Okufanele Ukwazi NgoVitamin D Nokukhulelwa Ukuze Ube Nomntwana Onempilo

Kungenzeka ungakucabangi kakhulu, kodwa ivithamini D nokukhulelwa kuhamba ndawonye. Le vithamini elula idlala indima ebalulekile kumama nasengane kangangokuthi ukuyiyeka kungaholela ezinkingeni eziningi. Kumntwana, ivithamini D isiza ekwakheni amathambo aqinile, inhliziyo enempilo, nohlelo lwezinzwa oluqinile. Kuwe, isiza ukugcina amasosha omzimba esebenza kahle futhi inciphise izinkinga ezifana ne-gestational diabetes noma i-preeclampsia [1]. Kuyamangalisa, akunjalo?

Uma ukhulelwe noma uzama ukukhulelwa, kufanele wazi ukuthi kungani lo manyolo ubaluleke kangaka. Akukhona nje kuphela ngokukhanya kwelanga noma ubisi; kumayelana nokwenza konke ongakwenza ukusekela umzimba wakho ngesikhathi solunye uhambo oluyisimangaliso kakhulu ozoluthatha empilweni yakho.

Kungani ivithamini D iyimpoqo ngesikhathi sokukhulelwa?

Ngakho, ake singene ku-"kungani." Kungani ivithamini D ngesikhathi sokukhulelwa ibaluleke kangaka? Okokuqala, le vithamini isiza umzimba wakho ukumunca i-calcium ne-phosphorus, okuyizinto ezibaluleke kakhulu ekwakheni amathambo namazinyo omntwana wakho. Uma ungenayo ivithamini D eyanele, ukuthuthuka komntwana wakho kungaphazamiseka. Futhi akugcini emathanjeni kuphela—iphinde isize ohlelweni lwezinzwa, izinso, ngisho nenhliziyo.

Kuwe nawe kubaluleke ngokulinganayo. Amazinga aphansi evithamini D ngesikhathi sokukhulelwa angandisa ingozi yokuba ne-preeclampsia, okuwumkhuhlane obucayi ongakhweza umfutho wegazi ufike emazingeni ayingozi. Ngaphezu kwalokho, uxhunyaniswe nokubeletha kusenesikhathi nesisindo esiphansi somntwana ekuzalweni. Akekho ofuna lokho.

Masingakhohlwa nohlelo lwakho lokuzivikela ezifweni. Ukukhulelwa ngokwemvelo kwehlisa amasosha omzimba, kodwa ivithamini D ingakusiza ukuwagcina eqinile, okusho ukuthi uzoba nokutheleleka okumbalwa nezinkinga ezincane [2].

Ngingayithatha ivithamini D ngikhulelwe?

Impendulo emfushane: Yebo! Abantu abaningi bayazibuza, ngingayithatha ivithamini D ngikhulelwe na? Impela, futhi uma sikhuluma iqiniso, kungenzeka ukuthi kufanele uyithathe. Iningi lethu alitholi ivithamini D eyanele ekudleni noma elangeni lodwa, kanti ukukhulelwa okunempilo kwandisa isidingo sayo. Umzimba wakho usebenza kanzima ukukhulisa omunye umuntu, ngakho kudingeka umnike amathuluzi awadingayo.

Odokotela batusa okungenani ama-microgram angu-10 (400 IU) evithamini D ngosuku kwabesifazane abakhulelwe, kodwa uma ushoda, kungenzeka udinge okungaphezulu. Lokho yinto ongayixoxa nodokotela wakho. Okubalulekile wukuthi, ukuthatha ivithamini D ngesikhathi ukhulelwe kukusiza ugweme izinkinga futhi kunike umntwana wakho ukuqala okuqinile [3].

Ingabe Ungayithatha Ivithamini D Uma Ukhulelwe?

Omunye umbuzo ovamile uthi, ingabe ungayithatha ivithamini D uma ukhulelwe? Akuwona nje ukuthi ungayithatha, kodwa kufanele uyithathe. I-vitamin D3, okuyiyona ndlela engcono kakhulu umzimba wakho oyimunca ngayo, ivame ukutholakala ezithasiselweni zangaphambi kokubeletha. Eyaziwa ngokuthi i-D3 supplement pregnancy, le ndlela ye-vitamin D isiza umzimba wakho ukumunca ikhalisiyamu kangcono kunazo zonke ezinye.

Nansi into—umntwana wakho utethembele kuwe kukho konke, kuhlanganise ne-vithamini D. Uma ungayitholi eyanele, naye akayitholi. Futhi lokho akulungile. Ukuthatha isithasiselo se-vitamin D3 kuqinisekisa ukuthi umzimba wakho unakho okudingayo ukuze usekele nina nobabili. Kuphephile, kuyasebenza, futhi kunconywa odokotela emhlabeni wonke [4].

