So wobrɛ bere nyinaa? Eyi betumi ayɛ Vitamin B12 Deficiency Anemia ho sɛnkyerɛnne.

So wote nka nso sɛ woabrɛ na wunni nkwa da mũ nyinaa? So wote nka sɛ woayɛ mmerɛw bere a woayɛ nnwuma nketenkete mpo awie no? Ɛtɔ mmere bi a yesusuw sɛ eyinom yɛ nneɛma a ɛfata na yebu yɛn ani gu so. Nanso wɔ ɔbrɛ a ɛkɔ so daa yi akyi no, ebia akwahosan ho haw bi wɔ hɔ a yensusuw ho, a ɛne mogya a ɛtɔ kɔ nipadua mu (mogya a enni nipadua mu) a vitamin B12 a yenni de ba no. Ɛnnɛ, momma yɛnka eyi ho asɛm tiawa na yɛmfa ayamye.

Dɛn ne mogya a ɛtɔ kɔ nipadua mu a vitamin B12 a enni nipadua no mu de ba?

Sɛ yɛbɛka no tiawa a, eyi yɛ tebea a yɛn nipadua no nni mogya mu nkwammoaa kɔkɔɔ a ɛte apɔw a ɛdɔɔso. Nea enti a ɛte saa ne vitamin B12 a wonni. Susuw ho hwɛ, mogya mu nkwammoaa kɔkɔɔ yi yɛ adwuma te sɛ nea wɔde kɔma yɛn de oxygen kɔ yɛn nipadua nyinaa mu. Sɛ yɛn nipadua no bɛyɛ mogya mu nkwammoaa kɔkɔɔ yi a, ehia dade ne vitamin ahorow, titiriw vitamin B12. Sɛ vitamin B12 nnɔɔso a, nipadua no ntumi nyɛ mogya mu nkwammoaa kɔkɔɔ a ɛte apɔw a ɛdɔɔso. Afei akwaa a ɛwɔ nipadua no mu no nnya mframa pa a ɛdɔɔso. Eyi nti na yefi ase te nka sɛ yɛabrɛ, yɛayɛ mmerɛw, na ɛyɛ den sɛ yɛbɛhome.

Dɛn nti na yenni vitamin B12? Nneɛma atitiriw a enti ɛte saa no bi

Vitamin B12 a enni nipadua mu no betumi de nneɛma pii aba. Ebetumi afi aduan a yedi, anaasɛ ebetumi afi aduruyɛ mu tebea foforo bi a ɛwɔ nipadua no mu.

1. Nipadua no ntumi nnye B12 (Absorption Problems) .

Eyi ne ade a ɛtaa ba. Ɛwom mpo sɛ yenya B12 fi aduan mu de, nanso yɛn dwensɔtwaa ntumi nnye.

• Monemia a Ɛsɛe : Eyi ne ade titiriw a ɛde B12 a enni nipadua mu ba wɔ wiase. Nea ɛkɔ so wɔ ha ne sɛ yɛn nipadua no ankasa nipadua mu ahoɔden a ɛko tia nyarewa no di mfomso tow hyɛ nkwammoaa bi a ɛwɔ yafunu no mu so. Saa nkwammoaa yi yɛ protein titiriw bi a wɔfrɛ no ‘Intrinsic Factor’ a ɛboa ma wɔtwe vitamin B12 . Sɛ protein yi nni hɔ a, nipadua no ntumi nnye, ɛmfa ho sɛnea yedi B12 no.
• Yafunu ne dwensɔtwaa mu nyarewa : Sɛ wowɔ tebea horow te sɛ Crohn yare anaa Celiac yare , ebia B12 a ɛtwetwe no bɛsɛe.
• Oprehyɛn: Oprehyɛn ahorow bi a wɔde twa yafunu mu a wɔyɛ de tew obi mu duru so no betumi atew B12 a wɔtwe no so.

2. Aduan a wodi

Vitamin B12 fi awosu mu wɔ mmoa nnuan te sɛ nam, mpataa, nufusu, ne nkesua mu kɛse.

3. Ayaresa mu tebea horow ne nnuru ahorow bi

• B12 dodow betumi akɔ fam esiane aduruyɛ mu tebea horow te sɛ asikreyare ne HIV nti. Nsã a wɔnom boro so nso yɛ ade titiriw a ɛde ba.
• Nnuru bi nso betumi ama B12 dodow so atew bere a wɔde di dwuma bere tenten no. Sɛ nhwɛso no, asikreyare aduru Metformin ne nnuru bi a wɔde tew yafunu mu acid so (Proton Pump Inhibitors) betumi aka eyi.

4. Nneɛma afoforo a ɛde ba. Mfe a woadi boro mfe 65: Bere a worenyin no, acid a ɛwɔ yafunu mu no so tew fi awosu mu. Eyi ma ɛyɛ den sɛ wobeyi B12 afi aduan mu na wɔatwe.

