Ua manaʻo paha ʻoe i ka luhi a me ka ʻeha ʻole me ke kumu ʻike ʻole ʻia? I kekahi manawa manaʻo mākou he mea maʻamau kēia a hoʻowahāwahā iā lākou. Akā ua ʻike anei ʻoe ma hope o kēia mau hōʻailona liʻiliʻi, aia paha kahi moʻolelo huna o ka nele i kahi meaʻai koʻikoʻi no ko mākou kino? ʻĀ, he pilikia a ka poʻe he nui e ʻeha nei me ka ʻike ʻole ʻana he nele ia o ka wikamina D, ʻo ia hoʻi, ka nele o ka wikamina D i loko o ke kino. I kēia lā, e kamaʻilio kākou e pili ana i kēia me he mea lā e kamaʻilio ana kākou me kahi hoaaloha pili.
He aha maoli ka nele o ka wikamina D?
I ka ʻōlelo maʻalahi, ʻo ka nele o ka wikamina D ʻo ia hoʻi ʻaʻole i loaʻa i kou kino ka lawa o ka wikamina D. Hoʻopilikia nui kēia i ke olakino o kou mau iwi a me nā ʻiʻo .
He wikamina koʻikoʻi ka wikamina D no ka ulu ʻana a me ka mālama ʻana i nā iwi olakino. He kuleana koʻikoʻi nō hoʻi ia i ka hana o kā mākou ʻōnaehana nerve, ʻōnaehana musculoskeletal, a me ka ʻōnaehana pale kino.
Aia kekahi mau ala e hiki ai iā mākou ke loaʻa ka wikamina D:
- Ka Lā: Ke hōʻike ʻia ko mākou ʻili i ka lā, hana ʻia ka wikamina D i loko o ka ʻili. Eia nō naʻe, ʻoi aku ka paʻakikī o ka poʻe me nā ʻili ʻeleʻele a me ka poʻe ʻelemakule e hana i ka lawa ʻana o ka wikamina D ma kēia ʻano. Hoʻopilikia pū ka wahi a mākou e noho nei i kēia.
- Mai nā meaʻai a mākou e ʻai ai: Loaʻa maoli i kekahi mau meaʻai ka wikamina D.
- Mai nā mea hoʻopihapiha meaʻai: Hiki iā ʻoe ke loaʻa ka huaora D ma ke ʻano o nā pila a i ʻole nā wai.
E noʻonoʻo wale, me kēia mau ʻano hana āpau, ʻo ka hemahema o ka wikamina D kahi pilikia olakino maʻamau ma ka honua holoʻokoʻa.
No ke aha he mea nui ka wikamina D iā mākou?
Ua like ka wikamina D me kahi mea kūkulu akamai no ko kākou kino. ʻO nā mea nui e pono ai no ke kūkulu ʻana i ko kākou mau iwi, ʻo ia ka calcium a me ka phosphorus. ʻOiai ke loaʻa nei iā kākou ka calcium mai ka meaʻai, pono kākou i ke kōkua o ka "mea kūkulu" wikamina D e omo iā ia mai ko kākou mau ʻōpū a hoʻohana iā ia e hoʻoikaika i ko kākou mau iwi.
I ka ʻōlelo maʻalahi, me ka ʻole o ka wikamina D, ʻaʻole hiki i ko mākou kino ke hoʻohana pono i ka calcium.
I kēia manawa, e noʻonoʻo i ka mea e hana ʻia inā nele loa kou kino i ka wikamina D. Hoʻemi kēia i ka omo ʻana o ka calcium a me ka phosphorus mai nā ʻōpū. ʻO kēia ke kumu o ka emi ʻana o ka pae calcium i loko o ke koko. Kāhea mākou i kēia ʻano he hypocalcemia .
Ke hāʻule nā pae calcium i loko o ke koko, hoʻāʻo ko mākou kino e hoʻoponopono i kēia ma ka hoʻoulu ʻana i nā kelepa parathyroid i loko o ko mākou ʻāʻī, ka mea e hoʻomaka e lawe i ka calcium mai nā iwi a hoʻohui iā ia i ke koko. Ua kapa ʻia kēia he hyperparathyroidism lua .
I ka hoʻomau ʻana o kēia kaʻina hana, hoʻoheheʻe mālie ʻia ka calcium i loko o ko kākou mau iwi, e lilo ai lākou i mea nāwaliwali a palupalu . Hiki i kēia ke alakaʻi i kahi kūlana i kapa ʻia ʻo osteomalacia i nā pākeke a me nā rickets i nā keiki ʻōpio. I nā hihia ʻelua, ua hoʻonui nui ʻia ka pilikia o ka haki maʻalahi ʻana o nā iwi (fractures).
