Ukusilela kwe-folate

Ukusilela kwe-folate anemia kukuhla kweeseli ezibomvu zegazi (i-anemia) ngenxa yokunqongophala komntu. Uhlobo lomntu luhlobo lwe-vitamin B. Ikwabizwa ngokuba yi-folic acid.

I-anemia yimeko apho umzimba ungenayo iiseli ezibomvu zegazi ezaneleyo. Iiseli ezibomvu zegazi zibonelela ngeoksijini kwizicubu zomzimba.

I-Folate (folic acid) iyafuneka kwiiseli ezibomvu zegazi ukuze zikhule kwaye zikhule. Ungayifumana into ngokutya imifuno eluhlaza kunye nesibindi. Nangona kunjalo, umzimba wakho awugcini folate ngesixa esikhulu. Ke, kuya kufuneka utye ukutya okunesityebi okuninzi ukugcina amanqanaba aqhelekileyo ale vithamini.

Kwi-folate-deficiency anemia, iiseli ezibomvu zegazi zikhulu ngokungaqhelekanga. Ezi seli zibizwa ngokuba zii-macrocyte. Zikwabizwa ngokuba zii-megaloblast, xa zibonwa kumongo wethambo. Kungenxa yoko le nto le anemia ikwabizwa ngokuba yi-megaloblastic anemia.

Izizathu zolu hlobo lwe-anemia zibandakanya:

• I-folic acid encinci kukutya kwakho
• I-anemia yeHemolytic
• Ixesha elide lotywala
• Ukusetyenziswa kwamayeza athile (afana ne-phenytoin [Dilantin], methotrexate, sulfasalazine, triamterene, pyrimethamine, trimethoprim-sulfamethoxazole, kunye ne-barbiturates)

Oku kulandelayo kuphakamisa umngcipheko wakho kolu hlobo lwe-anemia:

• Utywala
• Ukutya ukutya okugqithisileyo
• Ukutya okungalunganga (kuhlala kubonwa kumahlwempu, kubantu abadala, nakubantu abangazityiyo iziqhamo okanye imifuno)
• Ukukhulelwa
• Ukutya ukunciphisa umzimba

I-folic acid iyafuneka ukunceda umntwana osesibelekweni ukuba akhule ngokufanelekileyo. I-folic acid encinci ngexesha lokukhulelwa ingakhokelela kwiziphene zokuzalwa kosana.

Iimpawu zingabandakanya:

• Ukudinwa
• Ubuthathaka
• Intloko ebuhlungu
• Umtsalane
• Umlomo olumkileyo nolwimi

Umboneleli wezempilo uya kwenza uvavanyo lomzimba. Uvavanyo olunokwenziwa lunokubandakanya:

• Gcwalisa ubalo lwegazi (CBC)
• Inqanaba lefreyimu yegazi ebomvu

Kwiimeko ezinqabileyo, uvavanyo lomongo wethambo lunokwenziwa.

Injongo kukuchonga nokunyanga unobangela wokusilela komntu.

Unokufumana isongezelelo se-folic acid ngomlomo, ngenwe kwimisipha, okanye ngethambo (kwiimeko ezinqabileyo). Ukuba unamanqanaba asezantsi e-folate ngenxa yengxaki yamathumbu akho, unokufuna unyango ubomi bakho bonke.

Ukutshintsha kokutya kunokunceda ukukhulisa inqanaba lakho lomntu. Yitya uhlaza, imifuno enamagqabi kunye neziqhamo zesitrasi.

Ukusilela kwe-folate anemia kuhlala kuphendula kakuhle kunyango ngaphakathi kweenyanga ezi-3 ukuya kwezi-6. Iya kuba ngcono xa kunyangwa oyena nobangela wokusilela.

Iimpawu anemia kunokubangela kabi. Kwabasetyhini abakhulelweyo, ukusilela komntu kunxulunyaniswa netyhubhu ye-neural okanye iziphene zomgogodla (ezinje nge-spina bifida) kusana.

Ezinye, iingxaki ezinzima zingabandakanya:

• Izinwele ezingwevu ezichetyiweyo
• Ukwanda kombala wesikhumba (i-pigment)
• Ukungachumi
• Ukunyuka kwesifo sentliziyo okanye ukusilela kwentliziyo

Biza umnikezeli wakho ukuba unempawu zokusilela kwe-anemia.

Ukutya ukutya okunesityebi okuninzi kunokunceda ukukhusela le meko.

Iingcali zicebisa ukuba abasetyhini bathathe ii-micrograms ezingama-400 (mcg) ze-folic acid yonke imihla ngaphambi kokuba bakhulelwe kwaye kwiinyanga ezintathu zokuqala zokukhulelwa kwabo.

• Megaloblastic anemia-jonga iiseli ezibomvu zegazi
• Iiseli zegazi

UAntony AC. Iimpawu zeMegaloblastic. Ku: Hoffman R, Benz EJ, Silberstein LE, et al, ii-eds. I-Hematology: Imigaqo esisiseko kunye nokuziqhelanisa. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2018: isahluko 39.

UKumar V, u-Abbas AK, uAster JC. Iinkqubo ze-Hematopoietic kunye ne-lymphoid. Ku: Kumar V, Abbas AK, Aster JC, ii-eds. Robbins yePathology esisiseko. Ngomhla we-10. IPhiladelphia, PA: Elsevier; I-2018: isahluko 12.