Into ekufuneka uyazi ngesifo seswekile kunye neB-12

Umxholo

• Ukusilela kweVitamin B-12: Iziva njani
• Izizathu zokunqongophala kwe-vitamin B-12
• Kutheni ukusilela kwe-B-12 kuyinto enzulu
• I-diabetes neuropathy kunye ne-B-12 neuropathy: Kunzima ukuxelela umahluko
• Kufunyaniswa njani ukusilela kwe-B-12
• Kufuneka wenze ntoni xa uneempawu zokusilela kwe-B-12

Ngo-Meyi ka-2020, kucetyiswa ukuba abanye abenzi be-metformin bandise ukukhutshwa kwezinye zeetafile zabo kwintengiso yase-US. Kungenxa yokuba inqanaba elingamkelekanga le-carcinogen enokubakho (iarhente ebangela umhlaza) yafunyanwa kwezinye iipilisi ze-metformin ezandisiweyo. Ukuba ngoku uthatha eli chiza, tsalela umnikezeli wakho wezempilo. Baza kukucebisa malunga nokuba kufuneka uqhubeke na ukuthatha amayeza akho okanye ukuba ufuna iphepha elitsha.

I-Vitamin B-12 iyimfuneko kwinkqubo yemithambo-luvo esempilweni kunye neeseli zegazi ezisempilweni. Eyona ndlela yokufumana i-vitamin B-12 kukutya kwakho. Le vithamini ibalulekileyo ifumaneka kwinyama, kwiintlanzi, kwiinkukhu nakwiimveliso zobisi. Ukuba awukutyanga ngokwaneleyo oku kutya, kunokukushiya usilela.

Kukho ezinye iindlela zokuphuhlisa ukusilela. Ngokomzekelo, ukuba nesifo sikashukela kunokunyusa umngcipheko wokuba ne-B-12 ngenxa yokuba ingaba yimpembelelo ye-metformin, unyango oluqhelekileyo lohlobo lwe-2 yesifo sikashukela. Uphando olwenziwe ngo-2009 lwafumanisa ukuba iipesenti ezingama-22 zabantu abane-2 yesifo sikashukela babephantsi kwi-B-12. Iziphumo zophando zibonisa ukuba i-metformin inegalelo kusilelo.

Funda ukuze ufunde iimpawu zokusilela kwe-B-12, ukuba kunokuthetha ntoni na ngempilo yakho iphela, kunye nento onokuyenza ngayo.

Ukusilela kweVitamin B-12: Iziva njani

Iimpawu zokunqongophala kukavithamini B-12 kunokuba kubumnene ekuqaleni kwaye kungasoloko kubonakala. Ukuba uphantsi kancinane kwi-B-12, usenokungabi nazimpawu kwaphela. Ezinye zeempawu zokuqala eziqhelekileyo zezi:

• ukudinwa
• ubuthathaka
• Ukuphelelwa ngumdla wokutya
• ukuhla ukusinda
• ukuqhina

Kungalula ukuzichitha njengezikhalazo ezingephi. Nangona kunjalo, ngokuhamba kwexesha, i-B-12 engonelanga inokukhokelela kwiingxaki ezinkulu.

Izizathu zokunqongophala kwe-vitamin B-12

I-B-12 ifumaneka ikakhulu kwiimveliso zezilwanyana. Ayenzeki ngokwendalo kwizityalo.

Ngenxa yoko, abantu abangayityiyo inyama okanye iimveliso zobisi, ezinje ngemifuno kunye nemifuno, banokuba semngciphekweni wokunqongophala kwe-B-12. Ukutya kwemifuno, kubandakanya ukutya okuziinkozo kwasekuseni kunye nemivalo yamandla, kunokuqiniswa nge-B-12.

Ukutya ngokwaneleyo ivithamini B-12 ayisiyiyo kuphela ingxaki. Umzimba wakho kufuneka ube nakho ukuwufumana ngokufanelekileyo.

Amanye amayeza angenza kube nzima ukuba umzimba wakho uthathe i-B-12, kubandakanya:

• i-asidi ye-acid kunye nesifo sesilonda sesilonda, kubandakanya:
  • ifototidine (iPepcid AC)
  • I-lansoprazole (Prevacid)
  • omeprazole (Prilosec)
  • i-ranitidine (iZantac)
• i-metformin (iGlucophage, iGlumetza), uhlobo oluqhelekileyo lonyango lwe-2 yeswekile
• I-chloramphenicol, isibulala-zintsholongwane

Esinye isizathu sokunqongophala kukavithamini B-12 kukuxhaswa kwe-instrinsic factor (IF), iprotein eyenziwe ziiseli zesisu. Ezi seli zesisu zinokuba semngciphekweni wokuhlaselwa ngamajoni omzimba, kwaye oko kunokudala ukwehla kwimveliso ye-IF. Ukuba i-IF iyafuneka ukufunxa i-vitamin B-12 yokutya emathunjini amancinci.

Kutheni ukusilela kwe-B-12 kuyinto enzulu

Amanqanaba asezantsi kakhulu evithamini B-12 anokubangela iingxaki ezinkulu, kubandakanya i-anemia.

Ukunqongophala kwegazi kuthetha ukuba awunazo ngokwaneleyo iiseli ezibomvu ezisempilweni (RBCs). Kuba iiseli ezibomvu zegazi ziyafuneka ukuthwala ioksijini egazini, i-anemia ithintela iiseli zakho ioksijini efuneka kakhulu.

