Vitamini A - magwero, zotsatira pa thupi, zotsatira za kuchepa ndi overdose

Zomwe zatsimikiziridwa

Vitamini A ndi dzina lodziwika bwino lamagulu angapo achilengedwe ochokera ku gulu la retinoids. Amatchulidwanso kuti Retinol, beta-carotene, axophthol ndi provitamin A. Ndi gulu la mavitamini osungunuka mafuta. Muzomera, pawiri iyi imawunjikana mu mawonekedwe a carotenoids. M'thupi, vitamini A amasungidwa ngati Retinol m'chiwindi ndi minofu ya adipose. Ndi imodzi mwa mavitamini oyambirira omwe adapezeka m'mbiri ya zamankhwala. Kale, ngakhale asanatulukire vitamini A, zotsatira za kusowa kwake zidachitidwa symptomatic ndi Aigupto akale, Agiriki ndi Aroma. Matendawa ankatchedwa kuti khungu la usiku kapena khungu la usiku ndipo chithandizocho chinali kudya chiwindi cha nyama yaiwisi kapena yophika.

Udindo wa vitamini A m'thupi

Vitamini A ndi vitamini wofunikira kwambiri kuti thupi lathu lizigwira ntchito. Zimagwira gawo lalikulu pakuwona masomphenya, zimakhudza kukula, ndikuwongolera kukula kwa minofu ya epithelial ndi maselo ena m'thupi. Kuphatikiza apo, imakhala ndi anti-cancer properties, imateteza epithelium ya kupuma kwa tizilombo toyambitsa matenda, imalimbitsa chitetezo cha mthupi, imateteza matenda, imathandizira kulimbana ndi mabakiteriya ndi mavairasi, imasunga khungu, tsitsi ndi misomali, komanso zimakhudza khungu. kugwira ntchito bwino kwa ma cell membranes. Vitamini A imapanganso khungu louma, choncho ndi bwino kugwiritsa ntchito zodzoladzola ndi kuwonjezera kwake, monga gel otsitsimula a Vianek oyeretsa khungu lokhwima komanso lovuta.

Ndi imodzi mwazinthu zofunika kwambiri zomwe zimalimbitsa chitetezo cha mthupi. Choncho, ndi bwino kuwonjezera kuperewera kwa vitamini A m'zakudya ndi zakudya zowonjezera mavitamini A, monga vitamini A 10.000 IU kuchokera ku Swanson ndi vitamini A yowonjezera kuchokera kwa Dr. Jacob.

Vitamini A - Ubwino Wathanzi

Vitamini A ndi michere yofunika yomwe imapindulitsa thanzi lanu m'njira zambiri.

Vitamini A ndi antioxidant wamphamvu

Provitamin A carotenoids monga beta-carotene, alpha-carotene ndi beta-cryptoxanthin ndi kalambulabwalo wa vitamini A ndipo ali ndi antioxidant katundu.

Malinga ndi zotsatira za kafukufuku wofalitsidwa mu Pharmacognosy Reviews mu 2010, carotenoids imamenyana ndi ma free radicals - mamolekyu othamanga kwambiri omwe amatha kuvulaza thupi lathu poyambitsa kupsinjika kwa okosijeni. Kupsinjika kwa okosijeni kumalumikizidwa ndi matenda osiyanasiyana osatha monga shuga, khansa, matenda amtima, komanso kuchepa kwa chidziwitso, zomwe zimatsimikiziridwa ndi maphunziro monga omwe adasindikizidwa mu Oxidative Medicine ndi Cellular Longevity mu 2017.

Zakudya zokhala ndi carotenoids zimalumikizidwa ndi chiwopsezo chochepa cha zinthu zambiri izi, monga matenda amtima, khansa ya m'mapapo, ndi shuga.

Onaninso: Alpha carotene ndi mankhwala abwino oteteza

Vitamini A ndi wofunikira pa thanzi la maso ndipo amalepheretsa kuwonongeka kwa macular

Vitamini A ndi wofunikira kuti maso asamaone. Vitamini A amafunikira kuti kuwala kofika m'maso kukhala chizindikiro chamagetsi chomwe chingatumizedwe ku ubongo. Ndipotu, chimodzi mwa zizindikiro zoyamba za kusowa kwa vitamini A chikhoza kukhala khungu la usiku, lomwe limadziwika kuti usiku.

