Ðe ɖeɖi tea ŋuwò ɣesiaɣia? Esia ate ŋu anye Vitamin B12 ƒe Ʋusɔgbɔdɔ ƒe dzesi.

Ðe nèsena le ɖokuiwò me hã be ɖeɖi te ye ŋu eye agbe mele ye ŋu o ŋkeke bliboa? Ðe nèsena le ɖokuiwò me be yegbɔdzɔ le dɔ suewo wɔwɔ vɔ megbe gɔ̃ hã? Ɣeaɖewoɣi la, míesusuna be nusiawo nye nusiwo sɔ eye míeŋea aɖaba ƒua wo dzi. Gake le ɖeɖiteameŋu sia si nɔa anyi ɖaa megbe la, lãmesẽkuxi aɖe ate ŋu anɔ anyi si ŋu míebuna o, si nye ʋusɔgbɔdɔ (ʋu ƒe veve) si vitamin B12 ƒe anyimanɔmanɔ hena vɛ. Egbea, mina míaƒo nu tso nya sia ŋu bɔbɔe eye míawɔ dɔmenyotɔe.

Nukae nye ʋusɔgbɔdɔ si vitamin B12 ƒe anyimanɔmanɔ hena vɛ?

Kpuie ko la, esia nye nɔnɔme si me ʋumenugbagbevi dzĩ siwo le lãmesẽ me mesɔ gbɔ le míaƒe ŋutilã me o. Nusitae nye vitamin B12 ƒe anyimanɔmanɔ. Bu eŋu kpɔ, ʋumenugbagbevi dzĩ siawo wɔa dɔ abe ʋumenugbagbeviɣidɔ ene tsɔ tsɔa oxygen yia míaƒe ŋutilã katã me. Be míaƒe ŋutilã nawɔ ʋumenugbagbevi dzĩ siawo la, ehiã iron kple vitaminwo, vevietɔ vitamin B12. Ne vitamin B12 mesɔ gbɔ o la, ŋutilãa mete ŋu wɔa ʋumenugbagbevi dzĩ siwo le lãmesẽ me wòsɔ gbɔ o. Emegbe ŋutinu siwo le ŋutilãa me mekpɔa ɔksidzin si sɔ o. Esia tae ɖeɖi tea mía ŋu, míegbɔdzɔna, eye gbɔgbɔ sesẽna na mí ɖo.

Nukatae vitamin B12 mele mía si o? Susu vevi aɖewo

Vitamin B12 ƒe anyimanɔmanɔ ate ŋu atso nu geɖe gbɔ. Ate ŋu atso nuɖuɖu si míeɖuna gbɔ, alo ate ŋu atso atikewɔwɔ ƒe nɔnɔme bubu aɖe si le ŋutilãa me gbɔ.

1. Ŋutilã mate ŋu axɔ B12 (Absorption Problems) o .

Esiae nye susu si bɔ wu. Togbɔ be míekpɔa B12 tso nuɖuɖu me hã la, míaƒe dɔgbowo mete ŋu xɔa B12 o.

• Ʋusɔgbɔdɔ si gblẽa nu le ame ŋu : Esiae nye nu vevitɔ si hea B12 ƒe anyimanɔmanɔ vɛ le xexeame. Nusi dzɔna le afisiae nye be míaƒe ŋutilã ŋutɔ ƒe dɔlélenutsiŋutete dzea lãmenugbagbevi aɖewo siwo le dɔgboa me dzi vodadatɔe. Lãmenugbagbevi siawo wɔa protein tɔxɛ aɖe si woyɔna be ‘Intrinsic Factor’ si kpena ɖe ame ŋu wòxɔa vitamin B12 . Protein sia manɔmee la, ŋutilãa mate ŋu axɔe o, eɖanye B12 agbɔsɔsɔme ka kee míeɖu o.
• Dɔgbo kple dɔgbo me dɔlélewo : Ne nɔnɔmewo abe Crohn ƒe dɔléle alo Celiac dɔléle ene le ŋuwò la, B12 ƒe xɔxlɔ̃ ate ŋu agblẽ.
• Amekoko: Dɔgbo ƒe dɔwɔwɔ aɖewo siwo wowɔna tsɔ ɖea lolo dzi kpɔtɔna ate ŋu aɖe B12 ƒe xɔxlɔ̃ dzi akpɔtɔ.

2. Nuɖuɖu ƒe ɖoɖo

Vitamin B12 le dzɔdzɔme nu le lãwo ƒe nuɖuɖuwo abe lã, tɔmelã, notsi, kple azi ene me wu.

3. Atikewɔwɔ ƒe nɔnɔme kple atike aɖewo

• Nɔnɔmewo abe suklidɔ kple HIV ate ŋu ana B12 ƒe agbɔsɔsɔ naɖiɖi. Ahanono fũu akpa hã nye nu vevi aɖe si gbɔ wòtsona.
• Atike aɖewo hã ate ŋu ana B12 ƒe agbɔsɔsɔ dzi naɖe akpɔtɔ ne wozãe ɣeyiɣi didi. Le kpɔɖeŋu me, suklidɔtike si nye Metformin kple atike aɖewo siwo wotsɔ ɖea dɔgbo me acid dzi kpɔtɔna (Proton Pump Inhibitors) ate ŋu akpɔ ŋusẽ ɖe esia dzi.

