Hiki paha i ka Anemia Pernicious ke kumu no kou luhi?

Anter

• He aha ka anemia pernicious?
• Pehea ka maʻamau o ka anemia ʻino?
• Nā hōʻailona Anemia Pernicious
• Nā Pernicious Anemia Kumu
• Lapaau Anemia Pernicious
• Nānā no

ʻOiaʻiʻo: ʻO ka luhi ma ʻaneʻi a aia kekahi ʻāpana o ke kanaka. ʻO ka luhi mau, akā naʻe, he hōʻailona ia o kahi kūlana olakino - me kahi mea i kapa ʻia he anemia pernicious.

Ua kamaʻāina paha ʻoe i ka anemia, kahi maʻi maʻamau i hōʻike ʻia e ka nele o nā keʻena koko ʻulaʻula olakino e hiki ke alakaʻi i ka luhi nui, ka noʻonoʻo, a me ka pōkole o ka hanu.

ʻO ka anemia Pernicious, ma ka ʻaoʻao ʻē aʻe, he maʻi koko laha ʻole kahi e hiki ʻole ai i ke kino ke hoʻohana pono i ka wikamina B12, kahi wikamina pono no nā keʻa ʻulaʻula olakino olakino, e like me ka National Organization for Rare Disorder (NORD). Like me anemia, pernicious anemia ʻano nui ia e ka luhi mau, i waena o nā ʻōuli ʻē aʻe, akā ʻo ka hōʻoia ʻana i ka anemia anemia hiki ke maʻalahi.

ʻO ka hihia: Ua wehe ʻo Harley Pasternak ka mea hoʻomaʻamaʻa kaulana e pili ana i kona ʻike me ka anemia anela. "I kekahi mau makahiki i hala aku nei, ua luhi au, a ʻaʻole hiki iaʻu ke ʻike i ka hewa - ʻai maikaʻi wau, hoʻomaʻamaʻa au, hoʻāʻo wau a hiamoe maikaʻi," i ʻōlelo ai ʻo ia ma kahi wikiō Instagram. "Ua hana wau i kahi hoʻokolohua koko, a ua hōʻike ia ʻaʻohe aʻu vitamin B12 i loko o koʻu kino," ʻoiai e ʻai mau nei i nā meaʻai kiʻekiʻe ma B12, ua wehewehe ʻo Pasternak.

Ma hope o ka loaʻa ʻana o kēlā mau hopena, ua ʻōlelo ʻo Pasternak ua piʻi ʻo ia i kāna loaʻa B12 ma o nā ʻano pākuʻi like ʻole, mai ka ʻehu B12 a i nā papa B12. Akā, ua hōʻike ʻia kahi hoʻāʻo koko ma hope mai malie "ʻaʻohe B12 i [kona] kino," kaʻana like ʻo Pasternak. Ua hoʻololi ʻia, ua loaʻa iā ia ka anemia pernicious, a ke pale nei ke ʻano i kona kino mai ka hoʻomoʻa ʻana a me ka hoʻohana ʻana i ka B12, ʻaʻole pili i ka nui o kāna hoʻohui a ʻai ʻana, wehewehe ʻo ia. (Pili: Hiki i nā Deficiencies Vitamin ke hōʻino i kāu hana?)

Ma lalo iho nei, wehewehe ka poʻe akamai i nā mea a pau e pono ai ʻoe e ʻike e pili ana i ka anemia pernicious, mai ka mea e hiki ai ke hoʻoulu i ke ʻano a pehea e mālama ai.

He aha ka anemia pernicious?

Hana ʻia ka anemia pernicious inā ʻaʻole hiki i kou kino ke hoʻonui i ke koko ʻulaʻula olakino no ka mea ʻaʻole hiki iā ia ke hoʻohana i ka huaora B12 āu e ʻai nei, e like me ka National Heart, Lung, and Blood Institute (NHLBI). Loaʻa i loko o ka waiū, nā hua manu, nā iʻa, nā moa, a me nā cereala paʻa, he mea nui ka wikamina B12 i ka mālama ʻana i kāu pae ikehu. (E aʻe ma aneʻi: No ke aha ka mea huna o nā huaora B i ka ikehu hou aku)

Me ka anemia pernicious, ʻaʻole hiki i kou kino ke komo i ka nui o ka huaora B12 mai ka meaʻai. I ka hapanui o nā hihia, loaʻa kēia no ka nele o kou kino i ka intrinsic factor, kahi protein i hana ʻia i loko o ka ʻōpū, e like me ka NHLBI. ʻO ka hopena, hoʻopau ʻoe i kahi hemahema o ka huaora B12.

