Ngaba uziva udiniwe ngalo lonke ixesha? Ngaba uziva ubuthathaka nasemva kokuhamba okwethutyana? Ngaba uziva ngathi awunamdla wokutya, kwaye ubonakala umhlophe? Uninzi lwexesha, asizinaki kakhulu ezi zinto, sicinga ukuba ziqhelekile. Nangona kunjalo, kunokubakho isizathu esibalulekileyo emva koku. Namhlanje, sithetha ngemeko embi kodwa enyangekayo ebangelwa kukungabikho kwevithamini B12. Le yiPernicious Anemia .
Ngamafutshane, yintoni iPernicious Anemia?
I-Pernicious Anemia yenye yezona zinto zibangela ukunqongophala kwe-vitamin B12. Ngokuchanekileyo, le yimeko yokuzikhusela komzimba . Ngoku usenokuba uzibuza ukuba yintoni imeko yokuzikhusela komzimba. Ngamafutshane, umsebenzi ophambili wenkqubo yethu yokuzikhusela komzimba kukulwa nabahlaseli bamanye amazwe nokusikhusela kwizifo. Nangona kunjalo, kule meko, inkqubo yethu yokuzikhusela komzimba iqala ngempazamo ukuhlasela iiseli zethu eziphilileyo.
Kwenzeka into efanayo kwiPernicious Anemia. Inkqubo yethu yokuzikhusela komzimba ihlasela iiseli ezithile emathunjini (esiswini). Ezi seli zivelisa iproteni ekhethekileyo ebizwa ngokuba yi-Intrinsic Factor enceda umzimba ukuba ufunxe i-vitamin B12. Xa le proteni ingekho, nokuba sisitya i-vitamin B12 engakanani na, ayifunxwa ngumzimba kwaye iyachithwa.
I-Vitamin B12 ibaluleke kakhulu emzimbeni wethu. Ingakumbi, ibalulekile ekuvelisweni kweeseli ezibomvu zegazi, ezithwala ioksijini egazini. Ngoko ke, xa i-vitamin B12 ingekho, ukuveliswa kweeseli ezibomvu zegazi ezisempilweni kuyancipha. Oku sikubiza ngokuba yi-anemia .
Igama elithi Pernicious Anemia lithetha "ingozi." Libizwa ngokuba yi-"monzakalo" kuba, ukuba ayinyangwa, le meko inokubangela umonakalo omkhulu nongenakuphikiswa kwinkqubo yethu yemithambo-luvo.
Le meko ichaphazela njani umzimba wam?
I-anemia enobungozi inokuchaphazela iinkqubo ezahlukeneyo zomzimba.
- Inkqubo yokugaya ukutya: Ukucaphuka, ukudumba, kunye nokunciphisa umzimba kunokwenzeka.
- Inkqubo yemithambo-luvo: Le yeyona iyingozi kakhulu. Inokubangela ubuthathaka bemisipha, ukungakhululeki kwamalungu omzimba, ukulahlekelwa yinkumbulo, kwanokuphazamiseka kwengqondo.
- Intliziyo: Usenokuba nokubetha kwentliziyo okungaqhelekanga okanye ukubetha kwentliziyo okungaqhelekanga.
- Impilo ngokubanzi: Ukudinwa rhoqo kunye nobuthathaka zezona mpawu ziphambili.
Le meko ibonakala kakhulu phakathi kweminyaka engama-60 ukuya kwengama-80 ubudala, ingakumbi kubantu abazalwa kuMantla Yurophu.
Ziziphi iimpawu zePernicious Anemia?
Enye yezinto ezikhethekileyo ngale nto kukuba kungathatha iminyaka ukuba iimpawu zibonakale. Oku kungenxa yokuba umzimba wethu ugcina i-vitamin B12 esibindini kwaye uyisebenzise kancinci kancinci. Olu gcino lungathatha malunga neminyaka emi-3-5 ukuba luphele. Nangona kunjalo, kuthatha ixesha ukuba iimpawu zibonakale.