Khungu la usiku limapezeka mwa anthu omwe alibe vitamini A, chifukwa vitamini imeneyi ndizomwe zimakhala ndi pigment rhodopsin. Rhodopsin imapezeka mu retina ya diso ndipo imakhala yopepuka kwambiri. Anthu omwe ali ndi vutoli amawonabe bwino masana, koma amaona pang'ono mumdima chifukwa maso awo amavutika kuti awone kuwala kwapansi.

Malinga ndi kafukufuku wa 2015 wofalitsidwa mu JAMA Ophthalmology, kuwonjezera pa kupewa khungu la usiku, kudya mlingo woyenera wa beta-carotene kungathandize kuchepetsa kuwonongeka kwa maso kumene anthu ena amakumana nawo akamakalamba.

Age-related macular degeneration (AMD) ndizomwe zimayambitsa khungu m'maiko otukuka. Ngakhale kuti chifukwa chenichenicho sichidziwika, akukhulupirira kuti ndi chifukwa cha kuwonongeka kwa ma cell ku retina, komwe kumabwera chifukwa cha kupsinjika kwa okosijeni (monga zatsimikiziridwa mu kafukufuku wa 2000 mu Survey of Ophthalmology).

Kafukufuku wina wa 2001 wofalitsidwa mu Archives of Ophthalmology pa matenda a maso okhudzana ndi ukalamba adapeza kuti kupatsa anthu azaka zopitilira 50 zowoneka bwino ndi antioxidant supplement (kuphatikiza beta-carotene) kumachepetsa chiopsezo chokhala ndi vuto lalikulu la macular ndi 25%.

Komabe, kuwunika kwaposachedwa kwa Cochrane kunapeza kuti zowonjezera za beta-carotene zokha sizingalepheretse kapena kuchedwetsa kuwonongeka kwamaso komwe kumachitika chifukwa cha AMD.

Onaninso: Thandizo labwino kwa odwala omwe ali ndi AMD exudative

Vitamini A amatha kuteteza ku mitundu ina ya khansa

Khansara imachitika pamene maselo achilendo amayamba kukula kapena kugawikana mosalamulirika.

Popeza vitamini A imagwira ntchito yofunika kwambiri pakukula kwa maselo ndi chitukuko, zotsatira zake pa chiopsezo cha khansa komanso ntchito yopewera khansa ndizofunikira kwa ofufuza.

M'maphunziro owunikira (monga lofalitsidwa mu Annals of Hematology mu 2017 kapena Gynecologic Oncology mu 2012), kudya kuchuluka kwa vitamini A mumtundu wa beta-carotene kunalumikizidwa ndi kuchepetsedwa kwa chiwopsezo cha mitundu ina ya khansa, kuphatikiza Hodgkin's lymphoma, ndi komanso khansa ya pachibelekero, mapapo ndi chikhodzodzo.

Komabe, ngakhale kudya kwambiri kwa vitamini A kuchokera ku zakudya za zomera kumakhudzana ndi kuchepa kwa chiwopsezo cha khansa, zakudya za nyama zomwe zili ndi mitundu yogwira ntchito ya vitamini A sizigwirizana mofanana (kafukufuku wa 2015 wofalitsidwa mu Archives of Biochemistry and Biophysics).

Mofananamo, malinga ndi kafukufuku wa 1999 wofalitsidwa mu Journal of the National Cancer Institute , vitamini A zowonjezera zowonjezera sizinawonetse zotsatira zopindulitsa zomwezo.

Ndipotu, m'maphunziro ena, osuta omwe amamwa mankhwala a beta-carotene akhala ndi chiopsezo chowonjezeka cha khansa ya m'mapapo (kuphatikizapo kafukufuku wofalitsidwa mu Nutrition and Cancer mu 2009).

Pakadali pano, ubale womwe ulipo pakati pa kuchuluka kwa vitamini A m'thupi lathu ndi chiwopsezo cha khansa sichinamveke bwino. Komabe, malinga ndi kafukufuku wa 2015 wofalitsidwa mu BioMed Research International, kupeza vitamini A wokwanira, makamaka kuchokera ku zomera, n'kofunika kuti maselo agawike bwino ndipo amachepetsa chiopsezo cha mitundu ina ya khansa.

Onaninso: Mankhwala omwe amachepetsa chiopsezo chokhala ndi khansa ya m'mawere. Kafukufuku akupitilira

Vitamini A amachepetsa chiopsezo cha ziphuphu zakumaso

Ziphuphu ndi matenda otupa akhungu. Anthu omwe ali ndi vutoli amakhala ndi ziphuphu zopweteka komanso zakuda, nthawi zambiri kumaso, msana, ndi chifuwa.

