Nneɛma a ɛsɛ sɛ wuhu fa Vitamin B12 Deficiency ho!

So wote nka bere nyinaa sɛ woabrɛ na woayɛ mmerɛw? Ebia w’ani nnye aduan ho, anaasɛ wote nka sɛ wo nkae reyɛ kɛse. Eyinom nyɛ nneɛma a ɛba kwa kɛkɛ, ebia vitamin B12 a wunni mu . Ɛnnɛ, momma yɛnka nea vitamin B12 a yenni , nea enti a ɛho hia ma yɛn, ne sɛnea yɛbɛkwati ho asɛm.

Dɛn ne Vitamin B12? Dɛn nti na ɛho hia yɛn saa?

Sɛ yɛbɛka no tiawa a, Vitamin B12 yɛ aduannuru a ɛho hia ma yɛn nipadua. Saa vitamin yi yɛ adwuma te sɛ odwumayɛni ketewaa bi wɔ yɛn nipadua mu. Ade titiriw ne sɛ ɛboa ma yɛyɛ mogya mu nkwammoaa kɔkɔɔ wɔ yɛn nipadua mu. Wunim, mogya mu nkwammoaa kɔkɔɔ na ɛde mframa pa kɔ nipadua no mu nyinaa. Afei nso, vitamin B12 yi ho hia na ama yɛatumi ayɛ DNA wɔ yɛn nipadua mu. DNA ne awosu mu nsɛm a ɛwɔ yɛn nkwammoaa mu. Fa no sɛ, yɛn nipadua mu nkwammoaa biara nhyehyɛe wɔ saa DNA yi mu. Enti ɛsɛ sɛ wote sɛnea eyi ho hia no ase?

Yɛn nipadua no ankasa ntumi nyɛ vitamin B12. Enti, ɛsɛ sɛ yenya fi nnuan a yedi mu. Mmoa nnuan , te sɛ nam, mpataa, nufusu, ne nkesua , wɔ vitamin B12 pii titiriw. Ɛtɔ mmere bi a, nnuan te sɛ paanoo , anɔpaduan mu aburow, ne mmɔkaw a ahoɔdennuru wom nso wɔ vitamin B12 a wɔde ka ho. Wɔfrɛ eyinom ‘nnuan a wɔahyɛ no den’.

Sɛ wɔkyekyem pɛpɛɛpɛ a, ɔpanyin hia vitamin B12 bɛyɛ microgram 2.4 (mcg) da biara. Nanso, ɛnanom a wɔyem ne wɔn a wɔma wɔn nufu hia pii kakra. Dodow a nkokoaa ne mmofra hia no gu ahorow a egyina mfe a wɔadi so.

Ɔkwan bɛn so na yɛn nipadua no twetwe Vitamin B12?

Yɛn nipadua ntumi nnye vitamin B12 a yenya fi aduan mu no ara kwa. Adeyɛ ketewaa bi wɔ hɔ a wɔfa so yɛ saa. Nneɛma atitiriw abien na ɛwɔ hɔ a wobetumi afa so ayɛ eyi:

1. Nea edi kan: Hydrochloric acid a ɛwɔ yɛn yafunu mu no sɛe vitamin B12 a ɛwɔ nnuan a yedi mu.

2. Ade a ɛto so abien: Afei vitamin B12 a wɔatew mu yi ne protein titiriw bi a wɔyɛ wɔ yɛn ankasa yafunu mu bom. Wɔfrɛ eyi ‘ade a ɛwɔ nipadua no mu’ .

Ɛyɛ bere a wɔde ‘ade a ɛwɔ nipadua mu’ yi aka ho akyi nkutoo na yɛn aduan mu nhyehyɛe no tumi twetwe vitamin B12 yiye. So wote ase? Sɛ anammɔn abien yi mu biara ankɔ yiye a, ɛmfa ho vitamin B12 dodow a yebedi no, yɛn nipadua rentumi nnye.

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

Ebia woate asɛmfua ‘anemia’. Vitamin B12 a enni nipadua mu nso betumi afi mogya a ɛtɔ kɔ nipadua mu yi aba. Wɔfrɛ no mogya a ɛtɔ kɔ nipadua mu a vitamin B12 a enni mu .

Efisɛ, sɛnea madi kan aka no, vitamin B12 ho hia na ama wɔanya mogya mu nkwammoaa kɔkɔɔ a ɛte apɔw. Enti, sɛ vitamin B12 nnɔɔso wɔ nipadua no mu a, entumi nyɛ mogya mu nkwammoaa kɔkɔɔ yiye. Ɛno ne bere a mogya a ɛtɔ kɔ nipadua mu yi ba. Nanso ɛho hia nso sɛ yɛkae sɛ nnipa binom betumi anya vitamin B12 a wonni a mogya remma wɔn.

