Ukwehla kwe-Vitamin nemiphumela yezinzwa
Ukuntuleka kwe-Vitamin kungabangela izinkinga eziningi zezinzwa zezinzwa. Enye yezinto ezithinta kakhulu yi-myeloneuropathy, izinkinga ezibhekene nomgogodla kanye nesistimu yezinzwa ze-peripheral .
Izinkinga ze-neurological ezihambisana nokuntuleka kwamavithamini zaqaphela kuqala cishe ngo-2004. Abantu baqala ukuthuthukisa i- ataxia ngokuhlushwa ngenxa yokuntuleka kwamandla okutshela ukuthi izingxenye zomzimba zabo zisesimweni ( ukutholakala kwempahla ).
Ubungqabavu nobubuthakathaka nakho kwaqala. Ekuhloleni kwezinzwa, kutholakala ukuthi ukucabanga okungaqondakali kahle.
Enye ye-myeloneuropathy eyaziwa kakhulu yiyona eyabangelwa i-vitamin B12 ephansi. Kodwa amanye amaphutha amavithamini afana nethusi, i- folate , noma i-vitamin E ingabangela nezinkinga ngocingo lomgogodla.
I-Vitamin B12 Ukuntuleka
Ukuntuleka kwe-B12 kungabangela inani elikhulu lezinkinga ezihlukahlukene zezinzwa, kodwa okuyaziwa kakhulu yi-myeloneuropathy ebizwa ngokuthi i- subacute ukuguqulwa okuhlangene . Ukuntuleka kwe-B12 kubangela izifo zamakholomu asemuva omgogodla, ophethe ulwazi mayelana nokuthinta ukukhanya, ukudlidliza kanye nesimo somzimba esikhaleni (umnikazi wendawo) kusuka emzimbeni kuya ebuchosheni. Ngenxa yalokhu kwe-myeloneuropathy, ukunganaki nokubuthakathaka umphumela. Ubunzima buqala "iphethini ye-stocking-gweve pattern" okusho ukuthi ihamba kancane kancane futhi iphakamisa izingalo nemilenze (emva kokuqala ezinyaweni nasezandleni).
Ukuntuleka Kwengxube
Ukuntuleka kwe-Copper kufana nokuntula kwe-B12. Isizathu esivame kakhulu ukuthi i-malabsorption, njengokungathi ngemuva kokuhlinzwa kwe-bariatric, noma ama-malabsorption syndromes afana nesifo se-celiac . Ukudla ngokweqile kwe-zinc kungabangela nokuntuleka kwethusi. Ngaphandle kokungenelela kwe-zinc, amanye ama-denture creams anamazinga amaningi kakhulu we-zinc.
Ukuxilongwa kokuntuleka kwethusi kungenziwa ngokuhlola amazinga ethusi egazini - futhi ngokuvamile, udokotela uzohlola amazinga e-zinc futhi.
Ukwelashwa kokuntuleka kwethusi kungukufakazela nge-copper ngomlomo futhi, uma kunesidingo, ukunciphisa ukusetshenziswa kwe-zinc.
Ukuntuleka Kwesimo
I-folate (i-tetrahydroflic acid) itholakala ezithelo ze-citrus kanye nemifino eluhlaza. Kungase kube ngaphansi kwezidakamizwa noma izidakamizwa ze-malabsorptive. Ekukhulelweni, amazinga aphansi e-folate angabangela ukukhubazeka komgogodla we-fetal, okuye kwaholela ezincomo ezijwayelekile ukuthi abesifazane bayanezela nale vivamisi uma becabangela ukukhulelwa.
Ukuntuleka kwe-Folate kuvame ukuhambisana namanye amaphutha amavithamini angabangela amaphethini wezinzwa. Lokho kusho ukuthi amaphethini afana nokuhlukumezeka okuhlangene kuye kwachazwa ngokuntuleka komuntu, ngokuguquguquka kwengqondo, kanye nokuphelelwa amandla kanye nobuthakathaka, kanti odokotela abaningi basabheka izinga le-folate egazini uma lezi zimpawu zikhona futhi ziphakamisa i-myeloneuropathy.
I-folic acid ithathwa kalula ngomlomo kodwa ingase ihlanganise nokuntuleka kwe-vitamin B12 engaphansi futhi empeleni ibuhlungu kakhulu i-myeloneuropathy yomuntu. Yingakho odokotela bazokhipha ubunzima be-vitamin B12 ngaphambi kokuqala ukwesekwa kwe-folic acid.
