Unonzwa kuneta nguva dzese here? Unonzwa usina simba here kunyangwe mushure mekufamba kwenguva pfupi? Unonzwa sekunge hauna kana chido chekudya, uye unotaridzika kunge wakachenuruka here? Kazhinji, hatinyatso teerera zvinhu izvi, tichifunga kuti zvakajairika. Zvisinei, panogona kunge paine chikonzero chakakomba chiri shure kweizvi. Nhasi, tiri kutaura nezvechirwere chakakomba asi chinogona kurapwa chinokonzerwa nekushaikwa kwevhitamini B12. Tinodaidza kuti Pernicious Anemia .
Zvichitaurwa zviri nyore, chii chinonzi Pernicious Anemia?
Pernicious Anemia ndeimwe yezvikonzero zvikuru zvekushaikwa kwevhitamini B12. Kutaura chokwadi, ichi chirwere che autoimmune . Iye zvino ungave uchishamisika kuti chirwere che autoimmune chii. Zvichitaurwa zviri nyore, basa guru re immune system yedu nderekurwisa zvipembenene zvekunze uye kutidzivirira kubva kuzvirwere. Zvisinei, mumamiriro ezvinhu aya, immune system yedu inotanga kurwisa masero edu ane hutano zvisizvo.
Chimwe chinhu chakafanana chinoitika muPernicious Anemia. Masoja edu ekudzivirira muviri anorwisa mamwe masero ari mudumbu. Masero aya anogadzira puroteni yakakosha inonzi Intrinsic Factor inobatsira muviri kunwisa vhitamini B12. Kana puroteni iyi isipo, zvisinei nekuti tinodya vhitamini B12 yakawanda sei, hainyudzwe nemuviri uye inoraswa.
Vhitamini B12 inokosha zvikuru mumuviri wedu. Kunyanya, inokosha pakugadzirwa kwemasero matsvuku eropa, anotakura okisijeni muropa. Saka, kana vhitamini B12 ikashaikwa, kugadzirwa kwemasero matsvuku eropa ane hutano kunoderera. Izvi ndizvo zvatinodaidza kuti anemia .
Zita rekuti Pernicious Anemia rinoreva "kukuvadza." Rinowana zita raro nekuti, kana rikasarapwa, chirwere ichi chinogona kukonzera kukuvara kwakakomba kusingadzoreki kuhurongwa hwedu hwetsinga.
Dambudziko iri rinokanganisa sei muviri wangu?
Kushaya simba kweropa kunogona kukanganisa nhengo dzakasiyana dzemuviri.
- Kugaya chikafu: Kusvotwa, kuzvimba, uye kudzikira kwehuremu zvinogona kuitika.
- Sisitimu yetsinga: Iyi ndiyo ine njodzi huru. Inogona kukonzera kushaya simba kwetsandanyama, kusanzwa simba mumakumbo, kurasikirwa nendangariro, uye kunyange kukanganwa.
- Mwoyo: Unogona kunzwa kurova kwemoyo kana kurova kwemoyo zvisina kurongeka.
- Hutano hwese: Kuneta nguva dzose uye kushaya simba ndizvo zviratidzo zvikuru.
Dambudziko iri rinowanzoonekwa pakati pemakore makumi matanhatu nemakumi masere, kunyanya pakati pevanhu vane dzinza rekuNorthern Europe.
Ndezvipi zviratidzo zvePernicious Anemia?
Chimwe chezvinhu zvinoshamisa panyaya iyi ndechekuti zvinogona kutora makore kuti zviratidzo zvionekwe. Izvi zvinodaro nekuti muviri wedu unochengeta vhitamini B12 muchiropa uye unoishandisa zvishoma nezvishoma. Kuchengetwa uku kunogona kutora makore angangoita 3-5 kuti kupere. Kunyangwe zvakadaro, zvinotora nguva kuti zviratidzo zvionekwe.