Ziphuphuzi zimawonekera pamene zotupa za sebaceous zimatsekeka ndi khungu lakufa ndi mafuta. Tizilombo toyambitsa matenda timeneti timapezeka m’zitsitsi zapakhungu ndipo timatulutsa sebum, chinthu chamafuta kwambiri chomwe chimapangitsa khungu kukhala lopanda madzi komanso kuti lisalowe madzi.

Ngakhale ziphuphu zimakhala zosavulaza mwakuthupi, ziphuphu zimatha kukhudza kwambiri thanzi la anthu ndipo zingayambitse kudzidalira, nkhawa komanso kuvutika maganizo (monga kafukufuku wa 2016 wofalitsidwa mu Clinical, Cosmetic and Investigational Dermatology akuwoneka kuti akutsimikizira). Ntchito yeniyeni yomwe vitamini A imagwira pakukula ndi kuchiza ziphuphu sizikudziwika.

Kafukufuku wofanana ndi yemwe adasindikizidwa mu 2015 Journal of Nutrition & Food Sciences wasonyeza kuti kusowa kwa vitamini A kungapangitse chiopsezo chokhala ndi ziphuphu chifukwa kumapangitsa kuti mapuloteni a keratin achuluke m'mitsempha ya tsitsi. Izi zitha kukulitsa chiopsezo cha ziphuphu zakumaso popangitsa kuti zikhale zovuta kuchotsa ma cell akhungu omwe adafa kuchokera kumatsitsi atsitsi, zomwe zimapangitsa kuti khungu litsekeke.

Mankhwala ena a vitamini A a acne tsopano akupezeka ndi mankhwala.

Isotretinoin ndi chitsanzo chimodzi cha retinoid yapakamwa yomwe imakhala yothandiza pochiza ziphuphu zazikulu. Komabe, mankhwalawa amatha kukhala ndi zotsatira zoyipa ndipo ayenera kutengedwa moyang'aniridwa ndi achipatala.

Onaninso: Kodi kuchotsa ziphuphu zakumaso?

Vitamini A ndi wofunikira pa chonde ndi chitukuko cha mwana wosabadwayo

Vitamini A ndi wofunikira kuti dzira lachiberekero likhale lathanzi mwa amuna ndi akazi, komanso kukula bwino ndi kukula kwa miluza pa nthawi ya mimba.

Kafukufuku wokhudza makoswe omwe adasindikizidwa mu Nutrients mu 2011 pakufunika kwa vitamini A pakubereka kwa amuna adapeza kuti kuperewera kumatchinga kukula kwa umuna, kupangitsa kusabereka. Kafukufuku yemweyo yemwe watchulidwa akusonyeza kuti kusowa kwa vitamini A mwa akazi kungakhudze kubereka mwa kuchepetsa ubwino wa dzira ndi kusonkhezera kuikidwa kwa dzira mu chiberekero.

Kwa amayi apakati, vitamini A imakhudzidwanso ndi kukula ndi chitukuko cha ziwalo zambiri zazikulu ndi mapangidwe a mwana wosabadwa, kuphatikizapo mafupa, dongosolo lamanjenje, mtima, impso, maso, mapapo, ndi kapamba.

Komabe, ngakhale kuti ndizochepa kwambiri kusiyana ndi kusowa kwa vitamini A, vitamini A wochuluka pa nthawi ya mimba angakhalenso wovulaza kwa mwana yemwe akukula ndipo angayambitse zilema zobadwa (monga zatsimikiziridwa ndi maphunziro monga omwe anafalitsidwa mu Archives de Pédiatrie mu 1997).

Choncho, akuluakulu a zaumoyo alangiza akazi kupewa zakudya zimene zili ndi vitamini A wochuluka kwambiri, monga pate ndi chiwindi, ndiponso zakudya zokhala ndi vitamini A panthaŵi yapakati.

Onaninso: 22q11.2 deletion syndrome. Chilema chimene mmodzi mwa awiri kapena anayi zikwi amabadwa. ana

Vitamini A imalimbitsa chitetezo cha mthupi

Vitamini A amathandizira chitetezo cha mthupi polimbikitsa mayankho omwe amateteza thupi ku matenda ndi matenda. Vitamini A imakhudzidwa ndi mapangidwe a maselo ena, kuphatikizapo B ndi T lymphocytes, omwe amathandiza kwambiri kuti chitetezo cha mthupi chitetezeke ku matenda.

