I nā makahiki i hala iho nei, ua piʻi aʻe nā ʻōlelo aʻo e pili ana i nā hopena ʻino o ka lā i ko mākou ʻili. ʻAʻole pono e hoʻohaʻahaʻa ʻia ka pilikia e puka mai ana mai nā kukuna o ka lā, no ka mea, ʻo lākou ke kuleana no ka ulu ʻana o ka maʻi maʻi ʻili. ʻO kēia ke kumu e pale aku ai ka nui o nā poʻe i ka lā - me nā hopena lōʻihi no ko lākou olakino puʻuwai, a me nā mea ʻē aʻe.
ʻO ka Vitamin D - ka hormone lā
Ua hōʻike ʻia nā haʻawina ʻepekema like ʻole he like loa ka huaora D me nā hormone steroid like ʻole, no laila mai ia manawa ua kapa ʻia ʻo ia he hormone. Mai ia manawa, ua ʻike ʻia ka huaora D ʻo ka hormone lā.
ʻO ka wehewehe ʻana no kēia inoa aia ma ka ʻoiaʻiʻo o ka huaʻai D i hana ʻia e ke kino ponoʻī, pili wale i ka lā.
Ma ke ʻano he ʻelele, a laila hiki i nā iwi, nā ʻiʻo, ka lolo, ka ʻōnaehana pale, ka pancreas, a me nā ʻāpana kino ʻē aʻe he nui ma o ke koko, i mea e hoʻokō ai i kāna mau hana kikoʻī ma laila. Akā pehea ke ʻano o ke kino i ka nele o ka vitamin D?
E hoʻomālamalama mākou i kēia nīnau me ka hoʻohana ʻana i ke ʻano o ka ʻōnaehana cardiovascular.
Pehea i hana ʻia ai ka huaora D mai ka lā
Hoʻokumu ʻia ka precursor o ka vitamina D i loko o ke ake. Ke ʻā mai nā kukuna o ka lā ma luna o ka ʻili, ulu ka huaora D i mea mua o ka huaʻa D3.
ʻO ka ʻili ponoʻī e hana i kahi precursor hou o ka huaora D3 (cholecalciferol). I kēia manawa, pono e lawe ʻia ka huaora D3 mai ka ʻili a i ke ake, kahi e hana hou ʻia ai.
Ua kapa ʻia ka huaʻai huaʻai i kēia manawa he calcidiol a hōʻike i ke kumu no ka metabolism vitamin D. A laila, hiki i ka calcidiol ke komo i loko o ke kino ma o ke koko, kahi i hana ʻia ai ke ʻano ikaika o ka vitamina D3 - calcitriol.
E ʻoluʻolu: Hāʻawi ʻia ka Vitamin D3 ma ke ʻano he meaʻai meaʻai ma ke ʻano o ka calcidiol. Loaʻa ka Calcitriol ma ke ʻano he lāʻau lapaʻau.
Pākuʻi no ka nele o ka lā
Ua hoʻoikaika nui ʻia ka mana koʻikoʻi o ka vitamina D i ke olakino iwi no nā makahiki he ʻumi. Ua ʻōlelo ʻia ka nui o kēlā me kēia lā o 600 IU / lā no ka ʻai kūpono, ʻoiai i ka manawa like i manaʻo ʻia ka pae koko vitamin D o 20 ng/ml.
I kēia lā, akā naʻe, manaʻo ka poʻe loea he 50 ng / ml kēia waiwai i hiki ke hoʻomohala i ka hopena maikaʻi loa. Hāʻawi ʻia i kēia ʻike hou, ʻo ka nui o 4,000 a 10,000 IU o ka huaora D3 i lawe ʻia ma o ka hoʻohui ʻana (nā meaʻai meaʻai) i kēia manawa i manaʻo ʻia he ʻano mea i ʻōlelo ʻia, inā ʻaʻole lawa ka manawa i ka lā.
Eia nō naʻe, pono e noʻonoʻo pono ʻia ka nui o ka vitamina D i kēlā me kēia, no ka mea, pili ia i nā kumu like ʻole. Ma kekahi ʻaoʻao, pono e noʻonoʻo ʻia ka helu hoʻomaka, ʻo ia hoʻi ka nui i hana ʻia e ke kino ponoʻī.
Eia kekahi, ʻokoʻa loa ka nui i hoʻomoʻa ʻia e ka ʻōpū mai ka nui i hāʻawi ʻia. Pili loa ia i ke ola kino o ke kino.
Eia kekahi, he mea nui ke kaumaha o ke kanaka. No ka mea he vitamina hiki ke hoʻoheheʻe ʻia ka huaora D, nalo pinepine ia me ka hoʻohana ʻole ʻia i loko o nā waihona momona, ʻoi aku ka nui o ka poʻe paona.
ʻO ka Vitamin D3 a me ka Vitamin K2
ʻAʻole hiki ke overdose i ka vitamina D ma muli o ka ʻike ʻana i ka lā ma ka ʻili. ʻOkoʻa ke kūlana me ka hoʻohui ʻana me ka huaora D3. Eia ka overdose, a laila hiki ke hoʻopilikia i ka naʻau, ʻaʻole hiki ke kāpae ʻia.