Hena na ɛda adi kɛse sɛ obenya Vitamin B12 Deficiency? Ɛtaa ba dɛn?

Nokwarem no, obiara a wadi mfe biara betumi anya vitamin B12 a enni nipadua no mu. Nanso, tebea no abu so kakra wɔ nnipa a wɔadi boro mfe 60 mu , sɛ wɔde toto mfe afoforo ho a.

Akontaabu mu no, wɔtaa bu nnipa dodow no mu 1.5% kosi 15% sɛ wonni vitamin B12. Sɛnea mfe a wɔadi no abu so no te sɛ nea edidi so yi:

• Anyɛ yiye koraa no, nnipa a wɔadi fi mfe 20 kosi 39 no mu 3%.
• Anyɛ yiye koraa no, nnipa a wɔadi fi mfe 40 kosi 59 no mu 4%.
• Anyɛ yiye koraa no, nnipa a wɔadi mfe 60 ne akyi no mu 6%.

Enti, ebia wote ase sɛ eyi nyɛ biribi a wɔntee ho asɛm saa.

Dɛn na ɛde vitamin B12 a enni nipadua no mu yi ba?

Nneɛma atitiriw abien nti na vitamin B12 a enni nipadua no mu betumi aba. Biako ne sɛ wunnya vitamin B12 a ɛdɔɔso mfi nnuan a wudi no mu. Ɔfoforo nso ne sɛ, sɛ wudi nnuan a vitamin B12 wom mpo a, wo nipadua ntumi nnye no yiye . Nneɛma ahorow nti na tebea horow yi betumi aba. Momma yɛnhwɛ nea wɔyɛ:

• Vitamin B12 a enni nipadua mu: Saa a enni nipadua mu yi betumi aba nnipa a wonni nnuan a vitamin B12 wom fi awosu mu (te sɛ nam, mpataa, ne nufusu mu nneɛma) a ɛdɔɔso, anaasɛ wonni nnuan a vitamin B12 ahyɛ mu ma no so. Eyi ho hia titiriw ma nnipa a wonni nam koraa anaasɛ wonni nam .
• Yafunu mu yare: Yafunu mu yare yɛ yafunu no mu ntini a ɛyɛ hyew. Eyi ne ade a ɛtaa ma vitamin B12 a enni nipadua no mu ba. Nea enti a ɛte saa ne sɛ, sɛ wowɔ yafunu mu yare a, hydrochloric acid a ɛba yafunu no mu no betumi atew. Sɛnea madi kan aka no, saa acid yi ho hia na ama vitamin B12 akɔ nipadua no mu.
• Mogya a ɛtɔ mogya a ɛsɛe ade: Eyi yɛ tebea a ɛntaa nsi. Nnipa a wɔwɔ saa tebea yi ntumi nyɛ protein bi a wɔfrɛ no intrinsic factor. Saa ade a ɛwɔ nipadua no mu yi ho hia na ama nipadua no atumi atwe vitamin B12. Enti, sɛ eyi nni hɔ a, vitamin B12 a enni nipadua no mu ba.
• Nyarewa a ɛwɔ aduan mu: Nyarewa a ɛka aduan mu nneɛma te sɛ Crohn yare ne Celiac yare no betumi asiw nipadua no kwan sɛ ɛbɛtwe vitamin B12 yiye.
• Oprehyɛn: Ebia ɛbɛyɛ den ama nnipa a wɔayɛ wɔn yafunu oprehyɛn, te sɛ yafunu mu oprehyɛn de atew wɔn mu duru so no, sɛ wɔbɛtwe vitamin B12.
• Asanom a wɔnom ho haw: Saa tebea yi betumi asɛe wo aduan mu nhyehyɛe na ama vitamin B12 a enni wo mu.
• Transcobalamin II a enni nipadua no mu: Eyi nso yɛ yare a ɛntaa nsi koraa, a efi awosu mu ba. Ɛba bere a wɔmfa vitamin B12 (a wɔsan frɛ no cobalamin) nkɔ nipadua no mu yiye no.

Dɛn ne Vitamin B12 a Enni Mu ho sɛnkyerɛnne?

Vitamin B12 a enni nipadua mu no betumi de nipadua, ntini, ne adwene mu sɛnkyerɛnne ahorow aba . Saa sɛnkyerɛnne ahorow yi betumi ada adi nkakrankakra na bere kɔ so no, ebetumi ayɛ kɛse. Ebia nnipa binom wɔ vitamin B12 a ɛba fam nanso wɔnkyerɛ yare no ho sɛnkyerɛnne biara. Afei nso, ntini mu yare anaa ɔsɛe betumi aba bere a mogya a ɛtɔ kɔ nipadua mu (mogya mu nkwammoaa kɔkɔɔ a enni hɔ) nni hɔ mpo.

