Ke luhi nei ʻoe i ka hana ʻana i kāu mau hana o kēlā me kēia lā? Ke manaʻo nei ʻoe ua poniuniu ʻoe ma hope o ka hele wāwae ʻana no kekahi manawa? Ke nānā aku nei kou helehelena i ke aniani? Manaʻo paha ʻoe he mau mea maʻamau kēia, ka luhi i hoʻokumu ʻia e ka hana nui ʻana. Eia naʻe, hiki i kēia ke lilo i mau hōʻailona e hewa ana kekahi mea me kou kino. I kēia lā e kamaʻilio mākou e pili ana i kahi maʻi i loaʻa i ka poʻe he nui akā ʻaʻole lākou i ʻike.
He aha ka Anemia no ka nele o ka wikamina?
I ka ʻōlelo maʻalahi, he kūlana kēia e kū mai ana i ka wā ʻaʻole lawa ka hana ʻana o ko kākou kino i nā hunaola koko ʻulaʻula olakino. Ua like ia me kahi hale hana e pau ana nā mea maka e hana ai i kahi huahana maikaʻi. ʻElua o nā "mea hoʻohui" e pono ai ko kākou kino e hana i nā hunaola koko ʻulaʻula olakino, ʻo ia ka wikamina B12 a me ka wikamina B9 (folate a i ʻole ka waikawa folic) . Ke nele kēia mau mea, hana ke kino i nā hunaola koko ʻulaʻula maʻamau ʻole i ʻoi aku ka nui ma mua o ka maʻamau a ʻaʻole hiki ke hana pono.
E noʻonoʻo e pili ana i ia mea, ʻo nā hunaola koko ʻulaʻula nā kaʻa e lawe ana i ka oxygen ma o ko kākou kino. Inā ʻaʻole i hana pono ʻia kēia mau kaʻa, ʻaʻole hiki iā lākou ke hana i kā lākou hana o ka lawe ʻana i ka oxygen me ke kūpono. ʻO ke kūlana i hoʻokumu ʻia e kēia mau hunaola koko ʻulaʻula nui loa ua kapa ʻia hoʻi ʻo ia he anemia macrocytic a megaloblastic paha i ka ʻepekema lapaʻau.
No ke aha he mea nui ka wikamina B12 a me ka waikawa folic (folate)?
He mea nui kēia mau huaora ʻelua no nā hana he nui i loko o ko kākou kino. ʻO kekahi o nā mea nui loa o kēia, ʻo ia ka hana ʻana o nā hunaola koko ʻulaʻula. Ke lawa ʻole iā lākou, e like me ka mea i ʻōlelo ʻia ma mua, ʻaʻole wale nā hunaola koko ʻulaʻula i hana ʻia i loko o ke kino e nalowale i ko lākou ʻano, akā ua emi pū ko lākou ola. Make koke lākou ma mua o nā hunaola maʻamau.
He aha ka mea e hana ʻia a laila? Hoʻemi ʻia ka helu o nā hunaola i loko o ke kino e hiki ke lawe i ka oxygen. ʻO kēia ka mea a mākou e kapa nei he " anemia ." ʻO kēia ke kumu e hoʻomaka ai mākou e luhi a palaualelo.
ʻO wai ka mea i pilikia nui i ka loaʻa ʻana o kēia maʻi?
ʻElua kumu nui no kēia. ʻO kekahi, ʻaʻole mākou e ʻai lawa i kēia mau huaora . ʻO kekahi , ʻoiai inā mākou e ʻai iā lākou, ʻaʻole hiki i ko mākou kino ke omo pono iā lākou.
ʻOi aku ka kiʻekiʻe o kēia pilikia no kēia poʻe:
- Nā pilikia ʻai: No ka poʻe e ʻai iki ana i nā meaʻai waiwai i ka wikamina B12 a me ka folate (ʻiʻo, iʻa, waiū, hua manu, nā mea kanu ʻōmaʻomaʻo).
- Nā pilikia me ka omo ʻana o nā meaʻai: Pale kekahi mau maʻi i ke kino mai ka omo ʻana i nā meaʻai i loko o ka meaʻai a mākou e ʻai ai. Eia kekahi laʻana:
- Maʻi Celiac
- ka maʻi o Crohn
- ʻO ka fibrosis cystic
- ʻO ka anemia ʻino:He kūlana kūikawā kēia. I mea e omo ai i ka wikamina B12 mai ka meaʻai a kākou e ʻai ai, pono kākou i kahi protein kūikawā i loko o ko kākou ʻōpū. Ua kapa ʻia kēia he "Intrinsic factor". ʻAʻole hana ke kino o kekahi poʻe i kēia protein. A laila, ʻaʻohe mea nui ka nui o ka B12 a lākou e ʻai ai, ʻaʻole hiki i ko lākou kino ke omo iā ia. He kumu nō hoʻi kēia o ka anemia.
