin ndị ọzọ ọ gwụla ma dọkịta gị nyere gị iwu.
Ọ bụrụ na ị chere na ị nwere ike ịnwe nnukwu nsogbu ahụike, nweta enyemaka ahụike ozugbo.
Oge nzipu: Eprel-14-2022