He aha kāu e ʻike ai e pili ana i ka maʻi ʻaʻai a me ka B-12

Anter

• Ka nele o ka Vitamin B-12: Pehea kona manaʻo
• Nā kumu o ka nele o ka wikamina B-12
• No ke aha e koʻikoʻi ai ka hemahema B-12
• ʻO ka neuropathy diabetic a me ka neuropathy B-12: He paʻakikī e haʻi i ka ʻokoʻa
• Pehea e ʻike ʻia ai ka hemahema B-12
• He aha e hana ai inā loaʻa iā ʻoe nā hōʻailona o ka hemahema B-12

I Mei 2020, ua paipai ʻia i kekahi mau mea hana o metformin hoʻolōʻihi hoʻokuʻu ʻia e kāpae i kekahi o kā lākou papa mai ka mākeke U.S. ʻO kēia no ka mea he pae i ʻae ʻole ʻia o kahi carcinogen probable (ʻākena e hana ana i ka maʻi ʻaʻai) i loaʻa i kekahi mau papa metformin hoʻolōʻihi ʻia. Inā lawe ʻoe i kēia lāʻau i kēia manawa, e kāhea i kāu kauka. E ʻōlelo aʻoaʻo lākou inā ʻoe e hoʻomau i ka lawe ʻana i kāu lāʻau a i ʻole inā makemake ʻoe i kahi palapala hou.

Pono ka Vitamin B-12 no kahi ʻōnaehana olakino olakino a me nā aʻa koko maikaʻi. ʻO ke ala ʻoi loa e loaʻa ai ka wikamina B-12 ma o kāu papaʻai. Loaʻa kēia vitamona koʻikoʻi i kaʻiʻo, iʻa, moa, a me nā huahana waiū. Inā ʻaʻole ʻoe e ʻai lawa i kēia mau meaʻai, hiki iā ia ke waiho iā ʻoe me ka hemahema.

Aia kekahi mau ala ʻē aʻe e hoʻomohala ai i kahi hemahema. ʻO kahi laʻana, hiki i ka loaʻa ʻana o ka maʻi diabetes hiki ke hoʻonui i kou makaʻu i ka loaʻa ʻana o ka hemahema B-12 no ka mea he hopena ʻē aʻe paha ia o ka metformin, kahi lapaʻau maʻamau no ka type 2 diabetes mellitus. Ua ʻike ʻia kahi noiʻi ma 2009 ua loaʻa ka 22 pākēneka o ka poʻe me ka maʻi diabetes ʻano 2 ma B-12. Hōʻike nā hopena noiʻi ua hāʻawi ʻo metformin i ka hemahema.

E heluhelu e aʻo i nā ʻōuli o ka hemahema B-12, he aha ke ʻano o kou olakino holoʻokoʻa, a he aha kāu e hana ai e pili ana.

Ka nele o ka Vitamin B-12: Pehea kona manaʻo

ʻO nā ʻōuli o ka hemahema ʻo ka wikamina B-12 he akahai paha i ka wā mua a ʻaʻole maopopo mau. Inā haʻahaʻa iki ʻoe ma B-12, ʻaʻole paha ʻoe e loaʻa kekahi hōʻailona. ʻO kekahi o nā ʻōuli mua e ʻike mau ʻia:

• luhi
• nāwaliwali
• nalo ʻai ʻole
• Kaumaha emi
• kōpaʻa

Maʻalahi paha e kāpae i kēia mau mea ma ke ʻano he hoʻopiʻi liʻiliʻi. Eia nō naʻe, i ka hala ʻana o ka manawa, hiki i ka lawa ʻole o B-12 ke alakaʻi i nā pilikia nui aʻe.

Nā kumu o ka nele o ka wikamina B-12

Loaʻa ka B-12 i nā huahana holoholona. ʻAʻole kūlohelohe ia i nā mea kanu.

ʻO ka hopena, ʻo ka poʻe e ʻai ʻole i ka ʻiʻo a i ʻole nā ​​huahana waiū, e like me nā mea ʻai a me nā mea ʻai, hiki ke makaʻu i ka hemahema B-12. ʻO kekahi mau mea ʻai mea ʻai, me nā cereala ʻaina kakahiaka a me nā kaola ikehu, hiki ke hoʻopaʻa ʻia me B-12.

