Puas yog Pernicious Anemia Yog Vim Li Cas Koj Thiaj Li Tuag?

Zoo Siab

• Dab tsi yog pernicious anemia?
• Yuav ua li cas yog pernicious anemia?
• Pernicious Anemia Cov tsos mob
• Pernicious Anemia ua rau
• Pernicious Anemia Kev Kho Mob
• Tshuaj xyuas rau

Qhov tseeb: Xav tias nkees ntawm no thiab muaj ib feem ntawm kev ua neeg. Txawm li cas los, qaug zog tas li tuaj yeem yog ib qho cim ntawm kev mob nkeeg - suav nrog qee yam hu ua ntshav tsis txaus.

Tej zaum koj yuav paub txog kev mob ntshav qab zib, ib yam mob uas tshwm sim los ntawm qhov tsis muaj cov qe ntshav liab noj qab haus huv uas tuaj yeem ua rau qaug zog, kiv taub hau, thiab ua tsis taus pa.

Txawm li cas los xij, ntshav tsis txaus, yog ntshav tsis txaus uas lub cev siv tsis tau cov vitamin B12, yog cov vitamins tseem ceeb rau kev noj qab haus huv cov qe ntshav liab, raws li Lub Koom Haum Hauv Lub Tebchaws rau Kev Tsis Txaus Siab (NORD). Zoo ib yam li anemia, pernicious anemia feem ntau yog tshwm sim los ntawm kev qaug zog tas li, ntawm lwm cov tsos mob, tab sis kev kuaj mob pernicious anemia feem ntau yuav nyuaj dua.

Cov ntaub ntawv nyob rau hauv taw tes: Celebrity trainer Harley Pasternak tsis ntev los no tau qhib txog nws cov kev paub nrog pernicious anemia. "Ob peb xyoos dhau los, kuv tau qaug zog, thiab kuv tsis tuaj yeem paub tias qhov twg yog qhov tsis raug - Kuv noj zoo, kuv tawm dag zog, kuv sim thiab pw tsaug zog zoo," nws hais hauv Instagram video. Pasternak piav qhia tias "Kuv tau kuaj ntshav ua tiav, thiab nws pom tias kuv yeej tsis muaj vitamin B12 hauv kuv lub cev," txawm hais tias tsis tu ncua noj cov zaub mov siab B12, piav qhia Pasternak.

Tom qab tau txais cov txiaj ntsig no, Pasternak tau hais tias nws nce nws qhov kev noj B12 los ntawm ntau yam tshuaj, los ntawm B12 tshuaj tsuag rau B12 ntsiav tshuaj. Tab sis kev kuaj ntshav tom qab pom tias nws tseem "tsis muaj B12 hauv [nws] lub cev," qhia Pasternak. Nws hloov tawm, nws muaj ntshav tsis txaus, thiab tus mob tau tiv thaiv nws lub cev los ntawm kev nqus thiab siv B12, txawm tias nws ntxiv thiab noj ntau npaum li cas, nws piav qhia. (Hais txog: Puas muaj vitamin tsis txaus yuav ua rau koj qhov kev tawm dag zog?)

Hauv qab no, cov kws tshaj lij piav qhia txhua yam koj yuav tsum paub txog pernicious anemia, los ntawm dab tsi tuaj yeem ua rau tus mob yuav kho li cas.

Dab tsi yog pernicious anemia?

Cov ntshav tsis txaus tshwm sim thaum koj lub cev tsis tuaj yeem tsim cov qe ntshav liab txaus vim tias nws siv tsis tau cov vitamin B12 uas koj noj, raws li National Heart, Lung, and Blood Institute (NHLBI). Pom muaj nyob rau hauv cov mis nyuj, qe, ntses, nqaij qaib, thiab cov khoom noj muaj zog, vitamin B12 yog qhov tseem ceeb los tswj koj qib zog. (Ntxiv ntawm no: Vim li cas B vitamins yog qhov zais cia kom muaj zog ntxiv)

Nrog ntshav tsis txaus, koj lub cev tsis tuaj yeem nqus tau cov vitamin B12 txaus los ntawm zaub mov. Feem ntau, qhov no tshwm sim vim tias koj lub cev tsis muaj qhov tseem ceeb, cov protein ua hauv plab, raws li NHLBI. Raws li qhov tshwm sim, koj tuaj nrog qhov tsis muaj vitamin B12.

FWIW, lwm yam mob tuaj yeem ua rau tsis muaj vitamin B12, yog li pernicious anemia tsis yog ib qho kev kuaj mob yog tias kuaj ntshav qhia tias koj muaj B12 qis. "Ua ib tus neeg tsis noj nqaij thiab tsis noj B12 txaus hauv koj cov zaub mov, muaj kev phais mob plab zom mov kom poob phaus, cov kab mob ntau dhau hauv plab, cov tshuaj xws li tshuaj acid reflux, metformin rau ntshav qab zib, lossis kab mob caj ces" tuaj yeem ua rau muaj vitamin B12 tsis txaus. Sandy Kotiah, MD, kws kho mob hematologist, oncologist, thiab tus thawj coj ntawm Lub Chaw Neuroendocrine Tumor Center ntawm Mercy Medical Center hauv Baltimore. (Related: 10 Nutrition Mistakes Vegans Ua - thiab Yuav Kho Li Cas)

Yuav ua li cas yog pernicious anemia?

