Bɔku tɛm yu kin fil taya, yu kin gɛt prɔblɛm wit di prɔblɛm dɛn we de kɔntinyu fɔ digest, ɔ yu kin gɛt dayarɛa we yu nɔ ebul fɔ ɛksplen? Yu de notis chenj dɛn na yu skin we nɔ kɔmɔn ɔ yu de strɛs wit mɛmori laps? Pan ɔl we dɛn sik ya kin gɛt fɔ du wit difrɛn tin dɛn, dɛn kin sho se dɛn ɔl tu de sho wan patikyula tin we de mɔna pipul dɛn bɔt wɛlbɔdi biznɛs, we dɛn kin nɔ no bɔt. Tide, wi de tɔk bɔt wan sik we dɛn kɔl Pellagra .
Wetin na Pɛlagra?
Fɔ tɔk am simpul wan, Pellagra na sik we pɔsin kin gɛt we i nɔ it Niacin , we dɛn kin kɔl bak Vitamin B3 . Dis na essentially wan kayn malnutrition—spɛshal wan, na micronutrient deficiency. Yu bɔdi nid Niacin fɔ mek di sɛl dɛn wok fayn fayn wan. we di lεvεl dכn dכn, dεn kin fil di impak כlsay na yu כl sistεm, mכtalman na di skin, mכt, digεstiv trakt, εn bren. If yu nɔ du di rayt mɛrɛsin, Pɛlagra kin mek di nerv dɛn pwɛl fɔ ɔltɛm ɛn if i rili bad, i kin kil pɔsin.
Yu go de wɔnda if dis kin afɛkt ɔlman. Tipikli, di wan dɛn we de it balans it kin gɛt di rayt Niacin. Praymari Pɛlagra—we kin kam bikɔs dɛn nɔ kin it bɔku tin—dɛn kin si am mɔ na say dɛn we nɔ gɛt tin fɔ it. Bɔt na divɛlop rijyɔn dɛn, inklud Sri Lanka, bɔku tɛm di Niacin we nɔ de wok kin kɔmɔt frɔm sɛkɔndari tin dɛn. Dis min se ɔda ɔndalayn wɛlbɔdi kɔndishɔn ɔ tin dɛn de mek yu bɔdi nɔ ebul fɔ absɔb ɔ yuz di Niacin we yu de it.
Wetin na Niacin, ɛn wetin mek yu nid am?
Tink bɔt Niacin as di fiul aditiv we de mek shɔ se yu bɔdi in “ɛnjin” de rɔn fayn fayn wan. Jɔs lɛk aw injin nid rifin fiul fɔ wok, na so yu bɔdi nid Niacin fɔ prosɛs di kalori dɛn we yu de it to ɛnaji we yu kin yuz.
we Niacin dכn abzכp tru yu sכmכl intestin, i de kכnvכlt to wan imכtant kכεnzym we dεn kכl Nicotinamide Adenine Dinucleotide (NAD) . NAD de sɔpɔt pas 400 ɛnzaym dɛn na yu bɔdi. Fɔ tɔk am simpul wan, NAD impɔtant fɔ mek di sɛlular ɛnaji we dɛn kɔl Adenosine Triphosphate (ATP) . biכn di enεji prodakshכn, NAD implεnt fכ DNA ripa εn sεlyul kכmyunikeshn.
Aw we yu nɔ gɛt Niacin, dat kin ambɔg yu bɔdi?
biכs NAD na fכs fכ sεl εnεji, wan dεfisit de atak sistεm dεm wit hכy enεji dimand כ rεpid sεl tכnכv: yu skin, di layn na yu gεstrointestinal trakt, εn yu bren. Bɔku tɛm, dɔktɔ dɛn kin tɔk bɔt di mak we de sho se pɔsin gɛt Pɛlagra as di “3 D”: Dayarɛa, Dɛmatitis, ɛn Dimɛnshɔn. Sɔm kin ad wan nɔmba 4 “D”: Day . If dɛn nɔ trit am fɔ lɔng tɛm, di tin we kin apin kin kil pɔsin.
1. Dayarɛa (Gastrointestinal mucositis) .
Dayarɛa kin apin we di layn we de protɛkt yu dijestiv trakt nɔ ebul fɔ mek bak fayn fayn wan. If yu nɔ gɛt dis tin we de protɛkt yu, yu bɔdi kin tray tranga wan fɔ dayjɛst it ɛn protɛkt insɛf frɔm infɛkshɔn ɛn injuri. Dis kin mek yu gɛt inflamɛns we nɔ de dɔn ɔlsay na di dijestiv trakt, we kin sho lɛk aw yu bɛlɛ de pen, yu nɔ de it fayn, yu mɔt de sɔfa, ɛn yu tɔŋ we swel ɛn rɛd.