Ma yɛnhwɛ nea ɛyɛ sɛnkyerɛnne ahorow a ɛtaa ba yi:

Nipadua mu su ahorow a ɛwɔ hɔ nyinaa:

• Ɔbrɛ ne mmerɛwyɛ kɛse a wɔte nka bere nyinaa.
• Tebea horow te sɛ akisikuru, ɔfe, anaa akisikuru.
• Aduan ho akɔnnɔ a ɛyera.
• Mu duru a ɛso tew.
• Akuru a ɛwɔ ano anaa tɛkrɛma mu.
• Wora a ɛyɛ kɔkɔɔ.

Ntini mu yare ho sɛnkyerɛnne:

• Nkwammoaa a ɛyɛ mmerɛw anaasɛ ɛyɛ mmerɛw wɔ akwaa no mu.
• Anisoadehu mu haw ahorow.
• Nneɛma a wo werɛ befi anaasɛ ɛnyɛ den sɛ wobɛtwetwe w'adwene .
• Ɛyɛ den sɛ wobɛnantew anaa wobɛkasa sɛnea na ɛte kan no.

Adwene mu sɛnkyerɛnne ahorow:

• Nkate te sɛ adwenemhaw .
• Abufuw a ɛba ntɛmntɛm, abufuw.
• Nsakrae a ɛba wo nkate ne wo nneyɛe mu.

Sɛ wowɔ saa sɛnkyerɛnne ahorow yi mu biako anaa nea ɛboro saa a, nsusuw sɛ efi vitamin B12 a wunni. Nanso, ɛyɛ papa sɛ wobɛkɔ oduruyɛfo nkyɛn akɔhwehwɛ afotu.

Ɔkwan bɛn so na wobetumi ahu Vitamin B12 a enni nipadua no mu?

Ɛtɔ mmere bi a ebetumi ayɛ den sɛ wobehu vitamin B12 a enni nipadua no mu, efisɛ ɛnyɛ bere nyinaa na ɛde sɛnkyerɛnne ahorow ba, anaasɛ sɛnkyerɛnne ahorow no betumi ayɛ te sɛ aduannuru afoforo a enni nipadua mu no. Enti, nnuruyɛfo taa kamfo kyerɛ sɛ wɔnyɛ mogya mu nhwehwɛmu mma nnipa a asiane kɛse wom sɛ wobenya saa sintɔ yi.

Nhwehwɛmu atitiriw a wɔde hu vitamin B12 a enni nipadua no mu pɛpɛɛpɛ ne mogya dodow a wɔkan koraa (CBC) ne vitamin B12 mogya mu nhwehwɛmu dodow.Sɛ obi mogya mu vitamin B12 dodow nnu unit 150 wɔ mililita biara mu a, wobu no sɛ vitamin B12 nni no.

Ɔkwan bɛn so na wɔsa eyi?

Asɛmpa no ne sɛ wobetumi asa vitamin B12 a enni nipadua no mu. Wɔde vitamin B12 ankasa na ɛyɛ ho adwuma. Mpɛn pii no, wɔde vitamin B12 a wɔayɛ a wɔfrɛ no cyanocobalamin na edi dwuma. Ɛdenam nea ɛde wo ho a ɛtɔ wo so no so no, ebia ebehia sɛ wofa ayaresa kosi sɛ wo vitamin B12 dodow bɛsan aba sɛnea na ɛte kan no nkutoo, anaasɛ ebia ebehia sɛ wonom vitamin B12 wo nkwa nna nyinaa.

Akwan pii wɔ hɔ a wɔfa so sa vitamin B12 a enni nipadua no mu:

• Vitamin B12 aduru a wɔnom.
• Vitamin B12 a wɔde gu ntini mu.
• Vitamin B12 a wɔde yɛ anom aduru.
• Vitamin B12 aduru a wɔde petepete hwene mu.

Oduruyɛfo no na obesi ayaresa kwan a eye ma wo ho gyinae.

Hena na ɔwɔ asiane kɛse sɛ obenya Vitamin B12 a enni nipadua no mu?

