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Hnub Kev Tsim: 28 Lub Ib Hli Ntuj 2021
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Zoo Siab

Rov qab siv cov metformin kev tso tawm ntev

Thaum lub Tsib Hlis 2020, qhov kev pom zoo tias qee cov neeg tsim cov tshuaj metformin ncua kev tso tawm tshem qee cov ntsiav tshuaj ntawm Tebchaws Meskas. Qhov no yog vim tias qhov tsis tsim nyog ntawm cov teeb meem carcinogen (tus neeg sawv cev mob qog nqaij hlav cancer) tau pom hauv qee cov tshuaj ncua metformin. Yog tias koj tam sim no noj cov tshuaj no, hu rau koj tus kws kho mob. Lawv yuav qhia seb koj yuav tsum noj koj cov tshuaj txuas ntxiv lossis yog koj xav tau daim ntawv yuav tshuaj tshiab.

Vitamin B-12 yog qhov tsim nyog rau lub hlwb tsis muaj zog thiab cov qe ntshav muaj ntshav tsis muaj mob. Txoj hauv kev zoo tshaj plaws kom tau txais cov vitamins B-12 yog los ntawm koj cov kev noj haus. Cov vitamins tseem ceeb no muaj nyob hauv cov nqaij, ntses, nqaij qaib, thiab khoom noj siv mis. Yog tias koj tsis noj zaub mov kom txaus, nws tuaj yeem ua rau koj tsis muaj peev xwm.

Muaj lwm txoj hauv kev los tsim qhov tsis txaus. Piv txwv li, kev muaj ntshav qab zib mellitus tuaj yeem ua rau koj muaj kev pheej hmoo B-12 vim nws yuav yog kev phiv los ntawm tshuaj metformin, ib qho kev kho mob rau hom 2 ntshav qab zib mellitus. Kev tshawb fawb 2009 pom tias 22 feem pua ​​ntawm cov tib neeg muaj ntshav qab zib hom 2 tsawg nyob hauv B-12. Cov ntsiab lus tshawb pom qhia tias metformin pab txhawb rau qhov tsis txaus.


Nyeem rau kom paub cov tsos mob ntawm B-12 qhov tsis txaus, nws yuav txhais li cas rau koj kev noj qab haus huv tag nrho, thiab koj tuaj yeem ua dab tsi txog nws.

Vitamin B-12 tsis txaus: Nws xav li cas

Cov tsos mob ntawm vitamin B-12 tsis muaj peev xwm ua tau me me thaum xub thawj thiab tsis tshua pom tseeb. Yog tias koj nyob qis me ntsis ntawm B-12, koj yuav tsis muaj tsos mob dab tsi hlo li. Qee qhov ntawm cov tsos mob tshwm sim thaum ntxov yog:

  • nkees nkees
  • tsis muaj zog
  • tsis qab los noj mov
  • poob phaus
  • cem quav

Nws yuav yooj yim rau lawb tawm cov no raws li kev tsis txaus siab me. Txawm li cas los xij, dhau sijhawm, tsis txaus B-12 tuaj yeem ua rau cov teeb meem loj dua.

Ua rau muaj cov vitamins B-12 tsis txaus

B-12 feem ntau pom muaj hauv cov khoom tsiaj. Nws tsis yog tshwm sim ib txwm muaj hauv nroj tsuag.

Yog li ntawd, cov tib neeg uas tsis noj nqaij lossis zaub mov mis, xws li cov neeg tsis noj nqaij thiab lwm yam tsiaj, yuav ua rau muaj kev pheej hmoo B-12 tsis txaus. Qee cov khoom noj tsis muaj zaub noj, suav nrog cov zaub mov noj tshais thiab cov thoob hluav taws xob, yuav muaj zog nrog B-12.

Kev noj cov vitamins B-12 tsis txaus yog qhov teeb meem nkaus xwb. Koj lub cev tseem yuav tsum muaj peev xwm nqus tau nws kom zoo.


