I chau reng em? Hei hi vitamin tlakchhamna thisen tlakchhamna a ni mai thei! (Vitamin tlakchhamna vanga thisen tlakchhamna) .

I chau leh nunna nei loin i inhria bawk em? A châng chuan i luak chhuak emaw, i vun rawng emaw i nei ṭhin em? Heng thil awm chhan pakhat chu thisen tlakchham (anemia) a ni thei a, chu chu i taksaa vitamin thenkhat tlakchham vang a ni. Hemi chungchang hi a awlsam zawngin, chipchiar deuh deuhin sawi ila.

Vitamin tlakchhamna hi eng nge ni?

A awlsam zawngin sawi ila, Vitamin Deficiency Anemia hi i taksain thisen sen hrisel tak tak a siam chhuah tlem vang a ni. Hei hi a chhan ber chu vitamin B12 emaw vitamin B9 ( folate emaw folic acid an ti bawk) emaw a tlakchham vang a ni.

Tunah chuan heng thisen sen (red blood cells) te hi eng nge an nih i ngaihtuah mai thei. Hengte hi kan thisen rawng sen petu leh kan taksa pum puia oxygen phurtu sipai te te an ni. Chuvangin, he vitamin hi kan tlakchham chuan kan taksaa thisen sen lo chhuak chu a pangngai lo takin a lian thei a, a puak darh mai thei. Heng cell lian tak takte hian oxygen an phur tha thei lo. Hei vang hian he natna hi macrocytic anemia emaw megaloblastic anemia emaw an ti fo thin .

Engvangin nge kan taksa hian vitamin B12 leh folic acid a mamawh em em?

Heng vitamin pahnih B12 leh folic acid te hi kan taksaa thil pawimawh tam tak atan a pawimawh hle. A bik takin thisen sen hrisel siam chhuahna atan an pawimawh hle.

Ngaihtuah teh, in sakna tur hian brick tha tak tak a mamawh ang bawkin, thisen zam hrisel tak siam nan heng vitamin B12 leh folic acid te hi i mamawh bawk. Hengte hi i ei tlem chuan i taksain thisen sen pangngai, pangngai tak a siam thei dawn lo. Cell pangngai lo lo awmte chu an thi thuai thin. Tichuan i taksaa tissue leh organ tinah oxygen phur thei tur thisen sen (red blood cells) i nei tlem tawh lo. Hei hi thisen tlakchhamna, a nih loh leh thisen tlakchhamna kan tih chu a ni.

He natna hi tuin nge vei tam zawk?

Tu pawhin he vitamin tlakchhamna thisen tlakchhamna hi vei thei mah se, mi thenkhat chu a hlauhawmna a sang deuh hlek a ni.

• Chaw ei tawk lo tan: Hetiang dinhmun hi i ei turah vitamin B12 emaw folate emaw i neih tlem chuan a lo awm thei a ni. Entirnan, sa, sangha, bawnghnute leh artui ei tlem zawkte chuan B12 an tlachham thei. Chutiang bawkin thlai leh nut ei tlem zawkte pawhin folate an tlachham thei bawk.
• Damdawi lam harsatna nei te tan taksa tana vitamin hip harsa tak tak te tan: Damdawi lam harsatna thenkhat chu kan ei leh in atanga heng nutrients te hi taksain dik taka a lakluh theih lohna tur damdawi lam harsatna thenkhat a awm a. Chung dinhmun thenkhat chu:
• Biliary atresia : Hei hi thin natna a ni.
• Celiac disease : Hei hi protein gluten allergy a ni.
• Crohn’s disease : Hei hi hun rei tak chhunga chaw ei kawng a inflammatory condition a ni.
• Cystic fibrosis natna (cystic fibrosis) a awm thinCystic fibrosis: Hei hi genetic natna a ni.
• Pernicious anemia : Hei hi taksain vitamin B12 a lakluh theih nan "intrinsic factor" an tih thil bik a siam chhuah loh vang a ni. Taksain vitamin B12 a lakluh theih nana puitu thian angin han ngaihtuah teh. Chu thianpa chu a bo a nih chuan B12 chu taksaah a lut dawn lo.

Hei hi eng symptoms nge ni? Thil fimkhur tur...

