Tsis muaj vitamin B12 - cov tsos mob rau cov neeg laus, tej zaum ua rau thiab cov kev kho nta

Hais txog yuav ua li cas ib qho tseem ceeb nws yog los tau txaus cov vitamins, peb paub yuav luag los ntawm thaum yau. Lawv muab kev koom tes nyob rau hauv ntau cov txheej txheem uas muaj feem xyuam rau qhov zoo thiab ntev ntawm peb lub neej. Kev mloog yog them rau vitamin B12, uas muaj lub complex tshuaj qauv. Yuav ua li cas yog khoom no? Yuav ua li cas puas ib tug tsis muaj vitamin B12 - cov tsos mob rau cov neeg laus thiab cov me nyuam, qhia ib tug ua tau teeb meem?

cyanocobalamin

Nyob rau hauv lub npe vitamin B12 ua ke ib pab pawg neeg ntawm tshuaj muaj cobalt ions. Nyob rau hauv kev, hais lus txog qhov no vitamin, cyanocobalamin hais, txawm hais tias nyob rau hauv cov pab pawg neeg yog hydroxocobalamin, methylcobalamin thiab lwm yam ntaub ntawv. Feem ntau cov biologically active tshuaj raug xa mus rau cias li cobalamins.

B12 - dej-soluble substance. Xim - liab. Qhov no vitamin yuav noog nyob rau hauv lub cev nqaij. qhov chaw cia - lub siab, ob lub raum, lub ntsws, tus po. Maximum concentration tso nyiaj rau hauv lub siab cov ntaub so ntswg. Muaj nyob kom txog 80% ntawm cov Tshuag.

Yog vim li cas hauv lub cev B12

Cyanocobalamin muab ntshav tsim, kev koom tes nyob rau hauv protein metabolism, enzymatic tshua, ib lub hauv paus rau lub hloov dua siab tshiab ntawm cov amino acid, tiv thaiv fatty infiltration ntawm lub siab, tsub kom cov pa noj nyob rau cellular theem.

Nrog ib tug tsis muaj vitamin B12 cov tsos mob rau cov neeg laus thiab nyob rau hauv cov me nyuam yuav manifest nws tus kheej nyob rau hauv daim ntawv ntawm cov txo tiv thaiv. Piv txwv li, nyob rau hauv cov neeg mob uas AIDS yog ib txwm ib tug tsis tshua muaj qib ntawm B12, qhov no yog dab tsi provokes thiab accelerates tus txoj kev loj hlob ntawm tus kab mob.

Yog hais tias peb xav txog nyob rau hauv qhov tob tshaj cov kev cai ntawm hematopoietic muaj nuj nqi, nws yog tsim nyog los faib ib feem B12 nyob rau hauv cov txheej txheem ntawm synthesis ntawm purine thiab pyrimidine bases, raws li zoo raws li ua ib tug nucleic acid. Nyob rau hauv tas li ntawd, nws yog muab kev koom tes nyob rau hauv lub tsim ntawm cov ntshav liab.

Tiam sis feem ntau tseem ceeb yog ua cyanocobalamin muaj xws li los rau hauv lub paj hlwb. Lub koom haum pab tshuaj yog cov tsim ntawm tus myelin sheath ntawm ib tug hlab ntsha. Nyob rau hauv tas li ntawd, nws koom nyob rau hauv lub hloov dua siab tshiab ntawm carotene rau Retinol.

Lub cev nyob ib leeg synthesizes B12?

Ib tug me me npaum li cas ntawm cyanocobalamin ua plab hnyuv microflora. Qhov no tshwm sim nyob rau hauv txoj hnyuv loj, tab sis lub cev tsis tau khoom vim hais tias nws twb tsis tau yuav absorbed los ntawm lub plab hnyuv phab ntsa. Nyob rau hauv tus txheej txheem ntawm haum ntawm no vitamin yog muab kev koom tes mukoproteinov uas tsim lub plab mob cancer. Yog li, lub cev yog tsim nyog los tau vitamin B12 los ntawm khoom noj khoom haus, qhov no yog hu ua lwm zoo tshaj tsev fuabtais. Thiab tej yam uas fundic qog ntawm lub plab rau "zaub mov" cyanocobalamin yog hu ua intrinsic tau tsev fuabtais.