Pernicious anemia yog suav hais tias yog ib yam mob uas tsis tshua muaj, yog li nws nyuaj rau hais raws nraim pes tsawg tus neeg tau ntsib nws.

Rau ib yam, tsis muaj "kev pom zoo tiag tiag" hauv zej zog kho mob txog qhov suav tias yog vitamin B12 tsis txaus, raws li Pernicious Anemia Society (PAS). Hais tias, ib daim ntawv luam tawm xyoo 2015 hauv phau ntawv journal Tshuaj Kho Mob kwv yees tias qhov tsis muaj vitamin B12 cuam tshuam tsawg kawg yog 3 feem pua ​​​​ntawm cov neeg laus hauv Teb Chaws Asmeskas hnub nyoog ntawm 20 thiab 39 xyoo, 4 feem pua ​​​​ntawm cov hnub nyoog 40 thiab 59 xyoo, thiab 6 feem pua ​​​​ntawm cov neeg laus hnub nyoog 60 thiab laus dua. Ib zaug ntxiv, txawm li cas los xij, pernicious anemia tsis yog rau txim rau tag nrho cov xwm txheej no.

Nws kuj tseem nyuaj kom paub tias muaj pes tsawg tus neeg muaj ntshav qab zib tsis txaus vim qhov kev sim rau qhov tseem ceeb, hu ua Intrinsic Factor Antibody Test, tsuas yog kwv yees li 50 feem pua, raws li PAS. Qhov no vim tias kwv yees li ib nrab ntawm cov uas muaj ntshav tsis txaus tsis muaj cov tshuaj tiv thaiv kab mob hauv lub cev, raws li American Association for Clinical Chemistry.

Nrog rau tag nrho cov hauv siab, kev tshawb fawb qhia tias tus mob yuav cuam tshuam li 0.1 feem pua ​​​​ntawm cov pej xeem thiab ze li 2 feem pua ​​​​ntawm cov neeg muaj hnub nyoog 60 xyoo. Yog li, thaum nws tuaj yeem ua tau, koj yuav tsum tsis txhob dhia mus xav tias koj tus kheej qaug zog yog tshwm sim los ntawm kev mob ntshav tsis txaus.

Pernicious Anemia Cov tsos mob

Qee tus neeg uas muaj ntshav tsis txaus yuav tsis muaj tsos mob, tsos mob me me, lossis qee zaum, cov tsos mob yuav tsis tshwm sim txog thaum hnub nyoog 30 xyoo, raws li National Library of Medicine. Nws tsis meej meej vim li cas, tab sis qhov pib ntawm cov ntshav tsis txaus feem ntau qeeb thiab tuaj yeem ncua ntev ntau xyoo, yog li vim li cas cov tsos mob yuav tsis tshwm sim tom qab, raws li NORD.

Jack Jacoub, MD, kws kho mob hematologist thiab oncologist, thiab tus thawj coj kho mob ntawm MemorialCare Cancer Institute ntawm Orange Coast Medical Center hauv Fountain Valley, California tau hais tias "Nws tuaj yeem siv sijhawm ntau xyoo rau cov tsos mob tshwm sim, nyob ntawm koj lub khw muag tshuaj vitamin B12. "Tab sis cov tsos mob feem ntau tsuas yog qaug zog xwb." (Muaj feem cuam tshuam: Kev mob nkees ntev yog ntau dua li tsuas yog ua rau nkees tas li xwb)

Cov tsos mob ntawm pernicious anemia muaj xws li:

• Zawv plab los yog cem quav
• Ntshai
• Ntuav
• Lightheadedness thaum sawv ntsug lossis nrog kev tawm dag zog
• Tsis qab los noj mov
• tawv nqaij tawv
• Ua tsis taus pa, feem ntau thaum lub sij hawm qoj ib ce
• Kub siab
• Ib qho o, tus nplaig liab los yog cov pos hniav los ntshav (aka pernicious anemia tongue)

Thaum lub sij hawm, pernicious anemia tuaj yeem ua rau cov hlab ntsha puas tsuaj thiab ua rau muaj cov tsos mob hauv qab no ntxiv, raws li National Library of Medicine:

• Tsis meej pem
• Lub sij hawm luv luv nco
• Kev nyuaj siab
• Tsis tshuav nyiaj li cas
• Ua npaws thiab ua npaws ntawm tes thiab taw
• Kev nyuaj siab
• Kev chim siab
• Hallucinations
• Kev dag ntxias
• Optic paj hlwb atrophy (ib yam mob uas ua rau pom qhov muag tsis pom)

Pernicious Anemia ua rau

Muaj ob peb yam sib txawv uas tuaj yeem ua rau muaj ntshav tsis txaus, raws li NHLBI:

