Ua luhi mau ʻoe? E aʻo kākou i nā mea āpau e pili ana i ka anemia nele folate!

Ke luhi nei hoʻi ʻoe i ka lā a pau, ʻaʻole hiki ke hana i kekahi mea? A i ʻole ke manaʻo nei ʻoe i kekahi manawa e anu ana kou kino a he mea paʻakikī iki ka hanu ʻana? ʻAʻole kēia he mau mea wale nō, malia paha ua nele kou kino i ka folate nutrient, ka mea paha e hoʻoulu ai i ka nele koko, ʻo ia hoʻi, anemia. I kēia lā, e kamaʻilio kākou e pili ana i ke ʻano o ka folate deficiency anemia, no ke aha e hana ai, a pehea e pale aku ai.

He aha ka Folate Deficiency Anemia? E hoʻomaopopo maʻalahi kākou!

I ka ʻōlelo maʻalahi, ʻo ka anemia nele folate kahi maʻi koko i hoʻokumu ʻia e ka nele o ka folate, a i ʻole ka huaora B9, i loko o kou kino. ʻO ka mea e hana ʻia ma kēia, ʻo ia ka emi ʻana o ka nui o nā hunaola koko ʻulaʻula i loko o kou kino ma mua o ka maʻamau a ʻo nā hunaola koko ʻulaʻula i loaʻa he nui loa. E noʻonoʻo e pili ana i ia mea, lawe kēia mau hunaola koko ʻulaʻula i ka oxygen ma o ko kākou kino. No laila, ke emi kēia mau hunaola, lilo i mea nui, a ʻaʻole hiki ke hana pono, emi ka nui o ka oxygen i loaʻa i ke kino. I ka hala ʻana o ka manawa, ʻo kēia nele o ka oxygen ka mea e luhi ai ʻoe, nāwaliwali, a anuanu.

No ke aha e loaʻa ai ka anemia ke nele ka folate? He aha ka mea e hana nei i loko o ke kino?

Ua ʻike anei ʻoe pehea i hoʻokumu ʻia ai ko kākou mau hunaola koko ʻulaʻula? Hoʻokumu mua ʻia lākou mai nā hunaola kumu i loko o ka iwi iwi i loko o ko kākou mau iwi. Ulu mālie kēia mau hunaola koko ʻulaʻula a hui pū me ko kākou koko, e lawe ana i ka oxygen i kēlā me kēia ʻōkana a me nā ʻiʻo o ke kino.

Maanei, he mea nui kahi meaʻai i kapa ʻia ʻo folate no ka hoʻokumu pono ʻana o nā hunaola koko ʻulaʻula olakino. Ua like ia me ke kūkulu ʻana i hale me ka sima. No laila, inā ʻaʻole lawa ka folate i kou kino, ʻaʻole e hana kou iwi iwi i nā hunaola koko ʻulaʻula maʻamau. Akā, hana ia i kahi ʻano hunaola koko ʻulaʻula nui loa i kapa ʻia ʻo "megaloblasts."

No ka mea, he nui loa kēia mau hunaola "megaloblastic", ʻaʻole puka mai kekahi o lākou mai ka iwi iwi a hui pū me ke koko. ʻAʻole ola nā hunaola e hui pū ana e like me nā hunaola koko ʻulaʻula olakino. Make koke lākou. ʻO ia ke kumu e emi ai ka nui o nā hunaola koko ʻulaʻula i loko o ke kino, e hoʻoulu ai i ka anemia, ʻo ia hoʻi ka nele o ke koko. Maopopo iā ʻoe?

Aia kekahi mau ʻano ʻē aʻe o ka anemia?

ʻAe, he maʻi maʻamau ka anemia i hiki i nā poʻe he nui ke loaʻa. Hoʻokumu ʻia ia e ka nele o nā hunaola koko ʻulaʻula olakino. Nui nā kumu o ka anemia:

• Nā hunaola koko ʻulaʻula nui loa (ʻo kēia kekahi ma muli o ka hemahema folate a mākou e kamaʻilio nei).
• Ka emi ʻana o ka hana ʻana o nā hunaola koko ʻulaʻula olakino.
• Ka luku nui ʻia ʻana o nā hunaola koko ʻulaʻula e ke akepaʻa a me ka spleen.
• Hoʻemi ʻia ka nui o ka hemoglobin, kahi protein i loko o nā ʻāpana koko ʻulaʻula e lawe ana i ka oxygen.
• ʻAʻole hana pono ka Hemoglobin, ʻo ia hoʻi, ʻaʻole hiki iā ia ke hopu pono i ka oxygen.
• ʻO ka pahū ʻana o nā hunaola koko ʻulaʻula i loko o ke koko.

