Inogona Pernicious Anemia Kungave Chikonzero Iwe Wakaneta Zvakanyanya?

Zvemukati

• Chii chinonzi anemia yakaipa?
• Yakawanda sei inemia inouraya?
• Pernicious Anemia Zviratidzo
• Anonetseka Anemia Anokonzera
• Pernicious Anemia Kurapa
• Ongororo ye

Chokwadi: Kunzwa kuneta pano uye pane chikamu chekuva munhu. Kugara kuneta, zvisinei, kunogona kuve chiratidzo chehutano hwepasi - kusanganisira chimwe chinhu chinonzi anemia yakaipa.

Iwe unogona kunge uchiziva nezveanemia, mamiriro ezvinhu akajairika anoratidzwa nekushaikwa kwemasero matsvuku eropa anogona kutungamirira mukuneta kwakanyanya, dzungu, uye kupfupika kwekufema.

Pernicious anemia, kune rimwe divi, chirwere chisingawanzoitika muropa umo muviri usingakwanise kushandisa vhitamini B12, vhitamini yakakosha yemasero matsvuku eropa, maererano neNational Organisation for Rare Disorders (NORD). Zvakafanana neanemia, pernicious anemia inonyanya kuratidzwa nekuneta nguva dzose, pakati pezvimwe zviratidzo, asi kuongorora chirwere chekushaya ropa kunowanzova kwakaoma.

Nyaya iripo: Mudzidzisi ane mukurumbira Harley Pasternak nguva pfupi yadarika akavhura nezve ruzivo rwake neanemia anouraya. "Makore mashoma apfuura, ndanga ndaneta, uye ndanga ndisingakwanise kuona kuti chii chakashata - ndinodya zvakanaka, ndinorovedza muviri, ndinoedza uye kurara zvakanaka," akadaro muvhidhiyo ye Instagram. "Ndakaongororwa ropa, uye zvakaratidza kuti ini ndakanga ndisina vhitamini B12 mumuviri wangu," kunyangwe ndaigara ndichidya chikafu chakakwira muB12, akatsanangura Pasternak.

Mushure mekugamuchira izvo zvawanikwa, Pasternak akati akasimudza kudya kwake B12 kuburikidza nemhando dzakasiyana dzekuwedzera, kubva paB12 spray kusvika kumaB12 mapiritsi. Asi kuongororwa ropa kwakatevera kwakaratidza kuti zvakadaro "akanga asina B12 mumuviri [wake]," akagovera Pasternak. Anobuda, ane anemia yakaipa, uye mamiriro acho aidzivirira muviri wake kubva mukumedza nekushandisa B12, zvisinei nekuti akawedzera uye akadya zvakadii, akatsanangura. (Zvakafanana: Kusakwana kweVitamini Kunogona Kuparadza Basa Rako Here?)

Pazasi, nyanzvi dzinotsanangura zvese zvaunoda kuti uzive nezvekuipa kweanemia, kubva kune izvo zvinogona kukonzeresa mamiriro ekurapa.

Chii chinonzi anemia yakaipa?

Anemia inonetsa inoitika kana muviri wako usingakwanise kuita yakakwana masero matsvuku eropa nekuti haigone kushandisa vhitamini B12 yauri kunwisa, maererano neNational Heart, Lung, uye Blood Institute (NHLBI). Inowanikwa mumukaka, mazai, hove, huku, uye zviyo zvakasimbiswa, vhitamini B12 yakakosha kuchengetedza masimba ako esimba. (Zvimwe pano: Nei B Mavhitamini ari Chakavanzika kune Rakawanda Simba)

Nekukanganisa anemia, muviri wako haugone kutora vhitamini B12 yakakwana kubva muchikafu. Muzviitiko zvakawanda, izvi zvinoitika nekuti muviri wako unoshaiwa chinhu chemukati, puroteni inogadzirwa mudumbu, maererano neNHLBI. Nekuda kweizvozvo, iwe unomuka uine vhitamini B12 kushomeka.

FWIW. "Kuva vegan uye kusatora B12 yakakwana mukudya kwako, uine gastric bypass kuvhiyiwa kwehuremu, kuwanda kwebhakitiriya mudumbu, mishonga yakadai seasidhi reflux mushonga, metformin yechirwere cheshuga, kana kusagadzikana kwemajini" zvinogona kukonzera kushomeka kwevhitamini B12. , anodaro Sandy Kotiah, MD, hematologist, oncologist, uye mutungamiriri weThe Neuroendocrine Tumor Center paMercy Medical Center muBaltimore. (Zvakabatana: 10 Zvokudya Zvikanganiso Vegans Gadzira - uye Magadzirirwo Azvo)

Yakawanda sei inemia inouraya?