Monga momwe zatsimikizidwira mu kafukufuku wa 2012 mu Proceedings of the Nutrition Society, kusowa kwa michereyi kumabweretsa kuwonjezeka kwa mamolekyu oyambitsa kutupa omwe amafooketsa kuyankha ndi kugwira ntchito kwa chitetezo cha mthupi.

Vitamini A amathandizira thanzi la mafupa

Zakudya zofunika kwambiri kuti mukhale ndi thanzi labwino la mafupa pamene mukukalamba ndi mapuloteni, calcium, ndi vitamini D. Komabe, kudya vitamini A wokwanira n'kofunikanso kuti mafupa akule bwino ndi chitukuko, ndipo kusowa kwa vitaminiyi kwagwirizanitsidwa ndi thanzi labwino la mafupa.

Malinga ndi kafukufuku wa 2017 wofalitsidwa mu International Journal of Environmental Research and Public Health, anthu omwe ali ndi vitamini A ochepa m'magazi amatha kusweka mafupa kusiyana ndi omwe ali ndi thanzi labwino. Kuphatikiza apo, kafukufuku waposachedwa wa kafukufuku wowunikira adapeza kuti omwe ali ndi zakudya zambiri za vitamini A ali ndi chiopsezo chochepa cha 6% cha kusweka.

Komabe, kuchepa kwa vitamini A sikungakhale kodetsa nkhawa pankhani ya thanzi la mafupa. Kafukufuku wina, monga 2013 yemwe adasindikizidwa mu Journal of Clinical Densitometry, adapeza kuti anthu omwe amadya vitamini A wochuluka amakhala ndi chiopsezo chachikulu cha kupasuka.

Ngakhale zili choncho, zonse zomwe zapezedwazi zachokera pa kafukufuku amene sangathe kudziwa chomwe chimayambitsa komanso zotsatira zake. Izi zikutanthauza kuti kugwirizana pakati pa vitamini A ndi thanzi la mafupa pakali pano sikumveka bwino ndipo maphunziro olamulidwa kwambiri amafunika kutsimikizira zomwe zinawonedwa mu maphunziro owonetsetsa.

Kumbukirani kuti kupezeka kwa vitamini A kokha sikumawonetsa kuopsa kwa fracture, ndipo zotsatira za kupezeka kwa zakudya zina zofunika, monga vitamini D, zimagwiranso ntchito.

Onaninso: Zakudya pambuyo fupa fractures

Kukhalapo kwa vitamini A.

Vitamini A angapezeke, mwa zina, mu mafuta, mkaka ndi mkaka, ena mafuta nsomba, chiwindi ndi nyama nyama, mazira, mbatata, kale, sipinachi ndi dzungu. Carotenoids yofunika kwambiri, yomwe beta carotene imagwira ntchito yofunika kwambiri, imapezeka mu sipinachi, kaloti, tomato, tsabola wofiira ndi letesi. Zipatso zomwe zimakhala zolemera kwambiri mu carotenoids ndi, mwachitsanzo, yamatcheri, ma apricots, mapichesi ndi plums. Chogulitsa chomwe chimagwiritsidwa ntchito nthawi zambiri kuti chiwonjezeke ndipo chimakhala ndi vitamini A kwambiri ndi mafuta a nsomba. Yesani, mwachitsanzo, Moller's Tran Norwegian Fruit, yomwe mungagule m'njira yotetezeka komanso yabwino pa Msika wa Medonet. Yesaninso mafuta a nsomba a Familijny okhala ndi mavitamini A ndi D - Thanzi ndi chitetezo chokwanira, chopezeka pamtengo wotsatsa.

Vitamini A supplementation iyenera kufunsidwa ndi dokotala wanu wabanja. Tsopano mutha kupanga ulendo wanu momasuka kuchokera kunyumba mwanjira iliyonse yomwe mungasankhe kudzera pa halodoctor.pl portal.

Mukhozanso kufikira ufa wa chimanga, womwenso ndi gwero la vitamini A. Amagwiritsidwa ntchito m'malo mwa ufa wa tirigu wachikhalidwe. Ufa wa chimanga wa Pro Natura umapezeka pa Msika wa Medonet.