Loaʻa iā ʻoe kēia mau hōʻailona?
ʻAʻole paha e ʻike ʻia nā hōʻailona o ka anemia nele i ka wikamina i ka wā mua. Hoʻomohala mālie lākou, i nā mahina, a i ʻole nā makahiki. E nānā i ka pakuhi ma lalo nei e ʻike inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona.
| Hōʻailona | Pehea kona manaʻo |
|---|---|
| Luhi | Manaʻo mau i ka luhi a me ka hiamoe, ʻaʻole hiki ke hana i kekahi hana. |
| Ka paʻakikī o ka hanu ʻana (Dyspnea) | Ke manaʻo nei ua pōkole ka hanu ʻoiai ke hele wāwae iki nei i ka wā e hana ana i nā hana maʻamau. |
| Pōʻino | Ka pōniuniu koke, i kekahi manawa me nā maka polū. |
| ʻIli keʻokeʻo a melemele paha | Ke nānā aku o nā wahi e like me ka maka, nā lima, a me nā kapuwaʻi. |
| Nā Palpitations | Ke kuʻi wikiwiki nei ka puʻuwai a hiki iā ʻoe ke lohe. |
| Ka mae ʻana o nā lālā | Ka maneʻo a i ʻole ke ʻano ʻūlū ma nā lima a me nā wāwae. |
| Nāwaliwali o nā ʻiʻo | Ke nāwaliwali nei, ka paʻakikī i ka hāpai ʻana i nā mea kaumaha, a i ʻole ka hana ʻana. |
| Ka emi ʻana o ke kaumaha | Ka pohō kaumaha me ke kumu ʻole. |
Ma waho aʻe o kēia mau hōʻailona kino, hiki i ka hemahema o ka wikamina ke hana i nā hopena noʻonoʻo. Hiki ke loaʻa ke kaumaha , ka hiki ʻole ke noʻonoʻo pono , a me ka poina . I kekahi manawa, inā loaʻa i kahi ʻelemakule kahi hemahema nui o ka wikamina B12, hiki ke kuhihewa ʻia he dementia.
He aha nā kumu nui no kēia?
Ma waho aʻe o nā kumu pilikia a mākou i kūkākūkā ai ma mua, hiki i kekahi mau kumu ʻē aʻe ke hoʻopilikia i kēia.
- Kekahi mau lāʻau lapaʻau: Kekahi mau lāʻau lapaʻau i hāʻawi ʻia no nā maʻi e like me nā ʻōʻiliʻili.
- Ka inu nui ʻana i ka waiʻona: Hoʻopilikia ka waiʻona i ka omo ʻana o ke kino i nā meaola.
- ʻO ke ʻoki kino: Hiki ke hoʻemi ʻia ka omo ʻana o ka huaora ma hope o nā mea e like me ke ʻoki ʻana i ka pohō kaumaha.
- Nā ilo ʻōpū: Hoʻokumu ʻia e nā parasites e like me nā tapeworms.
- Hāpai a me ka hānai waiū: I kēia mau manawa, ʻoi aku ka nui o ka pono o ke kino no ka folate (B9), no laila hiki ke loaʻa nā hemahema.
- ʻO ka poʻe ma ka dialysis no ka maʻi puʻupaʻa: Loaʻa i kēia poʻe ka ʻano kiʻekiʻe o ka nalowale ʻana o ka folate mai ko lākou kino.
Pehea ʻoe e ʻike ai i kēia, e Kauka?
Inā loaʻa iā ʻoe kēia mau hōʻailona, hiki i kāu kauka ke ʻike i ke kūlana me kahi hoʻāʻo koko maʻalahi. ʻO kēia hoʻāʻo koko ke nānā nui nei i:
- Pehea ka nui o ka huaora B12 a me ka folate i loko o kou koko?
- ʻEhia ka nui o kou mau hunaola koko ʻulaʻula, pehea ka nui o lākou, a pehea ke ʻano o lākou ?
Inā kānalua ke kauka i kahi maʻi e like me "(anemia pernicious)," hiki iā ia ke hana i kekahi mau hoʻokolohua kūikawā ʻē aʻe.
