Ðe nèsena le ɖokuiwò me ɣeaɖewoɣi be ŋusẽ aɖeke mele ye ŋu oa, ɖe dɔgbo me kuxiwo le fu ɖem na wò ɣesiaɣi, ɣeaɖewoɣi la, aɖuɖɔtoe hã nɔa ŋuwòa? Menye ema ɖeɖeko o, ke ɖe ŋutigbalẽ ƒe kuxiwo, dzesi wɔnukuwo, kple bubuawo hã le ŋuwòa? Le nyateƒe me la, esiawo ate ŋu anye dɔléle vovovowo ƒe dzesiwo. Ke hã, egbea míele nu ƒom tso nɔnɔme aɖe si to vovo vie si va ƒoa ƒu ɣeaɖewoɣi ŋu. Ema nye dɔléle aɖe si woyɔna be
pellagra .
Nukae nye Pellagra?
Kpuie ko la, Pellagra nye dɔléle si tsoa vitamin si woyɔna be
niacin , si wogayɔna be
vitamin B3 , ƒe anyimanɔmanɔ gbɔ. Esia hã nye nunyuimakpɔɖu ƒomevi aɖe. Etɔxɛe la, enye nunyiame suesuesuewo ƒe anyimanɔmanɔ. Niacin le vevie na lãmenugbagbevi siwo le míaƒe ŋutilã me ƒe dɔwɔwɔ. Eyata ne ebɔbɔ la, eƒe ŋusẽkpɔɖeamedziwo dzena abe dzesiwo ene le míaƒe ŋutilã katã me, vevietɔ le teƒewo abe ŋutigbalẽ, nu, dɔgbo, kple ahɔhɔ̃ ene. Ne womewɔ atike na Pellagra nyuie o la, ate ŋu agblẽ nu le lãmekawo ŋu tegbee eye ɣeaɖewoɣi la, ate ŋu aku gɔ̃ hã. Fifia ɖewohĩ ànɔ ɖokuiwò biam be ɖe esia xɔa amesiame hã. Zi geɖe la, ame si ɖua nuɖuɖu si da sɔ la xɔa niacin agbɔsɔsɔme si hiã. Ke hã, pellagra gbãtɔ – si tso niacin ƒe anyimanɔmanɔ le nuɖuɖu me gbɔ – gakpɔtɔ nye kuxi gã aɖe le nuto dahe siwo me nuɖuɖu mele o me. Gake le dukɔ deŋgɔwo abe Sri Lanka ene me la, zi geɖe la, niacin ƒe anyimanɔmanɔ nyea nu evelia si gbɔ wòtsona. Eyae nye dɔléle ƒe nɔnɔme alo nu bubu siwo xea mɔ na míaƒe ŋutilã be wòagaxɔ niacin alo azãe nyuie o.
Nukae nye Niacin? Nukatae míehiãe?
Míaƒe ŋutilã zãa niacin tsɔ trɔa nuɖuɖumeŋusẽ si le nuɖuɖu si míeɖuna me wòzua ŋusẽ. Bu nuɖuɖu si míeɖuna be enye mɔ̃memi si naa ŋusẽ míaƒe ʋua. Hafi mɔ̃memi ma nate ŋu awɔ dɔ la, ele be woakɔ eŋu nyuie. Emae nye nusi niacin wɔna. Niacin si míekpɔna tso nuɖuɖu si míeɖuna me la toa míaƒe dɔgbo suea me gena ɖe míaƒe ŋutilã ƒe lãkusiwo me. Le afima la, eva zua dɔlékuiwutike si woyɔna be
Nicotinamide Adenine Dinucleotide (NAD) . NAD sia kpena ɖe enzyme siwo wu 400 ŋu le míaƒe ŋutilã ƒe dɔwɔwɔ me. Kpuie ko la, NAD siae nye nu vevitɔ si kpena ɖe míaƒe ŋutilã ƒe lãmenugbagbeviwo ŋu wowɔa ŋusẽ (si woyɔna hã be
Adenosine Triphosphate (ATP) ). Tsɔ kpe ɖe eŋu la, NAD kpena ɖe dɔ vevi geɖe ŋu, abe DNA dzadzraɖo kple kadodo si le lãmenugbagbeviwo dome ene.
Aleke niacin ƒe anyimanɔmanɔ kpɔa ŋusẽ ɖe nye ŋutilã dzii?