Zizindikiro zakusowa kwa vitamini A.

Anthu omwe amagwira ntchito pakompyuta, amayi apakati ndi oyamwitsa, obadwa msanga, anthu omwe ali ndi cystic fibrosis, zidakwa ndi osuta, ndi okalamba onse akufunika vitamini A wochulukirapo.

Kuperewera kwa vitamini A nthawi zambiri kumawonetsedwa ndi:

1. kusawona bwino usiku, kapena kutchedwa “khungu la usiku” (malinga ndi WHO, kusowa kwa vitamini A ndiko chifukwa chachikulu cha khungu lopeŵeka kwa ana padziko lonse lapansi),
2. kutayika kwa tsitsi ndi brittleness,
3. kukula kwapang'onopang'ono,
4. khungu losweka ndi zidzolo
5. kuyanika kwa cornea ndi conjunctiva ya diso;
6. kukhalapo kwa misomali yopunduka komanso kukula pang'onopang'ono,
7. kuchuluka kwa chiwopsezo cha matenda a bakiteriya ndi ma virus (kusowa kwa vitamini A kumawonjezera kuopsa komanso chiopsezo cha kufa ndi matenda monga chikuku ndi kutsekula m'mimba),
8. ziphuphu zakumaso, eczema,
9. hyperkeratosis,
10. sachedwa kutsekula m'mimba.

Kuonjezera apo, kuchepa kwa vitamini A kumawonjezera chiopsezo cha kuchepa kwa magazi m'thupi ndi imfa kwa amayi apakati komanso kumakhudza kwambiri mwana wosabadwayo, kuchepetsa kukula kwake ndi chitukuko.

Pozindikira kuchepa kwa vitamini, ndikofunikira kuyezetsa magazi kuti muwone kuchuluka kwa mavitamini ndi mchere. Mayeso oterowo amatha kugulidwa kuzipatala zapadera za Arkmedic.

Vitamini A angapezeke mu kapangidwe ka GlowMe Health Labs - chifukwa cha ludzu la khungu la kuwala - zowonjezera zakudya zomwe zimakhudza bwino khungu.

Kuchuluka kwa vitamini A - zizindikiro

Masiku ano, timagwiritsa ntchito mavitamini owonjezera nthawi zambiri, koma tiyenera kukumbukira kuti kumwa kwambiri vitamini A, chifukwa chakuti amaunjikana m'chiwindi, akhoza kukhala poizoni m'thupi komanso owopsa ku thanzi (kudya kwambiri kwa carotenoids m'thupi). zakudya sizimakhudzana ndi kawopsedwe ngakhale kafukufuku amagwirizanitsa zowonjezera za beta-carotene ku chiopsezo chowonjezeka cha khansa ya m'mapapo ndi matenda a mtima mwa osuta). Choncho, mafuta a nsomba ayenera kumwedwa mosamalitsa malinga ndi malangizo a dokotala kapena malinga ndi kapepala ka mankhwala.

Kumwa kwambiri vitamini A kumatha kubweretsa zotsatira zoyipa kwambiri ndipo kumatha kupha munthu ngati atamwa kwambiri.

Ngakhale kuti n'zotheka kudya vitamini A wochuluka kwambiri kuchokera ku zinyama monga chiwindi, kawopsedwe kaŵirikaŵiri amagwirizanitsidwa ndi mankhwala owonjezera owonjezera ndi mankhwala ndi mankhwala ena monga isotretinoin. Kuopsa kwa vitamini A kumachitika pakangopita nthawi yochepa pamene mlingo umodzi wochuluka wa vitamini A umagwiritsidwa ntchito, pamene kawopsedwe kake kamachitika pamene Mlingo wopitilira 10 wa RDA umatengedwa kwa nthawi yayitali.

Zizindikiro zochulukirapo (hypervitaminosis) ndi:

1. hyperactivity ndi irritability,
2. nseru, kusanza
3. masomphenya olakwika,
4. kuchepa kwa njala,
5. sensitivity ku kuwala kwa dzuwa,
6. kutayika tsitsi,
7. khungu louma,
8. jaundice,
9. kuchedwa kukula,
10. chisokonezo,
11. khungu kuyabwa
12. mutu,
13. kupweteka kwa mafupa ndi minofu,
14. kukula kwa chiwindi ndi kusokonezeka kwa ntchito zake,
15. zotupa zachikasu pakhungu,
16. kuchepa kwa calcium m'mafupa,
17. kubadwa kwa ana a amayi omwe adakumana ndi hypervitaminosis pa nthawi ya mimba.

