Ðe ɖeɖi tea ŋuwò ɣesiaɣia? Ðewohĩ esia nye ʋusɔgbɔdɔ si me vitamin ƒe agbɔsɔsɔ si mede ame dzi le o! (Vitamin ƒe Dɔmawɔmawɔ Nyuie ƒe Ʋusɔgbɔdɔ) .

Ðe nèsena le ɖokuiwò me hã be ɖeɖi te ye ŋu eye agbe mele ye si ɣesiaɣia? Ðe nèsena le ɖokuiwò me ɣeaɖewoɣi be yeƒe ta gbãna alo yeƒe mo biãa? Nusiwo gbɔ nusiawo tsona dometɔ ɖeka ate ŋu anye ʋusɔgbɔdɔ, si nye vitamin aɖewo ƒe anyimanɔmanɔ le wò ŋutilã me. Mina míaƒo nu tso esia ŋu le mɔ bɔbɔe aɖe nu, eye míaƒo nu tso eŋu tsitotsito vie.

Nukae Nye Vitamin ƒe Dɔmawɔmawɔ ƒe Ʋusɔgbɔdɔ?

Kpuie ko la, Vitamin Deficiency Anemia nye nɔnɔme si me wò ŋutilã mewɔa ʋumenugbagbevi dzĩ siwo le lãmesẽ me wòsɔ gbɔ o. Nusi koŋ gbɔ esia tsonae nye vitamin B12 alo vitamin B9 (si woyɔna hã be folate alo folic acid) ƒe anyimanɔmanɔ.

Fifia ɖewohĩ ànɔ ɖokuiwò biam be nukae nye ʋumenugbagbevi dzĩ siawo hã. Esiawoe nye asrafo sue siwo naa míaƒe ʋu ƒe amadede biã eye wotsɔa ɔksidzin toa míaƒe ŋutilã katã me. Eyata ne vitamin sia mesɔ gbɔ ɖe mía me o la, ʋumenugbagbevi dzĩ siwo dona le míaƒe ŋutilã me ate ŋu alolo le mɔ si mesɔ o nu, eye woavuvu kloe. Lãmenugbagbevi gã siawo mete ŋu tsɔa ɔksidzin nyuie o. Esia tae woyɔa nɔnɔme sia ɣeaɖewoɣi be macrocytic anemia alo megaloblastic anemia .

Nukatae míaƒe ŋutilã hiã vitamin B12 kple folic acid geɖe nenema gbegbe ɖo?

Vitamin siawo evea siaa, B12 kple folic acid, le vevie na dɔ vevi geɖe siwo yia edzi le míaƒe ŋutilã me. Wole vevie ŋutɔ na ʋumenugbagbevi dzĩ siwo le lãmesẽ me wɔwɔ.

Bu eŋu kpɔ, abe alesi aƒe tutu bia anyikpe nyuiwo ene la, nenema kee nèhiã vitamin B12 kple folic acid siawo hã be nàwɔ ʋumenugbagbevi dzĩ siwo le lãmesẽ me. Ne esiawo mesu asiwò o la, wò ŋutilã mate ŋu awɔ ʋumenugbagbevi dzĩ siwo sɔ, siwo nɔa anyi edziedzi o. Lãmenugbagbevi siwo mesɔ o siwo wowɔ la kuna kaba. Ekema ʋumenugbagbevi dzĩwo mesɔ gbɔ na wò be woatsɔ oxygen ayi wò ŋutilã ƒe lãkusi kple ŋutinu ɖesiaɖe me o. Esiae míeyɔna be ʋusɔgbɔdɔ, alo ʋu ƒe veve.

Amekawoe ate ŋu axɔ dɔléle sia wu?

Togbɔ be ʋusɔgbɔdɔ sia si tsoa vitamin-manɔmanɔ gbɔ ate ŋu axɔ ame sia ame hã la, ame aɖewo ate ŋu anɔ afɔku me vie.

