Ingabe ngezinye izikhathi uzizwa ukhathele kakhulu futhi ungenampilo ngaphandle kwesizathu? Noma uthola kunzima ukugxila kunoma yini, futhi ikhanda lakho lizwa sengathi limbozwe yinkungu? Esinye sezizathu zezinto ezinjengalezi kungaba ukwehla kwezinga levithamini B12, isakhi esibalulekile emzimbeni wethu. Ivithamini B12 ibalulekile ekukhiqizweni kwamangqamuzana egazi abomvu emizimbeni yethu kanye nokusebenza kahle kwesimiso sezinzwa . Ngakho-ke uma siphansi, kungavela izinkinga ezahlukahlukene. Yingakho namuhla sikhuluma ngokuhlolwa kwegazi okuhlola izinga levithamini B12.
Ingabe ngidinga ukwenza lokhu kuhlolwa kwe-B12 futhi?
Akuvamile kakhulu ukuthi umuntu odla ukudla okunempilo angabi ne-vitamin B12 eningi. Kodwa-ke, kunezizathu eziningana zokuthi kungani amazinga akho e-B12 engaba ngaphansi kunokuvamile. Kunezizathu eziningana zokuthi kungani udokotela wakho angancoma ukuhlolwa kwe-B12 .
Cabanga nje, uvame ukutshela udokotela wakho ukuthi, “Dokotela, ngizizwa ngikhathele kakhulu, izitho zami zomzimba azinangqondo, futhi angikhumbuli lutho.” Ngesikhathi esinjengalesi, udokotela angase acabange ngezinye izifo futhi angase asole amazinga akho e-B12.
Udokotela cishe angancoma lolu vivinyo ezimweni ezilandelayo:
- Uma utholakale une- anemia .
- Uma usola ukuthi unesifo esivimbela umzimba wakho ukuthi umunce i-B12.
- Uma eminye imithi oyithathayo ithinta ukumuncwa kwe-B12.
- Uma unezimpawu ezihlobene nokuntuleka kwe-B12.
- Uma ujwayele ukudla ukudla okunemifino kuphela noma ukudla okunemifino eqinile.
Isimo esiyinhloko esihlotshaniswa nokungamuncwa kwe-B12 yilokho odokotela abakubiza ngokuthi 'i-Pernicious Anemia' . Lokhu kubangelwa ukuntuleka kwe-'Intrinsic Factor', iphrotheni ekhethekile ekhiqizwa esiswini sethu. Ngaphandle kwale phrotheni, asikwazi ukumunca i-B12 ekudleni. Futhi, isifo sikaCrohn nesifo seCeliacAmazinga e-B12 angancipha ngenxa yezimo ezifana nalezi:
Ngaphezu kwalokho, eminye imithi oyithathayo nayo ingathinta lokhu. Eminye imithi, ikakhulukazi leyo evame ukusetshenziswa ukwelapha i-gastritis (GERD), njenge -proton-pump inhibitors, yehlisa i-asidi yesisu. Le-asidi yesisu iyadingeka ukuze kukhishwe i-B12 ekudleni futhi ivumele ukuthi imuncwe ngumzimba. Ngakho-ke, ukusetshenziswa kwesikhathi eside kwale mithi kunganciphisa amazinga e-B12.
Yiziphi izimpawu eziyinhloko zokuntuleka kwe-B12?
Uma amazinga e-vitamin B12 ephansi, umuntu ngamunye angase abe nezimpawu ezihlukile. Kodwa-ke, kunezimpawu ezithile ezivamile. Lezi zingaba futhi izimpawu zezinye izifo, ngakho-ke kubalulekile ukuthola ukuhlolwa kwe-B12 ukuze kuqinisekiswe.
| Isibonakaliso | Incazelo elula |
|---|---|
| Ukukhathala okuvamile | Ukuzizwa ungenampilo ngisho nangemva kokulala kahle futhi ungenzi lutho. |
| Ubunzima bokwenza isinqumo (Ukucabanga okungacacile) | Ukuzizwa udidekile, unenkinga yokukhumbula izinto, uzizwa uhlakazekile. |
| Ukuba ndikindiki noma ukuqaqamba emilenzeni | Ukuzizwa sengathi izintuthwane zigijima ezandleni nasezinyaweni, noma sengathi azinangqondo. |
| Ubuhlungu bekhanda | Ikhanda elibuhlungu elivame kakhulu noma elingavamile kunokujwayelekile. |
| Ukuguquguquka kwemizwa | Ukuzizwa uthukuthele, udabuke, noma ungazinzile engqondweni ngaphandle kwesizathu. |
Ulwenza kanjani lolu vivinyo? Ingabe luyinto enkulu?
Cha, akunjalo nhlobo. Lokhu nje ukuhlolwa kwegazi okuvamile, okulula kakhulu.
