Izinto okudingeka uzazi mayelana nokuntuleka kwe-Vitamin B12!

Ingabe uhlala uzizwa ukhathele futhi ukhathele? Mhlawumbe uphelelwa yisifiso sokudla, noma uzizwa sengathi inkumbulo yakho iya ngokuya iba yimbi. Lezi akuzona nje izinto ezingahleliwe, ungase untule i-vitamin B12 . Namuhla, ake sixoxe ngokuthi kusho ukuthini ukuntuleka kwe-vitamin B12 , ukuthi kungani kubalulekile kithi, nokuthi singakugwema kanjani.

Iyini iVithamini B12? Kungani ibaluleke kangaka kithi?

Kalula nje, iVithamini B12 iyisakhi esibalulekile emzimbeni wethu. Le vithamini isebenza njengesisebenzi esincane emzimbeni wethu. Into eyinhloko ukuthi isiza ekwakheni amangqamuzana abomvu egazi emzimbeni wethu. Uyazi, amangqamuzana abomvu egazi yiwo athwala umoya-mpilo emzimbeni wonke. Futhi, le vithamini B12 iyadingeka ukuze kwenziwe i-DNA emizimbeni yethu. I-DNA iwulwazi lwezakhi zofuzo emaseli ethu. Cabanga nje, uhlelo lwawo wonke amangqamuzana emzimbeni wethu lukule DNA. Ngakho-ke kumelwe uqonde ukuthi lokhu kubaluleke kangakanani?

Imizimba yethu ayikwazi ukukhiqiza i-vitamin B12 ngokwayo. Ngakho-ke, sidinga ukuyithola ekudleni esikudlayo. Ukudla kwezilwane , njengenyama , inhlanzi, ubisi, namaqanda , kucebile kakhulu nge-vitamin B12. Ngezinye izikhathi, ukudla okufana nesinkwa , okusanhlamvu kwasekuseni, kanye nemvubelo yokudla okunempilo nakho kune-vitamin B12 engeziwe kukho. Lokhu kubizwa ngokuthi 'ukudla okuqinisiwe'.

Umuntu omdala ojwayelekile udinga cishe ama-microgram angu-2.4 (mcg) e-vitamin B12 ngosuku. Kodwa-ke, omama abakhulelwe nabancelisayo badinga okungaphezulu kancane. Inani elidingwa yizinsana nezingane liyahlukahluka kuye ngeminyaka yazo.

Imizimba yethu imunca kanjani i-Vitamin B12?

Imizimba yethu ayikwazi ukumunca i-vitamin B12 esiyithola ekudleni. Kunenqubo encane yalokho. Kunezinyathelo ezimbili eziyinhloko kulokhu:

1. Esokuqala: I-Hydrochloric acid esiswini sethu iphula i-vitamin B12 ekudleni esikudlayo.

2. Isinyathelo sesibili: Le vithamini B12 ehlukanisiwe bese ihlanganiswa neprotheni ekhethekile ekhiqizwa esiswini sethu. Lokhu kubizwa ngokuthi 'i-intrinsic factor' .

Kungemva kokuba lesi 'sici esingaphakathi' sihlanganiswe naso lapho uhlelo lwethu lokugaya ukudla lukwazi ukumunca kahle i-vitamin B12. Uyaqonda? Uma noma yisiphi salezi zinyathelo ezimbili singahambi kahle, kungakhathaliseki ukuthi sidla i-vitamin B12 engakanani, umzimba wethu ngeke ukwazi ukuyimunca.

Iyini i-anemia ebangelwa ukuntuleka kwe-vitamin B12?

Kungenzeka ukuthi uke wezwa igama elithi 'anemia'. Le anemia ingabangelwa nawukuntuleka kwevithamini B12. Ibizwa ngokuthi i-vitamin B12 deficiency anemia .

Ngoba, njengoba ngishilo ngaphambili, i-vitamin B12 ibalulekile ekwakheni amangqamuzana abomvu egazi anempilo. Ngakho-ke, uma i-vitamin B12 ingekho emzimbeni, ayikwazi ukwenza amangqamuzana abomvu egazi ngendlela efanele. Yilapho-ke lokhu kuntuleka kwegazi kwenzeka khona. Kodwa kubalulekile futhi ukukhumbula ukuthi abanye abantu bangaba nokuntuleka kwe-vitamin B12 ngaphandle kokuba ne-anemia.