Kungani Ivithamini D Libalulekile Ekuzaleni?

Siyavuma, sesikhulume ngokukhulelwa, kodwa ubukwazi yini ukuthi ivithamini D yokukhulelwa iqala ukubaluleka ngisho nangaphambi kokuthi ukhulelwe? Yebo, kuyiqiniso. Ivithamini D lisiza ukulawula amahomoni, okuyinto enkulu kakhulu uma uzama ukukhulelwa.

Kwabesifazane, isiza ekuqoqeni iqanda ngendlela evamile futhi sithuthukise ikhwalithi yamaqanda. Kwabesilisa, sikhulisa impilo yesperma nokunyakaza kwayo. Ndawonye, lokho kuyindlela yokwandisa amathuba okukhulelwa. Olunye ucwaningo luphinde luphakamise ukuthi ivithamini D lingathuthukisa ungqimba lwesibeletho, okwenza kube lula iqanda elikhulelwe ukungena.

Uma wena neqabane lakho nizama ukuzitholela ingane, kuwufanele ukuhlola amazinga evithamini D kini nobabili. Lokho kungaba nenhl فرق enkulu [5].

Kwenzekani Uma Ushoda Ngevithamini D Ngesikhathi Sokukhulelwa?

Ngeshwa, ukushoda kwevithamini D akuyona into engajwayelekile. Eqinisweni, kusabalele kakhulu. Uma amazinga akho evithamini D ngesikhathi sokukhulelwa ephansi, mancane amathuba okuba uhlangabezane nezinkinga ezifana ne-preeclampsia, isifo sikashukela sokukhulelwa, noma ngisho nomsebenzi wokuqhatha kusenesikhathi.

Kumntwana wakho, ubungozi buyethusa ngendlela efanayo. Amazinga aphansi evithamini D ngesikhathi sokukhulelwa angaholela ekuthuthukisweni kabi kwamathambo, okungabangela izinkinga ezifana ne-rickets. Lokhu kungathinta nesistimu yokuzivikela emzimbeni yomntwana, kubenze babe sengozini yokutheleleka ngemva kokuzalwa.

Ukushoda kungavela ngezizathu eziningi. Mhlawumbe awutholi ukukhanya kwelanga okwanele, noma ukudla kwakho akukuhlinzeki ngokwanele. Kungabe kunjani, kuwufanele ukubhekisiswa. Ukuhlolwa kwegazi okulula kungakutshela ukuthi amazinga akho asemkhawulweni okufanele abe kuwo yini, futhi uma engekho, udokotela wakho angancoma isithasiselo esifanele [6].

Ingabe Uyithola Kanjani I-vitamin D Eyanele Ngesikhathi Sokukhulelwa?

Ukuthola i-vitamin D eyanele ngesikhathi ukhulelwe akunzima njengoba kubonakala. Unazo izinketho ezintathu ezinkulu: ukukhanya kwelanga, ukudla, nezithasiselo.

Okokuqala, ukukhanya kwelanga. Uma isikhumba sakho sivela elangeni, sikhiqiza i-vitamin D. Ukuchitha cishe imizuzu engu-10-15 ngaphandle izikhathi ezimbalwa ngesonto kungasiza ukwandisa amazinga akho. Kodwa uma uhlala endaweni enobusika obude noma usebenzisa i-sunscreen (okufanele ukwenze), lokhu kungase kungabi kwanele.

Okulandelayo, ukudla. Okunye ukudla kunothile ngokwemvelo nge-vitamin D, njengenyama yenhlanzi enonile (cabanga nge-salmon noma ama-sardines) namaqanda anama-yolk. Ungayithola futhi emikhiqizweni eqinisiwe njengejusi le-orange nama-cereal. Kodwa masikhulume iqiniso—iningi lethu alidli okwanele kwalokhu ukuze sifinyelele izidingo zethu zansuku zonke.

Lapho-ke yikho lapho izithasiselo zingena khona. Ama-vitamin amaningi okukhulelwa asevele afaka i-vitamin D kuma-vitamin okukhulelwa, kodwa akuwona wonke anenani elanele. Yingakho abanye besifazane bekhetha esinye isithasiselo esengeziwe, ikakhulukazi esine-vitamin D3 [7].

