So ɛtɔ mmere bi a wote nka sɛ woabrɛ paa na wunni nkwa a ntease biara nnim? Anaasɛ ɛyɛ den ma wo sɛ wode w’adwene besi biribiara so, na wo ti te sɛ nea sum akata so? Ade biako nti a nneɛma te sɛ eyi betumi aba ne vitamin B12, aduannuru a ɛho hia ma yɛn nipadua no dodow a ɛso tew. Vitamin B12 ho hia na ama mogya mu nkwammoaa kɔkɔɔ a ɛwɔ yɛn nipadua mu no ayɛ adwuma na ama ntini ahorow no ayɛ adwuma yiye. Enti sɛ ɛba fam a, ɔhaw ahorow betumi asɔre. Ɛno nti na ɛnnɛ yɛreka mogya mu nhwehwɛmu a ɛhwɛ vitamin B12 dodow ho asɛm.
So ɛsɛ sɛ me nso meyɛ saa B12 sɔhwɛ yi?
Ɛntaa mma koraa sɛ obi a odi aduan a ɛkari pɛ no rennya vitamin B12. Nanso, nneɛma pii nti na ebia wo B12 dodow bɛkɔ fam sen sɛnea ɛte daa. Nneɛma pii nti na ebia wo duruyɛfo bɛkamfo akyerɛ sɛ wɔnyɛ B12 nhwehwɛmu .
Fa no sɛ, wotaa ka kyerɛ wo duruyɛfo sɛ, “Oduruyɛfo, mete nka sɛ mabrɛ paa, me nsa ne anan ayɛ mmerɛw, na mintumi nkae biribiara.” Wɔ bere a ɛte sɛɛ mu no, ebia oduruyɛfo no besusuw nyarewa afoforo ho na ebia obesusuw mpo sɛ wo B12 dodow wɔ wo mu.
Ɛda adi sɛ oduruyɛfo bɛkamfo nhwehwɛmu yi akyerɛ wɔ nsɛm a edidi so yi mu:
- Sɛ wɔahu sɛ wowɔ mogya a ɛtɔ kɔ nipadua mu a .
- Sɛ wususuw sɛ wowɔ aduruyɛ mu tebea bi a ɛmma wo nipadua ntumi nnye B12 a.
- Sɛ nnuru bi a wonom no nya B12 a wɔtwe no so nkɛntɛnso a.
- Sɛ wowɔ sɛnkyerɛnne ahorow a ɛfa B12 a enni hɔ ho a.
- Sɛ woasua vegan koraa anaasɛ vegetarian aduan a ɛyɛ katee a.
Tebea titiriw a ɛbata B12 a wɔmfa nni dwuma yiye ho ne nea nnuruyɛfo frɛ no ‘Pernicious Anemia’ . Eyi fi ‘Intrinsic Factor’, protein titiriw bi a wɔyɛ wɔ yɛn yafunu mu a enni hɔ. Sɛ protein yi nni hɔ a, yɛrentumi nnye B12 mfi aduan mu. Afei nso, Crohn yare ne Celiac yareB12 dodow nso betumi atew esiane tebea horow te sɛ:
Nea ɛka ho no, nnuru bi a wonom nso betumi aka eyi. Nnuru bi, titiriw nea wɔtaa de sa yafunu mu yare (GERD), te sɛ nnuru a esiw proton-pump ano no brɛ yafunu mu acid ase. Saa yafunu mu acid yi ho hia na ama B12 afi aduan mu na ama nipadua no atumi atwe. Enti, nnuru yi a wɔde di dwuma bere tenten no betumi ama B12 dodow so atew.
Dɛn ne sɛnkyerɛnne atitiriw a ɛkyerɛ sɛ obi nni B12?
Sɛ vitamin B12 dodow sua a, obiara betumi anya yare no ho sɛnkyerɛnne ahorow. Nanso, sɛnkyerɛnne ahorow bi wɔ hɔ a ɛtaa ba. Eyinom nso betumi ayɛ nyarewa afoforo ho sɛnkyerɛnne, enti ɛho hia sɛ woyɛ B12 nhwehwɛmu de si so dua.
| Nsɛnkyerɛnne a ɛkyerɛ | Nkyerɛkyerɛmu a ɛnyɛ den |
|---|---|
| Ɔbrɛ a ɛtaa ba | Sɛ́ wobɛte nka sɛ nkwa nnim bere a woada yiye na woanyɛ hwee mpo akyi. |
| Ɛyɛ den sɛ obi besi n’adwene (Fuzzy thinking) . | Sɛ wote nka sɛ w’adwene mu yɛ wo naa, ɛyɛ den ma wo sɛ wobɛkae nneɛma, wobɛte nka sɛ woabɔ apete. |
| Akwaa a ɛyɛ mmerɛw anaasɛ ɛyɛ mmerɛw wɔ akwaa no mu | Nsa ne anan a ɛyɛ mmerɛw anaasɛ ɛyɛ mmerɛw. |
| Ti a ɛyɛ yaw | Tiyɛ a ɛtaa ba anaasɛ ɛyɛ soronko sen sɛnea ɛtaa ba. |
| Moodiness a ɛyɛ den | Abufuw, awerɛhow, anaa adwene a entumi nnyina a ntease biara nnim a wobɛte nka. |
Woyɛ dɛn yɛ sɔhwɛ yi? So ɛyɛ asɛm kɛse?
Dabi, ɛnte saa koraa. Eyi yɛ mogya mu nhwehwɛmu a ɛyɛ mmerɛw yiye a wɔyɛ no daa ara kwa.
