Kuthamanga kwa thiamine (mtundu wa B vitamini) kungakuike pangozi chifukwa cha matenda aakulu otchedwa beriberi. Popeza zakudya zambiri zili ndi thiamine, beriberi ndizosowa kwambiri ku United States. Komabe, kumwa mowa mopitirira muyeso komanso matenda ena amatha kuonjezera chiopsezo cha kuchepa kwa thiamine.
Wodziwika kuti vitamini B1, thiamine amathandiza kwambiri potembenuza chakudya m'thupi.
Zimakhudzidwanso ndi mchitidwe wosokonezeka kwa minofu, komanso kupatsirana kwa zizindikiro za mitsempha komanso kupanga zidulo zofunika kuti chimbudzi chikhale choyenera. Ngakhale kuti makamaka m'matumbo anu, mafupa amapezekanso mu ubongo, mtima, chiwindi, ndi impso.
Mukasiya kusatulutsidwa, beriberi ikhoza kuchepetsa mphamvu zanu ndipo zimayambitsa mavuto owopsa pamoyo wanu.
Mitundu ya Beriberi: Mvula vs Dry
Pali mitundu iwiri ya beriberi: wet beriberi (yomwe imakhudza mtima wamagetsi) ndi beriberi youma (yomwe imakhudza dongosolo la manjenje). Ngati sichitseke, beriberi yonyowa ikhoza kuvulaza minofu ya mtima. Amagwirizananso ndi kupweteka mtima kwa mtima, komwe mtima sungakhoze kupopera magazi okwanira kuti akwaniritse zosowa za thupi.
Dry beriberi imadwalitsa mitsempha ndipo imatha kufooketsa mphamvu ya minofu, ndipo pamapeto pake, kufooka. Ngati matendawa amapezeka komanso atachiritsidwa kale, kuwonongeka kwa dongosolo la mitsempha nthawi zambiri kumawomboledwa.
Kupanda chithandizo cham'mbuyomu kungabweretse mavuto ngati kukumbukira kukumbukira nthawi zonse.
Matenda a Wernicke-Korsakoff ndi mtundu wa matenda a ubongo chifukwa cha kusowa kwa thiamine. Kawirikawiri, zizindikiro za matenda a Wernicke ndizoyamba kuwonekera. Zizindikiro zimaphatikizapo chisokonezo, kusokonezeka kwa thupi, komanso kusintha kwa masomphenya ngati nystagmus (kayendedwe ka maso, kosalamulirika).
Matenda a Korsakoff amayamba nthawi zambiri, ndi zizindikilo kuphatikizapo kukumbukira kukumbukira, kumakhala kovuta kukumbukira zinthu zatsopano, kukonzekera, ndikupanga nkhani (kutchedwa kukangana).
Zimayambitsa
Chifukwa kumwa mowa kwambiri kumalepheretsa thupi lanu kuti lidziwe ndi kusunga thiamine, kumwa mowa mwauchidakwa ndi chimodzi mwa zifukwa zazikulu za beriberi lerolino.
Nthawi zambiri zosawerengeka, beriberi imapezeka ngati matenda a chibadwa. Kwa anthu ena omwe ali ndi vutoli, kuthetsa mphamvu ya thiamine kuchokera ku zakudya kumachepa pang'onopang'ono.
Kuwonjezera apo, ana oyamwitsa akhoza kukhala ndi beriberi pamene thupi la mayi liribe thiamine yokwanira.
Zowopsa
Kuphatikizapo mowa mopitirira muyeso, zimakhala ngati kutsegula m'mimba kwa nthawi yaitali komanso kusanza kumakhudzana ndi mimba ndi zina mwazirombo zomwe zimayambitsa beriberi.
Kuonjezera apo, kupyolera mu dialysis , kutenga miyezo yambiri yokhala ndi zodzoladzola , ndi kulandira opaleshoni yowonjezereka kungathe kuwonetsa chiopsezo cha kuchepa kwa thiamine. Anthu omwe ali ndi hyperthyroidism , Edzi , kapena matenda aakulu a chiwindi angakhalenso ovuta kwa chikhalidwe ichi.