ʻO ka hui o nā anemia i hoʻokumu ʻia e nā hunaola koko ʻulaʻula nui loa ua kapa ʻia ʻo "macrocytic anemia". ʻO kekahi ʻano o kēia he "megaloblastic anemia". ʻO kēia ka hāʻule ʻana ma lalo o kēia "megaloblastic anemia":

• Anemia nele i ka folate
• Anemia nele i ka wikamina B12
• ʻO ka anemia ʻino

Ma waho aʻe o kēia, ʻo nā ʻano anemia ʻē aʻe i lohe ʻia e ka poʻe he nui:

• Anemia nele i ka hao
• ʻAʻai anemia cell sickle

Pehea ka maʻamau o ka nele o ka folate?

ʻAʻole maʻamau ka hemahema o ka Folate ma nā ʻāina i hoʻomohala ʻia. ʻO kēia no ka mea ua hoʻohui ʻia ka folate i nā meaʻai he nui ma kēlā mau ʻāina. No ka laʻana, ma ʻAmelika Hui Pū ʻIa, ua koi ʻia ka hoʻohui ʻana i ka folate i nā meaʻai mai ka makahiki 1998. ʻO ke kumu o kēia , he mea nui loa ka folate no ka ulu ʻana o ke keiki i ka wā o ka fetal.

Ua ʻike nā kauka hiki i ka nele o ka folate ke hana i kekahi mau kīnā hānau, ʻoiai nā kīnā neural tube e like me ka spina bifida. ʻO ia ke kumu ma nā ʻāina he nui, hoʻohui ʻia ka folate i nā meaʻai a mākou e ʻai ai, ʻoiai nā cereals a me ka laiki.

ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka loaʻa ʻana o ka anemia nele folate?

Aia kekahi poʻe i ʻoi aku ka nui o ka loaʻa ʻana o kēia maʻi. E nānā inā hāʻule ʻoe i loko o kēia māhele:

• Nā wāhine o ka makahiki hānau keiki: He kiʻekiʻe loa nā pono o ka Folate no nā wāhine e hoʻolālā ana e hāpai, i ka wā hāpai, a me ka hānai waiū.
• ʻO ka poʻe e inu nui ana i ka waiʻona: Hoʻopilikia ka waiʻona i ka hiki o ke kino ke omo i nā meaola.
• ʻO nā kānaka ma luna o 60 mau makahiki.
• Nā kānaka me nā pilikia waiwai: No ka mea, he paʻakikī ke kūʻai i kahi meaʻai kaulike.
• Nā makuahine hāpai a me nā makuahine hānai.

He aha ke kumu o ka anemia nele folate?

ʻO ke kumu nui, ʻaʻole lawa ka folate mai nā meaʻai a mākou e ʻai ai. Ma waho aʻe o kēlā, aia kekahi mau kumu ʻē aʻe e pale ai i ke kino mai ka omo ʻana a i ʻole ka hoʻohana pono ʻana i ka folate:

• Ka maʻi hoʻohana ʻona (ʻAʻai ʻona).
• Ke hana nei i ka dialysis ma muli o ka hāʻule ʻana o ka puʻupaʻa.
• Nā maʻi o ka ʻōnaehana hoʻoheheʻe, no ka laʻana, ka maʻi a Crohn a me ka maʻi celiac.
• Ka hoʻohana lōʻihi ʻana i kekahi mau lāʻau lapaʻau (e.g., no ka epilepsy, nā maʻi rheumatic, kekahi mau antibiotics, a me nā immunosuppressants).
• Nā kūlana hoʻoilina e like me ka "Hereditary folate malabsorption" (kahi e emi ai ka hiki o ke kino ke omo i ka folate mai ka hānau ʻana mai).

He aha nā hōʻailona o kēia? Pehea ʻoe e ʻike ai?

I kekahi manawa hiki ke loaʻa ka anemia nele folate me ka ʻole o nā hōʻailona. Hiki i kāu kauka ke ʻike wale ia ke loaʻa iā ʻoe kahi hoʻāʻo koko no kekahi mea ʻē aʻe.