Yog vim li cas yog muaj ib tug tsis txaus: exogenous tsis ua hauj lwm

Cia saib zoo dua cov tsos mob thiab ua rau vitamin B12 deficiency.

Nyob rau hauv cov tshuaj, nws qhia ob peb tseem ceeb thaj chaw nyob rau hauv kev sib raug zoo rau lub tsis muaj cov vitamins B. Lawv tau muab faib mus rau hauv exogenous thiab endogenous pab pawg neeg. Nyob rau hauv thawj pab pawg neeg ntawd yog hais tias lub ntsiab ua rau tsis muaj kev vitamin B12 - shortfall nws los ntawm cov khoom noj thaum lub sij hawm tsis ntawm cov tsiaj cov zaub mov los yog incorrectly tso ua ke noj.

Qhov teeb meem no feem ntau nyuaj siab los ntawm vegetarians, tshwj xeeb yog nruj noj cov zaub mov. Lawv muaj yuav ua rau npe rau lub vitamin B12 tshuaj los yog kev siv ntawm kev noj haus tshuaj.

Nws yog muaj pov thawj hais tias yog ib tug neeg tsis noj nqaij niam-tus me nyuam mis noj, tus me nyuam kuj suffers los ntawm ib tug tsis muaj vitamin B12. Nws lub cev tsis tau tsim ib tug Tshuag ntawm cyanocobalamin, thiab kev loj hlob sai tsub kom qhov kev thov rau qhov no substance.

endogenous insufficiency

Endogenous insufficiency txuam nrog malabsorption txheej txheem tshuaj los ntawm cov hnyuv. Nyob rau hauv cov ntaub ntawv no kuj muaj yog ib tug tsis muaj peev xwm ntawm vitamin B12, thiab cov tsos mob nyob rau hauv uas cov ntaub ntawv feem ntau muaj kev koom manifested nyob rau hauv cov neeg laus. Qhov no yog hu ua malabsorption syndrome, yog txuam nrog poob secretion ntawm pais plab acidity.

Muaj ntau cov neeg mob uas haum teeb meem tshwm sim vim lub qhov muag tsis pom syndrome voj, qhov twg txoj kev loj hlob ntawm cov kab mob. Pathogenic cov kab mob yog pub los ntawm uas nkag mus rau cov hnyuv vitamin B12.

Lub haum ntawm tsim nyog tshuaj feem xyuam rau txoj o ntawm lub ileum. Lub cev tsis tau cov nyiaj ntawm cyanocobalamin yog lub ileum yog cov raug tshem tawm.

Yog hais tias qhov ua rau ntawm vitamin B12 deficiency - Tapeworm

Helminthiasis nyob rau hauv cov ntaub ntawv no - ib tug tapeworm, kuj ua rau ib tug tsis muaj vitamin B12. Cov tsos mob rau cov neeg laus tej zaum yuav tshwm sim nyob rau hauv daim ntawv ntawm cov xeev siab, tsis muaj zog, mob nyob rau hauv lub plab mog, raws plab thiab yuag. Cov me nyuam nyob rau hauv cov xub ntiag ntawm no cab hnov mob npaum li cas sharper. Nyob rau hauv tas li ntawd mus general malaise, tej zaum lawv yuav qeeb lub cev thiab lub siab lub ntsws txoj kev loj hlob.

Rau clarity, qhia rau peb hais tias ib tug loj siv tapeworm hu ua cab uas nws lub cev ntev tej zaum yuav mus txog 10-15 m. Tus cab yog tsau nyob rau hauv cov hnyuv thiab nyob vim as-ham thiab vitamins party. Raws li ib tug tshwm sim, tus txiv neej yog heev me ntsis ntawm tseem ceeb heev tshuaj. Feem ntau ntawm tag nrho cov muaj yog ib tug tsis muaj vitamin B12. Cov tsos mob rau cov neeg laus yuav manifest lawv tus kheej txawv tshaj nyob rau hauv cov me nyuam. Ntau zoo cov tsos mob piav saum toj no.

