Ðe nèsena le ɖokuiwò me ɣeaɖewoɣi be ɖeɖi te ye ŋu vevie eye agbe mele ye si le susu aɖeke manɔmeea? Alo ɖe wòsesẽna na wò be wò susu nanɔ nane ŋu, eye wòsena le ɖokuiwò me abe ɖe afu xɔ wò ta enea? Susu ɖeka si ta nu siawo tɔgbe dzɔna ate ŋu anye vitamin B12, si nye nunyiame vevi aɖe na míaƒe ŋutilã ƒe agbɔsɔsɔ dzi ɖeɖe kpɔtɔ. Vitamin B12 le vevie na ʋumenugbagbevi dzĩwo wɔwɔ le míaƒe ŋutilã me eye be lãmekawo nawɔ dɔ nyuie. Eyata ne ebɔbɔ la, kuxi vovovowo ate ŋu ado mo ɖa. Esia tae egbea míele nu ƒom tso ʋudodokpɔ si me woakpɔ vitamin B12 ƒe agbɔsɔsɔ le ŋu .
Ðe wòhiã be nye hã mawɔ dodokpɔ sia si nye B12a?
Ƒã ŋutɔ be ame si ɖua nuɖuɖu si da sɔ nyuie la ƒe vitamin B12 nagbɔdzɔ. Gake susu geɖe li siwo tae wò B12 ƒe agbɔsɔsɔ ate ŋu aɖiɖi wu alesi wòle be wòanɔ. Susu geɖe li siwo tae wò ɖɔkta ate ŋu aɖo aɖaŋu be nàwɔ dodokpɔ si nye B12 .
Bu eŋu kpɔ, zi geɖe la, ègblɔna na wò ɖɔkta be, “Ðɔkta, ɖeɖi tea ŋunye ale gbegbe, nye abɔwo le ƒoƒom, eye nyemete ŋu ɖoa ŋku naneke dzi o.” Le ɣeyiɣi sia tɔgbe me la, ɖɔktaa ate ŋu abu dɔléle bubuwo ŋu eye ate ŋu asusui gɔ̃ hã be wò B12 ƒe agbɔsɔsɔ le ŋuwò.
Anɔ eme be ɖɔkta akafu dodokpɔ sia le nɔnɔme siwo gbɔna me:
- Ne wokpɔe be ʋusɔgbɔdɔ le ŋuwò la .
- Ne èsusu be atikewɔwɔ ƒe nɔnɔme aɖe le ye ŋu si xea mɔ na wò ŋutilã be wòate ŋu axɔ B12 o.
- Ne atike aɖewo siwo nènona kpɔa ŋusẽ ɖe B12 ƒe xɔxlɔ̃ dzi.
- Ne dzesi siwo do ƒome kple B12 ƒe anyimanɔmanɔ le ŋuwò.
- Ne vegan blibo alo amagbewo ƒe nuɖuɖu sesẽe zu numame na wò.
Nɔnɔme vevitɔ si do ƒome kple B12 ƒe dɔmawɔmawɔ nyuie enye nusi ɖɔktawo yɔna be ‘Pernicious Anemia’ . Esia tsoa ‘Intrinsic Factor’, si nye protein tɔxɛ aɖe si wowɔna le míaƒe dɔgbo me ƒe anyimanɔmanɔ gbɔ. Protein sia manɔmee la, míate ŋu axɔ B12 le nuɖuɖu me o. Azɔ hã, Crohn ƒe dɔléle kple Celiac dɔléleB12 ƒe agbɔsɔsɔ ate ŋu aɖiɖi hã le nɔnɔmewo abe:
Tsɔ kpe ɖe eŋu la, atike aɖewo siwo nènona hã ate ŋu akpɔ ŋusẽ ɖe esia dzi. Atike aɖewo, vevietɔ esiwo wozãna zi geɖe tsɔ daa dɔgbo ƒe dɔléle (GERD), abe proton-pump inhibitors ene, ɖea dɔgbo me acid dzi kpɔtɔna. Dɔgbo me acid sia hiã be wòaɖe B12 ɖa le nuɖuɖu me eye wòana ŋutilãa naxɔe. Eyata atike siawo zazã ɣeyiɣi didi ate ŋu aɖe B12 ƒe agbɔsɔsɔ dzi akpɔtɔ.
