Ðe ɖeɖi tea ŋuwò ɣesiaɣia? Ðe nèsena le ɖokuiwò me be yegbɔdzɔ ne èzɔ ɣeyiɣi kpui aɖe gɔ̃ hã? Ðe nèsena le ɖokuiwò me be nuɖuɖu medzroa ye oa, eye ɖe wòdzena abe ɖe yeƒe mo biã enea? Zi geɖe la, míeléa ŋku ɖe nusiawo ŋu boo o, eye míesusuna be wosɔ. Ke hã, susu vevi aɖe ate ŋu anɔ megbe na esia. Egbea la, míele nu ƒom tso dɔléle aɖe si nu sẽ vie gake woate ŋu adae si vitamin B12 ƒe anyimanɔmanɔ hena vɛ ŋu. Míeyɔa esia be Ʋusɔgbɔdɔ si gblẽa nu le ame ŋu .
Kpuie ko la, nukae nye Ʋusɔgbɔdɔ si gblẽa nu le ame ŋu?
Ʋusɔgbɔdɔ si gblẽa nu le ame ŋu nye nu vevi siwo gbɔ vitamin B12 ƒe anyimanɔmanɔ tsona dometɔ ɖeka. Ne míagblɔe tututu la, esia nye dɔlélenutsiŋutete ƒe dɔléle . Fifia ɖewohĩ ànɔ nusi nye autoimmune nɔnɔme ŋu bum. Kpuie ko la, míaƒe dɔlélenutsiŋutete ƒe dɔ vevitɔe nye be wòawɔ avu kple amedzro siwo va dzea mía dzi ahakpɔ mía ta tso dɔléle me. Gake le nɔnɔme sia me la, mía ŋutɔwo ƒe dɔlélenutsiŋutete dzea mía ŋutɔwo ƒe lãmenugbagbevi siwo le lãmesẽ me dzi dzedze gɔme vodadatɔe.
Nu ma tɔgbe dzɔna le Pernicious Anemia hã me. Míaƒe dɔlélenutsiŋutete dzea lãmenugbagbevi aɖewo siwo le dɔgboa (dɔgbo me) dzi. Lãmenugbagbevi siawo wɔa protein tɔxɛ aɖe si woyɔna be Intrinsic Factor si kpena ɖe ŋutilãa ŋu wòxɔa vitamin B12. Ne protein sia bu la, vitamin B12 agbɔsɔsɔme ka kee míeɖaɖu o, ŋutilãa mexɔnɛ o eye wògblẽna.
Vitamin B12 le vevie ŋutɔ na míaƒe ŋutilã. Vevietɔ, ele vevie na ʋumenugbagbevi dzĩwo wɔwɔ, siwo tsɔa ɔksidzin yia ʋua me. Eyata ne vitamin B12 mesu o la, ʋumenugbagbevi dzĩ siwo le lãmesẽ me ƒe wɔwɔ dzi ɖena kpɔtɔna. Esiae nye nusi míeyɔna be ʋusɔgbɔdɔ .
Ŋkɔ si nye Pernicious Anemia gɔmee nye "nu gblẽa nu le ame ŋu." Exɔ ŋkɔ elabena ne womedae o la, nɔnɔme sia ate ŋu agblẽ nu le míaƒe lãmekawo ŋu vevie, si womate ŋu atrɔ o.
Aleke nɔnɔme sia kpɔa ŋusẽ ɖe nye ŋutilã dzii?
Ʋusɔgbɔdɔ si gblẽa nu le ame ŋu ate ŋu agblẽ nu le ŋutilã ƒe dɔwɔwɔ geɖe ŋu.
- Nuɖuɖumeŋusẽ: Ʋuʋudedi, ʋuʋudedi, kple lolo dzi ɖeɖe kpɔtɔ ate ŋu adzɔ.
- Lãmetsiŋusẽ: Esiae nye esi me afɔku le wu. Ate ŋu ana lãmekawo nagbɔdzɔ, abɔwo kple afɔwo natsi, ŋkuɖoɖonudzi ƒe dɔmawɔmawɔ nyuie, kple tagbɔdɔ gɔ̃ hã.
