IBeriberi

IBeriberi sisifo apho umzimba ungenayo i-thiamine eyaneleyo (ivithamini B1).

Zimbini iintlobo eziphambili zeberiberi:

• I-beriberi emanzi: Ichaphazela inkqubo yentliziyo.
• I-beriberi eyomileyo kunye ne-Wernicke-Korsakoff syndrome: Ichaphazela inkqubo ye-nervous.

IBeriberi inqabile eMelika. Kungenxa yokuba ukutya okuninzi ngoku kunovithamini. Ukuba utya ukutya okuqhelekileyo, okusempilweni, kufuneka ufumane i-thiamine eyaneleyo. Namhlanje, iberiberi yenzeka ikakhulu kubantu abasebenzisa gwenxa utywala. Ukusela kakhulu kunokukhokelela kwisondlo esifanelekileyo. Utywala obuninzi benza kube nzima ukuba umzimba uthathe kwaye ugcine i-vitamin B1.

Kwiimeko ezinqabileyo, iberiberi inokuba yimfuza. Le meko idluliselwa kwiintsapho. Abantu abakule meko baphulukana namandla okufumana i-thiamine kukutya. Oku kunokwenzeka kancinci ngokuhamba kwexesha. Iimpawu zenzeka xa umntu sele emdala. Nangona kunjalo, esi sifo sihlala siphoswa. Kungenxa yokuba ababoneleli ngezempilo abanokuyithathela ingqalelo i-beriberi kwizinto ezingezozo zotywala.

IBeriberi inokwenzeka kwiintsana xa:

• Uncancisiwe kwaye umzimba kamama uyasilela kwi-thiamine
• Ukutya iifomula ezingaqhelekanga ezingenayo i-thiamine eyaneleyo

Olunye unyango olunokuphakamisa umngcipheko we-beriberi zezi:

• Ukufumana i-dialysis
• Ukuthatha amanani aphakamileyo e-diuretics (iipilisi zamanzi)

Iimpawu zeberiberi eyomileyo zibandakanya:

• Kunzima ukuhamba
• Ukuphulukana neemvakalelo ezandleni nasezinyaweni
• Ukuphulukana nokusebenza kwezihlunu okanye ukukhubazeka kwemilenze esezantsi
• Ukudideka kwengqondo / ubunzima bokuthetha
• Intlungu
• Ukuhamba kwamehlo okumangalisayo (nystagmus)
• Ukulinganisa
• Ukuhlanza

Iimpawu zeberiberi emanzi zibandakanya:

• Ukuvuka ebusuku ukuphefumla okufutshane
• Ukunyuka kwentliziyo
• Ukuphefumla okufutshane kunye nomsebenzi
• Ukudumba kwemilenze esezantsi

Uvavanyo lomzimba lunokubonisa iimpawu zokungaphumeleli kwentliziyo, kubandakanya:

• Ubunzima bokuphefumla, kunye nemithambo yentamo ephumayo
• Yandisa intliziyo
• Ulwelo emiphungeni
• Ukubetha kwentliziyo okukhawulezayo
• Ukudumba kwimilenze yomibini esezantsi

Umntu one-beriberi ekuhambeni kwexesha unokudideka okanye abe nenkumbulo kunye nokulahlekiswa. Umntu usenokungakwazi ukuqonda ukungcangcazela.

Uvavanyo lwe-neurological lunokubonisa iimpawu zoku:

• Utshintsho kuhambo
• Iingxaki zokuququzelela
• Ukuhla kwengqondo
• Ukuntywila kweenkophe

Olu vavanyo lulandelayo lunokwenziwa:

• Uvavanyo lwegazi ukulinganisa isixa se-thiamine egazini
• Uvavanyo lomchamo ukubona ukuba i-thiamine iyagqitha kumchamo

Injongo yonyango kukubuyisela i-thiamine emzimbeni wakho. Oku kwenziwa ngezongezo ze thiamine. Izibonelelo zeteamine zinikezelwa ngokudutyulwa (ngenaliti) okanye ngokuthathwa ngomlomo.

Umboneleli wakho unokucebisa nezinye iintlobo zeevithamini.

Uvavanyo lwegazi lunokuphindwa emva kokuba unyango luqalisiwe. Ezi mvavanyo ziya kubonisa indlela ophendula ngayo kunyango.

Ukunganyangwa, i-beriberi inokubulala. Ngonyango, iimpawu zihlala ziphucula ngokukhawuleza.

Umonakalo wentliziyo uhlala ubuyela umva. Ukuchacha ngokupheleleyo kulindeleke kwezi meko. Nangona kunjalo, ukuba ukusilela kwentliziyo ebukhali sele kwenzekile, umbono awukho kakuhle.

Ukonzakala kwenkqubo yemithambo-luvo kuyabuyiselwa kwakhona, ukuba ubanjwe kwangethuba. Ukuba ayibanjwanga kwangethuba, ezinye iimpawu (ezinje ngokulahleka kwememori) zinokuhlala, nangonyango.

Ukuba umntu one-Wernicke encephalopathy ufumana ukutshintshwa kwe-thiamine, iingxaki zolwimi, ukuhamba ngokungaqhelekanga kwamehlo, kunye nobunzima bokuhamba bunokuhamba. Nangona kunjalo, i-Korsakoff syndrome (okanye i-Korsakoff psychosis) ihlala ikhula njengoko iimpawu zeWernicke zihamba.

Iingxaki zinokubandakanya:

• Coma
• Ukusilela kwentliziyo
• Ukufa
• Ingqondo

IBeriberi inqabile kakhulu eMelika. Nangona kunjalo, tsalela umnikezeli wakho ukuba:

• Uziva ukutya kosapho lwakho kungonelanga okanye kungalungelelananga
• Wena okanye abantwana bakho ninazo naziphi na iimpawu zeberiberi

Ukutya ukutya okufanelekileyo okunotye iivithamini kuya kuthintela iberiberi. Oomama abongikazi kufuneka baqinisekise ukuba ukutya kwabo kunazo zonke iivithamini. Ukuba usana lwakho aluncanciswa, qiniseka ukuba ubisi olungumgubo lweentsana lune-thiamine.

Ukuba usela kakhulu, zama ukunciphisa okanye ukuyeka. Kwakhona, thabatha iivithamini B ukuqinisekisa ukuba umzimba wakho uthatha ngokufanelekileyo kwaye ugcina i-thiamine.

Ukuswela ityamine; Ukusilela kweVitamin B1

IKoppel BS. Iziphazamiso ezinxulumene nesondlo kunye notywala. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 388.

I-Sachdev HPS, i-Shah D.I-Vitamin B intswelo enzima kunye nokugqitha. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, ii-eds. Incwadi kaNelson yeNcwadi yePediatrics. Umhla wama-21. IPhiladelphia, PA: Elsevier; 2020: isahluko 62.

Ke YT. Ukusilela kwezifo kwinkqubo yemithambo-luvo. Ku: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, ii-eds. I-Neurology kaBradley kwiKlinikhi yokuziqhelanisa. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2016: isahluko 85.