Vitamin B12 ua rau lub cev tsis muaj zog

Kauj ntshav yog ib qho mob uas lub cev tsis muaj cov qe ntshav liab liab noj qab nyob zoo. Cov ntshav liab muab cov pa oxygen rau cov cev nqaij. Nws muaj ntau yam ua haujlwm hauv lub cev.

Ntshav qab zib Vitamin B12 tsis txaus yog lub qe ntshav liab tsawg vim tsis muaj cov vitamin B12 txaus.

Koj lub cev xav tau cov vitamins B12 los ua cov ntshav liab. Txhawm rau muab cov vitamins B12 rau koj lub hlwb:

• Koj yuav tsum noj cov zaub mov uas muaj vitamin B12, xws li nqaij, nqaij qaib, qwj ntses, qe, zaub mov tshais, thiab cov khoom noj siv mis ua.
• Koj lub cev yuav tsum nqus cov vitamin B12 txaus. Ib qho tshwj xeeb protein, hu ua qhov ua kom zoo, pab koj lub cev ua qhov no. Cov protein no tawm hauv cov ntshav hauv plab.

Qhov tsis muaj cov vitamin B12 yuav yog vim kev noj haus, suav nrog:

• Noj zaub tsis nruj
• Noj zaub mov tsis zoo hauv cov menyuam mos
• Khoom noj khoom haus tsis zoo thaum cev xeeb tub

Qee yam mob yuav ua rau nws lub cev tsis yooj yim kom nqus tau cov vitamin B12 txaus. Lawv suav nrog:

• Siv dej cawv
• Tus kab mob Crohn, kab mob celiac, kis tus kab mob ntses cab, lossis lwm yam teeb meem uas ua rau koj lub cev tsis yooj yim mus zom cov zaub mov
• Pernicious anemia, ib hom ntshav qab zib vitamin B12 uas tshwm sim thaum koj lub cev rhuav cov hlwb uas ua rau muaj mob.
• Kev phais mob uas tshem qee qhov ntawm koj lub plab lossis plab hnyuv, xws li qee qhov kev phais-kev hnyav
• Noj tshuaj antacids thiab lwm yam tshuaj mob kub siab rau lub sijhawm ntev
• Kev Tsim Txom ntawm "luag cov roj" (nitrous oxide)

Koj yuav tsis muaj tsos mob dab tsi. Cov tsos mob tej zaum yuav mob sib khuav.

Cov tsos mob tuaj yeem suav nrog:

• Mob plab zawv lossis cem quav
• Qaug zog, tsis muaj lub zog, lossis lub teeb taws thaum sawv lossis nrog sab sab
• Tsis qab los noj mov
• Tawv nqaij daj
• Tsaus muag chim
• Ua tsis taus pa, feem ntau thaum qoj ib ce
• O, tus nplaig liab los yog pos hniav los ntshav

Yog tias koj muaj qib B12 tsis txaus nyob rau lub sijhawm ntev, koj tuaj yeem ua rau cov hlab ntsha tsis zoo. Cov tsos mob ntawm txoj hlab ntaws suav nrog:

• Tsis meej pem lossis hloov hauv kev puas hlwb (dementia) hauv cov mob loj
• Cov teeb meem kom pom tseeb
• Mob hlwb (poob kev sib cuag nrog kev muaj tiag)
• Poob ntawm kev tshuav
• Loog thiab tingling ntawm tes thiab taw
• Kev Ua Si

Tus kws kho mob yuav kuaj xyuas lub cev. Qhov no yuav qhia teeb meem nrog koj reflexes.

Kev ntsuam xyuas uas yuav ua tau muaj xws li:

• Ua kom tiav cov ntshav suav (CBC)
• Reticulocyte suav
• Lactate dehydrogenase (LDH) qib
• Ntsig bilirubin qib
• Qib Vitamin B12
• Methylmalonic acid (MMA) Qib
• Qib ntshav homocysteine ​​qib (amino acid nyob hauv ntshav)

Lwm cov txheej txheem uas yuav ua yog:

• Esophagogastroduodenoscopy (EGD) txhawm rau kuaj lub plab
• Enteroscopy kuaj xyuas cov hnyuv me
• Kev siv xyoob ntoo hauv pob txha yog hais tias qhov kev kuaj mob tsis meej

Kev kho mob yog nyob ntawm qhov ua rau B12 ua kom tsis muaj ntshav tsis txaus.

Lub hom phiaj ntawm kev kho mob yog ua kom koj cov qib vitamin B12 nce siab.

• Txoj kev kho yuav suav cov vitamin B12 txhaj ib hlis ib zaug. Yog tias koj muaj qib B12 qis heev, koj yuav tsum muaj kev txhaj tshuaj ntau dua thaum pib. Nws yog tau koj yuav tau mus txhaj tshuaj txhua lub hlis rau tas koj lub neej.
• Qee tus neeg tuaj yeem teb kev kho mob los ntawm kev noj tshuaj vitamin B12 los ntawm qhov ncauj.

Koj tus kws kho mob tseem yuav kom koj noj ntau yam zaub mov.

Cov neeg muaj tus kabmob no feem ntau ua tau haujlwm zoo nrog kev kho.

Lub sij hawm ntev ntawm cov vitamins B12 tsis muaj peev xwm ua rau cov leeg puas. Qhov no yuav nyob tas mus li yog tias koj tsis pib kho nyob rau hauv 6 lub hlis txij li hnub koj cov tsos mob pib.

Vitamin B12 lub cev tsis muaj zog feem ntau teb tau zoo rau kev kho mob. Nws yuav zoo dua thaum pib lub hauv paus ntawm qhov tsis muaj peev xwm kho tau.

Tus poj niam uas muaj qib B12 tsawg yuav muaj qhov tsis zoo Pap smear. Qhov no vim hais tias cov vitamins B12 tsis muaj feem cuam tshuam rau txoj kev qee cov qog hlwb (epithelial cells) hauv qhov ncauj tsev menyuam saib.

Hu rau koj tus kws kho mob yog tias koj muaj cov tsos mob tsis zoo.

Koj tuaj yeem tiv thaiv kom tsis txhob muaj ntshav tawm los ntawm qhov tsis muaj vitamin B12 los ntawm kev noj zaub mov kom zoo.

Kev txhaj tshuaj ntawm cov vitamin B12 tuaj yeem tiv thaiv kom muaj ntshav qog ntshav yog tias koj tau raug phais paub ua rau lub cev tsis muaj vitamin B12.

Kev paub thaum ntxov thiab kho mob sai tuaj yeem txo lossis tiv thaiv qhov cuam tshuam uas cuam tshuam nrog cov qib vitamin B12 tsawg.

Megaloblastic macrocytic anemia

• Megaloblastic anemia - saib ntshav liab
• Cov Hypersegmented PMN (Close-up)

Antony AC. Megaloblastic anemias. Hauv: Hoffman R, Benz EJ, Silberstein LE, li al, eds. Hematology: Qhov Ntsiab Cai thiab Kev Coj UaCov. 7 tus ed. Philadelphia, PA: Elsevier; 2018: chap 39.

Txhais tau tias RT. Mus kom ze rau lub anemias. Hauv: Goldman L, Schafer AI, eds. Goldman-Cecil TshuajCov. 26th ed. Philadelphia, PA: Elsevier; 2020: cha 149.

Perez DL, Murray ED, Nqe BH. Kev nyuaj siab thiab paj hlwb hauv kev kho neurological. Hauv: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology nyob rau hauv Kev Soj NtsuamCov. 7 tus ed. Philadelphia, PA: Elsevier; 2016: chap 10.