Tsis tshua muaj heev ua rau B12 deficiency

Muaj ntau ntau yam uas ua rau tej yam tshwm sim ntawm ib tug tsis muaj vitamin B12. Cov yog vim li cas yog pancreatitis, kev phais nyob hauv plab antacid hauj lwm thiab Metformin, AIDS, kev tshuaj ntsuam genetic kab mob - syndrome Imerslunda-Grosberg.

Cov tsos mob thiab tej yam tshwm sim

Nyob rau hauv feem ntau tus neeg mob, cov neeg siab stockpile ntawm cyanocobalamin, uas yog txaus rau 2.5-3 xyoo. Ces tus nram qab no cov tsos mob pib tshwm:

• Sudden qaug zog, kev tsis muaj zog;
• nquag kiv taub hau;
• daj ntseg daim tawv nqaij;
• raws plab rau tsis muaj khees vim li cas;
• yuav txo tau nyob rau hauv hnyav tsis muaj kev hloov noj cov zaub mov;
• nco teeb meem, tsis concentration;
• xws li loog loog nyob rau hauv tus ntiv tes;
• kev nyuaj siab;
• tej yam tshwm sim ntawm paranoia;
• anemia;
• cov poj niam cuam tshuam cev ntas, ntxiv lawm tshob tshwm sim.

Kaj tsos mob cai nyob rau hauv cov neeg laus. Lawv lwj lub cim, muaj ib tug ib txwm mus scandals, muaj siab surges, feem ntau mob taub hau, mob plawv, atherosclerosis thiab mob stroke.

pernicious anemia

Ib tug kab mob ntawm hematopoietic muaj nuj nqi, hu ua pernicious anemia los ntawm tsis muaj vitamin B12. Yuav ua li cas txaus ntshai yog lub xeev nws qhia hais tias cov thawj tib yog hloov hlwb pob txha thiab lub paj hlwb. Niaj hnub no, txoj kev no yog hu ua Addison tus kab mob, thiab yav tas los nws tau hu ua pernicious anemia.

Nyob rau hauv lub qhaj ntawv ntawm kev kho mob thaum ntxov yog tau irreversible degeneration ntawm qab haus huv, thiab hlwb pob txha.

diagnostics

Lub ntsiab txoj kev mob - ib qho ntshav kuaj. Uas yog ces thiab tseem yog niaj hnub no. Tab sis ntau tshaj cov chaw kho mob nyob rau hauv tas li ntawd mus rau lub tshuaj kuaj theem ntawm active vitamin B12 nyob rau hauv cov ntshav ntshiab.

Nyob rau hauv Feem ntau, koj yuav tsum tau kawm rau lub xeev ntawm lub plab thiab cov hnyuv.

Yuav ua li cas los kho

Lub hauv paus ntawm kev kho mob yog rau lub redress ib tug tsis muaj vitamin B12. Qhov no tej zaum yuav ib tug kho lus lub hwj chim, thiab yuav tau txais cov tshuaj noj. Tab sis nws tus kheej yog tsis tsim nyog, vim hais tias tsis yog txhua txhua vitamin complexes yuav tau tiv nrog lub hauj lwm. Rau txoj vitamins yog feem ntau ntxiv rau B1 thiab folic acid. Suction nyob rau hauv txo formulations muab nyob rau hauv daim ntawv ntawm cov tshuaj.

Yog fais fab tuag kho yog pom zoo kom noj qe, cheese, khoom noj siv mis, ob lub raum thiab lub siab.

Thaum cov teeb meem ntawm tus mob huam ntxiv muab ib tug gastroenterologist thiab kuaj plab hnyuv mob.