I mea e pōmaikaʻi maikaʻi ai i ka hopena o ka hoʻohui ʻana i ka huaora D, pono e lawe pū ʻia ka huaora D3 me ka huaora K2 (MK-7). Hōʻike nā huaʻai ʻelua i kahi hopena synergetic, hiki ke hoʻopau i nā waihona calcium i loko o nā ʻaʻa a me nā puʻuwai puʻuwai a lawe iā lākou i kahi o ka calcium maoli - i loko o nā iwi.
Hiki i ka mumū ke hoʻoulu i ka maʻi cardiovascular
He nui nā hopena maikaʻi o ka Vitamin D i ka ʻōnaehana cardiovascular. He mea koʻikoʻi loa kēia ʻike ʻana, ʻoiai e make ana kēlā me kēia kanaka kekona ma muli o kahi maʻi o kēia ʻōnaehana. ʻO ka poʻe me ke koko kiʻekiʻe, ʻoi aku ka nui o ka loaʻa ʻana o ka puʻuwai ma mua o ka poʻe me ke koko maʻamau.
Ke makemake nei kekahi poʻe cardiologists e hoʻopau i ka manaʻo kuhihewa e pili ana i ka cholesterol ke kuleana no ka ulu ʻana o nā maʻi cardiovascular. Ke manaʻoʻiʻo nei lākou ʻo ka maʻi arterial, ʻaʻole ka cholesterol, ke kumu o nā pilikia cardiovascular a me nā maʻi puʻuwai.
ʻO nā kumu o ka ʻāʻī arterial
ʻO ka hapa nui o kēia mau hopena inflammatory ma muli o ka ʻai maikaʻi ʻole. Hoʻopiʻi ka poʻe cardiologists i kahi hemahema o ka vitamin D no ke koena. Ua hoʻopaʻa ʻia kēia tesis, ma waena o nā mea ʻē aʻe, ma kahi haʻawina ʻewalu makahiki (Ludwigshafen risk study) ma 3000 mau mea komo. Ua ʻike ʻia ka haʻawina ʻo ka nele o ka vitamin D e hoʻonui nui i ka pilikia o ka make ʻana mai ka maʻi puʻuwai. Ua hōʻoia pū nā haʻawina ʻAmelika i kēia pili.
ʻO ka wehewehe ʻana no ka maikaʻi o ka huaʻa D e pili ana i nā maʻi cardiovascular e pili ana i ka hiki ke pale aku i ka lāʻau D i nā ʻano ʻano like ʻole.
Ma muli o kēia ʻoiaʻiʻo, ʻaʻole ia he mea kupanaha no ka nui o nā noiʻi hou i hōʻoia i ka loulou ma waena o ka hemahema o ka vitamin D a me ka piʻi nui ʻana o ka make o ka poʻe me ka maʻi puʻuwai.
ʻO ka haʻawina Brazilian e pili ana i ka vitamin D
Ua hana ʻia nā haʻawina i ʻōlelo ʻia i loko o nā halemai kūikawā i ka mālama ʻana i nā poʻe maʻi me ka maʻi coronary artery. Ua mālama ʻia kekahi o kēia mau haʻawina ma Brazil a paʻi ʻia ma 2012.
I loko o nā maʻi 206 i komo i loko o kēia haʻawina, ua ana mua ʻia ka pae o ka vitamina D i loko o ke koko. Ma hope o kēlā, ua māhele ʻia nā mea komo i ʻelua hui. Hoʻokahi pūʻulu o nā maʻi i loaʻa i ka pae vitamina D o 10 ng/ml a i lalo a no laila ua manaʻo ʻia he hemahema. Ua loaʻa i ka hui ʻē aʻe ka pae vitamin D o 20+/- 8ng/ml i manaʻo ʻia he maʻamau. Ma hope o nā mea a pau, he poʻe maʻi kēia i loaʻa i ka maʻi puʻuwai coronary.
ʻO ka hapa nui o ka poʻe i komo i ke aʻo ʻana i loaʻa ka nui o ka vitamin D i make i ka wā o ka mālama ʻana i ka haukapila ma mua o kēlā mau maʻi i maʻamau ka pae koko vitamina D no ko lākou kūlana.
Ua hiki mai nā kānaka ʻepekema i kēia hopena:
He hopena koʻikoʻi ka nele o ka huaora D i ka nui o ka make o nā poʻe maʻi me ka maʻi maʻi maʻi coronary (nā maʻi kaʻa i loko o nā aʻa coronary).
I nā huaʻōlelo ʻē aʻe, ʻoi aku ka nui o kou make ʻana i loko o ka haukapila ma hope o ka hōʻeha ʻana o ka naʻau inā ʻaʻole lawa nā pae o ka vitamina D i kou koko.
