Kodi inunso muli ndi zizindikiro izi? Mwina iyi ndi Pellagra!

Kodi nthawi zina mumamva ngati mulibe mphamvu, kodi mumakhala ndi mavuto am'mimba nthawi zonse, nthawi zina kutsegula m'mimba? Si zokhazo, komanso muli ndi mavuto a pakhungu, zizindikiro zachilendo, ndi zina zotero? Izi zitha kukhala zizindikiro za matenda osiyanasiyana. Komabe, lero tikambirana za vuto linalake lomwe nthawi zina limabwera limodzi. Imeneyo ndi matenda otchedwa pellagra .

Kodi Pellagra ndi chiyani?

Mwachidule, Pellagra ndi matenda omwe amayamba chifukwa cha kusowa kwa vitamini yotchedwa niacin , yomwe imadziwikanso kuti vitamini B3 . Iyi ndi mtundu wa kusowa kwa zakudya m'thupi. Makamaka, ndi kusowa kwa michere yambiri. Niacin ndi yofunika kwambiri pakugwira ntchito kwa maselo m'thupi lathu. Chifukwa chake ikakhala yotsika, zotsatira zake zimaonekera ngati zizindikiro m'thupi lathu lonse, makamaka m'malo monga khungu, pakamwa, m'matumbo, ndi muubongo. Ngati sichichiritsidwa bwino, Pellagra ikhoza kuwononga dongosolo lamanjenje kwamuyaya ndipo nthawi zina ngakhale imfa. Tsopano mwina mukudabwa ngati aliyense amadwala izi. Nthawi zambiri, munthu amene amadya zakudya zoyenera amalandira kuchuluka kwa niacin kofunikira. Komabe, pellagra yoyamba - yomwe imayamba chifukwa cha kusowa kwa niacin yokwanira muzakudya - ikadali vuto lalikulu m'madera osauka, omwe alibe chakudya chokwanira. Komabe, m'maiko otukuka, monga Sri Lanka, kusowa kwa niacin nthawi zambiri kumakhala chifukwa cha zifukwa zina. Izi zikutanthauza kuti, matenda ena kapena zinthu zomwe zimalepheretsa matupi athu kuyamwa kapena kugwiritsa ntchito niacin moyenera.

Kodi Niacin ndi chiyani? N’chifukwa chiyani timaifunikira?

Matupi athu amagwiritsa ntchito niacin kuti asinthe ma calories omwe ali muzakudya zomwe timadya kukhala mphamvu. Taganizirani izi ngati mafuta omwe ali mgalimoto yathu. Kuti mafutawo ayende bwino, amafunika kuyengedwa bwino. Ndicho chimene niacin imachita. Niacin yomwe timapeza kuchokera ku chakudya chomwe timadya imalowa m'thupi lathu kudzera m'matumbo athu ang'onoang'ono. Pamenepo, imasanduka coenzyme yotchedwa nicotinamide adenine dinucleotide (NAD) . NAD iyi imathandiza ma enzyme opitilira 400 m'thupi lathu. Mwachidule, NAD iyi ndiye chinthu chachikulu chomwe chimathandiza maselo a thupi lathu kupanga mphamvu (yomwe imatchedwanso adenosine triphosphate (ATP) ). Kuphatikiza apo, NAD imathandizira pa ntchito zambiri zofunika, monga kukonza DNA ndi kulumikizana pakati pa maselo.

Kodi kusowa kwa niacin kumakhudza bwanji thupi langa?

Popeza NAD ndi chinthu chofunikira kwambiri popereka mphamvu ku maselo, ikatha, imakhudza kaye machitidwe omwe amafunikira mphamvu zambiri kapena omwe akugawikana mwachangu. Izi zikutanthauza khungu lanu, mkati mwa matumbo anu (kuchokera pakamwa panu kupita kumatumbo), ndi ubongo wanu. Madokotala amatcha zizindikiro zazikulu za pellagra kuti "3 Ds":Kutsegula m'mimba, dermatitis, ndi dementia. Ena amawonjezera "D" yachinayi: imfa . Ngati sichichiritsidwa kwa zaka zambiri, imfa ikhoza kuchitika.

1. Kutsegula m'mimba (m'mimba mucositis)

Kutsegula m'mimba kumachitika pamene matumbo anu (mucosa) sakuchira bwino. Ganizirani ngati chophimba choteteza mkati mwa matumbo anu. Chikatha, matumbo anu sangathe kugaya bwino chakudya kapena kudziteteza ku matenda kapena kuvulala. Izi zingayambitse kutupa kosalekeza kuchokera pakamwa panu kupita ku matumbo anu. Izi zingayambitse zizindikiro monga kupweteka m'mimba, kusadya bwino, zilonda pakamwa, ndi lilime lofiira, lotupa .

