Loaʻa iā ʻoe kēia mau hōʻailona pū kekahi? Malia paha ʻo Pellagra kēia!

Ke manaʻo nei ʻoe i kekahi manawa ʻaʻohe ou ikaika, ke loaʻa mau nei iā ʻoe nā pilikia ʻōpū, i kekahi manawa me ka maʻi diarrhea? ʻAʻole wale kēlā, akā loaʻa pū kekahi iā ʻoe nā pilikia ʻili, nā hōʻailona ʻē, a pēlā aku? Hiki i kēia mau mea ke lilo i mau hōʻailona o nā maʻi like ʻole. Eia naʻe, i kēia lā e kamaʻilio mākou e pili ana i kahi ʻano ʻokoʻa iki e hui pū ʻia i kekahi manawa. ʻO ia ka maʻi i kapa ʻia ʻo pellagra .

He aha ʻo Pellagra?

I ka ʻōlelo maʻalahi, ʻo Pellagra kahi maʻi i hoʻokumu ʻia e ka nele o kahi huaora i kapa ʻia ʻo niacin , i ʻike ʻia hoʻi ʻo ka huaora B3 . He ʻano maʻi ʻai ʻole kēia. ʻO ke kikoʻī, he hemahema micronutrient. He mea nui ka Niacin no ka hana ʻana o nā cell i loko o ko mākou kino. No laila, ke haʻahaʻa, hōʻike ʻia kona hopena ma ke ʻano he mau hōʻailona ma ko mākou kino holoʻokoʻa, ʻoi aku hoʻi ma nā wahi e like me ka ʻili, ka waha, nā ʻōpū, a me ka lolo. Inā ʻaʻole mālama pono ʻia, hiki iā Pellagra ke hōʻeha mau i ka ʻōnaehana nerve a i kekahi manawa make. I kēia manawa ke noʻonoʻo nei paha ʻoe inā loaʻa kēia i nā mea a pau. ʻO ka hapa nui o ka manawa, loaʻa i kahi kanaka e ʻai ana i ka meaʻai kaulike ka nui o ka niacin e pono ai. Eia nō naʻe, ʻo ka pellagra mua - i hoʻokumu ʻia e ka nele o ka niacin i ka meaʻai - he pilikia nui nō ia ma nā wahi ʻilihune a nele i ka meaʻai. Eia nō naʻe, ma nā ʻāina i hoʻomohala ʻia, e like me Sri Lanka, ʻo ka hemahema o ka niacin pinepine ka lua i nā kumu ʻē aʻe. ʻO ia hoʻi, nā kūlana maʻi ʻē aʻe a i ʻole nā ​​​​mea e pale ai i ko mākou kino mai ka omo ʻana a i ʻole ka hoʻohana pono ʻana i ka niacin.

He aha ka Niacin? No ke aha mākou e pono ai?

Hoʻohana ko mākou kino i ka niacin e hoʻololi i nā calorie i loko o ka meaʻai a mākou e ʻai ai i ikehu. E noʻonoʻo i ka meaʻai a mākou e ʻai ai e like me ke kinoea e hoʻoikaika ai i kā mākou kaʻa. I mea e holo ai kēlā kinoea, pono e hoʻomaʻemaʻe pono ʻia. ʻO ia ka hana a ka niacin. ʻO ka niacin a mākou e loaʻa ai mai ka meaʻai a mākou e ʻai ai ua komo i loko o nā ʻiʻo o ko mākou kino ma o ko mākou ʻōpū liʻiliʻi. Ma laila, lilo ia i coenzyme i kapa ʻia ʻo Nicotinamide Adenine Dinucleotide (NAD) . Kōkua kēia NAD i nā enzymes he 400 a ʻoi i loko o ko mākou kino e hana. I ka ʻōlelo maʻalahi, ʻo kēia NAD ka mea nui e kōkua ai i nā cell o ko mākou kino e hana i ka ikehu (i kapa ʻia ʻo Adenosine Triphosphate (ATP) ). Eia kekahi, hāʻawi ʻo NAD i nā hana koʻikoʻi he nui, e like me ka hoʻoponopono ʻana o ka DNA a me ke kamaʻilio ʻana ma waena o nā cell.

Pehea ka hopena o ka nele o ka niacin i koʻu kino?