Eia nō naʻe, i ka wā e ʻike ʻia ai nā hōʻailona, ​​​​hiki iā lākou ke komo pū me:

• Luhi mau ka manaʻo (`fatigue`): Me he mea lā ʻaʻole e nalowale ka luhi ʻoiai ma hope o ka hiamoe ʻana.
• Manaʻo palaualelo a nāwaliwali hoʻi i ka hana ʻana i nā hana o kēlā me kēia lā.
• Pōniuniu, manaʻo māmā ke poʻo.
• ʻIli keʻokeʻo (ʻeleʻele): ʻIke ʻia nā wahi e like me ka maka, nā lehelehe, a me nā poho lima he keʻokeʻo.
• Manaʻo e like me ka wikiwiki o ka puʻuwai e kuʻi ana, lohe i ke kani kuʻi i loko o kou umauma, a i ʻole ka manaʻo e lele ana kou puʻuwai i kahi kuʻi (heart palpitations).
• Paʻakikī ka hanu ʻana (dyspnea): Pōkole ka hanu ʻana ʻoiai me nā hana liʻiliʻi.

Pehea e ʻike pono ai i kēia maʻi?

Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​​​pono ʻoe e ʻike i ke kauka. E hana kāu kauka i kahi hoʻokolohua kino a nīnau e pili ana i kou mōʻaukala olakino a me nā hōʻailona. ʻOiai ua like nā hōʻailona o ka anemia nele folate me nā kūlana ʻē aʻe he nui, pono paha ʻoe e loaʻa i kekahi mau hoʻāʻo koko e ʻike ai inā ʻo ia ka hihia.

ʻO nā mea nui o kēia mau hoʻāʻo koko:

• Helu koko piha (CBC): Nānā kēia i nā mea he nui, e like me ka helu o nā hunaola koko ʻulaʻula, nā hunaola koko keʻokeʻo, a me nā platelets i loko o kou koko, a me ka nui o ka hemoglobin.
• ʻO ka paʻi koko peripheral (PBS): Pili kēia i ka lawe ʻana i kahi hāpana o kou koko a nānā iā ia ma lalo o kahi microscope. Hiki iā ʻoe ke ʻike pono i ke ʻano o nā hunaola koko, inā he nui a liʻiliʻi paha, a inā he mau mea ʻē.
• Helu Reticulocyte: He ʻōpiopio nā Reticulocytes, he mau hunaola koko ʻulaʻula. Nānā kēia hoʻāʻo inā lawa ka hana ʻana o kou iwi iwi i nā hunaola koko ʻulaʻula.

Me kēia mau hoʻokolohua, e nānā pū kāu kauka i kou mau pae folate koko. Hoʻohana pinepine ʻia kēia ma nā ʻāpana i kapa ʻia ʻo 'nanograms per milliliter' (`ng/mL`).

• ʻAʻole lawa: Ma lalo o 2 nanograms no kēlā me kēia milliliter (`< 2 ng/mL`).
• Ka palena: Ma waena o 2 a me 4 nanograms no ka milliliter (`2 ng/mL - 4 ng/mL`).
• Lawa: ʻOi aku ma mua o 4 nanograms no kēlā me kēia milliliter (`> 4 ng/mL`).

ʻOiai hiki ke hui pū ʻia ka hemahema o ka huaora B12 a me ka hemahema folate, e nānā pū ke kauka i kāu pae huaora B12.

He aha nā lāʻau lapaʻau no kēia?

ʻO ka nūhou maikaʻi, aia kahi lāʻau lapaʻau no kēia, a ua holomua loa ia.

ʻO ka lāʻau lapaʻau nui, ʻo ia ka hāʻawi ʻana i nā mea hoʻopihapiha wikamina B9.Hāʻawi pinepine ʻia kēia mau mea ma ke ʻano he mau pila e lawe ai ma ka waha. No kekahi poʻe i pilikia i ka ale ʻana i nā pila, hiki ke hāʻawi ʻia iā lākou ma ke ʻano he inikini, a i ʻole intravenously (IV) me ka saline. Pono paha e lawe mau ʻia kēia mau mea hoʻohui no kekahi mau mahina.

Hiki i kāu kauka ke ʻōlelo aku i nā hoʻololi i kāu meaʻai. Inā loaʻa ka hemahema o ka folate e kahi maʻi olakino ma lalo, he mea nui e mālama i kēlā maʻi.

Hiki ke pale ʻia ka anemia nele folate?