Njengoko amanqanaba evithamini B12 ehla, iimpawu ziya ziba mandundu ngakumbi. Ungafumana umbono olungileyo woku kwitheyibhile engasezantsi.
| Uhlobo lwempawu | Izinto onokuzibona |
|---|---|
| Iimpawu zokuqala (zidla ngokubhidaniswa nesinye isifo) | |
| Inkqubo yokugaya ukutya | Urhudo okanye ukuqhina, ukuphelelwa ngumdla wokutya, isitshiso sentliziyo. |
| Inkangeleko yomzimba | Ulusu oluphaphathekileyo, i-jaundice ethambileyo (ukutyheli kwamehlo okanye ulusu). |
| Iingxaki ngokubanzi | Ukudinwa, ubunzima bokuphefumla (ukuphelelwa ngamandla) xa umi okanye usenza umthambo, ulwimi oludumbileyo, ukubomvu, okanye ukopha kweentsini. |
| Iimpawu zenkqubo yemithambo-luvo ezibangelwa ngamanqanaba aphantsi e-B12 ngokuhamba kwexesha | |
| Ingqondo kunye nokuziphatha | Ukudideka, ukulahlekelwa yinkumbulo yexesha elifutshane, ukudakumba, ubunzima bokugxila, ukucaphuka, ukubona izinto ezingekhoyo. |
| Izifo zengqondo zomzimba | Ukulahlekelwa yibhalansi, ukuba ndindisholo okanye ukuphelelwa yimvakalelo ezandleni nasezinyaweni. |
| Umbono | Umbono uyachaphazeleka ngenxa yokuwohloka kwemithambo-luvo yamehlo. |
Ngaba zikho ezinye izizathu zePernicious Anemia?
Ewe. Ukongeza kwimeko yokuzikhusela komzimba ebizwa ngokuba yiPernicious Anemia, umzimba usenokungakwazi ukufunxa i-vitamin B12 ngenxa yezinye izizathu.
- Utyando lwesisu: Xa kwenziwa utyando lokususa inxalenye okanye sonke isisu (umz. utyando lwesisu olusebenzisa i-gastric bypass lokutyeba kakhulu), iiseli ezinceda ekufunxeni i-vitamin B12 ziyalahleka.
- Utyando lwamathumbu amancinci: Ukususa inxalenye yamathumbu amancinci kunciphisa amandla okufunxa i-vitamin B12.
- Iintsholongwane Ezincinci Zamathumbu: Kwimeko ebizwa ngokuba yiSmall Intestinal Bacterial Overgrowth (SIBO) , iintsholongwane ezimbi ziyakhula emathunjini amancinci zize zitye i-vitamin B12 ngaphambi kokuba ifunxwe ngumzimba.
- Amanye amayeza: Amanye amayeza esifo seswekile, isifo sokuwa, kunye namanye amayeza okubulala iintsholongwane anokuchaphazela amanqanaba evithamini B12.
- Usulelo lwemibungu yeTape: Ukutya iintlanzi ezingaphekwanga kakuhle nezisulelekileyo kunokubangela usulelo lwemibungu yeTape. Ezi zinambuzane zitya i-vitamin B12.
- Ukutya: Abantu abatya imifuno kuphela okanye abalandela ukutya okusekwe kwizityalo banokungabi navithamini B12 eyaneleyo ekutyeni kwabo.
- Ezinye izifo: Izifo zenkqubo yokugaya ukutya ezifana nesifo seCeliac okanye isifo sikaCrohn zenza kube nzima ukufunxa i-vitamin B12.
- Izifo zeHormonal: Abantu abaneengxaki zokuzikhusela komzimba ezifana ne -hypoparathyroidism kunye nesifo sikaGraves basengozini enkulu yokufumana i-anemia eyingozi.
Uyifumana njani le nto, Gqirha?
Ukuba unale mpawu, kubalulekile ukubona ugqirha wakho. Uza kukuhlola, athathe imbali yakho yezonyango, aze acele iimvavanyo ezininzi ukuqinisekisa imeko.
- Uvavanyo lwezinga leVithamin B12: Olu vavanyo lulinganisa ukuba ingakanani iVithamin B12 egazini.
- Ubalo lweGazi olupheleleyo (CBC): Oku kunokumisela uhlobo kunye nobunzima be-anemia.