2. Dɛmatitis (Skin fotosɛnsitiviti) .
Pɛlagra kin mek wan difrɛn skin kɔndishɔn, mɔ na say dɛn we di san de shayn lɛk di fes, nɛk, an, ɛn fut. if yu nכ gεt inof sεl εnεji, di skin sεl dεm kin bi haypa sεnsitiv to UV layt. Fɔs, di skin kin tan lɛk rɛd ɛn san dɔn bɔn am, leta i kin rɔf, i kin gɛt skel, ɛn i kin gɛt bɔku bɔku pigmɛnt plek dɛn (pat dɛn we dɔn dak) . Wan sayn we de sho di sik na wan tik dak band we de rawnd di nɛk we dɛn kɔl “Casal’s collar,” we dɛn gi di nem to di dɔktɔ we nem Don Gaspar Casal, we bin fɔs no di sik insay 1735.
3. Dimɛnshɔn (Bren ɛn nerve damej) .
biכs Pεlagra de afekt di enεji prodakshכn na εvri sεl, i kin εva impεkt di bren εn di nεv sεstem. Di fɔs sayn dɛm kin bi tin dɛm wae nɔr kin no, lɛk wae yu de taya ɔltɛm, yu nɔr de bisin bɔt ɔda pipul dɛm (we yu nɔr gɛt intres), ɔr yu nɔr kin ebul fɔ pe atɛnshɔn pan yu maynd. Yu kin gɛt wɔri ɔ pwɛl hat bak.As tɛm de go, dɛn sayn ya kin go bifo ɛn mek pipul dɛn kɔnfyus ɛn mek dɛn nɔ no wetin fɔ du. Na siriɔs kes, pɔrmɛnt dimɛnshɔn kin apun, wit nyurolɔjik prɔblɛm lɛk pɔrsin wae nɔr de balans fayn, wae yu nɔr de waka fayn, yu mɔsul dɛn kin spam, ɛn yu kin shek.
Usay Pɛlagra kin bɔku pas ɔl?
Frɔm trade trade, Pɛlagra bin bɔku pan pipul dɛn we nɔ gɛt bɛtɛ it, mɔ di wan dɛn we bin de abop pan kɔn (mayz) as step it we nɔ gɛt akses to sɔpɔtmɛnt dɛn we gɛt bɔku prɔtin. Pan ɔl we kɔn gɛt Niacin, i de insay wan we we “bɔnd” we mɔtalman bɔdi nɔ go ebul fɔ tek am izi wan.
Insay Sɛntral ɛn Sawt Amɛrika, di tradishɔnal we dɛn we dɛn kin yuz fɔ mek kɔn fɔ mek i bi tɔti na fɔ sok di gren insay laym wata. dis prכsεs de rilis di bound Niacin, we de mek i bioavailable. So, dɛn nɔ kin si Pɛlagra ( Pellagra ) na dɛn rijyɔn dɛn de.
Tide, fɔtifikeshɔn fɔ di tin dɛn we dɛn kin it lɛk flawa ɛn rays dɔn ridyus di praymari Pɛlagra bad bad wan na bɔku say dɛn na di wɔl. Bɔt pan ɔl we i nɔ kin apin so ɔltɛm, wi fɔ de wach bɔt di sɛkɔn tin dɛn we kin mek pɔsin gɛt Pɛlagra. If yu tink se yu gɛt dɛn sik ya, kɔl ɔspitul ɔ imejensi savis we de nia yu wantɛm wantɛm.
Wetin na di sayn dɛm fɔ Pellagra?
Na de kɔmɔn sayn dɛm wae yu kin si wit Pɛlagra:
- Dayrɛa we nɔ de dɔn , we kin gɛt blɔd wan wan tɛm.
- Bɛlɛ pen ɛn nɔ de it fayn .
- I nɔ kin want fɔ it igen , i kin nɔs , ɛn i kin vɔmit .
- Skin we de it ɔ we de mek pɔsin fil pen .
- Mɔt sos ɛn wan brayt rɛd, swel tɔng.
- I kin taya bad bad wan, i kin wik, ɛn i kin fil lɛk se i nɔ de fil fayn.
- Di mud chenj ɛn pwɛl hat.
- Nyurolɔjik simptom dɛm – fɔ ɛgzampul, de shek shek na di limb dɛm ɔ yu de swɛ.
- Delirium ɛn di sayn dɛm fɔ dis maynia sik.