• Le amesiwo meɖua nu nyuie o gome: Nɔnɔme sia ate ŋu adzɔ ne vitamin B12 alo folate mele nuɖuɖu siwo nèɖuna me o. Le kpɔɖeŋu me, ame siwo meɖua lã, tɔmelã, notsi, kple azi fũ o ate ŋu anye be B12 manɔ wo ŋu o. Nenema ke folate ate ŋu anɔ amesiwo meɖua amagbewo kple nukuwo fũ o.
• Le amesiwo ŋu atikewɔwɔ ƒe nɔnɔme siwo nana wòsesẽna na ŋutilã be wòaxɔ vitaminwo: Atikewɔwɔ ƒe nɔnɔme aɖewo li siwo xea mɔ na ŋutilãa be wòate ŋu axɔ nunyiame siawo nyuie tso nuɖuɖu siwo míeɖuna me. Nɔnɔme siawo dometɔ aɖewoe nye:
• Biliary atresia : Esia nye aklãdɔ.
• Celiac dɔléle : Esia nye protein ƒe gluten ƒe nulɔdɔ.
• Crohn ƒe dɔléle : Esia nye nuɖuɖumeŋusẽ ƒe dɔléle si nɔa anyi didi.
• Cystic fibrosis ƒe dɔléleCystic fibrosis: Esia nye domenyiŋusẽfianu ƒe dɔléle.
• Pernicious anemia : Esia nye ne ŋutilãa mewɔa nu tɔxɛ aɖe si woyɔna be "intrinsic factor" si kpena ɖe ŋutilã ŋu wòxɔa vitamin B12 o. Bu eŋu abe xɔ̃wò aɖe si kpena ɖe ŋutilãa ŋu wòxɔa vitamin B12 ene. Ne xɔlɔ̃ ma bu la, B12 la mage ɖe ŋutilãa me o.

Nukae nye esia ƒe dzesiwo? Nusiwo ŋu wòle be míakpɔ nyuie le...

Vitamin ƒe anyimanɔmanɔ ƒe ʋusɔgbɔdɔ ƒe dzesiwo ate ŋu adze blewu ŋutɔ ɣeaɖewoɣi, blewu ŋutɔ. Ðewohĩ màde dzesi wo o ɣleti geɖe, alo ƒe geɖe gɔ̃ hã, gake anyo be nànɔ ŋku lém ɖe nuwo abe:

• Sese le eɖokui me be taɖuame
• Ðeɖiteameŋu ɣesiaɣi, kuviawɔwɔ ƒe seselelãme (esiae ame akpa gãtɔ sena le wo ɖokui me gbã) .
• Palpitations ( sese le ɖokuiwò me abe ɖe wò dzi le ƒoƒom kabakaba ene ) .
• Lãmetsiwo ƒe gbɔdzɔgbɔdzɔ ƒe seselelãme
• Afɔ kple afɔwo ƒe ʋuʋu alo ʋuʋudedi
• Ŋutilã si me kɔ, eye ɣeaɖewoɣi la, eƒe amadede nyea ɣie
• Yagbɔgbɔ sesẽ (ɖɔktawo hã yɔa esia be `dyspnea`) .
• Lolo dzi ɖeɖe kpɔtɔ le susu aɖeke manɔmee

Tsɔ kpe ɖe eŋu la, vitamin ƒe anyimanɔmanɔ ate ŋu agblẽ nu le susu ŋu hã. Ate ŋu ahe nɔnɔmewo abe blanuiléle ene vɛ . Vitamin B12 ƒe anyimanɔmanɔ vevie ate ŋu ana ame naɖo ŋku nu dzi, wòasesẽ na wò be wò susu nanɔ nu ŋu, eye wòatrɔ amenyenye gɔ̃ hã . Vevietɔ ne dzesi siawo le ame tsitsi aɖe ŋu la, woate ŋu abui vodadatɔe ɣeaɖewoɣi be enye tagbɔdɔ .

Nukatae esia dzɔna ɖo? Na míalé ŋku ɖe susuawo ŋu tsitotsito.

