Uhlala ukhathele? Mhlawumbe lokhu kuyi-anemia yokuntuleka kwamavithamini! (I-Vitamin Deficiency Anemia)

Ingabe nawe uzizwa ukhathele futhi ungenampilo ngaso sonke isikhathi? Ingabe ngezinye izikhathi uzizwa unesiyezi noma uphaphathekile? Esinye sezizathu zalezi zinto kungaba yi-anemia, okuwukuntuleka kwamavithamini athile emzimbeni wakho. Ake sixoxe ngalokhu ngendlela elula, ngemininingwane ethe xaxa.

Kuyini i-Vitamin Deficiency Anemia?

Kalula nje, i-Vitamin Deficiency Anemia yisimo lapho umzimba wakho ungakhiqizi khona amangqamuzana abomvu egazi anele anempilo. Imbangela eyinhloko yalokhu ukuntuleka kwe-vitamin B12 noma i-vitamin B9 (ebizwa nangokuthi i-folate noma i-folic acid).

Manje ungase uzibuze ukuthi ayini la maseli abomvu egazi. Lawa amasosha amancane anika igazi lethu umbala walo obomvu futhi athwale umoya-mpilo emizimbeni yethu yonke. Ngakho-ke, uma sintula leli vithamini, amangqamuzana abomvu egazi akhiqizwa emizimbeni yethu angaba makhulu ngendlela engavamile, acishe avuvuke. Lawa maseli amakhulu awakwazi ukuthwala umoya-mpilo kahle. Yingakho lesi simo ngezinye izikhathi sibizwa ngokuthi i-macrocytic anemia noma i-megaloblastic anemia .

Kungani imizimba yethu idinga i-vitamin B12 kanye ne-folic acid eningi kangaka?

Womabili la mavithamini, i-B12 kanye ne-folic acid, abalulekile ezinqubweni eziningi ezibalulekile emizimbeni yethu. Abaluleke kakhulu ekukhiqizweni kwamangqamuzana egazi abomvu anempilo.

Cabanga ngakho, njengoba nje ukwakha indlu kudinga izitini ezinhle, udinga futhi lawa mavithamini B12 kanye ne-folic acid ukuze wenze amangqamuzana abomvu egazi anempilo. Uma ungawatholi ngokwanele lawa, umzimba wakho ngeke ukwazi ukwenza amangqamuzana abomvu egazi ajwayelekile, avamile. Amangqamuzana angajwayelekile akhiwayo ayafa ngokushesha. Bese awunawo amangqamuzana abomvu egazi anele ukuthwala umoya-mpilo kuzo zonke izicubu nezitho zomzimba wakho. Yilokhu esikubiza ngokuthi i-anemia, noma ukuntuleka kwegazi.

Ubani onamathuba amaningi okuthola lesi sifo?

Nakuba noma ubani angaba nale nkinga yokuntuleka kwamavithamini, abanye abantu basengozini enkulu kancane.

• Kulabo abangadli ngokwanele: Lesi simo singaba khona uma ungenayo i-vitamin B12 noma i-folate eyanele ekudleni okudlayo. Isibonelo, abantu abadla inyama encane, inhlanzi, ubisi, namaqanda bangase babe ne-B12 entula. Ngokufanayo, abantu abadla imifino namantongomane amancane bangase babe ne-folate entula.
• Kulabo abanezimo zezokwelapha ezenza kube nzima ngomzimba ukumunca amavithamini: Kunezimo zezokwelapha ezithile ezivimbela umzimba ekumunceni kahle lezi zakhi ezivela ekudleni esikudlayo. Ezinye zalezi zimo zifaka:
• I-Biliary atresia : Lesi yisifo sesibindi.
• Isifo se-Celiac : Lokhu kuwukungezwani komzimba ne-protein gluten.
• Isifo sikaCrohn : Lesi yisimo sokuvuvukala kwendlela yokugaya ukudla isikhathi eside.
• I-cystic fibrosisI-Cystic fibrosis: Lesi yisifo esibangelwa izakhi zofuzo.
• I-anemia eyingozi: Lokhu kwenzeka lapho umzimba ungakhiqizi into ekhethekile ebizwa ngokuthi "i-intrinsic factor" esiza umzimba ukuthi umunce i-vitamin B12. Cabanga ngakho njengomngane osiza umzimba ukuthi umunce i-vitamin B12. Uma lowo mngane engekho, i-B12 ngeke ingene emzimbeni.

