{"id":2704,"date":"2021-11-11T22:36:14","date_gmt":"2021-11-11T22:36:14","guid":{"rendered":"http:\/\/ahelth.com\/?p=2704"},"modified":"2021-11-11T22:36:14","modified_gmt":"2021-11-11T22:36:14","slug":"vitamin-d-multiple-sclerosis","status":"publish","type":"post","link":"https:\/\/ahelth.com\/tr\/vitamin-d-multiple-sclerosis\/","title":{"rendered":"MS nedir?"},"content":{"rendered":"<div id=\"block-yui_3_17_2_1_1615994697388_17378\" class=\"sqs-block gallery-block sqs-block-gallery\" data-block-json=\"{&quot;hSize&quot;:null,&quot;floatDir&quot;:null,&quot;methodOption&quot;:&quot;transient&quot;,&quot;existingGallery&quot;:null,&quot;newWindow&quot;:false,&quot;aspect-ratio&quot;:&quot;square&quot;,&quot;aspectRatio&quot;:null,&quot;auto-crop&quot;:true,&quot;blockAnimation&quot;:&quot;none&quot;,&quot;collectionId&quot;:&quot;6052396919a7497269fbd09d&quot;,&quot;design&quot;:&quot;grid&quot;,&quot;lightbox&quot;:false,&quot;padding&quot;:20,&quot;show-meta&quot;:true,&quot;show-meta-basic&quot;:true,&quot;show-meta-only-title&quot;:false,&quot;show-meta-only-description&quot;:false,&quot;square-thumbs&quot;:true,&quot;thumbnails-per-row&quot;:3,&quot;vSize&quot;:null,&quot;transientGalleryId&quot;:&quot;6052396919a7497269fbd09d&quot;}\" data-block-type=\"8\">\n<div class=\"sqs-block-content\">\n<div id=\"yui_3_17_2_1_1635947970252_97\" class=\" sqs-gallery-container sqs-gallery-block-grid sqs-gallery-aspect-ratio-square sqs-gallery-thumbnails-per-row-3 sqs-gallery-block-show-meta block-animation-none clear\">\n<div id=\"yui_3_17_2_1_1635947970252_114\" class=\"sqs-gallery sqs-gallery-design-grid\">\n<div id=\"yui_3_17_2_1_1635947970252_149\" class=\"slide sqs-gallery-design-grid-slide\" data-type=\"image\" data-animation-role=\"image\">\n<div class=\"margin-wrapper\"><\/div>\n<\/div>\n<div id=\"yui_3_17_2_1_1635947970252_151\" class=\"slide sqs-gallery-design-grid-slide\" data-type=\"image\" data-animation-role=\"image\">\n<div class=\"margin-wrapper\"><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"block-yui_3_17_2_1_1615994697388_17497\" class=\"sqs-block html-block sqs-block-html\" data-block-type=\"2\">\n<div class=\"sqs-block-content\">\n<h2><span style=\"vertical-align: inherit;\">MS nedir?<\/span><\/h2>\n<p class=\"\"><span style=\"vertical-align: inherit;\">Multipl skleroz (MS), beyin ve omurilik aksonlar\u0131n\u0131n etraf\u0131ndaki ya\u011fl\u0131 miyelin k\u0131l\u0131f\u0131n\u0131n hasar g\u00f6rd\u00fc\u011f\u00fc, demiyelinizasyon ve skarla\u015fmaya neden oldu\u011fu otoimm\u00fcn inflamatuar bir hastal\u0131kt\u0131r. <span class=\"\" style=\"vertical-align: inherit;\">A\u015fa\u011f\u0131dakiler dahil olmak \u00fczere \u00e7ok \u00e7e\u015fitli semptomlar vard\u0131r: hassasiyet kayb\u0131, kar\u0131ncalanma, uyu\u015fma, kas zay\u0131fl\u0131\u011f\u0131, kas spazmlar\u0131, hareket etmede zorluk, zay\u0131f koordinasyon, dengesizlik, konu\u015fma veya yutma g\u00fc\u00e7l\u00fc\u011f\u00fc, g\u00f6rme sorunlar\u0131, yorgunluk, akut veya kronik a\u011fr\u0131 ve a\u011fr\u0131l\u0131 mesane. <\/span>ve ba\u011f\u0131rsaklarda zorluklar. Bili\u015fsel bozulma ve depresyonun duygusal belirtileri veya dengesiz ruh halleri de yayg\u0131nd\u0131r.MS semptomlar\u0131 genellikle akut k\u00f6t\u00fcle\u015fme d\u00f6nemleri (n\u00fcksler, n\u00f6betler veya &#8220;n\u00f6betler&#8221; olarak adland\u0131r\u0131l\u0131r) s\u0131ras\u0131nda ba\u015flar ve n\u00f6rolojik fonksiyonda kademeli, kademeli bozulma ile birlikte. Semptomlar, her bir ata\u011f\u0131n yeri ve \u015fiddeti de\u011fi\u015febilece\u011finden ve g\u00fcnler, haftalar veya aylarca s\u00fcrebilece\u011finden farkl\u0131l\u0131k g\u00f6sterir. Bu epizodlar, semptomlar\u0131n azald\u0131\u011f\u0131 veya hi\u00e7 olmad\u0131\u011f\u0131 (remisyon) d\u00f6nemlerle de\u011fi\u015fir.