Míenya azɔ be ʋusɔgbɔdɔ sia dzɔna ne vitamin B12 alo folate ƒe agbɔsɔsɔ le ŋutilãa me mede o. Eyata, susu geɖe li siwo tae vitamin siawo ƒe agbɔsɔsɔ ate ŋu aɖiɖi ɖo:

• Atike aɖewo: Le kpɔɖeŋu me, atike aɖewo siwo wozãna na nɔnɔmewo abe asrãdɔ ene ate ŋu aɖe vitamin sia ƒe xɔxlɔ̃ dzi akpɔtɔ.
• Ahanono fũu akpa: Abe nusianu ene la, ahanono fũu akpa menyo na ŋutilã o. Esia hã nye nusiwo gbɔ vitamin ƒe veve tsona la dometɔ ɖeka.
• Lãmesẽ nɔnɔme siwo kpɔa ŋusẽ ɖe nunyiamewo ƒe xɔxlɔ̃ dzi: Abe alesi míegblɔe va yi ene la, dɔlélewo abe `Celiac dɔléle` alo `Crohn ƒe dɔléle`.
• Ne wowɔ dɔ na wò le dɔgboa me kpɔ: Ɣeaɖewoɣi la, nuwo abe amekoko si wowɔna tsɔ ɖea lolo dzi kpɔtɔna (dɔgbo ƒe dɔwɔwɔ) hã ate ŋu agblẽ vitaminwo ƒe xɔxlɔ̃ me.
• Dɔlékuiwo abe dɔgbo me nudzodzoewo ene: Dɔlékuiwo, vevietɔ tapeworms, hã ate ŋu ana vitamin nagbɔdzɔ le ŋutilãa me.
• Nuɖuɖu si mesɔ o:
• Le amesiwo meɖua nuɖuɖu siwo me vitamin B12 (lã, tɔmelã, notsi, cheese, azi) le wòsɔ gbɔ o gome. Ele be vegatɔwo naɖɔ ŋu ɖo le esia ŋu vevietɔ.
• Le amesiwo meɖua nuɖuɖu siwo me folate (vitamin B9) le (amagbe dama viviwo, amagbe damawo, gbe damawo, nukuwo, nukuwo) wòsɔ gbɔ o gome.

Ame siwo le afɔku gã me be folate ƒe anyimanɔmanɔ nadze wo dzi:

• Vidada siwo naa no wo viwo
• Nyɔnu funɔwo (folic acid hiã vevie le fufɔɣi) .
• Ame siwo wole ʋumenugbagbeviɣidɔ wɔm na le ayikudɔ ta

Aleke ɖɔkta awɔ anya esia nyuie?

Ne dzesi siawo le ŋuwò la, anyo wu be nàyi ɖɔkta gbɔ aɖaɖo aɖaŋu na wò. Ðɔktaa abia nya wò tso wò dzesiwo ŋu eye ne ehiã la, abia be woado ʋu kpɔ . Ʋudodokpɔ sia adi vevie be:

• Aleke folate kple vitamin B12 ƒe agbɔsɔsɔ le wò ʋu me le?
• Ʋumenugbagbevi dzĩwo ƒe xexlẽme kple woƒe dzedzeme (abe ne wololo wu alesi wòle alo woƒe nɔnɔme to vovo ene).

Ɣeaɖewoɣi la, ne ɖɔktaa susui be nɔnɔme aɖe abe ʋusɔgbɔdɔ si gblẽa nu ene , ate ŋu awɔ dodokpɔ tɔxɛ bubuwo hã.

Nukawoe nye atike siwo wozãna na esia? Àte ŋu ahaya kpuie!

Mègatsi dzi o, atike nyuiwo li na ʋusɔgbɔdɔ sia si dona tso vitamin ƒe agbɔsɔsɔ si medea ame dzi o me. Taɖodzinu vevitɔ si le atikewɔwɔ ŋue nye be wòana vitamin si mele wò ŋutilã me o ƒe agbɔsɔsɔ naɖo afisi sɔ. Wò ɖɔkta atso nya me le vitamin si mehiã wò o, agbɔsɔsɔme si wòana wò, kple alesi nànae ŋu.