- Dzi: Àte ŋu akpɔ dzi ƒe tsotso alo dzi ƒe tsotso si mesɔ o.
- Lãmesẽ bliboa: Ðeɖiteameŋu ɣesiaɣi kple gbɔdzɔgbɔdzɔe nye dzesi vevitɔwo.
Wokpɔa nɔnɔme sia zi geɖe le ƒe 60 va ɖo ƒe 80 dome, vevietɔ le amesiwo tso Dziehe Europa dome.
Nukae nye Ʋusɔgbɔdɔ si gblẽa nu le ame ŋu ƒe dzesiwo?
Nu tɔxɛ siwo le esia ŋu dometɔ ɖekae nye be ate ŋu axɔ ƒe geɖe hafi dzesiawo nadze. Esia le alea elabena míaƒe ŋutilã dzraa vitamin B12 ɖo ɖe aklã me eye wòzãnɛ vivivi. Nudzraɖoƒe sia ate ŋu axɔ abe ƒe 3-5 ene hafi wòawu enu. Ɣemaɣi gɔ̃ hã la, exɔa ɣeyiɣi aɖe hafi dzesiawo dzena.
Ne vitamin B12 ƒe agbɔsɔsɔ dzi ɖe kpɔtɔ la, dzesiawo nu sẽna ɖe edzi. Àte ŋu akpɔ esia ŋuti susu nyui aɖe tso kplɔ̃ si le ete la dzi.
| Dzesi ƒomevi | Nusiwo woakpɔ |
|---|---|
| Dzesi siwo dzena le gɔmedzedzea me (zi geɖe la, wobua wo vodadatɔe be enye dɔléle bubu) . | |
| Nuɖuɖumeŋusẽ ƒe dɔwɔwɔ | Aɖuɖɔtoe alo dɔmeɖui, nuɖuɖu ƒe dzodzro, dzimeve. |
| Ŋutilã ƒe dzedzeme | Ŋutilã si me kɔ, jaundice si nu mesẽ o (ŋku alo ŋutigbalẽ ƒe ɣie). |
| Nusiwo mebɔ o le goawo katã me | Taɖuame, gbɔgbɔ sesẽ (gbɔgbɔtsixetsixe) ne èle tsitrenu alo le kame dem, aɖe si vuvu, aɖuwo biã, alo ʋu le dodom le aɖuwo me. |
| Lãmetsiŋusẽ ƒe dzesi siwo tso B12 ƒe agbɔsɔsɔ si ɖiɖi gbɔ le ɣeyiɣi aɖe megbe | |
| Susu kple nuwɔna me | Tɔtɔ, ŋkuɖoɖonudzi ƒe gbɔdzɔgbɔdzɔ ɣeyiɣi kpui aɖe, blanuiléle, susu ƒe dɔwɔwɔ sesẽ, dzikudodo, susumenuwo kpɔkpɔ. |
| Ŋutilã me ahɔhɔ̃mekawo ƒe dɔlélewo | Asiwo kple afɔwo ƒe dadasɔ, lãmetutudɔ alo seselelãme ƒe bu. |
| Nukpɔkpɔ | Nukpɔkpɔ gblẽa nu le ŋku ƒe lãmekawo ƒe gbegblẽ ta. |
Ðe nu bubu aɖewo hã li siwo hea Ʋusɔgbɔdɔ si gblẽa nu le ame ŋu vɛa?
Ɛ̃. Tsɔ kpe ɖe dɔlélenutsiŋutete ƒe dɔléle si woyɔna be Pernicious Anemia ŋu la, ɖewohĩ ŋutilãa mate ŋu axɔ vitamin B12 o le susu bubuwo ta.
- Dɔgbo ƒe dɔwɔwɔ: Ne wowɔ dɔ nɛ be woaɖe dɔgboa ƒe akpa aɖe alo wo katã ɖa (e.g. gastric bypass surgery for losity) la, lãmenugbagbevi siwo kpena ɖe ame ŋu wòxɔa vitamin B12 la buna.
