Zofooka za Vitamini ndi Zotsatira za Mitsempha
Kulephera kwa vitamini kungayambitse mavuto ambiri a ubongo. Chinthu chochititsa chidwi kwambiri ndi matenda a myeloneuropathy, omwe amatanthawuza mavuto ndi msana wam'mimba ndi dongosolo la mitsempha yowopsya .
Mavuto a ubongo okhudzana ndi kuchepa kwa vitamini anazindikiritsidwa koyamba mu 2004. Anthu amayamba kupanga nayxia ndi zovuta chifukwa cholephera kudziwa komwe ziwalo zawo za thupi zilili mlengalenga.
Kunjenjemera ndi kufooka kunapanganso. Pa kafukufuku wamaganizo, zinkangowonjezereka bwino.
Mmodzi mwa odziwika bwino kwambiri wa myeloneuropathy ndi amene amayamba chifukwa cha vitamini B12. Koma mavitamini ena monga mkuwa, folate , kapena vitamini E angayambitsenso mavuto ndi msana.
Vitamini B12 Kulephera
Kulephera kwa B12 kungayambitse mavuto ambiri a ubongo, koma chodziwika kwambiri ndi myeloneuropathy yotchedwa subacute kuphatikizana . Kuperewera kwa B12 kumayambitsa matenda a nsanamira za msana, zomwe zimanyamula zokhudzana ndi kukhudza, kugwedezeka ndi malo a thupi mlengalenga (mwiniwake) kuchokera mu thupi kupita ku ubongo. Chifukwa cha matendawa, kupweteka ndi kufooka kumayambitsa. Nthenda imayamba mu "chitsanzo chogwiritsira ntchito" chomwe chimatanthauza kuti imayenda pang'ono pang'onopang'ono ndikuyendetsa mikono ndi miyendo (pambuyo poyambira kumapazi ndi manja).
Kutaya Kwake
Kulephera kwa Copper kufanana ndi kuchepa kwa B12. Chifukwa chofala kwambiri ndi malabsorption, monga opaleshoni ya bariatric, kapena malabsorption syndromes monga matenda a celiac . Kuchuluka kwa zink kudya kungapangitsenso kuperewera kwa mkuwa. Kuonjezera ku zitsulo zowonjezera, zitsulo zina zimakhala ndi zinki zambiri.
Kupezeka kwa kuperewera kwa mkuwa kungapangidwe poyesera mitsempha m'magazi - ndipo kawirikawiri, dokotala adzayang'ananso zinc levels.
Chithandizo cha kusowa kwa mkuwa ndichokuwonjezera ndi mkuwa wamphongo ndipo, ngati kuli kotheka, kuchepetsa kumwa kwa zinc.
Kulephera Kwambiri
Mankhwala (tetrahydroflic acid) amapezeka mu zipatso za citrus ndi masamba obiriwira. Zingakhale zoledzera pang'ono kapena sybromes malabsorptive. Pakati pa mimba, masewera otsika amakhala ochepa kwambiri omwe amachititsa kuti mwana asatengeke msinkhu, zomwe zachititsa kuti amayi azitha kupatsirana ndi vitamini ngati akulingalira za mimba.
Kuperewera kwa anthu nthawi zambiri kumaphatikizapo zofooka zina za vitamini zomwe zingayambitse ubongo. Izi zati, zimakhala zofanana ndi kuwonongeka kwazodziphatikizana zomwe zakhala zikufotokozedwa ndi kusowa kwachinthu, kusinthika kwa chidziwitso, komanso kufooka ndi kufooka, ndipo madokotala ambiri amayang'anabe msinkhu wa magazi ngati zizindikirozo zilipo ndipo zimapereka chithandizo cha myeloneuropathy.
Folic acid amamwa mosavuta koma amathanso kusokoneza ubwino wa vitamini B12 ndipo amaipitsa matenda a myeloneuropathy. Ichi ndichifukwa chake madokotala adzataya mavitamini B12 asanayambe folic acid supplementation.
