Nang pawhin heng symptoms te hi i nei ve em? Hei hi Pellagra a ni mai thei!

A chang chuan chakna nei lo ang maiin i inhria em, pum lam harsatna i nei reng em, a chang chuan luak chhuak i nei em? Chu mai ni lovin, vun lama harsatna, symptom mak tak tak, etc. i nei em? Hengte hi a takah chuan natna hrang hrang chhinchhiahna a ni thei. Mahse, vawiinah hian dinhmun danglam deuh deuh, a chang chuan a inzawm khawm thin chungchang kan sawi dawn a ni. Chu chu natna pakhat pellagra an tih chu a ni .

Pellagra chu eng nge ni?

A awlsam zawngin sawi ila, Pellagra hi vitamin niacin , vitamin B3 tia hriat bawk tlakchhamna avanga lo awm a ni. Hei pawh hi malnutrition chi khat a ni. A bik takin micronutrient tlakchhamna a ni. Niacin hi kan taksaa cell awmte hnathawhna atan a pawimawh hle. Chuvangin a hniam chuan a nghawng chu kan taksa pum puiah, a bik takin vun, hmui, ril leh thluak ang hmunah te hian chhinchhiahna angin a lang chhuak thin. Enkawl that loh chuan Pellagra hian nervous system a tichhe vek thei a, a chang chuan thihna pawh a thlen thei bawk. Tunah chuan mi zawng zawngin hei hi an dawng em tih i ngaihtuah mai thei. A tam zawkah chuan ei leh in inthlau tak ei chuan niacin mamawh zat a dawng thin. Mahse, primary pellagra – ei leh in lama niacin tling lo avanga lo awm chu hmun rethei, ei tur tlakchhamna hmunah chuan harsatna lian tak a la ni reng a ni. Mahse, Sri Lanka ang ram changkang zawkah chuan niacin tlakchhamna hi thil dang aiin a pahnihna a ni fo. Chu chu kan taksain niacin a hip lut thei lo emaw, a hman dik theih loh nan natna dang emaw, thil dang emaw a ni.

Niacin chu eng nge ni? Engvangin nge kan mamawh?

Kan taksa hian niacin hmangin kan eitur chhunga calorie awmte chu chakna ah a chantir thin. Kan car chhunga gasoline ang maiin han ngaihtuah teh. Chu gasoline chu a kal theih nan chuan uluk taka tihthianghlim a ngai a ni. Chu chu niacin hian a tih chu a ni. Kan chaw ei atanga kan niacin kan hmuh hi kan taksa peng hrang hrangah kan taksa peng (small intestine) kaltlangin a lut a. Chutah chuan nicotinamide adenine dinucleotide (NAD) an tih coenzyme-ah a chang ta a ni. He NAD hian kan taksa hnathawhna atana enzyme 400 chuang a pui thin. A awlsam zawngin sawi ila, he NAD hi kan taksa cell-te chakna ( adenosine triphosphate (ATP) tia sawi bawk) siam tura puitu ber a ni. Tin, NAD hian hna pawimawh tak tak, DNA siamthat leh cell inkara inbiakpawhna te pawh a thawhpui bawk.

Niacin tlakchhamna hian engtin nge ka taksa a nghawng?

NAD hi cell-te tana chakna pe theitu pawimawh tak a nih avangin, a tlakchham chuan chakna mamawh ber emaw, in\hen darh chak ber emaw system-te a nghawng hmasa ber a ni. Chu chu i vun, i gastrointestinal tract lining (i kâ atanga i intestines thleng), leh i thluak tihna a ni. Doctor-te chuan pellagra natna lan chhuahna ber chu "3 Ds" an ti a:Diarrhea, dermatitis, leh dementia te a awm bawk. Ṭhenkhat phei chuan "D" palina: thihna . Kum tam tak enkawl loh chuan thihna a thleng thei a ni.