Nukawoe nye B12 ƒe anyimanɔmanɔ ƒe dzesi veviwo?
Ne vitamin B12 ƒe agbɔsɔsɔ dzi ɖe kpɔtɔ la, ame ɖesiaɖe ate ŋu akpɔ dzesi vovovowo. Ke hã, dzesi aɖewo li siwo bɔ. Esiawo ate ŋu anye dɔléle bubuwo ƒe dzesiwo hã, eyata ele vevie be woawɔ dodokpɔ si nye B12 atsɔ aɖo kpe edzi.
| Dzesi si dzena | Numeɖeɖe bɔbɔe aɖe |
|---|---|
| Ðeɖiteameŋu enuenu | Sese le eɖokui me be agbe mele ye si o ne yedɔ alɔ̃ nyuie eye yemewɔ naneke o gɔ̃ hã. |
| Esesẽ be nàtso nya me (Fuzzy thinking) . | Sese le eɖokui me be taɖuame, nuwo dzi ŋkuɖoɖo kuxi me, sese le eɖokui me be yekaka. |
| Afɔ kple afɔwo ƒe ʋuʋu alo ʋuʋudedi | Asiwo kple afɔwo ƒe ʋuʋu alo lãmetutudɔ. |
| Taɖuame | Taɖuame si bɔ wu alo mebɔ o wu alesi wònɔna ɖaa. |
| Modiness ƒe nɔnɔme | Dzikudodo, blanuiléle, alo susu ƒe dɔmawɔmawɔ nyuie le susu aɖeke manɔmee. |
Aleke nèwɔa dodokpɔ siae? Ðe wònye nya gã aɖea?
Ao, menye nenema kura o. Ʋudodokpɔ si le bɔbɔe ŋutɔ, si wowɔna edziedzi koe nye esia.
Esia mehiã dzadzraɖo tɔxɛ aɖeke o. Zi geɖe la, mehiã be nàtsi nu adɔ ŋkeke si do ŋgɔ na dodokpɔa o. Ne wò ɖɔkta ɖe gbe be woado ʋu kpɔ be woatsɔ akpɔ nuwo abe ʋumemi kple sukli ene la, àte ŋu abia be woatsɔ dodokpɔ sia ade eme.
Gake nu vevitɔe nye be nàgblɔ atike, vitamin, kple kpeɖeŋutɔ siwo katã nèzãna na wò ɖɔkta hafi awɔ dodokpɔ sia, elabena atike aɖewo ate ŋu akpɔ ŋusẽ ɖe dodokpɔ sia me tsonu dzi.
Aleke míase dodokpɔa ƒe nyatakakaa gɔmee?
Vitamin B12 ƒe agbɔsɔsɔ si sɔ ate ŋu ato vovo vie tso dodokpɔxɔ ɖeka me yi bubu gbɔ, gake dzidzenu aɖewo li siwo dzi ame geɖe da asi ɖo. Wodzidzea esiawo le picogram me le mililita ɖeka me (pg/mL).
- Agbɔsɔsɔ si sɔ: Agbɔsɔsɔ si le 190 kple 950 (pg/mL) dome.
- Liƒo: Agbɔsɔsɔ si le 200 kple 300 (pg/mL) dome. Ne aleae wòle la, ahiã be ɖɔktaa nawɔ dodokpɔ bubu aɖewo.
- Low: Agbɔsɔsɔ si mede 200 (pg/mL) o. Wobua esia be ebɔbɔ eye ebia dodokpɔ bubuwo kple atikewɔwɔ.
Ɣeaɖewoɣi la, wò ɖɔkta ado vitamin bubu si woyɔna be folate hã akpɔ kpe ɖe B12 ŋu, elabena folate ƒe anyimanɔmanɔ ate ŋu ahe dzesi siwo ke B12 ƒe anyimanɔmanɔ vɛ, eyata ate ŋu akpe ɖe ŋuwò nànya nusi tututu gbɔ wòtso.