Nnipa binom taa nya vitamin B12 a wonni. Momma yɛnhwɛ nea asiane ahorow yi yɛ:

• Sɛ yɛadi boro mfe 75: Bere a yɛrenyin no, tumi a yɛn nipadua no tumi twetwe vitamin B12 no so tew, enti nnipa a wɔadi boro mfe 75 no wɔ asiane kɛse mu sɛ wobenya saa sintɔ yi.
• Sɛ obi nya aduan mu yare: Ɛyɛ den ma nnipa a wɔwɔ aduan mu yare te sɛ Celiac yare anaa Crohn yare sɛ wɔbɛtwe vitamin B12.
• Vegan anaa vegetarian adidi koraa akyi: Sɛnea madi kan aka no, vitamin B12 fi awosu mu wɔ mmoa nnuan mu. Enti, sɛ nnipa a wodi saa aduan yi akyi no nni nnuan a vitamin B12 wom a ɛdɔɔso a, ebia wobenya saa sintɔ yi.
• Nnuru bi a wɔnom: Nnuru bi betumi ama vitamin B12 a ɛwɔ nipadua no mu no so atew. Nhwɛsoɔ:
• Metformin a wɔde sa asikreyare.
• Proton Pump Inhibitors (PPIs) a ɛma yafunu mu yare ne ɔfe a ɛwɔ aduan mu (GERD - Gastroesophageal Reflux Disease) ne yafunu mu akuru (Peptic ulcers).
• Histamine H2 blockers, a ɛtew yafunu mu acid so.
• Nnuru a wɔde siw awo ano a wɔnom .
• Sjögren yare a wobenya: Nnipa a wɔwɔ saa tebea yi betumi anya vitamin B12 a wonni no bɛyɛ mpɛn asia.
• Nsã a wɔnom boro so: Sɛ obi kɔ so nom nsa a, ebetumi asɛe aduan mu nneɛma na ama wanya vitamin B12 a enni nipadua no mu.

Ɔkwan bɛn so na wobɛkwati Vitamin B12 a enni nipadua no mu?

Nnipa pii betumi asiw vitamin B12 a wonni ano denam nnuan a vitamin B12 wom a ɛdɔɔso a wɔde bɛka wɔn aduan ho no so.

Akwan a wobɛfa so anya vitamin B12 ne:

• Mmoa nneɛma: Nam kɔkɔɔ, mpataa, nkokɔnam, nkesua, nufusu, ne nufusu afoforo wɔ vitamin B12 pii.
• Nnuan a wɔahyɛ no den: Eyinom yɛ nnuan a fi awosu mu nni vitamin B12, nanso wɔde vitamin B12 aka ho. Nhwɛso ahorow bi ne anɔpaduan mu aburow bi, mmɔkaw a ahoɔdennuru wom, afifide nufusu bi, ne paanoo bi. Sɛ wotɔ aduan bi a, hwɛ aduannuru ho nokwasɛm ahorow a wɔakyerɛw so no mu hwɛ sɛ wɔde vitamin B12 aka ho anaa.
• Aduane a wɔde ka aduan ho: Vitamin B12 wɔ vitamin pii pii mu. Nnuru bi nso wɔ hɔ a wɔde ka aduan ho a vitamin B12 nkutoo na ɛwom. Bisa wo duruyɛfo anaa nnuruyɛfo sɛ ɔmpaw nnuru a ɛfata mma wo.

Nneɛma afoforo a ebetumi aboa ma wɔasiw vitamin B12 a enni nipadua no ano ne:

• Tew nsa a wobɛnom so anaa gyae: Sɛ wonom nsa daa a, ebetumi asɛe wo aduan mu nhyehyɛe na ama ayɛ den sɛ wobɛtwe vitamin B12.
• Sɛ wowɔ tebea bi te sɛ Crohn yare anaa Celiac yare a wobɛhwɛ wo aduan mu yiye a: Sɛ wowɔ tebea bi te sɛ Crohn yare anaa Celiac yare a, di wo duruyɛfo akwankyerɛ akyi yiye na ama woanya apɔwmuden.

Dɛn ne nkɔmhyɛ a ɛwɔ hɔ ma obi a Vitamin B12 nnim? (Nkɔmhyɛ) .

Sɛ obi a onni vitamin B12 betumi atra ase no gyina sɛnea wohu nea enni no ntɛmntɛm na wɔsa no so . Sɛ wohu sintɔ no ntɛm a, sɛnkyerɛnne pii betumi atu mpɔn bere a wɔsa yare no. Ɛdenam nea ɛde wo sintɔ no ba so no, ebia ebehia sɛ wonom nnuru bere tiaa bi, anaasɛ ebehia sɛ wonom nnuru wo nkwa nna nyinaa.