Esi wònye be NAD nye nu vevi aɖe si naa ŋusẽ lãmenugbagbeviwo ta la, ne eƒe ŋusẽ vɔ la, ekpɔa ŋusẽ ɖe ɖoɖo siwo hiã ŋusẽ wu alo esiwo le mama kabakaba dzi gbã. Ema fia
wò ŋutigbalẽ, wò dɔgbo ƒe mɔ̃ (tso wò nu me yi wò dɔgbo me), kple wò ahɔhɔ̃. Ðɔktawo yɔa pellagra ƒe dzesi veviwo be "3 Ds":
Aɖuɖɔtoe, ŋutigbalẽdɔ, kple tagbɔdɔ. Ame aɖewo gɔ̃ hã tsɔa "D" enelia kpena ɖe eŋu: ku . Ne womewɔ atike nɛ ƒe geɖe o la, ku ate ŋu ado tso eme. 1. Aɖuɖɔtoe (Dɔɖuɖɔtoedɔléle) .
Aɖuɖɔtoe dzɔna ne wò dɔgbo ƒe lãkusi (mucosa) megawɔa dɔ nyuie o. Bu eŋu abe nusi wotsɔ bla wò dɔgbo ƒe eme takpɔnu ene. Ne edzo la, wò dɔgbowo mete ŋu ɖua nuɖuɖu nyuie alo kpɔa wo ɖokui ta tso dɔlékuiwo alo abixɔxɔ me o. Esia ate ŋu ana dɔdzẽ nayi edzi tso wò nu me ayi wò dɔgbowo me. Esia ate ŋu ana dzesiwo abe dɔgbo ƒe vevesese, nuɖuɖumaɖumaɖu, nu me ƒe abi, kple aɖe si biã eye wòvuvu ene nadze ame dzi . 2. Dermatitis (Ŋutilã ƒe keklẽŋusẽ) .
Pellagra nye ŋutigbalẽdɔléle ƒomevi aɖe koŋ si gblẽa nu le ŋutigbalẽ ŋu, vevietɔ mo, kɔ, abɔ, afɔ, asibidɛ, kple afɔkpodzi, siwo ŋdɔ ʋuna. Ne ŋusẽ megale lãmenugbagbeviawo ŋu o la, ŋutigbalẽ me lãmenugbagbeviwo va sea ɣe ƒe keklẽ vevie. Gbã la, ŋutigbalẽa biãna eye wòdzena abe ɖe wotɔ dzoe le ŋdɔkutsu nu ene. Emegbe teƒeawo va zua ƒuƒlu, ʋuʋudedi, eye ɣeaɖewoɣi la , kpe yibɔ (siwo ƒe amadede sɔ gbɔ wu) ate ŋu adze. Dɔléle sia ƒe dzesiwo dometɔ ɖekae nye ka doviviti aɖe si le kɔ ŋu. Woyɔe be "Casal ƒe kɔla." Wotsɔ ɖɔkta Don Gaspar Casal, amesi de dzesi dɔlélea zi gbãtɔ le Spain agbledelawo dome le ƒe 1735 me la ƒe ŋkɔ na esia. 3. Tagbɔdɔléle (Ahɔhɔ̃ kple lãmekawo ƒe gbegblẽ) .
Pellagra nye dɔléle si gblẽa nu le ametia katã ŋu. Esi ŋusẽ si hiã be wòawɔ eƒe dɔa meganɔa lãmenugbagbevi ɖesiaɖe si le ŋutilãa me o ta la, egblẽa nu le ahɔhɔ̃a kple lãmekawo ŋu mlɔeba. Ðewohĩ dzesi siwo dzena le gɔmedzedzea me madze ƒã tututu o. Ðewohĩ ɖeko nàse le ɖokuiwò me be yegbɔdzɔ, yemetsɔ ɖeke le eme o, eye wòasesẽ na wò be yeƒe susu nanɔ nu ŋu . Alo àte ŋu akpɔ dzesiwo abe dzimaɖitsitsi kple blanuiléle ene . Le ɣeyiɣi aɖe megbe la, dzesi siawo ate ŋu ava zu tɔtɔ kple susuhenuwo . Le nɔnɔme sesẽwo me la, tagbɔdɔléle si nɔa anyi ɖaa ate ŋu ado mo ɖa, eye ahɔhɔ̃mekawo ƒe kuxiwo abe dadasɔ kple azɔlizɔzɔ ƒe sesẽ, lãmekawo ƒe ʋuʋu, kple ʋuʋudedi ene ate ŋu ado mo ɖa . Afikae wokpɔa Pellagra le wu?