Eyi nhia ahosiesie titiriw biara. Mpɛn pii no, ɛho nhia sɛ wudi mmuada da a edi sɔhwɛ no anim. Sɛ wo duruyɛfo hyɛ sɛ wɔnyɛ mogya mu nhwehwɛmu mfa nhwɛ nneɛma te sɛ srade ne glucose a, wubetumi abisa sɛ wɔmfa nhwehwɛmu yi nka ho.
Nanso ade a ɛho hia sen biara ne sɛ wobɛka nnuru, vitamin, ne nnuru a wɔde ka ho a worenom nyinaa ho asɛm akyerɛ wo duruyɛfo ansa na woayɛ nhwehwɛmu yi, efisɛ nnuru bi betumi aka nea efi nhwehwɛmu yi mu ba no.
Ɔkwan bɛn so na yɛbɛte sɔhwɛ amanneɛbɔ no ase?
Vitamin B12 dodow a ɛfata no betumi ayɛ soronko kakra wɔ aduruyɛdan biara mu, nanso gyinapɛn ahorow bi wɔ hɔ a wogye tom wɔ ɔkwan a ɛkɔ akyiri so. Wɔde picogram susuw eyinom wɔ mililita biara mu (pg/mL).
- Nsuo a ɛfata: Ɛwɔ 190 ne 950 ntam (pg/mL).
- Borderline: Botae a ɛwɔ 200 kosi 300 (pg/mL) ntam. Sɛ eyi te saa a, ebia ebehia sɛ oduruyɛfo no yɛ nhwehwɛmu foforo bi.
- Ɛba fam: Ne bo a ennu 200 (pg/mL). Wobu eyi sɛ ɛba fam na ɛhwehwɛ sɛ wɔsan yɛ nhwehwɛmu na wɔsa yare.
Ɛtɔ mmere bi a wo duruyɛfo nso bɛsɔ vitamin foforo a wɔfrɛ no folate a ɛka B12 ho ahwɛ, efisɛ folate a enni nipadua no mu betumi ama woanya sɛnkyerɛnne koro no ara te sɛ B12 a enni nipadua no mu, enti ebetumi aboa ma woahu nea ɛde ba ankasa.
Sɛ me B12 level no sua a, dɛn na mɛyɛ akyi?
Sɛ w’amanneɛbɔ ka sɛ wo B12 dodow sua a, mma ɛnhaw wo. Ayaresa ahorow bi wɔ hɔ a wobetumi ayɛ ama no. Nanso wo duruyɛfo na ɔkyerɛ ayaresa no.
- Sɛ wo B12 dodow yɛ nea ɛfata a: Ɛho nhia sɛ woyɛ biribi titiriw biara. Kɔ so di aduan a ɛkari pɛ. Nnuan te sɛ mpataa, nam, nufusu, ne nufusu mu nneɛma wɔ vitamin B12 pii. Anɔpaduan mu aburow nso wɔ hɔ a wɔde vitamin B12 ahyɛ mu den.
- Sɛ wo B12 dodow sua a: Wubehia ayaresa. Ayaresa ko a wɔde bɛma no begyina nea ɛde wo B12 dodow a ɛba fam ba no so.
- Sɛ nea enti a ɛte saa ne sɛ wunnya B12 a ɛdɔɔso mfi w’aduan mu (sɛ nhwɛso no, wɔn a wonni afifide) a, ebia wo duruyɛfo bɛkyerɛw vitamin B12 nnuru (nnuru a wɔnom) ama wo .
- Nanso, sɛ wowɔ ɔhaw bi wɔ B12 a wobɛtwe afi wo yafunu mu (e.g. Pernicious Anemia) a, nnuru a wobɛnom no remmoa. Wɔ tebea horow a ɛtete saa mu no, ebia wo duruyɛfo bɛkamfo vitamin B12 a wɔde bɛhyɛ wo mu .
Vitamin B12 a enni nipadua mu no betumi de ɔhaw kɛse aba amemene no dwumadi, ntini ahorow, ne nipadua no afã afoforo pii mu sɛ ɛkɔ so kyɛ a. Enti, ɛho hia paa sɛ woyɛ nhwehwɛmu sɛ wowɔ sɛnkyerɛnne bi a. Nnipa a wɔn mfe akɔ anim titiriw na wɔwɔ asiane mu sɛ B12 dodow a ɛba fam bɛba. Enti, sɛ w’awofo anaa mpanyimfo a wɔwɔ w’abusua mu rebɔ saa sɛnkyerɛnne ahorow yi ho amanneɛ a, ɛho hia yiye sɛ woka wɔn aduan ho asɛm na sɛ ɛho hia a, wokɔ oduruyɛfo nkyɛn na wonom B12 aduru.
Nkrasɛm a Wɔde Kɔ Fie
- Sɛ obi te ɔbrɛ nka bere nyinaa a ntease biara nnim, sɛ obi nkae ade, na ne akwaa a ɛyɛ mmerɛw a, ebetumi ayɛ vitamin B12 a enni nipadua no ho sɛnkyerɛnne.
- Vitamin B12 nhwehwɛmu no yɛ mogya mu nhwehwɛmu a ɛnyɛ den koraa a enhia sɛ wodi mmuada.
- Wɔn a wonni nam, wɔn a wɔnom nnuru bi a wɔde sa yafunu mu yare bere tenten, ne wɔn a wɔn mfe akɔ anim no wɔ asiane kɛse mu sɛ wobenya B12 a wonni.
- Sɛ wuhu sɛ wo B12 dodow sua a, nnyɛ w’ankasa nkɔnom nnuru. Hwehwɛ nea ɛde ba na nya ayaresa a ɛfata sen biara (aduru anaa nnuru a wɔde twitwiw nipadua mu).Akyinnye biara nni ho sɛ wo ne wo duruyɛfo nkasa.
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