Isixhumanisi esingavumelani kodwa silungiselele kalula
I-Vitamin B12, eyaziwa nangokuthi i-cobalamin, iyinvithamini engenawo amanzi edlala indima ebalulekile ekukhiqizeni amangqamuzana egazi abomvu nokugcina ukusebenza okuvamile kwesimiso sethu sezinzwa.
Izimpawu ze-Vitamin B12
I-Vitamin B12 idlala indima ebalulekile ekusebenzeni kwezinhlelo zethu zezinzwa ngokusiza ukugcina umgogodla we-myelin.
Eqinisweni, ukungabi nalutho olunamandla kwe-vitamin B12 kungabangela izimpawu ze-neurological ezilingisa izimpawu ze-MS, njengokungathi ubuthakathaka nokuphelelwa amandla, ukuhamba, ukulinganisela nezinkinga zokucabanga.
Ngisho nalapho abantu benesibalo esincane se-B12, bangase babonise izimpawu ezifana nokukhathala , ukucindezeleka , nokulahlekelwa inkumbulo.
I-anemia kanye ne-glossitis (isimo lapho ulimi luyavuvukala futhi lubuhlungu) yizimpawu ezengeziwe zokuntuleka kwe-vitamin B12.
Xhumanisa Phakathi Kwe-Vitamin B12 Ukuntuleka kanye ne-MS
Ezinye izifundo ziye zabika izinga eliphezulu lokuntula kwe-vitamin B12 kubantu abane-MS kunabantu abangenawo ama-MS. Olunye ucwaningo lwathola amazinga aphansi e-B12 emzimbeni we- cerebrospinal wabantu abane-MS, nakuba amazinga egazi lawo ayejwayelekile. Ngakolunye uhlangothi, ezinye izifundo azitholanga ukuhlangana okuphakathi kwe-vitamin B12 kanye ne-MS-ngamanye amazwi, ngabe ngabe ukuxhuma kukhona yini noma ngabe kunesihloko esiphikisanayo.
Isizathu se-Vitamin B12
Izimbangela zokuntula kwe-vitamin B12 ziyahlukahluka futhi zihlanganisa:
- Imikhawulo yezokudla efana nalabo abadla ukudla okunomsoco we-vegan noma yemifino.
- Imithi ethile ingathinta amazinga e-vitamin B12 emzimbeni njengemithi yesifo sikashukela metformin noma imithi esetshenziselwa ukwelapha isifo senhliziyo (okuthiwa i-proton pump inhibitors)
- Isifo sikaCrohn noma ezinye izimo ezidambisa ukungena emzimbeni njengesifo se-celiac, ukukhukhulwa kwamabhaktheriya, nokuhlinzwa okuthunyelwe nge-bacterium
- I-anemia enenhliziyo: isimo lapho umuntu engakwazi ukumnika khona ngokufanele i-vithamini B12 ekudleni ngenxa yokuthi ayinalo iprotheyini okuthiwa yi-intrinsic factor
Ukuxilongwa kwe-B12 Ukuntuleka
Izindaba ezinhle ukuthi uma udokotela wakho esolwa ukuthi izimpawu zakho ezifana ne-MS zingase zivela kumazinga aphansi e-B12 (noma ngoba nje ufuna ukukhipha lokhu kungenzeka-okulula ukulungisa kune-MS), kukhona ukuhlolwa kwegazi okulula kungenziwa:
- Inani eliphelele legazi
- Izinga le-Vitamin B12
Uma kukhona ukungatholakali ekuhlolweni kwegazi, ukwengezwa nge-Vitamine B12 ngomlomo noma ukujova u-vitamin B12 emisipha kungenziwa kunqunywe.
Uma amazinga akho e-vitamin B12 aphansi, udokotela wakho angalawula ukuhlolwa kwegazi ezimbili, homocysteine ne-methylmalonic acid. Lezi zinto zitholakala emzimbeni zombili zombili zikhuphuke kakhulu ku-vitamin B12.
Kubalulekile ukuqaphela ukuthi abukho ubufakazi besayense bokusekela ukuthatha u-vitamin B12 uma amazinga akho angaphansi kwezinga elijwayelekile lokuthatha i-vitamin B12 (uma amazinga akho ejwayelekile) angeke azisize izimpawu zakho zezinzwa futhi ngeke enze ngcono i- MS yakho ngokuvimbela ukuqhubeka kwesifo noma ukubuyela emuva.
Ukuthatha i-Vitamin B12
I-Vitamin B12 itholakala emikhiqizeni yobisi, amaqanda, inyama, inkukhu kanye ne-shellfish. Uma umuntu engatholakali engenakho, isabelo samanje nsuku zonke siphakanyisiwe singama-2 kuya ku-3 mcg ngosuku, noma 2.4mcg ukucacisa (nakuba, kuningi okudingekayo ekukhupheni nasekuncane ezinganeni).
Izindaba ezinhle ukuthi ukudla okuningi (izinhlanzi, inyama, okusanhlamvu okuqinile) aqukethe ngaphezu kwe-2 mcg. Ngamanye amazwi, i-vitamin B12 yengeze ngokungeyona eyadingeka kubantu abadla ukudla okuvamile.
Uma umuntu ene-vitamin B12 engekho, amanani okudayiswa kakhulu nsuku zonke anqunywe, alandelwe isondlo nsuku zonke nsuku zonke enezikhathi ezithile zamavithamini B12 ahlolwe udokotela wakho.
Ngokuya ngokuthi "kungani" ngemuva kokuntuleka kwe-vitamin B12 yomuntu, udokotela wabo uzothatha isinqumo sokuhamba kahle kwe-vitamin administration, njengomlomo noma ngokusebenzisa umjovo emisipha.
Izwi elivela
Umqondo wokuxhumanisa noma ukuhlangana phakathi kokuba ne-MS nokuba yi-vitamin B12 ehlulekayo namanje ingxabano, njengoba izifundo zesayensi zibonisa imiphumela ephikisanayo.
Ngokufanayo, ayikho imihlahlandlela echaza ukuthi ngenxa yokuthi unayo i-MS, udinga amazinga akho e-vitamin B12 ahlolwe. Noma kunjalo, ungamangali uma udokotela wakho ehlola izinga lakho le-vitamin B12, futhi uma liphansi, ungadikibali. Eqinisweni, kungase kube ukuphefumula-okuthile okulula ukuphatha, ngokungafani ne-MS.
Imithombo:
> Bowling AC. Ukufingqwa koMhlahlandlela Osekelwe Ebufakazi: Imithi Ephelele Neyengane E-Multiple Sclerosis. I-Neurology . 2014; 82 (12).
> Langan RC. I-Vitamin B12 Ukuntuleka: Ukuqashelwa Nokuphathwa. Am Fam Physician. 2017 Sep 15; 96 (6): 384-89.
I-National MS Society. Amavithamini, Amaminerali, nama-Herbs ku-MS .
Najafi, MR, Shaygannaiad, V, Mirpourian, M., & Gholamrezaei, A. Vitamin B12 Ukuntuleka kanye Nokushaya Kwama-Multiple Sclerosis; Ingabe Ukhona Umphakathi? I-International Journal of Medicine Prevention . 2012; 3 (4): 286-89.