Vitamin B12 kushomeka kupererwa neropa

Anemia mamiriro ezvinhu umo muviri usina masero matsvuku eropa akagwinya. Masero matsvuku eropa anopa okisijeni kumatumbu emuviri. Kune akawanda marudzi eanemia.

Vitamin B12 kushomeka anemia yakadzika tsvuku masero eropa kuverenga nekuda kwekushomeka (kushomeka) kwevhitamini B12.

Muviri wako unoda vhitamini B12 kugadzira masero matsvuku eropa. Kuti uwane vitamini B12 kumasero ako:

• Iwe unofanirwa kudya chikafu chine vhitamini B12, senyama, nyama yehuku, hove, mazai, zviyo zvekuseni zvekuseni, uye zvigadzirwa zvemukaka.
• Muviri wako unofanirwa kutora zvakakwana vitamini B12. Protein yakakosha, inonzi chemukati chinhu, inobatsira muviri wako kuita izvi. Iyi protein inoburitswa nemaseru ari mudumbu.

Kushayikwa kwevhitamini B12 kunogona kunge kuri nekuda kwezvikafu, zvinosanganisira:

• Kudya chikafu chisina kusimba
• Kudya kwakashata muvacheche
• Chikafu chisina kunaka panguva yekuzvitakura

Humwe hutano mamiriro anogona kuita kuti zviomere muviri wako kutora zvakakwana vitamini B12. Zvinosanganisira:

• Doro shandisa
• Chirwere cheCrohn, chirwere checeliac, hutachiona nehove tapeworm, kana mamwe matambudziko anoita kuti zviomere muviri wako kugaya chikafu.
• Anonetseka kupererwa neropa, rudzi rwevhitamini B12 kupererwa neropa kunoitika kana muviri wako ukaparadza maseru anoita chinhu chemukati chinhu
• Kuvhiya kunobvisa zvimwe zvikamu zvemudumbu mako kana mudumbu mudiki, senge mamwe ekuremerwa-kurasikirwa kuvhiya
• Kutora maantacid uye mimwe mishonga yekurungisisa kwenguva yakareba
• Kushungurudzwa kwe "kuseka gasi" (nitrous oxide)

Iwe unogona kunge usina zviratidzo. Zviratidzo zvinogona kuve zvakapfava.

Zviratidzo zvinogona kusanganisira:

• Manyoka kana kupatira
• Kuneta, kushomeka kwesimba, kana hura husina musoro kana uchisimuka kana nesimba
• Kupererwa nechido
• Ganda rakachenuruka
• Kunzwa kushatirwa
• Kufema kwekufema, kunyanya panguva yekurovedza muviri
• Rakazvimba, rurimi rutsvuku kana marimu anobuda ropa

Kana iwe uine yakaderera vhitamini B12 nhanho kwenguva yakareba, unogona kukuvara kwetsinga. Zviratidzo zvekukuvara kwetsinga zvinosanganisira:

• Kuvhiringidzika kana shanduko muchimiro chepfungwa (dementia) mune zvakakomba zviitiko
• Dambudziko rekutarisa
• Psychosis (kurasikirwa nekubatana nechokwadi)
• Kurasikirwa kwekuenzanisa
• Unhu uye kurira kwemaoko netsoka
• Hallucinations

Anopa hutano anoita bvunzo dzepanyama. Izvi zvinogona kuratidza matambudziko nemafungiro ako.

Miedzo inogona kuitwa inosanganisira:

• Yakazara kuverenga ropa (CBC)
• Reticulocyte kuverenga
• Lactate dehydrogenase (LDH) nhanho
• Serum bilirubin chikamu
• Vitamin B12 chikamu
• Methylmalonic acid (MMA) nhanho
• Serum homocysteine ​​level (amino acid inowanikwa muropa)

Dzimwe nzira dzinogona kuitwa dzinosanganisira:

• Esophagogastroduodenoscopy (EGD) kuongorora dumbu
• Enteroscopy kuongorora ura hudiki
• Bone marrow biopsy kana kuongororwa kwacho kusiri pachena

Kurapa kunoenderana nechikonzero cheB12 kushomeka kupererwa neropa.

Chinangwa chekurapa ndechekuwedzera yako vhitamini B12 nhanho.

• Kurapa kunogona kusanganisira kupfura vhitamini B12 kamwe chete pamwedzi. Kana iwe uine yakaderera kwazvo chikamu cheB12, ungangoda mamwe mapfuti pakutanga. Izvo zvinogoneka iwe ungangoda kupfurwa mwedzi wega kwehupenyu hwako hwese.
• Vamwe vanhu vanogona kupindura kurapwa nekutora vhitamini B12 zvinowedzera nemuromo.

Wako mupi achakurudzirawo kuti iwe udye zvakasiyana siyana zvekudya.

Vanhu vane rudzi urwu rweanemia kazhinji vanoita zvakanaka nekurapwa.

Yakareba-vhitamini B12 kushomeka kunogona kukonzera tsinga kukuvara. Izvi zvinogona kuve zvechigarire kana ukasatanga kurapwa mukati memwedzi mitanhatu apo zviratidzo zvako zvatanga.

Vitamin B12 kushomeka anemia inowanzo kupindura mushe pakurapwa. Zvinogona kuve zvirinani kana chinokonzeresa chekushomeka chikarapwa.

Mukadzi ane yakaderera B12 nhanho anogona kuve nenhema yakanaka Pap smear. Izvi zvinodaro nekuti kushomeka kwevhitamini B12 kunokanganisa nzira iyo mamwe masero (epithelial maseru) mumuromo wechibereko anotaridzika.

Fonera mupiki wako kana iwe uine chero zviratidzo zvekushaya ropa.

Unogona kudzivirira kupererwa neropa kunokonzerwa nekushaikwa kwevhitamini B12 nekudya chikafu chakaringana.

Kupfura kwevhitamini B12 kunogona kudzivirira kupererwa neropa kana iwe wakave nekuvhiya kunozivikanwa kukonzera kushomeka kwevhitamini B12.

Kuongororwa kwekutanga uye kurapwa nekukurumidza kunogona kudzora kana kudzivirira matambudziko ane chekuita neyepasi vhitamini B12 nhanho.

Megaloblastic macrocytic kupererwa neropa

• Megaloblastic anemia - maonero emasero matsvuku eropa
• Hypersegmented PMN (Kuvhara-kumusoro)

Antony AC. Megaloblastic anemias. Muna: Hoffman R, Benz EJ, Silberstein LE, et al, eds. Hematology: Basic Misimboti uye Maitiro. 7th ed. Philadelphia, PA: Elsevier; 2018: chits. 39.

Zvinoreva RT. Kusvika kune anemias. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chitsiko 149.

Perez DL, Murray ED, Mutengo BH. Kushungurudzika uye psychosis mune yetsika tsika. Mune: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology muClinical Dzidzira. 7th ed. Philadelphia, PA: Elsevier; 2016: chits.