A chhan hriat lohvin a danglam bik taka chau leh natna i nei tawh em? A chang chuan hengte hi thil pangngaiah kan ngai a, kan ngaihsak lo. Mahse, heng chhinchhiahna tenau te hnuaiah hian kan taksa tana ei tur pawimawh tak tlakchhamna chanchin thup a awm thei tih i hria em? Awle, mi tam takin an hriat loha an tawrh buaina chu vitamin D tlakchhamna, chu chu taksaa vitamin D tlakchhamna a ni. Vawiin hian he thu hi kan thian hnai tak nen kan inbia ang maiin sawi ila.
Vitamin D tlakchhamna hi eng nge ni tak tak?
A awlsam zawngin, vitamin D tlakchhamna hian i taksain vitamin D a hmu tlem tihna a ni a, hei hian i ruh leh ruh hriselna a nghawng ber a ni .
Vitamin D hi ruh hrisel thang lian leh vawn thatna atana vitamin pawimawh tak a ni. Kan nervous system, musculoskeletal system leh immune system hnathawhnaah pawh chanvo a nei bawk.
Vitamin D kan hmuh theih dan kawng hrang hrang a awm a:
- Ni chhuahna: Kan vun hi ni ênga kan awm chuan vun chhungah vitamin D a lo piang chhuak thin. Mahse, vun rawng dum zawk nei leh tar zawkte chuan hetiang hian vitamin D siam tlem an harsat zawk mai thei. Kan chenna hmun pawh hian hei hi a nghawng a ni.
- Kan ei leh in atang hian: Chaw thenkhatah chuan a pianphungah vitamin D a awm a.
- Nutritional supplement atang hian: Vitamin D hi pill emaw liquid emaw angin i hmu thei bawk.
Ngaihtuah teh, heng zawng zawng hmang hian vitamin D tlakchham hi khawvel pumah hriselna lama harsatna awm fo a ni.
Engvangin nge vitamin D hi kan tan a pawimawh em em?
Vitamin D hi kan taksa tana siamtu fing tak ang mai a ni. Kan ruh siamna atana thil tul ber chu calcium leh phosphorus a ni. Chaw atanga calcium kan hmu a, mahse kan intestines atanga kan lakluh theih nan leh kan ruh tichak turin "builder" vitamin D tanpuina kan mamawh a ni.
A awlsam zawngin, vitamin D tel lo chuan kan taksa hian calcium hi a hmang tangkai thei lo.
Tunah chuan i taksain vitamin D a tlakchham nasa hle a nih chuan eng nge thleng dawn tih han ngaihtuah teh, hei hian intestine atanga calcium leh phosphorus lakluh a ti tlem a ni. Hei hian thisen a calcium level a ti tlahniam thin. Hetiang dinhmun hi hypocalcemia kan ti a ni .
Thisen a calcium level a tlahniam chuan kan taksa hian kan kawr chhunga parathyroid glands te chu a tichak a, chu chuan ruh atanga calcium chu a la chhuak tan a, thisenah a dah lut tan thin. Hei hi secondary hyperparathyroidism an ti a .
Chutianga a kal zel chuan kan ruh chhunga calcium chu a lo hmin zauh zauh a, chu chuan a tichak lo va, a ti chhe ta a ni . Hei hian puitlingah osteomalacia an tih natna a thlen thei a, naupang tê têah rickets an tih ang chi natna a thlen thei bawk. Heng pahnihah hian ruh a chhe awlsam (fracture) theihna a sang hle.
Vitamin D tlakchhamna chhinchhiahna engte nge ni?
A tam zawkah chuan vitamin D tlakchhamna chhinchhiahna hi hmuh tur a awm lo. Mahse mi thenkhat chuan heng symptoms te hi an nei ve mai thei. Hei hian naupang tê tê leh puitlingte a nghawng dân hi han thlir ila.
| Tute nge a nghawng? | Symptoms hriat theih te |
|---|---|
| Naupang tê tê tan | Vitamin D a tlakchham nasat chuan rickets a lo awm thei a ni. Chutah chuan:
(Mahse tunah chuan hei hi a tlem hle). A tlangpuiin, naupang vitamin D tlakchhamna tlemte chuan taksa ruh natna emaw, chak lohna emaw chauh an nei thei . |
| Puitling tan chuan | Hei hi puitling tan chuan a langsar lo mai thei, mahse heng symptoms te hi a awm thei:
|
A pawimawh ber chu, a chang chuan vitamin D tlakchhamna i nei thei a, symptoms engmah a lang lo.
Vitamin D tlakchhamna chhante chu engte nge ni?
A chhan ber chu pahnih a ni.
1. I laChaw leh ni eng atanga vitamin D hmuh tlem.
2. I taksa hian vitamin D a hip thei lo emaw a hmang tha thei lo emaw a ni thei .
Heng chhan lian ber berte bakah hian thil chiang dang engemaw zat pawh a tel thei bawk.
| Chhan | Hrilhfiahna |
|---|---|
| Damdawi lam dinhmun thenkhat |
|
| I taksa rihna tihtlem surgery | I pum lian tham ti tlem emaw, small intestine thenkhat bypass emaw (e.g., gastric bypass surgery) surgery i neih chuan vitamin D telin nutrients te hi lakluh a harsa thin. |
| Damdawi thenkhat |
|
Vitamin D tlakchhamna i neih leh neih loh engtin nge i hriat theih ang?