Ne nye B12 ƒe agbɔsɔsɔ le sue la, nukae mawɔ kplɔe ɖo?
Ne wò nyatakaka gblɔ be wò B12 ƒe agbɔsɔsɔ le sue la, mègatsi dzi o. Dɔdamɔnu aɖewo li siwo woate ŋu awɔ nɛ. Gake wò ɖɔktae ɖoa atikewɔwɔa.
- Ne wò B12 ƒe agbɔsɔsɔ le lãmesẽ me: Mehiã be nàwɔ nu tɔxɛ aɖeke o. Yi edzi nànɔ nuɖuɖu si da sɔ ɖum. Vitamin B12 sɔ gbɔ ɖe nuɖuɖuwo abe tɔmelã, lã, notsi, kple nyinotsibabla ene me. Ɣetrɔ me nuku siwo me vitamin B12 do ŋusẽe hã li.
- Ne wò B12 ƒe agbɔsɔsɔ le sue: Ahiã be woawɔ atike na wò. Atikewɔwɔ ƒe ƒomevi anɔ te ɖe nusi gbɔ wò B12 ƒe agbɔsɔsɔ si bɔbɔ ɖe anyi tso dzi.
- Ne nusitae nye be mèle B12 si sɔ gbɔ kpɔm tso wò nuɖuɖu me o (e.g., amagbeɖulawo) la, wò ɖɔkta ate ŋu aŋlɔ vitamin B12 ƒe atikekuiwo (atike siwo woano) na wò .
- Gake ne kuxi aɖe le ŋuwò be nàxɔ B12 tso wò dɔgbo me (e.g. Pernicious Anemia) la, atikekuiwo nono makpe ɖe ŋuwò o. Le nɔnɔme mawo me la, wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàdo vitamin B12 .
Vitamin B12 ƒe anyimanɔmanɔ ate ŋu ahe kuxi sesẽwo vɛ le ahɔhɔ̃ ƒe dɔwɔwɔ, lãmekawo, kple ŋutilã ƒe akpa bubu geɖewo ŋu ne enɔ anyi ɣeyiɣi didi. Eyata ele vevie ŋutɔ be woadoe kpɔ ne dzesiwo le ŋuwò. Ame tsitsiwo koŋue le afɔku me be B12 ƒe agbɔsɔsɔ si bɔbɔ. Eyata ne dziwòlawo alo ame tsitsi siwo le wò ƒomea me le dzesi siawo gblɔm la, ele vevie ŋutɔ be nàƒo nu tso woƒe nuɖuɖu ŋu eye ne ehiã la, yi ɖɔkta gbɔ eye nàno B12 ƒe kpeɖeŋutɔ.
Gbedasi si Wotsɔ Yi Aƒeme
- Ðeɖiteameŋu ƒe seselelãme ɣesiaɣi le susu aɖeke manɔmee, ŋkuɖoɖonudzi ƒe gbɔdzɔgbɔdzɔ, kple abɔ kple afɔwo ƒe ʋuʋu ate ŋu anye vitamin B12 ƒe anyimanɔmanɔ ƒe dzesiwo.
- Vitamin B12 dodokpɔ nye ʋudodokpɔ bɔbɔe ŋutɔ si mehiã be woatsi nu dɔ o.
- Amagbeɖulawo, amesiwo noa dɔgbo ƒe dɔléle ƒe atike aɖewo ɣeyiɣi didi, kple ame tsitsiwo le afɔku gã aɖe me be woaxɔ B12 ƒe anyimanɔmanɔ.
- Ne èkpɔe be yeƒe B12 ƒe agbɔsɔsɔ le sue la, mègayi ɖokuiwò dzi aɖano atike o. Di nusi gbɔ wòtso eye nàxɔ atike si sɔ wu (atikekui alo atikekuiwo dodo).Ƒo nu kple wò ɖɔkta godoo.
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Womeɖo nya aɖeke ɖe amewo haɖe o. Tsɔ wò nyaŋuɖoɖo kpe ɖe afisia zi gbãtɔ.
Tsɔ wò nyaŋuɖoɖo kpee