Yu kin fil taya ɔltɛm? Yu kin fil wik ivin afta yu dɔn waka fɔ shɔt tɛm? Yu fil se yu nɔ gɛt ɛnitin fɔ it, ɛn yu luk lɛk se yu nɔ gɛt bɛtɛ trɛnk? Bɔku tɛm, wi nɔ kin pe atɛnshɔn tumɔs pan dɛn tin ya, wi kin tink se na nɔmal tin. Bɔt, sɔntɛm siriɔs rizin de biɛn dis. Tide, wi de tɔk bɔt wan sik we siriɔs smɔl bɔt we pɔsin kin trit we pɔsin nɔ gɛt vaytamɛn B12. Wi kin kɔl dis Pɛrnishɔs Anemia .
Fɔ tɔk am simpul wan, wetin na Pernicious Anemia?
Pernicious Anemia na wan pan di men tin dɛm wae kin mek pɔrsin nɔr gɛt vaytamɛn B12. Fɔ tɔk di kɔrɛkt tin, dis na wan sik we pɔsin kin gɛt we i de fɛt insɛf . Naw yu kin de wɔnda wetin na ɔtoimyun kɔndishɔn. Fɔ tɔk am simpul wan, di men wok we wi imyun sistɛm de du na fɔ fɛt fɔrina dɛn we de kam insay wi ɛn protɛkt wi frɔm sik dɛn. Bɔt pan dis kɔndishɔn, wi yon imyun sistɛm kin mistek bigin fɔ atak wi yon wɛlbɔdi sɛl dɛn.
Sɔntin we fiba dis kin apin na di sik we dɛn kɔl Pernicious Anemia. wi imyun sistεm de atak sכm sεl dεm na di intestines (bεlε). dis sεl dεm de mek wan spεshal protin we dεn kכl Intrinsic Factor we de εp di bכdi fכ tek vaytam in B12. We dis protin nɔ de, ilɛksɛf wi it bɔku vaytamɛn B12, di bɔdi nɔ de tek am ɛn i de west.
Vitamin B12 rili impɔtant fɔ wi bɔdi. Speshali, i impɔtant fɔ mek dɛn mek rɛd blɔd sɛl dɛn, we kin kɛr ɔksijɛn na di blɔd. So, we vaytamɛn B12 nɔ de, di rɛd blɔd sɛl dɛn we gɛt wɛlbɔdi kin go dɔŋ. Dis na wetin wi kɔl anemia .
Di nem Pernicious Anemia min "harmful." I gɛt in nem bikɔs if dɛn nɔ trit dis sik, i kin mek wi nervɔs sistɛm pwɛl bad bad wan we wi nɔ go ebul fɔ chenj.
Aw dis sik kin afɛkt mi bɔdi?
Prnicious anemia kin afɛkt sɔm bɔdi sistɛm dɛn.
- Di dijestiv sistɛm: Nɔs, blo, ɛn wet kin apin.
- Nɛvɔ sistɛm: Dis na di wan we denja pas ɔl. E kin mek yu mɔsul dɛn wik, yu an ɛn fut dɛn kin swɛla, yu nɔ kin mɛmba fayn, ɛn ivin gɛt dis maynia sik.
- At: Yu kin gɛt at bit ɔ yu at kin bit ɔltɛm.
- Jɛnɛral wɛl bɔdi: Fɔ taya ɔltɛm ɛn fɔ wik na di men sayn dɛm.
Dis sik kin mɔs si bitwin di ej dɛm wae de bitwin 60 ɛn 80 ia, mɔr pan pipul dɛm wae kɔmɔt na Nɔtan Yurop.
Wetin na di sayn dɛm fɔ Pernicious Anemia?
Wan pan de tin wae nɔr kin no bɔt dis na dat e kin tek sɔm ia fɔ mek de sik sho. Dis na bikɔs wi bɔdi de kip vaytamɛn B12 na di liva ɛn yuz am smɔl smɔl. Dis stכrej kin tek lεk 3-5 ia fכ rכn. Ivin da tɛm de, i kin tek sɔm tɛm fɔ mek di sayn dɛn we de sho se di sik de.