<\/span><\/p>\n<h2><span style=\"vertical-align: inherit;\"><span class=\"\" style=\"vertical-align: inherit;\">D vitamini MS ile yard\u0131mc\u0131 olur mu?<\/span><\/span><\/h2>\n<p class=\"\"><span style=\"vertical-align: inherit;\">Ara\u015ft\u0131rmalar, D vitamini ve MS aras\u0131nda bir ba\u011flant\u0131 olabilece\u011fini d\u00fc\u015f\u00fcnd\u00fcrmektedir. D\u00fc\u015f\u00fck D vitamini seviyeleri, multipl skleroz, romatoid artrit, diyabet ve inflamatuar ba\u011f\u0131rsak hastal\u0131\u011f\u0131 dahil olmak \u00fczere \u00e7e\u015fitli otoimm\u00fcn hastal\u0131klar\u0131n artan risk ve aktivitesi ile ili\u015fkilendirilmi\u015ftir. Ara\u015ft\u0131rmalar, D vitamini eksikli\u011fi ve eksikli\u011finin MS&#8217;li ki\u015filerde yayg\u0131n oldu\u011funu g\u00f6stermi\u015ftir.<\/span><\/p>\n<p class=\"\"><span style=\"vertical-align: inherit;\">D vitamini ve multipl skleroz aras\u0131ndaki ili\u015fki, ilk olarak ekvatordan daha fazla multipl skleroz insidans\u0131n\u0131n artt\u0131\u011f\u0131n\u0131 g\u00f6rd\u00fckten sonra \u00f6nerildi. D vitamini, cilt g\u00fcne\u015f \u0131\u015f\u0131\u011f\u0131na, \u00f6zellikle ultraviyole B (UVB) \u0131\u015f\u0131k spektrumundaki \u0131\u015f\u0131nlara maruz kald\u0131\u011f\u0131nda v\u00fccutta do\u011fal olarak \u00fcretilir. <span class=\"goog-text-highlight\" style=\"vertical-align: inherit;\">Multipl skleroz n\u00fcks oranlar\u0131, daha az g\u00fcne\u015f \u0131\u015f\u0131\u011f\u0131n\u0131n oldu\u011fu ve insanlar\u0131n daha d\u00fc\u015f\u00fck D vitamini seviyelerine <\/span><span class=\"goog-text-highlight\" style=\"vertical-align: inherit;\">sahip oldu\u011fu k\u0131\u015f aylar\u0131nda da artar.Artan enlem ve k\u0131\u015f mevsimi ile MS vakalar\u0131n\u0131n bu \u00f6r\u00fcnt\u00fcs\u00fc, UV maruziyetinin MS&#8217;e kar\u015f\u0131 koruma sa\u011flayabilece\u011fini d\u00fc\u015f\u00fcnd\u00fcrmektedir.<\/span><\/span><\/p>\n<p class=\"\"><span style=\"vertical-align: inherit;\">Ulusal MS Derne\u011fi 1946&#8217;da kuruldu ve MS&#8217;i yolunda durdurmaya ve MS&#8217;i temelli bitirmeye \u00e7al\u0131\u015f\u0131yor. Hastal\u0131k hakk\u0131nda zengin bilgi sa\u011flarlar ve MS ve D vitamini ara\u015ft\u0131rmalar\u0131 da dahil olmak \u00fczere MS ile ilgili bir\u00e7ok ara\u015ft\u0131rma i\u00e7in \u00f6nemli bir finansman kayna\u011f\u0131d\u0131r. D, daha d\u00fc\u015f\u00fck bir MS geli\u015ftirme riski ile ili\u015fkilidir.<\/span><\/p>\n<p class=\"\"><span style=\"vertical-align: inherit;\">D vitamini al\u0131m\u0131 ile multipl skleroz geli\u015fimi aras\u0131ndaki ili\u015fkiyi inceleyen 187.000&#8217;den fazla kad\u0131n \u00fczerinde yap\u0131lan bir ba\u015fka \u00e7al\u0131\u015fmada, daha fazla D vitamini t\u00fcketen kad\u0131nlar\u0131n, daha az t\u00fcketen ve daha fazla D vitamini t\u00fcketen kad\u0131nlara k\u0131yasla MS geli\u015ftirme riskinin %33 daha d\u00fc\u015f\u00fck oldu\u011fu bulundu. . D vitamini takviyesi, almayanlara g\u00f6re MS riskini %41 oran\u0131nda azaltt\u0131.