Ngokwe-2015 yophando kwi-Journal ye-Oral Pathology Medicine, ngaphantsi kweepesenti ezingama-20 zalabo ekufundweni ababenokusweleka kwe-vitamin B-12 nabo bafumana i-anemia eyingozi, uhlobo lwe-anemia oluthile kulabo abaneentsilelo ze-B-12.

Iimpawu ze-anemia zibandakanya:

• ukudinwa
• ulusu oluthuthu
• iintlungu zesifuba
• isiyezi
• intloko ebuhlungu

Olunye uphawu olunokubakho lokusilela kwe-B-12 kukuphulukana nengqondo yakho yokunambitha kunye nevumba. Iimpawu ezinzulu zibandakanya ukukhawuleza kwentliziyo okanye ukungahambi kakuhle kwentliziyo kunye nokuphefumla okufutshane.

Ukusilela kwe-B-12 kunokukhokelela kwipheripheral neuropathy eneempawu ezinokuthi zibandakanye ukuba ndindisholo, ubuthathaka, iintlungu, kunye ne-paresthesia (ukutshisa okanye ukurhawuzelela kolusu). Idla ngokuziva iingalo, izandla, imilenze, kunye neenyawo. Abanye abantu banamava okuba ndindisholo, ukurhawuzelela, okanye ukuziva ngathi unamava

I-B-12 ephantsi ihlala inxulunyaniswa namanqanaba aphezulu e-amino acid ebizwa ngokuba yi-homocysteine. Oku kunokunyusa umngcipheko wesifo sentliziyo kunye nokubetha.

Ukungabikho kakuhle kwexesha elide le-B-12 kunokubangela:

• ukulahleka kokuhamba
• ubunzima bokuhamba
• ukukhohlisa
• ukudakumba
• ukulahleka kwememori ngesifo sengqondo esixhalabisayo
• ukuxhuzula

I-diabetes neuropathy kunye ne-B-12 neuropathy: Kunzima ukuxelela umahluko

Enye yeengxaki ezinokubakho kwisifo seswekile yi-neuropathy, ekwabizwa ngokuba ngumonakalo wemithambo-luvo. Kubangelwa yimiphumo emibi yeglucose ephezulu kwixesha elide.

Ezona mpawu zixhaphakileyo zesifo seswekile ze-neuropathy zezi zichazwe apha ngasentla kwi-peripheral neuropathy ehlala ichaphazela iingalo, izandla, imilenze kunye neenyawo.

Iswekile ye-neuropathy inokuchaphazela namanye amalungu omzimba, kubandakanya iphecana lesisu (GI).

Akunyanzelekanga ukuba ube unesifo seswekile ukuze ube neuropathy. Ukusilela kwexesha elide kwe-B-12 nako kunokonakalisa imithambo-luvo yakho.

Nokuba unesifo seswekile okanye akunjalo, iimpawu ze-neuropathy akufuneki zihoywe.

Kufunyaniswa njani ukusilela kwe-B-12

Ukuba unempawu zokusilela kwe-B-12, jonga ugqirha wakho kwangoko. Ezinye zeempawu, ngakumbi kwangethuba, zinokungacaci. Zingabangelwa zizinto ezahlukeneyo.

Uvavanyo lwegazi olulula lunokumisela ukuba ingxaki iphantsi B-12. Ukuba unesifo seswekile kunye / okanye ukusilela kwe-B-12, ugqirha wakho uya kufuna ukwenza imbali epheleleyo kunye novavanyo lomzimba ukuvavanya ngokupheleleyo.

Amanqanaba eswekile yegazi lakho aya kuthathelwa ingqalelo ngokubhekisele kwisifo seswekile.

Amanqanaba acetyiswayo e-B-12 ayahluka ngokweminyaka. Uninzi lolutsha kunye nabantu abadala bafuna i-2.4 micrograms (mcg) ngosuku. Abantwana bafuna phakathi kwe-0.4 kunye ne-1.8 mcg suku ngalunye, kuxhomekeke kubudala babo.

Kufuneka wenze ntoni xa uneempawu zokusilela kwe-B-12

Ukugcina amanqanaba eswekile esempilweni kunokukunceda ulawule ukufakwa kwe-B-12. Ukongeza kwindlela yokutya, ukuzilolonga rhoqo kunye nokulala ngokwaneleyo kunokunceda. Ugqirha wakho unokucebisa isicwangciso sonyango esilungiselelwe iimfuno zakho.

Unokucetyiswa ukuba wandise i-B-12 kwindlela otya ngayo. Imithombo elungileyo ye vithamini B-12 ibandakanya:

• inyama ebomvu
• intlanzi
• iinkukhu
• amaqanda
• iimveliso zederi
• iimbaza
• inyama yesibindi

Ukutya okunokomelezwa nge-B-12 kubandakanya:

• igwele lesondlo, esingcamla iitshizi zemifuno
• Isiriyeli
• isonka
• tofu

Qiniseka ukuba ufunda iilebhile zesondlo ngononophelo.

Ugqirha wakho unokukucebisa ukuba uthathe izongezo zomlomo zevithamini B-12, ngakumbi ukuba unokutya kwemifuno okanye i-vegan. Ukuba unengxaki kakhulu, banokukunika i-B-12 inaliti.

Landela ingcebiso kagqirha wakho ukunqanda iingxaki ezinzulu zokusilela kwe-B-12. Kananjalo lungiselela uvavanyo olulandelayo ukuze uqiniseke ukuba ukwindlela elungileyo.