1. Luak chhuak (Gastrointestinal mucositis) .

Diarrhea hi i intestines (mucosa) lining a lo regenerate tha lo a nih chuan a lo awm thin. I rilru chhungril lama venhimna coating angin ngaihtuah rawh. A bo tawh chuan i intestines hian chaw a ei tha thei lo va, natna hrik emaw hliam emaw lakah a inveng thei lo bawk. Hei hian i hmui atanga i intestines thlenga inflammation kal zel a thlen thei a ni. Hei hian pum na, chaw ei loh, hmui natna, leh lei sen leh hring ang chi symptoms a thlen thei a ni .

2. Dermatitis (Vain êng hriat theihna) .

Pellagra hi vun natna chi khat bik a ni a, vun a nghawng a, a bik takin hmai, kawr, kut, ke, kutphah leh ke kephah, ni chhuahna hmuna awmte a nghawng a ni . Cell ten an chakna an hloh chuan vun cell te chu ni eng lakah an sensitive hle thin. A tirah chuan vun chu a sen a, ni zungin a kang ang maiin a lang. A hnuah chuan a hmunte chu a hrual a, a hring a, a chang chuan black (hyper-pigmented) plaques a lo lang thei bawk. He natna chhinchhiahna pakhat chu a kawngah dark band a awm a ni. "Casal-a kawrfual" tih a ni. Hei hi doctor Don Gaspar Casal hming chawia sak a ni a, ani hian kum 1735 khan Spanish loneitute zingah he natna hi a hmuchhuak hmasa ber a ni.

3. Dementia (Thluak leh nerve tihchhiatna) .

Pellagra hi natna a ni a, taksa pum pui a nghawng a ni. Taksa chhunga cell tin hian an hna thawk tura an mamawh chakna an hloh vek avangin a tawpah chuan thluak leh nervous system a nghawng a ni. A lan chhuah hmasak ber chu a langsar vak lo mai thei. I rilru hah, ngaihsak lo, leh ngaihtuahna seng harsa i ti mai thei . A nih loh leh lungkhamna leh lungngaihna ang chi symptoms i nei thei bawk . Hun a kal zel a, heng chhinchhiahnate hi buaina leh ngaihtuahna dik lo takah a lo chang thei a ni . A nasat chuan, dementia nghet tak a awm thei a, chu bâkah, thluak lama harsatna , balance leh kal harsatna, taksa ruh tliak, leh khur te pawh a awm thei bawk .

Khawiah nge Pellagra hi hmuh tam ber?

Tunhma atang tawh khan khawvel hmun hrang hrangah mi rethei tak takah pellagra hi hmuh a ni tawh a, Europe, Africa, Asia leh South America ang ramah te pawh hmuh tur a awm tawh a ni. Chaw ei tlem em em thinte zingah hmuh tur a awm fo thin. A bik takin protein tlem leh corn based diet nei te tan chuan. Hei hi a chhan chu niacin hian taksain a hip lut tha tur chuan protein leh amino acid a mamawh vang a ni. Corn-ah hian niacin awm mahse, kan taksain awlsam taka a lakluh theih loh "bound" form-ah a awm a ni.

Central leh South America-ah chuan, hnam dan anginCorn atanga tortillas siam hian corn chu lime tuiah zan khat chhung an hnim thin. Hetiang hian corn chhunga niacin awm chu a chhuah tir a, a hip lut thei zawk a ni. Chuvangin chutiang hmunah chuan pellagra hi a tlem hle a ni.

Tunlai hian America ang khawthlang ram changkang zawkah chuan Pellagra hi a tlem hle. Hei hi chhang leh buhfai niacin hmanga tihchak vang a ni. Mahse, primary Pellagra hi khawvel hmun hmasawn lo zawkah chuan hmuh tur a la awm a, a bik takin tribal mite zingah chuan maize chu an ei tur ber atan an ei thin. Hetiang dinhmun hi India, China leh Africa ram thenkhatah pawh a la awm reng a ni. Sri Lanka ang ramah chuan primary Pellagra hi a tlem hle nachungin, secondary causes avanga Pellagra lo awm hi kan ngaihtuah tur a ni .

Pellagra natna lan chhuahna chu engte nge ni?