Vitamin tlakchhamna thisen tlakchhamna chhinchhiahna hi a chang chuan zawi zawiin, zawi zawiin a lang thei. Thla tam tak chhung, kum tam tak chhung pawh i hre lo mai thei a, mahse:

• Lung a na hle tih a hriat
• Chauh reng, rilru hahna (hei hi mi tam zawkin an hriat hmasak ber a ni) .
• Palpitations ( i thinlung a thawk chak zawk ang maia hriat ) .
• Muscle chak lohna hriatna
• Ke ruh leh ke ruh (limbs) emaw, tingling emaw
• Vun dum, a chang chuan sen hring hring a awm bawk
• Thâwk harsa (doctor-te pawhin hei hi `dyspnea` an ti bawk) .
• Chhan awm lovin taksa rihna tihtlem

Tin, vitamin tlakchhamna hian rilru lam nghawng a nei thei bawk. Depression ang chi condition a thlen thei a ni . Vitamin B12 tlakchhamna nasa tak hian hriatrengna a tichhe thei a, ngaihtuahna seng harsa a ti thei a, mize pawh a tidanglam thei bawk . A bik takin tar pakhatin heng natna a neih hian a chang chuan dementia anga ngaih theih a ni .

Engvangin nge hetiang hi a lo awm? A chhan chipchiar takin han thlir ila.

Tunah chuan he thisen tlakchhamna hi taksaa vitamin B12 emaw folate emaw a tlem chuan a thleng thin tih kan hre ta. Chuvangin, heng vitamin level te hi a hniam theih chhan hrang hrang a awm a:

• Damdawi thenkhat: Entirnan, epilepsy ang chi natna atana damdawi thenkhat chuan he vitamin hi a hip lut a ti tlem thei a ni.
• Zu in tam lutuk: Engkim ang bawkin zu in tam lutuk hi taksa tan a tha lo. Hei hi vitamin tlakchhamna thlentu pakhat a ni bawk.
• Nutrients lakluhna tichhe thei hriselna dinhmun: Kan sawi tawh ang khan natna `Celiac disease` emaw `Crohn's disease` ang chi te hi a ni.
• Pum surgery i neih tawh chuan: A chang chuan, taksa rihna tihtlem surgery (gastric surgery) ang chi thilte pawhin vitamin absorption a tichhe thei bawk.
• Infection, intestinal worms ang chi: Parasites, a bik takin tapeworms te hian taksaah vitamin tlakchhamna a thlen thei bawk.
• Ei leh in dik lo: 1.1.
• Vitamin B12 (sa, sangha, bawnghnute, cheese, artui) awmna chaw ei tam lo tan. Vegans te hian hemi chungchangah hian an fimkhur hle tur a ni.
• Folate (vitamin B9) (dark green vegetables, leafy greens, bean, nuts, seeds) awmna ei tur ei tlem tan.

Folate tlakchhamna hlauhawm zawkte:

• Nu hnute pe thinte
• Hmeichhe naupai (naupai lai hian folic acid a pawimawh) .
• Kidney natna avanga dialysis nei mekte

Engtin nge doctor chuan hei hi dik taka a hriat theih?

Heng symptoms te hi i neih chuan doctor pan a, thurawn lak a tha ber. Doctor chuan i natna lan chhuah dan a zawt ang che a, a tul chuan thisen test turin a ti ang che . He thisen test hian a bik takin:

• I thisen folate leh vitamin B12 level hi engtin nge a awm?
• Thisen sen zat leh a lan dan (a tlangpui aia lian emaw, a pianzia danglam emaw tih ang chi).

A châng chuan, doctor chuan pernicious anemia ang chi natna a rinhlelh chuan, test dang dang pawh a ti thei bawk.

Hei hi eng enkawlna nge ni? I dam thuai thei!

Ngaihtuah buai suh, he vitamin tlakchhamna thisen tlakchhamna hi enkawlna tha tak tak a awm. Enkawlna tum ber chu i taksaa vitamin tlakchham level dik takah dah leh hi a ni. I doctor chuan eng vitamin nge i tlakchham tih, engzat nge i pek ang tih leh engtin nge i pek ang tih a rel ang.

Vitamin B12 emaw folate emaw pek dan kawng hrang hrang a awm a:

• Oral pills ei tur a ni
• A hmin theih tablet (sublingual tablet) 1.1.
• Injection angin
• A châng chuan vein-a tui pek angin (`Intravenous (IV) line`) .
• Hnar spray (Nasal spray) angin .

I vitamin level a normal leh hma loh chuan he enkawlna hi i chhunzawm zel a ngai dawn a ni. Tin, ei leh in thlak danglam a pawimawh bawk. A châng chuan, a hnuaia dinhmun pakhatin vitamin tlakchhamna a thlen a nih chuan, chu natna chu enkawl chungin enkawlna chu i ei chhunzawm a ngai mai thei a, chu chu vitamin tlakchhamna chu a lo kir leh tawh loh nan a ni.

Engtin nge he natna hi a theih ang anga i kai loh theih ang?

"Tihdam aiin invenna a tha zawk," an ti. Chuvangin, he vitamin tlakchhamna thisen tlakchhamna hi a vei theihna tur tihziaawmna tha ber chu vitamin B12 leh B9 (folate) tamna ei tur ei hi a ni.