Pernicious anemia inoonekwa seyakajairika mamiriro, saka zvakaoma kutaura chaizvo kuti vangani vanhu vanozviona.

Kune chimwe chinhu, hapana "kubvumirana kwechokwadi" munharaunda yezvokurapa pane izvo zvinokosha sekushaya vhitamini B12, maererano nePernicious Anemia Society (PAS). Izvo zvakati, bepa ra2015 rakaburitswa mumagazini Clinical Mushonga inofungidzira kuti kushaikwa kwevhitamini B12 kunokanganisa zvishoma ne3 muzana yevakuru vekuUS pakati pemakore makumi maviri nemakumi matatu nemakumi matatu, 4 muzana yeavo vari pakati pe40 ne59 yemakore, uye 6 muzana yevakuru vane makore makumi matanhatu zvichikwira. Zvekare, zvakadaro, anemia inouraya haisi mhosva mune zvese izvi kesi.

Zvakaomawo kuziva kuti vangani vanhu vane pernicious anemia nekuti bvunzo yeintrinsic factor, inonzi Intrinsic Factor Antibody Test, inongokwana makumi mashanu muzana echokwadi, maererano nePAS. Izvi zvinodaro nekuti ingangoita hafu yeavo vane pernicious anemia havana inooneka intrinsic factor antibodies, maererano neAmerican Association for Clinical Chemistry.

Nezvose izvi mupfungwa, tsvakurudzo inoratidza kuti mamiriro acho angangokanganisa 0.1 muzana yehuwandu hwevanhu uye inenge 2 muzana yevanhu vanopfuura makore makumi matanhatu. Saka, kunyangwe zvichibvira, haufanirwe kungosvetuka kufunga kuti kuneta kwako kunokonzerwa nehutsinye hwekushaya ropa.

Pernicious Anemia Zviratidzo

Vamwe vanhu vane anemia yakaipa havazove nezviratidzo, zvinyoro zvishoma, kana, mune dzimwe nguva, zviratidzo hazvizooneki kusvika mushure memakore makumi matatu, maererano neNational Library of Medicine. Hazvina kunyatsojeka kuti sei, asi kutanga kweanemia anemia kunowanzo kunonoka uye kunogona kutora makumi emakore, ndosaka zviratidzo zvingasaoneka kusvika paya, maererano neNORD.

"Zvinogona kutora makore akati wandei kuti zviratidzo zvikure, zvinoenderana nezvako zvitoro zvekutanga zvevhitamini B12," anodaro Jack Jacoub, MD, chiremba wehematologist uye oncologist, uye director director weChirangaridzoCare Cancer Institute kuOrange Coast Medical Center muFountain Valley, California. "Asi zviratidzo zvinowanzopfuura kuneta chete." (Zvakaenderana: Chronic Fatigue Syndrome Inopfuura Kungove Wakaneta Nguva Yese)

Zvinowanzoitika zvinokuvadza anemia zviratidzo zvinosanganisira:

• Manyoka kana kupatira
• Nausea
• Kusvipa
• Musoro wakareruka kana wakamira kana nesimba
• Kupererwa nechido
• Ganda rakacheneruka
• Kufema kwekufema, kunyanya panguva yekurovedza muviri
• Chirungurira
• Rudzi rwakazvimba, rutsvuku kana kubuda ropa (aka rinokuvadza anemia rurimi)

Nokufamba kwenguva, kuparara kweanemia kunogona kukonzera kukuvara kwetsinga uye zvinogona kutungamira kune zviri pasi apa zviratidzo, maererano neNational Library of Medicine:

• Kuvhiringidzika
• Kurasikirwa kwekuyeuka kwenguva pfupi
• Kushungurudzika
• Kurasikirwa kwekuenzanisa
• Unhu uye kurira mumaoko nemakumbo
• Zvakaoma kuisa pfungwa
• Kushatirwa
• Hallucinations
• Zvinyengeri
• Optic nerve atrophy (mamiriro anokonzeresa kuona)