No ka mea, he mea nui ka NAD i ka hāʻawi ʻana i ka ikehu i nā cell, ke pau ia, hoʻopilikia mua ia i nā ʻōnaehana e pono ai ka ikehu nui loa a i ʻole e māhele wikiwiki ana. ʻO ia hoʻi kou ʻili, ka uhi o kou ʻōpū gastrointestinal (mai kou waha a i kou ʻōpū), a me kou lolo. Kāhea nā kauka i nā hōʻailona nui o ka pellagra ʻo "3 Ds":Ka maʻi kahe, ka dermatitis, a me ka dementia. Hoʻohui kekahi i ka "D" ʻehā: ka make . Inā ʻaʻole mālama ʻia no nā makahiki, hiki ke hopena i ka make.

1. Ka maʻi kahe (Gastrointestinal mucositis)

Hiki mai ka maʻi kahe ke hana hou ʻole ʻia ka uhi o kou ʻōpū (mucosa). E noʻonoʻo iā ia e like me kahi uhi pale ma loko o kou ʻōpū. Ke pau, ʻaʻole hiki i kou ʻōpū ke hoʻoheheʻe pono i ka meaʻai a pale paha iā lākou iho mai ka maʻi a i ʻole ka ʻeha. Hiki i kēia ke alakaʻi i ka mumū mau mai kou waha a i kou ʻōpū. Hiki i kēia ke hopena i nā hōʻailona e like me ka ʻeha o ka ʻōpū, ka indigestion, nā ʻeha waha, a me ke alelo ʻulaʻula a pehu .

2. Dermatitis (ʻIke ʻili i ke kiʻi)

ʻO Pellagra kahi ʻano maʻi ʻili kikoʻī e hoʻopilikia ana i ka ʻili, ʻoiai ke alo, ka ʻāʻī, nā lima, nā wāwae, nā poho lima, a me nā kapuwaʻi o nā wāwae, kahi i hōʻike ʻia i ka lā. Ke nalowale nā ​​​​​​pūnaewele i ko lākou ikehu, lilo nā ʻāpana ʻili i mea maʻalahi loa i ka lā. I ka wā mua, lilo ka ʻili i ʻulaʻula a me he mea lā ua puhi ʻia i ka lā. Ma hope mai, lilo nā wahi i ʻāwiliwili, unahi, a i kekahi manawa ʻike ʻia nā palaki ʻeleʻele (hyper-pigmented) . ʻO kekahi o nā hōʻailona o kēia maʻi he kāʻei ʻeleʻele a puni ka ʻāʻī. Ua kapa ʻia ʻo "Casal's collar." Ua kapa ʻia kēia ma muli o ke kauka ʻo Don Gaspar Casal, nāna i ʻike mua i ka maʻi i waena o nā mahiʻai Sepania i ka makahiki 1735.

3. Dementia (pōʻino o ka lolo a me ke aʻalolo)

He maʻi ʻo Pellagra e hoʻopilikia ana i ke kino holoʻokoʻa. No ka mea, nalowale kēlā me kēia cell i loko o ke kino i ka ikehu e pono ai e hana i kāna hana, hoʻopilikia ia i ka lolo a me ka ʻōnaehana nerve. ʻAʻole paha e ʻike maopopo ʻia nā hōʻailona mua. Hiki paha iā ʻoe ke manaʻo palaualelo, apathetic, a paʻakikī i ka noʻonoʻo ʻana . A i ʻole e ʻike paha ʻoe i nā hōʻailona e like me ka hopohopo a me ke kaumaha . I ka hala ʻana o ka manawa, hiki i kēia mau hōʻailona ke holomua i ka huikau a me nā kuhihewa . I nā hihia koʻikoʻi, hiki ke loaʻa ka dementia mau loa, a me nā pilikia neurological e like me ka paʻakikī me ke kaulike a me ka hele wāwae, ka ʻūlū ʻana o nā ʻiʻo, a me nā haʻalulu .

Ma hea kahi e ʻike pinepine ʻia ai ʻo Pellagra?

