Mgwirizano wokhazikika koma wosavuta
Vitamini B12, yomwe imadziwika kuti cobalamin, ndi vitamini wosasungunuka ndi madzi omwe amathandiza kwambiri pakupanga maselo ofiira a magazi komanso kukhalabe ndi kayendedwe ka kayendedwe kake ka mitsempha.
Zizindikiro za kuchepa kwa Vitamini B12
Vitamini B12 imakhala ndi ntchito yofunikira pa kayendetsedwe ka kayendedwe kathu kaumanjenje pothandizira kusunga mbali ya myelin.
Ndipotu, vuto lalikulu la vitamini B12 lingayambitse matenda a ubongo omwe amatsanzira zizindikiro za MS, monga kufooka ndi kufooka ndi kuyimba, kuyenda, kulingalira, ndi mavuto.
Ngakhale pamene anthu ali ndi vuto lochepa la B12, iwo akhoza kusonyeza zizindikiro monga kutopa , kupweteka , ndi kukumbukira kukumbukira.
Matenda a m'magazi ndi glossitis (chikhalidwe chimene chimayamba kutupa ndi kupweteka) ndi zizindikiro zina za kusowa kwa vitamini B12.
Gwirizanitsani Pakati pa Vitamini B12 Kulephera ndi MS
Kafukufuku wina wasonyeza kuti mlingo wokwanira wa vitamini B12 uli ndi anthu oposa MS kuposa anthu omwe alibe MS. Kafukufuku wina anapeza miyezo yotsika ya B12 mu cerebrospinal fluid ya anthu omwe ali ndi MS, ngakhale kuti magazi awo anali ofanana. Komanso, kafukufuku wina sanapeze kuti palibenso mgwirizano pakati pa mavitamini B12 ndi MS-mwa kuyankhula kwina, kaya kulibe kugwirizana kulibe nkhani yotsutsana.
Chifukwa cha kuchepa kwa Vitamini B12
Zomwe zimayambitsa vitamini B12 zimakhala zosiyana ndipo zimaphatikizapo:
- Kuletsa zakudya monga anthu omwe amadya zakudya zodyera kapena zamasamba.
- Mankhwala ena angakhudze mavitamini B12 mu thupi monga mankhwala a shuga a metformin kapena mankhwala omwe amachititsa kupweteketsa mtima (otchedwa proton pump inhibitors)
- Matenda a Crohn kapena zochitika zina zomwe zimapangitsa kuti thupi lisakanike ngati matenda a leliac, kupitirira kwa mabakiteriya, ndi opaleshoni yotsatila.
- Mankhwala oopsa: vuto limene munthu sangathe kulandira vitamini B12 kuchokera ku zakudya chifukwa alibe puloteni yotchedwa chinthu chofunikira
Kuzindikira kwa kuchepa kwa B12
Nkhani yabwino ndi yakuti ngati dokotala akudandaula kuti zizindikiro zanu zofanana ndi MS zingakhale zochokera kumsika otsika B12 (kapena chifukwa chakuti akufuna kuti athetse izi), pali mayeso osavuta a magazi omwe zikhoza kuchitika:
- Kuwerengera kwathunthu kwa magazi
- Vuto la Vitamini B12
Ngati pali vuto la kuchepetsa magazi, zowonjezereka ndi mankhwala a vitamine B12 kapena jekeseni wa vitamini B12 mu minofu ikhoza kulamulidwa.
Ngati mavitamini anu a vitamini B12 ali ochepa, dokotala wanu akhoza kulamula mayeso ena awiri a magazi, homocysteine ndi methylmalonic acid. Zinthu zamagetsizi zonsezi ndizokwanira mu vitamini B12.
Ndikofunika kuzindikira kuti palibe umboni wa sayansi womwe ungathandize kuthana ndi vitamini B12 ngati miyezo yanu ili ndi mavitamini B12 (pamene zikhalidwe zanu ndi zachilendo) sizidzakuthandizani zizindikiro zanu zamaganizo kapena sizidzakuthandizani kuti musamapatse MS wanu mwachindunji kupitirira kwa matenda kapena kubwereranso.
Kutenga Vitamini B12
Vitamini B12 imapezeka mu mkaka, mazira, nyama, nkhuku, ndi nkhono. Ngati munthu sakupezeka kuti alibe, ndalama zothandizira tsiku ndi tsiku zimakhala ziwiri kapena zitatu mcg tsiku, kapena 2.4mcg kuti zikhale zolondola (ngakhale, zina zowonjezera pakufunika mimba ndi zochepa mwa ana).
Nkhani yabwino ndi yakuti zakudya zambiri (nsomba, nyama, mbewu zamchere) zili ndi zoposa 2 mcg. Mwa kuyankhula kwina, vitamini B12 yowonjezerapo sikufunikira kwa anthu omwe amadya zakudya zachilendo.
Ngati munthu ali ndi vitamini B12 wosakwanira, mlingo waukulu wa tsiku ndi tsiku umayankhidwa, wotsatiridwa ndi kuchepetsa tsiku lililonse mlingo wokhala ndi mavitamini B12 a periodic omwe akuyang'aniridwa ndi dokotala.
Malinga ndi "chifukwa" chakumapeto kwa kusowa kwa vitamini B12, dokotala wawo adzasankha njira yabwino kwambiri ya mavitamini, monga momwe amachitira pakamwa kapena kupyolera mu jekeseni.
Mawu Ochokera
Lingaliro la mgwirizano kapena mgwirizano pakati pa kukhala ndi MS ndi kukhala vitamini B12 kukhala wosakwanira ndikupikisanabe, monga momwe maphunziro a sayansi amasonyezera zotsatira zotsutsana.
Mofananamo, palibe malangizo omwe akunena kuti chifukwa chakuti muli ndi MS, muyenera kuti mavitamini B12 anu ayang'ane. Komabe, musadabwe kwambiri ngati dokotala wanu ayesa mlingo wanu wa vitamini B12, ndipo ngati uli wotsika, musataye mtima. Ndipotu, kungakhale kupuma-chinthu chosavuta kuchichitira, mosiyana ndi MS.
Zotsatira:
> Bowling AC. Chidule cha Malangizo Otsatira Umboni: Mankhwala Othandizira Omwe Amagwiritsidwa Ntchito M'mabungwe Amitundu Yambiri. Neurology . 2014; 82 (12).
> Langan RC. Vitamini B12 Kulephera: Kuzindikiridwa ndi Utsogoleri. Am Phys Physician. 2017 Sep 15; 96 (6): 384-89.
National MS Society. Mavitamini, Minerals, & Herbs mu MS .
Najafi, MR, Shaygannaiad, V, Mirpourian, M., & Gholamrezaei, A. Vitamini B12 Kulephera ndi Multi Sclerosis; Kodi Pali Bwenzi Lililonse? International Journal of Preventive Medicine . 2012; 3 (4): 286-89.