Izimpawu, Ukuxilongwa, Nokunakekelwa Kwezinga Eliphansi le-Vitamin B12
Igama elithi myelopathy lisho isifo sezintambo zomgogodla. I- myeloneuropathy iyinkqubo yesifo esithinta kokubili umthambo womgogodla kanye nezinzwa zomzimba. Izimpawu zingabandakanya ukungaqiniseki, ukunganaki, ubuthakathaka, noma izinkinga zamathumbu kanye nesibindi. Ukushona kwe-myeloneuropathy kuvame ukusabalalisa izandla nezinyawo, kuqala ezinyaweni zakho.
Izimbangela ze-myelopathy ziyahlukahluka futhi zihlanganisa ukuphazamiseka kwe-autoimmune, izicubu, amakhemikhali, kanye nokuntuleka kwevithamini.
Ukuntuleka kwe-vitamin B12 yiyona ndlela ejwayelekile kunayo yonke ye-myeloneuropathy ngenxa yokuntuleka kokudla okunomsoco.
Ukuqonda i-Vitamin B12
I-Vitamin B12 ivame ukutholakala ezinamaprotheni ezinyamazane afana nenyama nobisi, kodwa kuvamile ngokwanele kokudla okusanhlamvu kanye neminye imikhiqizo yemvubelo okungavamile kubantu abahlala emazweni asentshonalanga ukuba babe namandla ngenxa yokuvinjelwa kokudla yodwa. I-Vitamin B12 ifakwe ngendlela eyinkimbinkimbi exhomeke kumaprotheni okuthiwa yi- intrinsic factor . Lesi sici esiyinhloko kufanele senziwe ngasese esiswini bese sisabela ngevithamini ukuze sivumele ukungena kahle emathunjini amancane.
Izimbangela ze-Vitamin B12
Izidakamizwa ezindala noma izithako ezingasebenzisi izithako zingase zithuthukise ukulahlekelwa kwe-B12. Kodwa ngokuvamile, inkinga ibangelwa ukungenwa okuncane. Abanye abantu banezifo ezizimele ngokuzenzakalelayo njenge-anemia ephazamisayo lapho ama-antibodies ahlasela amangqamuzana ahlanganisa isici sangaphakathi, okwenza ukuthi i-B12 ingabanjwanga kahle.
Ukuhlinzekwa kwama-gastric bypass noma izifo ezivuthayo ezifana nesifo se-celiac kungabuye kuholele ku-vitamin malabsorption . Imithi efana ne- metformin ne-proton pump inhibitors inganciphisa amazinga we-B12.
I-Myeloneuropathy Kusuka ku-Vitamin B12 Ukuntuleka
I-myelopathy ebangelwa i-vitamin B12 ephansi ibizwa ngokuthi i- subacute ukuhlaselwa okuhlangene: "subacute" ngoba izimpawu zakho zikhula kancane; "kuhlangene" ngoba izimpawu eziningi ze-neurological zithinteka; futhi "ukuwohloka" ngoba amangqamuzana akho angafa ngenxa yalokho.
Ingxenye enkulu yomgogodla owonakalisiwe yikholomu engemva, ephethe ulwazi mayelana nokuthinta ukukhanya, ukudlidliza, nomqondo wesikhundla (ubuciko bomuntu) ebuchosheni. Ngenxa yalokho, ungase uzizwe ungenalutho futhi ungase uzwe ukukhala.
Isistimu ye- neon autonomic nayo ingakwazi ukuphazamiseka ngoba lezi zindwangu zigijima nomgogodla futhi. I-neuropathy ye-peripheral ye-peripheral inegalelo futhi ifaka kulezi zimpawu. Ngaphezu kwalokho, i-nertic yakho ye-optic ingahle ibekwe eceleni, okuholela ekubonisweni kombono, njengokungathi ibhulogi lakho elincinci, okuholela ekutheni kunciphise umzwelo . Ungaphinda uhlakulele ukucindezeleka komqondo ukuthi kungani le vithamini ihlolwe njalo ngaphambi kokuba ihlolwe umuntu onesifo esifana ne-Alzheimer's.
Ukuxilongwa kwe-B12 Ukuntuleka
Ngaphandle kwezinguquko ze-neurological, ukulahlekelwa kwe-B12 kungabangela ukwehla kwamaseli abomvu egazi, eyaziwa ngokuthi i-anemia, engatholakala uma uhlola inani eliphelele legazi.
Ukuntuleka kwe-Vitamin B12 kungaqinisekiswa ngezinga elilula legazi le-vitamin level. Ezinye izivivinyo ezisetshenziselwa ukuhlonza ukulahlekelwa kwe-B12 zihlanganisa ukucubungula kwe-spintic magnetic resonance (MRI), okungahle kwenzeke okubangelwa yi-somatosensory, noma okubonakalayo okuvezwayo. I-MRI izobonisa isignali ekhanyayo engxenyeni engezansi engxenyeni yomgogodla.
Izingozi ezivuthwe zibonisa ukuhamba kancane ezindleleni zakho ezibukwayo nezinzwa eziya ebuchosheni ngokusebenzisa ama-electrodes.
Ukwelapha Nokubuyiswa Okuvela Ku-Vitamin B12 Ukuntuleka
Ukuntula kwe-B12 kungaphathwa nge-injini yomlomo noma ye-intramuscular of vitamin. Uma kungenzeka, imbangela yokuntuleka kwe-B12 kufanele iqondiswe.
Ukubuyiswa okuvela ku-B12 ukulahlekelwa kuthatha isikhathi. Ngokuvamile uzodinga ukwesekwa impilo yonke nge vithamini B12. Ukuthuthukiswa kungaqhubeka izinyanga ezingu-6 kuya kwezingu-12 zokuxhaswa, nakuba kungenzeka ukuthi uzobhekana nokulahleka okuhlala njalo. Ukusebenza nodokotela osebenza ngokomzimba noma osebenzayo kungakusiza ukuba ubhekane nanoma yiziphi izinkinga eziqhubekayo.
> Imithombo:
> Goodman BP. Indlela Yokuthola Ukuthola I-Myeloneuropathy. I-Continuum: (Minneap Minn). Agasti 2011; 17 (4): 744-60.
> Hammond N, Wang Y, Dimachkie M, Barohn R. Neuropathies Nutrition. Imitholampilo ye-Neurologic . 2013; 31 (2): 477-489. doi: 10.1016 / j.ncl.2013.02.002.
> Ropper, AH, Samuels MA. Adams kanye nezimiso zikaVictor ze-Neurology . 9th ed. I-McGraw-Hill Companies, Inc .; 2009.