ʻO ka anemia hemahema ʻo Wikamina B12

ʻO ke Anemia kahi ʻano i lawa ʻole ke kino i nā hunaola ʻulaʻula olakino. Hāʻawi nā hunaola ʻulaʻula i ka oxygen i nā aʻa o ke kino. Nui a hewahewa nā ʻano anemia.

ʻO ka anemia hemahema ʻo Vitamin B12 kahi helu ʻulaʻula koko haʻahaʻa ma muli o ka hemahema (hemahema) o ka huaʻai B12.

Pono kou kino i ka wikamina B12 e hana i nā hunaola ʻulaʻula. I mea e hāʻawi ai i ka wikamina B12 i kāu mau hunaola:

• Pono ʻoe e ʻai i nā meaʻai i loaʻa ka wikamina B12, e like me ka ʻiʻo, nā manu moa, nā iʻa, nā hua manu, nā mea ʻai kakahiaka paʻa, a me nā mea hana waiū.
• Pono kou kino e omo i ka wikamina B12. ʻO kahi protein kūikawā, i kapa ʻia ʻo intrinsic factor, kōkua i kou kino e hana i kēia. Hoʻokuʻu ʻia kēia protein e nā hunaola i loko o ka ʻōpū.

ʻO ka nele o ka wikamina B12 ma muli o nā kumuʻai, me:

• ʻO ka ʻai ʻana i kahi papaʻai vegetarian koʻikoʻi
• Kaʻai maikaʻi ʻole ma nā pēpē
• Kaʻai maikaʻi ʻole i ka wā hāpai

Hiki i kekahi ʻano olakino ke lilo i mea paʻakikī i kou kino e komo i ka lāʻau B12. Pākuʻi ʻia lākou:

• Hoʻohana rama
• ʻO ka maʻi Crohn, maʻi celiac, maʻi me ka tapeworm iʻa, a i ʻole nā ​​pilikia ʻē aʻe e paʻakikī i kou kino e ʻeli i nā meaʻai.
• ʻO ka anemia Pernicious, kahi ʻano wikamina B12 anemia e kū ana i ka wā e luku ai kou kino i nā hunaola e lilo i kumu intrinsic
• ʻO ke keʻoki e hoʻoneʻe i kekahi mau ʻāpana o kou ʻōpū a i ʻole ka ʻōpū liʻiliʻi, e like me nā ʻoki kaumaha-kaumaha
• Lawe i nā antacids a me nā lāʻau ʻāʻī puʻuwai no kekahi manawa lōʻihi
• Ka hana ʻino ʻana o "gas hoʻomāʻakaʻaka" (nitrous oxide)

ʻAʻohe paha ou mau ʻōuli. Māmā paha nā ʻōuli.

Hiki i nā ʻōuli ke hoʻohui pū:

• Pohā a paʻa paʻa paha
• Ka luhi, nele i ka ikaika, a i ʻole lightheadedness ke kū i luna a i ʻole me ka hoʻoikaika
• Loaʻa ka ʻai ʻole
• ʻIli pale
• Hoʻonāukiuki
• Ka hanu ʻana, ka hapa nui i ka wā hoʻoikaika kino
• Pehu, alelo ʻulaʻula a i ʻole gums kahe

Inā loaʻa iā ʻoe ka pae vitamin B12 haʻahaʻa no ka manawa lōʻihi, hiki iā ʻoe ke hōʻeha i nā aʻa. ʻO nā ʻōuli o ka hōʻino nerve ke:

• Huikau a hoʻololi paha i ke kūlana noʻonoʻo (dementia) i nā hihia koʻikoʻi
• Hoʻopilikia i nā pilikia
• Psychosis (ke nalo ʻana i ka pilina me ka ʻoiaʻiʻo)
• Lilo o ke kaulike
• Numbness a me ke kani ʻana o nā lima a me nā wāwae
• Nā Haleluʻa

E hana ka mea mālama ola i kahi hoʻokolohua kino. Hōʻike paha kēia i nā pilikia me kāu reflexes.