Pellagra natna lan chhuah dan tlangpui thenkhat chu hetiang hi a ni:

• Persistent diarrhea , a chang chuan thisen nen.
• Pum natna leh chaw ei loh .
• Chaw ei chak lohna , luak chhuak leh luak chhuak .
• Eczema rash a awm a , vun a na emaw a na emaw .
• Kawng na leh lei sen, hring hring.
• Chauhna nasa tak, chak lohna leh rilru hahna.
• Mood swing, lungngaihna.
• Nervous system symptoms - entirnan, taksa peng hrang hranga khur leh ke ruh tliak.
• Delirium leh dementia te a awm thei.

Pellagra hi engte nge ni?

A chhan ber chu niacin tlakchhamna ei leh in vang a ni. Chaw chi hrang hrang atangin vitamin B3 (niacin) kan hmu a. Mahse, ei tur duhthlan tur tlemte nei te chuan nutrient thenkhat an tlachham thei a ni. Pellagra pawh hi secondary cause vangin a lo awm thei bawk . Chu chu i taksain niacin a hip lut thei lo emaw, a hmang dik thei lo emaw, hriselna lama harsatna dang a awm tihna a ni. Entirna thenkhat chu:

• Gastrointestinal natna avanga malabsorption - entirnan , Inflammatory Bowel Disease (IBD) emawCirrhosis natna (liver) a awm.
• Zu insualna (Alcohol use disorder): Zu in tam lutuk hian thin ang chi taksa peng hrang hrang a tichhe thei a, taksain niacin ang chi nutrients a lakluh theihna a ti tlem thei bawk. Hei hian malnutrition a thlen thei a ni.
• Gastric bypass surgery: Thau lutuk avanga surgery thenkhat hnuah intestinal mucosa a chhe thei a, micronutrient tlakchhamna chi hrang hrang a thlen thei a, niacin pawh a tel.
• Iron tlakchhamna vanga thisen tlakchhamna: Taksa pawhin niacin a thlak danglam theih nan leh a hman theih nan iron a mamawh bawk.
• Hartnup natna: Hei hi genetic natna a ni. Taksain amino acids a hip lut thei lo. Heng amino acids te hi vitamin siam nan a pawimawh hle.
• Carcinoid syndrome: Hetah hian cancer cell-in niacin an siam chhuah chu a tlahniam a ni.
• Damdawi thenkhat: Damdawi thenkhat, a bik takin antispasmodic leh chemotherapy damdawi te hian niacin metabolism a tibuai thei a.
• HIV hrik kai: HIV hrik kai hian taksaa niacin level a tihhniam phah a.

Engtin nge Pellagra hi hmuhchhuah a nih?

Doctor i hmuh chuan a enfiah ang che a, i natna lan chhuah dan te, i damdawi lam chanchin te, i ei leh in te a zawt ang che. Pellagra nia rinhlelh a nih chuan zun test hmangin a natna a awm tih finfiah theih a ni. I zun chhunga chemical thenkhat level hian i taksaah niacin i awm tawk em tih a hriattir thei che a ni. I doctor pawhin niacin supplement a pe thei bawk che a, a puih theih leh theih loh a en thei bawk. Chu chu natna hriat theihna kawng khat a ni.

Pellagra damdawi hi engte nge ni?

Pellagra hi niacin, a nih loh leh vitamin B3 tlakchham vang a ni. Chuvangin, a enkawlna tha ber chu taksaah ei tur awm lo hmanga tihpun hi a ni. Chu chu niacin supplement pek tihna a ni. Mi tam zawk chuan hengte hi an ei tan veleh an dam nghal vat thin. Mahse, vun natna leh hmui natna ang chi thilte tan chuan enkawlna dang a ngai mai thei.

A pawimawh ber chu secondary cause, chu chu natna dang avanga pellagra i neih chuan chu natna hnuaia awm pawh chu uluk taka enkawl a ngai a ni.

Enkawlna hian side effect a nei em?