He aha nā hōʻailona o ka nele o ka wikamina D?
ʻO ka hapa nui o ka manawa, ʻaʻole ʻike ʻia nā hōʻailona o ka nele o ka wikamina D. Akā, hiki i kekahi poʻe ke ʻike i kēia mau hōʻailona. E nānā kākou pehea e pili ai kēia i nā keiki ʻōpio a me nā mākua.
| ʻO wai ka mea i hoʻopilikia ʻia? | Nā hōʻailona e hiki ke ʻike ʻia |
|---|---|
| No nā keiki liʻiliʻi | Inā nele loa ka wikamina D, hiki ke ulu nā rickets . I loko o ia mau mea:
(Akā, he mea kākaʻikahi loa kēia i kēia manawa). ʻO ka maʻamau, ʻo nā keiki me ka nele iki o ka wikamina D e ʻike wale paha i ka ʻeha ʻiʻo a i ʻole ka nāwaliwali . |
| No nā mākua | ʻAʻole paha e ʻike maopopo ʻia kēia i nā pākeke, akā aia paha kēia mau hōʻailona:
|
ʻO ka mea nui, i kekahi manawa hiki iā ʻoe ke loaʻa ka nele o ka wikamina D a ʻaʻole hōʻike i kekahi mau hōʻailona.
He aha nā kumu o ka nele o ka wikamina D?
ʻElua kumu nui.
1. Lawe ʻoeʻAʻole lawa ka wikamina D mai ka meaʻai a me ka lā.
2. ʻAʻole paha e hiki i kou kino ke omo a hoʻohana pono paha i ka wikamina D.
Ma waho aʻe o kēia mau kumu nui, hiki ke hana ʻia kekahi mau kumu ʻē aʻe me kekahi mau ʻano kikoʻī.
| Kumu | Wehewehena |
|---|---|
| Kekahi mau kūlana olakino |
|
| ʻO ke ʻoki kino no ka pohō kaumaha | Ke hana ʻia ʻoe i ke ʻoki kino e hōʻemi ana i ka nui o ka ʻōpū a kāpae paha i kahi ʻāpana o ka ʻōpū liʻiliʻi (e.g., ke ʻoki kino gastric bypass), lilo ia i mea paʻakikī ke komo i nā meaʻai, me ka huaora D. |
| Kekahi mau lāʻau lapaʻau |
|
Pehea ʻoe e ʻike ai inā nele ʻoe i ka wikamina D?
ʻAʻole hoʻāʻo pinepine nā kauka i nā pae wikamina D o kēlā me kēia kanaka. Akā inā loaʻa iā ʻoe nā hōʻailona a mākou i kūkākūkā ai ma mua, a inā he mau kumu pilikia kou no ka nele o ka wikamina D, e noi paha kāu kauka iā ʻoe e hana i kahi hoʻāʻo koko.
ʻO ka hoʻāʻo koko nui no kēia, ʻo ia ka 25-hydroxyvitamin D (25-hydroxyvitamin D) , a i ʻole 25(OH)D no ka pōkole. Hiki i kēia ke ana i ka nui o ka wikamina D i loko o kou koko.
Pehea e mālama ai a pale aku ai?
ʻUa like nā pahuhopu o ka mālama ʻana a me ka pale ʻana: e lawe i nā pae wikamina D o ke kino i kahi pae olakino a mālama iā lākou ma laila.
He mea maikaʻi ke ʻai ʻana i nā meaʻai waiwai i ka wikamina D a loaʻa ka nui o ka lā. Eia nō naʻe, e haʻi pinepine kāu kauka iā ʻoe e lawe i nā mea hoʻohui wikamina D.
ʻElua ʻano nui o ka wikamina D: D2 (ergocalciferol) a me D3 (cholecalciferol). Loaʻa ka D2 mai nā mea kanu, ʻoiai ʻo D3 mai nā holoholona. ʻOi aku ka maʻalahi o ke komo ʻana o ko kākou kino i ka D3 ma mua o ka D2.
He mea nui loa: Pono ʻoe e kamaʻilio me kāu kauka e pili ana i ka pono o nā pila wikamina D, a inā pēlā, pehea ka nui (dose) e lawe ai. ʻO ka lawe ʻana i nā pila wikamina ma ke ʻano maʻamau hiki ke hana i nā pilikia olakino ʻē aʻe.
ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka nele i ka wikamina D?