Vitamin B12 tamna ei tur:

• Vawk, sangha (a bik takin salmon, trout), bawnghnute, thin
• Eggs a ni
• Fortified foods - entirnan, chhang chi hrang hrang, breakfast cereals
• Yogurt, cheese, bawnghnute te

Vitamin B9 (folate) tamna ei tur:

• Enriched grain foods - thil chi hrang hrang pasta, cereal, buhfai te
• Thei - orange, banana, strawberry ang chi te
• Thlai leh thinghnah dum dum - spinach, kale, broccoli, leh asparagus ang chi te. Kan khua huana thlai chi tam tak hi hemi atan hian a tha hle.

I doctor hnenah ni khatah vitamin B12 leh B9 engzat nge i mamawh tih i zawt thei ang. Tuna i vitamin level awm mek chu a enfiah thei a, a tul chuan supplement ei turin a rawt thei bawk.

Enkawlna ka hmuh chuan ka dam leh ang em? Hlauh tur a awm em?

A tam zawkah chuan enkawl \ha a nih chuan vitamin tlakchhamna avanga thisen tlakchhamna hian harsatna lian tham, hun rei tak chhung a thlen lo. Enkawlna a awm chuan a dinhmun chu a tha vek a ni.

Amaherawhchu, hei hi enkawl loha dah mai chu a tha lo. I tih chuan side effect thenkhat a awm thei. Entir nan:

* Naupai harsat

* Lung natna, thinlung natna a ni thei

* Nervous system lama harsatna nei

* Naupai laiin harsatna awm thei

Chuvangin, symptoms i neih chuan doctor pan ngei ngei tur a ni.

Doctor hnena zawh duh i neihte chu engte nge ni?

Vitamin tlakchhamna thisen tlakchhamna (anemia) i vei nia i rinhlelh chuan i doctor hnenah hetiang zawhna hi i zawt thei ang:

• Ka natna lan chhuah chhan ber chu eng nge ni?
• Vitamin tlakchhamna thisen tlakchhamna (anemia) i vei em tih chiang taka hriat theih nan eng test nge tih tur?

I doctor-in vitamin tlakchhamna thisen tlakchhamna (anemia) i nei tih a nemnghet tawh a nih chuan heng zawhnate hi zawt rawh:

• Hei hi enkawl dan tur engte nge ni?
• Ka ei leh in danah eng inthlak danglamna nge ka neih?
• Hetiang dinhmun hi a lo thlen leh tawh loh nan eng nge ka tih ang?

Thil pakhat dang: vitamin E leh vitamin D chungchang thumal khat

Chumi chungchang sawiin vitamin chi dang pahnih chungchang pawh tlem ka sawi dawn a ni.

Vitamin E tlakchhamna, a bik takin nausen piang hmasa te hian thisen tlakchhamna nasa tak a thlen thei a, chu chu hemolytic anemia an ti a ni. Hei hi thisen sen (red blood cells) siam theih aia rang zawka tihchhiat a nih lai a ni. Mahse, puitlingah chuan vitamin E tlakchhamna hi a tlem hle.

Vitamin D tlakchhamna hi thisen tlakchhamna nen hian hmuh dun ni mahse, vitamin D tlakchhamna hi thisen tlakchhamna thlentu direct a ni lo tlangpui.

Chuvangin, vawiin a kan sawi tawh atang khan hriatreng tur thenkhat chu hetiang hi a ni! (In lama hruai tur thuchah)

Okay, chuvangin, vawiin a kan sawi tawh atanga kan hriat reng tur pawimawh ber berte chu hetiang hi a ni:

• Vitamin tlakchhamna (anemia) chu taksain thisen sen hrisel a siam that tawk loh vang a ni. Hei hi a chhan ber chu vitamin B12 emaw B9 (folate) tlakchham vang a ni.
• Chauhna, vun rawng hring, leh thawk harsa tih ang chi symptoms i neih chuan fimkhur rawh .
• It is very important to eat a good nutritious diet , a bik takin ei tur B12 leh folate tamna ei hi a pawimawh hle.
• Heng symptoms te hi i neih chuan, .Doctor hmuh leh thurawn lak hlau suh.
• Enkawl that a nih chuan he natna hi a tam zawkah chuan tihdam theih a ni.

Chuvangin, i taksa hi enkawl rawh. A chhan chu hriselna hi hausakna lian ber a ni! Hriat belh i duh chuan Doctor nen inbia ngei ang che.

` Thisen tlakchhamna, vitamin tlakchhamna, vitamin B12, folic acid, thisen sen, thisen tlakchhamna, thisen tlakchhamna, ei leh in thatna