Ubani ongase abe nokuntuleka kwe-Vitamin B12? Kuvamile kangakanani lokhu?

Eqinisweni, noma ubani wanoma yimuphi ubudala angaba nokuntuleka kwe-vitamin B12. Kodwa-ke, lesi simo sivame kakhulu kubantu abangaphezu kweminyaka engama-60 , uma kuqhathaniswa namanye amaqembu eminyaka.

Ngokwezibalo, phakathi kuka-1.5% no-15% wabantu ngokuvamile kubhekwa njengabantu abanesifo sokuntuleka kwe-vitamin B12. Ukusabalala kwabantu ngokweminyaka kungokulandelayo:

• Okungenani u-3% wabantu abaneminyaka ephakathi kuka-20 no-39.
• Okungenani u-4% wabantu abaneminyaka ephakathi kuka-40 no-59.
• Okungenani u-6% wabantu abaneminyaka engu-60 nangaphezulu.

Ngakho-ke, cishe uyaqonda ukuthi lokhu akuyona into engakaze izwakale.

Yini ebangela lokhu kuntuleka kwe-vitamin B12?

Kunezizathu ezimbili eziyinhloko zokuthi kungani ukuntuleka kwevithamini B12 kungenzeka. Esinye ukuthi awutholi ivithamini B12 eyanele ekudleni okudlayo. Esinye ukuthi noma udla ukudla okuqukethe ivithamini B12, umzimba wakho awukwazi ukumunca kahle . Kunezizathu ezahlukahlukene zokuthi kungani lezi zimo zingase zenzeke. Ake sibheke ukuthi ziyini:

• Ukuntuleka kwevithamini B12 ekudleni: Lokhu kuntuleka kungenzeka kubantu abangadli ukudla okwanele okuqukethe ivithamini B12 ngokwemvelo (njengenyama, inhlanzi, nemikhiqizo yobisi), noma abangadli ukudla okunevithamini B12. Lokhu kubaluleke kakhulu kubantu abangadli imifino noma abangadli imifino ngokuphelele .
• I-Gastritis: I-Gastritis ukuvuvukala kolwelwesi lwesisu. Lokhu kuyimbangela evamile yokuntuleka kwe-vitamin B12. Lokhu kungenxa yokuthi, uma une-gastritis, ukukhiqizwa kwe-hydrochloric acid esiswini kungancipha. Njengoba ngishilo ekuqaleni, le acid ibalulekile ekumuncweni kwe-vitamin B12.
• I-anemia eyingozi: Lesi yisimo esingavamile. Abantu abanalesi simo abakwazi ukwenza iphrotheni ebizwa ngokuthi i-intrinsic factor. Lesi sici esibalulekile sibalulekile ukuze umzimba umunce i-vitamin B12. Ngakho-ke, uma lokhu kungekho, kuba nokuntuleka kwe-vitamin B12.
• Izifo zesistimu yokugaya ukudla: Izifo ezithinta uhlelo lokugaya ukudla, njengesifo sikaCrohn nesifo seCeliac, zingase zivimbele umzimba ekumunceni i-vitamin B12 ngendlela efanele.
• Ukuhlinzwa: Abantu abake bahlinzwa isisu, njengokuhlinzwa kwesisu ukuze banciphise isisindo, bangase babe nobunzima bokumunca i-vitamin B12.
• Ukuphazamiseka kokusebenzisa utshwala: Lesi simo singalimaza uhlelo lwakho lokugaya ukudla futhi sibangele ukuntuleka kwevithamini B12.
• Ukuntuleka kwe-Transcobalamin II: Lesi futhi yisifo esingavamile kakhulu, esibangelwa izakhi zofuzo. Kwenzeka lapho i-vitamin B12 (ebizwa nangokuthi i-cobalamin) ingathuthwa kahle emzimbeni.

Yiziphi izimpawu zokuntuleka kwevithamini B12?