Ma waho aʻe o kekahi mau kūlana olakino, hiki i kekahi mau kumu ʻē aʻe ke hoʻonui i ka pilikia o ka nele o ka vitamin D.
| Kumu pilikia | Wehewehena |
|---|---|
| Makahiki | I ko kākou ʻelemakule ʻana, emi iho ka hiki o ko kākou ʻili ke hana i ka wikamina D mai ka lā. ʻO ia ke kumu e ʻoi aku ai ka pilikia o ka poʻe ma luna o 65 mau makahiki. Eia kekahi, ʻo nā pēpē i hānai wale ʻia me ka waiū umauma, ʻaʻole paha lākou i nele i ka wikamina D, no ka mea, he kakaikahi loa ka wikamina D i loko o ka waiū umauma. |
| Kala ʻili | He mea paʻakikī iki no ka ʻili ʻeleʻele (e like me kā mākou) ke hana i ka wikamina D mai ka lā ma mua o ka ʻili māmā. No laila, ʻoi aku ka nui o ka pilikia o ka poʻe me ka ʻili ʻeleʻele. |
| ʻAʻole e hele i waho | ʻO ka poʻe e noho ana ma ka home a kākaʻikahi ke hele i waho (e.g., ka poʻe ma nā hale mālama, ka poʻe e moe ana ma kahi moe ma muli o ka maʻi) ua ʻoi aku ka nui o ka pilikia no ka mea ʻaʻole hiki iā lākou ke loaʻa ka wikamina D mai ka lā. |
He aha nā meaʻai e hiki ai iā ʻoe ke loaʻa ka wikamina D mai?
ʻO ka mea maikaʻi loa e hana ai, ʻo ia ka ʻai ʻana i ka meaʻai kaulike. Aia nā meaʻai i loaʻa maoli ka wikamina D a me nā meaʻai i hoʻoikaika ʻia me ke ʻano hana.
| ʻAno meaʻai | Nā Laʻana |
|---|---|
| Nā meaʻai i loaʻa maoli ka wikamina D |
|
| Nā meaʻai i hoʻoikaika ʻia me ka wikamina D i hoʻohui ʻia |
Akā e hoʻomanaʻo, he mea paʻakikī paha ke ho'ōla piha i ka nele o ka wikamina D ma o ka ʻai wale nō.
He pilikia paha inā lawe nui ʻoe i ka wikamina D?
ʻAe, ʻoiaʻiʻo nō. Inā lawe ʻoe i ka nui o nā mea hoʻohui wikamina D me ka ʻole o ke aʻo lapaʻau, hiki ke lilo i mea ʻawahia i ke kino. Ua kapa ʻia kēia he ʻawahia wikamina D. Hiki i kēia ke hana i nā pae kiʻekiʻe loa o ka calcium i loko o ke koko (Hypercalcemia).
I kēlā mau manawa, hiki ke ʻike ʻia nā hōʻailona e like me kēia:
- Ka luaʻi
- Ka makewai a me ka mimi pinepine
- ʻAʻohe ʻono
- Ka paʻa ʻana o ka ʻōpū
- Nāwaliwali
- Ka huikau
No laila, mai lawe ʻoe ma mua o ka nui i ʻōlelo ʻia o nā pila huaora, ʻoiai ka huaora D, me ka ʻole o ke kūkākūkā ʻana me ke kauka.
Leka Lawe-Home
- He pilikia olakino maʻamau ka nele o ka wikamina D ma Sri Lanka, akā he mea ia i ʻike ʻole ʻia e ka poʻe he nui.
- ʻO nā hōʻailona paha e komo pū me ka luhi pinepine, ka ʻeha kino, a me ka ʻeha iwi. Eia nō naʻe, ʻaʻole paha e loaʻa i kekahi poʻe kekahi mau hōʻailona.
- He mea nui ka wikamina D no nā iwi ikaika. Hiki i ka hemahema ke hoʻonāwaliwali i nā iwi a hoʻolilo iā lākou i mea maʻalahi i ka haki ʻana.
- Inā manaʻo ʻoe he nele kou i ka wikamina D, a i ʻole he mau kumu pilikia kou, e ʻike pono i kāu kauka no ka ʻōlelo aʻo.
- Mai lawe wale i nā pila wikamina D. ʻO ke kauka wale nō ke hoʻoholo i ka nui kūpono. Hiki i ka lawe ʻana i ka nui ke lilo i mea weliweli.
- ʻO ka ʻai kaulike a me ka palekana o ka lā i kēlā me kēia lā e hiki ke kōkua i ka mālama ʻana i nā pae maikaʻi o ka wikamina D.
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