ʻO ka haʻawina Denemaka ma ka vitamina D
I Kepakemapa 2012, ua hōʻike ʻia kahi noiʻi Denemaka ma ke Kulanui o Copenhagen me ka hui pū ʻana me ka Halemai Kulanui o Copenhagen. Ua pili kēia haʻawina ma mua o 10,000 Denemaka nona nā pae vitamina D i ana ʻia ma waena o 1981 a me 1983. Ua nānā mau ʻia nā waiwai i nā makahiki.
Ua hoʻolaha ke alakaʻi o kēia haʻawina, ʻo Kauka Peter Brøndum-Jacobsen, i kēia hopena:
Ua ʻike mākou ʻo nā haʻahaʻa haʻahaʻa o ka huaora D i loko o ke koko e hoʻonui nui i ka pilikia o ka hoʻomohala ʻana i ka maʻi puʻuwai a i ʻole ka hōʻeha ʻana i nā kūlana e kū nei i hoʻohālikelike ʻia me nā pae vitamin D maikaʻi loa. Ua hōʻike kā mākou mau hopena i ka piʻi ʻana o ka maʻi o ka naʻau ischemic e 40%. Hōʻike kēia maʻi i ka hōʻemi ʻana o nā aʻa coronary, kahi e alakaʻi ai i nā maʻi kaʻa kaʻa i loko o ka ʻiʻo o ka puʻuwai, e hōʻeha ai i ka ʻāpana o ka umauma, a hiki i ka hopena ke hoʻomaka i kahi hōʻeha puʻuwai weliweli. Hoʻonui ka pilikia o ka loaʻa ʻana o ka puʻuwai e 64%. Hoʻonui ʻia ka pilikia o ka make mua ʻana e 57% a ʻo ka pilikia o ka make ʻana mai ka maʻi puʻuwai ma ke ʻano maʻamau e piʻi aʻe ma kahi o 81%.
ʻO ka haʻawina ʻAmelika e pili ana i ka vitamin D
Ua mālama ʻia kekahi haʻawina ma ka Heart Institute ma Intermountain Medical Center ma Salt Lake City, Utah. Ua pili kēia haʻawina ma kahi o 28,000 mau maʻi ma mua o 50 mau makahiki i loaʻa ʻole i ka maʻi puʻuwai i kēlā manawa. Ua hoʻoholo mua ʻia ka pae o ka vitamina D i loko o ke koko no nā mea komo. A laila ua māhele ʻia lākou i ʻekolu pūʻulu ma muli o nā hopena ana (waiwai haʻahaʻa, waiwai haʻahaʻa, waiwai maʻamau). ʻO ka waiwai alakaʻi i manaʻo maʻamau i kēia haʻawina ʻo 30 ng/ml.
Ua ʻike ʻia ka haʻawina ʻo kēlā mau maʻi i loaʻa i nā pae haʻahaʻa loa o ka vitamina D he ʻelua ʻoi aku ka nui o ka make ʻana o ka puʻuwai puʻuwai ma mua o ka poʻe i loaʻa nā pae maʻamau o ka vitamina D i ko lākou kino. Eia kekahi, ʻo ka poʻe i komo i loko o ka hui me nā haʻahaʻa haʻahaʻa haʻahaʻa o ka vitamina D he 78% ʻoi aku ka maʻi i ka hahau ʻana a me 45% ʻoi aku ka maʻi i ka maʻi coronary artery.
Ma ke ʻano holoʻokoʻa, ua ʻike ʻia ʻo nā pae haʻahaʻa haʻahaʻa o ka vitamina D ʻelua ʻoi aku ka nui o ka hopena o ka naʻau ma mua o ka poʻe me nā pae maʻamau.
ʻO ke kumu maikaʻi loa o ka vitamina D ka lā
ʻO nā hualoaʻa noiʻi a pau e pili ana i ka huaora D e hōʻike maopopo ana e hilinaʻi ko mākou kino i kēia huaora no laila ʻaʻole e ulu mua nā maʻi i hiki ke hoʻopili ʻia i ka hemahema o ka huaora D. E hoʻohana i kēia ʻike no ka pono o kou olakino. E hōʻike iā ʻoe iho i ka radiation UV maoli i ka manawa hiki. E hoʻopā ka lā i kou ʻili inā hiki, akā e mālama i kēia mau ʻōlelo aʻoaʻo:
- Mai hōʻike iā ʻoe iho i ka lā wela, no ka mea, hiki i nā kukuna o ka lā iā ʻoe ma nā wahi malu.
- Ma muli o ke ʻano o ka ʻili, ʻaʻole pono ka lōʻihi o ka ʻike ʻana i ka lā ma mua o 5 a hiki i ka 40 mau minuke.
- E hōʻalo i ka lā awakea, no ka mea, ʻoi aku ka kiʻekiʻe o ka radiation UVA i kēia manawa.
- No ka noho pōkole ʻana i ka lā, ʻaʻole e hoʻokomo i ka pale lā, ʻoiai ʻo ka pale lā me ka mea pale pale 15 kokoke loa e poloka i ka hana ʻana o ka huaora D.
- Inā ʻoe e nānā i kāu meaʻai a hoʻopaʻa pono inā pono, e ʻoluʻolu koke kou puʻuwai.