Ukuntuleka kwevithamini B12 kungabangela izimpawu zomzimba, zemizwa, nezengqondo . Lezi zimpawu zingase zivele kancane kancane futhi zingase zande ngokuhamba kwesikhathi. Abanye abantu bangase babe namazinga aphansi evithamini B12 kodwa bangakhombisi zimpawu. Futhi, izimpawu zemizwa noma umonakalo ungase uvele ngisho nangaphandle kokuntuleka kwegazi (ukuntuleka kwamaseli abomvu egazi).

Ake sibone ukuthi lezi zimpawu ezivamile ziyiziphi:

Izici zomzimba ezijwayelekile:

• Ukuzizwa ukhathele kakhulu futhi ubuthakathaka ngaso sonke isikhathi.
• Izimo ezifana nokucanuzela kwenhliziyo, ukuhlanza, noma uhudo.
• Ukulahlekelwa yisifiso sokudla.
• Ukwehlisa isisindo.
• Izilonda emlonyeni noma olimini.
• Ukuphuzi kwesikhumba.

Izimpawu ze-neurological:

• Ukungezwani noma ukuzwa ukuthuthumela ezithweni.
• Izinkinga zokubona.
• Ukukhohlwa izinto noma ukuphazamiseka kalula .
• Ubunzima bokuhamba noma ukukhuluma njengakuqala.

Izimpawu zengqondo:

• Imizwa efana nokucindezeleka .
• Ukuthukuthela ngokushesha, ukucasuka.
• Ushintsho emizweni nasekuziphatheni kwakho.

Uma unesinye noma ngaphezulu salezi zimpawu, ungacabangi ukuthi kungenxa yokuntuleka kwe-vitamin B12. Kodwa-ke, kungcono ukubona udokotela ukuze uthole iseluleko.

Ungakubona kanjani ukuntuleka kwe-Vitamin B12?

Ukuntuleka kwe-Vitamin B12 ngezinye izikhathi kungaba nzima ukukuthola, njengoba kungahlali kubangela izimpawu, noma izimpawu zingafana nezokunye ukuntuleka kokudla okunempilo. Ngakho-ke, odokotela bavame ukuncoma ukuhlolwa kwegazi kubantu abasengozini enkulu yokuthola lokhu kuntuleka.

Ukuhlolwa okuyinhloko kokuxilonga ngokunembile ukuntuleka kwe-vitamin B12 ukubalwa kwegazi okuphelele (i-CBC) kanye nezinga lokuhlolwa kwegazi le-vitamin B12.Uma izinga le-vitamin B12 egazini lomuntu lingaphansi kwamayunithi angu-150 nge-milliliter, kutholakala ukuthi unesifo sokuntuleka kwe-vitamin B12.

Kuphathwa kanjani lokhu?

Izindaba ezinhle ukuthi ukuntuleka kwe-vitamin B12 kungelashwa. Kungelashwa nge-vitamin B12 uqobo. Ngokuvamile, kusetshenziswa uhlobo lwe-vitamin B12 olubizwa ngokuthi i-cyanocobalamin . Kuye ngembangela yokuntuleka kwakho, kungadingeka ukuthi uthathe ukwelashwa kuphela kuze kube yilapho amazinga akho e-vitamin B12 ebuyela esimweni esijwayelekile, noma kungadingeka ukuthi uthathe i-vitamin B12 impilo yakho yonke.

Kunezindlela eziningana zokwelapha ukuntuleka kwe-vitamin B12:

• Imithi yomlomo ye-Vitamin B12.
• Imijovo ye-Vitamin B12 emisipheni.
• Ijeli yekhala likavithamini B12.
• Isifutho sekhala se-Vitamin B12.

Udokotela uzonquma ukuthi iyiphi indlela yokwelapha engcono kakhulu kuwe.

Ubani osengozini enkulu yokuthola ukuntuleka kwe-Vitamin B12?