ʻAe, hiki nō ia. He mea maʻalahi ke pale aku i kēia kūlana inā ʻoe e mālama i kēia mau mea:

• E kiʻi i kāu mahele o ka folate i kēlā me kēia lā, ma o nā meaʻai āu e ʻai ai a i ʻole ma ka lawe ʻana i kahi mea hoʻopihapiha e loaʻa ana ka huaora B9 (folic acid).
• E hōʻemi i ka nui o ka waiʻona āu e inu ai, a i ʻole e hoʻōki loa i ka inu ʻana. ʻO ka inu nui ʻana i ka waiʻona e pale aku i ke kino mai ka omo ʻana i nā meaola koʻikoʻi, me ka folate.
• Inā loaʻa iā ʻoe kekahi maʻi e pale ai i kou kino mai ka komo ʻana a i ʻole ka hoʻohana ʻana i ka folate, e kamaʻilio me kāu kauka e pili ana i ia mea.

ʻEhia ka nui o ka folate (vitamin B9) e pono ai i kēlā me kēia lā?

ʻO ka wikamina B9 a mākou e loaʻa maoli ai mai ka meaʻai ua kapa ʻia ʻo folate. ʻO ka wikamina B9 i hoʻohui ʻia i ka meaʻai a i loaʻa paha i loko o nā pila wikamina ua kapa ʻia ʻo folic acid. ʻO ka nui o ka folate a mākou e pono ai i kēlā me kēia lā e pili ana i kekahi mau kumu:

• Makahiki: I kou wā ʻelemakule, piʻi aʻe kou pono no ka folate.
• Kumu meaʻai: ʻOi aku ka maikaʻi o ka hoʻopili ʻana o ko mākou kino i ka waikawa folic ma mua o ka folate mai ka meaʻai.

Ua hōʻike ʻia nā ʻAi i Manaʻo ʻia i kēlā me kēia lā (RDAs) ma nā micrograms (mcg), i ana ʻia ma nā Dietary Folate Equivalents (DFE). Me he mea lā he huikau iki kēia, akā he maʻalahi ia.

• ʻO 1 mcg o ka folate mai ka meaʻai ua like ia me 1 mcg DFE.
• Inā paha e hoʻohui ʻia ka waikawa folic i ka meaʻai a i ʻole mai nā pila huaora i lawe ʻia me ka meaʻai, ua like ka 1 mcg o ka waikawa folic me 1.67 mcg DFE (ʻo ia hoʻi, ʻoi aku ka nui o ke omo ʻana o ke kino).
• ʻO 1 mcg o ka waikawa folic mai nā pila huaora i lawe ʻia ma ka ʻōpū ʻole ua like ia me 2 mcg o DFE (ka mea i omo maikaʻi ʻia e ke kino).

Eia kekahi laʻana, inā ʻoe e lawe i kahi multivitamin me `200 mcg` o ka folic acid ma ka ʻōpū ʻole, hiki ke helu ʻia he `400 mcg DFE` (200 mcg x 2 = 400 mcg).

Pono ke kanaka makua maʻamau i 400 mcg o DFE i kēlā me kēia lā. Pono nā wahine hāpai i 600 mcg o DFE, a pono nā makuahine hānai i 500 mcg o DFE. ʻOi aku ka maikaʻi o ke noi ʻana i kāu kauka no ka nui kūpono nāu.

He aha nā meaʻai i kiʻekiʻe i ka folate?

ʻO ka mea pōmaikaʻi, he nui nā meaʻai he mau kumu maikaʻi o ka folate. E hoʻāʻo e hoʻohui i kēia mau mea i kāu papaʻai:

• ʻAiʻo: Ake pipi (nui kēia, akā pono ʻoe e noʻonoʻo e pili ana i ka cholesterol)
• Nā mea kanu ʻōmaʻomaʻo a me nā mea kanu: Nā ʻōmaʻomaʻo e like me ka spinach, kale, collard greens, asparagus, Brussels sprouts, avocado, broccoli.
• Nā meaʻai i hoʻoikaika ʻia: Kekahi mau cereals (cereals kakahiaka), laiki, berena, pasta, palaoa berena, palaoa kulina. (E nānā i ka lepili e ʻike inā ua hoʻohui ʻia ka waikawa folic.)
• Pī: Pīni puʻupaʻa, pīni puʻupaʻa.
• Nā nati: Pīnati, walnuts.
• Hua: ʻO nā hua citrus e like me nā ʻalani a me nā tangerine a me ko lākou wai.