Qee cov tshuaj yuav ua rau nws lub cev tsis yooj yim kom nqus B-12, suav nrog:

  • acid reflux thiab peptic rwj siv tshuaj tua kab mob, suav nrog:
    • famotidine (Pepcid AC)
    • lansoprazole (Prevacid)
    • omeprazole (Prilosec)
    • ranitidine (Zantac)
  • metformin (Glucophage, Glumetza), feem ntau hom 2 mob ntshav qab zib
  • chloramphenicol, tshuaj tua kab mob

Lwm qhov ua rau cov vitamin B-12 tsis muaj peev xwm yog qhov tsis txaus siab ntawm (instrinsic factor) (IF), uas yog cov protein tsim los ntawm lub plab hlwb. Cov kab mob hauv lub plab no tuaj yeem tiv thaiv kab mob los ntawm kev tiv thaiv kab mob hauv lub cev, thiab qhov ntawd tuaj yeem tsim kev poob qis hauv IF ntau lawm. YOG yuav tsum nqus cov zaub mov muaj vitamin B-12 rau txoj hnyuv.

Vim li cas B-12 qhov tsis txaus ntseeg yog qhov loj

Tsawg kawg ntawm cov vitamins B-12 tuaj yeem ua rau muaj kev phom sij hnyav, suav nrog kev ua haujlwm hauv ntshav.

Mob ntshav liab txhais tau tias koj tsis muaj ntshav liab txaus (RBCs) txaus. Vim tias cov ntshav liab tau tsim los nqa cov pa oxygen hauv cov hlab ntshav, kev ua haujlwm kom ntshav yuav ua rau koj lub hlwb muaj cov pa oxygen ntau.


Raws li kev tshawb fawb 2015 hauv phau ntawv Journal of Oral Pathology Medicine, tsawg dua 20 feem pua ​​ntawm cov neeg hauv kev tshawb fawb uas muaj vitamin B-12 tsis muaj peev xwm ntsib cov ntshav tsis txaus ua paug, ib hom ntshav tsis muaj qab hau rau cov uas muaj B-12 tsis txaus.

Cov tsos mob ntawm tus mob anemia muaj xws li:

  • nkees
  • daj ntseg tawv nqaij
  • mob hauv siab
  • kiv taub hau
  • mob taub hau

Lwm qhov tsos mob ntawm B-12 tsis txaus ntseeg yog koj txoj kev hnov ​​thiab hnov ​​tsw. Cov tsos mob hnyav dua suav nrog lub plawv dhia ceev lossis lub plawv thiab ua tsis taus pa.

B-12 tsis tuaj yeem tuaj yeem ua rau mob qog nqaij hlav nrog cov tsos mob uas yuav suav nrog txhawm, tsis muaj zog, mob thiab mob caj dab (qhov mob lossis khaus khaus tawv nqaij). Nws ib txwm hnov ​​tau ntawm caj npab, tes, ceg thiab txhais taw. Qee tus neeg hnov ​​loog, tingling, lossis hnov ​​zoo li prickly.

Qes B-12 feem ntau cuam tshuam nrog theem siab ntawm cov amino acid hu ua homocysteine. Qhov no tuaj yeem nce koj qhov kev pheej hmoo ntawm kab mob plawv thiab hlab ntsha tawg.

Ib qho hnyav, lub sijhawm ntev-B-12 tsis muaj peev xwm ua rau:

  • poob ntawm kev mus ncig
  • taug kev nyuaj
  • delusions
  • kev nyuaj siab
  • nco ploj nrog dementia
  • qaug dab peg

Mob ntshav qab zib neuropathy thiab B-12 neuropathy: Nws yog qhov nyuaj los qhia qhov txawv

Ib qho kev pheej hmoo ntawm ntshav qab zib mellitus yog neuropathy, tseem hu ua kev puas tsuaj rau cov hlab ntshav. Nws tshwm sim los ntawm qhov tshwm sim tsis zoo ntawm cov ntshav siab nyob ntev ntev.