Mɔ vovovowo li siwo dzi woato ana vitamin B12 alo folate:

• Atikekui siwo woano
• Atikekui siwo woate ŋu alɔ (atikekui siwo wozãna le gbe te ) .
• Abe atike si wodona ɖe lãme na ame ene
• Ɣeaɖewoɣi abe tsi si wonana ɖe ʋuka me ene (`Intravenous (IV) line`) .
• Abe atike si wotsɔna ƒua gbe ɖe no me ene (Nasal spray) .

Ahiã be nàyi atikewɔwɔ sia dzi vaseɖe esime wò vitamin ƒe agbɔsɔsɔ atrɔ ava nɔ abe tsã ene. Ele vevie hã be nàtrɔ wò nuɖuɖu. Ɣeaɖewoɣi la, ne nɔnɔme aɖe si gbɔ wòtsoe na vitamin ƒe veve la, ahiã be nàyi edzi anɔ atike la zãm esime nèle dɔléle ma dam be vitamin ƒe veve nagatrɔ ava o.

Aleke nàwɔ aƒo asa na dɔléle sia xɔxɔ alesi nàte ŋui?

Wogblɔ be: "Mɔxexe ɖe enu nyo wu edada." Eyata mɔ nyuitɔ si dzi woato aɖe ʋusɔgbɔdɔ sia si me vitamin ƒe agbɔsɔsɔ si mede ame dzi le o xɔxɔ me dzi akpɔtɔe nye be woaɖu nuɖuɖu siwo me vitamin B12 kple B9 (folate) sɔ gbɔ ɖo.

Nuɖuɖu siwo me vitamin B12 sɔ gbɔ ɖo:

• Koklolã, tɔmelã (vevietɔ salmon, trout), nyilã, aklã
• Aziwo
• Nuɖuɖu siwo ŋu wodo ŋusẽe - le kpɔɖeŋu me, abolo aɖewo kple ŋdi me nukuwo
• Yogurt, cheese, notsi

Nuɖuɖu siwo me vitamin B9 (folate) sɔ gbɔ ɖo:

• Nukunuɖuɖu siwo me nunyiame le - nusiwo le abe pasta, nuku, bli ene
• Atikutsetsewo - abe amititsetse, akɔɖu, strawberry ene
• Amagbe dama viviwo kple gbewo - abe aŋanyi, kale, broccoli, kple asparagus ene. Gbe siwo tsina le míaƒe kɔƒea ƒe abɔwo me la dometɔ geɖe nyo na esia.

Àte ŋu abia wò ɖɔkta be vitamin B12 kple B9 agbɔsɔsɔme si nèhiã gbesiagbe. Ate ŋu alé ŋku ɖe vitamin ƒe agbɔsɔsɔ si le asiwò fifia ŋu ahaɖo aɖaŋu na wò be nàno kpeɖeŋutɔ ne ehiã.

Ðe nye lãme asẽ ne wowɔ atike nam? Ðe nane li si ŋu wòle be woavɔ̃ na?

Zi geɖe la, ne wodae nyuie la, ʋusɔgbɔdɔ si me vitamin ƒe anyimanɔmanɔ mehea kuxi gã siwo nɔa anyi didi vɛ o. Ne wowɔ atike nɛ la, nɔnɔmea nyona ɖe edzi keŋkeŋ.

Ke hã, manyo be míagblẽ esia ɖi womawɔ atike nɛ o. Ne èwɔe alea la, nugbegblẽ aɖewo ate ŋu ado mo ɖa. Le kpɔɖeŋu me:

* Fufɔfɔ sesẽ

* Dzidɔ, ɖewohĩ dzidɔ

* Lãmetsiŋusẽ ƒe kuxiwo

* Kuxi siwo ate ŋu ado mo ɖa le fufɔɣi

Eyata ne dzesiwo le ŋuwò la, yi ɖɔkta gbɔ godoo.

Nu kawoe nèdi be yeabia ɖɔktaa?