2. Matenda a khungu (Kusamva kuwala kwa dzuwa pakhungu)

Pellagra ndi mtundu wina wa matenda a pakhungu omwe amakhudza khungu, makamaka nkhope, khosi, manja, miyendo, zikhatho, ndi mapazi, zomwe zimakhudzidwa ndi dzuwa . Maselo akataya mphamvu zawo, maselo a khungu amakhala okhudzidwa kwambiri ndi kuwala kwa dzuwa. Poyamba, khungu limakhala lofiira ndipo limawoneka ngati latenthedwa ndi dzuwa. Pambuyo pake, malowa amakhala owuma, otupa, ndipo nthawi zina ma plaque akuda (okhala ndi utoto wambiri) amatha kuwoneka. Chimodzi mwa zizindikiro za matendawa ndi mzere wakuda wozungulira khosi. Umatchedwa "khola la Casal." Dzinali limatchedwa dzina la dokotala Don Gaspar Casal, yemwe adayamba kuzindikira matendawa pakati pa alimi aku Spain mu 1735.

3. Matenda amisala (Kuwonongeka kwa ubongo ndi mitsempha)

Pellagra ndi matenda omwe amakhudza thupi lonse. Chifukwa chakuti selo lililonse m'thupi limataya mphamvu zomwe limafunikira kuti ligwire ntchito yake, pamapeto pake limakhudza ubongo ndi dongosolo lamanjenje. Zizindikiro zoyambirira sizingakhale zoonekeratu. Mungamve ngati mukutopa, osasangalala, komanso mukuvutika kuganizira . Kapena mungakumane ndi zizindikiro monga nkhawa ndi kupsinjika maganizo . Pakapita nthawi, zizindikirozi zimatha kukhala chisokonezo ndi kuganiza molakwika . Pa milandu yoopsa, matenda amisala osatha amatha kuchitika, komanso mavuto amitsempha monga kuvutika kuyenda bwino, kugwedezeka kwa minofu, komanso kunjenjemera .

Kodi Pellagra imapezeka kuti kwambiri?

M'mbuyomu, pellagra yapezeka mwa anthu osauka padziko lonse lapansi, m'maiko monga Europe, Africa, Asia, ndi South America. Nthawi zambiri yapezeka mwa anthu omwe anali ndi chakudya chochepa kwambiri. Makamaka kwa iwo omwe anali ndi mapuloteni ochepa komanso omwe anali ndi chakudya chochokera ku chimanga. Izi zili choncho chifukwa niacin imafuna mapuloteni ndi ma amino acid kuti thupi lizimwa bwino. Ngakhale chimanga chili ndi niacin, chili mu "mawonekedwe" omwe matupi athu sangathe kuyamwa mosavuta.

Ku Central ndi South America, mwachikhalidwePopanga ma tortilla kuchokera ku chimanga , chimanga chimanyowa usiku wonse m'madzi a mandimu. Njira imeneyi imatulutsa niacin mu chimanga ndipo imapangitsa kuti chizilowe mosavuta. Ichi ndichifukwa chake pellagra ndi yosowa kwambiri m'madera amenewo.

Masiku ano, Pellagra ndi yosowa kwambiri m'maiko otukuka akumadzulo monga America. Izi zimachitika chifukwa cha kulimbitsa mkate ndi mpunga ndi niacin. Komabe, Pellagra yoyambirira imapezekabe m'madera osatukuka padziko lonse lapansi, makamaka pakati pa anthu amitundu yosiyanasiyana omwe amadya chimanga ngati chakudya chawo chofunikira. Vutoli likadalipobe ku India, China, ndi madera ena a Africa. Ngakhale kuti Pellagra yoyambirira ndi yosowa kwambiri m'maiko ngati Sri Lanka, tiyenera kuda nkhawa ndi Pellagra yomwe imayamba chifukwa cha zifukwa zina .

Kodi zizindikiro za pellagra ndi ziti?