I ka mōʻaukala, ua loaʻa ka pellagra i nā poʻe ʻilihune a puni ka honua, ma nā ʻāina e like me ʻEulopa, ʻApelika, ʻĀsia, a me ʻAmelika Hema. Ua ʻike pinepine ʻia i nā poʻe me ka ʻai palena ʻole. ʻOi loa aku i ka poʻe i haʻahaʻa i ka protein a loaʻa ka ʻai i hoʻokumu ʻia i ka kulina. ʻO kēia no ka mea pono ka niacin i ka protein a me nā waikawa amino e omo pono ʻia e ke kino. ʻOiai aia ka niacin i loko o ka kulina, aia ia i loko o kahi ʻano "paʻa" ʻaʻole hiki i ko mākou kino ke omo maʻalahi.

Ma ʻAmelika Waena a me ʻAmelika Hema, ma ke ʻano kuʻunaI ka hana ʻana i nā tortillas mai ka kulina , hoʻomoʻa ʻia ka kulina i ka pō i loko o ka wai lime. Hoʻokuʻu kēia kaʻina hana i ka niacin i loko o ka kulina a hoʻolilo iā ia i mea maʻalahi ke omo ʻia. ʻO ia ke kumu he mea kakaikahi loa ka pellagra ma ia mau wahi.

I kēia mau lā, he mea kakaikahi loa ʻo Pellagra ma nā ʻāina Komohana i hoʻomohala ʻia e like me ʻAmelika. ʻO kēia ma muli o ka hoʻoikaika ʻana o ka berena a me ka laiki me ka niacin. Eia nō naʻe, ʻike ʻia ka Pellagra mua ma nā wahi i hoʻomohala ʻole ʻia o ka honua, ʻoi aku hoʻi i waena o nā kānaka ʻōiwi e ʻai ana i ka maize ma ke ʻano he meaʻai nui. Aia nō kēia kūlana ma India, Kina, a me kekahi mau ʻāpana o ʻApelika. ʻOiai he mea kakaikahi ka Pellagra mua ma nā ʻāina e like me Sri Lanka, pono mākou e hopohopo e pili ana iā Pellagra i hoʻokumu ʻia e nā kumu lua .

He aha nā hōʻailona o Pellagra?

Eia kekahi mau hōʻailona maʻamau o ka pellagra:

• Ka maʻi pākī mau , i kekahi manawa me ke koko.
• ʻEha ʻōpū a me ka indigestion .
• Ka nalowale o ka makemake , ka nausea , a me ka luaʻi ʻana .
• ʻEczema ʻulaʻula me ka maneʻo a i ʻole ka ʻeha ma ka ʻili .
• Nā ʻeha waha a me ke alelo ʻulaʻula a pehu.
• Luhi nui, nāwaliwali, a me ka palaualelo.
• Nā loli o ka naʻau, ke kaumaha.
• Nā hōʻailona o ka ʻōnaehana nerve - no ka laʻana, ka haʻalulu a me ka helu ʻana i nā lālā.
• Delirium a me ka dementia.

He aha nā kumu o Pellagra?

ʻO ke kumu nui, he ʻai haʻahaʻa i ka niacin. Loaʻa iā mākou ka wikamina B3 (niacin) mai nā ʻano meaʻai like ʻole. Eia nō naʻe, ʻo ka poʻe me nā koho meaʻai palena ʻole, hiki ke nele i kekahi mau meaolaola. Hiki ke ulu aʻe ʻo Pellagra ma muli o nā kumu lua . ʻO ia hoʻi, nā kūlana olakino ʻē aʻe e pale ai i kou kino mai ka omo ʻana a i ʻole ka hoʻohana pono ʻana i ka niacin. Eia kekahi mau laʻana:

