Okudingeka Ukwazi Ngesifo Sikashukela kanye neB-12

-Delile

• Ukuntuleka kwe-Vitamin B-12: Kuzizwa kanjani
• Izimbangela zokushoda kukavithamini B-12
• Kungani ukushoda kwe-B-12 kungathi sína
• I-diabetes neuropathy ne-B-12 neuropathy: Kunzima ukutshela umehluko
• Ukutholakala kwe-B-12 kutholakala kanjani
• Okufanele ukwenze uma unezimpawu zokushoda kwe-B-12

NgoMeyi 2020, okunconywayo ukuthi abanye abenzi be-metformin enwetshiwe bakhiphe amanye amaphilisi abo emakethe yase-U.S. Lokhu kungenxa yokuthi izinga elingamukeleki le-carcinogen (i-agent ebangela umdlavuza) itholakale kwamanye amaphilisi e-metformin akhululwa isikhathi eside. Uma okwamanje uthatha lo muthi, shayela umhlinzeki wakho wezokunakekelwa kwempilo. Bazokweluleka ngokuthi ngabe kufanele uqhubeke nokudla imishanguzo yakho noma uma udinga incwadi kadokotela entsha.

I-Vitamin B-12 iyadingeka ohlelweni lwezinzwa olunempilo namaseli egazi anempilo. Indlela engcono yokuthola uvithamini B-12 kungukudla kwakho. Le vithamini ebalulekile itholakala enyameni, inhlanzi, izinkukhu, nemikhiqizo yobisi. Uma ungakudli ngokwanele lokhu kudla, kungakushiya unenkinga.

Kunezinye izindlela zokuthuthukisa ukushoda. Isibonelo, ukuba nesifo sikashukela kungakhuphula ingozi yokuba nokushoda kwe-B-12 ngoba kungaba nomphumela oseceleni we-metformin, ukwelashwa okuvamile kohlobo lwesibili sikashukela. Ucwaningo lwango-2009 lwathola ukuthi amaphesenti angama-22 abantu abanesifo sikashukela sohlobo 2 babephansi ku-B-12. Imiphumela yocwaningo iphakamisa ukuthi i-metformin inikele ekushodeni.

Funda ukuze ufunde izimpawu zokushoda kwe-B-12, ukuthi kungasho ukuthini empilweni yakho yonke, nokuthi yini ongayenza ngakho.

Ukuntuleka kwe-Vitamin B-12: Kuzizwa kanjani

Izimpawu zokushoda kukavithamini B-12 zingaba mnene ekuqaleni futhi zingabonakali njalo. Uma uphansi kancane ku-B-12, ungahle ungabi nazimpawu nhlobo. Ezinye zezimpawu zokuqala ezivame kakhulu yilezi:

• ukukhathala
• ubuthakathaka
• ukulahlekelwa isifiso sokudla
• ukuncipha komzimba
• ukuqunjelwa

Kungaba lula ukukuchitha lokhu njengezikhalazo ezincane. Kodwa-ke, ngokuhamba kwesikhathi, i-B-12 enganele ingaholela ezinkingeni ezinkulu.

Izimbangela zokushoda kukavithamini B-12

I-B-12 itholakala kakhulu kwimikhiqizo yezilwane. Akuveli ngokwemvelo ezitshalweni.

Ngenxa yalokhu, abantu abangayidli inyama noma imikhiqizo yobisi, njengabadla imifino nemifino, bangaba sengozini yokushoda kwe-B-12. Okunye ukudla kwemifino, kufaka phakathi okusanhlamvu kwasekuseni nemigoqo yamandla, kungaqiniswa nge-B-12.

Ukudla u-vitamin B-12 owanele akuyona inkinga kuphela. Umzimba wakho nawo udinga ukwazi ukuwungenisa kahle.

Imithi ethile ingenza kube nzima emzimbeni wakho ukuthola i-B-12, kufaka phakathi:

• i-acid reflux kanye nemithi yesifo sesilonda sesilonda, kufaka phakathi:
  • i-famotidine (i-Pepcid AC)
  • I-lansoprazole (Prevacid)
  • i-omeprazole (Prilosec)
  • i-ranitidine (i-Zantac)
• metformin (Glucophage, Glumetza), uhlobo olujwayelekile lokwelashwa kwesifo sikashukela
• i-chloramphenicol, i-antibiotic

Enye imbangela yokushoda kukavithamini B-12 ukuxhaswa kwe-instrinsic factor (IF), iphrotheni elenziwe ngamangqamuzana esisu. Lawa maseli esisu angaba sengozini yokuhlaselwa amasosha omzimba, futhi lokho kungadala ukwehla ekukhiqizweni kwe-IF. I-IF iyadingeka ukumunca i-vitamin B-12 yokudla emathunjini amancane.

Kungani ukushoda kwe-B-12 kungathi sína

Amazinga aphansi kakhulu kavithamini B-12 angaholela ezinkingeni ezinkulu, kufaka phakathi i-anemia.

I-anemia isho ukuthi awunawo amaseli abomvu egazi anele (RBCs) anele. Ngoba amaseli abomvu egazi ayadingeka ukuthwala umoya-mpilo egazini, i-anemia incisha amaseli akho umoya-mpilo odingeka kakhulu.