- Ezinye iimvavanyo zegazi ezikhethekileyo: Uvavanyo olufana ne-Reticulocyte count, i-LDH, i-Serum bilirubin, i-MMA, i-Homocysteine level, njl.njl., lubonelela ngolwazi olunzulu malunga nokunqongophala kwe-vitamin B12 kunye nomsebenzi womongo wethambo.
- Uvavanyo lwe-antibody: Olu vavanyo luvavanya igazi ukuze kubonwe ii-antibodies ezihlasela iiseli zesisu kunye ne-intrinsic factor.
- I-Endoscopy Ephezulu:Ikhamera efana netyhubhu (i-endoscope) ifakwa ngomlomo kwaye ulwelo lwesisu luyahlolwa.
Inyangwa njani? Ingaba iya kuba bhetele?
Kukho unyango loku, kwaye zezona ndaba zilungileyo! Ekubeni umzimba wakho ungakwazi ukufunxa i-vitamin B12, ugqirha wakho uya kuqala akunike i-vitamin B12 injections . Ezi zifakwa ngqo kwimisipha, ukuze zingene ngqo egazini lakho ngaphandle kokungena esiswini.
Xa amanqanaba akho evithamini B12 ebuyele esiqhelweni, unokucetyiswa ukuba uqhubeke nokuthatha iipilisi zevithamini B12 ezinomlinganiselo ophezulu (ezithathwa njenge-B12 endaweni yazo). Ugqirha wakho uya kuqhubeka ejonga imeko yakho aze alungise unyango lwakho.
Uza kuqala ukuziva ukhululekile kakhulu kwiintsuku ezimbalwa emva kokuqala unyango. Nangona kunjalo, kungathatha iiveki ezininzi ukuba iimpawu zakho ziphele ngokupheleleyo kwaye uza kuziva ungcono.
I-anemia eyingozi ayisosifo esinokunyangeka ngokupheleleyo. Nangona kunjalo, ngokuthatha i-vitamin B12 ubomi bakho bonke, ungazilawula iimpawu kwaye uphile ubomi obusempilweni ngokupheleleyo.
Kodwa khumbula, umonakalo kwinkqubo yemithambo-luvo usenokungalungiseki ngokupheleleyo nokuba kukho i-vitamin B12. Ngoko ke, kubaluleke kakhulu ukufumanisa isifo kwaye uqale unyango kwangethuba.
Ndingazinyamekela njani?
Ukuba unePernicious Anemia, kuya kufuneka usele i-vitamin B12 ubomi bakho bonke, njengoko ugqirha wakho ekuyalele. Yinto ebalulekileyo leyo.
Ukuba une-B12 enqongopheleyo ngenxa yezinye izizathu, ukutshintsha indlela otya ngayo kunokunceda. Ukutya okutyebileyo kwi-vitamin B12 kuquka:
- Inyama efana nenyama yenkomo, isibindi, inkukhu kunye nentlanzi
- Amaqanda kunye neemveliso zobisi (ubisi, iyogathi, itshizi)
- Iinkozo zesidlo sakusasa ezinevithamini B12 eyongeziweyo
- Iimveliso zesoya ezinevithamini B12 eyongeziweyo
Kungcono ukuthetha nogqirha wakho ukuze ufumane ingcebiso malunga nokutya okufanelekileyo kuwe.
Umyalezo Wokuya Ekhaya
- I-anemia enobungozi luhlobo lwe-anemia ebangelwa yinkqubo yethu yokuzikhusela komzimba kwaye ibangelwa kukungabikho kwe-vitamin B12.
- Iimpawu ezinje ngokudinwa rhoqo, ukuba mdaka, kunye nokuphefumla kancinci zisenokuba buthathaka ekuqaleni, kodwa zinokuba qatha ngokuhamba kwexesha.
- Ukuba le meko ayinyangwa, inokubangela umonakalo omkhulu nongenakuphikiswa kwinkqubo yemithambo-luvo.
- Ukuba uqhubeka unale mpawu, qiniseka ukuba ubona ugqirha wakho ngaphandle kokuthatha esinye isizathu.
- Unyango lubandakanya inaliti okanye iipilisi zevithamini B12 ubomi bonke. Oku kukuvumela ukuba uphile ubomi obusempilweni nobuqhelekileyo.
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