Danielle Moore
Unogona here kutora vitamini K2 kana iwe ukatora vhitamini K vanopikisa senge macular uye warfarin? Mishonga miviri iyi inonzi colloquially inonzi inoderedza ropa. Dzinodzivisa kugwamba kweropa uye dzinonzi dzinodzivirira kurova kwemoyo uye sitiroko.
Iwe unogona kutora kana iwe ukatora mishonga yeropa?
Vitamin K2 inokosha vhitamini. Kwemakore anoverengeka, yave ichiwedzera kukurudzirwa kutora vitamini K2 sekuwedzera kwezvokudya, kunyanya pamwe chete nevhitamini D. Kunyange zvazvo vitamini D inokurudzira kutorwa kwe calcium kubva mumatumbo, vitamini K2 ikozvino inofanirwa kuve nechokwadi chekugoverwa kwakarurama kwe calcium, kureva. kuti inopinda mubhonzo uye haina kuiswa pamadziro etsinga yeropa.
Nekudaro, vanhu vazhinji vanotora vhitamini K vanopikisa - vanozivikanwawo sevasina ropa. Kusvika ikozvino, zvakataurwa kuti kutora vitamini K2 kunorambidzwa zvachose munyaya iyi. Vaya vanobatwa saka vanowanzo kunetseka nemhedzisiro yekushaikwa kwevhitamini K2. Panguva ino, kune humwe uchapupu hunowedzera hunoratidza kuti vitamini K2 haifaniri kungotorwa chete kana iwe uri kutora mishonga yeropa asi inofanira kutotorwa kuti urambe uine hutano uye kudzivirira migumisiro yechirwere.
Asi zvinoderedza ropa zvichiri kubatsira zvachose here? Mushure mezvose, mhedzisiro yavo yakavakirwa pakudzivirirwa kwevhitamini K2 mhedzisiro, saka kutora vhitamini K2 kunoita sekusina musoro pano.
(Cherechedza: Izvi zvinongoreva nezvezvinoderedza ropa zvemhando yeanopikisa vitamin K (eg macular, warfarin, etc.). Naizvozvo hazvisi zvemamwe zvinodhaka zvinoderedza ropa kana kuti anticoagulant zvakadai seASA, clopidogrel, rivaroxaban, nezvimwewo.
Vitamin K ine mabasa aya mumuviri
Vitamin K inobatanidzwa muzviito zvakawanda zvakasiyana mumuviri. Semuenzaniso, inotarisira zvakanaka mineralization yemapfupa, kureva kukwirira kwepfupa, uye naizvozvo inoonekwa sechinhu chinokosha chekudzivirira maererano neosteoporosis. Mukuwedzera, vitamini K inogadzirisa chiyero che calcium muropa, iyo panguva imwechete inodzivirira kuverengwa kwemidziyo yeropa.
Rimwe remabasa makuru evhitamini K ndikowo kuumbwa kwezvinonzi coagulation zvinhu. Aya mamwe mapuroteni ari muropa ayo, kana akakuvara, anovimbisa kuti kubuda ropa kunomira nekukurumidza uye ronda rinotanga kupora.
Kana basa reiyi coagulation zvinhu rikakanganiswa nekuda kwekuremara kwemajini, unogona kubuda ropa kusvika pakufa kubva kune maronda madiki (hemophilia).
Aya ndiwo mashandiro anoita vapfuri veropa kubva kuboka revanopikisa vitamin K
Ropa rakapfava kubva kuboka revanopikisa vitamin K rinosanganisira, semuenzaniso, warfarin (eg Coumadin) uye phenprocoumon (eg Marcumar kana Marcoumar) (18). Izvi zvino zvinopindira zvakananga muvhitamini K kutenderera. Nekuti ivo vanodzivisa enzyme iyo inowanzoita iyo isingashande vhitamini K painodiwa, kureva kana zvinhu zvitsva zvekugwamba zvichidikanwa.
Nokudaro, chiyero chevhitamini K chinoshanda muropa chinoderera. Mashoma coagulation zvinhu zvino kugadzirwa uye ropa rinoramba "ritete". Panguva imwecheteyo, vhitamini K ndeyechokwadi zvakare inoshaikwa kune mamwe ese akakosha mabasa (fupa density, kudzivirirwa kubva osteoporosis, kudzivirirwa kubva calcification yemidziyo yeropa (= arteriosclerosis).
Ropa rinoderedza ropa rinogona kuva nemigumisiro iyi nemigumisiro
Nemhaka yokuti vhitamini K vanopikisa ropa, chinhu chinowanzoitwa nemishonga iyi iropa "rakanyanya kutetepa," rinogona kukonzera kubuda ropa mukati. Chidzidzo che2013 chakaratidza kuti 41 muzana yevarwere ve100 vakatambura nekubuda ropa mukati mushure mekutora vhitamini K vanopikisa kweavhareji yemwedzi ye19.