Le ŋutinya me la, wokpɔ pellagra le ame dahewo me le xexeame katã, le dukɔwo abe Europa, Afrika, Asia, kple Anyiehe Amerika ene me. Wokpɔe zi geɖe le amesiwo ƒe nuɖuɖu mesɔ gbɔ kura o ŋu. Vevietɔ le amesiwo me protein mesɔ gbɔ ɖo o eye woƒe nuɖuɖu si wotu ɖe bli dzi la gome. Esia le alea elabena niacin bia be protein kple amino acid nate ŋu axɔ ŋutilãa nyuie. Togbɔ be niacin le bli me hã la, ele nɔnɔme si "bla" me si míaƒe ŋutilã mate ŋu axɔ bɔbɔe o. Le Titina kple Anyiehe Amerika la, le kɔnu nuNe wole bli wɔm tortillas la, wotsɔa blia dea lime tsi me zã bliboa. Nuwɔna sia naa niacin si le bli la me la dona eye wònana wòte ŋu xɔa tsi nyuie wu. Esia tae pellagra mebɔ kura le nuto mawo me o ɖo.
Fifia la, Pellagra mebɔ kura le Ɣetoɖoƒedukɔ deŋgɔwo abe Amerika ene me o. Esia tso alesi wotsɔ niacin do ŋusẽ abolo kple bli gbɔ. Gake wogakpɔa Pellagra gbãtɔ le xexeame ƒe nuto siwo mede ŋgɔ boo o me, vevietɔ le to siwo me tɔwo ɖua bli abe woƒe nuɖuɖu vevitɔ ene dome. Nɔnɔme sia gakpɔtɔ le India, China, kple Afrika ƒe akpa aɖewo. Togbɔ be Pellagra gbãtɔ mebɔ le dukɔwo abe Sri Lanka ene me o hã la, ele be míatsi dzi ɖe Pellagra si tso nu evelia gbɔ ŋu . Nukae nye Pellagra ƒe dzesiwo?
Pellagra ƒe dzesi siwo bɔ dometɔ aɖewoe nye esi: Nukawoe hea Pellagra vɛ?
Nusi koŋ gbɔ wòtsoe nye nuɖuɖu si me niacin mesɔ gbɔ ɖo o. Míekpɔa vitamin B3 (niacin) tso nuɖuɖu vovovowo me. Gake nunyiame aɖewo ate ŋu agbɔdzɔ le amesiwo si nuɖuɖu tiatia sue aɖe ko le la si. Pellagra ate ŋu adzɔ le nu evelia siwo gbɔ wòtso hã ta . Eyae nye lãmesẽkuxi bubu siwo xea mɔ na wò ŋutilã be megaxɔa niacin alo zãnɛ nyuie o. Kpɔɖeŋu aɖewoe nye:- Dɔgbomedɔléle siwo hea malabsorption vɛ - le kpɔɖeŋu me , Inflammatory Bowel Disease (IBD) aloAklã ƒe ʋuka me dɔléle.
- Ahanono ƒe kuxi: Ahanono fũ ate ŋu agblẽ nu le ŋutinuwo abe aklã ene ŋu eye wòaɖe ŋutilã ƒe ŋutete be wòaxɔ nunyiamewo abe niacin ene dzi akpɔtɔ. Esia ate ŋu ahe nunyuimakpɔɖu vɛ.
- Dɔgbo ƒe dɔwɔwɔ na ame: Le amekoko aɖewo wɔwɔ le lolo akpa ta megbe la, dɔgboa ƒe lãkusi ate ŋu agblẽ, si ana nunyiame suesuesue vovovowo, siwo dome niacin hã le, nagbɔdzɔ.
- Ʋusɔgbɔdɔ si me iron mele o: Ŋutilã hã hiã iron be wòatrɔ niacin ahazãe.
- Hartnup dɔléle: Esia nye domenyiŋusẽfianu ƒe dɔléle. Enaa ŋutilãa megaxɔa amino acidwo o. Amino acid siawo le vevie ŋutɔ na vitaminwo wɔwɔ.
