Yu kin fil taya bak ɔl di de? Yu kin fil se yu wik ɛn yu nɔ gɛt layf? Sɔntɛnde yu kin fil lɛk se yu finga ɛn fut finga dɛn kin swɛla, ɔ yu kin fil lɛk se ant de it yu? Bɔku pan wi nɔ kin pe atɛnshɔn to dɛn tin ya, ɛn wi kin tink se na nɔmal tin. Bɔt dɛn tin ya kin bi smɔl sayn dɛn we de sho se yu nɔ gɛt bɛtɛ vaytamɛn B12, we min se yu bɔdi nɔ de gɛt di vaytamɛn B12 we i nid. So, tide wi go tɔk bɔt wan spɛshal tɛst wae go ɛp yu fɔ no if yu rili gɛt dis sik. Dat na di methylmalonic acid, ɔ MMA tɛst fɔ shɔt.
Wetin na di mɛtilmalɔnik asid (MMA) tɛst?
Fɔ tɔk am simpul wan, di mɛtilmalɔnik asid (MMA) tɛst na blɔd ɔ urine tɛst we de chɛk fɔ si if vaytamɛn B12 nɔ de na yu bɔdi.
Tink bɔt am dis we. Vitamin B12 impɔtant fɔ di sɛl dɛn na wi bɔdi, mɔ di nervɔs sistɛm ɛn fɔ mek rɛd blɔd sɛl dɛn. Jɔs lɛk aw motoka nid petrol fɔ mek i ebul fɔ rɔn, na so vaytamɛn B12 impɔtant fɔ sɔm impɔtant tin dɛn we de apin na wi bɔdi.
naw, we wi vaytam in B12 lεvεl dεm dכn sכm, כ we di B12 we wi de tek in nכ de abzכp fayn, sכm pan di kεmikכl prכsεs dεm na wi bכdi stכp fכ wok. dis de mek wan kεmikכl we dεn kכl "methylmalonic acid" (MMA) de bigin fכ kכmכt na di bכdi.
fכ bi prεsis, vaytam in B12 tan lεk wokman we de pul di "garbage" we dεn kכl MMA kכmכt na wi bכdi. We di B12 wokman nɔ de, ɔ we i nɔ ebul fɔ du in wok, dis MMA west kin gɛda na di blɔd ɛn urine. So yu dɔktɔ go tɛst yu blɔd ɔ yu urine sɛmpul fɔ di MMA lɛvɛl. If di lɛvɛl ay, dat min se yu kin nɔ gɛt bɛtɛ vaytamɛn B12.
Wetin mek a nid fɔ tek dis MMA tɛst?
Bɔku men rizin dɛn de we mek yu dɔktɔ go tɛl yu fɔ du dis tɛst. Lɛ wi tek wan luk pan wetin dɛn bi.
| Rizin fɔ di tɛst | Tɔk bɔt |
|---|---|
| Fɔ gɛt sayn dɛn we de sho se yu nɔ gɛt bɛtɛ vaytamɛn B12 | If yu gɛt dɛn sik ya, yu dɔktɔ kin rifer yu fɔ dis tɛst:
|
| Fɔ pikin dɛn we dɛn jɔs bɔn | Dɛn kin yuz dis tɛst fɔ no if di pikin dɛn we dɛn jɔs bɔn gɛt methylmalonic acidemia , we na wan sik we nɔ kin apin so ɔltɛm. Dɛn kin du dis na ɔspitul insay wan ɔ tu dez afta dɛn bɔn am. |
If yu nɔ gɛt bɛtɛ vitamin B12 nɔto simpul tin. If i kɔntinyu fɔ de fɔ lɔng tɛm, i kin mek di nerv dɛn pwɛl . I kin mek bak yu gɛt tin dɛn lɛk pernicious anemia . So, i rili impɔtant fɔ no am ɛn trit am kwik.
Wetin mek yu fɔ tɛst MMA we yu nɔ luk pan B12 lɛvɛl dɛn dairekt wan?
Dis na kwɛstyɔn we bɔku pipul dɛn gɛt. Yu kin de wɔnda se, "If yu kin chɛk yu B12 lɛvɛl dairekt na yu blɔd, wetin mek yu de luk ɔda tin we dɛn kɔl MMA?"
