Uzizwa ukhathele kakhulu ukwenza imisebenzi yakho yansuku zonke? Uzizwa unesizungu ngisho nangemva kokuhamba isikhashana? Ingabe ubuso bakho bubukeka buphaphathekile uma ubheka esibukweni? Ungase ucabange ukuthi lezi yizinto ezivamile, ukukhathala okubangelwa ukusebenza ngokweqile. Kodwa-ke, lokhu kungaba izimpawu zokuthi kukhona okungahambi kahle emzimbeni wakho. Namuhla sizokhuluma ngesimo abantu abaningi abanaso kodwa abangasazi.
Kuyini i-Vitamin Deficiency Anemia?
Kalula nje, lesi yisimo esenzeka lapho imizimba yethu ingakhiqizi amangqamuzana abomvu egazi anele anempilo. Kufana nefektri ephelelwa izinto zokusetshenziswa zokwenza umkhiqizo omuhle. Ezimbili "zezithako" ezibalulekile emizimbeni yethu ukuze yenze amangqamuzana abomvu egazi anempilo yi -vitamin B12 kanye ne-vitamin B9 (i-folate noma i-folic acid) . Uma lezi zingekho, umzimba ukhiqiza amangqamuzana abomvu egazi angajwayelekile amakhulu kunokujwayelekile futhi angakwazi ukusebenza kahle.
Cabanga ngakho, amangqamuzana egazi abomvu ayizimoto ezithwala umoya-mpilo emizimbeni yethu yonke. Uma lezi zimoto zingakhekanga kahle, azikwazi ukwenza umsebenzi wazo wokuthutha umoya-mpilo ngendlela efanele. Isimo esibangelwa yilawa maseli egazi abomvu amakhulu ngendlela engavamile sibizwa nangokuthi i-macrocytic noma i-megaloblastic anemia kwezesayensi yezokwelapha.
Kungani i-vitamin B12 kanye ne-folic acid (folate) kubaluleke kangaka?
Womabili la mavithamini abalulekile emisebenzini eminingi emizimbeni yethu. Enye yezinto ezibaluleke kakhulu kulokhu ukukhiqizwa kwamangqamuzana abomvu egazi. Uma ungawatholi anele, njengoba kushiwo ngaphambili, akuwona nje kuphela amangqamuzana abomvu egazi akhiqizwa emzimbeni alahlekelwa ukuma kwawo, kodwa futhi nesikhathi sawo sokuphila siyancishiswa. Afa ngokushesha kunamaseli avamile.
Kwenzekani-ke? Inani lamaseli emzimbeni angathwala umoya-mpilo liyancipha. Yilokhu esikubiza ngokuthi " i-anemia ." Yingakho siqala ukuzizwa sikhathele futhi sikhathele.
Ubani osengozini enkulu yokuthola lesi simo?
Kunezizathu ezimbili eziyinhloko zalokhu. Esinye ukuthi asidli ngokwanele la mavithamini . Esinye ukuthi noma singawadla, imizimba yethu ayikwazi ukuwamunca kahle.
Le ngozi iphakeme kancane kubantu abalandelayo:
- Izinkinga zokudla: Kulabo abadla ukudla okuncane okucebile nge-vitamin B12 kanye ne-folate (inyama, inhlanzi, ubisi, amaqanda, imifino eluhlaza).
- Izinkinga ngokumuncwa kwezakhamzimba: Ezinye izifo zivimbela umzimba ekumuncweni kwezakhamzimba ekudleni esikudlayo. Isibonelo:
- Isifo se-Celiac
- Isifo sikaCrohn
- I-cystic fibrosis
- I-anemia eyingozi:Lesi yisimo esikhethekile kancane. Ukuze simunce i-vitamin B12 ekudleni esikudlayo, sidinga iphrotheni ekhethekile esiswini sethu. Lokhu kubizwa ngokuthi "i-Intrinsic factor". Imizimba yabanye abantu ayikhiqizi le phrotheni. Khona-ke, kungakhathaliseki ukuthi badla i-B12 engakanani, imizimba yabo ayikwazi ukuyimunca. Lokhu futhi kuyimbangela ye-anemia.