Abanye abantu banamathuba amaningi okuthola ukuntuleka kwe-vitamin B12. Ake sibheke ukuthi yiziphi lezi zici eziyingozi:

• Ukuba neminyaka engaphezu kwengu-75 ubudala: Njengoba sikhula, ikhono lemizimba yethu lokumunca i-vitamin B12 liyancipha, ngakho abantu abangaphezu kweminyaka engu-75 basengozini enkulu yokuthola lokhu kuntuleka.
• Ukuba nesifo sesistimu yokugaya ukudla: Abantu abanezifo zesistimu yokugaya ukudla njengesifo se-Celiac noma isifo sikaCrohn banenkinga yokumunca i-vitamin B12.
• Ukulandela ukudla okungenazo izithako zokudla zemifino noma ukudla okungenayo i-vegan ngokuphelele: Njengoba ngishilo ekuqaleni, i-vitamin B12 itholakala ngokwemvelo ekudleni kwezilwane. Ngakho-ke, uma abantu abalandela lolu hlobo lokudla bengadli ukudla okwanele okuqiniswe yi-vitamin B12, bangase babe nalokhu kuntuleka.
• Ukuthatha imithi ethile: Eminye imithi ingabangela amazinga aphansi e-vitamin B12 emzimbeni. Isibonelo:
• I-Metformin yesifo sikashukela.
• Ama-Proton Pump Inhibitors (PPIs) ekwelapheni i-gastritis kanye nokuvuvukala kwe-esophagus (GERD - Gastroesophageal Reflux Disease) kanye nezilonda zesisu (Peptic ulcers).
• Ama-histamine H2 blockers, anciphisa i-asidi yesisu.
• Amaphilisi okuvimbela inzalo ngomlomo .
• Ukuba ne-Sjögren's syndrome: Abantu abanalesi simo banamathuba aphindwe kasithupha okuthola ukuntuleka kwe-vitamin B12.
• Ukuphuza utshwala ngokweqile: Ukuphuza utshwala njalo kungalimaza uhlelo lokugaya ukudla futhi kuholele ekuntulekeni kwe-vitamin B12.

Ungakugwema kanjani ukuntuleka kwe-Vitamin B12?

Abantu abaningi bangavimbela ukuntuleka kwevithamini B12 ngokufaka ukudla okwanele okuqukethe ivithamini B12 ekudleni kwabo.

Izindlela zokuthola i-vitamin B12 yilezi:

• Imikhiqizo yezilwane: Inyama ebomvu, inhlanzi, izinkukhu, amaqanda, ubisi, neminye imikhiqizo yobisi kucebile ngevithamini B12.
• Ukudla okuqinisiwe: Lokhu ukudla okungenawo ngokwemvelo i-vitamin B12, kodwa okufakwe i-vitamin B12 kukho. Izibonelo zifaka phakathi okusanhlamvu kwasekuseni, imvubelo yokudla okunempilo, ubisi lwezitshalo, kanye nezinkwa. Uma uthenga ukudla, hlola ilebula lamaqiniso okudla okunempilo ukuze ubone ukuthi i-vitamin B12 ifakiwe yini.
• Izithako zokudla: Ama-multivitamin amaningi aqukethe i-vitamin B12. Kukhona futhi izithako zokudla eziqukethe i-vitamin B12 kuphela. Cela udokotela wakho noma usokhemisi ukuthi akukhethele isithako esifanele.

Ezinye izinto ezingasiza ekuvimbeleni ukuntuleka kwe-vitamin B12 zifaka:

• Nciphisa noma uyeke ukuphuza utshwala: Ukuphuza utshwala njalo kungalimaza uhlelo lwakho lokugaya ukudla futhi kwenze kube nzima ukumunca i-vitamin B12.
• Ukuphatha uhlelo lwakho lokugaya ukudla kahle uma unesifo esifana nesifo sikaCrohn noma isifo sikaCeliac: Uma unesifo esifana nesifo sikaCrohn noma isifo sikaCeliac, landela imiyalelo kadokotela wakho ngokucophelela ukuze uhlale uphilile.

Iyini i-prognosis yomuntu onesifo se-Vitamin B12? (Isibikezelo)

Ukusinda komuntu onesifo sokuntuleka kwevithamini B12 kuncike ekutheni ukuntuleka kuqashelwa futhi kwelashwe ngokushesha kangakanani . Uma ukuntuleka kuqashelwa kusenesikhathi, izimpawu eziningi zingathuthuka ngokwelashwa. Kuye ngembangela yokuntuleka kwakho, kungadingeka ukuthi uphuze imithi isikhathi esifushane, noma kungadingeka ukuthi uphuze imithi impilo yakho yonke.

