ʻO nā wikamina, pono no ka hana kūpono o ka meaola, no ka hapa nui i hāʻawi ʻia e ka meaʻai. ʻO ka waiū i loko o nā mahina mua, i kākoʻo ʻia e nā meaʻai ʻē aʻe āpau i ka manawa o ka laha ʻana, nā kumuwaiwai o nā pēpē. Eia naʻe, ʻaʻole lawa kaʻai ʻana o kekahi mau wikamina pono i nā pēpē. ʻO kēia ke kumu e paipai ai i ka supplementation. ʻO nā wikamina hea ka hopena? He aha ke kuleana o lākou i ke kino? ʻO nā mea āpau āu e ʻike ai e pili ana i nā huaora no kāu pēpē.

Hana ʻia ka wikamina D e ke kino ma lalo o ka mana o ka lā. ʻOi aku ka pololei, synthesize ko mākou ʻili ke hōʻike mākou iā mākou iho i ka lā. Loaʻa kēia huaola i loko o kekahi mau meaʻai (salmon, mackerel, sardines, egg yolk, butter, milk, etc.). Mālama ʻo Wikamina D i ka omo ʻia ʻana o ka ʻōpū o ka calcium a me ka phosphore, pono no ka mineralization iwi. I nā huaʻōlelo ʻē aʻe, he mea nui ka lāʻau D, keu hoʻi i ka pēpē, no ka mea kōkua ia i ka ulu a me ka hoʻoikaika ʻana i nā iwi.

I nā pēpē, ʻaʻole lawa ka lawe ʻana o ka wikamina D i loko o ka waiū o ka waiū a i ʻole ka pāʻina pēpē. I mea e pale aku ai i nā rickets, kahi maʻi e hōʻino ai i nā deformities a me ka lawa ʻole o ka mineralization o nā iwi, ua paipai ʻia ka mea hoʻohui vitamin D i nā keiki āpau mai nā lā mua o ke ola. "Pono e hoʻomau i kēia supplementation ma loko o ka pae o ka ulu a me ka mineralization iwi, ʻo ia hoʻi a 18 mau makahiki", e hōʻike ana i ka French Association of Ambulatory Pediatrics (AFPA).

Mai ka hānau ʻana a 18 mau mahina, ʻo ka mea i manaʻo ʻia he 800 a hiki i ka 1200 IU i kēlā me kēia lā. Hoʻololi ka nui i ka hilinaʻi ʻia o ka umauma a pēpē paha o ke keiki.

• inā hānai umauma ʻia ʻo pēpē, 1200 IU ka hoʻonui ma ka lā.

Mai 18 mau mahina a hiki i 5 mau makahiki, paipai ʻia ka supplementation i ka hoʻoilo (e uku no ka loaʻa ʻole o ka mālamalama maoli). Kūkā ʻia kahi mea hoʻohui ʻē aʻe i ka wā o ka ulu ʻana o ka ʻōpio.

Ke hoʻomaka nei kahi hōʻano o kēia mau ʻōlelo aʻoaʻo. "E kaulike kēia mau mea me nā ʻōlelo aʻoaʻo a ʻEulopa, ʻo ia hoʻi 400 IU i kēlā me kēia lā mai 0 a 18 mau makahiki i nā keiki olakino me ka ʻole o nā mea pilikia, a me 800 IU i kēlā me kēia lā mai 0 a 18 mau makahiki i nā keiki me kahi mea pilikia," wahi a ka National Food Safe ʻO Agency (ANSES) i kahi hoʻolaha paʻi i paʻi ʻia ma Ianuali 27, 2021.

Pono e kau ʻia e ka polima ʻoihana ola ka lāʻau Vitamin D i nā pēpē. Pono ia i ke ʻano o ka lāʻau lapaʻau a ʻaʻole i ke ʻano o nā mea hoʻopiha meaʻai i hoʻonui ʻia me ka huaola D (i kekahi manawa ʻo ka vitamini D ka nui.  

ʻO kahi overdose o ka wikamina D ʻaʻole pilikia me nā keiki ʻōpio. I Ianuali 2021, ua hoʻolaha ʻo ANSES i nā hihia o ka overdose i nā keiki ʻōpio ma hope o ka lawe ʻana o nā mea hoʻopihapiha meaʻai i hoʻonui ʻia me ka huaola D. ʻO nā keiki e pili ana i ka hypercalcemia (ʻo ka nui o ka calcium i loko o ke koko) i hiki ke hōʻeha i nā puʻupaʻa. I mea e hōʻalo ai i kahi overdose hiki weliweli no ke olakino o nā pēpē, hoʻomanaʻo ʻo ANSES i nā mākua a me nā ʻoihana ola.

ʻaʻole e hoʻonui i nā huahana i loaʻa i ka vitamin D. 

• e makemake i nā lāʻau ma mua o nā mea hoʻopihaʻai.
• hōʻoia i nā mahele lāʻau i lawelawe ʻia (e nānā i ka nui o ka wikamina D i kēlā me kēia kulu).

He mea nui ka Vitamin K i ka hoʻohui koko, kōkua ia i ka pale ʻana i ke kahe ʻana o ke kahe. ʻAʻole hana ko mākou kino iā ia, no laila hāʻawi ʻia e ka meaʻai (nā mea kanu ʻōmaʻomaʻo, nā iʻa, ka ʻiʻo, nā hua manu). I ka wā hānau, loaʻa i nā pēpē hou nā waihona haʻahaʻa o ka wikamina K a no laila ua hoʻonui ʻia ka makaʻu o ke kahe ʻana o ka naʻau (kūloko a kūwaho hoʻi), a he mea ʻino loa kēia inā pili lākou i ka lolo. Mea pōmaikaʻi, kākaʻikahi loa kēia. 

I mea e hōʻalo ai i ke kōkō o ka wikamina K, hāʻawi ʻia nā pēpē ma Palani i 2 mg o ka huaola K i ka wā hānau i ka haukapila, 2 mg ma waena o ka lā 4 a me 7 o ke ola a me 2 mg ma ka 1 mahina.

Pono e hoʻomau ʻia kēia kumukanawai i nā pēpē umauma wale nō (ʻoi aku ka waiwai o ka waiū o ka waiū me ka waiū K ma mua o ka waiū pēpē). No laila, koi ʻia e hāʻawi i hoʻokahi ampoule o 2 mg waha i kēlā me kēia pule ke lōʻihi ka hānai ʻana o ka hānai. I ka manawa e hoʻolauna ʻia ai ka waiū pēpē, hiki ke hoʻopau ʻia kēia mea hoʻohui. 

Kaawale mai ka wikamina D a me ka wikamina K, ʻaʻohe koi ʻia ka hoʻohuihui i nā pēpē, koe wale ma ka ʻōlelo aʻoaʻo a ka lāʻau.