I-Vitamin E Ukuntula
Ngenkathi ukulahlekelwa kwegazi lokuqala kwe-vitamin E ukukhubazeka kwesifo se-spinocerebellar, ngokuvamile kuvame ukuhlangana kwe-fiber enkulu-eyinkimbinkimbi enkulu ye-axonal peripheral neuropathy. Ukuntuleka kwe-Vitamin E kwenzeka ekubekeni kwama-malabsorption amafutha aqinile (isb., Ukungasebenzi kwamabhiliyari, i-cystic fibrosis) noma izifo eziphathelene nobulili (isib. I-ataxia ene-vitamin E noma i-abetalipoproteinemia). Izindlela zokwelapha ukutholakala kwevithamini E zihlanganisa ukwandisa ukondliwa kwamafutha kanye nokwengezwa kwe-vitamin E ngomlomo.
I-Vitamin E iyinvithamini enamafutha anesisindo etholakala imbewu, okusanhlamvu, kanye negciwane legciwane. Kuyinto engavamile ukuthi ukutholakala kwevithamini E kungenxa yokuntuleka kokudla, kodwa kungase kubangele ezimweni ezibangela ukushisa okukhulu kwamafutha.
Ukugaya okufanelekile kwe-vitamin E kudinga ama-enzyme e-pancreatic nama-bile salts esesibindi. Ngezinye izikhathi kunezinkinga ezizuze njengefa le-vitamin E emisebentini engabangela izinkinga, ikakhulukazi ezinganeni.
Izimpawu zokuntuleka kwe-vitamin E zihlanganisa ukungahambi kahle kwamehlo, izinguquko zombono, i- cerebellar ataxia ne-peripheral neuropathy, ngaphezu kwezibonakaliso zokulahleka kokulahlekelwa kwekholomu yangemva kwendlela ngendlela ekhumbuza ezinye ukuphuluka kwevithamini okuxoxwe ngazo.
Amazinga e-Vitamin E angalinganiswa ngokuqondile egazini, nakuba la mazinga angathinteka ngamazinga we-cholesterol ne-lipids egazini. Ukwelashwa kwe-vitamin E kunesisindo somlomo we-vitamin E nokwenza ngcono ukumuncwa kwamanoni (ukwelapha isimo esibucayi sezokwelapha, uma kungenzeka).
Ngaphansi
Nakuba i-myeloneuropathy ebangelwa ukungabi nalutho kwamavithamini ingaba nzima, izindaba ezinhle izimpawu zingathuthukisa noma zixazulule ngokuphathwa ngendlela efanele.
Uma udokotela wakho ekuvivinya i-myeloneuropathy, angase alandele isithombe se-resonance magnetic resonance (MRI), esingabonisa izilonda engxenyeni engemuva yomgogodla kanye ne- electromyogram (EMG) nesifundo sokuqhutshwa kwesisindo (NCS) , esibonisa ukwehlisa .
Imithombo:
UBrent, uP. Goodman, Indlela Yokuxilonga Kwama-Myeloneuropathy; I-Continuum: Umgogodla, Umsuka, ne-Plexus Disorders Umqulu 17, Inombolo 4, Agasti 2011.
Oh, RC, & Brown, DL (2003). I-Vitamin B12 Ukuntuleka. I-American Family Physician , Mar 1; 67 (5): 979-86.
Ropper, AH Samuels, MA Adams kanye nezimiso zikaVictor ze-Neurology, 9th ed: The McGraw-Hill Companies, Inc., 2009.
Abasebenzi, i-NP ne-Windebank, i-AJ (2014). I-peripheral neuropathy ngenxa yokuntuleka kwe-vitamin, i-toxins, kanye nemithi. I-Continuum (Minneap Minn) , Okthoba; 20 (5 Ukuphazamiseka Kwemisipha Yezinzwa ): 1293-1306.
QAPHELA: Ulwazi olukulesi sayithi lunguzinhloso zemfundo kuphela. Akufanele isetshenziswe njengengxenye yokunakekelwa ngumuntu udokotela olayisenisi. Sicela ubheke udokotela wakho ukuze ahlolwe futhi aphathwe noma yiziphi izimpawu noma isimo sezokwelapha .