As di vaytam in B12 de dכn, di sayn dεm de kam tranga mכr. Yu kin gɛt gud aidia bɔt dis frɔm di tebul we de dɔŋ ya.
| Tayp fɔ di simptom | Tin dɛn fɔ si |
|---|---|
| Di fɔs sayn dɛm (bɔku tɛm dɛn kin mistek kɔl ɔda sik) . | |
| Dijestiv sistɛm | Dayarɛa ɔ kɔnstipɛshɔn, nɔr kin want fɔ it, at pwɛl. |
| Di we aw bɔdi de luk | Pale skin, mild jaundice (di yay ɔ di skin kin yɔlɔ). |
| Jɛnɛral inkɔnvinɛns dɛn | Diziz, i nɔ kin izi fɔ blo (dyspnea) we yu tinap ɔ du ɛksɛsayz, yu tɔŋ kin swel, yu gɔm kin rɛd, ɔ yu gɔm kin blɔd. |
| Nεv sεstem simptom dεm we de kכz fכ lכw B12 lεvεl ova tεm | |
| Mental ɛn bihayvya | Kɔnfyushɔn, shɔt tɛm mɛmori lɔs, pwɛl hat, prɔblɛm fɔ kɔnsɛntret, vɛks, hallucinations. |
| Fizik nyurolɔjik dizayd | Yu nɔ de balans, yu nɔ de fil fayn ɔ yu nɔ de fil fayn na yu an ɛn fut. |
| Si | di vishכn de afekt bikoz fכ di optik nεv dεjεnεreshכn. |
Ɔda tin dɛn de we kin mek pɔsin gɛt Pernicious Anemia?
Yɛs. Apat frɔm di ɔtoimyun kɔndishɔn we dɛn kɔl Pernicious Anemia, di bɔdi nɔ kin ebul fɔ tek vaytamɛn B12 fɔ ɔda rizin dɛn.
- כpεrayshכn na di bεlε: we dεn du כpεrayshכn fכ pul pat כ כl di bεlε (e.g. gastric bypass כpεrayshכn fכ fat), di sεl dεm we de εp fכ tek vaytam in B12 de lכs.
- sכm sכm intestכn כpεrayshכn: we yu pul pat pan di sכmכl intestכn i de ridyus di abiliti fכ abzכp vaytam in B12.
- Smɔl Intestinal Bakteria: Insay wan kɔndishɔn we dɛn kɔl Smɔl Intestinal Bacterial Overgrowth (SIBO) , bad baktri de gro na di smɔl intestinal ɛn it vaytamɛn B12 bifo di bɔdi ebul fɔ tek am.
- Sɔm mɛrɛsin dɛn: Sɔm mɛrɛsin fɔ dayabitis, ɛpilepshi, ɛn sɔm antibayɔtiks kin afɛkt di vaytamɛn B12 lɛvɛl.
- Tepwɔm Infɛkshɔn: If yu it fish we nɔ kuk fayn ɛn we gɛt di sik, dat kin mek yu gɛt tepwɔm infɛkshɔn. Dɛn parasayt ya de it vaytamɛn B12.
- Di it: Pipul dɛn we nɔ de it ɔltin ɔ we de fala plant-based it kin nɔ gɛt bɛtɛ vaytamɛn B12 na dɛn it.
- Ɔda sik dɛm: Di dijestiv sistɛm sik dɛm lɛk Celiac disease ɔ Crohn’s disease kin mek i nɔ izi fɔ tek vaytamɛn B12.
- Ɔmon sik dɛm: Pipul dɛm wae gɛt ɔtoimyun kɔndishɔn lɛk haypoparatayroydism ɛn Graves in sik kin gɛt mɔ risk fɔ gɛt pwɛl hat sik.
Aw yu go fɛn dis, Dɔktɔ?
If yu gɛt dɛn sik ya, i impɔtant fɔ go to yu dɔktɔ. I go chɛk yu, tek yu mɛdikal istri, ɛn ɔda fɔ du bɔku tɛst fɔ no if yu gɛt di sik.
- Vitamin B12 lεvεl tεst: Dis de mכsu aw bכku vaytam in B12 de na di bכdi.
- Kɔmplit Blɔd Kɔnt (CBC): Dis kin no di kayn ɛn aw i siriɔs.