Na dis na di rizin. Sɔntɛnde, yu blɔd B12 lɛvɛl kin tan lɛk nɔmal pan yu ripɔt. Bɔt fɔ tru, yu bɔdi in sɛl dɛn nɔ go ebul fɔ yuz da B12 de. Dɛn kɔl dis lɔw bayɔavaylabiliti .
Fɔ tɔk am simpul wan, yu wata tank na os kin ful-ɔp wit wata. Bɔt if di tap brok, yu nɔ go ebul fɔ yuz da wata de. Na dat de apin na ya bak. Ivin if yu gɛt B12 na yu blɔd, i nɔ gɛt wan yus if yu sɛl dɛn nɔ ebul fɔ yuz am.
So, ivin we dɛn nɔ ebul fɔ yuz B12, da dɔti we dɛn kɔl MMA we wi bin dɔn tɔk bɔt fɔs kin gɛda na di bɔdi. So, we di dɔktɔ luk di MMA lɛvɛl, i go ebul fɔ gɛt mɔ kɔrɛkt pikchɔ . Dis min se di MMA tɛst nɔ kin jɔs no if yu bɔdi gɛt B12, bɔt i kin no bak if dɛn de yuz am fayn . Dis na big ɛp fɔ no di B12 dɛfisiɛns na di fɔs stej.
Aw dɛn kin du dis tɛst ɛn wetin a fɔ rɛdi fɔ?
Fɔ du di MMA tɛst, dɛn go aks yu fɔ gi yu blɔd sɛmpul ɔ urine sɛmpul. Yu dɔktɔ go disayd aw fɔ du dis.
Fɔ pripia bifo di tɛst
Dis kin difrɛn difrɛn wan fɔ di tɛst we dɛn dɔn tɛl yu fɔ du.
- If yu de du blɔd tɛst, dɛn kin aks yu fɔ fast fɔ sɔm awa , we min se yu nɔ go it ɔ drink ɛnitin.
- If yu gɛt 24 awa tɛst fɔ yu urine, dɛn kin advays yu fɔ stɔp fɔ tek sɔm it dɛn ɔ mɛrɛsin dɛn da de de.
Di tin we impɔtant pas ɔl na fɔ aks yu dɔktɔ ɔ lab bɔt dis ɛn fala dɛn instrɔkshɔn.
Aw fɔ du di tɛst
| Di we aw dɛn de du di tɛst | Aw fɔ du am |
|---|---|
| Blɔd Tɛst | Dis jɔs tan lɛk fɔ gi blɔd ɔltɛm. Na di lab, dɛn kin yuz smɔl sirinj fɔ pul smɔl blɔd frɔm wan vein na yu an, nia yu ɛlbo. Dɔn, dɛn kin put smɔl plasta na di say we dɛn de. |
| Wan 24 awa urine sampul | Di lab go gi yu wan spɛshal bɔtul. Dɛn go tɛl yu fɔ gɛda ɔl yu urine fɔ 24 awa insay di bɔtul. Dɔn yu nid fɔ kɛr di bɔtul go na di lab. |
| Wan nɔmal urine sampul (Urinalysis) . | Dis min se yu fɔ pas smɔl urine insay wan smɔl klin kɔp we dɛn go gi yu. Yu kin du dis na os ɔ na yu dɔktɔ in ɔfis. |
| Fɔ pikin dɛn we dɛn jɔs bɔn | Na di ɔspitul, wan nɔs we tren kin chuk di pikin in il wit smɔl nidul ɛn gɛda sɔm drop blɔd pan wan spɛshal kad. Dis nɔ kin rili pen fɔ di pikin. |
Yu kin kɔntinyu fɔ du yu nɔmal tin dɛn afta di tɛst. I kin tek ɛnisay frɔm wan de to wan ɔ tu wik fɔ gɛt di rizɔlt.
Aw fɔ ɔndastand di tin dɛn we kin apin?
We yu gɛt yu lab ripɔt, i go inklud di MMA valyu.