ʻO ka lawa ʻana o ka wikamina B-12 wale nō ka pilikia. Pono i kou kino e hiki ke hoʻokipa iā ia me ka maikaʻi.

E paʻakikī paha kekahi mau lāʻau i kou kino e komo i ka B-12, me:

• acid reflux a me nā maʻi maʻi peptic ulcer maʻi, me:
  • famotidine (Pepcid AC)
  • lansoprazole (Prevacid)
  • omeprazole (Prilosec)
  • ranitidine (Zantac)
• metformin (Glucophage, Glumetza), kahi ʻano maʻamau maʻamau ʻo 2 maʻamau
• chloramphenicol, kahi lāʻau antibiotic

ʻO kekahi kumu o ka hemahema o ka wikamina B-12 ka undersupply o ka instrinsic factor (IF), kahi protein i hana ʻia e nā ʻōpū o ka ʻōpū. Hiki ke maʻalahi ʻia kēia mau hunaola ʻōpū i ka hoʻouka kaua ʻana e ka ʻōnaehana pale, a hiki ke hana i kahi hāʻule i lalo i ka hana IF. Inā koi ʻia ʻo IF e omo i ka lāʻau vitamin B-12 i loko o ka ʻōpū liʻiliʻi.

No ke aha e koʻikoʻi ai ka hemahema B-12

ʻO nā pae haʻahaʻa loa o ka wikamina B-12 hiki ke hopena i nā pilikia koʻikoʻi, me ka anemia.

ʻO ka ʻōlelo Anemia ʻaʻole lawa kou olakino ʻulaʻula ke olakino (RBCs). Ma muli o ka makemake ʻia o nā hunaola ʻulaʻula e lawe i ka oxygen i loko o ke kahe o ke koko, hoʻonele ka anemia i kou mau hunaola i ka oxygen e makemake nui ʻia.

Wahi a kahi noi 2015 i ka Ka Nūpepa o Oral Pathology Medicine, ma lalo o 20 pākēneka o ka poʻe i loaʻa i ka lāʻau ʻo B-12 deficit i loaʻa pū kekahi anemia pernicious, kahi ʻano anemia kikoʻī i ka poʻe me nā hemahema B-12.

ʻO nā ʻōuli o ka anemia me:

• luhi
• ʻili mae
• ʻeha ka umauma
• ʻūpā
• ʻeha poʻo

ʻO kekahi hōʻailona hiki ke loaʻa i kahi hemahema B-12 ke nalowale nei i kou ʻano o ka ʻono a me ka pilau. ʻO nā ʻōuli koʻikoʻi hou aʻe me ka wikiwiki a i ʻole kaulike o ka puʻuwai a me ka liʻiliʻi o ka hanu.

Hiki i ka hemahema B-12 ke alakaʻi i ke neuropathy ākea me nā ʻōuli e komo pū paha me ka helu, nāwaliwali, ʻeha, a me nā paresthesia (kahi ʻā a ʻeha paha o ka ʻili). ʻIke pinepine ʻia ma nā lima, nā lima, nā wāwae, a me nā wāwae. ʻIke kekahi poʻe i ka helu ʻana, ka ʻūlū ʻana, a me ka manaʻo prickly paha.

Hoʻohui pū ʻia ʻo Low B-12 me nā pae kiʻekiʻe o kahi amino acid i kapa ʻia ʻo homocysteine. Hiki i kēia ke hoʻonui i kou makaʻi o ka maʻi puʻuwai a me ka hahau.

Hiki i kahi hemahema B-12 lōʻihi loa ke hana:

• nalo o ka neʻe
• paʻakikī i ka hele wāwae
• hoʻopunipuni
• kaumaha
• poho poho me ka dementia
• ka hopu ʻana

ʻO ka neuropathy diabetic a me ka neuropathy B-12: He paʻakikī e haʻi i ka ʻokoʻa

ʻO kekahi o nā pilikia kūpono o ka diabetes mellitus ʻo ia ka neuropathy, i kapa ʻia hoʻi he nerve nerve. Hoʻokumu ʻia ia e nā hopena maikaʻi ʻole o ke kō glucose kiʻekiʻe ma kahi lōʻihi.

