He thisen tlakchhamna hlauhawm tak hi hah rengna chhan a ni em? (Pernicious Anemia) tih a ni.

I chau reng reng em? Rei vak lo i kal hnuah pawh chak lo takin i inhria em? Ei duhna nei lo ang maiin i inhria em, i hmel pawh a sen hmel em? A tam zawkah chuan heng thilte hi thil pangngai anga ngaihin kan ngaihven vak lo. Mahse, hei hi chhan lian tak a awm mai thei. Vawiin hian vitamin B12 tlakchhamna avanga natna khirh deuh mahse enkawl theih tak kan sawi dawn a ni. Hei hi Pernicious Anemia kan ti a ni .

A awlsam zawngin, Pernicious Anemia chu eng nge ni?

Vitamin B12 tlakchhamna thlentu ber pakhat chu Pernicious Anemia a ni. A dik tak chuan hei hi autoimmune condition a ni . Tunah chuan autoimmune condition chu eng nge ni tih i ngaihtuah mai thei. A awlsam zawngin sawi ila, kan taksa hriselna (immune system) hna ber chu ramdang mi rawn lutte do a, natna laka min humhim hi a ni. Mahse, hetiang dinhmunah hian kan taksa hriselna (immune system) hian kan taksa hrisel tak takte chu a rawn bei sual tan ta a ni.

Pernicious Anemia-ah pawh hetiang thil hi a thleng ve bawk. Kan immune system hian intestine (stomach) chhunga cell thenkhat a bei thin. Heng cell te hian protein bik Intrinsic Factor an siam a, chu chuan taksain vitamin B12 a hip lut thei a ni. He protein hi a tlakchham chuan vitamin B12 hi eng ang pawhin ei mah ila, taksain a hip lut lo va, a bo vek a ni.

Vitamin B12 hi kan taksa tan a pawimawh hle. A bik takin thisenah oxygen phurtu thisen sen (red blood cells) siam chhuahna atan a pawimawh hle. Chuvangin, vitamin B12 a tlakchham chuan thisen zam hrisel siam chhuahna a tlahniam a ni. Hei hi anemia kan tih chu a ni .

He dinhmun hian engtin nge ka taksa a nghawng?

Pernicious anemia hian taksa system engemaw zat a nghawng thei a ni.

• Digestive system: Nausea, bloating, leh weight loss a awm thei.
• Nervous system: Hei hi a hlauhawm ber a ni. Muscle chak lohna, ke ruh natna, hriatrengna hloh, leh dementia thlengin a thlen thei.
• Lung: Lung natna emaw, thinlung thawk mumal lo emaw i nei thei.
• Hriselna tlangpui: Chauh reng reng leh chak lohna hi a lan chhuahna ber a ni.

Hetiang dinhmun hi kum 60 leh 80 inkar vel a ni tlangpui a, a bik takin Europe hmar lam hnam chhuakte zingah a langsar ber a ni.

Pernicious Anemia natna lan chhuah dan chu engte nge ni?

Hemi chungchanga thil danglam tak pakhat chu natna lan chhuah nan kum tam tak a ngai thei a ni. Hei hi kan taksain Vitamin B12 chu thin (liver)-ah a khawlkhawm a, a hmang tlem deuh vang a ni. He storage hi a tawp theih nan kum 3-5 vel a ngai thei. Chuti chung pawh chuan symptoms a lan theih nan hun rei tak a ngai a ni.

Vitamin B12 level a tlahniam chuan symptoms a na zual zel a ni. Hei hi a hnuaia table atang hian ngaihdan tha tak i hmu thei ang.

Pernicious Anemia thlentu dang a awm em?

Awle. Autoimmune condition Pernicious Anemia an tih bakah hian taksain vitamin B12 hi chhan dang avangin a hip thei lo mai thei.

