Mukumva kutopa? Mukutopa nthawi zonse? Mwina mukusoŵa vitamini B12! (Mayeso a Vitamini B12)

Kodi nthawi zina mumamva kutopa kwambiri komanso kusakhala ndi moyo popanda chifukwa? Kapena mumavutika kuganizira chilichonse, ndipo mutu wanu umamva ngati waphimbidwa ndi chifunga? Chifukwa chimodzi cha zinthu ngati izi chingakhale kuchepa kwa kuchuluka kwa vitamini B12 , michere yofunika kwambiri m'thupi lathu. Vitamini B12 ndi yofunikira popanga maselo ofiira m'thupi lathu komanso kuti mitsempha igwire bwino ntchito. Chifukwa chake ikachepa, mavuto osiyanasiyana angabuke. Ichi ndichifukwa chake lero tikulankhula za kuyezetsa magazi komwe kumayesa kuchuluka kwa vitamini B12.

Kodi ndiyeneranso kuchita mayeso a B12 awa?

Ndi zachilendo kwambiri kuti munthu amene amadya zakudya zoyenera asakhale ndi vitamini B12 yokwanira. Komabe, pali zifukwa zingapo zomwe kuchuluka kwa B12 m'thupi lanu kungakhale kochepa kuposa masiku onse. Pali zifukwa zingapo zomwe dokotala wanu angakulangizeni kuti muyesedwe B12 .

Tangoganizirani, nthawi zambiri mumauza dokotala wanu kuti, “Dokotala, ndikumva kutopa kwambiri, miyendo yanga yachita dzanzi, ndipo sindikukumbukira chilichonse.” Panthawi ngati iyi, dokotalayo angaganize za matenda ena ndipo angaganize kuti muli ndi B12 yambiri.

Dokotala akhoza kulangiza mayesowa ngati awa:

• Ngati mwapezeka ndi vuto la kuchepa kwa magazi m'thupi .
• Ngati mukuganiza kuti muli ndi vuto la matenda lomwe limalepheretsa thupi lanu kuyamwa B12.
• Ngati mankhwala ena omwe mumamwa amakhudza kuyamwa kwa B12.
• Ngati muli ndi zizindikiro zokhudzana ndi kusowa kwa B12.
• Ngati mwazolowera kudya zakudya zosadya nyama kapena zosadya nyama mokwanira.

Vuto lalikulu lomwe limagwirizanitsidwa ndi kusamwa bwino kwa B12 ndi lomwe madokotala amatcha 'Pernicious Anemia' . Izi zimachitika chifukwa cha kusowa kwa 'Intrinsic Factor', puloteni yapadera yomwe imapangidwa m'mimba mwathu. Popanda puloteni iyi, sitingathe kuyamwa B12 kuchokera ku chakudya. Komanso, matenda a Crohn ndi matenda a CeliacMa B12 amathanso kuchepa chifukwa cha zinthu monga:

Kuphatikiza apo, mankhwala ena omwe mumamwa nawonso angakhudze izi. Mankhwala ena, makamaka omwe amagwiritsidwa ntchito pochiza gastritis (GERD), monga zoletsa ma proton-pump, amachepetsa asidi m'mimba. Asidi iyi ya m'mimba imafunika kuti itulutse B12 kuchokera muzakudya ndikulola kuti ilowe m'thupi. Chifukwa chake, kugwiritsa ntchito mankhwalawa kwa nthawi yayitali kungachepetse kuchuluka kwa B12.

Kodi zizindikiro zazikulu za kusowa kwa B12 ndi ziti?

Ngati kuchuluka kwa vitamini B12 kuli kochepa, munthu aliyense akhoza kukhala ndi zizindikiro zosiyanasiyana. Komabe, pali zizindikiro zina zomwe zimafala. Izi zitha kukhala zizindikiro za matenda ena, choncho ndikofunikira kuti muyesedwe ndi B12 kuti mutsimikizire.

