Ukugijima ngaphansi kwe-thiamine (uhlobo lwe-vitamin B) kungakubeka engozini yesimo esibi esibizwa nge-beriberi. Njengoba ukudla okuningi kunothile ku-thiamine, i-beriberi iyinto engavamile kakhulu e-United States. Kodwa-ke, ukusetshenziswa kabi kotshwala kanye nezinkinga ezithile zezokwelapha kungakwandisa ingozi yokuntuleka kwe-thiamine.
Eyaziwa nangokuthi i-vitamin B1, i-thiamine idlala indima ebalulekile ekuguquleni ama-carbohydrate abe amandla.
Kubuye kuhileleke ekusebenzeni kwe-muscle contraction, kanye nokudluliswa kwezibonakaliso zesisindo kanye nokukhiqizwa kwama-acids okubalulekile ekugayeni kahle. Nakuba ikakhulukazi igxile emisipha yakho yamathambo, i-thiamine itholakale ebuchosheni, enhliziyweni, esibindi nasezinsweni zakho.
Uma ushiywe ungakhulumi, i-beriberi ingalimaza kakhulu izinga lakho lamandla futhi ibangele izinkinga ezisongela ukuphila ngenhliziyo yakho noma isimiso sezinzwa.
Izinhlobo ze-Beriberi: I-Wet vs. Dry
Kunezinhlobo ezimbili ze-beriberi: i-beriberi emanzi (echaphazela uhlelo lwe-cardiovascular) kanye ne-beriberi eyomile (echaphazela isimiso sezinzwa). Uma ihamba ingavinjelwe, i-beriberi emanzi ingabangela ukulimala ezinxenyeni zenhliziyo. Kubuye kuhlotshaniswe nokuhluleka kwenhliziyo ekhululekile, lapho inhliziyo ayikwazi ukushaya igazi elanele ukuhlangabezana nezidingo zomzimba.
I-beriberi eyomile ilimaza izinzwa futhi ingaholela ekulahlekelweni kwamandla emisipha futhi, ekugcineni, ukukhubazeka. Uma isimo sitholwa futhi siphathwa ezinyathelweni zayo zakudala, umonakalo ohlelweni lwezinzwa ngokuvamile luvuselelwa.
Ukuntula ukwelashwa okuphuthumayo kungabangela izinkinga ezifana nokulahlekelwa inkumbulo okuhlala njalo.
I-Wernicke-Korsakoff syndrome uhlobo lwengqondo yesifo sobuchopho obangelwa ukungabi nalutho lwe-thiamine. Ngokujwayelekile, izimpawu zesifo sikaWernicke ziqala ukuvela. Izimpawu zihlanganisa ukudideka, ukulahleka kwemisipha yokuxhumana, kanye nezinguquko embonweni njenge-nystagmus (ukunyakaza kwamehlo okusheshayo nokungalawuleki).
I-Korsakoff syndrome ivame ukukhula ngokuhamba kwesikhathi, ngezimpawu ezihlanganisa nokulahlekelwa inkumbulo, ubunzima ukwenza izinkumbulo ezintsha, ukucabangela, nokwenza izindaba (ezibizwa ngokuthi ukuhlanganiswa).
Izimbangela
Ngenxa yokuthi ukuphuza kuphazamisa kakhulu amandla omzimba wakho wokubamba nokugcina i-thiamine, ukusetshenziswa kabi kotshwala kungenye yezimbangela ezinkulu ze-beriberi namuhla.
Ezimweni ezingavamile kakhulu, i-beriberi ivela njengesifo sofuzo. Kwabanye abantu abanalo nalesi simo, ikhono lokuthola isisindo samanzi kusuka ekudleni kancane kancane liyancipha ngobudala.
Ukwengeza, izinsana ezincelisayo zingathuthukisa i-beriberi lapho umzimba womama ungekho thiamine eyanele.
Izingozi Zezingozi
Kanye nokusetshenziswa kabi kotshwala, izinkinga ezifana nesifo sohudo eside kanye nokuhlanza okuhlobene nokukhulelwa ziphakathi kwezici eziyingozi zokubhekwa kwe-beriberi.
Ngaphezu kwalokho, ukudluliswa kwe-dialysis , ukuthatha izidakamizwa eziphezulu ze- diuretics , nokwamukela ukuhlinzekwa nge-bariatric kungakuphakamisa ingozi yokuntuleka kwe-thiamine. Abantu abanesifo se- hyperthyroidism , i- AIDS , noma isifo esinamandla sebindi singase sithandeke nakakhulu kule nkinga.
