Qib Vitamin B12

Qib Vitamin B12 yog kev sim ntshav uas ntsuas seb koj cov vitamin B12 nyob hauv koj cov ntshav npaum li cas.

Xav tau cov ntshav ntxiv.

Koj yuav tsum tsis txhob noj lossis haus rau kwv yees li 6 rau 8 teev ua ntej ntsuas.

Qee cov tshuaj yuav cuam tshuam qhov tshwm sim ntawm qhov kev ntsuas no. Koj tus kws kho mob yuav qhia koj yog tias koj xav tau tsis noj tshuaj dab tsi ntxiv. TSIS TXHOB txiav tawm ib cov tshuaj ua ntej tham nrog koj tus kws kho mob.

Cov tshuaj uas tuaj yeem cuam tshuam rau cov txiaj ntsig sim tawm muaj xws li:

• Colchicine
• Neomycin
• Para-aminosalicylic acid
• Phenytoin

Thaum cov koob tau tso rau hauv cov ntshav, qee cov neeg hnov ​​mob me ntsis. Lwm tus ho hnov ​​tus mob lossis ceg tawv xwb. Tom qab ntawd, tej zaum yuav muaj qee qhov thos lossis me me sib duav. Tsis ntev no ploj mus.

Qhov kev kuaj ntshav no feem ntau tau ua thaum muaj lwm yam kev kuaj ntshav pom tias tus mob megaloblastic anemia. Pernicious anemia yog ib daim ntawv ntawm megaloblastic anemia los ntawm kev tsis zoo vitamin B12 nqus. Qhov no tuaj yeem tshwm sim thaum lub plab ua rau cov khoom siv tsawg dua uas lub cev xav kom nqus tau cov vitamins B12 kom zoo.

Koj tus kws kho mob tseem yuav pom zoo kom kuaj vitamin B12 yog tias koj muaj qee cov tsos mob ntawm lub paj hlwb. Cov qib qis ntawm B12 tuaj yeem ua rau loog lossis tingling ntawm caj npab thiab ceg, qaug zog, thiab poob ntawm qhov sib npaug.

Lwm cov xwm txheej uas ntsuas yuav ua tau suav nrog:

• Kev ntxhov siab ntxhov hnyav tam sim (delirium)
• Poob lub hlwb kev ua haujlwm (dementia)
• Kev dementia vim cov teeb meem hauv lub plab
• Tsom plab tsis zoo, xws li mob leeg hlwb

Cov txiaj ntsig zoo yog 160 rau 950 picograms ib milliliter (pg / mL), lossis 118 rau 701 picomoles ib litre (pmol / L).

Cov kab ke tus nqi yuav txawv me ntsis ntawm ntau lub chaw soj nstuam. Qee qhov kuaj pom siv cov kev ntsuas sib txawv lossis sim cov qauv sib txawv. Nrog koj tus kws kho mob tham seb koj cov kev ntsuam xyuas tshwj xeeb txhais tau li cas.

Cov nqi tseem ceeb tsawg dua 160 pg / mL (118 pmol / L) yog qhov pom ntawm kev muaj peev xwm ntawm vitamin B12. Cov neeg uas lub cev tsis txaus siab no feem ntau yuav muaj lossis tshwm sim cov tsos mob.

Cov neeg laus dua uas muaj vitamin B12 qib qis dua 100 pg / mL (74 pmol / L) kuj tseem muaj tsos mob. Kev tiv thaiv tsis txaus yuav tsum tau paub tseeb los ntawm kev tshawb xyuas theem ntawm ib yam khoom hauv ntshav uas hu ua methylmalonic acid. Qib siab qhia tau qhov tseeb B12 tsis muaj tseeb.

Cov ua rau cov vitamins B12 tsis muaj peev xwm suav nrog:

• Tsis txaus cov vitamins B12 hauv kev noj haus (tsis tshua muaj, tshwj tsis yog muaj cov leeg tsis noj nqaij nruj)
• Cov kab mob uas ua rau mob malabsorption (piv txwv li, kab mob celiac thiab Crohn kab mob)
• Tsis muaj qhov sib txuam, muaj protein uas pab txoj hnyuv txhawm rau nqus cov vitamin B12
• Ntau dua li ib txwm kub tsim (piv txwv li, nrog hyperthyroidism)
• Cev xeeb tub

Kev nce qib vitamin B12 yog qhov tsis zoo. Feem ntau, tshaj vitamin B12 tshem tawm hauv cov zis.

Cov xwm txheej uas tuaj yeem nce B12 qib yog:

• Kab mob siab (xws li mob hlab ntshaws lossis kab mob siab)
• Myeloproliferative mob (piv txwv li, polycythemia vera thiab mob myelogenous leukemia)

Txoj kev pheej hmoo me ntsis nrog kev coj koj cov ntshav mus. Cov leeg thiab cov hlab ntsha sib txawv raws li ib tug neeg mus rau lwm qhov thiab ntawm ib sab ntawm lub cev mus rau lwm qhov. Noj ntshav los ntawm qee tus neeg yuav nyuaj dua li lwm tus.

Lwm yam kev phom sij los cuam tshuam nrog kev kos ntshav me ntsis, tab sis yuav suav nrog:

• Los ntshav ntau
• Tsaus muag lossis hnov ​​nkaus lub teeb
• Ntau cov punctures los nrhiav cov leeg ntshav
• Hematoma (ntshav buildup hauv qab daim tawv nqaij)
• Kev kis tus kab mob (muaj kev pheej hmoo me me txhua lub sijhawm ntawm daim tawv tawg)

Cobalamin kev xeem; Pernicious anemia - vitamin B12 qib

Marcogliese AN, Yee DL. Cov peev txheej rau hematologist: txhais cov lus pom thiab xaiv cov nqe lus tseem ceeb rau kev yug menyuam, menyuam yaus, thiab cov neeg laus. Hauv: Hoffman R, Benz EJ, Silberstein LE, li al, eds. Hematology: Qhov Ntsiab Cai thiab Kev Coj Ua. 7 tus ed. Philadelphia, PA: Elsevier; 2018: chap 162.

Mason JB, Lub Rooj Muag Khoom SL. Cov vitamins, lw cov zaub mov, thiab lwm yam micronutrients. Hauv: Goldman L, Schafer AI, eds. Goldman-Cecil Tshuaj. 26th ed. Philadelphia, PA: Elsevier; 2020: cha 205.