• Tsis muaj intrinsic yam. Thaum koj muaj kab mob ntshav qab zib tsis txaus, koj lub cev ua cov tshuaj tiv thaiv kab mob uas tawm tsam thiab rhuav tshem cov parietal hlwb, uas ua rau koj lub plab thiab ua rau qhov tseem ceeb. (Cov kws tshaj lij hais tias nws tsis paub tias yog vim li cas qhov no tshwm sim.) Yog tias tsis muaj qhov tseem ceeb hauv lub cev, koj lub cev tsis tuaj yeem txav vitamin B12 los ntawm txoj hnyuv me, qhov twg nws nqus tau, thiab koj xaus rau kev tsim B12 tsis txaus thiab, dhau los, pernicious anemia.
• Malabsorption nyob rau hauv cov hnyuv. Pernicious anemia tuaj yeem tshwm sim vim tias cov hnyuv me tsis tuaj yeem nqus cov vitamin B12 kom zoo. Qhov ntawd tuaj yeem tshwm sim los ntawm qee cov kab mob hauv cov hnyuv me, cov xwm txheej uas cuam tshuam nrog B12 nqus (xws li kab mob celiac), qee cov tshuaj, kev phais tshem tawm ib feem lossis tag nrho cov hnyuv me, lossis, qee zaus, kab mob kab mob. .
• Kev noj zaub mov uas tsis muaj B12. NHLBI hais tias kev noj zaub mov yog "tsis tshua muaj" ua rau muaj ntshav tsis txaus, tab sis qee zaum nws ua lub luag haujlwm, tshwj xeeb tshaj yog rau "cov neeg tsis noj nqaij nruj" thiab cov neeg tsis noj nqaij uas tsis noj cov vitamin B12 ntxiv.

Pernicious Anemia Kev Kho Mob

Ib zaug ntxiv, kev noj haus qee zaum plays lub luag haujlwm hauv pernicious anemia, tab sis los ntawm thiab loj, kev kho mob yuav tsis zoo yog tias koj nyob xwb noj ntau cov vitamin B12 los yog noj ib qho ntxiv vim tias tsis ua rau cov zaub mov muaj ntau dua bioavailable. Amanda Kaveney, MD piav qhia "Amanda Kaveney, MD, tus pab xibfwb ntawm hematology ntawm Rutgers University - Robert Wood Johnson Medical School" piav qhia tias "B12 tsis txaus hauv ntshav tsis txaus yog [feem ntau] tshwm sim los ntawm kev tiv thaiv kab mob autoantibodies tiv thaiv kev tsim nyog B12 hauv cov hnyuv." (Muaj feem cuam tshuam: Cov tsos mob Vitamin D qis Txhua leej txhua tus yuav tsum paub txog)

"Kev sim kov yeej B12 tsis txaus los ntawm kev noj ntau B12 feem ntau tsis tuaj yeem pab vim tias koj muaj teeb meem nrog kev nqus," ntxiv Dr. Jacoub.

Hloov chaw, kev kho mob feem ntau yuav suav nrog ob peb yam sib txawv, suav nrog dab tsi ua rau koj muaj ntshav tsis txaus nyob rau thawj qhov chaw, raws li NHLBI. Feem ntau, National Library of Medicine hais tias pernicious anemia kev kho mob feem ntau suav nrog:

• Kev txhaj tshuaj txhua hli ntawm vitamin B12; Kev txhaj tshuaj ntawm B12 pab hla dhau qhov cuam tshuam rau kev nqus. (Cov neeg uas muaj qib B12 qis heev yuav xav tau txhaj ntau dua thaum pib kho.)
• Tsis tshua muaj tshwm sim, qee tus neeg pom kev ua tiav tom qab noj cov tshuaj vitamin B12 ntau heev los ntawm qhov ncauj. "Muaj cov ntaub ntawv los qhia tias yog tias koj noj tshuaj vitamin B12 txaus - 2,000 micrograms [hauv qab tus nplaig], piv txwv li - thiab koj nqus me me ntawm qhov koob tshuaj ntawd, nws tuaj yeem txhim kho koj cov vitamin B12 qib," Dr. Kotiah. (Rau cov ntsiab lus, qhov pom zoo txhua hnub ntawm cov vitamin B-12 tsuas yog 2.4 micrograms.)
• Noj qee yam ntawm cov vitamin B12 ntawm cov tshuaj tsuag qhov ntswg (ib txoj hauv kev uas tau pom los ua kom cov vitamins muaj ntau dua nyob hauv qee kis).

Cov kab hauv qab: Kev qaug zog tas li tsis zoo li qub. Nws yuav tsis tas yuav yog vim muaj ntshav tsis txaus, tab sis txawm li cas los xij, nws tsim nyog tham nrog koj tus kws kho mob txog nws. Lawv yuav muaj peev xwm ua qee qhov kev kuaj ntshav txhawm rau txiav txim siab seb muaj dab tsi tshwm sim, thiab nqa khoom los ntawm qhov ntawd.

Tshuaj xyuas rau