Ngokusho kocwaningo lwango-2015 ku- Journal of Oral Pathology Medicine, ngaphansi kwamaphesenti angama-20 alabo abasesicwaningweni ababenenkinga kavithamini B-12 nabo babhekana ne-anemia eyingozi, uhlobo lwe-anemia oluqondene nalabo abanamaphutha e-B-12.

Izimpawu ze-anemia zifaka:

• ukukhathala
• isikhumba esiphaphathekile
• ubuhlungu besifuba
• isiyezi
• ikhanda

Esinye isibonakaliso sokuntuleka kwe-B-12 kulahlekelwa umuzwa wakho wokunambitha nephunga. Izimpawu ezimbi kakhulu zifaka ukushaya kwenhliziyo okusheshayo noma okungajwayelekile nokuphefumula okuncane.

Ukushoda kwe-B-12 nakho kungaholela ekuziphatheni komzimba kwe-peripheral ngezimpawu ezingabandakanya ukuphazamiseka, ubuthakathaka, ubuhlungu, kanye ne-paresthesia (umuzwa ovuthayo noma olumazayo wesikhumba). Imvamisa izwakala ezandleni, ezandleni, emilenzeni nasezinyaweni. Abanye abantu baba nokundikindiki, ukuhayiza, noma ukuzwa okuhlabayo.

I-Low B-12 ijwayele ukuhlotshaniswa namazinga aphezulu we-amino acid ebizwa nge-homocysteine. Lokhu kungandisa ingozi yesifo senhliziyo nesifo sohlangothi.

Ukuntuleka okukhulu kwe-B-12 kwesikhathi eside kungadala:

• ukulahlekelwa ukuhamba
• ukuhamba kanzima
• ukukhohlisa
• ukudana
• inkumbulo ukulahlekelwa umqondo
• isithuthwane

I-diabetes neuropathy ne-B-12 neuropathy: Kunzima ukutshela umehluko

Enye yezinkinga ezingaba khona zesifo sikashukela yi-neuropathy, ebizwa nangokuthi ukulimala kwezinzwa. Kubangelwa imiphumela emibi ye-glucose ephezulu yegazi esikhathini eside.

Izimpawu ezivame kakhulu ze-neuropathy yesifo sikashukela yilezo ezichazwe ngenhla nge-peripheral neuropathy evame ukuthinta izingalo, izandla, imilenze nezinyawo.

I-diabetes neuropathy ingathinta nezinye izitho zomzimba, kufaka phakathi ipheshana lesisu (GI).

Akudingeki ukuthi ube nesifo sikashukela ukuze uthuthukise i-neuropathy. Ukushoda isikhathi eside kwe-B-12 nakho kungalimaza izinzwa zakho.

Noma ngabe unesifo sikashukela noma cha, izimpawu ze-neuropathy akufanele zinganakwa.

Ukutholakala kwe-B-12 kutholakala kanjani

Uma unezimpawu zokushoda kwe-B-12, bheka udokotela wakho khona manjalo. Ezinye zezimpawu, ikakhulukazi ekuqaleni, zingacaci. Zingabangelwa ezinye izinto ezahlukahlukene.

Ukuhlolwa kwegazi okulula kungakhomba ukuthi ngabe inkinga iphansi B-12. Uma unesifo sikashukela kanye / noma ukuntuleka kwe-B-12, udokotela wakho uzofuna ukwenza umlando ophelele nokuhlolwa komzimba ukukuhlola ngokuphelele.

Izinga likashukela egazini lakho lizocatshangelwa maqondana nesifo sikashukela.

Amazinga anconyiwe we-B-12 ayahluka ngeminyaka. Iningi lentsha nabantu abadala lidinga ama-micrograms ayi-2.4 (mcg) ngosuku. Izingane zidinga phakathi kuka-0.4 no-1.8 mcg usuku ngalunye, kuya ngeminyaka yazo.

Okufanele ukwenze uma unezimpawu zokushoda kwe-B-12

Ukugcina amazinga kashukela egazini angakusiza ulawule ukumuncwa kwe-B-12. Ngaphezu kokudla, ukuvivinya umzimba njalo nokulala ngokwanele kungasiza. Udokotela wakho angancoma uhlelo lokwelashwa olwenzelwe izidingo zakho.

Ungelulekwa ukuthi ukhuphule i-B-12 ekudleni kwakho. Imithombo emihle kavithamini B-12 ifaka:

• inyama ebomvu
• inhlanzi
• izinkukhu
• amaqanda
• imikhiqizo yobisi
• izimbaza
• isibindi senkomo

Ukudla okungaqiniswa nge-B-12 kufaka:

• imvubelo yokudla okunomsoco, okunambitha ama-flakes ama-vegetarian
• okusanhlamvu
• isinkwa
• tofu

Qiniseka ukuthi ufunda amalebula okunomsoco ngokucophelela.

Udokotela wakho futhi angakweluleka ukuthi uthathe izithako zomlomo zevithamini B-12, ikakhulukazi uma unokudla kwemifino noma i-vegan. Uma untula kakhulu, bangakunika imijovo engu-B-12.

Landela iseluleko sikadokotela wakho ukuze ugweme izinkinga ezinkulu zokushoda kwe-B-12. Futhi hlela ukuhlolwa kokulandelwa ukuze uqiniseke ukuthi usesendleleni efanele.