So wobrɛ bere nyinaa? So wo ho ayɛ fitaa? Momma yensua Vitamin Deficiency Anemia ho ade

So wote nka sɛ woabrɛ dodo sɛ wobɛyɛ wo da biara da nnwuma? So wote nka sɛ wo ho yɛ wo yaw bere a woanantew kakra mpo? Sɛ wohwɛ ahwehwɛ mu a, w’anim yɛ kusuu? Ebia wubesusuw sɛ eyinom yɛ nneɛma a ɛfata ara kwa, ɔbrɛ a adwuma a wɔyɛ boro so de ba. Nanso, eyinom betumi ayɛ nsɛnkyerɛnne a ɛkyerɛ sɛ biribi asɛe wo nipadua. Ɛnnɛ yɛrebɛka tebea bi a nnipa pii wɔ nanso wonnim ho asɛm.

Dɛn ne Vitamin Deficiency Mogya a Wɔyare Mu?

Sɛ yɛbɛka no tiawa a, eyi yɛ tebea a ɛba bere a yɛn nipadua no ntumi nnya mogya mu nkwammoaa kɔkɔɔ a ɛte apɔw a ɛdɔɔso no. Ɛte sɛ adwumayɛbea bi a nneɛma a wɔde yɛ ade pa resa. "Nneɛma" abien a ɛho hia ma yɛn nipadua na ama ayɛ mogya mu nkwammoaa kɔkɔɔ a ɛte apɔw ne vitamin B12 ne vitamin B9 (folate anaa folic acid) . Sɛ eyinom nni hɔ a, nipadua no ma mogya mu nkwammoaa kɔkɔɔ a ɛnteɛ a ɛsõ sen sɛnea ɛte daa na entumi nyɛ adwuma yiye.

Susuw ho hwɛ, mogya mu nkwammoaa kɔkɔɔ ne kar ahorow a ɛde mframa pa kɔ yɛn nipadua nyinaa mu. Sɛ wɔanhyehyɛ saa kar ahorow yi yiye a, wontumi nyɛ wɔn adwuma a ɛne sɛ wɔmfa mframa pa nkɔ baabiara yiye. Wɔsan frɛ tebea a mogya mu nkwammoaa kɔkɔɔ akɛse a ɛnyɛ ne kwan so yi de ba no macrocytic anaa megaloblastic anemia wɔ aduruyɛ ho nyansahu mu.

Dɛn nti na vitamin B12 ne folic acid (folate) ho hia saa?

Vitamin abien yi nyinaa ho hia ma yɛn nipadua no dwumadi pii. Eyinom mu biako a ɛho hia paa ne mogya mu nkwammoaa kɔkɔɔ a wɔyɛ. Sɛ woannya wɔn nnɔɔso, sɛnea yɛadi kan aka no, ɛnyɛ sɛ mogya mu nkwammoaa kɔkɔɔ a wɔyɛ wɔ nipadua no mu no hwere wɔn nsusuwii nko, na mmom wɔn nkwa nna nso so tew. Wowuwu ntɛmntɛm sen nkwammoaa a ɛteɛ.

Dɛn na ɛba saa bere no? Nkwammoaa dodow a ɛwɔ nipadua no mu a etumi de mframa pa kɔ so no so tew. Eyi ne nea yɛfrɛ no " mogya a ɛtɔ kɔ nipadua mu ." Eyi nti na yefi ase te ɔbrɛ ne ɔbrɛ nka no.

Hena na ɔwɔ asiane kɛse sɛ obenya saa tebea yi?

Nneɛma atitiriw abien nti na ɛte saa. Biako ne sɛ yennni vitamin ahorow yi sɛnea ɛsɛ . Ɔfoforo no ne sɛ , sɛ yedi mpo a, yɛn nipadua ntumi nnye wɔn yiye.

Asiane yi dɔɔso kakra ma nnipa a wodi so yi:

• Aduan ho haw ahorow: Wɔn a wonni nnuan a vitamin B12 ne folate pii wom (nam, mpataa, nufusu, nkesua, nhabannuru a ɛyɛ ahabammono) fam.
• Ɔhaw ahorow a ɛwɔ aduannuru a yedi mu: Nyarewa bi mma nipadua no ntumi nnye aduannuru a ɛwɔ aduan a yedi mu no. Nhwɛsoɔ:
• Celiac yare a ɛma obi nya yare
• Crohn yare no
• Cystic fibrosis a ɛma mogya tu
• Mogya a ɛtɔ mogya a ɛsɛe ade:Eyi yɛ tebea titiriw bi kakra. Sɛ yebetumi atwe vitamin B12 afi aduan a yedi mu a, yehia protein soronko bi wɔ yɛn yafunu mu. Wɔfrɛ eyi ``Intrinsic factor''. Nnipa binom nipadua ntumi nyɛ saa protein yi. Afei, ɛmfa ho sɛnea wodi B12 no, wɔn nipadua ntumi nnye. Eyi nso de mogya a ɛtɔ kɔ nipadua mu ba.

So wowɔ saa sɛnkyerɛnne ahorow yi nso?

Ebia wɔrenhu mogya a ɛtɔ kɔ nipadua mu a vitamin a enni nipadua no mu ho sɛnkyerɛnne mfiase no. Wonyin nkakrankakra, wɔ asram pii mu, anaa mfe pii mpo mu. Hwɛ nhyehyɛe a ɛwɔ ase hɔ no mu hwɛ sɛ wowɔ saa sɛnkyerɛnne ahorow yi bi anaa.