Vitamini E Kufooka
Ngakhale kuti vuto lalikulu la m'mimba mwa vutamini E limakhala matenda a spinocerebellar, nthawi zambiri zimakhala zogwirizana kwambiri ndi matenda a m'mimba. Kulephera kwa Vitamin E kumachitika pa mafuta aakulu a malabsorption (mwachitsanzo, biliary malingaliro, cystic fibrosis) kapena matenda a majini (mwachitsanzo, ataxia ali ndi vuto la vitamini E kapena abetalipoproteinemia). Njira zothandizira kuchepa kwa vitamini E zimaphatikizapo kuchepetsa kupatsa mafuta ndi mavitamini E opatsirana.
Vitamini E ndi mavitamini osungunuka ndi mafuta omwe amapezeka mu mbewu, tirigu, ndi tirigu. Ndikochepa kuti vuto la vitamini E likusowa chifukwa cha kuchepa kwa zakudya, koma zingatheke chifukwa cha zinthu zomwe zimachititsa kuti mafuta asagwiritsidwe ntchito kwambiri.
Kutentha kwa vitamini E moyenerera kumafuna mavitamini a pancreatic ndi salt salt ku chiwindi. Nthawi zina pamakhala zovuta zobadwa ndi vitamini E zomwe zimayambitsa mavuto, makamaka ana.
Zizindikiro za kuchepa kwa vitamini E zimaphatikizapo kusayendayenda kwa diso, kusintha kwa masomphenya, cerebellar ataxia ndi pulogalamu ya ubongo, kuphatikizapo zizindikiro za posterior column sensory loss injira zomwe zikukumbutsa zolakwika zina za vitamini zomwe takambirana.
Maseŵera a Vitamin E akhoza kuwonetsedwa mwachindunji m'magazi, ngakhale maguluwa akhoza kuthandizidwa ndi maola a cholesterol ndi lipids m'magazi. Chithandizo cha kuchepa kwa vitamini E ndi kamvekedwe ka vitamine E kamene kamathandizira komanso kumathandiza kuchepetsa mafuta (kuthana ndi vuto la mankhwala, ngati n'kotheka).
Pansi
Ngakhale kuti myeloneuropathy yowonongeka ndi vitamini izi zingakhale zovuta, uthenga wabwino ndizo zizindikiro zimatha kusintha kapena kuthetsa chithandizo choyenera.
Ngati dokotala wanu akuyesani kuti muyese matenda a myeloneuropathy, akhoza kuitanitsa chithunzi cha magnetic resonance imaging (MRI), chomwe chingasonyeze zilonda kumalo otsika pambuyo pa msana ndi electromyogram (EMG) komanso kuphunzira masewero olimbitsa thupi (NCS) , omwe amasonyeza kuchepa .
Zotsatira:
Brent, P. Goodman, Njira Yodziwiratu kwa Maeloneuropathy; Kupitiriza: Mphepete, Mzuzi, ndi Matenda a Plexus Volume 17, Number 4, August 2011.
O, RC, & Brown, DL (2003). Vitamini B12 Kulephera. American Family Physician , Mar 1; 67 (5): 979-86.
Ropper, AH Samuels, MA Adams ndi Victor's Principles of Neurology, 9th ed: The McGraw-Hill Companies, Inc., 2009.
Antchito, NP & Windebank, AJ (2014). Matenda a ubongo chifukwa cha kusowa kwa vitamini, poizoni, ndi mankhwala. Continuum (Minneap Minn) , Oct; 20 (5 Zizindikiro za Mitsempha ya Mitsempha Yoperewera): 1293-1306.
KUDZIZIRANI: Zomwe zili pa tsamba ili ndi zolinga za maphunziro okha. Sitiyenera kugwiritsidwa ntchito ngati choloweza m'malo mwa chisamaliro cha munthu wodwala wovomerezeka. Chonde funsani dokotala wanu kuti apeze matenda ndi chithandizo cha chilichonse chokhudza zizindikiro kapena matenda .