• ʻO nā maʻi Gastrointestinal e hoʻoulu ai i ka malabsorption - no ka laʻana , ʻo Inflammatory Bowel Disease (IBD) a i ʻoleʻO ka Cirrhosis o ke akepaʻa.
• Ka maʻi hoʻohana ʻona: ʻO ka inu nui ʻana i ka waiʻona hiki ke hōʻino i nā ʻōkana e like me ke akepaʻa a hōʻemi i ka hiki o ke kino ke omo i nā meaʻai e like me ka niacin. Hiki i kēia ke alakaʻi i ka ʻai ʻole.
• ʻO ke ʻoki ʻana o ka ʻōpū: Ma hope o kekahi mau ʻoki ʻana no ka momona, hiki ke hōʻino ʻia ka mucosa ʻōpū, e alakaʻi ana i nā hemahema micronutrient like ʻole, me ka niacin.
• Anemia nele i ka hao: Pono ke kino i ka hao e hoʻololi a hoʻohana i ka niacin.
• Maʻi Hartnup: He maʻi hoʻoilina kēia. Pale ia i ke kino mai ka omo ʻana i nā waikawa amino. He mea nui kēia mau waikawa amino no ka hana ʻana i nā huaora.
• ʻO Carcinoid syndrome: Ma kēia, ua hoʻemi ʻia ka hana ʻana o ka niacin e nā cell cancer.
• Kekahi mau lāʻau lapaʻau: ʻO kekahi mau lāʻau lapaʻau, ʻoi aku ka antispasmodics a me nā lāʻau chemotherapy, hiki ke hoʻopilikia i ka metabolism niacin.
• Maʻi HIV: Hoʻemi ka maʻi HIV i nā pae niacin i loko o ke kino.

Pehea e ʻike ʻia ai ʻo Pellagra?

Ke ʻike ʻoe i ke kauka, e nānā ʻo ia iā ʻoe a nīnau e pili ana i kāu mau hōʻailona, ​​​​kou mōʻaukala olakino, a me kāu ʻai. Inā kānalua ʻia ka pellagra, hiki ke hana ʻia kahi hoʻāʻo mimi e hōʻoia i ka hōʻailona. Hiki i nā pae o kekahi mau kemika i loko o kou mimi ke haʻi iā ʻoe inā lawa ka niacin i loko o kou kino. Hiki i kāu kauka ke hāʻawi iā ʻoe i nā mea hoʻohui niacin e ʻike inā kōkua lākou. ʻO ia kekahi ala e ʻike ai i ka maʻi.

He aha nā lāʻau lapaʻau no Pellagra?

Hoʻokumu ʻia ʻo Pellagra e ka nele o ka niacin, a i ʻole ka wikamina B3. No laila, ʻo ka lāʻau lapaʻau maikaʻi loa no ia mea, ʻo ia ka hoʻopiha hou ʻana i ke kino me ka meaʻai i nele. ʻO ia hoʻi ka hāʻawi ʻana i nā mea hoʻopihapiha niacin. Hoʻomaka ka hapa nui o ka poʻe e ho'ōla koke ke hoʻomaka lākou e lawe i kēia mau mea. Eia nō naʻe, pono paha ka lāʻau lapaʻau hou no nā mea e like me nā ʻeha ʻili a me nā ʻeha waha.

ʻO ka mea nui loa, inā loaʻa iā ʻoe ka pellagra ma muli o kahi kumu lua, ʻo ia hoʻi, kahi maʻi ʻē aʻe, a laila pono ʻoe e mālama pono i kēlā maʻi kumu.

Aia kekahi mau hopena ʻaoʻao i ka lāʻau lapaʻau?

Inā ʻoe e lawe i ka lāʻau lapaʻau e like me ke kauoha a kāu kauka, ʻaʻole pinepine nā mea hoʻohui niacin e hoʻoulu i nā hopena ʻaoʻao nui. Eia nō naʻe, inā ʻoe e overdose, hiki ke loaʻa kekahi mau hopena ʻaoʻao. Eia nō naʻe, ʻaʻole hiki i kekahi kanaka me ka hemahema i loko o ko lākou kino ke overdose maʻalahi. Inā hana ʻia kēlā, hiki ke hana ʻia nā mea aʻe:

• ʻUlaʻula ka ʻili.
• ʻO ka maneʻo a me nā ʻulaʻula eczema.
• ʻO ka pehu a me ka ʻōpū ʻole.
• ʻEha poʻo a me ka poniuniu.

Pehea e pale aku ai iā Pellagra?