Wetin na di tin dɛn we kin mek pɔsin gɛt Pɛlagra?
di praymar kכz na di it we nכ gεt inof niacin (Vitamin B3). Pan ɔl we wi kin gɛt niacin frɔm difrɛn it dɛn, pipul dɛn we nɔ gɛt bɛtɛ tin fɔ it kin gɛt bɛtɛ tin fɔ it.
Apat frɔm dat, yu kin gɛt pellagra bikɔs ɔf sɛkɔndari kɔz dɛm . Dis min se yu bɔdi nɔ ebul fɔ absɔb ɔ yuz niacin fayn fayn wan bikɔs ɔf wan ɔndalayn wɛlbɔdi kɔndishɔn. Sɔm ɛgzampul dɛn na:
- di sik dεm we de kכmכt na di gεstrointestinal we de mek i nכ de sכp di bכdi – lεk Inflammatory Bowel Disease (IBD) כ liva sirosis.
- Dizayd fɔ yuz rɔm: If pɔsin drink pasmak, i kin pwɛl di ɔgan dɛn lɛk di liva, i kin mek i nɔ ebul fɔ tek di impɔtant tin dɛn lɛk niacin ɛn i kin mek i nɔ gɛt bɛtɛ it.
- di gastric bypass surgery: Afta di opareshכn, di damej pan di intestinal layn kin intafεr di abzכpshכn fכ di imכtant maykronutriεnt dεm, inklud niacin.
- Iron deficiency anemia: Yu bɔdi nid ayɔn fɔ chenj ɛn yuz niacin fayn fayn wan.
- Hartnup sik: Na jεnεtik kכndyushכn we di bכdi de strכg fכ abzכp sכm amino asid dεm we nid fכ prodyuz vaytam in dεm.
- Sindrom we gɛt kansa:sכm tכmכro sεl dεm kin rεdכks di bכdi in prodakshכn fכ niacin.
- Sɔm mɛrɛsin dɛn: Speshal sɔm antispasmodic ɛn kemotɛrapi drɔgs we kin ambɔg di niacin mɛtabolism.
- HIV infεkshכn: HIV kin mek di niacin na di bכdi lכs.
Aw dɛn kin no se pɔsin gɛt Pɛlagra?
We yu go to dɔktɔ, dɛn go chɛk yu, rivyu yu sik dɛn, yu mɛrɛsin histri, ɛn aw yu de it. If yu dɔktɔ saspek pellagra, dɛn kin ɔda fɔ mek dɛn du urine test fɔ no di patikyula kemikal lɛvɛl dɛn, we kin ɛp fɔ no if yu bɔdi de gɛt inof niacin. Yu dɔktɔ kin gi yu niacin supamakit bak fɔ si if yu sik dɛn de bɛtɛ; dis tritmɛnt trayal na ɔda kɔmɔn diagnostik we dɛn kin yuz na Nirogi Lanka ɛn ɔda klinik dɛn.
Wetin na di tritmɛnt dɛm fɔ Pellagra?
Bikɔs pellagra na bikɔs yu nɔ gɛt niacin (Vitamin B3), di tritmɛnt we go wok fayn pas ɔl na fɔ ful-ɔp di nyutriɛnt we nɔ de tru niacin supliment. Bɔrku pipul kin bigin fɔ fil fayn kwik wan wans tritmɛnt bigin. Bɔt yu kin nid ɔda kia fɔ sɛkɔndari sayn dɛm lɛk skin ɔ mɔt sos.
Di tin we impɔtant pas ɔl na dat, if yu pellagra na sɛkɔndari kɔndishɔn, yu fɔ gɛt di rayt tritmɛnt fɔ da ɔndalayn mɛdikal prɔblɛm de.
Sɔm bad tin dɛn de we kin apin to di tritmɛnt?
We yu tek am lɛk aw yu dɔktɔ tɛl yu, niacin supamakit nɔ kin rili mek yu gɛt bɔku sayd ɛfɛkt. Bɔku tɛm, di bad tin dɛn we kin apin kin apin nɔmɔ we pɔsin tek am pasmak, we nɔ kin apin to pɔsin we de sɔfa wit di prɔblɛm we i gɛt. If dɛn apin, dɛn kin inklud:
- Skin we de flash.
- I de it ɔ rash.
- Bloating ɛn indigest.
- Ed we de at ɛn diziz.
Aw yu go mek yu nɔ gɛt Pɛlagra?
Fɔ mek yu it fayn fayn it na di simpul we fɔ mek shɔ se yu gɛt di rayt it. If yu nɔ gɛt bɛtɛ tin fɔ it, it dɛn we gɛt bɔku tin fɔ it ɛn tin dɛn we yu kin it kin ɛp. wan hεlty big man kin nid bכt 15mg niacin evride, we jεnarali de gi bay wan B-kכmpleks vaytam in supliment.