Zizindikiro
Zizindikiro zofala kwambiri za wet beriberi zimaphatikizapo:
- Kuwonjezeka kwa mtima
- Kupuma pang'ono (kuphatikizapo kudzuka usiku kupumira mpweya)
- Kutupa kwa m'munsi mapazi
Nthawi zina madzi amchere amachititsa kuti mtima usagonje, anthu amatha kukhala ndi zizindikiro zotsatirazi:
- Kuvuta kupuma motsatizana ndi mitsempha ya mitsempha yambiri
- Mtima wochuluka
- Mpweya m'mapapo
- Kukukwa kwa mtima kofulumira
Kwa beriberi youma, zizindikiro zimaphatikizapo:
- Kuvuta kuyenda
- Kutaya kumverera m'manja ndi m'mapazi
- Kutaya minofu kumatenda kapena kuuma kwa miyendo ya m'munsi
- Kusokonezeka maganizo
- Ululu
- Zovuta za kulankhula
- Makina oyendetsa maso
- Kugwiritsa ntchito
- Kuthamanga
Kupewa
Kudzera zakudya zabwino ndizovuta kwambiri popewera beriberi. Kuti mukhale ndi thiamine yambiri, yesani zakudya zotsatirazi:
- Nyemba ndi nyemba
- Zamakina (monga yogurt)
- Mazira
- Nyama, nkhuku, ndi nsomba
- Mtedza ndi mbewu
- Matenda a thiamine anathandiza kwambiri chakudya cham'mawa
- Mbewu zonse
Zomera zotsatilazi zimakhalanso ndi thiamine:
- Acorn squash
- Katsitsumzukwa
- Beet amadyera
- Kuphulika kwa Brussels
- Sipinachi
Tiyenera kukumbukira kuti zakudya zambiri zimakhala ndi zinyama, zomwe zimapezeka kuti zimapangitsa kuti thiamine isagwire ntchito. Zakudya izi zikuphatikizapo:
- Mphepo
- Milled mpunga
- Mamazelo
- Shirimpi
Kulepheretsanso kudya zakudya zotero kungathandizenso kuchepetsa beriberi.
Chithandizo
Kuchiza kwa beriberi kumaphatikizapo kubwezeretsa thupi la thiamine. Odwala ena amachiritsidwa ndi thiamine, pamene ena amalandira jekeseni wa thiamine.
Nthaŵi zambiri, kuchipatala kwa beriberi kumachepetsa zizindikiro ndikusokoneza mtima kapena dongosolo lamanjenje.
Kulephera kuchiza matenda a beriberi (ndi Wernicke-Korsakoff syndrome) kungawononge kuwonongeka kwa mtima ndi / kapena mitsempha, komanso coma, psychosis, ngakhale imfa.
Vitamini B Supplementation
Ngati mukumwa mowa kwambiri, kutenga vitamini B zowonjezereka sikunakonzedwe ngati njira yothetsera beriberi. Malingana ndi Kugwiritsa Ntchito Mavuto Osokoneza Bongo ndi Umoyo wa Umoyo waumphawi, kumwa mowa mopitirira muyeso kumatanthawuza ngati kumwa mowa mwauchidakwa (ie, kudya zakumwa zinayi kwa amayi ndi zakumwa zisanu kwa amuna) masiku asanu kapena kuposerapo mwezi watha.
Ngati muli ndi zizindikiro zilizonse za kusowa kwa thiamine, funsani dokotala wanu mwamsanga.
> Zotsatira:
> Hanninen SA, Darling PB, Sole MJ, Barr A, Keith ME. "Kufalikira kwa kusowa kwa thiamin m'zipatala odwala matenda osokonezeka mtima." J Am Coll Cardiol. 2006 Jan 17; 47 (2): 354-61.
> Lee HS, Lee SA, Shin HS, Choi HM, Kim SJ, Kim HK, Park YB. "Matenda a mtima wa beriberi: matenda oiwalika koma osaiwalika." Korea Circ J. 2013 Aug; 43 (8): 569-72.
> Matrana MR, Davis WE. "Kulephera kwa vitamini pambuyo pa opaleshoni yowonjezera opaleshoni: ndemanga." South Med J. 2009 Oct; 102 (10): 1025-31.
> Wooley JA. "Zizindikiro za thiamin ndi kufunika kwake kwa kasamalidwe ka mtima kulephera". 2008 Oct-Nov; 23 (5): 487-93.
Chodziwikiratu: Zomwe zili pa tsambali zimapangidwa pazinthu zophunzitsira zokha ndipo sizilowetsamo malangizo, matenda kapena chithandizo ndi dokotala wololedwa. Sichikutanthauza kubisa zonse zomwe zingatheke, kuyanjana kwa mankhwala, zochitika kapena zotsatirapo zoipa. Muyenera kupeza chithandizo chamankhwala mwamsanga pa nkhani iliyonse yathanzi ndikufunsani dokotala musanagwiritse ntchito mankhwala osakaniza kapena kusintha kwa regimen yanu.