- Dɔgbo sue ƒe dɔwɔwɔ: Ne woɖe dɔgbo suea ƒe akpa aɖe ɖa la, eɖea ŋutete si le ame si be wòaxɔ vitamin B12 la dzi kpɔtɔna.
- Dɔlékui Siwo Le Dɔgbo Suewo Me: Le nɔnɔme aɖe si woyɔna be Small Intestinal Bacterial Overgrowth (SIBO) , me la, dɔlékui gbegblẽwo tsina le dɔgbo suea me eye woɖua vitamin B12 hafi ŋutilãa te ŋu xɔae.
- Atike aɖewo: Suklidɔ, asrãdɔ, kple dɔlékuiwutike aɖewo ƒe atike aɖewo ate ŋu akpɔ ŋusẽ ɖe vitamin B12 ƒe agbɔsɔsɔ dzi.
- Tapeworm Dɔlékuiwo: Tɔmelã siwo meɖa nyuie o, siwo ŋu dɔlélea le ɖuɖu ate ŋu ana ame naxɔ tapeworm dɔlékuiwo. Dɔlékui siawo ɖua vitamin B12.
- Nuɖuɖu: Vitamin B12 ate ŋu manɔ amesiwo meɖua vegan kura o alo zɔna ɖe nuɖuɖu si wotu ɖe numiemiewo dzi dzi o.
- Dɔléle bubuwo: Nuɖuɖumeŋusẽ ƒe dɔlélewo abe Celiac dɔléle alo Crohn ƒe dɔléle ene nana wòsesẽna be woaxɔ vitamin B12.
- Lãmetsiŋusẽdɔlélewo: Amesiwo ŋu dɔlélenutsiŋutete ƒe dɔlélewo abe hypoparathyroidism kple Graves ƒe dɔléle ene le la ate ŋu axɔ ʋusɔgbɔdɔ si gblẽa nu le ame ŋu.
Aleke nèwɔ kpɔ esia, Ðɔkta?
Ne dzesi siawo le ŋuwò la, ele vevie be nàkpɔ wò ɖɔkta. Ado wò kpɔ, awɔ wò atikewɔwɔ ŋutinya, eye wòaɖe gbe be woawɔ dodokpɔ geɖe atsɔ aɖo kpe dɔlélea dzi.
- Vitamin B12 ƒe agbɔsɔsɔ dodokpɔ: Esia dzidzea vitamin B12 agbɔsɔsɔme si le ʋua me.
- Ʋu Xexlẽme Blibo (CBC): Esia ate ŋu anya ʋusɔgbɔdɔ ƒomevi kple eƒe sesẽ.
- Ʋudodokpɔ tɔxɛ bubuwo: Dodokpɔwo abe Reticulocyte count, LDH, Serum bilirubin, MMA, Homocysteine level, kple bubuawo ene, naa nyatakaka deto tso vitamin B12 ƒe anyimanɔmanɔ kple ƒumeŋuɖui ƒe dɔwɔwɔ ŋu.
- Dɔlékuiwutikewo dodokpɔ: Esia doa ʋua kpɔna be dɔlékuiwutike siwo dzea dɔgbo me lãmenugbagbeviwo kple nusi le eme dzi hã.
- Endoscopy si le etame:Wotsɔa fotoɖemɔ̃ si le abe mɔ̃ ene (endoscope) dea nu me eye wodoa dɔgboa ƒe akpa si le eme la kpɔna.
Aleke wowɔa atike nɛ? Ðe wòanyo ɖe edzia?
Atike aɖe li na esia, eye nya nyuitɔ kekeakee nye ema! Esi wònye be wò ŋutilã mate ŋu axɔ vitamin B12 o ta la, wò ɖɔkta aŋlɔ vitamin B12 ƒe atike na wò gbã . Wotsɔa esiawo dea lãmeka aɖe me tẽ, eyata wogena ɖe wò ʋukawo me tẽ evɔ wometoa dɔgboa me o.