- Carcinoid syndrome: Le esia me la, kansa lãmenugbagbeviwo ƒe niacin wɔwɔ dzi ɖena kpɔtɔna.
- Atike aɖewo: Atike aɖewo, vevietɔ atike siwo wua ʋusɔgbɔdɔ kple atike siwo wozãna tsɔ daa dɔlékuiwoe, ate ŋu ado kplamatse niacin ƒe lãmenugbagbeviwo ƒe dɔwɔwɔ.
- HIV dɔlékui xɔxɔ: HIV dɔlékuia nana niacin ƒe agbɔsɔsɔ dzi ɖena kpɔtɔna le ŋutilã me.
Aleke wokpɔa Pellagra ƒe dɔléleae?
Ne èyi ɖɔkta gbɔ la, ado wò kpɔ ahabia wò dzesiwo, wò atikewɔwɔ ŋutinya, kple wò nuɖuɖu. Ne wosusu be pellagra le ame ŋu la, woate ŋu awɔ aɖuɖɔ dodokpɔ atsɔ aɖo kpe dɔlélea dzi. Atike aɖewo ƒe agbɔsɔsɔ le wò aɖuɖɔ me ate ŋu ana nànya ne niacin sɔ gbɔ ɖe wò ŋutilã me. Wò ɖɔkta ate ŋu ana niacin-tikewo hã wò be wòakpɔe ɖa be wokpena ɖe ŋuwò hã. Ema nye mɔ siwo dzi woato anya dɔlélea dometɔ ɖeka. Nukawoe nye Pellagra ƒe atikewo?
Niacin, alo vitamin B3 ƒe anyimanɔmanɔ gbɔe pellagra tsona. Eyata atikewɔwɔ nyuitɔ kekeakee nye be woatsɔ nunyiame si bu la ayɔ ŋutilãa me. Ema fia be woana niacin kpeɖeŋutɔ. Ame akpa gãtɔ dzea hayahaya gɔme kaba ne wonya dze nusiawo nono gɔme ko. Gake ate ŋu ahiã be woawɔ atike bubuwo na nuwo abe ŋutigbalẽ ƒe abi kple nu me abi ene. Nu vevitɔe nye be ne pellagra le ŋuwò le nu evelia si gbɔ wòtso, si nye dɔléle bubu ta la, ekema ele be nàda dɔléle ma si le ete hã nyuie.
Ðe nugbegblẽ aɖewo le atikewɔwɔa ŋua?
Ne èno atike la abe alesi wò ɖɔkta gblɔe ene la, zi geɖe la, niacin kpeɖeŋutɔ mehea nugbegblẽ gã aɖeke vɛ o. Gake ne ènoe wògbɔ eme la, nugbegblẽ aɖewo ate ŋu ado mo ɖa. Gake ame aɖe si ƒe ŋutilã me gbɔdzɔgbɔdzɔ le la mano atike wòagbɔ eme bɔbɔe o. Ne edzɔ alea la, nu siwo gbɔna ate ŋu adzɔ:- Ŋutilã ƒe ʋuʋu.
- Ʋuʋudedi kple eczema ƒe ʋuʋudedi.
- Ʋuʋudedi kple nuɖuɖu ƒe dɔmawɔmawɔ nyuie.
- Taɖuame kple taɖuame.
Aleke woawɔ axe mɔ ɖe Pellagra nu?
Nuɖuɖu si da sɔ nyuie ɖuɖu nye mɔ bɔbɔetɔ kekeake si dzi nàto anɔ nunyiame nyui ɖum. Ne nuɖuɖu siwo woate ŋu atia mesɔ gbɔ o la, nuɖuɖu siwo me ŋusẽ le kple nuɖuɖu siwo wotsɔ kpe ɖe nuɖuɖu ŋu ate ŋu akpe ɖe ame ŋu. Niacin si ade miligram 15 gbesiagbe sɔ gbɔ na ame tsitsi si le lãmesẽ me. Zi geɖe la, wokpɔa agbɔsɔsɔ sia tso vitamin B-complex ƒe kpeɖeŋutɔ me. Nuɖuɖu siwo me niacin sɔ gbɔ ɖo wu dometɔ aɖewoe nye:- Nyilã ƒe aklã
- Beetroot (Amegãxi) .