Yiziphi izimpawu zalokhu? Izinto okufanele uziqaphele...

Izimpawu ze-anemia yokuntuleka kwamavithamini ngezinye izikhathi zingavela kancane kakhulu, kancane kakhulu. Ungase ungaziboni izinyanga, noma ngisho neminyaka, kodwa kuwumqondo omuhle ukuqaphela izinto ezifana nalezi:

• Ukuzizwa unesiyezi
• Ukukhathala okuqhubekayo, ukuzizwa ukhathele (yilokhu abantu abaningi abakuzwa kuqala)
• Ukushaya kwenhliziyo ( ukuzwa sengathi inhliziyo yakho ishaya ngokushesha )
• Ukuzizwa ubuthakathaka bemisipha
• Ukuba ndikindiki noma ukuqaqamba emilenzeni
• Isikhumba esikhanyayo, ngezinye izikhathi esinombala ophuzi
• Ubunzima bokuphefumula (odokotela babiza lokhu ngokuthi 'i-dyspnea')
• Ukwehlisa isisindo ngaphandle kwesizathu

Ngaphezu kwalokho, ukuntuleka kwamavithamini nakho kungaba nemiphumela yengqondo. Kungabangela izimo ezifana nokucindezeleka . Ukuntuleka okukhulu kwevithamini B12 kungaholela ekulahlekelweni yinkumbulo, ubunzima bokugxilisa ingqondo, ngisho nokushintsha kobuntu . Ikakhulukazi uma umuntu osekhulile enalezi zimpawu, ngezinye izikhathi kungaphambaniswa nokuwohloka komqondo .

Kungani lokhu kwenzeka? Ake sibheke izizathu ngokuningiliziwe.

Manje sesiyazi ukuthi lokhu kuntuleka kwegazi kwenzeka lapho amazinga omzimba e-vitamin B12 noma i-folate ephansi. Ngakho-ke, kunezizathu eziningana zokuthi kungani la mazinga e-vitamin angaba phansi:

• Imithi ethile: Isibonelo, eminye imithi yezimo ezifana nesifo sokuwa inganciphisa ukumuncwa kwaleli vithamini.
• Ukuphuza utshwala ngokweqile: Njenganoma yini, ukuphuza utshwala ngokweqile akukuhle emzimbeni. Lokhu futhi kungenye yezimbangela zokuntuleka kwamavithamini.
• Izimo zempilo ezithinta ukumuncwa kwezakhamzimba: Njengoba sishilo ngaphambili, izifo ezifana `nesifo se-Celiac` noma `isifo sikaCrohn`.
• Uma uke wahlinzwa isisu: Ngezinye izikhathi, izinto ezifana nokuhlinzwa kokunciphisa isisindo (ukuhlinzwa kwesisu) nazo zingaphazamisa ukumuncwa kwamavithamini.
• Izifo ezifana nezimpethu zamathumbu: Izimbungulu, ikakhulukazi izimpethu ezithambile, nazo zingabangela ukuntuleka kwamavithamini emzimbeni.
• Ukudla okungafanele:
• Kulabo abangadli ukudla okwanele okuqukethe i-vitamin B12 (inyama, inhlanzi, ubisi, ushizi, amaqanda). Abantu abangadli inyama kufanele baqaphele kakhulu ngalokhu.
• Kulabo abangadli ukudla okwanele okuqukethe i-folate (i-vitamin B9) (imifino eluhlaza okotshani, imifino eluhlaza, ubhontshisi, amantongomane, imbewu).