FWIW, hiki i nā kumu ʻē aʻe ke kumu i ka nele o ka huaora B12, no laila, ʻaʻole pono ka anemia pernicious i ka hōʻoia inā ʻike ʻia kahi hoʻāʻo koko he haʻahaʻa kou B12. "Ma ke ʻano he vegan a ʻaʻole lawa ka B12 i kāu meaʻai, ka loaʻa ʻana o ka ʻoki ʻoki ʻana no ka pohō kaumaha, ka ulu ʻana o ka maʻi bacteria i ka ʻōpū, nā lāʻau lapaʻau e like me ka acid reflux medicine, metformin no ka maʻi diabetes, a i ʻole nā ​​maʻi genetic" hiki i nā mea āpau ke kumu i ka hemahema o ka huaora B12. , wahi a Sandy Kotiah, MD, he hematologist, oncologist, a me ka luna o The Neuroendocrine Tumor Center ma Mercy Medical Center ma Baltimore. (Pili: 10 Nutr Mistakes Vegans Make - a Pehea e hoʻoponopono ai iā lākou)

Pehea ka maʻamau o ka anemia ʻino?

Manaʻo ʻia ʻo ka anemia ʻole pernicious he ʻano laha ʻole, no laila paʻakikī e ʻōlelo pololei i ka nui o ka poʻe ʻike iā ia.

No ka mea hoʻokahi, ʻaʻohe "consensus maoli" i loko o ke kaiāulu olakino e pili ana i ka mea i helu ʻia ma ke ʻano he vitamin B12 deficiency, e like me ka Pernicious Anemia Society (PAS). Ua ʻōlelo ʻia, he pepa 2015 i paʻi ʻia i loko o ka puke pai Laau Lapaʻau kuhi i ka hemahema o ka wikamina B12 ma kahi o 3 pākēneka o nā mākua U.S. ma waena o 20 a me 39 mau makahiki, 4 pākēneka o ka poʻe ma waena o 40 a me 59 makahiki, a me 6 pākēneka o nā mākua he 60 a ʻoi paha makahiki. Eia hou, ʻaʻole hewa ka anemia pernicious i kēia mau hihia.

He paʻakikī hoʻi ke ʻike i ka nui o ka poʻe i loaʻa i ka anemia pernicious no ka mea ʻo ka hoʻāʻo no ke kumu intrinsic, i kapa ʻia ʻo Intrinsic Factor Antibody Test, ma kahi o 50 pākēneka wale nō, e like me ka PAS. ʻO kēia no ka mea ma kahi o ka hapalua o ka poʻe me ka anemia pernicious ʻaʻole i ʻike ʻia nā antibodies intrinsic factor, e like me ka American Association for Clinical Chemistry.

Me kēlā mau mea āpau i ka noʻonoʻo, hōʻike ka noiʻi i ka hopena ma 0.1% wale nō o ka heluna lehulehu a kokoke i ka 2 pākēneka o ka poʻe ma mua o 60 mau makahiki. No laila, ʻoiai hiki, ʻaʻole pono ʻoe e lele wale e manaʻo i kou luhi ponoʻī ke kumu o ka anemia pernicious.

Nā hōʻailona Anemia Pernicious

ʻAʻole loaʻa nā hōʻailona o kekahi poʻe me ka anemia pernicious, nā hōʻailona haʻahaʻa loa, a i ʻole, i kekahi mau hihia, ʻaʻole e ʻike ʻia nā hōʻailona a hiki i ka makahiki 30, e like me ka National Library of Medicine. ʻAʻole maopopo loa ke kumu, akā lohi ka hoʻomaka ʻana o ka anemia anuanu a hiki ke hala i mau makahiki, no laila ke kumu e ʻike ʻole ʻia ai nā hōʻailona a ma hope, e like me ka NORD.

"Hiki i nā makahiki he nui no ka ulu ʻana o nā hōʻailona, ​​​​ma muli o kāu mau hale kūʻai mua o ka huaora B12," wahi a Jack Jacoub, M.D., he mea hematologist a me ka oncologist, a me ka luna lapaʻau o MemorialCare Cancer Institute ma Orange Coast Medical Center ma Fountain Valley, Kaleponi. "Akā, ʻoi aku ka nui o nā hōʻailona ma mua o ka luhi." (E pili ana: Chronic Fatigue Syndrome ʻOi aku ma mua o ka luhi maoli i nā manawa āpau)

ʻO nā hōʻailona maʻamau pernicious anemia penei:

• ʻO ka maʻi maʻi a i ʻole ka constipation
• Nusea
• ʻO ka luaʻi
• ʻO ke poʻo māmā i ke kū ʻana a i ʻole me ka hoʻoikaika kino
• Pau ka ʻai
• ʻili haʻalulu
• Ka hanu ʻana, ka hapa nui i ka wā hoʻoikaika kino
• Puʻuwai puʻuwai
• He pehu, ʻulaʻula alelo a i ʻole gums kahe (aka pernicious anemia elelo)

I ka hala ʻana o ka manawa, hiki i ka anemia anuanu ke hōʻeha i nā aʻa a alakaʻi paha i nā hōʻailona hou aʻe ma lalo, e like me ka National Library of Medicine:

• Huikau
• Pohō hoʻomanaʻo pōkole
• Ke kaumaha
• Lilo o ke kaulike
• Numbness a me ke kani ʻana i nā lima a me nā wāwae
• Paʻa ka noʻonoʻo ʻana
• Huhū
• Nā Haleluʻa
• Hoʻopunipuni
• ʻO ke aʻalolo optic nerve atrophy (he maʻi e hoʻopōʻino ai ka ʻike)