Kodi mayeso awa mumachita bwanji? Kodi ndi nkhani yaikulu?

Izi sizifuna kukonzekera kwapadera. Nthawi zambiri, simuyenera kusala kudya tsiku lisanafike mayeso. Ngati dokotala wanu alamula kuti muyese magazi kuti muwone zinthu monga cholesterol ndi shuga, mutha kupempha kuti mayesowa aphatikizidwe.

Koma chofunika kwambiri ndi kuuza dokotala wanu za mankhwala onse, mavitamini, ndi zowonjezera zomwe mukumwa musanachite mayesowa, chifukwa mankhwala ena amatha kukhudza zotsatira za mayesowa.

Kodi mungamvetse bwanji lipoti la mayeso?

Mlingo wabwinobwino wa milingo ya vitamini B12 umasiyana pang'ono kuchokera pa labu imodzi kupita ku ina, koma pali zina zomwe zimavomerezedwa. Izi zimayesedwa mu ma picogram pa milliliter (pg/mL).

• Mulingo wabwinobwino: Mtengo uli pakati pa 190 ndi 950 (pg/mL).
• Mzere Wozungulira: Mtengo uli pakati pa 200 ndi 300 (pg/mL). Ngati zili choncho, dokotala angafunike kuchita mayeso ena.
• Chotsika: Mtengo wochepera 200 (pg/mL). Izi zimaonedwa kuti ndizotsika ndipo zimafuna kuyezetsa ndi kulandira chithandizo china.

Nthawi zina dokotala wanu amayesanso vitamini ina yotchedwa folate pamodzi ndi B12, chifukwa kusowa kwa folate kungayambitse zizindikiro zomwezo monga kusowa kwa B12, kotero zingathandize kudziwa chomwe chimayambitsa vutoli.

Ngati mulingo wanga wa B12 uli wochepa, ndichite chiyani kenako?

Ngati lipoti lanu likunena kuti mulingo wanu wa B12 ndi wotsika, musadandaule. Pali mankhwala omwe angagwiritsidwe ntchito pa izi. Koma chithandizocho chimasankhidwa ndi dokotala wanu.

• Ngati mulingo wanu wa B12 ndi wabwino: Simukuyenera kuchita chilichonse chapadera. Pitirizani kudya zakudya zopatsa thanzi. Zakudya monga nsomba, nyama, mkaka, ndi mkaka zili ndi vitamini B12 wambiri. Palinso chimanga cham'mawa chomwe chimawonjezeredwa ndi vitamini B12.
• Ngati mulingo wanu wa B12 uli wochepa: Mudzafunika chithandizo. Mtundu wa chithandizo udzadalira chifukwa cha kuchepa kwa mulingo wanu wa B12.
• Ngati chifukwa chake ndi chakuti simukupeza B12 yokwanira kuchokera muzakudya zanu (monga anthu osadya nyama), dokotala wanu angakulembereni mapiritsi a vitamini B12 (zowonjezera pakamwa) .
• Komabe, ngati muli ndi vuto loyamwa B12 m'mimba mwanu (monga Pernicious Anemia), kumwa mapiritsi sikungathandize. Pazochitika zotere, dokotala wanu angakulangizeni jakisoni wa vitamini B12 .

Kusowa kwa Vitamini B12 kungayambitse mavuto aakulu pa ntchito ya ubongo, mitsempha, ndi ziwalo zina zambiri za thupi ngati kupitirira kwa nthawi yayitali. Chifukwa chake, ndikofunikira kwambiri kuyezetsa ngati muli ndi zizindikiro. Okalamba makamaka ali pachiwopsezo cha kuchepa kwa B12. Chifukwa chake, ngati makolo anu kapena akuluakulu m'banja mwanu akunena za zizindikirozi, ndikofunikira kwambiri kukambirana za zakudya zawo ndipo, ngati kuli kofunikira, pitani kwa dokotala ndikumwa mankhwala owonjezera a B12.