Ne vitamin B12 ƒe agbɔsɔsɔ gaɖo wò nɔnɔme nyuitɔ me ko la, woate ŋu aɖo aɖaŋu na wò be nàyi edzi anɔ vitamin B12 ƒe atikekui siwo ƒe agbɔsɔsɔme sɔ gbɔ (si nye B12 si woano ɖe eteƒe) nom. Wò ɖɔkta ayi edzi anɔ ŋku lém ɖe wò nɔnɔmea ŋu ahatrɔ asi le wò atikewɔwɔ ŋu.
Àdze gbɔdzɔe gã aɖe gɔme le ŋkeke ʋɛ aɖewo megbe tso esime nèdze atikewɔwɔ gɔme. Gake ate ŋu axɔ kwasiɖa geɖe hafi wò dzesiawo nu naɖiɖi keŋkeŋ eye wò lãme asẽ.
Ʋusɔgbɔdɔ si gblẽa nu le ame ŋu menye dɔléle si woate ŋu ada keŋkeŋ o. Gake ne èno vitamin B12 le wò agbemeŋkekewo katã me la, àte ŋu aɖu dzesiawo dzi eye nànɔ agbe si le lãmesẽ me keŋkeŋ.
Gake ɖo ŋku edzi be ɖewohĩ womate ŋu atrɔ nusiwo gblẽ le lãmekawo ŋu bliboe ne wozã vitamin B12 gɔ̃ hã o. Eyata ele vevie ŋutɔ be woanya dɔlélea eye woadze edada gɔme kaba.
Aleke malé be na ɖokuinye?
Ne Ʋusɔgbɔdɔ si gblẽa nu le ŋuwò le ŋuwò la, ahiã be nàno vitamin B12 le wò agbemeŋkekewo katã me, abe alesi wò ɖɔkta gblɔe ene. Enye nusi wòle be woawɔ.
Ne B12 ƒe dɔmawɔmawɔ nyuie le ŋuwò le susu bubuwo ta la, tɔtrɔ le wò nuɖuɖu ŋu hã ate ŋu akpe ɖe ŋuwò. Nuɖuɖu siwo me vitamin B12 sɔ gbɔ ɖo dometɔ aɖewoe nye:
- Lãwo abe nyilã, aklã, koklolã, kple tɔmelã ene
- Azi kple nyinotsibabla (notsi, yogurt, cheese) .
- Ɣetrɔ me nuku siwo me wode vitamin B12 kpee
- Soya-nu siwo wotsɔ vitamin B12 kpe ɖe eŋu
Anyo be nàƒo nu kple wò ɖɔkta ahaxɔ aɖaŋuɖoɖo le nuɖuɖu si sɔ na wò ŋu.
Gbedasi si Wotsɔ Yi Aƒeme
- Ʋusɔgbɔdɔ si gblẽa nu le ame ŋu nye ʋusɔgbɔdɔ ƒomevi aɖe si mía ŋutɔwo ƒe dɔlélenutsiŋutete hena vɛ eye vitamin B12 ƒe anyimanɔmanɔ gbɔe wòtsona.
- Dzesiwo abe ɖeɖiteameŋu atraɖii, ŋutigbalẽ ƒe amadede dzẽ, kple gbɔgbɔtsixetsixe ate ŋu anɔ bɔbɔe le gɔmedzedzea me, gake ate ŋu asẽ ɖe edzi le ɣeyiɣi aɖe megbe.
- Ne womekpɔ dɔléle sia gbɔ o la, ate ŋu agblẽ nu le lãmekawo ŋu vevie, si womate ŋu atrɔ o.
- Ne dzesi siawo gakpɔtɔ le ŋuwò la, kpɔ egbɔ be yeyi ɖɔkta gbɔ evɔ mèsusui be nu bubu aɖe gbɔe wòtso o.
- Atikewɔwɔ bia be woado vitamin B12 alo atikekuiwo na ame le eƒe agbemeŋkekewo katã me. Esia wɔnɛ be nènɔa agbe si le lãmesẽ me bliboe, si sɔ.
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