ʻO nā ʻōuli maʻamau o ka neuropathy diabetic ka mea i hōʻike ʻia ma luna no ka neuropathy ākea e pili pinepine i nā lima, nā lima, nā wāwae, a me nā wāwae.

Hiki i ka neuropathy diabetic ke hoʻopili i nā ʻāpana kino ʻē aʻe, e like me ka gastrointestinal (GI) tract.

ʻAʻole pono ʻoe e loaʻa i ka maʻi diabetes e hoʻomohala ai i ka neuropathy. Hiki i ka hemahema B-12 hoʻolōʻihi ke hōʻino i kou aʻa.

Inā loaʻa ʻoe i ka maʻi diabetes a ʻaʻole, ʻaʻole pono e nānā ʻole ʻia nā ʻōuli o ka neuropathy.

Pehea e ʻike ʻia ai ka hemahema B-12

Inā loaʻa iā ʻoe nā ʻōuli o ka hemahema B-12, e ʻike koke i kāu kauka. ʻO kekahi o nā ʻōuli, keu hoʻi i ka wā mua, hiki ke maopopo ʻole. Hiki iā lākou ke kumu ʻia e nā ʻano mea like ʻole.

Hiki i kahi hoʻokolohua koko maʻalahi ke hoʻoholo inā haʻahaʻa ka pilikia B-12. Inā loaʻa ʻoe i ka maʻi diabetes a me / a i ʻole B-12 hemahema, makemake kāu kauka e hana i kahi mōʻaukala piha a me ka hoʻokolokolo kino e loiloi piha ai iā ʻoe.

Lawe ʻia hoʻi kāu pae glucose koko e pili ana i ka maʻi kō.

Kūpono nā pae i manaʻo ʻia o B-12 e ka makahiki. ʻO ka hapa nui o nā ʻōpio a me nā mākua e pono iā 2.4 micrograms (mcg) i kēlā me kēia lā. Pono nā keiki ma waena o 0.4 a me 1.8 mcg i kēlā me kēia lā, ke kaukaʻi ʻia i ko lākou mau makahiki.

He aha e hana ai inā loaʻa iā ʻoe nā hōʻailona o ka hemahema B-12

ʻO ka mālama ʻana i nā pae kō kō i ke olakino hiki ke kōkua iā ʻoe e kaohi i ka omo B-12. Ma waho aʻe o ka papaʻai, hiki i ke hoʻoikaika mau a me ka hiamoe kūpono ke kōkua pinepine. Hiki i kāu kauka ke koi aku i kahi hoʻolālā lapaʻau i hoʻohālikelike ʻia i kāu mau pono.

E aʻo ʻia ʻoe e hoʻonui i ka B-12 i kāu papaʻai. Nā kumuwaiwai maikaʻi o ka wikamina B-12 i loko o:

• ʻiʻo ʻulaʻula
• iʻa
• manu moa
• huamoa
• huahana waiū
• ʻōpae
• akepaʻa pipi

Nā meaʻai e paʻa ai paha me B-12

• hū hānai, nā cheakes vegetarian ʻai ʻono
• cereal
• berena
• tofu

E heluhelu pono i nā lepiliʻai pono.

Hiki paha i kāu kauka ke ʻōlelo iā ʻoe e lawe i nā huaora oral B-12 oral, keu hoʻi inā he ʻai lau a mea ʻai paha paha kāu. Inā hemahema loa ʻoe, hiki iā lākou ke hāʻawi iā ʻoe i nā hoʻopili B-12.

E hāhai i ka ʻōlelo aʻoaʻo a kāu kauka e hōʻalo ai i nā pilikia koʻikoʻi o ka hemahema B-12. E hoʻonohonoho pū no ka hoʻāʻo ʻana e ʻike pono aia ʻoe ma ke ala pololei.