Abantu abasengozini enkulu yokuntuleka kwe-folate:

• Omama abancelisayo
• Abesifazane abakhulelwe (i-folic acid ibalulekile ngesikhathi sokukhulelwa)
• Abantu abahlinzwa nge-dialysis ngenxa yesifo sezinso

Udokotela ukuxilonga kanjani lokhu ngokunembile?

Uma unalezi zimpawu, kungcono ukubona udokotela ukuze akunike iseluleko. Udokotela uzokubuza ngezimpawu zakho, futhi uma kudingeka, acele ukuhlolwa kwegazi . Lokhu kuhlolwa kwegazi kuzobheka kakhulu:

• Anjani amazinga akho e-folate egazini kanye ne-vitamin B12?
• Inani lamaseli abomvu egazi kanye nokubonakala kwawo (njengokuthi makhulu yini kunokujwayelekile noma anesimo esihlukile).

Ngezinye izikhathi, uma udokotela esola isimo esifana ne -anemia eyingozi, angase enze nezinye izivivinyo ezikhethekile.

Yiziphi izindlela zokwelapha lokhu? Ungalulama maduze!

Ungakhathazeki, kunezindlela zokwelapha ezinhle zalesi sifo sokuntuleka kwamavithamini. Umgomo oyinhloko wokwelashwa ukubuyisela izinga levithamini elintulekayo emzimbeni wakho ezingeni elifanele. Udokotela wakho uzonquma ukuthi yiliphi ivithamini ontulekayo kulo, ukuthi kufanele akunike malini, nokuthi ulinike kanjani.

Kunezindlela eziningana zokunikeza i-vitamin B12 noma i-folate:

• Amaphilisi okuphuza
• Amaphilisi ancibilikayo (amaphilisi angaphansi kolimi )
• Njengomjovo
• Ngezinye izikhathi njengoketshezi olufakwa emthanjeni (`Umugqa we-Intravenous (IV)`)
• Njengesifutho samakhala (isifutho samakhala)

Kuzodingeka uqhubeke nalokhu kwelashwa kuze kube yilapho amazinga akho amavithamini ebuyela esimweni esijwayelekile. Kubalulekile futhi ukushintsha ukudla kwakho. Ngezinye izikhathi, uma kukhona isimo esiyisisekelo esibangela ukuntuleka kwamavithamini, kungadingeka uqhubeke nokuthatha ukwelashwa ngenkathi welapha leso simo ukuze uvimbele ukuntuleka kwamavithamini ukuthi kubuye.

Ungakugwema kanjani ukuthola lesi sifo ngangokunokwenzeka?

Bathi, “Ukuvimbela kungcono kunokwelapha.” Ngakho-ke, indlela engcono kakhulu yokunciphisa ingozi yokuthola le nkinga yokuntuleka kwamavithamini ukudla ukudla okucebile ngamavithamini B12 kanye ne-B9 (i-folate).

Ukudla okune-vitamin B12 eningi:

• Inkukhu, inhlanzi (ikakhulukazi i-salmon, i-trout), inyama yenkomo, isibindi
• Amaqanda
• Ukudla okuqinisiwe - isibonelo, ezinye izinhlobo zesinkwa, okusanhlamvu kwasekuseni
• I-yoghurt, ushizi, ubisi

Ukudla okune-vitamin B9 eningi (i-folate):

• Ukudla okusanhlamvu okucebile - izinto ezifana ne-pasta, okusanhlamvu, ilayisi
• Izithelo - njengamawolintshi, ubhanana, ama-strawberry
• Imifino namakhambi aluhlaza okotshani - njengesipinashi, i-kale, i-broccoli, ne-asparagus. Amakhambi amaningi akhula ezingadini zakithi zasemakhaya alungele lokhu.

Ungabuza udokotela wakho ukuthi udinga i-vitamin B12 ne-B9 engakanani ngosuku. Angahlola amazinga akho amanje e-vitamin bese encoma ukuthi uthathe izithasiselo uma kudingeka.

Ingabe ngizoba ngcono uma ngithola ukwelashwa? Ingabe kukhona okufanele ukwesabe?