- Nɔmal valyu dɛn:Dɛn valyu ya kin difrɛn smɔl frɔm wan lab to ɔda lab. nכmal wan, di sεrum MMA lεvεl dεm fכ less dan 0.40 μmol/L . Bɔt i bɛtɛ fɔ chɛk di say we se "Rɛfrɛns Rɛnj" na yu ripɔt.
Wetin go apin if di MMA lɛvɛl go ɔp?
- If yu MMA lɛvɛl ay: Dis de sho se yu kin gɛt vaytamɛn B12 we nɔ de. I go mɔs bi se yu dɔktɔ go du ɔda tɛst dɛn lɛk homocysteine , ɛn put ɔl dɛn tin ya togɛda fɔ mek yu ebul fɔ no sɔntin. Dɔn dɛn go gi yu di tritmɛnt we dɛn nid, fɔ ɛgzampul, vaytamɛn B12 pils ɔ injɛkshɔn.
- If di pikin we dεn bכn gεt hכy MMA lεvεl: I kin bi sayn fכ wan jεnεtik kכndyushכn we dεn kכl methylmalonic acidemia . Di dɔktɔ go ɔda fɔ mek dɛn du mɔ tɛst fɔ no if pɔsin gɛt di sik. If di sik de, di tritmɛnt inklud spɛshal it ɛn vaytamɛn sɔpɔtmɛnt.
Yu tink se dɛn kin ɛlevɛt di MMA lɛvɛl ivin if di B12 lɛvɛl na nɔmal?
Yɛs, yu kin ebul. Dis na di pat we impɔtant pas ɔl pan dis tɛst. If yu blɔd B12 lɛvɛl nɔmal bɔt yu MMA lɛvɛl go ɔp, dat min se yu gɛt B12 dɛfisiɛns kwik ɔ smɔl . Dis min se yu bɔdi gɛt B12 bɔt i nɔ de yuz am fayn. Yu dɔktɔ go disayd if yu nid tritmɛnt ɔ nɔ nid am.
Ustɛm a fɔ go to di dɔktɔ?
- If yu gɛt di sayn dɛm we de sho se yu nɔ gɛt vaytamɛn B12 we wi bin dɔn tɔk bɔt (we yu taya, yu nɔ de fil fayn, ɛn ɔda tin dɛm), yu go mɔs go to yu dɔktɔ.
- If yu gɛt ɛni kwɛstyɔn ɔ prɔblɛm fɔ ɔndastand di tɛst rizɔlt we yu gɛt, tɔk to yu dɔktɔ bɔt dat bak.
Sɔntɛnde, wi kin gɛt infɔmeshɔn bɔt prɔblɛm na wan pat na wi bɔdi frɔm ɔda pat. Di MMA tɛst na wan pan dɛn kayn tɛst dɛn de. bay we wi mכsu di MMA lεvεl na di bכdi כ urine, wi kin fכnכt if vaytam in B12 de wok fayn fayn wan insay di sεl dεm na wi bכdi. Dis na fayn chans fɔ no ɛn bigin fɔ trit sik dɛn bifo di nerve damej apin. So, nɔr ol ɛnitin ɛn tɔk to yu dɔktɔ bɔt dis.
Mɛsej we dɛn kin kɛr go na os
- di Methylmalonic Acid (MMA) tεst na wan tεst we rili imכtant εn sεnsitiv fכ no if yu nכ gεt vaytam in B12.
- Ivin if yu blɔd B12 lɛvɛl nɔmal, if di bɔdi nɔ de yuz da B12 de, dɛn kin no am wit MMA tɛst.
- Nɔr ignore sayn dɛm lɛk wae yu de taya ɔltɛm, yu wik, ɛn yu limb dɛm wae yu de swɛla lɛk aw i nɔrmal. Dɛn kin bi impɔtant sayn dɛm fɔ sho se yu fɔ go to dɔktɔ.
- If yu gɛt ɛnitin we de mɔna yu bɔt yu tɛst rizɔlt ɔ di sayn dɛm, mek shɔ se yu tɔk to yu dɔktɔ. Nɔ ɛva abop pan lab ripɔt fɔ no if yu gɛt wan sik.
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