Doctor-te hian mi zawng zawng vitamin D level hi an test tlangpui lo. Mahse a hmaa kan sawi tawh ang khan symptoms i neih chuan, emaw, vitamin D tlakchhamna tur risk factors i neih chuan i doctor chuan thisen test turin a ti thei che a ni.
Hei hi thisen test ber chu 25-hydroxyvitamin D (25-hydroxyvitamin D) , a tawi zawngin 25(OH)D a ni. Hei hian i thisena vitamin D awm zat a teh thei a ni.
Engtin nge enkawl leh ven dan?
Enkawlna leh venna kawnga thil tum chu a inang vek a, taksaa vitamin D level chu hrisel taka thlen a, chutah chuan vawn reng a ni.
Vitamin D tamna ei tam leh ni chhuahna tam tak neih a tha. Mahse, i doctor chuan vitamin D supplement ei turin a hrilh fo ang che .
Vitamin D hi chi hnih a awm a, chungte chu D2 (ergocalciferol) leh D3 (cholecalciferol) te an ni. D2 hi thlai atanga lo chhuak a ni a, D3 erawh rannung atanga lo chhuak a ni thung. Kan taksa hian D2 aiin D3 hi a absorb awlsam zawk.
Pawimawh tak: Vitamin D pill i mamawh leh mamawh loh chungchang te, i mamawh a nih chuan engzat (dosage) nge i ei tur tih te chu i doctor nen in inbia ngei tur a ni. Vitamin pill random taka ei hian hriselna lama harsatna dang a thlen thei bawk.
Tute nge vitamin D tlakchhamna nei sang zawk?
Damdawi lam thil thenkhat bakah hian thil dang engemaw zatin vitamin D tlakchhamna a tipung thei bawk.
| Risk factor a ni | Hrilhfiahna |
|---|---|
| Kum | Kan tar chhoh zel chuan kan vun hian ni eng atanga vitamin D a siam theihna a tlahniam thin. Hei vang hian kum 65 chunglamte chu an hlauhawmna a sang zawk a ni. Tin, naute hnute chauh pekte chu vitamin D tlakchhamna an ni lo thei bawk a, a chhan chu nu hnute tuiah hian vitamin D a tlem hle. |
| Vun rawng | Vun dum (keini ang) tan chuan vun eng zawk aiin ni eng atanga vitamin D siam chhuah a harsa deuh. Chuvangin vun dum zawk nei te hi an hlauhawmna a sang zawk. |
| Pawn chhuak lo | In lama awm leh chhuak tam lo (e.g., nursing home-a awm, natna avanga khum muhil) te chu ni eng atanga vitamin D an dawn theih loh avangin an hlauhawm zawk a ni. |
Eng eitur atang nge vitamin D i hmuh theih ang?
A tha ber chu ei leh in inthlau tak ei hi a ni. A pianphungah vitamin D awmna ei tur leh artificial fortified ei tur a awm bawk.
| Chaw chi hrang hrang | Entirnan |
|---|---|
| Ei tur pianphungah vitamin D awmna |
|
| Chaw chakna (fortified foods) a vitamin D dah tel |
Mahse, ei leh in hmang chauha vitamin D tlakchhamna tihdam vek chu a harsa mai thei tih hre reng ang che.
Vitamin D i ei tam lutuk chuan harsatna a awm em?
Ni e, a dik tak zet. Damdawi lam thurawn tel lova vitamin D supplement i ei tam chuan taksa tan toxic a ni thei. Hei hi vitamin D toxicity an ti a. Hei hian thisenah calcium hlauhawm takin a tisang thei a (Hypercalcemia).
Chutiang hunah chuan hetiang chhinchhiahna hi a lo lang thei a ni:
- Luhai
- Tuihalna leh zun tam lutuk
- Anorexia a awm
- Ek khal
- Chaklohna
- Rilru tibuai
Chuvangin, doctor rawn hmasa lovin vitamin pill, a bik takin vitamin D hi a rawt aia tam ei ngai suh.
Take-Home Thuchah a ni
- Vitamin D tlakchham hi Sri Lanka ramah hian hriselna lama harsatna awm fo a ni a, mahse mi tam takin an hriat loh a ni.
- A lan chhuah dan chu hah fo, taksa na leh ruh na te a ni thei. Mahse, mi thenkhat chuan symptom engmah an nei lo mai thei.
- Vitamin D hi ruh chakna atan a pawimawh hle. A tlakchhamna chuan ruh a tichak lo thei a, a chhe awlsam zawk bawk.
- Vitamin D tlakchhamna i rinhlelh a nih chuan, emaw, risk factors i neih chuan doctor pan ngei ngei tur a ni.
- Vitamin D pill hi a duh loh zawngin ei suh. Dosage dik tak chu doctor chauhin a ruat tur a ni. In tam lutuk hi a hlauhawm thei bawk.
- Ei leh in inthlau tak leh nitin ni ênga him taka hman hian vitamin D level tha tak a vawng reng thei a ni.
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