<\/span><\/p>\n<p class=\"\"><span style=\"vertical-align: inherit;\">Baz\u0131 ara\u015ft\u0131rmalar, D vitamininin v\u00fccuttaki ba\u011f\u0131\u015f\u0131kl\u0131k ve enflamatuar tepkileri d\u00fczenlemede oynad\u0131\u011f\u0131 rol nedeniyle, D vitamininin multipl skleroz gibi otoimm\u00fcn hastal\u0131klarla ba\u015fa \u00e7\u0131kmaya yard\u0131mc\u0131 olabilece\u011fini d\u00fc\u015f\u00fcnd\u00fcrmektedir. D vitamininin, otoimm\u00fcn hastal\u0131klar\u0131n a\u015f\u0131r\u0131 reaksiyon \u00f6zelli\u011fini \u00f6nlerken ba\u011f\u0131\u015f\u0131kl\u0131k sisteminin aktivitesini desteklemek i\u00e7in d\u00fczenleyici T h\u00fccrelerinin aktivasyonunu mod\u00fcle etti\u011fi g\u00f6sterilmi\u015ftir.<\/span><\/p>\n<h2><span style=\"vertical-align: inherit;\">D vitamini, multipl skleroz semptomlar\u0131n\u0131n tedavisine yard\u0131mc\u0131 olabilir mi?<\/span><\/h2>\n<p class=\"\"><span style=\"vertical-align: inherit;\">Ara\u015ft\u0131rmalar, g\u00fcne\u015fe maruz kalma ve D vitamini d\u00fczeylerinin, multipl sklerozda engellilik geli\u015fimi ile ba\u011flant\u0131l\u0131 oldu\u011funu ve y\u00fcksek D vitamini d\u00fczeylerinin, multipl skleroz semptomlar\u0131n\u0131n y\u00f6netilmesine yard\u0131mc\u0131 olabilece\u011fini g\u00f6stermektedir. Relapslar aras\u0131ndaki s\u00fcre.<\/span><\/p>\n<p class=\"\"><span style=\"vertical-align: inherit;\">D vitamini en iyi kemik sa\u011fl\u0131\u011f\u0131ndaki rol\u00fc ile bilinir. D vitamini, kemiklerin in\u015fas\u0131 ve g\u00fc\u00e7lendirilmesi i\u00e7in gerekli olan ve ba\u011f\u0131\u015f\u0131kl\u0131k sistemi ile ilgili genlerle do\u011frudan etkile\u015fime giren kalsiyum emilimini art\u0131r\u0131r. MS d\u00fc\u015fme, kemik k\u0131r\u0131lmas\u0131 ve osteoporoz riskini art\u0131r\u0131r. D vitamini seviyenizi korumak, kemiklerinizi sa\u011fl\u0131kl\u0131 ve g\u00fc\u00e7l\u00fc tutman\u0131za yard\u0131mc\u0131 olabilir.<\/span><\/p>\n<p class=\"\"><span style=\"vertical-align: inherit;\">Hollanda&#8217;da yap\u0131lan bir ara\u015ft\u0131rma, multipl sklerozlu ki\u015filerde D vitamini d\u00fczeylerinin artmas\u0131n\u0131n semptomlar\u0131n s\u0131kl\u0131\u011f\u0131n\u0131 ve \u015fiddetini azaltabilece\u011fini \u00f6ne s\u00fcrd\u00fc. Bu \u00e7al\u0131\u015fmada, D vitamini d\u00fczeylerini iki kat\u0131na \u00e7\u0131karmak, MS&#8217;in tekrarlama riskinde %27&#8217;lik bir azalma ile ili\u015fkilendirilmi\u015ftir. 110 MS hastas\u0131n\u0131 i\u00e7eren ba\u015fka bir \u00e7al\u0131\u015fma, kan D vitamini seviyelerindeki her 10 nmol\/L art\u0131\u015f\u0131n, %12 oran\u0131nda daha d\u00fc\u015f\u00fck n\u00fcks riski ile ili\u015fkili oldu\u011funu buldu. Bu \u00e7al\u0131\u015fma ayr\u0131ca, D vitamini d\u00fczeylerini 50 nmol\/L art\u0131rman\u0131n, n\u00fcks riskini %50&#8217;ye kadar azaltabilece\u011fini buldu.<\/span><strong>\u00a0<\/strong><\/p>\n<p class=\"\"><span style=\"vertical-align: inherit;\">Harvard Halk Sa\u011fl\u0131\u011f\u0131 Okulu&#8217;ndaki ara\u015ft\u0131rmac\u0131lar taraf\u0131ndan yap\u0131lan bir ara\u015ft\u0131rma, hastal\u0131\u011f\u0131n erken d\u00f6nemindeki d\u00fc\u015f\u00fck D vitamini d\u00fczeylerinin, MS&#8217;in uzun s\u00fcreli artan aktivitesi ve ilerlemesi i\u00e7in g\u00fc\u00e7l\u00fc bir risk fakt\u00f6r\u00fc oldu\u011funu buldu. Bir\u00e7ok \u00e7al\u0131\u015fma, Geni\u015fletilmi\u015f Engellilik Durum \u00d6l\u00e7e\u011fi (EDSS) ile \u00f6l\u00e7\u00fcld\u00fc\u011f\u00fc \u00fczere, d\u00fc\u015f\u00fck D vitamini seviyeleri ile multipl sklerozun artan \u015fiddeti aras\u0131nda anlaml\u0131 bir ili\u015fki oldu\u011funu g\u00f6stermi\u015ftir. N\u00f6rolojik muayene ve hastan\u0131n y\u00fcr\u00fcme yetene\u011fi.