Cov tsos mob feem ntau ntawm tus mob ntshav qab zib neuropathy yog cov tau piav qhia saum toj no rau cov leeg hlwb uas feem ntau cuam tshuam rau caj npab, txhais tes, ceg thiab ko taw.

Mob neuropathy mob ntshav qab zib kuj tuaj yeem cuam tshuam lwm qhov ntawm lub cev, suav nrog lub plab hnyuv (GI) cov kab mob.

Koj tsis tas yuav muaj ntshav qab zib los tsim kev mob hlwb. Lub sijhawm ntev B-12 tsis muaj peev xwm kuj tseem tuaj yeem ua kev puas tsuaj rau koj txoj hlab ntshav.

Txawm hais tias koj muaj ntshav qab zib lossis tsis, cov tsos mob ntawm tus mob neuropathy yuav tsum tsis txhob quav ntsej.

Yuav kuaj li cas thiaj paub hais tias B-12 tsis muaj peev xwm

Yog tias koj muaj cov tsos mob ntawm B-12 tsis txaus, mus ntsib koj tus kws kho mob tam sim ntawd. Muaj qee cov tsos mob, tshwj xeeb yog pib thaum ntxov, tuaj yeem ua kom tsis meej. Lawv tuaj yeem tshwm sim los ntawm lwm yam.

Kev kuaj ntshav yoojyim tuaj yeem txiav txim siab yog tias qhov teebmeem qis B-12. Yog tias koj muaj ntshav qab zib thiab / lossis B-12 tsis txaus, koj tus kws kho mob yuav xav ua tiav keeb kwm thiab kev kuaj mob lub cev kom ntsuas koj tus kheej tag nrho.

Koj cov ntshav qabzib hauv qib ntshav kuj tseem yuav raug coj los txiav txim siab txog ntshav qab zib mellitus.

Cov qib B-12 tau pom zoo raws li lub hnub nyoog. Feem ntau cov hluas thiab cov neeg laus xav tau 2.4 micrograms (mcg) ib hnub. Cov menyuam xav tau nruab nrab ntawm 0.4 txog 1.8 mcg txhua hnub, nyob ntawm lawv hnub nyoog.

Yuav ua li cas yog tias koj muaj cov tsos mob ntawm B-12 tsis txaus

Tswj cov ntshav qab zib kom ntshav qab zib kom zoo yuav pab koj tswj B-12 nqus. Ntxiv rau kev noj haus, kev tawm dag zog kom tsis tu ncua thiab pw txaus txaus tuaj yeem pab tau. Koj tus kws kho mob tuaj yeem pom zoo lub phiaj xwm kho raws qhov koj xav tau.

Tej zaum koj yuav raug qhia kom nce B-12 hauv koj cov zaub mov noj. Cov chaw muaj txiaj ntsig zoo ntawm cov vitamins B-12 muaj xws li:

  • cov nqaij liab
  • ntses
  • nqaij qaib
  • qe
  • khoom noj siv mis
  • clams
  • nqaij nyug siab

Cov zaub mov uas siv tshuaj B-12 nrog:

  • poov xab moov aub, uas yog taum muaj zaub tsis zoo noj
  • cereal
  • mov ci
  • taum paj

Nco ntsoov nyeem cov ntawv cim khoom noj kom zoo.

Koj tus kws kho mob tseem yuav qhia koj kom noj tshuaj vitamin B-12 pab, tshwj xeeb yog tias koj muaj zaub noj tsis haum lossis nqaij tsis noj ntshav. Yog tias koj lub cev tsis tshua zoo, lawv tuaj yeem muab tshuaj B-12 rau koj.

Ua raws li koj tus kws kho mob cov lus qhia kom tsis txhob muaj teeb meem loj ntawm B-12 qhov tsis txaus. Kuj teem caij rau kev soj qab taug qab kom paub tseeb tias koj nyob rau qhov yog.

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