ʻO ka ʻai ʻana i kahi meaʻai kaulike ke ala maʻalahi loa e noho ai i ka meaʻai maikaʻi. Inā palena ʻia nā koho meaʻai, hiki i nā meaʻai i hoʻoikaika ʻia a me nā mea hoʻohui meaʻai ke kōkua. Ma kahi o 15 milligrams o ka niacin i kēlā me kēia lā ua lawa ia no kahi pākeke olakino. Loaʻa pinepine kēia nui mai kahi mea hoʻohui huaora B-complex. ʻO kekahi o nā meaʻai i waiwai nui i ka niacin:

• ʻAke pipi
• Pīni (Pīni)
• ʻO ka mea hū a ka mea hana pia
• Berena a me nā cereals i hoʻonui ʻia
• ʻO ka iʻa ʻaila, e like me ka salmon a me ka tuna
• Pīnati
• ʻUala
• Manu
• Laiki
• Nā hua pua nānālā
• ʻO ka mea ʻono spaghetti

Inā loaʻa iā ʻoe kahi maʻi olakino mau loa e hoʻonui ai i ka hiki ke loaʻa iā ʻoe ka pellagra, e kamaʻilio me kāu kauka e pili ana i nā ala e pale aku ai iā ia i ka wā lōʻihi. Hiki i kēia ke komo pū me ka hoʻololi ʻana i kāu meaʻai, nā mea hoʻohui, a i ʻole nā ​​​​lāʻau lapaʻau āu e lawe ai.

ʻEhia ka lōʻihi e ho'ōla ai mai Pellagra?

Ke hoʻomaka ʻoe e lawe i nā mea hoʻohui niacin, hoʻomaka ka hapa nui o ka poʻe e ʻoluʻolu i loko o kekahi mau lā. ʻO nā hōʻailona digestion (e like me ka diarrhea) e hoʻomaikaʻi mua , maʻamau i loko o ka pule mua. Hiki i nā ʻeha ʻili a me ka waha ke hala i ʻelua pule e ho'ōla ai. Hiki i kekahi mau hihia koʻikoʻi ke lōʻihi. ʻO ka hōʻino nui ʻana o ke aʻalolo a me ka dementia hiki ke hoʻihoʻi ʻia. No ka pale ʻana i ka pellagra mua hou, ʻōlelo nā kauka e mālama i kahi ʻai kaulike. ʻO ka hemahema Niacin e hele pinepine me nā hemahema micronutrient ʻē aʻe. Hiki ke hoʻoponopono ʻia kēia mau mea āpau me kahi ʻai maikaʻi. Hiki ke paʻakikī iki ka mālama ʻana i ka pellagra lua. ʻOiai hiki i nā mea hoʻohui ke kōkua, inā ʻaʻole hiki i ke kino ke hoʻololi pono i ka niacin, ʻaʻole lawa paha kēlā kōkua. I kēlā mau hihia, hilinaʻi ka hoʻōla ʻana i ka ʻike a me ka mālama ʻana i ke kūlana kumu i hoʻokumu ai i ka pellagra. Hiki i kēia ke lilo i kaʻina hana lōʻihi, ma muli o ka maʻi.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)

ʻOiai ua hoʻopau nui ʻia ka pellagra mua mai nā ʻāina i hoʻomohala ʻia, aia nō ia i waena o ka poʻe ʻilihune me ka meaʻai palena ʻole. Ma nā ʻāina e like me kā mākou, ʻo ka hemahema o ka niacin lua e mau ana ka pilikia ma muli o ka hoʻohana ʻana i ka waiʻona a me kekahi mau kūlana olakino (ʻoi aku ka poʻe e hoʻopilikia i ka omo ʻana o nā meaʻai).

ʻO ka mea nui e hoʻomanaʻo ai ʻoiai hoʻomaka ka meaʻai me ka meaʻai, hoʻopau ia i loko o ke kino.Pono e hana pono nā mea he nui i loko o kou kino. Inā loaʻa iā ʻoe kekahi mau hōʻailona e hōʻike ana he hewa kekahi mea, ʻoiai inā he pilikia kou me kāu ʻōnaehana hoʻoheheʻe ʻana, e ʻimi pono i ke kōkua lapaʻau. ʻOiai kahi hemahema liʻiliʻi o ka wikamina hiki ke loaʻa ka hopena nui i kou olakino. No laila, e ʻai i ka meaʻai kaulike, e ola i kahi nohona olakino, a e ʻike koke i ke kauka inā loaʻa iā ʻoe kekahi pilikia.

Pellagra, niacin, wikamina B3, hemahema meaʻai, maʻi ʻili, diarrhea, dementia