Ngakhale kuti sikofala kwambiri kuposa kawopsedwe ka vitamini A, chiwopsezo chachikulu cha vitamini A chimalumikizidwa ndi zizindikiro zowopsa, kuphatikiza kuwonongeka kwa chiwindi, kuthamanga kwa cranial, ngakhale kufa.

Kuphatikiza apo, kawopsedwe wa vitamini A amatha kusokoneza thanzi la mayi ndi mwana wosabadwayo ndipo angayambitse zovuta zakubadwa.

Kuti mupewe kawopsedwe, mankhwala owonjezera a vitamini A ayenera kupewedwa. Popeza kuti vitamini A wochuluka akhoza kuvulaza, ndi bwino kuti muyambe mwawonana ndi dokotala musanamwe mankhwala owonjezera a vitamini A.

Kuchuluka kwa vitamini A komwe kumaloledwa kumagwiritsidwa ntchito pazinyama zomwe zimakhala ndi vitamini A komanso zowonjezera za vitamini A.

Zoyenera kuchita ngati kusowa kwa vitamini A kapena kuchulukira?

Pakachitika kusowa kapena kuchulukira kwa vitamini A m'thupi, tiyenera kusanthula zakudya zathu zatsiku ndi tsiku ndikuzisintha m'njira yotheka. Pakasoweka - onjezerani zakudya zokhala ndi vitamini A wochuluka, ndikuwonjezera - kuchepetsa kumwa kwawo. Ngati kuchulukitsidwa kwapezeka, muyenera kuchepetsa, ndipo mwapadera siyani kumwa mavitamini omwe ali ndi vitamini A.

Nthawi zina, ngakhale pakudya zakudya zopatsa thanzi, kuchepa kwa vitamini A kumachitika. Zikatero, zowonjezera zowonjezera ziyenera kuganiziridwa. Komabe, njira yabwino kwambiri ndiyo kukaonana ndi katswiri woona za kadyedwe kake amene angakonze zakudya zoyenera ndi kumulangiza zoyenera kuchita.

Onaninso: Kodi mavitamini owonjezera amawononga bwanji thanzi lathu?

Vitamini A kawopsedwe ndi malangizo a mlingo

Monga momwe kusowa kwa vitamini A kungawononge thanzi lanu, kuchulukirachulukira kungakhalenso koopsa.

The Recommended Daily Allowance (RDA) ya vitamini A ndi 900 mcg ndi 700 mcg pa tsiku kwa amuna ndi akazi, motero - zomwe zimatheka mosavuta potsatira chakudya chokwanira. Komabe, ndikofunika kuti musapitirire mlingo wa Tolerable Upper Intake Level (UL) wa 10 IU (000 mcg) kwa akuluakulu kuti ateteze poizoni.

Onaninso: Idyani mwanzeru

Vitamini A - mogwirizana

Zokambirana zomwe zingatheke ndi izi:

1. Anticoagulants. Kugwiritsa ntchito pakamwa mankhwala owonjezera a vitamini A mukamamwa mankhwalawa omwe amagwiritsidwa ntchito poletsa kutsekeka kwa magazi kungapangitse ngozi yotaya magazi.
2. Targretin (Bexarotene). Kumwa mankhwala owonjezera a vitamini A mukamagwiritsa ntchito mankhwalawa kumawonjezera chiopsezo cha zotsatira zoyipa monga kuyabwa, khungu louma.
3. Hepatotoxic mankhwala. Kumwa mankhwala owonjezera a vitamini A kumatha kuwononga chiwindi. Kuphatikiza mlingo waukulu wa vitamini A wowonjezera ndi mankhwala ena omwe angawononge chiwindi chanu akhoza kuonjezera chiopsezo cha matenda a chiwindi.
4. Orlistat (Alli, Xenical). Mankhwalawa amatha kuchepetsa kuyamwa kwa vitamini A kuchokera ku chakudya. Dokotala wanu angakulimbikitseni kutenga multivitamin ndi vitamini A ndi beta-carotene pamene mukumwa mankhwalawa.
5. Retinoids. Osagwiritsa ntchito zowonjezera za vitamini A ndi mankhwala amkamwa awa nthawi imodzi. Izi zitha kuonjezera chiopsezo cha kuchuluka kwa vitamini A m'magazi.