Ne èsusu be ʋusɔgbɔdɔ si me vitamin mede o le ye ŋu la, àte ŋu abia nya siawo abe esiawo ene na wò ɖɔkta:

• Nukae ate ŋu ahe nye dzesiawo vɛ wu?
• Dodokpɔ kawoe wòle be woawɔ atsɔ anya ne ʋusɔgbɔdɔ si me vitamin ƒe agbɔsɔsɔ si mede ame dzi le o le ŋuwò?

Ne wò ɖɔkta ɖo kpe edzi xoxo be ʋusɔgbɔdɔ si me vitamin mele o le ŋuwò la, bia nya siawo:

• Nukawoe nye atikewɔmɔnu siwo woate ŋu azã na esia?
• Tɔtrɔ kawoe wòle be mawɔ le nye nuɖuɖu me?
• Nukae wòle be mawɔ be nɔnɔme sia nagadzɔ ake o?

Nu ɖeka bubu: nya aɖe tso vitamin E kple vitamin D ŋu

Ne meƒo nu tso eŋu la, magblɔ nya vi aɖe tso vitamin ƒomevi eve bubuwo hã ŋu.

Vitamin E ƒe anyimanɔmanɔ, vevietɔ le vidzĩ siwo wodzi do ŋgɔ na ɣeyiɣi si woɖo na wo gome, ate ŋu ana ʋusɔgbɔdɔ sesẽ aɖe si woyɔna be hemolytic anemia . Esiae nye esime ʋumenugbagbevi dzĩwo tsrɔ̃na kabakaba wu alesi woate ŋu awɔ woe. Gake vitamin E ƒe anyimanɔmanɔ mebɔ ɖe ame tsitsiwo me kura o.

Togbɔ be wokpɔa vitamin D ƒe anyimanɔmanɔ kpe ɖe ʋusɔgbɔdɔ ŋu ɣeaɖewoɣi hã la, zi geɖe la, menye vitamin D ƒe anyimanɔmanɔ gbɔe ʋusɔgbɔdɔ tsona tẽ o.

Eyata, nusiwo dzi míaɖo ŋkui tso nusiwo ŋu míeƒo nu tsoe egbea me dometɔ aɖewoe nye esi! (Gbedasi si Wotsɔ Yi Aƒeme)

Enyo, eyata, nu vevitɔ kekeake siwo wòle be wòanɔ susu me na mí tso nusiwo ŋu míeƒo nu tsoe egbea me lae nye esi:

• Vitamin ƒe anyimanɔmanɔ ƒe ʋusɔgbɔdɔ nye ne ŋutilãa mewɔ ʋumenugbagbevi dzĩ siwo le lãmesẽ me wòsɔ gbɔ o. Nusi koŋ gbɔ esia tsonae nye vitamin B12 alo B9 (folate) ƒe anyimanɔmanɔ.
• Kpɔ nyuie ne dzesiwo abe ɖeɖiteameŋu ɣesiaɣi, ɣie, kple gbɔgbɔ sesẽ ene le ŋuwò .
• Ele vevie ŋutɔ be nàɖu nuɖuɖu nyui si me nunyiame le , vevietɔ nuɖuɖu siwo me B12 kple folate sɔ gbɔ ɖo.
• Ne dzesi siawo le ŋuwò la, .Mègavɔ̃ be yeayi ɖɔkta gbɔ ahaxɔ aɖaŋuɖoɖo o.
• Ne wodae nyuie la, woate ŋu ada dɔléle sia ƒe akpa gãtɔ.

Eyata, lé be na wò ŋutilã. Elabena lãmesẽe nye kesinɔnu gãtɔ kekeake! Ne èdi be yeanya nu bubu aɖe la, kpɔ egbɔ be yeƒo nu kple ɖɔkta.

` Ʋusɔgbɔdɔ, vitamin ƒe veve, vitamin B12, folic acid, ʋumenugbagbevi dzĩwo, ʋusɔgbɔdɔ, ʋu ƒe veve, nunyiame