Hypervitaminosis D

Hypervitaminosis D o se tuutuuga e tupu pe a uma ona ave maualuga maualuga o fualaʻau D.

O le mafuaʻaga o le sili atu o le taumafaina o vitamini D. O tui e manaʻomia ia maualuga tele, sili mamao atu nai lo le tele o fomaʻi masani ona faatonuina.

Sa i ai le tele o le le mautonu e uiga i vitamini D faʻaopoopoga. O le alauni fautuaina i aso uma (RDA) mo le vaitamini D o loʻo i le va o le 400 ma le 800 IU / aso, e tusa ma le matua ma le maʻitaga tulaga. Ole maualuga ole inumaga e manaʻomia mo nisi tagata, pei o i latou e le lava le vailaʻau D, hypoparathyroidism, ma isi tulaga. Peitaʻi, o le toʻatele o tagata e le manaʻomia le sili atu i le 2,000 IU o vaitamini D ile aso.

Mo le toʻatele o tagata, o le vailaʻau D oona e faʻatoa tupu i le vailaʻau D i luga atu ole 10,000 IU ile aso.

O le sili atu o vitamini D mafai mafua ai se maualuga maualuga tulaga o calcium i le toto (hypercalcemia). Lenei mafai ono matua faʻaleagaina le fatugaʻo, vaivai aʻa, ma ponaivi i le taimi.

O faʻailoga e aofia ai:

• Paneta
• Faʻaitiitia le fiaai (anorexia)
• Faʻamaligiina
• Le lavava
• Urination soo
• Ita
• Vaivaiga maso
• Talosaga
• Sili fiainu (polydipsia)
• Toto maualuga
• Tufaina tele aofaiga o miaga (polyuria)

O le a suʻesuʻe oe e le tausi soifua maloloina ma fesili e uiga i ou faʻailoga.

O suʻega e mafai ona okaina e aofia ai:

• Kalisiu i le toto
• Kalisiu i le miaga
• 1,25-dihydroxy vitamini D tulaga
• Fosforum serum
• X-ray o le ponaivi

E ono taʻuina atu ia te oe e lau tautua e taofi lou tagofia o le vailaʻau D. I ni tulaga ogaoga, e ono manaʻomia isi togafitiga.

Faʻamoemoe e toe faʻaleleia, ae o le tumau fatugaʻo faʻaleagaina mafai ona tupu.

O faʻafitauli tau le soifua maloloina e mafai ona aliaʻe mai le inu tele i le vaitamini D mo se taimi umi aofia ai:

• Faʻamaligiina
• Hypercalcemia
• Faʻaleagaina fatugaʻo
• Maʻa fatugaʻo

Valaʻau lau tautua pe a fai:

• Oe poʻo lau tama faʻaali faʻaali uiga o le hypervitaminosis D ma ua inu sili vitamini D nai lo le RDA
• O oe poʻo lou alo e faʻaalia ni faʻailoga ma o loʻo inuina se vailaʻau poʻo se vailaau ova o le vailaʻau D.

Ina ia puipuia lenei tulaga, ia mataala totoʻa i le saʻo vitamini D fualaʻau.

Tele o tuʻufaʻatasi vailaʻau o loʻo iai vitamini D, o lea siaki ia igoa o mea faʻaopopo uma o loʻo e inuina mo le vailaʻau D.

Vitamini D oona

Aronson JK. Vitamini D faʻatusa. I le: Aronson JK, ed. Meyler's Side Effects o Fualaʻau. 16th lomiga. Waltham, MA: Elsevier; 2016: 478-487.

Greenbaum LA. Le lava le Vitamini D (rickets) ma sili atu. I le: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Tusitusiga o Pediatrics. 21 ed. Filatelefia, PA: Elsevier; 2020: chap 64.