Izimpawu eziyinhloko zokushoda kwe-B12, izimbangela kanye nokwelashwa

-Delile

• Izimpawu eziyinhloko
• Yini engadala ukuntuleka kukavithamini B12
• Yelashwa kanjani

I-Vitamin B12, eyaziwa nangokuthi i-cobalamin, iyi-vitamin ebalulekile yokwenziwa kwe-DNA, i-RNA ne-myelin, kanye nokwakhiwa kwamangqamuzana abomvu egazi. Le vithamini ivame ukugcinwa emzimbeni ngobuningi obukhulu kunamanye amavithamini B, noma kunjalo, ezinye izimo zingadala ukuntuleka kwayo futhi ziveze izimpawu ezinjengokushaywa, ukukhathala nokushosholozela ezandleni nasezinyaweni.

Izimbangela eziyinhloko zokushoda kwaleli vithamini yisifo sikaCrohn, izidlo zemifino ngaphandle kokuqondiswa okufanele noma ukungabi nalutho lwangaphakathi, into evumela ukumuncwa kwale vithamini.

Izimpawu eziyinhloko

Ukushoda kukavithamini B12 kungabonwa ezinhlelweni zenhliziyo nezinzwa, futhi kungabonakala izimpawu ezilandelayo:

1. Ukukhathala njalo nobuthakathaka;
2. I-anaemia ekhathazayo
3. Ukuphefumula okufishane;
4. Ukushaya kancane;
5. Ubunzima bokubukwa;
6. Ukulahlekelwa ukuzwa nokuthinta ezandleni nasezinyaweni;
7. Ukungabi nokulinganisela;
8. Ukulahleka kwenkumbulo nokudideka kwengqondo;
9. Ukubakhona kokuwohloka komqondo, okungenakuhlehliseka;
10. Ukuntuleka kwesifiso sokudla kanye nokwehlisa isisindo ngaphandle kwesizathu;
11. Izilonda zomlomo nolimi kaningi;
12. Ukuthukuthela;
13. Imizwa ephindaphindekayo yosizi.

Ezinganeni, ukuntuleka kwaleli vithamini nakho kungadala ubunzima ekukhuleni, ukubambezeleka kokuthuthuka okujwayelekile kanye ne-megaloblastic anemia, ngokwesibonelo. Bona yonke imisebenzi edlalwa uvithamini B12 emzimbeni.

Yini engadala ukuntuleka kukavithamini B12

UVitamin B12 angaba nezimbangela eziningana, okuyizimbangela ezinkulu yilezi:

• Izinga lesisu: I-anemia ekhathazayo ingadala ukwehla kwesici esingaphakathi, okuyisithako esidingekayo ekumungeni ivithamini ezingeni lesisu. Ngaphezu kwalokho, i-gastric acid isiza ukuhlukaniswa kukavithamini B12 ekudleni okukuqukethe, ukuze i-atrophic gastritis kanye nokusetshenziswa kweminye imishanguzo evimba noma inciphise i-gastric acid futhi ingaphazamisa ukugxila kwale vithamini;
• Ezingeni lamathumbu: Abantu abanesifo sikaCrohn lapho i-ileum ithinteka khona noma i-ileum yalo esusiwe abayitholi kahle i-vitamin B12. Ezinye izimbangela zamathumbu zokushoda kwe-B12 ukugcwala kwamagciwane kanye nama-parasites;
• Ukudla kuhlobene: Ukudla kwezilwane kuwukuphela komthombo wemvelo kavithamini B12, futhi ukushoda kwamavithamini kungenxa yokudla okuncane kokudla njengenyama, inhlanzi, amaqanda, ushizi nobisi. Abantu abasengcupheni kakhulu ngabantu asebekhulile, izidakwa, abangadli kahle futhi abadla imifino kuphela.

Ngaphezu kwalokho, ukusetshenziswa kwemithi efana nama-antibiotic, iMetformin kanye nemithi ye-gastritis kanye nezilonda zesisu, njenge-Omeprazole, kunganciphisa ukumuncwa kwe-B12 emathunjini, futhi kunconywa ukuthi ukhulume nodokotela ukuze ahlole isidingo sokusebenzisa uvithamini izithasiselo.

Yelashwa kanjani

Ukwelashwa kokushoda kukavithamini B12 kuyehluka kuye ngokuthi kubangelwa yini. Endabeni ye-anemia eyingozi, ngokwesibonelo, ukwelashwa kwenziwa ngemijovo yezikhathi ezithile yemisipha yale vithamini kanye neminye eyinkimbinkimbi ka-B.

Lapho imbangela ingukudla nokumuncwa kuyinto ejwayelekile, udokotela noma isazi sokudla okunempilo angancoma ukwengezelelwa ngomlomo noma umjovo wevithamini B12, kanye nokusetshenziswa okwandisiwe kokudla okunothile kule vithamini.

Endabeni yabantu abadla imifino kuphela, kubalulekile ukufaka ekudleni ukusetshenziswa kokudla okucebiswe ngale vithamini, njengobisi lwe-soy, i-tofu nokusanhlamvu, isibonelo.

Ukweqiwa kwaleli vithamini akuvamile, njengoba uvithamini B12 engaqedwa kalula emchameni. Kodwa-ke, abantu abane-polycythemia, i-cobalt noma i-cobalamin yokungezwani komzimba, noma abasesikhathini sokuhlinzwa akufanele basebenzise izithasiselo ze-vitamin B12 ngaphandle kwezeluleko zezokwelapha.