Zizindikiro, Kusanthula, ndi Chithandizo cha Mavitamini Ochepa a Vitamini B12
Mawu akuti myelopathy amatanthauza matenda a msana. Myeloneuropathy ndi matenda omwe amakhudza mitsempha ya msana ndi mitsempha ya m'magazi. Zizindikiro zimatha kukhala ndi vuto losasinthasintha, zofooka, zofooka, kapena mavuto a chikhodzodzo ndi chikhodzodzo. Kufooka mu matenda a myeloneuropathy nthawi zambiri kumakhala m'manja ndi mapazi kupatsana, kuyambira pa mapazi anu.
Zomwe zimayambitsa myelopathy ndizosiyana komanso zimayambitsa matenda osokoneza bongo, zotupa, poizoni, ndi zofooka za vitamini.
Kulephera kwa vitamini B12 ndi mtundu wapamwamba kwambiri wa myeloneuropathy chifukwa cha kusoĊµa kwa zakudya.
Kumvetsetsa Vitamini B12
Vitamini B12 kawirikawiri imapezeka m'zipuloteni monga nyama ndi mkaka, koma zimakhala zofala m'masamba oonjezera ndi zakudya zina zamphiti zomwe si zachilendo kwa anthu akumadzulo kuti akhale osowa chifukwa cha zakudya zokha. Vitamini B12 imagwiritsidwa ntchito m'njira yovuta yomwe imadalira puloteni yotchedwa intrinsic factor . Chofunika ichi chiyenera kusungidwa m'mimba ndikuchitapo kanthu ndi vitamini kuti mulowetse bwino m'matumbo aang'ono.
Zimayambitsa Vitamini B12 zofooka
Anthu odya zakudya zowonjezera nthawi zambiri omwe sagwiritsira ntchito mankhwala owonjezera amatha kukhala ndi vuto la B12. Koma kawirikawiri, vuto limabwera chifukwa chokhala osakwanira. Anthu ena ali ndi matenda osokoneza bongo omwe amachititsa kuti magazi asagwiritsidwe ntchito mosavuta.
Kuchita opaleshoni yachipatala kapena matenda opweteka monga matenda a celiac angapangitsenso mavitamini malabsorption . Mankhwala monga metformin ndi proton pump inhibitors angachepetsenso ma B12.
Myeloneuropathy Kuchokera ku Vitamini B12 Imeneyi
Myelopathy yowonongeka ndi vitamini B12 yambiri imatchedwa kusagwirizana kwachibadwa: "subacute" chifukwa zizindikiro zanu zimayamba pang'onopang'ono; "kuphatikizidwa" chifukwa zizindikiro zambiri za ubongo zimakhudzidwa; ndi "kutaya" chifukwa maselo anu amatha kufa.
Mbali yaikulu ya msana wamtsempha umene waonongeka ndi mzere wotsatira, womwe umanyamula chidziwitso chokhudza kuwala, kugwedezeka, ndi mphamvu ( kudziwika kwa mwini ) ku ubongo. Zotsatira zake, mungathe kumva ngati wamanjenje ndipo mukhoza kumangokhalira kulira.
Ndondomeko yamatope yowonongeka imakhalanso yovuta chifukwa izi zimatha kudutsa mumtsempha wa msana. Nthenda yochepetsetsa ya m'mimba imathandizanso zizindikirozi. Kuonjezera apo, mitsempha yanu yamagetsi ingasokonezedwe, zomwe zimapangitsa kuti masomphenya asachepetse, monganso mababu anu, omwe amachititsa kuti fungo lisachepetse . Mungathe kukhalanso ndi dementia chifukwa chake vitaminiyi imayang'aniridwa nthawi zonse musanayambe kupeza munthu yemwe ali ndi matenda ngati a Alzheimer's.
Kuzindikira kwa kuchepa kwa B12
Kuphatikiza pa kusintha kwa mazira, ubweya wa B12 ukhoza kuyambitsa kuchepa kwa maselo ofiira a magazi, omwe amadziwika ngati kuchepa kwa magazi, omwe angakhoze kudziwika pamene ayang'ana magazi okwanira.
Kulephera kwa Vitamini B12 kungatsimikizidwe ndi maselo osavuta a vitamini. Mayesero ena omwe amadziwika kuti ali ndi vuto la B12, amaphatikizapo kujambula kwa maginito kachipangizo kameneka (MRI), zomwe zimachititsa kuti zinthu zisawonongeke, kapena zowonongeka. MRI iwonetsa chizindikiro chowala kwambiri pambali ya msana.
Zowonongeka zowonongeka zimakhala zocheperachepera mu njira zanu zowonekera komanso zamaganizo ku ubongo kupyolera mumagetsi.
Kuchiza ndi Kubwezeretsa Kuchokera ku Vitamini B12 Kulephera
Kulephera kwa B12 kungaperekedwe ndi jekeseni wamakamwa kapena m'magazi a vitamini. Ngati n'kotheka, chifukwa cha kusowa kwa B12 chiyenera kuchitidwa.
Kubwezeretsa kuvutika kwa B12 kumatenga nthawi. Kawirikawiri mudzafunika kuthandizidwa ndi vitamini B12. Kupititsa patsogolo kungapitirire kwa miyezi 6 mpaka 12 ya supplementation, ngakhale kuti n'zotheka kuti mukumva zochepa. Kugwira ntchito ndi wodwalayo kapena wakuthandizira angakuthandizeni kuthana ndi mavuto alionse.
> Zotsatira:
> Goodman BP. Njira Yodziwiritsira Njira Yoperewera Kwambiri. Kupitiriza: (Minneap Minn). August 2011; 17 (4): 744-60.
> Hammond N, Wang Y, Dimachkie M, Barohn R. Odwala Matenda Okhudzana ndi Nthenda. Mapatala a Neurologic . 2013; 31 (2): 477-489. lembani: 10.1016 / j.ncl.2013.02.002.
> Ropper, AH, Samuels MA. Adams ndi Victor's Principles of Neurology . 9th ed. Makampani a McGraw-Hill, Inc .; 2009.