- Brewer ƒe amɔwɔʋãnu
- Abolo kple nuku siwo me wode nuɖuɖui
- Tɔmelã siwo me ami le, abe salmon kple tuna ene
- Anyigbadzobonuwo
- Nagoti
- Koklolã
- Mᴐli
- Sunflower ƒe nukuwo
- Spaghetti-mi si wotsɔa lãmi wɔe
Ne lãmesẽkuxi aɖe si nɔa anyi didi si nana wòte ŋu xɔa pellagra la, ƒo nu kple wò ɖɔkta tso mɔ siwo dzi nàto axe mɔ ɖe enu le ɣeyiɣi didi me ŋu. Esia ate ŋu alɔ tɔtrɔwɔwɔ le wò nuɖuɖu, kpeɖeŋutɔ, alo atike siwo nènona ŋu ɖe eme. Ɣeyiɣi didi kae wòxɔna hafi wòhayana tso Pellagra me?
Ne èdze niacin kpeɖeŋutɔ nono gɔme la, ame akpa gãtɔ ƒe lãme sẽna le ŋkeke ʋɛ aɖewo megbe. Nuɖuɖumeŋusẽ ƒe dzesiwo (abe aɖuɖɔtoe ene) te ŋu nyona ɖe edzi gbã , zi geɖe le kwasiɖa gbãtɔ me. Ŋutilã kple nu me ƒe abi ate ŋu axɔ kwasiɖa eve hafi woahaya. Dɔléle sesẽ aɖewo ate ŋu axɔ ɣeyiɣi didi wu. Lãmetsiŋusẽ ƒe gbegblẽ vevie kple tagbɔdɔ ate ŋu anye nusi womate ŋu atrɔ o. Be woaxe mɔ ɖe pellagra gbãtɔ bubuwo nu la, ɖɔktawo kafui be woalé nuɖuɖu si da sɔ me ɖe asi. Zi geɖe la, niacin ƒe anyimanɔmanɔ zɔna aduadu kple nunyiame sue bubuwo ƒe anyimanɔmanɔ. Woate ŋu aɖɔ nusiawo katã ɖo ne woɖu nu nyui. Pellagra evelia dada ate ŋu asesẽ vie wu. Togbɔ be kpeɖeŋutɔ ate ŋu akpe ɖe ame ŋu hã la, ne ŋutilãa mete ŋu trɔa asi le niacin ŋu nyuie o la, ɖewohĩ kpekpeɖeŋu ma masɔ gbɔ o. Le nɔnɔme mawo me la, hayahaya nɔ te ɖe dɔléle si gbɔ pellagra la tso la didi kple edada dzi. Esia ate ŋu axɔ ɣeyiɣi didi, le dɔlélea nu. Mlɔeba la, nusiwo dzi wòle be woaɖo ŋkui (Take-Home Message) .
Togbɔ be woɖe pellagra gbãtɔ ɖa le dukɔ deŋgɔwo me akpa gãtɔ hã la, egakpɔtɔ le ame dahe siwo si nuɖuɖu mesɔ gbɔ ɖo o dome. Le dukɔwo abe mía tɔ ene me la, niacin ƒe anyimanɔmanɔ evelia gakpɔtɔ nye afɔku le ahanono kple atikewɔwɔ me nɔnɔme aɖewo (vevietɔ esiwo doa kplamatse nunyiame ƒe xɔxlɔ̃) ta. Nu vevitɔe nye be míaɖo ŋku edzi be togbɔ be nunyiame dzea egɔme tso nuɖuɖu dzi hã la, ewua enu le ŋutilãa me.Ele be nu geɖe siwo le wò ŋutilã me nanɔ dɔ wɔm nyuie. Ne dzesi aɖewo le ŋuwò si fia be nane gblẽ, vevietɔ ne kuxiwo le wò nuɖuɖumeŋusẽ ŋu la, kpɔ egbɔ be yebia atikewɔlawo ƒe aɖaŋuɖoɖo. Vitamin sue aɖe ƒe anyimanɔmanɔ gɔ̃ hã ate ŋu akpɔ ŋusẽ gã aɖe ɖe wò lãmesẽ dzi. Eya ta, ɖu nuɖuɖu si da sɔ, nɔ agbe si me lãmesẽ le, eye nàkpɔ ɖɔkta kaba ale si nàte ŋui ne kuxi aɖewo do mo ɖa.
Pellagra, niacin, vitamin B3, nunyiame ƒe veve, ŋutigbalẽdɔléle, aɖuɖɔtoe, tagbɔdɔ
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