I-Pellagra

-Delile

• Ziyini izimpawu?
• Kubangelwa yini?
• Kutholakala kanjani?
• Ilashwa kanjani?
• Ukuphila nepellagra

Kuyini i-pellagra?

I-Pellagra yisifo esibangelwa amazinga aphansi e-niacin, eyaziwa nangokuthi i-vitamin B-3. Iphawulwe ukuwohloka komqondo, isifo sohudo, nesikhumba, esaziwa nangokuthi "ama-D amathathu". Uma ishiywe ingelashwa, i-pellagra ingaba yingozi.

Yize kungasavamile kakhulu kunakuqala, ngenxa yentuthuko ekukhiqizweni kokudla, kuseseyinkinga emazweni amaningi asathuthuka. Kungathinta futhi abantu imizimba yabo engamunci kahle i-niacin.

Ziyini izimpawu?

Izimpawu eziyinhloko ze-pellagra yi-dermatitis, ukuwohloka komqondo, nohudo. Lokhu kungenxa yokuthi ukuntuleka kwe-niacin kubonakala kakhulu ezingxenyeni zomzimba ezinamanani aphezulu wenzuzo yeseli, njengesikhumba sakho noma umgudu wamathumbu.

I-dermatitis ehlobene ne-pellagra ivame ukudala ukuqubuka ebusweni, ezindebeni, ezinyaweni, noma ezandleni. Kwabanye abantu, i-dermatitis yakha entanyeni, uphawu olwaziwa ngokuthi umgexo weCasal.

Izimpawu ezingeziwe ze-dermatitis zifaka:

• isikhumba esibomvu, esigobekile
• izindawo zokuguqulwa kombala, kusuka kokubomvu kuya kokunsundu
• isikhumba esijiyile, esigaxekile, esinamafutha, noma esiqhekekile
• ukulunywa, amabala wesikhumba asha

Kwezinye izimo, izimpawu zezinzwa ze-pellagra zivela ekuqaleni, kepha kuvame ukuba nzima ukuzibona. Njengoba lesi sifo siqhubeka, izimpawu zokuwohloka komqondo zibandakanya:

• ukunganaki
• ukudana
• ukudideka, ukucasuka, noma ukuguquka kwemizwelo
• ikhanda
• ukungahlaliseki noma ukukhathazeka
• ukudideka noma ukukhohlisa

Ezinye izimpawu ze-pellagra kungenzeka zifaka:

• izilonda ezindebeni, olimini noma ezinsinini
• ukuncipha kokudla
• unenkinga yokudla nokuphuza
• isicanucanu nokuhlanza

Kubangelwa yini?

Kunezinhlobo ezimbili ze-pellagra, eyaziwa njenge-pellagra eyinhloko kanye ne-pellagra yesibili.

I-pellagra eyinhloko ibangelwa ukudla okuphansi kwe-niacin noma i-tryptophan. I-Tryptophan ingaguqulwa ibe yi-niacin emzimbeni, ngakho ukungatholi okwanele kungadala ukushoda kwe-niacin.

I-pellagra eyinhloko ivame kakhulu emazweni asathuthuka ancike kummbila njengokudla okuyisisekelo. Ummbila uqukethe i-niacytin, uhlobo lwe-niacin abantu abangakwazi ukugaya futhi bamunce ngaphandle kwalapho belungiswe kahle.

I-pellagra yesibili ivela lapho umzimba wakho ungakwazi ukumunca i-niacin. Izinto ezingavimbela umzimba wakho ekutholeni i-niacin zifaka:

• ukuphuza ngokweqile
• ukuphazamiseka kokudla
• imishanguzo ethile, kufaka phakathi ama-anti-convulsants nezidakamizwa zokuzivikela
• izifo zamathumbu, njengesifo sikaCrohn nesifo sezilonda emathunjini
• ukuqina kwesibindi
• izicubu ze-carcinoid
• Isifo seHartnup

Kutholakala kanjani?

I-Pellagra ingaba nzima ukuxilonga ngoba ibangela izimpawu ezahlukahlukene. Akukho futhi ukuhlolwa okuqondile kokuthola ukushoda kwe-niacin.

Esikhundleni salokho, udokotela wakho uzoqala ngokuhlola noma yiziphi izinkinga zamathumbu, ukuqubuka, noma izinguquko esimweni sakho sengqondo. Bangase futhi bahlole umchamo wakho.

Ezimweni eziningi, ukuxilonga i-pellagra kuhilela ukubona ukuthi izimpawu zakho ziyaphendula yini kuma-niacin supplements.

Ilashwa kanjani?

I-pellagra eyinhloko iphathwa ngezinguquko zokudla kanye ne-niacin noma i-nicotinamide supplement. Kungadinga nokuthi unikezwe ngaphakathi. INicotinamide ingenye indlela kavithamini B-3. Ngokwelashwa kusenesikhathi, abantu abaningi bayalulama ngokugcwele futhi baqale ukuzizwa bengcono ezinsukwini ezimbalwa zokuqala ukwelashwa. Ukuthuthuka kwesikhumba kungathatha izinyanga ezimbalwa. Kodwa-ke, uma ishiywe ingalashwa, i-pellagra eyinhloko imvamisa ibangela ukufa ngemuva kweminyaka emine noma emihlanu.

Ukwelapha i-pellagra yesibili kuvame ukugxila ekwelapheni imbangela. Kodwa-ke, amanye amacala e-pellagra yesibili nawo asabela kahle ekuthatheni i-niacin noma i-nicotinamide ngomlomo noma ngemithambo.

Ngenkathi usalulama kusuka ku-pellagra eyinhloko noma yesibili, kubalulekile ukugcina noma imaphi amaqubu athanjisiwe futhi avikelwe nge-sunscreen.

Ukuphila nepellagra

I-Pellagra yisimo esibi esibangelwa amazinga aphansi e-niacin, ngenxa yokungondleki kahle noma inkinga yokumunca. Uma ishiywe ingalashwa, ingadala ukufa. Ngenkathi i-pellagra eyinhloko isabela kahle ku-supplementation ye-niacin, i-pellagra yesibili ingaba nzima ukuyelapha, ngokuya ngesizathu esiyimbangela.