25-hydroxy vitamin D kuaj

Kev ntsuas 25-hydroxy vitamin D yog qhov tseeb tshaj plaws los ntsuas ntau npaum li cas cov vitamin D hauv koj lub cev.

Vitamin D pab tswj qib calcium thiab phosphate hauv lub cev.

Xav tau cov ntshav ntxiv.

Feem ntau, koj yuav tsis tas yuav yoo mov. Tab sis qhov no nyob ntawm kuaj thiab txoj kev sim siv. Ua raws li cov lus qhia kom tsis txhob noj ua ntej xeem.

Thaum cov koob tau tso rau hauv cov ntshav, qee cov neeg hnov ​​mob me ntsis. Lwm tus ho hnov ​​tus mob lossis ceg tawv xwb. Tom qab ntawd, yuav muaj qee qhov throbbing.

Qhov kev kuaj ntshav no tau ua los xyuas seb koj puas muaj cov vitamin D ntau dhau lossis tsis txaus nyob hauv koj cov ntshav. Kev kuaj txhua tus neeg laus, txawm tias cev xeeb tub, rau qib vitamin D tsawg feem ntau tsis pom zoo.

Txawm li cas los xij, kev kuaj mob tuaj yeem ua rau cov neeg uas muaj kev pheej hmoo siab rau cov vitamin D tsis txaus, xws li cov uas:

• Muaj hnub nyoog tshaj 65 xyoos (ob lub zog cov vitamin D thiab lub cev nqus ntawm cov vitamin D yuav qis dua thaum peb laus zuj zus)
• Yog pham (los yog tau poob phaus los ntawm kev phais mob leeg)
• Noj qee yam tshuaj, xws li phenytoin
• Muaj mob txha lossis pob txha nyias nyias
• Muaj kev tiv thaiv tshav ntuj tsawg
• Muaj teeb meem nqus cov vitamins thiab cov khoom noj muaj roj hauv lawv cov hnyuv, xws li cov neeg mob plab, Crohn, lossis kab mob celiac

Qhov ntau ntawm cov vitamin D yog ntsuas raws li nanograms ntawm ib milliliter (ng / mL). Ntau tus kws tshaj lij pom zoo kom muaj qib ntawm 20 txog 40 ng / mL. Lwm qhov pom zoo kom muaj qib ntawm 30 thiab 50 ng / mL.

Cov piv txwv saum toj no yog kev ntsuas dav dav rau cov txiaj ntsig ntawm cov kev ntsuas no. Cov kab ke tus nqi yuav txawv me ntsis ntawm ntau lub chaw soj nstuam. Qee lub chaw soj nstuam siv cov kev ntsuas sib txawv lossis kuaj cov qauv sib txawv. Tham nrog koj tus kws kho mob txog lub ntsiab lus ntawm koj cov kev ntsuas ntsuas tshwj xeeb, thiab seb koj puas xav tau cov tshuaj vitamin D pab.

• 25 hydroxy vitamin D3 (cholecalciferol) yog vitamin D uas koj tus kheej lub cev tau tsim lossis koj tau nqus los ntawm cov tsiaj txhu (xws li ntses rog lossis nplooj siab) lossis cholecalciferol ntxiv.
• 25 hydroxy vitamin D2 (ergocalciferol) yog qhov vitamin D uas koj tau nqus los ntawm cov khoom noj muaj zog nrog cog vitamin D lossis los ntawm cov tshuaj ergocalciferol ntxiv.
• Ob qho tshuaj hormones (ergo- thiab cholecalciferol) ua haujlwm zoo sib xws hauv lub cev. Tus nqi tseem ceeb yog qhov tagnrho 25 hydroxy vitamin D qib hauv koj cov ntshav.

Qhov qis-dua-li ib txwm tuaj yeem yog vim muaj cov vitamin D tsis txaus, uas tuaj yeem tshwm sim los ntawm:

• Tsis muaj cov tawv nqaij raug tshav, tsaus nti cov xim tawv nqaij, lossis siv cov tshuaj pleev thaiv hnub zoo siab SPF
• Tsis muaj cov vitamins D txaus noj haus
• Mob siab thiab mob raum
• Txo zaub mov tsis zoo
• Siv qee yam tshuaj noj, suav nrog phenytoin, phenobarbital, thiab rifampin
• Tsis zoo noj cov vitamin D vim kev muaj hnub nyoog dhau los, kev phais lub cev kom yuag, lossis cov xwm txheej ua rau cov rog tsis zoo

Qib vitamin D qis yog tshwm sim ntau rau cov me nyuam African American (tshwj xeeb yog lub caij ntuj no), zoo ib yam li cov menyuam mos uas noj niam mis nkaus xwb.

Cov qib siab dua li kev noj qab haus huv ntau dua tuaj yeem yog vim muaj cov vitamin D ntau heev, ib qho kev mob hu ua hypervitaminosis D. Qhov no feem ntau tshwm sim los ntawm kev noj cov vitamin ntau dhau. Nws yuav ua rau muaj calcium ntau dhau hauv lub cev (hypercalcemia). Qhov no ua rau ntau cov tsos mob thiab lub raum puas.

Txoj kev pheej hmoo me ntsis nrog kev coj koj cov ntshav mus. Cov leeg thiab cov hlab ntsha sib txawv raws li ib tug neeg mus rau lwm qhov thiab ntawm ib sab ntawm lub cev mus rau lwm qhov. Noj ntshav los ntawm qee tus neeg yuav nyuaj dua li lwm tus.

Lwm yam kev phom sij los cuam tshuam nrog kev kos ntshav me ntsis, tab sis yuav suav nrog:

• Los ntshav ntau
• Ntau cov punctures los nrhiav cov leeg ntshav
• Tsaus muag lossis hnov ​​nkaus lub teeb
• Hematoma (ntshav ntau nyob hauv qab daim tawv nqaij)
• Kev kis tus kab mob (muaj kev pheej hmoo me me txhua lub sijhawm ntawm daim tawv tawg)

25-OH kuaj vitamin D; Calcidiol; 25-hydroxycholecalciferol kuaj

• Kuaj ntshav

Bouillon R. Vitamin D: los ntawm photosynthesis, metabolism, thiab nqis tes ua rau kev siv tshuaj. Hauv: Jameson JL, De Groot LJ, de Kretser DM, li al, eds. Endocrinology: Cov Neeg Loj thiab Pediatric. 7 tus ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 59.

Chernecky CC, Berger BJ. Vitamin D (cholecalciferol) - ntshav lossis ntshav dej. Hauv: Chernecky CC, Berger BJ, eds. Kev kuaj thiab kuaj mob. 6 tus ed. St Louis, MO: Elsevier Saunders; Xyoo 2013: 1182-1183.

LeFevre ML; Kev Pabcuam Tiv Thaiv US Pab Pawg. Kev soj ntsuam seb puas muaj cov vitamin D txaus rau cov laus: US Kev Pabcuam Tiv Thaiv Cov Haujlwm Pab Pawg Pom Zoo cov lus. Ann Intern Med. Xyoo 2015; 162 (2): 133-140. PMID: 25419853 pubmed.ncbi.nlm.nih.gov/25419853/.