Nazi zizindikiro zodziwika bwino za pellagra:

• Kutsegula m'mimba kosalekeza , nthawi zina ndi magazi.
• Kupweteka m'mimba ndi kusadya bwino .
• Kusowa chilakolako cha chakudya , nseru , ndi kusanza .
• Ziphuphu za eczema zomwe zimakhala ndi kuyabwa kapena kupweteka pakhungu .
• Zilonda pakamwa ndi lilime lofiira komanso lotupa.
• Kutopa kwambiri, kufooka, ndi kutopa.
• Kusintha kwa maganizo, kuvutika maganizo.
• Zizindikiro za mitsempha - mwachitsanzo, kunjenjemera ndi dzanzi m'miyendo.
• Kusokonezeka maganizo ndi matenda amisala.

Kodi ndi zinthu ziti zomwe zimayambitsa matenda a Pellagra?

Chifukwa chachikulu ndi kudya zakudya zochepa za niacin. Timapeza vitamini B3 (niacin) kuchokera ku zakudya zosiyanasiyana. Komabe, anthu omwe ali ndi zakudya zochepa akhoza kukhala ndi michere yochepa. Pellagra imathanso kudwala chifukwa cha zifukwa zina . Izi zikutanthauza matenda ena omwe amalepheretsa thupi lanu kuyamwa kapena kugwiritsa ntchito niacin moyenera. Zitsanzo zina ndi izi:

• Matenda am'mimba omwe amayambitsa kusamwa bwino kwa chakudya - mwachitsanzo , Matenda a M'mimba Otupa (IBD) kapenaMatenda a chiwindi (cirrhosis).
• Kusagwiritsa ntchito mowa mopitirira muyeso: Kumwa mowa mopitirira muyeso kungawononge ziwalo monga chiwindi ndikuchepetsa mphamvu ya thupi yoyamwa michere monga niacin. Izi zingayambitse kusowa zakudya m'thupi.
• Opaleshoni ya m'mimba: Pambuyo pa opaleshoni ina ya kunenepa kwambiri, mucosa ya m'mimba imatha kuwonongeka, zomwe zimapangitsa kuti pakhale kusowa kwa michere yambiri, kuphatikizapo niacin.
• Kusowa kwa magazi m'thupi chifukwa cha kusowa kwa iron: Thupi limafunikanso iron kuti lisinthe ndikugwiritsa ntchito niacin.
• Matenda a Hartnup: Uwu ndi matenda obadwa nawo m'thupi. Umalepheretsa thupi kuyamwa ma amino acid. Ma amino acid amenewa ndi ofunikira popanga mavitamini.
• Matenda a Carcinoid: Pachifukwa ichi, kupanga kwa niacin ndi maselo a khansa kumachepa.
• Mankhwala ena: Mankhwala ena, makamaka mankhwala oletsa kupweteka kwa minofu ndi mankhwala a chemotherapy, amatha kusokoneza kagayidwe ka niacin m'thupi.
• Matenda a HIV: Matenda a HIV amayambitsa kuchepa kwa kuchuluka kwa niacin m'thupi.

Kodi matenda a Pellagra amachiritsidwa bwanji?

Mukapita kwa dokotala, adzakuyesani ndikufunsani za zizindikiro zanu, mbiri yanu yachipatala, komanso zakudya zanu. Ngati mukukayikira kuti muli ndi pellagra, mayeso a mkodzo angachitike kuti atsimikizire matendawa. Kuchuluka kwa mankhwala enaake mumkodzo wanu kungakudziwitseni ngati muli ndi niacin yokwanira m'thupi lanu. Dokotala wanu angakupatseninso mankhwala owonjezera a niacin kuti aone ngati akuthandiza. Imeneyo ndi njira imodzi yodziwira matendawa.

Kodi mankhwala a Pellagra ndi ati?

Pellagra imayamba chifukwa cha kusowa kwa niacin, kapena vitamini B3. Chifukwa chake, chithandizo chabwino kwambiri ndi kudzaza thupi ndi michere yomwe ikusowa. Izi zikutanthauza kupereka zowonjezera za niacin. Anthu ambiri amayamba kuchira msanga akangoyamba kumwa izi. Komabe, chithandizo china chingafunike pazinthu monga zilonda za pakhungu ndi zilonda za pakamwa.

Chofunika kwambiri ndichakuti ngati muli ndi pellagra chifukwa cha chifukwa china, chomwe ndi matenda ena, ndiye kuti muyenera kuchiza matenda omwe amayambitsa matendawa moyenera.

Kodi pali zotsatirapo zilizonse pa chithandizochi?