• Tapeworm yareɛ: Saa mmoawa yi di vitamin B12 a yɛdi no.
• Nitrous oxide gas: Sɛ wɔde saa mframa yi a wɔsan frɛ no ‘ɔserew mframa’ di dwuma ɔkwammɔne so a, ebetumi asɛe nipadua no a ɛtwetwe B12 no.

Dɛn ne tebea yi ho sɛnkyerɛnne?

Esiane sɛ wobetumi de vitamin B12 asie yɛn nipadua mu nti, ebetumi agye mfe 2-5 ansa na sɛnkyerɛnne a ɛkyerɛ sɛ yenni no ada adi. Ebia yare no ho sɛnkyerɛnne biara nni hɔ koraa wɔ mfiase no. Wobetumi akyekyɛ sɛnkyerɛnne ahorow no mu akuw atitiriw abiɛsa.

Mɛyɛ dɛn ahu sɛ eyi wɔ hɔ anaa?

Sɛ wowɔ saa sɛnkyerɛnne yi bi a, hwɛ hu sɛ wobɛkɔ wo duruyɛfo nkyɛn. Ɔbɛhwehwɛ wo mu na wabisa wo yareɛ ho sɛnkyerɛnne, aduane a wodi, ne nnuru a wode di dwuma ho asɛm. Afei ebia wɔbɛkamfo sɔhwɛ ahorow bi akyerɛ, te sɛ:

• Mogya Dodow a Edi Mu (CBC/FBC): Eyi hwɛ sɛnea wo mogya mu nkwammoaa kɔkɔɔ no kɛse ne sɛnea ɛte. Wɔ B12 a enni nipadua mu mu no, mogya mu nkwammoaa kɔkɔɔ no yɛ kɛse sen sɛnea ɛte daa na ɛyɛ soronko.
• Vitamin B12 dodow ho nhwehwɛmu: Eyi hwɛ sɛ ebia B12 dɔɔso wɔ mogya no mu anaa.
• Nsɔhwɛ titiriw afoforo: Ɛtɔ da bi a, wobetumi ayɛ nhwehwɛmu titiriw te sɛ `Intrinsic Factor Antibodies` anaa `Methylmalonic Acid (MMA)` dodow de akyerɛ nea ɛde ba no yiye.

Ɔkwan bɛn so na wɔsa?

Ade a eye sen biara ne sɛ mpɛn pii no, tebea yi yɛ mmerɛw yiye sɛ wɔbɛsa. 1. Adidi: Fa nnuan a vitamin B12 pii wom ka w’aduan ho.

• Nantwinam, mmerɛbo, akokɔ nam
• Mpataa ne akutu (e.g. salmon, tuna) .
• Anɔpaduan mu aburow a wɔahyɛ no den a vitamin B12 wom
• Nufusu a srade nnim, yogurt, ne kyiisi
• Nkwaa a wɔde yɛ nkesua

2. Vitamin a Wɔde Ma: Ebia wo duruyɛfo bɛkamfo B12 nnuru anaa aduru a wɔde petepete hwene mu akyerɛ wo. 3. B12 Injections: Sɛ sintɔ no mu yɛ den anaasɛ nipadua no wɔ ɔhaw wɔ B12 a ɛbɛtwe a, ebia ɛho behia sɛ wɔde B12 injections. Ebia ɛho behia sɛ wɔnom saa nnuru a wɔde twitwiw nipadua no mu nkwa nna nyinaa. Wɔ tebea horow a ɛntaa nsi mu no, sɛ asiane bi wɔ hɔ sɛ biribi a egye ntɛmpɛ te sɛ komayare bɛba a, ebia ɛho behia sɛ wɔde mogya ma.

Sɛ wɔansa a, asiane bɛn na ɛwɔ mu?

Sɛ wɔannya vitamin B12 a enni nipadua no mu bere tenten a, ebetumi de akwahosan ho haw ahorow a emu yɛ den aba, titiriw ntini a ɛma nipadua no yɛ adwuma no sɛe a wontumi nsakra.

• Aniwa a ɛyɛ mmerɛw
• Nkae a ɛyera
• Ɛyɛ den sɛ wobɛnantew (Ataxia) .
• Akwaa anan a ɛsɛe daa
• Bere tiaa mu awo a wontumi nwo
• Asiane a ɛkɔ soro sɛ obenya yafunu mu kokoram
• Sɛ ɛna a onyinsɛn nya B12 a, abofra a ɔhyɛ yafunu mu no wɔ asiane mu sɛ obenya awo mu dɛmdi a emu yɛ den wɔ ntini mu (Neural Tube Defect).

Enti kwati sɛ wubebu w’ani agu sɛnkyerɛnne ahorow no so. Vitamin B12, Mogya a ɛtɔ kɔ nipadua mu, Ɔbrɛ, Akwaa a ɛyɛ mmerɛw, Mogya a ɛtɔ kɔ nipadua mu a ɛsɛe ade, Aduandi