Fɔd dɛn we gɛt bɔku niacin na:
- Bif liva
- Bit dɛn
- Brewer in yist
- Bred ɛn siriɔs tin dɛn we dɛn dɔn ɛnrich
- Fish we gɛt ɔyl, lɛk salmɔn ɛn tuna
- Pinat dɛn we dɛn kin yuz fɔ mek tin dɛn
- Potato dɛn we dɛn kin mek
- Pɔltri dɛn
- Res
- Sanflawa sid dɛn
- Spaghetti sos we dɛn kin mek
If yu gɛt wan sik we nɔ de mɛn we de mek yu gɛt mɔ pellagra, tɔk to yu dɔktɔ bɔt aw fɔ mek yu nɔ gɛt am fɔ lɔng tɛm, we kin mek yu ajɔst to yu it, sɔpɔtmɛnt, ɔ di mɛrɛsin we yu de tek naw.
Aw lɔng i kin tek fɔ mek yu wɛl pan Pellagra?
Wae yu bigin fɔ tek niacin supliment, bɔrku pipul dɛn kin notis se i dɔn bɛtɛ insay sɔm dez. di simptom dεm na di gεstrointestinal (lεk dayariya) kin sכlv fכs , bכku tεm insay di fכs wik. Di skin ɛn mɔt sos kin tek tu wiks fɔ wɛl. Di kayn bad bad kes dɛm kin tek lɔng tɛm. Duya notis: sɔmtɛm wae pɔrsin kin gɛt siriɔs nyurolɔjik damej ɛn dis maynia sik kin nɔr kin kam bak.
Dɔktɔ dɛn kin se yu fɔ it fayn fayn it fɔ mek yu nɔ gɛt praymari pellagra tumara bambay. Bɔrku tɛm wae pɔrsin nɔr gɛt niacin kin kɔynsayd wit ɔda maykronutriɛnt dɛm wae nɔr de, ɔl dis kin bi wit wɛl bɔdi it.
Fɔ trit sɛkɔndari pelagra na mɔ kɔmpleks. Pan ɔl we supamakit dɛn kin ɛp, dɛn nɔ kin du fɔ yu if yu bɔdi nɔ ebul fɔ mɛtabolayz niacin kɔrɛkt wan. Insay dɛn kayn tin ya, fɔ wɛl kin dipen ɔl pan fɔ no ɛn trit di sik we de ɔnda am, we kin bi fɔ lɔng tɛm.
Faynal Mɛsej fɔ Tek-Hom
pan ɔl we dɛn kin dɔnawe wit praymari pellagra bɔku pan dɛn na divɛlop rijyɔn dɛn, i stil de bi risk fɔ pipul dɛn we nɔ gɛt bɛtɛ tin fɔ it. Insay wi sosayti, sɛkɔndari niacin dɛfisiɛns stil de wɔri bikɔs ɔf di rɔm we dɛn de yuz rɔm ɛn di ɔndalayn wɛlbɔdi kɔndishɔn dɛn—espɛshali di wan dɛn we de afɛkt di nyutriɛnt absɔpshɔn. If yu tink se yu gɛt dɛn sik ya, go to dɔktɔ we sabi du in wok na yu lokal ɔspitul wantɛm wantɛm.
Di tin we impɔtant pas ɔl fɔ mɛmba na dat, pan ɔl we di it we yu de it kin bigin wit di it we yu de it, di tin dɛn we de insay yu bɔdi na in rili de sho yu wɛlbɔdi. Yu bɔdi de abop pan kɔmpleks tin dɛn we de insay yu bɔdi fɔ mek i gɛt wɛlbɔdi. If yu notis sɔm sayn dɛn we de mɔna yu—espɛshali tin dɛn we gɛt fɔ du wit yu dijestiv sistɛm—duya go to dɔktɔ we sabi du di wok. Ivin if yu nɔ gɛt bɛtɛ vaytamɛn, dat kin rili ambɔg yu wɛlbɔdi. So, pe atɛnshɔn fɔ it fayn it, kɔntinyu fɔ liv fayn layf, ɛn go to dɔktɔ kwik kwik wan if yu gɛt ɛnitin fɔ wɔri bɔt yu wɛlbɔdi biznɛs.
Pellagra, Niacin, Vitamin B3, Nyutrishɔn Dɛfisiɛns, Skin Kɔndishɔn, Dayarɛa, Dimɛnshɔn