ʻO ka mea nui loa, inā loaʻa iā ʻoe kēia mau hōʻailona, pono ʻoe e ʻike i ke kauka a loaʻa ka ʻōlelo aʻoaʻo ma mua o ka lawe ʻana i nā pila huaora iā ʻoe iho. ʻO ka mālama ʻana iā ʻoe iho me ka ʻike ʻole ʻana i ke kumu pololei hiki ke lilo i mea weliweli.
He aha nā lāʻau lapaʻau no kēia?
ʻO ka pahuhopu nui o ka mālama ʻana i kēia, ʻo ia ka hoʻihoʻi ʻana i nā pae o ka huaora i loko o kou kino i nā pae kūpono. Na kāu kauka e hoʻoholo i ke ʻano lapaʻau kūpono loa a me ka nui nou.
Hiki ke lawe ʻia ka Vitamin B12 a i ʻole nā mea hoʻohui folate ma nā ʻano like ʻole:
- Nā pila i ale ʻia
- Nā papa Sublingual
- Pūpū ihu
- Hoʻokomo
- He wai i hāʻawi ʻia i loko o kahi aʻa ma o kahi syringe (Intravenous - IV)
Pono ʻoe e hoʻomau i kēia lāʻau a hiki i ka hoʻi ʻana o kāu mau pae wikamina i ka maʻamau. He mea nui loa hoʻi e hoʻololi i kāu papaʻai.
Eia nō naʻe, inā loaʻa iā ʻoe kēia nele o ka wikamina ma muli o kekahi kūlana ʻē aʻe, e like me ka pilikia omo ʻana, pono paha ʻoe i ka lāʻau lōʻihi e pale aku ai i ke ʻano mai ka hoʻi hou ʻana.
He aha nā pilikia e hiki mai ana inā ʻaʻole mālama ʻia?
I ka hapanui o nā hihia, hoʻopau loa ʻia kēia kūlana me ka mālama kūpono. Eia nō naʻe, inā ʻaʻole mālama ʻia, hiki iā ia ke hana i nā pilikia koʻikoʻi no ka wā lōʻihi.
- Nā pilikia o ka ʻōnaehana nerve: Nā maʻi neurological koʻikoʻi e like me ka mae ʻana o nā lālā, ka paʻakikī i ka hele wāwae.
- Maʻi puʻuwai: Ka pilikia o ka nāwaliwali o ka puʻuwai a me ka hāʻule ʻana o ka puʻuwai.
- Nā pilikia i ka wā hāpai: Ka hopena i ka ulu ʻana o ka pēpē.
- Nā pilikia hānau keiki: Paʻakikī i ka loaʻa ʻana o nā keiki.
No laila, mai hoʻowahāwahā i kēia mau hōʻailona.
He aha kā mākou e ʻai ai e pale aku ai i kēia maʻi?
ʻO ke ala maikaʻi loa e hōʻemi ai i ka pilikia o kēia ʻano, ʻo ia ka ʻai ʻana i ka meaʻai kaulike i waiwai i nā wikamina B12 a me B9 (folate).
| Nā meaʻai waiwai i ka wikamina B12 | Nā meaʻai waiwai i ka wikamina B9 (folate) |
|---|---|
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Hiki iā ʻoe ke nīnau i kāu kauka i ka nui o ka wikamina āu e pono ai i kēlā me kēia lā. E aʻo aku nō hoʻi ʻo ia iā ʻoe e lawe i kahi mea hoʻohui wikamina inā pono.
Leka Lawe-Home
- ʻAʻole maʻamau ka luhi mau ʻana a me ka nānā ʻana he keʻokeʻo. He hōʻailona paha ia o ka anemia nele i ka wikamina.
- ʻO ke kumu nui o kēia ʻano, he haʻahaʻa ka pae o ka wikamina B12 a i ʻole ka waikawa folic (B9) i loko o ke kino.
- ʻO ka ʻai ʻana i ka meaʻai kaulike ke ala maikaʻi loa e pale aku ai i kēia maʻi.
- Inā loaʻa iā ʻoe nā hōʻailona, mai hoʻāʻo e hoʻoholo i kāu iho a e ʻike pono i kāu kauka. Hiki i kahi hoʻāʻo koko maʻalahi ke ʻike i ka maʻi.
- He maʻalahi loa a he pono nā lāʻau lapaʻau. No laila, mai makaʻu, akā e hahai pono i nā kuhikuhi a ke kauka.











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