Kodwa-ke, uma ukuntuleka kwe-vitamin B12 kungelashwa, kungabangela imiphumela emibi yesikhathi eside ethinta uhlelo lwezinzwa kanye nobuchopho . Eminye yemiphumela emibi kakhulu yokuntuleka kwe-vitamin B12 ihlanganisa:

• Ubuthakathaka bemizwa emalungeni (i-peripheral neuropathy).
• Ukuwohloka komgogodla.
• Ukukhubazeka.
• Ukungakwazi ukulawula amathumbu nomchamo (Ukungakwazi ukuzibamba kanye/noma ukungakwazi ukuzibamba umchamo).
• Ukungasebenzi kahle kwe-Erectile.
• Ukucindezeleka.
• Ukwesaba kanye nokukhohlisa.
• Ukulahlekelwa yinkumbulo.

Yingakho kubalulekile ukufuna iseluleko sezokwelapha ngokushesha uma unalezi zimpawu.

Kufanele ubonane nini nodokotela?

Uma unezimpawu zokuntuleka kwe-vitamin B12, noma uma usengozini yokuthola lokhu kuntuleka, bona udokotela ngokushesha bese ubuza ukuthi udinga ukuhlolwa kwegazi ukuze kuhlolwe amazinga akho e-vitamin B12. Uma usuvele utholakale ukuthi unesifo sokuntuleka kwe-vitamin B12 futhi uthola ukwelashwa, ungakhohlwa ukwazisa udokotela wakho uma uthola noma yiziphi izimpawu ezintsha nezikhathazayo.

I-Vitamin B12 iyi-vithamini ebalulekile empilweni yethu. Abantu abaningi bangayithola ngokwanele ekudleni kwabo futhi bagweme ukuntuleka kwayo. Uma unezici eziyingozi noma uba nezimpawu, kuwukuhlakanipha ukubona udokotela ngokushesha okukhulu ukuze kuhlolwe amazinga akho egazi.

Ngakho-ke, yimuphi umyalezo okufanele siwukhumbule kule ndaba?

Kulungile, ngakho-ke nazi ezinye izinto okudingeka uzikhumbule kulokho esikhulume ngakho:

• I-Vitamin B12 iyisakhi esibalulekile emizimbeni yethu. Ibalulekile ekwakheni amangqamuzana abomvu egazi, i-DNA, kanye nokugcina uhlelo lwezinzwa luphilile.
• Imizimba yethu ayikwazi ukuzenzela yona. Sidinga ukuyithola ekudleni. Inenyama eningi, inhlanzi, ubisi namaqanda. Abantu abadla imifino kudingeka badle ukudla okunevithamini B12 noma izithasiselo.
• Ukuntuleka kwe-Vitamin B12 kungabangela izimpawu ezahlukahlukene njengokukhathala , ukulahlekelwa yisifiso sokudla, ukukhohlwa, ukuba ndikindiki ezithweni, kanye ngezinye izikhathi ne-anemia .
• Lokhu kuntuleka kungelapheka uma kutholakala futhi kwelashwa kusenesikhathi. Uma kubambezeleka, kungabangela umonakalo ohlelweni lwezinzwa.
• Uma unalezi zimpawu, noma uma unezici eziyingozi (ikakhulukazi uma usukhulile, udla imifino, noma uphuza imithi ethile), kufanele nakanjani ubone udokotela ukuze akunike iseluleko. Lokhu kungatholakala kalula ngokuhlolwa kwegazi.

Ngakho-ke, nakekela impilo yakho. Yidla ukudla okulinganiselayo. Uma uzizwa sengathi kukhona okungahambi kahle, ungalokothi unqikaze ukukhuluma nodokotela ngakho. Impilo enhle kuwe!

I- Vitamin B12, Ukuntuleka kwe-Vitamin B12, I-Anemia, Izimpawu, Ukwelashwa, Izimbangela, Ukuvimbela, Ukudla Okunomsoco, Impilo