ʻO nā hoʻāʻo e hana ʻia ana paha:

• Helu piha koko (CBC)
• Helu helu Retikulosit
• Pae dehydrogenase (LDH) pae
• Papa pae bilirubin
• ʻO ka pae Vitamin B12
• ʻO ka pae Methylmalonic acid (MMA)
• ʻO ka pae homocysteine ​​pae (amino acid i loaʻa i ke koko)

ʻO nā kaʻina hana ʻē aʻe i hiki ke hana ʻia e:

• ʻO Esophagogastroduodenoscopy (EGD) e nānā i ka ʻōpū
• Enteroscopy e nānā i ka ʻōpū liʻiliʻi
• ʻO ka biopsy iwi iwi inā ʻaʻole maopopo ka ʻike

Pili ka mālama ʻana i ke kumu o ka anemia hemahema B12.

ʻO ka pahuhopu o ka mālama ʻana e hoʻonui i kāu pae vitamin B12.

• Hiki i ka mālama ʻana ke kī pū i ka huaora B12 i hoʻokahi manawa i ka mahina. Inā loaʻa iā ʻoe kahi pae haʻahaʻa haʻahaʻa loa o B12, pono ʻoe i nā pana hou aku i ka hoʻomaka. Hiki paha iā ʻoe ke pana i kēlā me kēia mahina no ke koena o kou ola.
• Hiki paha i kekahi poʻe ke pane i ka mālama ʻana ma ka lawe ʻana i nā huaora B12 e ka waha.

Paipai pū kāu mea hāʻawi iā ʻoe e ʻai i nā ʻano meaʻai like ʻole.

Hana maikaʻi nā poʻe me kēia ʻano anemia me ka lāʻau.

Hiki i ka hemahema wikamina B12 lōʻihi ke hoʻopōʻino i nā nerve. He paʻa paha kēia inā ʻaʻole ʻoe e hoʻomaka i ka mālama ʻana i loko o 6 mau mahina o ka wā e hoʻomaka ai kāu mau ʻōuli.

ʻO ka anemia hemahema ʻo Vitamin B12 pinepine pane maikaʻi i ka mālama ʻana. E maikaʻi paha ia ke mālama ʻia ke kumu kumu o ka hemahema.

ʻO ka wahine me ka pae B12 haʻahaʻa e loaʻa paha iā Pap smear maikaʻi ʻole. ʻO kēia no ka mea ʻo ka hemahema o ka wikamina B12 ka hopena o ke ʻano o kekahi mau hunaola (epithelial cells) i ka cervix ke nānā aku.

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe kekahi o nā ʻōuli o ka anemia.

Hiki iā ʻoe ke pale i ka anemia ma muli o ka nele o ka wikamina B12 e ka ʻai ʻana i ka papaʻai kaulike maikaʻi.

Hiki i nā pana o ka huaʻai B12 ke pale aku i ka anemia inā ʻoe i kahi ʻoki i ʻike ʻia e kumu ai ka hemahema o ka wikamina B12.

Hiki i ka hōʻailona mua a me ka hoʻomaʻamaʻa koke ke hōʻemi a pale paha i nā pilikia e pili ana i kahi pae vitamin B12 haʻahaʻa.

ʻO ka anemia Megaloblastic macrocytic

• Anemia Megaloblastic - nānā i nā hunaola ʻulaʻula
• PMN hypersegmented (Pani)

ʻO Antony AC. Nā anemias Megaloblastic. I: Hoffman R, Benz EJ, Silberstein LE, et al, eds. Hematology: Nā Kumumanaʻo a me ka Hoʻomeheu. ʻEpekema 7 Piladelapia, PA: Elsevier; 2018: chap 39.

ʻO RT. Hele i nā anemias. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 149.

Perez DL, Murray ED, Kumukūʻai BH. Kaumaha a me ka psychosis i ka hana neurological. I: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. ʻO Bradley's Neurology i ka hana lapaʻau. ʻEpekema 7 Piladelapia, PA: Elsevier; 2016: chap 10.