4. Nu bubu siwo gbɔ wòtso. Ƒe 65 kple edzivɔ: Ne èle tsitsim la, dɔgbo me acid ƒe agbɔsɔsɔ dzi ɖena kpɔtɔna le dzɔdzɔme nu. Esia wɔnɛ be esesẽna be woaɖe B12 ɖa le nuɖuɖu me ahaxɔe.

• Tapeworm dɔlékuiwo: Dɔlékui siawo ɖua vitamin B12 si míeɖuna.
• Nitrous oxide gas: Gas sia si woyɔna hã be ‘nukoko ya’ zazã ɖe mɔ gbegblẽ nu ate ŋu agblẽ nu le ŋutilã ƒe B12 ƒe xɔxlɔ̃ ŋu.

Nukae nye nɔnɔme sia ƒe dzesiwo?

Esi wònye be woate ŋu adzra vitamin B12 ɖo ɖe míaƒe ŋutilã me ta la, ate ŋu axɔ ƒe 2-5 hafi eƒe anyimanɔmanɔ ƒe dzesiwo nadze. Ðewohĩ dzesi aɖeke manɔ eŋu kura le eƒe gɔmedzedze o. Woate ŋu ama dzesiawo ɖe hatsotso vevi etɔ̃ me.

Aleke mawɔ anya ne esia li?

Ne dzesi siawo dometɔ aɖe le ŋuwò la, kpɔ egbɔ be yeyi ɖɔkta gbɔ. Ado wò kpɔ ahabia wò dzesiwo, nuɖuɖu si nèɖuna, kple atike siwo nèzãna. Emegbe woate ŋu akafu dodokpɔ aɖewo, abe:

• Ʋu Xexlẽme Blibo (CBC/FBC): Esia léa ŋku ɖe wò ʋumenugbagbevi dzĩwo ƒe lolome kple nɔnɔme ŋu. Le B12 ƒe anyimanɔmanɔ me la, ʋumenugbagbevi dzĩwo lolona wu alesi wòle dzɔdzɔmee eye woƒe nɔnɔme to vovo.
• Vitamin B12 ƒe agbɔsɔsɔ dodokpɔ: Esia léa ŋku ɖe eŋu be B12 sɔ gbɔ ɖe ʋua me hã.
• Dodokpɔ tɔxɛ bubuwo: Ɣeaɖewoɣi la, woate ŋu awɔ dodokpɔ tɔxɛwo abe `Intrinsic Factor Antibodies` alo `Methylmalonic Acid (MMA)` ƒe agbɔsɔsɔme atsɔ ade dzesi nusi gbɔ wòtso.

Aleke wowɔa atike nɛ?

Nu nyuitɔ kekeakee nye be zi geɖe la, dɔléle sia dada nɔa bɔbɔe ŋutɔ. 1. Nuɖuɖu: De nuɖuɖu siwo me vitamin B12 sɔ gbɔ ɖo wò nuɖuɖu me.

• Nyilã, aklã, koklolã
• Tɔmelã kple ƒumelã (e.g. salmon, tuna) .
• Ɣetrɔ me nuku siwo ŋu wodo ŋusẽe siwo me vitamin B12 le
• Notsi si me ami mesɔ gbɔ ɖo o, yogurt, kple cheese
• Aziwo

2. Vitamin Kpekpeɖeŋunanuwo: Wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàzã atikekui siwo nye B12 alo atike si woatsɔ aƒu gbe ɖe ŋɔti me. 3. B12 Dodo: Ne dɔlélea nu sẽ alo ne ŋutilãa le kuxi me be wòaxɔ B12 la, ate ŋu ahiã be woado B12. Ðewohĩ ahiã be woado atike siawo le woƒe agbemeŋkekewo katã me. Le go siwo mebɔ o me la, ate ŋu ahiã be woado ʋu na ame ne afɔku le eme be nudzɔdzɔ kpata sesẽ aɖe, abe dzidɔ ene, ate ŋu adzɔ.

Afɔku kawoe le eme ne womewɔ atike na wo o?

Ne womekpɔ atike na vitamin B12 ƒe anyimanɔmanɔ ɣeyiɣi didi o la, ate ŋu ahe lãmesẽkuxi sesẽwo vɛ, vevietɔ nusiwo agblẽ le lãmekawo ŋu si womate ŋu atrɔ o.

• Nukpɔkpɔ ƒe kuxiwo
• Ŋkuɖodzinu ƒe dɔmawɔmawɔ nyuie
• Azɔlizɔzɔ sesẽ (Ataxia) .
• Afɔ kple afɔwo ƒe gbegblẽ tegbee
• Vidzidzimakpɔmakpɔ hena ɣeyiɣi aɖe
• Dɔgbo me dɔdzẽ xɔxɔ ƒe afɔkua dzina ɖe edzi
• Ne B12 ƒe dɔmawɔmawɔ nyuie le vidada si fɔ fu ŋu la, afɔku le vi si le dɔ me be wòaxɔ lãmekawo ƒe dɔmawɔmawɔ nyuie (Neural Tube Defect) le vidzidzi me.

Eyata ƒo asa na aɖabaŋeŋe ƒu dzesiawo dzi. Vitamin B12, Ʋusɔgbɔdɔ, Ðeɖiteameŋu, abɔwo kple afɔwo ƒe ʋuʋu, Ʋusɔgbɔdɔ si gblẽa nu le ame ŋu, Nuɖuɖu