Lokhu akudingi ukulungiswa okukhethekile. Ezimweni eziningi, awudingi ukuzila ukudla ngosuku olungaphambi kokuhlolwa. Uma udokotela wakho eyala ukuhlolwa kwegazi ukuze kuhlolwe izinto ezifana ne-cholesterol kanye ne-glucose, ungacela ukuthi lokhu kuhlolwa kufakwe.
Kodwa into ebaluleke kakhulu ukutshela udokotela wakho ngayo yonke imithi, amavithamini, kanye nezithasiselo ozithathayo ngaphambi kokuba wenze lokhu kuhlolwa, njengoba eminye imithi ingathinta imiphumela yalokhu kuhlolwa.
Ungawuqonda kanjani umbiko wokuhlolwa?
Izinga elijwayelekile lamazinga e-vitamin B12 lingahluka kancane kusuka kwelinye ilabhorethri kuya kwelinye, kodwa kunezinye izilinganiso ezamukelwa ngokuvamile. Lezi zilinganiswa ngama-picograms nge-milliliter (pg/mL).
- Izinga elijwayelekile: Inani eliphakathi kuka-190 no-950 (pg/mL).
- Umngcele: Inani eliphakathi kuka-200 no-300 (pg/mL). Uma kunjalo, udokotela kungadingeka enze ezinye izivivinyo.
- Okuphansi: Inani elingaphansi kuka-200 (pg/mL). Lokhu kubhekwa njengokuphansi futhi kudinga ukuhlolwa okwengeziwe kanye nokwelashwa.
Ngezinye izikhathi udokotela wakho uzohlola nelinye ivithamini elibizwa ngokuthi i-folate kanye ne-B12, ngoba ukuntuleka kwe-folate kungabangela izimpawu ezifanayo nokuntuleka kwe-B12, ngakho-ke kungasiza ekutholeni imbangela eqondile.
Uma izinga lami le-B12 liphansi, ngenzenjani ngokulandelayo?
Uma umbiko wakho uthi izinga lakho le-B12 liphansi, ungakhathazeki. Kunezindlela zokwelapha ezingenziwa ngenxa yalo. Kodwa ukwelashwa kunqunywa udokotela wakho.
- Uma amazinga akho e-B12 ephilile: Awudingi ukwenza lutho olukhethekile. Qhubeka nokudla ukudla okunempilo. Ukudla okufana nenhlanzi, inyama, ubisi, nemikhiqizo yobisi kucebile nge-vitamin B12. Kukhona futhi okusanhlamvu kwasekuseni okuqiniswe nge -vitamin B12.
- Uma amazinga akho e-B12 ephansi: Uzodinga ukwelashwa. Uhlobo lokwelashwa luzoncika embangeni yamazinga akho e-B12 aphansi.
- Uma isizathu siwukuthi awutholi i-B12 eyanele ekudleni kwakho (isib., abantu abadla imifino), udokotela wakho angase akunike amaphilisi e-vitamin B12 (izithasiselo zomlomo) .
- Kodwa-ke, uma unenkinga yokumunca i-B12 esiswini sakho (isib. i-Pernicious Anemia), ukuphuza amaphilisi ngeke kusize. Ezimweni ezinjalo, udokotela wakho angase akuncomele imijovo ye-vitamin B12 .
Ukuntuleka kwe-Vitamin B12 kungabangela izinkinga ezinkulu ngokusebenza kobuchopho, uhlelo lwezinzwa, kanye nezinye izingxenye eziningi zomzimba uma kuqhubeka isikhathi eside. Ngakho-ke, kubaluleke kakhulu ukuhlolwa uma unezimpawu. Abantu abadala basengozini enkulu yokuba namazinga aphansi e-B12. Ngakho-ke, uma abazali bakho noma abantu abadala emndenini wakho bebika lezi zimpawu, kubaluleke kakhulu ukukhuluma ngokudla kwabo, futhi uma kudingeka, bona udokotela bese uthatha isithasiselo se-B12.
Umlayezo Wokuya Nawe Ekhaya
- Ukuzizwa ukhathele ngaso sonke isikhathi ngaphandle kwesizathu, ukulahlekelwa yinkumbulo, kanye nokuba ndikindiki ezithweni kungaba izimpawu zokuntuleka kwe-vitamin B12.
- Ukuhlolwa kwegazi okulula kakhulu okungadingi ukuzila ukudla.
- Abantu abadla imifino kuphela, labo abaphuza imithi ethile ye-gastritis isikhathi eside, kanye nabantu asebekhulile basengozini enkulu yokuntuleka kwe-B12.
- Uma uthola ukuthi amazinga akho e-B12 aphansi, ungazithatheli imithi wedwa. Thola imbangela bese uthola ukwelashwa okufanele kakhulu (amaphilisi noma imijovo).Khuluma nodokotela wakho nakanjani.
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