<\/span><\/p>\n<p class=\"\"><span style=\"vertical-align: inherit;\">Randomize, \u00e7ift k\u00f6r, plasebo kontroll\u00fc bir \u00e7al\u0131\u015fmada, multipl sklerozu tedavi etmek i\u00e7in ek bir takviye olarak D3 vitamini alan hastalar, beyin lezyonlar\u0131n\u0131n say\u0131s\u0131nda bir azalma ve sakatl\u0131k birikiminde marjinal bir azalma ya\u015fad\u0131. 5 y\u0131ll\u0131k uzun s\u00fcreli bir MS kohort \u00e7al\u0131\u015fmas\u0131nda, ara\u015ft\u0131rmac\u0131lar D vitamini durumu ile beyin de\u011fi\u015fiklikleri aras\u0131ndaki ili\u015fkiyi incelediler ve daha y\u00fcksek serum D vitamini d\u00fczeylerinin azalm\u0131\u015f beyin lezyonu aktivitesi ile ili\u015fkili oldu\u011funu buldular. T\u00fcm bu \u00e7al\u0131\u015fmalar, D vitamininin MS semptomlar\u0131n\u0131 y\u00f6netmenize, hastal\u0131\u011f\u0131n \u015fiddetini azaltman\u0131za ve tekrarlama say\u0131s\u0131n\u0131 azaltman\u0131za yard\u0131mc\u0131 olabilece\u011fi fikrini desteklemektedir.<\/span><\/p>\n<h2><span style=\"vertical-align: inherit;\">D Vitamini Eksikli\u011fi MS&#8217;i Taklit Edebilir mi?<\/span><\/h2>\n<p class=\"\"><span style=\"vertical-align: inherit;\">Hem D vitamini eksikli\u011fi hem de MS, baz\u0131lar\u0131 her iki durumla \u00f6rt\u00fc\u015fen \u00e7ok \u00e7e\u015fitli semptomlara sahiptir. D vitamini eksikli\u011fi eklem ve kemik a\u011fr\u0131s\u0131na, kemik kayb\u0131na, kemik zay\u0131fl\u0131\u011f\u0131na ve uyu\u015fuklu\u011fa neden olabilir. D vitamini eksikli\u011fi ayr\u0131ca kas a\u011fr\u0131s\u0131na ve g\u00fc\u00e7s\u00fczl\u00fc\u011fe neden olabilir, s\u0131kl\u0131kla hastalanabilir, yorulabilir ve ruh sa\u011fl\u0131\u011f\u0131n\u0131 bozabilir.<\/span><\/p>\n<p class=\"\"><span style=\"vertical-align: inherit;\">Di\u011fer semptomlar\u0131n yan\u0131 s\u0131ra, multipl skleroz uyu\u015fukluk, kas zay\u0131fl\u0131\u011f\u0131, kas kramplar\u0131, yorgunluk, bili\u015fsel bozulma ve duygusal depresif semptomlara veya dengesiz ruh hallerine yol a\u00e7abilir. Bunlar\u0131n hepsi D vitamini eksikli\u011fi ile de ili\u015fkili olabilecek belirtilerdir.Yukar\u0131daki belirtilerden herhangi birini ya\u015farsan\u0131z, te\u015fhis ve tedavi plan\u0131 i\u00e7in doktorunuza g\u00f6r\u00fcn\u00fcn.<\/span><\/p>\n<h2><span style=\"vertical-align: inherit;\">Multipl sklerozlu hastalarda D vitamini gebeli\u011fi nas\u0131l etkiler?<\/span><\/h2>\n<p class=\"\"><span style=\"vertical-align: inherit;\">Ara\u015ft\u0131rmalar, y\u00fcksek anne D vitamini d\u00fczeylerinin yavrularda multipl skleroz riskini azaltabilece\u011fini g\u00f6stermektedir. Hamilelik s\u0131ras\u0131nda annenin D vitamini d\u00fczeylerini inceleyen bir ara\u015ft\u0131rma, D vitamini eksikli\u011fi olan bebeklerde multipl skleroz geli\u015fme riskinin %90 daha y\u00fcksek oldu\u011funu buldu. Anneleri eksik olmayan bebeklere k\u0131yasla.<\/span><\/p>\n<p class=\"\"><span style=\"vertical-align: inherit;\">\u00a0Danimarka Multipl Skleroz Kay\u0131t Defteri ve Danimarka Yenido\u011fan Tarama Biyobankas\u0131 verilerini kullanarak 521 MS hastas\u0131nda ve 972 kontrolde D vitamini d\u00fczeylerini inceleyen bir ba\u015fka \u00e7al\u0131\u015fma, MS riski y\u00fcksek olanlar\u0131n en d\u00fc\u015f\u00fck MS D vitamini d\u00fczeylerine sahip oldu\u011funu buldu. multipl skleroz geli\u015fme riski en d\u00fc\u015f\u00fck olan grup en y\u00fcksek D vitamini seviyelerine sahipti. Bu bulgular hamilelik s\u0131ras\u0131nda D vitamini eksikli\u011finin yavrularda multipl skleroz geli\u015fme riskini art\u0131rabilece\u011fini g\u00f6steriyor.