Ngati mumwa mankhwala monga momwe dokotala wanu wanenera, mankhwala owonjezera a niacin nthawi zambiri samayambitsa mavuto aakulu. Komabe, ngati mumwa mopitirira muyeso, zotsatira zina zingachitike. Komabe, munthu amene ali ndi vuto la kuchepa kwa madzi m'thupi lake sangamwa mopitirira muyeso mosavuta. Ngati zimenezo zitachitika, zinthu zotsatirazi zingachitike:

• Kutsuka khungu.
• Kuyabwa ndi ziphuphu za eczema.
• Kutupa ndi kusagaya bwino chakudya.
• Mutu ndi chizungulire.

Kodi mungapewe bwanji matenda a Pellagra?

Kudya zakudya zopatsa thanzi ndi njira yosavuta yopezera zakudya zabwino. Ngati zakudya zili zochepa, zakudya zopatsa thanzi komanso zowonjezera zakudya zingathandize. Pafupifupi mamiligalamu 15 a niacin patsiku ndi okwanira munthu wathanzi. Kuchuluka kumeneku nthawi zambiri kumapezeka kuchokera ku vitamini B-complex. Zina mwa zakudya zomwe zili ndi niacin wambiri ndi izi:

• Chiwindi cha ng'ombe
• Beetroot (Beetroot)
• Yisiti ya Brewer's
• Buledi wokoma ndi chimanga
• Nsomba zamafuta, monga salimoni ndi tuna
• Mtedza
• Mbatata
• Nkhuku
• Mpunga
• Mbewu za mpendadzuwa
• Msuzi wa spaghetti

Ngati muli ndi matenda osatha omwe amakupangitsani kukhala ndi matenda a pellagra, lankhulani ndi dokotala wanu za njira zopewera matendawa kwa nthawi yayitali. Izi zingaphatikizepo kusintha zakudya zanu, zakudya zowonjezera, kapena mankhwala omwe mumamwa.

Kodi zimatenga nthawi yayitali bwanji kuti munthu achire matenda a Pellagra?

Mukayamba kumwa mankhwala owonjezera a niacin, anthu ambiri amayamba kumva bwino pakatha masiku ochepa. Zizindikiro za m'mimba (monga kutsegula m'mimba) zimayamba kusintha , nthawi zambiri mkati mwa sabata yoyamba. Zilonda za pakhungu ndi pakamwa zimatha kutenga milungu iwiri kuti zichiritsidwe. Milandu ina yoopsa ingatenge nthawi yayitali. Kuwonongeka kwakukulu kwa mitsempha ndi matenda amisala kungakhale kosasinthika. Pofuna kupewa pellagra yoyamba, madokotala amalimbikitsa kudya zakudya zoyenera. Kusowa kwa niacin nthawi zambiri kumayenderana ndi kusowa kwa michere ina. Zonsezi zitha kukonzedwa ndi zakudya zabwino. Kuchiza pellagra yachiwiri kungakhale kovuta pang'ono. Ngakhale kuti mankhwala owonjezera angathandize, ngati thupi silingathe kugaya niacin moyenera, thandizo limenelo silingakhale lokwanira. Pazochitika zotere, kuchira kumadalira kuzindikira ndikuchiza matenda omwe adayambitsa pellagra. Izi zitha kukhala njira yayitali, kutengera matenda.

Pomaliza, zinthu zoti muzikumbukira (Uthenga Wopita Nawo Kunyumba)

Ngakhale kuti pellagra yoyamba yachotsedwa kwambiri m'maiko otukuka, ikadalipo pakati pa anthu osauka omwe ali ndi chakudya chochepa. M'maiko ngati athu, kusowa kwa niacin yachiwiri kukadali chiopsezo chifukwa cha kumwa mowa ndi matenda ena (makamaka omwe amasokoneza kuyamwa kwa michere).

Chofunika kwambiri ndi kukumbukira kuti ngakhale kuti zakudya zimayamba ndi chakudya, zimathera m'thupi.Zinthu zambiri m'thupi mwanu ziyenera kugwira ntchito bwino. Ngati muli ndi zizindikiro zilizonse zomwe zikusonyeza kuti pali vuto, makamaka ngati muli ndi vuto la m'mimba mwanu, onetsetsani kuti mwapeza upangiri wa dokotala. Ngakhale kusowa kwa vitamini pang'ono kungayambitse vuto lalikulu pa thanzi lanu. Choncho, idyani zakudya zoyenera, khalani ndi moyo wathanzi, ndipo pitani kwa dokotala mwamsanga ngati muli ndi vuto lililonse.

Pellagra, niacin, vitamini B3, kusowa zakudya m'thupi, matenda a pakhungu, kutsegula m'mimba, matenda amisala