Ezimweni eziningi, uma kwelashwa kahle, i-anemia yokuntuleka kwamavithamini ayibangeli izinkinga ezinkulu zesikhathi eside. Ngokwelashwa, isimo siyathuthuka ngokuphelele.

Kodwa-ke, akukuhle ukuyeka lokhu kungelashwa. Uma wenza kanjalo, kungase kube nemiphumela emibi. Isibonelo:

* Ubunzima bokukhulelwa

* Isifo senhliziyo, mhlawumbe ukwehluleka kwenhliziyo

* Izinkinga zesimiso sezinzwa

* Izinkinga ezingaba khona ngesikhathi sokukhulelwa

Ngakho-ke, uma unezimpawu, qiniseka ukuthi ubona udokotela.

Yiziphi izinto ofuna ukuzibuza udokotela?

Uma usola ukuthi une-anemia yokuntuleka kwamavithamini, ungabuza udokotela wakho imibuzo efana nale:

• Yini okungenzeka kakhulu ukuthi iyimbangela yezimpawu zami?
• Yiziphi izivivinyo okufanele zenziwe ukuze kutholakale ukuthi une-anemia yokuntuleka kwamavithamini?

Uma udokotela wakho eseqinisekisile ukuthi une-anemia yokuntuleka kwamavithamini, buza le mibuzo:

• Yiziphi izindlela zokwelapha lokhu?
• Yiziphi izinguquko okudingeka ngizenze emikhubeni yami yokudla?
• Yini okufanele ngiyenze ukuze ngivimbele lesi simo ukuthi singaphinde senzeke?

Okunye futhi: igama elimayelana ne-vitamin E kanye ne-vitamin D

Uma ngikhuluma ngalokho, ngizophinde ngisho kancane ngezinye izinhlobo ezimbili zamavithamini.

Ukuntuleka kwe-Vitamin E, ikakhulukazi ezinganeni ezisanda kuzalwa, kungabangela i-anemia enzima ebizwa ngokuthi i-hemolytic anemia . Yilapho amangqamuzana abomvu egazi ebhujiswa ngokushesha kunalokho angadalwa khona. Kodwa-ke, ukuntuleka kwe-vitamin E akuvamile kakhulu kubantu abadala.

Nakuba ukuntuleka kwevithamini D ngezinye izikhathi kubonakala kanye ne-anemia, ukuntuleka kwevithamini D ngokuvamile akuyona imbangela eqondile ye-anemia.

Ngakho-ke, nazi ezinye izinto okufanele uzikhumbule kulokho esikhulume ngakho namuhla! (Umyalezo Wokuya Ekhaya)

Kulungile, ngakho-ke, nazi izinto ezibaluleke kakhulu okufanele uzikhumbule kulokho esikhulume ngakho namuhla:

• I-anemia yokuntuleka kwamavithamini iyenzeka lapho umzimba ungakhiqizi amangqamuzana abomvu egazi anele anempilo. Imbangela eyinhloko yalokhu ukuntuleka kwevithamini B12 noma i-B9 (i-folate).
• Qaphela uma unezimpawu ezifana nokukhathala okuqhubekayo, ukuphaphatheka, kanye nobunzima bokuphefumula .
• Kubaluleke kakhulu ukudla ukudla okunempilo , ikakhulukazi ukudla okunothe nge-B12 kanye ne-folate.
• Uma unalezi zimpawu,Ungesabi ukubona udokotela bese uthola iseluleko.
• Uma belashwa kahle, lesi simo singalapheka kakhulu.

Ngakho-ke, nakekela umzimba wakho. Ngoba impilo iyingcebo enkulu kunazo zonke! Uma ufuna ukwazi okwengeziwe, qiniseka ukuthi ukhuluma nodokotela.

I - anemia, ukuntuleka kwamavithamini, i-vitamin B12, i-folic acid, amaseli abomvu egazi, i-anemia, ukuntuleka kwegazi, ukudla okunomsoco