<\/span><\/p>\n<h2><span style=\"vertical-align: inherit;\">D vitamini MS&#8217;i tersine \u00e7evirebilir mi?<\/span><\/h2>\n<p class=\"\"><span style=\"vertical-align: inherit;\">D vitamini MS&#8217;yi tedavi edemese de, ara\u015ft\u0131rmalar D vitamini d\u00fczeylerinin artmas\u0131n\u0131n hastal\u0131\u011f\u0131n ilerlemesini yava\u015flatmaya yard\u0131mc\u0131 olabilece\u011fini g\u00f6stermi\u015ftir. Baz\u0131 \u00e7al\u0131\u015fmalar ayr\u0131ca D vitamininin MS n\u00fckslerini \u00f6nleyebilece\u011fini ve ataklar\u0131n \u015fiddetini azaltabilece\u011fini d\u00fc\u015f\u00fcnd\u00fcrmektedir.<\/span><\/p>\n<p class=\"\"><span style=\"vertical-align: inherit;\">MS&#8217;li insanlar genellikle daha iyi MS sonu\u00e7larla ili\u015fkili d\u00fc\u015f\u00fck D vitamini d\u00fczeyleri ve y\u00fcksek D vitamini d\u00fczeyleri nedeniyle, MS&#8217;li insanlar\u0131n yeterli D vitamini d\u00fczeylerini korumak i\u00e7in ad\u0131mlar atmas\u0131 \u00f6nemlidir. Sa\u011fl\u0131kl\u0131 \u00fczere g\u00f6sterilmi\u015ftir D vitamini d\u00fczeylerinin d\u00fczeltilmesi aral\u0131\u011f\u0131, otoimm\u00fcn hastal\u0131klar\u0131 olan hastalara yard\u0131mc\u0131 olur.<\/span><\/p>\n<h2><span style=\"vertical-align: inherit;\">Multipl skleroz hastalar\u0131 ne kadar D vitamini almal\u0131?<\/span><\/h2>\n<p class=\"\"><span style=\"vertical-align: inherit;\">D vitamini alman\u0131n en iyi yolu hakk\u0131nda t\u0131p camias\u0131nda baz\u0131 tart\u0131\u015fmalar var. Baz\u0131 doktorlar oral takviyeleri tavsiye ediyor, ancak D vitamini haplar\u0131n\u0131n en iyi se\u00e7iminiz olmamas\u0131n\u0131n bir\u00e7ok nedeni var. Oral D vitamini takviyeleri \u015fa\u015f\u0131rt\u0131c\u0131 derecede \u00e7ok say\u0131da insan i\u00e7in etkili de\u011fildir ve \u0131\u015f\u0131\u011fa maruz kalmakla ayn\u0131 sa\u011fl\u0131k yararlar\u0131n\u0131 sa\u011flamaz. Bu konuda daha fazla bilgi edinmek i\u00e7in,<\/span><\/p>\n<p class=\"\"><span style=\"vertical-align: inherit;\">Multipl skleroz i\u00e7in en iyi D vitamini formunu ve multipl skleroz tedavisi i\u00e7in \u00f6nerilen D vitamini protokol\u00fcn\u00fc belirlemek i\u00e7in daha fazla ara\u015ft\u0131rmaya ihtiya\u00e7 vard\u0131r. D vitamini dozaj \u00f6nerileri t\u0131p camias\u0131nda b\u00fcy\u00fck farkl\u0131l\u0131klar g\u00f6stermektedir.<\/span><\/p>\n<p class=\"\"><span style=\"vertical-align: inherit;\">T\u0131p Enstit\u00fcs\u00fc (IOM), D vitamini diyetinin g\u00fcnde 600 uluslararas\u0131 birim (IU) olmas\u0131n\u0131 \u00f6nermektedir. Bu \u00f6neri, MS insidans\u0131n\u0131 veya \u015fiddetini etkilemek i\u00e7in neyin gerekli oldu\u011funa de\u011fil, ra\u015fitizm ve osteoporozu \u00f6nlemek i\u00e7in neye ihtiya\u00e7 duyuldu\u011funa dayanmaktad\u0131r. Bir\u00e7ok D vitamini ara\u015ft\u0131rmac\u0131s\u0131 bu \u00f6neriye kat\u0131lmamakta ve IOM taraf\u0131ndan \u00f6nerilen faydalar\u0131n eksiklikleri \u00f6nlemek veya kemik sa\u011fl\u0131\u011f\u0131n\u0131 desteklemek i\u00e7in yeterli olmad\u0131\u011f\u0131n\u0131 iddia etmektedir. Genel olarak, kan de\u011ferleri izlendi\u011fi s\u00fcrece g\u00fcnde 4.000 IU veya daha az\u0131 g\u00fcvenli kabul edilir. A\u015f\u0131r\u0131 dozda oral D vitamininden ka\u00e7\u0131nmak \u00f6nemlidir. D vitamini al\u0131m\u0131 \u00e7ok y\u00fcksekse, potansiyel olarak tehlikeli sonu\u00e7larla y\u00fcksek kan kalsiyum seviyelerine neden olabilir.