Kungani Izithasiselo ze-D3 Ziyisinqumo Esingcono Kakhulu

Uma kukhulunywa ngezithasiselo, zonke izinhlobo ze-vitamin D azilingani. I-vitamin D3, ebizwa nangokuthi i-cholecalciferol, iyona efakwa kahle kakhulu emzimbeni wakho. Imikhiqizo ebhalwe ngokuthi izithasiselo ze-D3 zokukhulelwa yakhelwe ukumuncwa kangcono, okusho ukuthi umzimba wakho uyakwazi ngempela ukusebenzisa lokho okuthathayo.

Ngesikhathi sokukhulelwa, i-vitamin D3 isiza umzimba wakho ukuthi umunce i-calcium ne-phosphorus, kokubili okuyinto ebalulekile emafupheni asakhula omntwana wakho. Iphinde isekele ukwabiwa kwamaseli okunempilo futhi inciphise ingozi yezinkinga ezifana ne-preeclampsia.

Odokotela bavame ukuncoma ukuhlanganisa i-vitamin D3 namanye ama-vitamin okukhulelwa emvelo ukuze uqiniseke ukuthi ukhanda wonke amakhona. Uma ungaqiniseki ukuthi yini engcono kuwe, buza udokotela wakho ngesiqondiso. Ukukhetha i-vitamin D3 efanele yomfazi okhulelwe kuqinisekisa ukumuncwa kahle futhi kunikeza ukwesekwa okubalulekile kumama nasemntwaneni phakathi nokukhulelwa [8].

Imibono Engalungile Evamile Ngo-vitamin D

Kukhona ulwazi oluningi olungamanga mayelana ne-vitamin D, ngakho ake sicacise izinto ezimbalwa.

Abanye abantu bacabanga ukuthi bangathola yonke i-vitamin D abayidingayo ekudleni kwabo. Ngeshwa, lokho kuvame ukuba akulona iqiniso. Iningi lokudla alinayo i-vitamin D eningi, ngisho nokudla okuqinisiwe kungase kunganikezi okwanele.

Abanye bakhathazeka ngokuthatha i-vitamin D eningi kakhulu. Nakuba kuyiqiniso ukuthi inani elikhulu ngokweqile lingaba yingozi, imithamo enconyiwe yabesifazane abakhulelwe iphephile ngokuphelele. Eqinisweni, ezinye izifundo ziphakamisa ukuthi kuze kufike ku-4,000 IU ngosuku kuphephile uma kukhonjwa futhi kuqondiswa udokotela.

Ekugcineni, kukhona nombono wokuthi ilanga lodwa lanele. Nakuba ukuvezwa elangeni kungasiza, akuhlali kuthembekile. Izinto ezifana nendawo ohlala kuyo, isizini, nombala wesikhumba sakho konke kungathinta ukuthi umzimba wakho ukhiqiza malini i-vitamin D [9].

Okubalulekile Ekugcineni

Ekugcineni, i-vitamin D nokukhulelwa kuyithimba. Kusebenza ngokubambisana ukusekela impilo yakho neyengane yakho. Kusukela ekwakheni amathambo aqinile kuya ekuvikeleni amasosha omzimba, i-vitamin D yenza okuningi ukwedlula lokho okuningi abantu abakucabangayo.

Noma ngabe usazama ukukhulelwa noma usuvele ukhulelwe, ukunaka amazinga akho e-vitamin D ngomunye wemisebenzi engcono kakhulu ongayenza empilweni yakho. Izithasiselo eziqukethe i-vitamin D yangaphambi kokubeletha nezinye izakhamzimba ezibalulekile zingaguqula kakhulu isimo.

Ngakho ungabambezeli. Khuluma nodokotela wakho, uhlole amazinga akho, bese wenza uhlelo lokugcina wena nengane yakho nikhona enempilo. Uyakwazi ukukwenza lokhu!

Imibuzo Ejwayelekile Ukubuzwa

Kufanele ngithathe malini i-vitamin D ngesikhathi ngikhulelwe?

Isincomo esijwayelekile singu-10 micrograms (400 IU) ngosuku, kodwa ezinye izifazane zingase zidinge okungaphezu kwalokho. Hlala uthintana nodokotela wakho ukuze uthole iseluleko esenzelwe wena.

Iyiphi indlela engcono kakhulu yokuthola i-vitamin D ngesikhathi sokukhulelwa?

Imithombo engcono kakhulu ilanga, izinhlanzi ezinamafutha, ukudla okuqinisiwe, nezithasiselo. Ukuhlanganisa konke lokhu ube ndawonye kuvamise ukuba indlela esebenza kakhulu.

Ngingawathatha yini amaphilisi e-vitamin D3 ngesikhathi ngikhulelwe?

Yebo, izithasiselo ze-vitamin D3 zokukhulelwa ziphephile futhi zisebenza kahle kakhulu ekugcineni amazinga anele ngesikhathi sokukhulelwa.

