Sɔntɛnde, yu kin fil taya bad bad wan ɛn yu nɔ gɛt layf fɔ natin? Ɔ i nɔ kin izi fɔ yu fɔ pe atɛnshɔn pan ɛnitin, ɛn yu ed kin fil lɛk se fɔg kɔba am? Wan rizin fɔ tin dɛn lɛk dis kin bi we di vaytamɛn B12 we na impɔtant tin fɔ wi bɔdi kin go dɔŋ. Vitamin B12 impɔtant fɔ mek di rɛd blɔd sɛl dɛn na wi bɔdi ɛn fɔ mek di nervɔs sistɛm wok fayn fayn wan. So we i smɔl, difrɛn prɔblɛm dɛn kin kam. Na dat mek tide wi de tɔk bɔt blɔd tɛst we de chɛk di lɛvɛl we vaytamɛn B12 de.
A nid fɔ tek dis B12 tɛst bak?
I nɔ kin izi fɔ mek pɔsin we de it tin we balans fayn, nɔ gɛt bɛtɛ vaytamɛn B12. Bɔt bɔku rizin dɛn de we mek yu B12 lɛvɛl kin smɔl pas aw i kin bi. Bɔku rizin dɛn de we mek yu dɔktɔ kin tɛl yu fɔ du B12 tɛst .
Imajin, bɔku tɛm yu kin tɛl yu dɔktɔ se, “Dɔkta, a kin fil so taya, mi an ɛn fut dɛn kin swɛla, ɛn a nɔ kin mɛmba ɛnitin.” Na dis kayn tɛm, di dɔktɔ kin tink bɔt ɔda sik dɛn ɛn i kin ivin sɔprayz se yu gɛt B12.
Dɔktɔ kin tɛl yu fɔ du dis tɛst pan dɛn kayn tin ya:
- If dɛn dɔn no se yu gɛt anemia .
- If yu sɔspɛkt se yu gɛt mɛrɛsin we de mek yu bɔdi nɔ ebul fɔ tek B12.
- If sɔm mɛrɛsin dɛn we yu de tek afɛkt di absɔpshɔn fɔ B12.
- If yu gɛt sɔm kayn sik wae gɛt fɔ du wit B12 dɛfisiɛns.
- If yu dɔn yus to wan kɔmplit vegan ɔ strikt vegetarian it.
di men kכndyushכn we de asai wit B12 malabsorpshכn na wetin dכkta dεn kכl ‘Pernicious Anemia’ . dis de kכz fכ we wi nכ gεt di ‘Intrinsic Factor’, we na wan spεshal protin we de mek wi bכdi. if dis protin nכ de, wi nכ go ebul fכ abzכp B12 frכm it. Dɔn bak, di sik we dɛn kɔl Crohn ɛn di sik we dɛn kɔl Celiacdi B12 lεvεl dεm kin dכn bak bikoz fכ kכndishכn dεm lεk:
Apat frɔm dat, sɔm mɛrɛsin dɛn we yu kin tek kin afɛkt dis bak. Sɔm mɛrɛsin dɛn, mɔ di wan dɛn we dɛn kin yuz fɔ mɛn gastritis (GERD), lɛk di wan dɛn we de stɔp di prɔton-pɔmp, kin ridyus di asid na di bɛlɛ. dis bכdi asid nid fכ rilis B12 frכm it εn alaw di bכdi fכ abzכp am. So, if yu yuz dɛn mɛrɛsin ya fɔ lɔng tɛm, dat kin mek di B12 lɛvɛl go dɔŋ.
Wetin na di men sayn dɛm wae de sho se yu nɔr gɛt B12?
We di vaytamɛn B12 nɔ bɔku, ɛnibɔdi kin gɛt difrɛn sayn dɛn. Bɔt sɔm tin dɛn de we kin apin to pɔsin. Dɛn tin ya kin bi sayn dɛm bak fɔ ɔda sik dɛm, so i impɔtant fɔ mek yu du B12 tɛst fɔ kɔnfɔm.
| Di sayn we de sho se di sik de | Wan simpul ɛksplen |
|---|---|
| Fɔ taya ɔltɛm | Fɔ fil se yu nɔ gɛt layf ivin afta yu dɔn slip fayn ɛn nɔ du natin. |
| I nɔ izi fɔ mek pɔsin tink (Fuzzy thinking) . | Fɔ fil diziz, gɛt prɔblɛm fɔ mɛmba tin, fil se yu skata. |
| Di an ɛn fut dɛn we nɔ gɛt bɛtɛ trɛnk ɔ we de swɛt | Wan filin wae de mek yu an ɛn fut de swɛt ɔr yu nɔr de fil fayn. |
| Ɛd we de at | Ɛd pen we kin apin ɔltɛm ɔ we nɔ kin at pas aw i kin at. |
| Moodiness we pɔsin kin gɛt | Fɔ fil vɛks, sɔri, ɔr nɔr gɛt bɛtɛ maynd fɔ natin. |
Aw yu kin du dis tɛst? Yu tink se na big tin?
Nɔ, nɔto so atɔl. Dis na jɔs wan rili simpul, rutin blɔd tɛst.