Anonetseka Anemia Anokonzera

Pane zvinhu zvishoma zvakasiyana zvinogona kutungamira kukuvadza anemia, sekureva kweNHLBI:

• Kushaya intrinsic factor. Kana uine pernicious anemia, muviri wako unogadzira masoja ekudzivirira chirwere anorwisa nekuparadza masero eparietal, anoisa mudumbu mako uye anoita intrinsic factor. (Nyanzvi dzinoti hazvizivikanwe kuti sei izvi zvichiitika.) Pasina chinhu chemukati, muviri wako haugone kufambisa vhitamini B12 kuburikidza neura hudiki, kwaunopinza, uye unozopedzisira waita kushomeka kweB12 uye, zvakare, anemia yakaipa.
• Malabsorption mudumbu diki. Pernicious anemia inogona kuitika nekuti ura hudiki haugone kunyatsotora vhitamini B12. Izvozvo zvinogona kuitika semugumisiro wemamwe mabhakitiriya mumatumbo maduku, mamiriro ezvinhu anokanganisa kubatwa kweB12 (zvakadai sechirwere chechiliac), mamwe mishonga, kubvisa chirwere kana chikamu chose chemukati, kana, mune zvisingawanzoitiki, chirwere chetapeworm .
• Chikafu chisina B12. Iyo NHLBI inoti chikafu "chishoma" chinokonzera kukanganisa anemia, asi dzimwe nguva inoita basa, kunyanya kune "vanodya miriwo" uye vegans vasingatore vhitamini B12 yekuwedzera.

Pernicious Anemia Kurapa

Zvakare, kudya dzimwe nguva inoita basa mukuparadza anemia, asi zvakanyanya, kurapwa hakuzoite kana iwe uri just kudya vhitamini B12 yakawanda kana kutora chinowedzera nekuti izvo hazviite kuti chikafu chiwedzere kuwanikwa. "Kushomeka kweB12 muhutachiona hunoparadza [kazhinji] kunokonzerwa nema autoantibodies anodzivirira kukwana kwakakwana kweB12 mumatumbo mudiki," anotsanangura Amanda Kaveney, MD, mutevedzeri purofesa wehematology paRutgers University - Robert Wood Johnson Medical School. (Yakabatana: Iyo Yakaderera Vitamin D Zviratidzo Munhu wese Anofanirwa Kuziva Nezve)

"Kuedza kukunda kushayikwa kweB12 nekutora B12 yakawanda hakuwanzo kubatsira nekuti une dambudziko rekunyura," anowedzera Dr. Jacoub.

Pane kudaro, kurapwa kunowanzo funga zvishoma zvakasiyana zvinhu, kusanganisira chii chiri kukonzera yako yakaipa anemia pakutanga, maererano neNHLBI. Kazhinji, National Library yeMishonga inoti kurapa anemia kunokanganisa kazhinji kunosanganisira:

• Kupfura kwemwedzi wevhitamini B12; majekiseni eB12 anobatsira kupfuura zvingangotadzisa kufema. (Vanhu vane yakadzika kwazvo B12 mazinga vangangoda kuwanda kupfura pakutanga kwekurapa.)
• Pasina kujairika, vamwe vanhu vanoona kubudirira mushure mekutora yakanyanya kuwanda mihombe yevhitamini B12 inowedzerwa nemuromo. "Pane dhata inoratidza kuti kana ukatora dhigirii yakakwana yevhitamini B12 - 2,000 micrograms [pasi perurimi], semuenzaniso - uye unotora chikamu chidiki cheiyo dose, inogona kugadzirisa vhitamini B12 yako," anodaro. Dr. Kotiah. (Nezvemamiriro ezvinhu, huwandu hwezuva nezuva hunokurudzirwa hwevhitamini B-12 inongova 2.4 micrograms.)
• Kutora imwe mhando yevhitamini B12 kuburikidza nasal spray (nzira yakaratidzirwa kuita kuti vhitamini iwedzere kuwanika mune zvimwe zviitiko).

Pazasi mutsara: Nguva dzose kuneta hakuna kujairika. Zvinogona kunge zvisingaite nekuda kwekukanganisa anemia, asi zvisinei, zvakakosha kutaura nachiremba wako nezvazvo. Ivo vangangomhanya kumwe kuongororwa kweropa kuyedza kuona zviri kuitika, uye kutora zvinhu kubva ipapo.

Ongororo ye