Izimpawu
Izimpawu ezivame kakhulu ze-beriberi ezimanzi zihlanganisa:
- Ukwandisa izinga lenhliziyo
- Ukuphefumula (kufaka phakathi ukuvuka ebusuku ukuphefumula)
- Ukuvuvukala kwemilenze ephansi
Ezimweni lapho i-beriberi emanzi iholela ekuhlulekeni kwenhliziyo, abantu bangase babone lezi zimpawu ezilandelayo:
- Ukuphefumula okunzima okuhambisana ne-bulging neck veins
- Inhliziyo ekhulisiwe
- Umkhuhlane emaphashini
- Ukushaya kwenhliziyo okusheshayo
Kwi-beriberi eyomile, izimpawu ngokuvamile zihlanganisa:
- Kunzima ukuhamba
- Ukulahlekelwa kwemizwa ezandleni nasezinyaweni
- Ukulahlekelwa kwemisipha noma ukukhubazeka kwemilenze ephansi
- Ukudideka kwengqondo
- Ubuhlungu
- Izinkinga zokukhuluma
- Ukunyakaza kwamehlo okumangalisayo
- Ukulinganisa
- Ukuvota
Ukuvimbela
Ukulandela ukudla okunempilo kungcono ukubheja kwakho ekuvimbeleni i-beriberi. Ukuze ugcwalise i-thiamine, layisha ukudla okulandelayo:
- Ubhontshisi namaqabunga
- Imikhiqizo yobisi (njenge-yogurt)
- Amaqanda
- Inyama, izinkukhu, nezinhlanzi
- Amantongomane nembewu
- I-Thiamine-yacebisa okusanhlamvu kwasekuseni
- Ukudla okuphelele
Lezi zitshalo ezilandelayo ziphakeme kakhulu ku-thiamine:
- I-squash eyi-Acorn
- I-asparagus
- Imifino ye-Beet
- Amahlumela aseBrussels
- Isipinashi
Kumele kuqashelwe ukuthi ukudla okuningana kuneziqu zamanzi, eziyi-enzyme ezitholakalayo ezenza i-thiamine ingasebenzi. Lokhu kudla kufaka:
- Ama-Vlams
- Ilayisi egazini
- Izimbaza
- Izinhlanzi
Ukunciphisa ukudla kwakho okunjalo kungasiza ekuvimbeleni i-beriberi.
Ukwelapha
Ukwelashwa kwe-beriberi kugxile ekubuyiseleni amazinga we-thiamine womzimba. Ezinye iziguli zitholwa nge-supplement thiamine, kuyilapho ezinye zithola umjovo we-thiamine.
Ezimweni eziningi, ukwelashwa kwe-beriberi kunciphisa izimpawu futhi kugodla ukulimala kwenhliziyo noma isimiso sezinzwa.
Ukwehluleka ukwelapha i-beriberi (ne-Wernicke-Korsakoff syndrome) kungabangela ukulimala okungapheli kwenhliziyo kanye / noma izinzwa, kanye ne-coma, i-psychosis, ngisho nokufa.
Ukwengeza kwe-Vitamin B
Uma ungumuntu ophuza ngokweqile, ukuthatha isisindo se-vitamin B akukhuthazwa njengecebo lokuvimbela i-beriberi. Ngokusho kokuhlukumeza izidakamizwa kanye nokuPhathwa kweziNhlelo zezeMpilo, ukusetshenziselwa utshwala ngokweqile kuchazwa njengokuphuza ngokweqile (okungukuthi, ukuphuza iziphuzo ezine kwabesifazane neziphuzo eziyisihlanu zamadoda) ngezinsuku ezinhlanu noma ngaphezulu ngenyanga edlule.
Uma uhlangabezana nanoma yiziphi izimpawu zokuntuleka kwe-thiamine, buza udokotela wakho ngokushesha.
> Imithombo:
> Hanninen SA, Darling PB, Sole MJ, Barr A, Keith ME. "Ukusabalala kwesifo se-thiamin esibhedlela iziguli ezinezinkinga zokuphefumula kwenhliziyo." 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. "Isimo se-beriberi senhliziyo: isifo esikhohliwe kodwa esingasoleki." I-Korean Circ J. 2013 Aug; 43 (8): 569-72.
> Matrana MR, Davis WE. "Ukwelashwa kwe-Vitamin ngemuva kokuhlinzwa kwesisu esiswini: ukubuyekezwa." I-South Med J. 2009 Oct; 102 (10): 1025-31.
> Wooley JA. "Izimpawu ze-thiamin kanye nokuhambisana nokuphathwa kwehluleka kwenhliziyo." I-Nutr Clin Pract. 2008 Oct-Nov; 23 (5): 487-93.
Ukuziphendulela: Ulwazi oluqukethwe kule sayithi luhloswe ngezinjongo zemfundo kuphela futhi aluthathi iseluleko, ukuxilongwa noma ukwelashwa ngudokotela olayisensi. Akuhloselwe ukumboza zonke izinyathelo zokuqapha, ukusebenzisana kwezidakamizwa, izimo noma imiphumela emibi. Kufanele ufune ukunakekelwa okusheshayo kwezokwelapha kunoma yiziphi izinkinga zezempilo bese uthintana nodokotela wakho ngaphambi kokusebenzisa enye imithi noma wenze ushintsho ohlelweni lwakho.