• Pum surgery: Pum thenkhat emaw, a pum emaw lak chhuah (e.g. thau lutuk tan gastric bypass surgery) an tih hian vitamin B12 hip lut tura puitu cell te chu a bo vek a ni.
• Small intestine surgery: Small intestine thenkhat lakchhuah hian vitamin B12 lakluh theihna a ti tlem a ni.
• Small Intestinal Bacteria: Small Intestinal Bacterial Overgrowth (SIBO) tih dinhmunah chuan bacteria tha lo chu small intestine-ah a lo thang lian a, taksain a lakluh hmain vitamin B12 chu a ei zo vek a ni.
• Damdawi thenkhat: Zunthlum, epilepsy damdawi thenkhat leh antibiotics thenkhat te hian vitamin B12 level a tichhe thei a ni.
• Tapeworm Infection: Nga tui lo, hri kai ei hian tapeworm infection a thlen thei. Heng parasite te hian vitamin B12 an ei thin.
• Diet: Mite chu vegan vek emaw, thing leh mau hmanga ei leh in zawm emaw te chuan an ei leh in ah vitamin B12 an tlachham thei a ni.
• Natna dang: Digestive system natna, Celiac disease emaw Crohn’s disease emaw hian vitamin B12 hi a hip harsa hle.
• Hormone natna: Autoimmune condition nei te, hypoparathyroidism leh Graves’ disease te hi pernicious anemia vei theihna a sang hle.

Engtin nge hei hi i hmuh theih, Doctor?

Heng symptoms te hi i neih chuan doctor pan a pawimawh. A enfiah ang che, i medical history a la ang a, i natna hriat chian nan test eng emaw zat a ti ang.

• Vitamin B12 level test: Hei hian thisenah Vitamin B12 awm zat tehna a ni.
• Complete Blood Count (CBC): Hei hian thisen tlakchhamna chi leh a nasat dan a hril thei a ni.
• Thisen test bik dang: Reticulocyte count, LDH, Serum bilirubin, MMA, Homocysteine ​​level, etc. te hian vitamin B12 tlakchhamna leh ruhro hnathawh dan thui tak a pe a ni.
• Antibody test: Hei hian thisenah hian pum chhunga cell leh intrinsic factor beitu antibodies a awm leh awm loh a test thin.
• Upper Endoscopy hmanga enfiah a ni:Tube ang chi camera (endoscope) chu ka chhungah dahin, pum chhunga lining chu enfiah a ni.

Engtin nge enkawl a nih? A tha leh dawn em ni?

Hemi atan hian enkawlna a awm a, chu chu thu lawmawm ber a ni! I taksain vitamin B12 a hip theih loh avangin i doctor chuan vitamin B12 injection a pe hmasa ang che . Hengte hi taksa ruh pakhatah direct-a pek a nih avangin pum chhungah kal lovin i thisenah a lut nghal a ni.

I vitamin B12 level a normal leh tawh chuan vitamin B12 tablets dose sang tak (oral B12 replacement) ei chhunzawm zel turin an fuih mai thei. I doctor chuan i dinhmun a enfiah chhunzawm zel ang a, i enkawlna pawh a siamrem zel ang.

Enkawl i tan atanga ni engemaw zat chhungin hahdamna nasa tak i nei tan ang. Mahse, i natna lan chhuah dan chu a reh vek theih nan kar engemaw zat a la ngai thei a, i rilru a hahdam ang.

Mahse, vitamin B12 hmang pawhin nervous system chhiatna chu a tawp thei lo mai thei tih hre reng ang che. Chuvang chuan natna hriat chian a, a hmaa enkawl tan a pawimawh hle.

Engtin nge ka in enkawl ang?

Pernicious Anemia i vei chuan i dam chhung zawng vitamin B12 i ei a ngai dawn a, i doctor-in a tih angin i ei a ngai dawn a ni. A tih ngei ngei tur a ni.

Thil dang avanga B12 tlakchhamna i neih chuan i ei leh in thlak danglam pawhin a pui thei bawk. Vitamin B12 tamna ei tur zingah hian:

• Sa ang chi bawngsa, thin, vawk, leh sangha te
• Egg leh bawnghnute atanga siam (milk, yogurt, cheese) te .
• Chawhmeh cereal ah hian vitamin B12 dah tel a ni
• Soy products ah hian vitamin B12 dah tel a ni

Doctor nen inbia a, i tana tha tur diet chungchangah thurawn lak a tha.