- כda spεshal bכdi tεst dεm: Tεst dεm lεk Rεtikulכsayt kכnt, LDH, Sεrum bilirubin, MMA, Homocysteine lεvεl, εtk, de gi dip infכmeshכn bכt vaytam in B12 dεfisiεns εn bon mכro fכnshכn.
- Antibodi test: Dis de test di bכdi fכ antibodi dεm we de atak bεlε sεl dεm εn intrinsic factor.
- Ɔpa Ɛndoskopi: .dεn de put wan kεmεra we lεk tכb (εndoskop) tru di mכt εn dεn de egzamin di layn na di bεlε.
Aw dɛn kin trit am? Yu tink se i go bɛtɛ?
Tritmɛnt de fɔ dis, ɛn na di bɛst nyus! Bikɔs yu bɔdi nɔ ebul fɔ tek vaytamɛn B12, yu dɔktɔ go fɔs gi yu vaytamɛn B12 injɛkshɔn . Dɛn kin gi dɛn tin ya dairekt insay wan mɔsul, so dɛn kin go stret na yu blɔd we nɔ go pas na di bɛlɛ.
Wae yu vaytamɛn B12 lɛvɛl dɔn kam bak to nɔmal, dɛn kin advays yu fɔ kɔntinyu fɔ tek ay doz vaytamɛn B12 tablɛt (we yu kin tek bay B12 we yu kin it). Yu dɔktɔ go kɔntinyu fɔ wach yu sik ɛn ajɔst yu tritmɛnt.
Yu go bigin fɔ fil bɔku fridɔm insay sɔm dez afta yu bigin fɔ trit yu. Bɔt e kin tek sɔm wiks fɔ mek yu sik nɔr de igen ɛn yu go fil fayn.
Pernicious anemia nɔto sik we pɔsin kin mɛn ɔltogɛda. Bɔt if yu tek vaytamɛn B12 ɔl yu layf, yu go ebul fɔ kɔntrol di sik dɛn ɛn liv wɛl bɔdi layf.
Bɔt mɛmba se di damej we di nervɔs sistɛm dɔn pwɛl nɔ kin rili chenj ivin wit vaytamɛn B12. So, i rili impɔtant fɔ no di sik ɛn bigin fɔ trit am kwik.
Aw a kin kia fɔ misɛf?
If yu gɛt Pernicious Anemia, yu go nid fɔ tek vaytamɛn B12 fɔ di res ɔf yu layf, lɛk aw yu dɔktɔ tɛl yu. Na sɔntin we pɔsin fɔ du.
If yu gɛt B12 dɛfisiɛns bikɔs ɔf ɔda rizin, fɔ chenj yu it kin ɛp bak. Di it dɛn we gɛt bɔku vaytamɛn B12 na:
- Mit dɛn lɛk bif, liva, chukchuk, ɛn fish
- Eg ɛn tin dɛn we dɛn mek wit milk (milk, yogɔt, chiz) .
- Brekfas siriɔs wit ad vaytamɛn B12
- Soya prodakt wit ad vaytamɛn B12
I fayn fɔ tɔk to yu dɔktɔ ɛn gɛt advays bɔt aw fɔ it we fayn fɔ yu.
Mɛsej we dɛn kin kɛr go na os
- Pernicious anemia na wan kayn anemia we wi yon imyun sistɛm de mek ɛn we wi nɔ gɛt vaytamɛn B12.
- Di sayn dɛm lɛk wae yu taya ɔltɛm, yu nɔr de fil fayn, ɛn yu nɔr de blo fayn fɔs, bɔt dɛn kin tranga as tɛm de go.
- If dɛn nɔ trit dis sik, i kin mek di nervɔs sistɛm pwɛl bad bad wan we nɔ go ɛva chenj.
- If yu kɔntinyu fɔ gɛt dɛn sik ya, mek shɔ se yu go to yu dɔktɔ we yu nɔ tink se na ɔda tin we mek yu gɛt dis sik.
- Di tritmɛnt na fɔ gi yu vaytamɛn B12 injɛkshɔn ɔ pils fɔ ɔl yu layf. Dis kin mek yu liv yu layf we gɛt wɛlbɔdi ɛn nɔmal layf.
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