Dis nɔ nid fɔ pripia ɛni spɛshal tin. Bɔku tɛm, yu nɔ nid fɔ fast di de bifo di tɛst. If yu dɔktɔ tɛl yu fɔ du blɔd tɛst fɔ chɛk tin dɛn lɛk kɔlɔstrel ɛn glukɔs, yu kin aks fɔ mek dɛn put dis tɛst insay.
Bɔt di tin we impɔtant pas ɔl na fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn, vaytamɛn dɛn, ɛn sɔpɔtmɛnt dɛn we yu de tek bifo yu du dis tɛst, bikɔs sɔm mɛrɛsin dɛn kin afɛkt di rizɔlt fɔ dis tɛst.
Aw fɔ ɔndastand di tɛst ripɔt?
di nכmal rεnj fכ di vaytam in B12 lεvεl kin difrεn sכmtεm frכm wan lab to כda wan, bכt sכm valyu dεm de we jεnarali aksept. Dɛn kin mɛzhɔ dɛn tin ya insay pikogram pan wan mililita (pg/mL).
- nכmal lεvεl: wan valyu bitwin 190 εn 950 (pg/mL).
- Bכdalayn: wan valyu bitwin 200 εn 300 (pg/mL). If na so i bi, di dɔktɔ go nid fɔ du sɔm ɔda tɛst dɛn.
- Lɔw: wan valyu we smɔl pas 200 (pg/mL). Dɛn kin tek dis se i smɔl ɛn dɛn nid fɔ du mɔ tɛst ɛn tritmɛnt.
Sɔntɛnde yu dɔktɔ go tɛst bak fɔ ɔda vaytamɛn we dɛn kɔl folate wit B12, bikɔs if yu nɔ gɛt fɔlet, dat kin mek yu gɛt di sem sayn dɛn we yu nɔ gɛt B12, so i kin ɛp fɔ no di rayt tin we mek yu gɛt am.
If mi B12 level low, wetin a go du neks?
If yu ripɔt se yu B12 lɛvɛl smɔl, nɔ wɔri. Tritmɛnt dɛn de we dɛn kin du fɔ am. Bɔt na yu dɔktɔ go disayd di tritmɛnt.
- If yu B12 lɛvɛl wɛl: Yu nɔ nid fɔ du ɛni spɛshal. Kɔntinyu fɔ it tin dɛn we gɛt balans. Fɔ it lɛk fish, mit, milk, ɛn tin dɛn we dɛn mek wit milk gɛt bɔku vaytamɛn B12. I gɛt bak brɛkfas siriɔs dɛn we gɛt bɔku vaytamɛn B12.
- If yu B12 lɛvɛl smɔl: Yu go nid tritmɛnt. Di kayn tritmɛnt go dipen pan di tin we mek yu gɛt smɔl B12 lɛvɛl.
- If di rizin na dat yu nɔ de gɛt inof B12 frɔm yu it (e.g., vegetarians), yu dɔktɔ kin gi yu vaytamɛn B12 pils (oral supliment) .
- Bɔt if yu gɛt prɔblɛm fɔ tek B12 frɔm yu bɛlɛ (e.g. Pernicious Anemia), fɔ tek pils nɔ go ɛp. If na so i bi, yu dɔktɔ kin tɛl yu fɔ tek vaytamɛn B12 injɛkshɔn .
If yu nɔ gɛt vitamin B12, dat kin mek yu gɛt siriɔs prɔblɛm wit di we aw yu bren de wok, di nervɔs sistɛm, ɛn bɔku ɔda pat dɛn na di bɔdi if i de fɔ lɔng tɛm. So, e fayn fɔ mek dɛn du tɛst if yu gɛt sɔm kayn sik. Ol pipul dεm kin spεshal pan risk fכ lכw B12 lεvεl. So, if yu mama ɛn papa ɔ big pipul dɛn na yu famili de ripɔt dɛn sik ya, i rili impɔtant fɔ tɔk bɔt dɛn it ɛn if nid de, go to dɔktɔ ɛn tek wan B12 sɔpɔtmɛnt.
Mɛsej we dɛn kin kɛr go na os
- Fɔ fil taya ɔltɛm fɔ natin, fɔ mɛmba tin, ɛn fɔ mek yu an ɛn fut dɛn nɔ gɛt bɛtɛ trɛnk, dat kin bi sayn dɛn we de sho se yu nɔ gɛt bɛtɛ vaytamɛn B12.
- Di vaytamɛn B12 tɛst na wan rili simpul blɔd tɛst we nɔ nid fɔ fast.
- Di wan dɛn we nɔ de it bif, di wan dɛn we de tek sɔm mɛrɛsin fɔ gastritis fɔ lɔng tɛm, ɛn di wan dɛn we dɔn ol kin gɛt bɔku prɔblɛm wit B12.
- If yu kam fɔ no se yu B12 lɛvɛl nɔ bɔku, nɔ go fɔ yusɛf fɔ tek mɛrɛsin. Fɛn ɔut di kɔz ɛn gɛt di tritmɛnt we fit pas ɔl (pil ɔ injɛkshɔn).Fɔ tru, yu fɔ tɔk to yu dɔktɔ.
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