Yiziphi izingozi zamazinga aphansi e-vitamin D ngesikhathi sokukhulelwa?

Amazinga aphansi e-vitamin D ngesikhathi sokukhulelwa angaholela ezinkingeni ezifana ne-preeclampsia, ushukela wokuqala ngesikhathi sokukhulelwa, nokungakhuli kahle kwamathambo omntwana esesiswini.

Ingabe wonke amavithamini angaphambi kokubeletha afaka i-vitamin D eyanele?

Akusolokhu kunjalo. Eziningi ziqukethe i-vitamin D ethile, kodwa kuwufanele ukuhlola ilebula ukuze ubone ukuthi amavithamini okubeletha anikeza i-vitamin D engakanani. Kungenzeka udinge isithasiselo esengeziwe.

Izikhombo

1. Aghajafari, F., Nagulesapillai, T., Ronksley, P. E., Tough, S. C., O'Beirne, M., & Rabi, D. M. (2013). Ubudlelwane phakathi kwezinga le-25-hydroxyvitamin D egazini likamama nemiphumela yokukhulelwa neyowosana: ukubuyekeza okuhleliwe nokuhlaziywa okuhlanganisiwe kwezifundo zokuqaphela. BMJ (Clinical research ed.). Kutholakala ku: https://pubmed.ncbi.nlm.nih.gov/23533188/
2. Wagner, C. L., Taylor, S. N., Johnson, D. D., & Hollis, B. W. (2012). Indima ye-vitamin D ngesikhathi sokukhulelwa nokuncelisa: imibono esavela. Women's health (London, England). Kutholakala ku: https://pmc.ncbi.nlm.nih.gov/articles/PMC4365424/
3. Kovacs C. S. (2008). I-vitamin D ngesikhathi sokukhulelwa nokuncelisa: imiphumela kamama, yesibeletho nowosana ezivela ezifundweni zabantu nezilwane. The American journal of clinical nutrition. Kutholakala ku: https://pubmed.ncbi.nlm.nih.gov/18689394/
4. Hyppönen, E., Läärä, E., Reunanen, A., Järvelin, M. R., & Virtanen, S. M. (2001). Ukuthatha i-vitamin D nengozi yesifo sikashukela sohlobo loku-1: ucwaningo lweqembu lokuzalwa. Lancet (London, England). Kutholakala ku: https://pubmed.ncbi.nlm.nih.gov/11705562/
5. Qin, L. L., Lu, F. G., Yang, S. H., Xu, H. L., & Luo, B. A. (2016). Ingabe ukushoda kwe-vitamin D kukamama kukhuphula ingozi yokubeletha kusenesikhathi: Ukuhlaziywa okuhlanganisiwe kwezifundo zokuqaphela. Nutrients. Kutholakala ku: https://pmc.ncbi.nlm.nih.gov/articles/PMC4882713/
6. Hollis, B. W., Johnson, D., Hulsey, T. C., Ebeling, M., & Wagner, C. L. (2011). Ukwengeza i-vitamin D ngesikhathi sokukhulelwa: ucwaningo lwezokwelashwa olungahleliwe, olungaboni kabili, lokuphepha nokusebenza kahle. Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research. Kutholakala ku: https://pubmed.ncbi.nlm.nih.gov/21706518/
7. Pérez-López, F. R., Pasupuleti, V., Mezones-Holguin, E., Benites-Zapata, V. A., Thota, P., Deshpande, A., & Hernandez, A. V. (2015). Umphumela wokwengeza i-vitamin D ngesikhathi sokukhulelwa emiphumeleni kamama nowosana: ukubuyekeza okuhleliwe nokuhlaziywa okuhlanganisiwe kwezilingo zokulawulwa okungenamkhawulo. Fertility and sterility. Kutholakala ku: https://pubmed.ncbi.nlm.nih.gov/25813278/
8. Harvey, N. C., Holroyd, C., Ntani, G., Javaid, K., Cooper, P., Moon, R., Cole, Z., Tinati, T., Godfrey, K., Dennison, E., Bishop, N. J., Baird, J., & Cooper, C. (2014). Ukwengeza i-vitamin D ngesikhathi sokukhulelwa: ukubuyekeza okuhleliwe. Health technology assessment (Winchester, England). Kutholakala ku: https://pubmed.ncbi.nlm.nih.gov/25025896/
9. Montero-Odasso, M., & Duque, G. (2005). I-vitamin D ohlelweni lwemisipha namathambo olugugayo: i-hormone eqotho egcina amandla. Molecular aspects of medicine. Kutholakala ku: https://pubmed.ncbi.nlm.nih.gov/15811435/