Ingabe nawe unalezi zimpawu?
Izimpawu ze-anemia yokuntuleka kwamavithamini zingase zingabonakali ekuqaleni. Zikhula kancane kancane, ezinyangeni, noma ngisho neminyaka. Hlola ishadi elingezansi ukuze ubone ukuthi unazo yini lezi zimpawu.
| Isibonakaliso | Indlela okuzwakala ngayo |
|---|---|
| Ukukhathala | Ukuzizwa ukhathele futhi ulele njalo, ungakwazi ukwenza noma yimuphi umsebenzi. |
| Ubunzima bokuphefumula (i-Dyspnea) | Ukuzizwa uphelelwa umoya ngisho noma uhamba kancane ngenkathi wenza imisebenzi evamile. |
| Isiyezi | Ukuzungeza okungazelelwe, ngezinye izikhathi amehlo aluhlaza okwesibhakabhaka. |
| Isikhumba esikhanyayo noma esiphuzi | Ukubonakala okukhanyayo kwezindawo ezifana nobuso, izandla, kanye nezinyawo. |
| Ukushaya kwenhliziyo | Inhliziyo ishaya ngokushesha kangangokuthi ungayizwa. |
| Ukuba ndikindiki emilenzeni | Ukungezwani noma ukuzwa ukuqaqamba ezandleni nasezinyaweni. |
| Ubuthakathaka bemisipha | Ukuzizwa ubuthakathaka, unenkinga yokuphakamisa izinsimbi, noma ukwenza umsebenzi. |
| Ukwehlisa isisindo | Ukwehlisa isisindo ngaphandle kwesizathu esithile. |
Ngaphezu kwalezi zimpawu zomzimba, ukuntuleka kwamavithamini nakho kungabangela imiphumela yengqondo. Ukucindezeleka , ukungakwazi ukugxilisa ingqondo , kanye nokukhohlwa kungenzeka. Ngezinye izikhathi, uma umuntu osekhulile enesifo esibi kakhulu se-vitamin B12, kungaphanjaniswa nokuwohloka komqondo.
Yiziphi izizathu eziyinhloko zalokhu?
Ngaphezu kwezici eziyingozi esixoxe ngazo ngaphambili, kunezinye izizathu eziningana ezingathinta lokhu.
- Eminye imithi: Eminye imithi enikezwa izifo ezifana nokuquleka.
- Ukuphuza utshwala ngokweqile: Utshwala buphazamisa ukumuncwa kwezakhamzimba emzimbeni.
- Ukuhlinzwa Kwesisu: Ukumuncwa kwamavithamini kungancishiswa ngemva kwezinto ezifana nokuhlinzwa kokunciphisa isisindo.
- Izimpethu zamathumbu: Zibangelwa yizinambuzane ezifana nezimpethu.
- Ukukhulelwa nokuncelisa: Phakathi nalezi zikhathi, isidingo somzimba se-folate (B9) siphezulu, ngakho-ke ukuntuleka kungenzeka.
- Abantu abasebenzisa i-dialysis ngenxa yesifo sezinso: Laba bantu bathambekele kakhulu ekulahlekelweni yi-folate emizimbeni yabo.
Ukuthola kanjani lokhu, Dokotela?
Uma unalezi zimpawu, udokotela wakho angasithola lesi simo ngokuhlolwa kwegazi okulula. Lokhu kuhlolwa kwegazi kubheka kakhulu:
- Anjani amazinga akho e-vitamin B12 kanye ne-folate egazini?
- Angakanani amaseli akho abomvu egazi, makhulu kangakanani, futhi anjani isimo sawo ?