Doctor-in a tih angin damdawi i ei chuan niacin supplement hian side effect lian tham a nei lo tlangpui. Mahse, i overdose chuan side effect thenkhat a awm thei. Mahse, taksa lama tlakchhamna nei chuan awlsam takin a overdose lo ang. Chutiang a nih chuan a hnuaia thilte hi a thleng thei a ni:

• Vun a rawn sen chhuak.
• Itching leh eczema rashes te a awm thin.
• Bloating leh indigestion.
• Lu na leh luak chhuak.

Pellagra hi engtin nge kan ven theih ang?

Ei leh in inthlau tak ei hi ei leh in tha tak neih theihna kawng awlsam ber a ni. Chaw thlan tur a tlem chuan fortified foods leh dietary supplement te hian a pui thei a ni. Ni khata niacin milligram 15 vel ei hi puitling hrisel tan chuan a tawk. Hetiang zat hi B-complex vitamin supplement atanga hmuh a ni tlangpui. Niacin tamna ber ei tur thenkhat chu:

• Bawnghnute liver
• Beetroot (Beets) te hi a awm a.
• Brewer-a yeast a ni
• Chhang leh buhfai enriched
• Nga hriak nei, salmon leh tuna ang chi
• Peanuts a ni
• Alu
• Vawk vulh
• Buhfai
• Sunflower chi a ni
• Spaghetti sauce hmanga siam a ni

Pellagra vei theihna tur khawpa hriselna lama harsatna i neih chuan hun rei tak chhunga inven dan tur i doctor nen sawiho rawh. Hei hian i ei leh in, supplement, a nih loh leh i damdawi eite tihdanglamna a huam thei a ni.

Pellagra atanga dam leh theih nan eng chen nge a ngaih?

Niacin supplement i ei tan chuan mi tam zawk chu ni engemaw zat chhungin an dam tan thin. Digestive symptoms (diarrhea ang chi) hi a tha hmasa ber thin , a tlangpuiin kar hmasa chhungin a tha zawk thin . Vun leh hmui natna hi a dam theih nan kar hnih vel a ngai thei. Na tak tak thenkhat chuan hun rei zawk an daih thei bawk. Nerve chhiatna nasa tak leh dementia hi tihdanglam theih loh a ni thei. Primary pellagra dang ven nan doctor-te chuan ei leh in inthlau tak neih an rawt a ni. Niacin tlakchhamna hi micronutrient tlakchhamna dangte nen a kal dun fo thin. Heng zawng zawng hi ei leh in tha tak hmangin siamthat theih a ni. Secondary pellagra enkawl hi a buaithlak deuh thei. Supplement hian a pui thei a, taksain niacin a metabolize tha thei lo a nih chuan chu tanpuina chu a tawk lo mai thei. Chutiang hunah chuan dam lehna chu pellagra thlentu dinhmun bulpui hriatchhuah leh enkawl a innghat a ni. Hei hi hun rei tak a ni thei a, natna a zirin.

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

Ram changkang a\angin primary pellagra hi a tam zawk chu tihbo ni mah se, ei tur tlemte nei mi rethei zingah a la awm reng a ni. Kan ram ang ramah hian zu in leh damdawi lam thil thenkhat (a bik takin nutrient absorption tibuaitu) avang hian secondary niacin tlakchham hi hlauhawm tak a la ni reng a ni.

A pawimawh ber chu ei leh in a\anga \an ni mah se, taksa chhungah a tawp tih hriat reng a ni.I taksa chhunga thil tam tak chu a thawk tha a ngai a ni. Thil dik lo a awm tih hriattirna symptom i neih chuan, a bik takin i chaw ei leh in lama harsatna i neih chuan doctor thurawn la ngei ang che. Vitamin tlakchhamna tlemte pawh hian i hriselnaah nghawng lian tak a nei thei a ni. Chuvangin, ei leh in inthlau tak ei la, nun hrisel nei la, harsatna i neih chuan a rang thei ang bera doctor pan rawh.

Pellagra, niacin, vitamin B3, ei leh in lama harsatna, vun natna, ril\am, dementia