Ongororo yakaitwa muna 2016 yakatoratidza kuti mishonga (muvarwere vane atrial fibrillation inoda dialysis) haina kungowedzera njodzi yekubuda ropa asi haina kana kuratidza mhedzisiro yakavimbiswa. Vakakundikana kuderedza ngozi yesitiroko kana kuti kufa.
Ongororo yakaitwa muna 2006 yakaratidzawo kuti varwere vaigara vachitora vhitamini K vanopikisa vakanyanya kuputsika nekuda kwekushayikwa kwevhitamini K kwanga kwaitika zvino kupfuura varwere vaisafanira kutora mishonga yakadaro. Uye chidzidzo che2015 chakaratidza kuti varwere vakwegura (60 kusvika kumakore 80) vane ngozi yakawanda ye osteoporosis uye atherosclerosis nekushandiswa kwenguva refu kwewarfarin.
Zvidzidzo zviviri kubva muna 2012 uye 2016 zvakawanawo kuti vhitamini K vanopikisa zvakanyanya kuwedzera njodzi yearteriosclerosis.
Saka chero ani anotora vhitamini K vanopikisa achakurumidza kana gare gare kutambura nekushomeka kwevhitamini K uye anogona kutambura nemhedzisiro yekushomeka uku. Saka, iwe unofanirwa kutora vhitamini K kana iwe ukatora ropa rakapfava kudzivirira kushaikwa kwevhitamini K? Kana kuti vadzivisi vevhitamini K havachashande?
Aya ndiwo mashandiro anoita vhitamini K paunoitora ine vhitamini K vanopikisa
Kusvika iye zvino, varwere vanotora vhitamini K vanopikisa-mhando yeropa vakaudzwa kuti vasamedza vhitamini K zvinowedzera uye zviri nani kuti usadye zvokudya zvakawandisa zvakapfuma mu vitamin K, zvakadai sepinashi, Swiss chard, kale, broccoli, nezvimwewo.
Asi chaizvo, zvakaratidzwa muongororo kubva muna 2007 kuti vhitamini K shoma yakawandisa inogona kuunza dambudziko muvarwere vakasiyana. Zvakaonekwa kuti varwere vanotora warfarin asi nguva dzose vachitambura nekushanduka-shanduka INR mazinga zvakare vakadya shoma shoma yekudya vhitamini K pane varwere vane INR mazinga akagadzikana.
Vhitamini K vanopikisa varwere vanogona kushandisa iyo INR kukosha kuyera ropa ravo coagulation. Kunyange zvazvo vanhu vane hutano vane INR inokosha ye1, ropa muvarwere vari semuenzaniso B. vanotambura neatrial fibrillation kana kuti vanoda kudzivirira thrombosis, inotarirwa kune INR kukosha kwe2 kusvika ku3. Navo, chinangwa ndechekuva nepamusoro " ropa rakatetepa” kupfuura zvarakangoita.
Muchidzidzo chambotaurwa kubva muna 2007, varwere vane INR inochinja-chinja vakapihwa 150 µg yevhitamini K kana gadziriro ye placebo zuva rega rega kwemwedzi mitanhatu. Muboka revhitamini K, kukosha kweINR kwakagadzikana zvinoonekwa mu33 yevarwere makumi matatu nevashanu, izvo zvanga zvisina kudaro muboka re placebo. Ongororo ye35 yakasimbisa zvakawanikwa izvi kuburikidza neongororo yezvidzidzo zvishanu
Uyezve, kare muna 2003, chidzidzo pamakonzo chakaratidza kuti kutungamirirwa kwevhitamini K2 kwakakwanisa kuchengetedza mhuka dzakabatwa newarfarin kurwisa arteriosclerosis. Nekudaro, vhitamini K1 yakanga isina mhedzisiro pano, saka kutora vhitamini K2 inoita kunge ine musoro.
Unofanira kutora vhitamini K2 kana uchida kutora zvinoderedza ropa?
Ehezve, haufanirwe kukurumidza kutora vhitamini K2 neropa rako rakapfava. Iwe unofanirwa kuita izvi chete mukubvunza chiremba wako kana angoziva nezve mamiriro ekudzidza anoratidzwa pano.
Kazhinji zvinokwana - sezvakatotaurwa pamusoro - kutora huwandu hwakafanana hwevhitamini K zuva rega rega nekudya kwako. Zvakakosha kuti hapana kuchinja kukuru pano. Saka usadye mapeji maviri espinachi nhasi, maviri ekare ekare mangwana, uye pasina miriwo zvachose kwemavhiki maviri. Pane kudaro, ita shuwa kuti unowana vhitamini K nguva dzose kubva mumiriwo ine hutano yakapfuma muvhitamini K.
Kana iwe uchida kutora vitamini K, sarudza vitamini K2 - kureva chimiro chemuti MK-7, sezvo izvi zviri pachena zviri nyore kuti muviri ugaye kupfuura mhuka MK-4.