E hoʻomanaʻo: Hiki ke luku ʻia ka Folate ke hoʻomoʻa ʻia kēia mau meaʻai no ka manawa lōʻihi, e like me ka hoʻolapalapa ʻana i ka wai. No laila e kuke iki iā lākou, a i ʻole e hoʻohui iā lākou i kāu mau meaʻai inā hiki ke ʻai maka ʻia (holoi maikaʻi ʻia).

E ho'ōla ʻia anei kēia maʻi inā e mālama ʻia?

ʻAe paha! ʻO ka mālama ʻana no ka anemia nele folate ka mea maʻamau e holomua loa. I loko o kekahi mau mahina o ka hoʻomaka ʻana i nā mea hoʻohui vitamin B9, hoʻomaka ka hapa nui o ka poʻe e hana hou i nā hunaola koko ʻulaʻula olakino, a hoʻomaikaʻi mālie ko lākou mau hōʻailona.

I ka manawa hea ʻoe e kamaʻilio ai me ke kauka e pili ana i ka anemia nele folate?

E ʻimi pono i ke kōkua lapaʻau i nā hihia e like me kēia:

• Inā ʻaʻole ʻoe maopopo i ka nui o ka folate āu e pono ai i kēlā me kēia lā, a inā paha e lawa ana kāu folate.
• Inā loaʻa iā ʻoe nā hōʻailona o ka anemia (e like me ka luhi, nāwaliwali, ka pōkole o ka hanu).
• Inā loaʻa iā ʻoe kekahi maʻi ʻē aʻe e hiki ai ke hoʻopilikia i ka folate.
• Inā ua mālama mua ʻia ʻoe no ka anemia hemahema folate a manaʻo ʻoe e hoʻi mai ana kāu mau hōʻailona.
• Inā ʻoe e hoʻolālā ana e hāpai, a i ʻole ua hāpai mua ʻoe. He mea nui loa kēia!

Hiki ke lilo i mea hopohopo iki ke ʻike ʻoe he pilikia kou me kou mau hunaola koko. Akā e hoʻomanaʻo, ʻo nā hōʻailona ke ala o kou kino e haʻi aku ai iā ʻoe ua hewa kekahi mea. Hiki paha iā ʻoe ke pono i kahi meaʻai kaulike, a i ʻole he maʻi olakino paha. E hana pū kāu kauka me ʻoe e ʻike i ke kumu. E kuhikuhi pū lākou i nā mea hoʻohui vitamin B9 a me nā lāʻau lapaʻau ʻē aʻe inā pono. Me ka mālama pono ʻana a me ka hahai ʻana i nā ʻōlelo a kāu kauka, e hoʻomaikaʻi paha kāu mau hōʻailona.

Nā mea nui e hoʻomanaʻo (Leka Lawe-Home)

ʻAe, eia kekahi mau mea e hoʻomanaʻo ai mai nā mea a mākou i kamaʻilio ai:

• He meaʻai koʻikoʻi ka Folate (huaora B9) no ka hana ʻana i nā hunaola koko ʻulaʻula olakino.
• ʻO ka nele o ka folate hiki ke alakaʻi i ka hoʻokumu ʻia ʻana o nā hunaola koko ʻulaʻula nui a ʻano ʻē ('megaloblasts'), e alakaʻi ana i ka anemia.
• Inā ʻike ʻoe i nā hōʻailona e like me ka luhi mau, ka nāwaliwali, ka ʻili keʻokeʻo, a me ka paʻakikī o ka hanu ʻana, e ʻike i ke kauka.
• E hoʻokomo i nā meaʻai waiwai i ka folate (nā legumes, nā mea kanu ʻōmaʻomaʻo, nā nati, nā meaʻai me ka folate i hoʻohui ʻia) i kāu papaʻai.
• Pono nā wahine hāpai, nā wahine hānai waiū, a me nā wahine e hoʻāʻo nei e hāpai e makaʻala loa e pili ana i ka folate. E lawe i nā pila waikawa folic e like me ke kauoha a kāu kauka.
• I ka manawa pinepine hiki ke ho'ōla loa ʻia kēia maʻi me ka lāʻau lapaʻau.

No laila, e mālama i kou kino. E ʻai i ka meaʻai kaulike. Inā loaʻa iā ʻoe kekahi pilikia, mai makaʻu e kamaʻilio me ke kauka. ʻO ka noho olakino ka mea nui loa!

Folate , anemia, wikamina B9, nele i ke koko, nā hunaola koko ʻulaʻula, nele i ka meaʻai, olakino hāpai