Sezvo huwandu hwevhitamini B12 huchidzikira, zviratidzo zvinova zvakanyanya kuipa. Unogona kuwana pfungwa yakanaka yeizvi kubva patafura iri pazasi.
| Rudzi rwechiratidzo | Zvinhu zvekuona |
|---|---|
| Zviratidzo zvepakutanga (zvinowanzo fungidzirwa sechimwe chirwere) | |
| Sisitimu yekugaya chikafu | Manyoka kana kuvimbiwa, kurasikirwa nechido chekudya, chirungurira. |
| Chitarisiko chemuviri | Ganda rakachenuruka, jaundice isina kusimba (kutsvuka kwemaziso kana ganda). |
| Zvinetso zvakawanda | Dzungu, kuoma kufema (kushaya simba) kana wakamira kana kuita maekisesaizi, kuzvimba kwerurimi, kutsvuka, kana kubuda ropa mumatadza. |
| Zviratidzo zvetsinga zvinokonzerwa nekudzikira kweB12 nekufamba kwenguva | |
| Pfungwa uye maitiro | Kuvhiringidzika, kurasikirwa nendangariro kwenguva pfupi, kuora mwoyo, kuoma kwekuisa pfungwa pane chimwe chinhu, kushatirwa, kuona zvinhu zvisipo. |
| Zvirwere zvepfungwa zvemuviri | Kushaya kuenzana, kusanzwa kana kusanzwa zvakanaka mumaoko nemakumbo. |
| Chiono | Kuona kunokanganiswa nekuda kwekuora kwetsinga dzemaziso. |
Pane zvimwe zvikonzero zvePernicious Anemia here?
Ehe. Pamusoro pechirwere che autoimmune chinonzi Pernicious Anemia, muviri ungasakwanisa kunwa vhitamini B12 nekuda kwezvimwe zvikonzero.
- Kuvhiyiwa kwedumbu: Kana kuvhiyiwa kukaitwa kubvisa chikamu chedumbu kana dumbu rese (semuenzaniso kuvhiyiwa kwemudumbu kwekufuta), masero anobatsira kunwa vhitamini B12 anorasika.
- Kuvhiyiwa kweura hudiki: Kubvisa chikamu cheura hudiki kunoderedza kugona kwekutora vhitamini B12.
- Mabhakitiriya Madiki Emudumbu: Muchirwere chinonzi Small Intestinal Bacterial Overgrowth (SIBO) , mabhakitiriya akaipa anokura muura hudiki uye anodya vhitamini B12 isati yatorwa nemuviri.
- Mimwe mishonga: Mimwe mishonga yechirwere cheshuga, pfari, uye mimwe mishonga inorwisa mabhakitiriya inogona kukanganisa huwandu hwevhitamini B12.
- Utachiona hweMakonye: Kudya hove dzisina kubikwa zvakanaka uye dzine utachiona kunogona kukonzera utachiona hwemakonye. Utachiona uhwu hunodya vhitamini B12.
- Kudya: Vanhu vanodya zvisina kudyiwa nevanhu kana kuti vanotevera kudya kwezvirimwa vanogona kushaya vhitamini B12 yakakwana mukudya kwavo.
- Zvimwe zvirwere: Zvirwere zvemudumbu zvakaita sechirwere cheCeliac kana chirwere cheCrohn zvinoita kuti zviome kunwa vhitamini B12.
- Zvirwere zvemahormone: Vanhu vane zvirwere zve autoimmune zvakaita se hypoparathyroidism uye chirwere cheGraves vari panjodzi yakakura yekuve ne anemia inouraya.
Unoona sei izvi, Chiremba?
Kana uine zviratidzo izvi, zvakakosha kuti uone chiremba wako. Achakuongorora, onyora nhoroondo yako yehutano, uye oraira kuongororwa kwakawanda kuti asimbise chirwere chako.
- Kuongororwa kwehuwandu hweVitamin B12: Izvi zvinoyera kuti Vitamin B12 yakawanda sei muropa.
- Kuverengwa Kweropa Rakazara (CBC): Izvi zvinogona kuona rudzi uye kuoma kweanemia.