Ko vhitamini K vanopikisa vanobatsira zvachose here?
Nezvese mhedzisiro yevanopikisa vhitamini K vakanyorwa pamusoro, munhu anobatwa anozviudza kuti izvi hazvibatike munhu wese uye kuti munhu anofarira kugamuchira imwe kana imwe mhedzisiro kana mumwe mune ramangwana akadzivirirwa kubva kuzviitiko zvinotyisidzira hupenyu. zvakadai se thrombosis. embolism, sitiroko, uye kurwisa kwemoyo.
Asi kunyange izvozvo hazvina chokwadi. Chidzidzo chekare kubva ku1994 chakaratidza kuti muvarwere (makore 65 zvichikwira) vane atrial fibrillation, vanhu ve33 vaifanira kurapwa nevanopikisa vitamin K kudzivirira sitiroko mune mumwe wevarwere ava. The hit rate saka 1 mu 33. Muvarwere vaduku (pasi pe65) hapana chinobatsira chinogona kugadziriswa.
Ongororo ichangoburwa kubva muna 2017 yakaratidza kuti vatete veropa vaive vasina nani pane placebo pakudzivirira kufa kubva pakadzika vein thrombosis (kana pulmonary embolism).
Zvakadaro, kune zvakare dzakawanda zvidzidzo zvakaratidza kudzivirira kwevanoteta ropa, saka mari yacho haifanirwe kurondedzerwa seisina basa. Zvakadaro, hazvikuvadze kufunga nezve mamwe kana mamwe matanho.
Pane zvingaitwa here pane zvinoderedza ropa?
Kana toreva nezvezvinotsiva zvinoderedza ropa, vanhu vakawanda vari kungotsvaka dzimwe nzira. Zvinonzi mishonga yechisikigo inoonda ropa sezvinoita mishonga asi isina maside effects. Kunyangwe paine chaiwo mishonga yechisikigo ine mhedzisiro yakanaka pakugwamba kweropa, hapana anoziva kana kungotora gadziriro idzi zvakakwana zvakakwana kudzivirira kubva kune thrombosis, sitiroko, uye kurwisa kwemoyo.
Kubva pamaonero akazara, zvisinei, hazvisi zvekungochinjanisa mushonga kune mumwe, asi ndezvekuchinja mararamiro ese nenzira yekuti muviri unogona kupora uye kuberekwa patsva wega. Kungotora mushonga - ungave mushonga wakajairika kana wechisikigo - saka hazvimbofa zvakatungamira kupora.
Chidzidzo kubva muna 2013 chinonakidza mumamiriro ezvinhu aya, izvo zvisina kungoratidza kuti vanhu vaitevera mitemo yezvokudya zveMediterranean vakatambura zvishoma kubva kune atrial fibrillation, asiwo kuti iyi nzira yekudya yakatungamirira kukuporesa kwepamuviri kweatrial fibrillation inogona.
Mhedziso: vhitamini K uye vanyoro veropa
Chero ani anotora ropa rakapfava remhando yevhitamini K anopikisa anogona kudya chikafu chakapfuma muvhitamini K pasina matambudziko asi anofanirwa kuve nechokwadi chekupihwa kwechikafu ichi chakapfuma muvhitamini K uye kudzivirira kushanduka mune izvi, kureva kugara uchitarisa INR panguva imwe chete. . cheki kukosha.
Kana iwe uchida kutora imwe vhitamini K, iwe unogona kuzviita zvakare, asi iwe unofanirwa kukurukura chiyero ichi nachiremba wako. Kudya kwevhitamini K kunogona kutotungamira mukudzikamiswa kweyaimbochinja-chinja INR kukosha.
Kutora vhitamini K2 seMK-7 kunoda madosi akaderera pane MK-4. Nekuti MK-7 inogona kubatwa zvirinani uye kushandiswa nemuviri kupfuura MK-4.
ASA uye vitamini K
Vitamin K vanopikisa (Marcumar, uye Warfarin) vane nzira yakasiyana yekuita pane ASA kana zvasvika pakuderera kweropa. Nepo vhitamini K vanopikisa vachidzikisa vhitamini K mazinga, ASA haina. Saka hapana chinhu chakadai sekushaikwa kwevhitamini K ine ASS.
Kana, semurwere weASD, uchida vhitamini K, semuenzaniso, nekuti uri kutora vhitamini D kana nekuti chikafu chako chakaderera muvhitamini K kana - mukubvunzana nachiremba - kudzivirira arteriosclerosis, ipapo unogona kutora vhitamini K2 mune mumwe nemumwe akakodzera kutora, semuenzaniso B. 50 - 100 µg pazuva (kurukura nachiremba kana asiri wekurapa). Nemadonhwe evhitamini K2 (panzvimbo yemacapsules) unogona kutora vhitamini kunyanya wega.
