Ukusweleka kweVitamin B12

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

Ukunqongophala kwe-Vitamin B12 anemia li-red cell count count ngenxa yokunqongophala kwe-vitamin B12.

Umzimba wakho ufuna ivithamini B12 ukwenza iiseli ezibomvu zegazi. Ukubonelela ngevithamini B12 kwiiseli zakho:

• Kuya kufuneka utye ukutya okune-vitamin B12, njengenyama, iinkuku, iqokobhe, amaqanda, ukutya okuziinkozo kwasekuseni, kunye neemveliso zobisi.
• Umzimba wakho kufuneka uthathe i-vitamin B12 eyaneleyo. Iprotein ekhethekileyo, ebizwa ngokuba yinto yangaphakathi, inceda umzimba wakho ukwenza oku. Le protein ikhutshwa ziiseli esiswini.

Ukungabikho kwe-vitamin B12 kunokubangelwa yimeko yokutya, kuquka:

• Ukutya ukutya okungqongqo kwemifuno
• Ukutya okungalunganga kwiintsana
• Ukungondleki ngexesha lokukhulelwa

Iimeko ezithile zempilo zinokwenza ukuba kubenzima emzimbeni wakho ukufumana i-vitamin B12 eyaneleyo. Ziquka:

• Ukusetyenziswa kotywala
• Isifo seCrohn, isifo se-celiac, usulelo kwi-tapeworm yentlanzi, okanye ezinye iingxaki ezenza kube nzima kumzimba wakho ukwetyisa ukutya
• I-anemia enobungozi, uhlobo lwe-vitamin B12 anemia eyenzeka xa umzimba wakho utshabalalisa iiseli ezenza into engaphakathi
• Utyando olususa iinxalenye ezithile zesisu sakho okanye amathumbu amancinci, njengotyando lokwehla kobunzima
• Ukuthatha ii-antacids kunye namanye amayeza esiqhushumbisi ixesha elide
• Ukusetyenziswa gwenxa kwe "gesi ehlekisayo" (i-nitrous oxide)

Ungeke ube neempawu. Iimpawu zinokuba mnene.

Iimpawu zingabandakanya:

• Urhudo okanye ukuqhina
• Ukudinwa, ukungabi namandla, okanye ukukhanya xa usima okanye uzimisele
• Ukuphelelwa ngumdla wokutya
• Ulusu oluthuthu
• Ndiziva ndicaphuka
• Ukuphefumla kancinci, ubukhulu becala ngexesha lokuzilolonga
• Ukudumba, ulwimi olubomvu okanye iintsini ezophayo

Ukuba unezinga eliphantsi levithamini B12 ixesha elide, unokuba nomonakalo wemithambo-luvo. Iimpawu zomonakalo wemithambo-luvo zibandakanya:

• Ukudideka okanye utshintsho kwimeko yengqondo (isifo sengqondo esixhalabisayo) kwiimeko ezinzima
• Iingxaki zokugxila
• I-Psychosis (ukuphulukana nokunxibelelana nenyani)
• Ukuphulukana nokulingana
• Ubudenge nokutswina kwezandla neenyawo
• Ukuba nemibono

Umboneleli wezempilo uya kwenza uvavanyo lomzimba. Oku kungatyhila iingxaki ngokubonisa kwakho.

Uvavanyo olunokwenziwa lunokubandakanya:

• Gcwalisa ubalo lwegazi (CBC)
• Ukubala kweReticulocyte
• Inqanaba leLactate dehydrogenase (LDH)
• Inqanaba leSerum bilirubin
• Inqanaba leVitamin B12
• Inqanaba leMethylmalonic acid (MMA)
• Inqanaba le-serum homocysteine ​​(i-amino acid efumaneka egazini)

Ezinye iinkqubo ezinokuthi zenziwe zibandakanya:

• I-Esophagogastroduodenoscopy (EGD) yokuvavanya isisu
• I-Enteroscopy yokuvavanya amathumbu amancinci
• Umongo wethambo i-biopsy ukuba isifo asicacanga

Unyango luxhomekeke kwisizathu sokunqongophala kwe-B12 anemia.

Injongo yonyango kukunyusa inqanaba lakho le-vitamin B12.

• Unyango lunokubandakanya ukudubula ivithamini B12 kanye ngenyanga. Ukuba unenqanaba eliphantsi kakhulu le-B12, unokufuna ngakumbi isibhamu ekuqaleni. Kungenzeka ukuba ungadinga ukukholwa inyanga nenyanga bonke ubomi bakho.
• Abanye abantu banokuphendula kunyango ngokuthatha izongezo ze-vitamin B12 ngomlomo.

Umboneleli wakho uyakucebisa ukuba utye iintlobo ngeentlobo zokutya.

Abantu abanolu hlobo lwe-anemia bahlala benza kakuhle ngonyango.

Ukunqongophala kwe-vitamin B12 yexesha elide kunokubangela ukonakala kwentliziyo. Oku kunokuba sisigxina ukuba awuqalanga unyango kwisithuba seenyanga ezi-6 zokuqalisa kweempawu zakho.

Ukusilela kwe-Vitamin B12 anemia kuhlala kuphendula kakuhle kunyango. Iya kuba ngcono xa kunyangwa oyena nobangela wokusilela.

Umfazi okwinqanaba eliphantsi le-B12 unokufumana i-Pap smear engeyiyo. Kungenxa yokuba ukunqongophala kukavithamini B12 kuchaphazela indlela iiseli ezithile (iiseli ze-epithelial) kumlomo wesibeleko.

Biza umnikezeli wakho ukuba unayo nayiphi na impawu ye-anemia.

Unokuthintela i-anemia ebangelwa kukungabikho kwe-vitamin B12 ngokutya ukutya okunezondlo.

Ukudubula i-vitamin B12 kunokuthintela i-anemia ukuba ngaba uye wenza utyando olwaziwayo olubangela ukusilela kwe-vitamin B12.

Ukuxilongwa kwangoko kunye nokunyanga ngokukhawuleza kunokunciphisa okanye kuthintele iingxaki ezinxulumene nenqanaba eliphantsi le-vitamin B12.

Megaloblastic macrocytic anemia

• Megaloblastic anemia-jonga iiseli ezibomvu zegazi
• I-PMN ene-Hypersegmented (Vala kufutshane)

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.

Kuthetha i-RT. Indlela eya kwii-anemias. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 149.

UPerez DL, uMurray ED, amaxabiso BH. Uxinzelelo kunye neengqondo kwi-neurological practice. Ku: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, ii-eds. I-Neurology kaBradley kwiKlinikhi yokuziqhelanisa. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2016: isahluko 10.