IBeriberi

IBeriberi yisifo lapho umzimba ungenayo i-thiamine eyanele (uvithamini B1).

Kunezinhlobo ezimbili ezinkulu ze-beriberi:

• I-beriberi emanzi: Ithinta uhlelo lwe-cardiovascular.
• I-beriberi eyomile ne-Wernicke-Korsakoff syndrome: Ithinta uhlelo lwezinzwa.

IBeriberi ayivamile e-United States. Lokhu kungenxa yokuthi ukudla okuningi manje sekucebile ngovithamini. Uma udla ukudla okujwayelekile, okunempilo, kufanele uthole i-thiamine eyanele. Namuhla, i-beriberi yenzeka kakhulu kubantu abasebenzisa kabi utshwala. Ukuphuza kakhulu kungaholela ekutheni ungondleki kahle. Ukuphuza ngokweqile kwenza kube nzima emzimbeni ukuthi umunce futhi ugcine uvithamini B1.

Ezimweni ezingavamile, i-beriberi ingaba yizakhi zofuzo. Lesi simo sidluliselwa ngemindeni. Abantu abanalesi simo balahlekelwa ikhono lokumunca i-thiamine ekudleni. Lokhu kungenzeka kancane ngokuhamba kwesikhathi. Izimpawu zenzeka lapho umuntu esekhulile. Kodwa-ke, lokhu kuxilongwa kuvame ukuphuthelwa. Lokhu kungenxa yokuthi abahlinzeki bokunakekelwa kwempilo kungenzeka bangabheki i-beriberi kwabangewona izidakwa.

IBeriberi kungenzeka ezinganeni lapho zikhona:

• Ubelethwe nomzimba womama untula i-thiamine
• Fomula amafomula angavamile angenayo i-thiamine eyanele

Ezinye izindlela zokwelashwa ezingakhuphula ubungozi bakho be-beriberi yilezi:

• Ukuthola i-dialysis
• Ukuthatha imithamo ephezulu ye-diuretics (amaphilisi amanzi)

Izimpawu ze-beriberi eyomile zifaka:

• Kunzima ukuhamba
• Ukulahlekelwa umuzwa ezandleni nasezinyaweni
• Ukulahleka kokusebenza kwemisipha noma ukukhubazeka kwemilenze engezansi
• Ukudideka kwengqondo / ubunzima bokukhuluma
• Ubuhlungu
• Ukunyakaza kwamehlo okumangazayo (nystagmus)
• Ukulinganisa
• Ukuhlanza

Izimpawu ze-beriberi emanzi zifaka:

• Ukuvuka ebusuku kuphele umoya
• Ukunyuka kwenhliziyo
• Ukuphefumula ngomsebenzi
• Ukuvuvukala kwemilenze engezansi

Ukuhlolwa ngokomzimba kungakhombisa izimpawu zokwehluleka kwenhliziyo ukuminyana, kufaka phakathi:

• Ukuphefumula kanzima, ngemithambo yentamo ephuma
• Inhliziyo ekhulisiwe
• Uketshezi emaphashini
• Ukushaya kwenhliziyo okusheshayo
• Ukuvuvukala emilenzeni yomibili engezansi

Umuntu one-beriberi esesikhathini sekwephuzile angahle adideke noma alahlekelwe yimemori nokukhohlisa. Umuntu kungenzeka angakwazi ukuzwa ukudlidlizela.

Ukuhlolwa kwemizwa kungakhombisa izimpawu ze:

• Izinguquko ekuhambeni
• Izinkinga zokuxhumanisa
• Ukucabanga okunciphile
• Ukujikisa kwejwabu leso

Ukuhlolwa okulandelayo kungenziwa:

• Ukuhlolwa kwegazi ukukala inani le-thiamine egazini
• Ukuhlolwa komchamo ukubona ukuthi i-thiamine idlula yini emchameni

Inhloso yokwelashwa ukufaka i-thiamine emzimbeni wakho entulekayo. Lokhu kwenziwa ngezithasiselo ze-thiamine. Izithasiselo ze-thiamine zinikezwa ngokudutshulwa (ngomjovo) noma ngomlomo.

Umhlinzeki wakho futhi angaphakamisa ezinye izinhlobo zamavithamini.

Ukuhlolwa kwegazi kungaphindwa ngemuva kokuqala ukwelashwa. Lezi zivivinyo zizokhombisa ukuthi uwuphendula kahle kanjani umuthi.

Ukungalashwa, i-beriberi ingaba yingozi. Ngokwelashwa, izimpawu zivame ukuthuthuka ngokushesha.

Ukulimala kwenhliziyo kuvame ukubuyiselwa emuva. Kululama ngokugcwele kulezi zimo. Kodwa-ke, uma ukwehluleka kwenhliziyo okunamandla sekuvele kwenzeka, umbono awumuhle.

Ukulimala kwesistimu yezinzwa nakho kuyabuyiselwa emuva, uma kubanjwe kusenesikhathi. Uma ingabanjwa kusenesikhathi, ezinye izimpawu (njengokulahleka kwememori) zingahlala, noma ngabe zelashwa.

Uma umuntu one-Wernicke encephalopathy ethola indawo ye-thiamine, izinkinga zolimi, ukunyakaza kwamehlo okungajwayelekile, nobunzima bokuhamba kungaphela. Kodwa-ke, i-Korsakoff syndrome (noma i-Korsakoff psychosis) ijwayele ukukhula njengoba izimpawu zeWernicke zihamba.

Izinkinga zingafaka:

• I-Coma
• Ukwehluleka kwenhliziyo yokubopha
• Ukufa
• Ingqondo

IBeriberi ayivamile kakhulu e-United States. Noma kunjalo, shayela umhlinzeki wakho uma:

• Uzwa sengathi ukudla komndeni wakho akwenele noma akulinganiswanga kahle
• Wena noma izingane zakho ninazo izimpawu ze-beriberi

Ukudla ukudla okufanele okunothe ngamavithamini kuzovimbela i-beriberi. Omama abahlengikazi kufanele baqiniseke ukuthi ukudla kwabo kuqukethe wonke amavithamini. Uma usana lwakho lunganceliswa ibele, qiniseka ukuthi ifomula lengane liqukethe i-thiamine.

Uma uphuza kakhulu, zama ukunciphisa noma ukuyeka. Futhi, thatha amavithamini B ukuqiniseka ukuthi umzimba wakho umunca kahle futhi ugcina i-thiamine.

Ukushoda kwethayamine; Ukushoda kukavithamini B1

I-Koppel BS. Izinkinga ze-neurologic ezihlobene nokudla okunempilo kanye notshwala. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 388.

I-Sachdev HPS, Shah D. Vitamin B ukuntuleka okuyinkimbinkimbi nokuningi. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Incwadi kaNelson Yezingane. Umhlaka 21. IPhiladelphia, PA: Elsevier; 2020: isahluko 62.

Ngakho-ke i-YT. Ukuntuleka kwezifo zesimiso sezinzwa. Ku: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, ama-eds. I-Neurology kaBradley ekwenziweni kwemitholampilo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2016: isahluko 85.