Uma udokotela esola isimo esifana nokuthi "(i-anemia eyingozi)," angase enze nezinye izivivinyo eziningana ezikhethekile.
Into ebaluleke kakhulu ukuthi uma unalezi zimpawu, kufanele nakanjani ubone udokotela futhi uthole iseluleko ngaphambi kokuthatha amaphilisi evithamini wedwa. Ukuzelapha ngaphandle kokuthola imbangela eqondile kungaba yingozi.
Yiziphi izindlela zokwelapha lokhu?
Umgomo oyinhloko wokwelapha lokhu ukubuyisela amazinga evithamini emzimbeni wakho emazingeni afanele. Udokotela wakho uzonquma uhlelo lokwelashwa olufanele kakhulu kanye nomthamo wakho.
I-Vitamin B12 noma izithasiselo ze-folate zingathathwa ngezindlela ezahlukene:
- Amaphilisi agwinyiwe
- Amaphilisi e-Sublingual
- Isifutho sekhala
- Umjovo
- Uketshezi olufakwa emthanjeni ngesirinji (Intravenous - IV)
Ngokuvamile kuzodingeka uqhubeke nalokhu kwelashwa kuze kube yilapho amazinga akho amavithamini ebuyela esimweni esijwayelekile. Kubaluleke kakhulu futhi ukushintsha ukudla kwakho.
Kodwa-ke, uma unalokhu kuntuleka kwamavithamini ngenxa yesinye isimo esiyisisekelo, njengenkinga yokumuncwa, ungadinga ukwelashwa kwesikhathi eside ukuze uvimbele lesi simo ukuthi singaphinde sivele.
Yiziphi izinkinga ezingaba khona uma zingelashwa?
Ezimweni eziningi, lesi simo siphela ngokuphelele ngokwelashwa okufanele. Kodwa-ke, uma singelashwa, singadala izinkinga ezinkulu zesikhathi eside.
- Izinkinga zesimiso sezinzwa: Izinkinga ezinkulu zemizwa njengokungazweli ezithweni zomzimba, ubunzima bokuhamba.
- Isifo senhliziyo: Ingozi yokuba buthakathaka kwenhliziyo kanye nokwehluleka kwenhliziyo.
- Izinkinga ngesikhathi sokukhulelwa: Umthelela ekukhuleni komntwana.
- Izinkinga zokuzala: Ubunzima bokuthola abantwana.
Ngakho-ke ungazinaki lezi zimpawu.
Yini okufanele siyidle ukuze sigweme lesi simo?
Indlela engcono kakhulu yokunciphisa ingozi yalesi simo ukudla ukudla okunomsoco okucebile ngamavithamini B12 kanye ne-B9 (i-folate).
| Ukudla okucebile nge-vitamin B12 | Ukudla okucebile nge-vitamin B9 (folate) |
|---|---|
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Ungabuza udokotela wakho ukuthi udinga amavithamini angakanani ngosuku. Uzokweluleka nokuthi uthathe isithasiselo samavithamini uma kudingeka.
Umlayezo Wokuya Nawe Ekhaya
- Ukuzizwa ukhathele ngaso sonke isikhathi nokubukeka uphaphathekile akuvamile. Kungaba uphawu lwe-anemia yokuntuleka kwamavithamini.
- Imbangela eyinhloko yalesi simo izinga eliphansi le-vitamin B12 noma i-folic acid (B9) emzimbeni.
- Ukudla ukudla okunempilo kuyindlela engcono kakhulu yokugwema lesi simo.
- Uma unezimpawu, ungazami ukwenza izinqumo wedwa futhi nakanjani ubone udokotela wakho. Ukuhlolwa kwegazi okulula kungahlonza lesi sifo.
- Ukwelashwa kulula kakhulu futhi kuyasebenza. Ngakho-ke ungesabi, kodwa landela imiyalelo kadokotela ngqo.
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