Nā Pernicious Anemia Kumu

Aia kekahi mau mea like ʻole e hiki ke alakaʻi i ka anemia pernicious, e like me ka NHLBI:

• Ka nele o ka mea intrinsic. Ke loaʻa iā ʻoe ka anemia pernicious, hana kou kino i nā antibodies e hoʻouka a luku i nā cell parietal, e laina ana i kou ʻōpū a hana i ke kumu intrinsic. (Ua ʻōlelo ka poʻe loea, ʻaʻole maopopo ke kumu o kēia.) Me ka ʻole o ka intrinsic factor, ʻaʻole hiki i kou kino ke hoʻoneʻe i ka huaora B12 ma loko o ka ʻōpū liʻiliʻi, kahi e komo ai, a hoʻopau ʻoe i kahi hemahema B12 a, ʻo ia hoʻi, ka anemia pernicious.
• Malabsorption i loko o ka ʻōpū liʻiliʻi. Hiki paha ke anemia kūnewa no ka hiki ʻole i ka ʻōpū liʻiliʻi ke omo pono i ka wikamina B12. Hiki ke hana ia ma muli o kekahi mau maʻi bacteria i loko o ka ʻōpū liʻiliʻi, nā kūlana e hoʻopilikia ai i ka absorption B12 (e like me ka maʻi celiac), kekahi mau lāʻau lapaʻau, ka wehe ʻana i kahi ʻāpana a i ʻole o ka ʻōpū liʻiliʻi a pau, a i ʻole, i nā hihia liʻiliʻi, kahi maʻi tapeworm. .
• He meaʻai nele i ka B12. Wahi a ka NHLBI, he "mea maʻamau" ka meaʻai no ka anemia pernicious, akā i kekahi manawa ke pāʻani nei ia i kekahi kuleana, ʻoi aku hoʻi no nā "meaʻai meaʻai" a me nā vegans ʻaʻole i lawe i kahi kumulāʻau vitamin B12.

Lapaau Anemia Pernicious

Eia hou, ʻai i kekahi manawa He hana koʻikoʻi i loko o ka anemia pernicious, akā ma ka nui, ʻaʻole pono ka mālama ʻana inā ʻoe wale nō ʻo ka ʻai ʻana i ka wikamina B12 hou aʻe a i ʻole ka lawe ʻana i kahi waihona no ka mea ʻaʻole ia e hoʻonui i ka meaola. "Hoʻokumu ʻia ka hemahema B12 i ka anemia anuanu e ka autoantibodies e pale ana i ka lawe ʻia ʻana o B12 i loko o ka ʻōpū liʻiliʻi," i wehewehe ai ʻo Amanda Kaveney, MD, he loea kōkua o ka hematology ma ke Kula Nui ʻo Rutgers - Ke Kula Lapaʻau ʻo Robert Wood Johnson. (Pili: nā Low Vitamin D Nā Hōʻailona Pono kēlā me kēia e ʻike e pili ana)

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Akā, e noʻonoʻo ka mālama ʻana i kekahi mau kumu like ʻole, e like me ke kumu o kāu anemia pernicious ma kahi mua, e like me ka NHLBI. Ma ka laulā, ua ʻōlelo ka National Library of Medicine e pili ana ka mālama ʻana i ka anemia anemia:

• ʻO kahi kī o ka huaʻai B12 i kēlā me kēia mahina. ʻO nā inikini o B12 e kōkua i ka pale ʻana i nā mea pale i ka absorption. (Pono paha ka poʻe me nā pae B12 haʻahaʻa haʻahaʻa i nā kī pinepine i ka hoʻomaka o ka lapaʻau.)
• ʻO ka mea maʻamau, ʻike kekahi poʻe i ka kūleʻa ma hope o ka lawe ʻana i nā kopa nui loa o nā mea hoʻohui huaʻai B12 ma ka waha. "Aia kahi ʻikepili e hōʻike ai inā ʻoe e lawe i kahi lāʻau nui o ka huaʻai B12 - 2,000 micrograms [ma lalo o ke alelo], no ka laʻana - a komo ʻoe i kahi liʻiliʻi o kēlā lāʻau, hiki iā ia ke hoʻoponopono i kāu pae vitamin B12," wahi a Kauka Kotia. (No ka pōʻaiapili, ʻo ka nui o kēlā me kēia lā o ka huaora B-12 he 2.4 micrograms wale nō.)
• Ka lawe ʻana i kekahi ʻano o ka huaʻaola B12 ma o ka nasal spray (he ʻano i hōʻike ʻia e hoʻonui i ka bioavailable i kekahi mau hihia).

Ke laina lalo: ʻaʻole maʻamau ka luhi mau. ʻAʻole paha ma muli o ka anemia pernicious, akā no ka mea, pono ke kamaʻilio ʻana i kāu kauka no ia mea. E ho'āʻo paha lākou e ʻike i nā mea e hana nei, a lawe i nā mea mai laila.

Nānā no