<\/span><\/p>\n<p class=\"\"><span style=\"vertical-align: inherit;\">D vitaminini \u0131\u015f\u0131ktan almak, v\u00fccudun D vitamini \u00fcretimini kendi kendine d\u00fczenlemesine ve a\u015f\u0131r\u0131 doz veya toksisite riski olmadan sa\u011fl\u0131kl\u0131 kalmak i\u00e7in ihtiya\u00e7 duydu\u011fu \u015feyi almas\u0131na olanak tan\u0131r. Oral takviyelerin aksine, cildiniz taraf\u0131ndan \u00fcretilen D3 vitaminini a\u015f\u0131r\u0131 dozda alamazs\u0131n\u0131z. Yeterli D vitamininiz varsa, v\u00fccudunuz daha az \u00fcretecektir.<\/span><\/p>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>MS nedir? Multipl skleroz (MS), beyin ve omurilik aksonlar\u0131n\u0131n etraf\u0131ndaki ya\u011fl\u0131 miyelin k\u0131l\u0131f\u0131n\u0131n hasar g\u00f6rd\u00fc\u011f\u00fc, demiyelinizasyon ve skarla\u015fmaya neden oldu\u011fu otoimm\u00fcn inflamatuar bir hastal\u0131kt\u0131r. A\u015fa\u011f\u0131dakiler dahil olmak \u00fczere \u00e7ok \u00e7e\u015fitli semptomlar vard\u0131r: hassasiyet kayb\u0131, kar\u0131ncalanma, uyu\u015fma, kas zay\u0131fl\u0131\u011f\u0131, kas spazmlar\u0131, hareket etmede zorluk, zay\u0131f koordinasyon, dengesizlik, konu\u015fma veya yutma g\u00fc\u00e7l\u00fc\u011f\u00fc, g\u00f6rme sorunlar\u0131, yorgunluk, akut veya &hellip;<\/p>\n","protected":false},"author":1,"featured_media":1449,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[33],"tags":[248],"class_list":["post-2704","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized-tr","tag-ms-nedirvitamin-d-multiple-sclerosis"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.0 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>MS nedir? - the health<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/ahelth.com\/tr\/vitamin-d-multiple-sclerosis\/\" \/>\n<meta property=\"og:locale\" content=\"tr_TR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"MS nedir? - the health\" \/>\n<meta property=\"og:description\" content=\"MS nedir? Multipl skleroz (MS), beyin ve omurilik aksonlar\u0131n\u0131n etraf\u0131ndaki ya\u011fl\u0131 miyelin k\u0131l\u0131f\u0131n\u0131n hasar g\u00f6rd\u00fc\u011f\u00fc, demiyelinizasyon ve skarla\u015fmaya neden oldu\u011fu otoimm\u00fcn inflamatuar bir hastal\u0131kt\u0131r. A\u015fa\u011f\u0131dakiler dahil olmak \u00fczere \u00e7ok \u00e7e\u015fitli semptomlar vard\u0131r: hassasiyet kayb\u0131, kar\u0131ncalanma, uyu\u015fma, kas zay\u0131fl\u0131\u011f\u0131, kas spazmlar\u0131, hareket etmede zorluk, zay\u0131f koordinasyon, dengesizlik, konu\u015fma veya yutma g\u00fc\u00e7l\u00fc\u011f\u00fc, g\u00f6rme sorunlar\u0131, yorgunluk, akut veya &hellip;\" \/>\n<meta property=\"og:url\" content=\"https:\/\/ahelth.com\/tr\/vitamin-d-multiple-sclerosis\/\" \/>\n<meta property=\"og:site_name\" content=\"the health\" \/>\n<meta property=\"article:published_time\" content=\"2021-11-11T22:36:14+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/ahelth.com\/wp-content\/uploads\/2021\/11\/vitamin-d-multiple-sclerosis-3.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1280\" \/>\n\t<meta property=\"og:image:height\" content=\"960\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"admin\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Yazan:\" \/>\n\t<meta name=\"twitter:data1\" content=\"admin\" \/>\n\t<meta name=\"twitter:label2\" content=\"Tahmini okuma s\u00fcresi\" \/>\n\t<meta name=\"twitter:data2\" content=\"9 dakika\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/ahelth.com\/tr\/vitamin-d-multiple-sclerosis\/\",\"url\":\"https:\/\/ahelth.com\/tr\/vitamin-d-multiple-sclerosis\/\",\"name\":\"MS nedir? - the