Nanso sɛ wɔannya vitamin B12 a enni nipadua no mu a, ebetumi de ɔhaw ahorow a ɛtra hɔ kyɛ a ɛka ntini ne amemene no aba . Nneɛma bɔne a anibere wom kɛse a efi vitamin B12 a wonnya mu ba no bi ne:

• Ntini a ɛyɛ mmerɛw wɔ akwaa no mu (Peripheral neuropathy).
• Akyi berɛmo a ɛyɛ mmerɛw.
• Nnipa a wɔabubu.
• Sɛnea wontumi nni dwensɔtwaa ne nsu a wɔde gu mu so (Dwotwaa a wontumi nhyɛ ne/anaasɛ nsu a wontumi nhyɛ mu).
• Ɔbarima ne ɔbea nna a ɛnyɛ adwuma yiye.
• Hahaahayɔ.
• Paranoia ne nsusuwii hunu.
• Nkae a ɛyera.

Ɛno nti na ɛho hia sɛ wohwehwɛ aduruyɛfoɔ afotuo ntɛm ara sɛ wowɔ saa nsɛnkyerɛnneɛ yi a.

Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn?

Sɛ wowɔ sɛnkyerɛnne ahorow a ɛkyerɛ sɛ vitamin B12 a wunni mu, anaasɛ wowɔ asiane mu sɛ wubenya saa yare yi a, kɔ oduruyɛfo nkyɛn ntɛm ara na bisa sɛ ebia ɛsɛ sɛ wɔyɛ wo mogya mu nhwehwɛmu de hwɛ sɛnea wo vitamin B12 dodow te anaa. Sɛ wɔahu sɛ vitamin B12 nni wo dedaw na worenya ayaresa a, sɛ wunya sɛnkyerɛnne foforo bi a ɛhaw adwene a, mma wo werɛ mmfi sɛ wobɛbɔ wo duruyɛfo amanneɛ.

Vitamin B12 yɛ vitamin a ɛho hia ma yɛn akwahosan. Nnipa dodow no ara betumi anya bi a ɛdɔɔso afi wɔn aduan mu na wɔakwati nea ɛho nhia. Sɛ wowɔ nneɛma a ɛde asiane ba anaasɛ wunya yare no ho sɛnkyerɛnne bi a, nyansa wom sɛ wobɛkɔ oduruyɛfo nkyɛn ntɛm ara ma wɔahwɛ sɛnea wo mogya mu te.

Enti, nkrasɛm bɛn na ɛsɛ sɛ yɛkae fi saa asɛm yi mu?

Okay, enti nneɛma bi a ɛsɛ sɛ wokae fi nea yɛaka ho asɛm no mu ni:

• Vitamin B12 yɛ aduannuru a ɛho hia ma yɛn nipadua. Ɛho hia ma mogya mu nkwammoaa kɔkɔɔ, DNA, ne ntini a ɛma nipadua no yɛ adwuma yiye.
• Yɛn nipadua ntumi nyɛ no ankasa. Ɛsɛ sɛ yenya fi aduan mu. Ɛdɔɔso wɔ nam, mpataa, nufusu, ne nkesua mu. Ɛsɛ sɛ wɔn a wonni nam no nom nnuan anaa nnuru a wɔde ka ho a vitamin B12 ahyɛ mu ma.
• Vitamin B12 a enni nipadua mu no betumi de sɛnkyerɛnne ahorow te sɛ ɔbrɛ, aduan ho akɔnnɔ a ɛyera, werɛ fi, akwaa a ɛyɛ mmerɛw, ne ɛtɔ mmere bi a mogya a ɛtɔ kɔ nipadua no mu aba .
• Sɛ wohu na wɔsa ntɛm a, wobetumi asa saa sintɔ yi. Sɛ ɛkyɛ a, ebetumi asɛe ntini ahorow no.
• Sɛ wowɔ saa sɛnkyerɛnne ahorow yi, anaasɛ wowɔ asiane ahorow (titiriw sɛ wo mfe akɔ anim, wo nni afifide, anaa wonom nnuru bi a), akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn kɔhwehwɛ afotu. Ɛnyɛ den sɛ wobetumi ahu eyi denam mogya mu nhwehwɛmu so.

Enti, hwɛ w’akwahosan so yiye. Di aduan a ɛkari pɛ. Sɛ wote nka sɛ biribi anyɛ yiye a, ntwentwɛn wo nan ase da sɛ wo ne oduruyɛfo bɛkasa afa ho. Akwahosan pa ma wo!

` Vitamin B12, Vitamin B12 a enni nipadua mu, Mogya a ɛtɔ kɔ nipadua mu, Nsɛnkyerɛnne, Ayaresa, Nea ɛde ba, Siw ano, Aduandi, Akwahosan