Wɔ nipadua mu sɛnkyerɛnne ahorow yi akyi no, vitamin a wonnya nso betumi de adwene mu nkɛntɛnso aba. Adwenemhaw , adwene a wontumi mfa n’adwene nsi biribi so , ne werɛ fi betumi aba. Ɛtɔ mmere bi a, sɛ obi a ne mfe akɔ anim wɔ vitamin B12 a enni no kɛse a, wobetumi adi mfomso aka sɛ ɛyɛ adwenemhaw.

Dɛn ne ade titiriw nti a ɛte saa?

Wɔ asiane ahorow a yɛadi kan aka ho asɛm akyi no, nneɛma afoforo pii betumi aka eyi.

• Nnuru bi: Nnuru bi a wɔde ma nyarewa te sɛ akisikuru.
• Nsã a wɔnom boro so: Nsã ma nipadua no ntumi nnye aduannuru.
• Yafunu mu oprehyɛn: Ebia vitamin a wɔtwe no so bɛtew wɔ nneɛma te sɛ oprehyɛn a wɔde tew mu duru so akyi.
• Nwansena a ɛwɔ dwensɔtwaa mu: Nwansena te sɛ tapeworms na ɛde ba.
• Nyinsɛn ne nufu a wɔde ma: Wɔ saa mmere yi mu no, nipadua no hia folate (B9) kɛse, enti nea ɛho nhia betumi aba.
• Nnipa a wɔreyɛ dialysis wɔ asaabo mu yare ho: Saa nkurɔfo yi nso wɔ su kɛse sɛ wɔbɛhwere folate fi wɔn nipadua mu.

Wobɛyɛ dɛn ahu eyi, Oduruyɛfo?

Sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, wo duruyɛfo betumi de mogya mu nhwehwɛmu a ɛnyɛ den ahu tebea no. Saa mogya mu nhwehwɛmu yi hwehwɛ titiriw:

• Vitamin B12 ne folate dodow a ɛwɔ wo mogya mu no te dɛn ?
• Wo mogya mu nkwammoaa kɔkɔɔ no kɛse te dɛn, ɛsõ dɛn, na ɛte sɛn ?

Sɛ oduruyɛfo no susuw sɛ tebea bi te sɛ ``(pernicious anemia),'' obetumi nso ayɛ nhwehwɛmu titiriw afoforo pii.

Dɛn ne ayaresa ahorow a wɔde sa eyi?

Botae titiriw a ɛwɔ eyi a wobɛsa mu ne sɛ wobɛma vitamin dodow a ɛwɔ wo nipadua mu no asan akɔ dodow a ɛfata. Wo duruyɛfo bɛkyerɛ ayaresa nhyehyɛe ne dodow a ɛfata sen biara ama wo.

Wobetumi afa akwan horow so anom vitamin B12 anaa folate a wɔde ma:

• Nnuru a wɔde yɛ nnuru a wɔamene
• Nnuru a wɔde hyɛ kasa ase
• Nsu a wɔde petepete hwene mu
• Injection a wɔde twitwiw nipadua no mu
• Nsuo a wɔde fa syringe so kɔ ntini bi mu (Intravenous - IV) .

Mpɛn pii no, ebehia sɛ wotoa saa ayaresa yi so kosi sɛ wo vitamin dodow bɛsan ayɛ sɛnea na ɛte kan no. Ɛho hia paa nso sɛ wobɛsesa w’aduan.

Nanso, sɛ wowɔ vitamin a enni wo yi esiane tebea foforo a ɛhyɛ wo ase, te sɛ ɔhaw a ɛfa sɛnea wɔtwe wo ho nti a, ebia wubehia ayaresa bere tenten na amma tebea no ansan amma bio.

Sɛ wɔansa a, ɔhaw bɛn na ebetumi aba?

Mpɛn pii no, tebea yi fi hɔ koraa bere a wɔsa no yare yiye no. Nanso, sɛ wɔansa a, ebetumi de ɔhaw a emu yɛ den a ɛtra hɔ kyɛ aba.

• Ntini mu haw ahorow: Ntini mu yare a emu yɛ den te sɛ akwaa a ɛyɛ mmerɛw, nantew a ɛyɛ den.
• Koma mu yare: Asiane a ɛwɔ hɔ sɛ koma no bɛyɛ mmerɛw na ne koma anyɛ adwuma yiye.
• Nsɛnnennen a ɛba wɔ nyinsɛn mu: Nkɛntɛnso a enya wɔ akokoaa no nkɔso so.
• Awo ho haw ahorow: Ɛyɛ den sɛ wobɛwo mma.

Enti mmu w’ani ngu saa sɛnkyerɛnne ahorow yi so.

Dɛn na ɛsɛ sɛ yedi na yɛakwati saa tebea yi?

Ɔkwan a eye sen biara a wobɛfa so atew asiane a ɛwɔ tebea yi mu so ne sɛ wubedi aduan a ɛkari pɛ a vitamin B12 ne B9 (folate) pii wom.

Wubetumi abisa wo duruyɛfo vitamin dodow a wuhia da biara. Ɔbɛtu wo fo nso sɛ sɛ ɛho hia a, fa vitamin a wɔde ma.