health\",\"isPartOf\":{\"@id\":\"https:\/\/ahelth.com\/es\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/ahelth.com\/tr\/vitamin-d-multiple-sclerosis\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/ahelth.com\/tr\/vitamin-d-multiple-sclerosis\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/ahelth.com\/wp-content\/uploads\/2021\/11\/vitamin-d-multiple-sclerosis-3.jpg\",\"datePublished\":\"2021-11-11T22:36:14+00:00\",\"dateModified\":\"2021-11-11T22:36:14+00:00\",\"author\":{\"@id\":\"https:\/\/ahelth.com\/es\/#\/schema\/person\/ac5d2a0af0e99e510259404003db4164\"},\"breadcrumb\":{\"@id\":\"https:\/\/ahelth.com\/tr\/vitamin-d-multiple-sclerosis\/#breadcrumb\"},\"inLanguage\":\"tr\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/ahelth.com\/tr\/vitamin-d-multiple-sclerosis\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"tr\",\"@id\":\"https:\/\/ahelth.com\/tr\/vitamin-d-multiple-sclerosis\/#primaryimage\",\"url\":\"https:\/\/ahelth.com\/wp-content\/uploads\/2021\/11\/vitamin-d-multiple-sclerosis-3.jpg\",\"contentUrl\":\"https:\/\/ahelth.com\/wp-content\/uploads\/2021\/11\/vitamin-d-multiple-sclerosis-3.jpg\",\"width\":1280,\"height\":960,\"caption\":\"vitamin-d-multiple-sclerosis\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/ahelth.com\/tr\/vitamin-d-multiple-sclerosis\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/ahelth.com\/tr\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"MS nedir?\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/ahelth.com\/es\/#website\",\"url\":\"https:\/\/ahelth.com\/es\/\",\"name\":\"the health\",\"description\":\"Articles on health\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/ahelth.com\/es\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"tr\"},{\"@type\":\"Person\",\"@id\":\"https:\/\/ahelth.com\/es\/#\/schema\/person\/ac5d2a0af0e99e510259404003db4164\",\"name\":\"admin\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"tr\",\"@id\":\"https:\/\/ahelth.com\/es\/#\/schema\/person\/image\/\",\"url\":\"https:\/\/ahelth.com\/wp-content\/litespeed\/avatar\/cf9c2aee656e3b593d532107b6b087d0.jpg?ver=1774746393\",\"contentUrl\":\"https:\/\/ahelth.com\/wp-content\/litespeed\/avatar\/cf9c2aee656e3b593d532107b6b087d0.jpg?ver=1774746393\",\"caption\":\"admin\"},\"sameAs\":[\"http:\/\/ahelth.com\"],\"url\":\"https:\/\/ahelth.com\/tr\/author\/admin\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"MS nedir? - the health","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/ahelth.com\/tr\/vitamin-d-multiple-sclerosis\/","og_locale":"tr_TR","og_type":"article","og_title":"MS nedir? - the health","og_description":"MS nedir? Multipl skleroz (MS), beyin ve omurilik aksonlar\u0131n\u0131n etraf\u0131ndaki ya\u011fl\u0131 miyelin k\u0131l\u0131f\u0131n\u0131n hasar g\u00f6rd\u00fc\u011f\u00fc, demiyelinizasyon ve skarla\u015fmaya neden oldu\u011fu otoimm\u00fcn inflamatuar bir hastal\u0131kt\u0131r. A\u015fa\u011f\u0131dakiler dahil olmak \u00fczere \u00e7ok \u00e7e\u015fitli semptomlar vard\u0131r: hassasiyet kayb\u0131, kar\u0131ncalanma, uyu\u015fma, kas zay\u0131fl\u0131\u011f\u0131, kas spazmlar\u0131, hareket etmede zorluk, zay\u0131f koordinasyon, dengesizlik, konu\u015fma veya yutma g\u00fc\u00e7l\u00fc\u011f\u00fc, g\u00f6rme sorunlar\u0131, yorgunluk, akut veya &hellip;","og_url":"https:\/\/ahelth.com\/tr\/vitamin-d-multiple-sclerosis\/","og_site_name":"the