- Mimwe miedzo yeropa yakakosha: Miedzo yakadai seReticulocyte count, LDH, Serum bilirubin, MMA, Homocysteine level, nezvimwewo, inopa ruzivo rwakadzama pamusoro pekushaikwa kwevhitamini B12 uye mashandiro emubofu.
- Kuongororwa kweAntibody: Izvi zvinoedza ropa kuona kana paine ma antibodies anorwisa masero emudumbu uye chinhu chiri mukati.
- Endoscopy Yepamusoro:Kamera yakaita sechubhu (endoscope) inopinzwa nemuromo uye dumbu rinoongororwa.
Inorapwa sei? Ichapora here?
Pane mushonga weizvi, uye ndiwo mashoko akanakisa! Sezvo muviri wako usingakwanise kupinza vhitamini B12, chiremba wako achatanga akupa majekiseni evhitamini B12 . Aya anopihwa zvakananga mutsandanyama, saka anopinda zvakananga muropa rako asingapfuure nemudumbu.
Kana huwandu hwevhitamini B12 yako hwadzokera pahwakajairika, unogona kukurudzirwa kuti urambe uchitora mapiritsi evhitamini B12 ane mwero wakakwira (anotsiva B12 nemuromo). Chiremba wako acharamba achitarisa mamiriro ako ezvinhu uye achigadzirisa marapirwo ako.
Uchatanga kunzwa zororo guru mukati memazuva mashoma kubva pakutanga kurapwa. Zvisinei, zvinogona kutora mavhiki akati wandei kuti zviratidzo zvako zvipere zvachose uye uchanzwa zviri nani.
Kushaya simba kweropa (pernicious anemia) hachisi chirwere chinorapika zvachose. Zvisinei, nekutora vhitamini B12 muhupenyu hwako hwese, unogona kudzora zviratidzo uye kurarama hupenyu hune hutano hwakakwana.
Asi yeuka, kukuvara kwetsinga dzeropa kunogona kusagadziriswa zvizere kunyangwe paine vhitamini B12. Saka, zvakakosha zvikuru kuongorora chirwere ichi uye kutanga kurapwa nekukurumidza.
Ndinozvitarisira sei?
Kana uine Pernicious Anemia, unofanira kunwa vhitamini B12 kweupenyu hwako hwese, sezvakarairwa nachiremba wako. Izvi zvinofanirwa kuitwa.
Kana uine dambudziko rekushaya B12 nekuda kwezvimwe zvikonzero, kuchinja kudya kwako kunogonawo kubatsira. Zvikafu zvine vhitamini B12 zvinosanganisira:
- Nyama dzakadai senyama yemombe, chiropa, huku, nehove
- Mazai nezvigadzirwa zvemukaka (mukaka, yogati, chizi)
- Zviyo zvekudya zvemangwanani zvine vhitamini B12 yakawedzerwa
- Zvigadzirwa zvesoya zvine vhitamini B12 yakawedzerwa
Zvakanaka kutaura nachiremba wako kuti uwane mazano ekudya kwakakunakira.
Mharidzo Yekuenda Nayo Kumba
- Kushaya simba kwemuviri (pernicious anemia) rudzi rwekushaikwa kweropa kunokonzerwa nemasoja edu ekudzivirira muviri uye kunokonzerwa nekushaikwa kwevhitamini B12.
- Zviratidzo zvakaita sekuneta nguva dzose, kucheneruka, uye kushaya mweya pakutanga zvinogona kunge zvisina kunyanya kuipa, asi zvinogona kutowedzera nekufamba kwenguva.
- Kana chirwere ichi chikasarapwa, chinogona kukonzera kukuvara kukuru kusingadzoreki kuhurongwa hwetsinga.
- Kana ukaramba uine zviratidzo izvi, iva nechokwadi chekuona chiremba wako usingafungi chimwe chikonzero.
- Kurapwa kunosanganisira majekiseni kana mapiritsi evhitamini B12 kwehupenyu hwese. Izvi zvinokubvumira kurarama hupenyu hwakanaka uye hwakajairika.
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