health","article_published_time":"2021-11-11T22:36:14+00:00","og_image":[{"width":1280,"height":960,"url":"https:\/\/ahelth.com\/wp-content\/uploads\/2021\/11\/vitamin-d-multiple-sclerosis-3.jpg","type":"image\/jpeg"}],"author":"admin","twitter_card":"summary_large_image","twitter_misc":{"Yazan:":"admin","Tahmini okuma s\u00fcresi":"9 dakika"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/ahelth.com\/tr\/vitamin-d-multiple-sclerosis\/","url":"https:\/\/ahelth.com\/tr\/vitamin-d-multiple-sclerosis\/","name":"MS nedir? - the health","isPartOf":{"@id":"https:\/\/ahelth.com\/es\/#website"},"primaryImageOfPage":{"@id":"https:\/\/ahelth.com\/tr\/vitamin-d-multiple-sclerosis\/#primaryimage"},"image":{"@id":"https:\/\/ahelth.com\/tr\/vitamin-d-multiple-sclerosis\/#primaryimage"},"thumbnailUrl":"https:\/\/ahelth.com\/wp-content\/uploads\/2021\/11\/vitamin-d-multiple-sclerosis-3.jpg","datePublished":"2021-11-11T22:36:14+00:00","dateModified":"2021-11-11T22:36:14+00:00","author":{"@id":"https:\/\/ahelth.com\/es\/#\/schema\/person\/ac5d2a0af0e99e510259404003db4164"},"breadcrumb":{"@id":"https:\/\/ahelth.com\/tr\/vitamin-d-multiple-sclerosis\/#breadcrumb"},"inLanguage":"tr","potentialAction":[{"@type":"ReadAction","target":["https:\/\/ahelth.com\/tr\/vitamin-d-multiple-sclerosis\/"]}]},{"@type":"ImageObject","inLanguage":"tr","@id":"https:\/\/ahelth.com\/tr\/vitamin-d-multiple-sclerosis\/#primaryimage","url":"https:\/\/ahelth.com\/wp-content\/uploads\/2021\/11\/vitamin-d-multiple-sclerosis-3.jpg","contentUrl":"https:\/\/ahelth.com\/wp-content\/uploads\/2021\/11\/vitamin-d-multiple-sclerosis-3.jpg","width":1280,"height":960,"caption":"vitamin-d-multiple-sclerosis"},{"@type":"BreadcrumbList","@id":"https:\/\/ahelth.com\/tr\/vitamin-d-multiple-sclerosis\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/ahelth.com\/tr\/"},{"@type":"ListItem","position":2,"name":"MS nedir?"}]},{"@type":"WebSite","@id":"https:\/\/ahelth.com\/es\/#website","url":"https:\/\/ahelth.com\/es\/","name":"the health","description":"Articles on health","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/ahelth.com\/es\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"tr"},{"@type":"Person","@id":"https:\/\/ahelth.com\/es\/#\/schema\/person\/ac5d2a0af0e99e510259404003db4164","name":"admin","image":{"@type":"ImageObject","inLanguage":"tr","@id":"https:\/\/ahelth.com\/es\/#\/schema\/person\/image\/","url":"https:\/\/ahelth.com\/wp-content\/litespeed\/avatar\/cf9c2aee656e3b593d532107b6b087d0.jpg?ver=1774746393","contentUrl":"https:\/\/ahelth.com\/wp-content\/litespeed\/avatar\/cf9c2aee656e3b593d532107b6b087d0.jpg?ver=1774746393","caption":"admin"},"sameAs":["http:\/\/ahelth.com"],"url":"https:\/\/ahelth.com\/tr\/author\/admin\/"}]}},"_links":{"self":[{"href":"https:\/\/ahelth.com\/tr\/wp-json\/wp\/v2\/posts\/2704","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ahelth.com\/tr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ahelth.com\/tr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ahelth.com\/tr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/ahelth.com\/tr\/wp-json\/wp\/v2\/comments?post=2704"}],"version-history":[{"count":0,"href":"https:\/\/ahelth.com\/tr\/wp-json\/wp\/v2\/posts\/2704\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ahelth.com\/tr\/wp-json\/wp\/v2\/media\/1449"}],"wp:attachment":[{"href":"https:\/\/ahelth.com\/tr\/wp-json\/wp\/v2\/media?parent=2704"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ahelth.com\/tr\/wp-json\/wp\/v2\/categories?post=2704"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ahelth.com\/tr\/wp-json\/wp\/v2\/tags?post=2704"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}