Ukuntuleka kokukhulumisana vitamin B12 - izimpawu e abadala, izimbangela kanye nezici ukwelashwa

Mayelana kubaluleke kangakanani ukuba uthole amavithamini anele, siyazi cishe kusukela ebuntwaneni. Ababandakanyeka izinqubo eziningi ezithinta ikhwalithi obuphelele yezimpilo zethu. Ngokukhethekile ikhokhelwa ukuze vitamin B12, esinomthwalo eziyinkimbinkimbi zamakhemikhali isakhiwo. Kuyini lokhu Izinto? enza ukuntuleka vitamin B12 kanjani - izimpawu e abadala kanye nezingane, okubonisa inkinga kungenzeka?

cyanocobalamin

Ngaphansi kwegama vitamin B12 kuhlangene iqembu izinto equkethe ayibe ion. Ngokuvamile, ekhuluma ngalokhu Vitamin, cyanocobalamin zibonisa, nakuba eqenjini yilezi hydroxocobalamin, methylcobalamin nezinye izinhlobo. Ngokuvamile ngalinye lala masonto izinto eziphila abakhuthele okukhulunywe nje cobalamins.

B12 - encibilikayo emanzini. Umbala - okukhanyayo. Lo vithamini zinganqwabelana ezicutshini zomzimba. isitoreji isikhala - kwesibindi, nezinso, emaphashini, ubende. okuhlushwa Maximum ebangela izicubu isibindi. Kube uhlala kuze 80% isitokwe.

Kungani umzimba B12

Cyanocobalamin inikeza kumiswa igazi evamile, abathintekayo amaprotheni umzimba, ukusabela enzymatic, kulethe ngokuningiliziwe ukuguquka kwabantu acid acid, kuvimbela okunamafutha kokuziphatha kwesibindi, kwandisa-mpilo ukusetshenziswa emangqamuzaneni.

Nge ukuntula izimpawu vitamin B12 e abadala futhi izingane zingaba ukuzibonakalisa ngesimo ukungatheleleki encishisiwe. Ngokwesibonelo, in iziguli AIDS njalo ezingeni eliphansi B12, yilokhu kuphakamisa futhi ngesivinini ukuthuthukiswa lesi sifo.

Uma sicabanga ngokujulile ngaphezulu ukulawulwa umsebenzi hematopoietic, kubalulekile ukwaba ingxenye B12 ezinqutsheni synthesis purine futhi pyrimidine lezisekelo, kanye ukucutshungulwa a nucleic acid. Ngaphezu kwalokho, yena ohilelekile ukwakheka kwamangqamuzana egazi abomvu.

Nokho imisebenzi ebaluleke kakhulu cyanocobalamin zihlanganisa imiphumela esimisweni sezinzwa. Ingqikithi asizayo Ukwakheka kwezitho emgodleni myelin of izinzwa. Ngaphezu kwalokho, uhlanganyela ukuguquka carotene ukuze retinol.

Umzimba kuphela synthesizes B12?

Inani elincane cyanocobalamin ekhiqizwa microflora emathunjini. Lokhu kwenzeka emathunjini ezinkulu, kodwa umzimba awukwazi ukuthola izinto ngoba wayengakwazi imunceke odongeni emathunjini. Ngo inqubo ukumuncwa zonke saleli vithamini kuhileleke mukoproteinov ezikhiqiza umdlavuza isisu. Ngakho, umzimba kuyadingeka ukuthola vitamin B12 ekudleni, le nqubo ibizwa ngokuthi zangaphandle isici Castle. Futhi umthelela nezindlala fundic isisu ukuze "ukudla" cyanocobalamin ibizwa ngokuthi isici eziwumgogodla Castle.

Kungani kunokuntuleka ka: ukwehluleka exogenous

Ake sihlole kabanzi ngezimpawu izimbangela vitamin B12 ukuntula.

Kwezokwelapha, liveza izindawo ezithile ezingukhiye maqondana yokuswela amavithamini B. Ayehlukaniswe ku iqembu exogenous futhi endogenous. Eqenjini lokuqala kubhekwa ukuthi kwezimbangela eziyinhloko ukuntula vitamin B12 - eshodayo ke kusukela ukudla ngesikhathi ukwenqaba ukudla isilwane noma Ukudla ngokungalungile ihlanganiswe.

Le nkinga kaningi ebhekana nabantu inyama, ukudla ikakhulukazi esiqinile. Sinenkosi ukwenza i-imithi vitamin B12 noma ukusetshenziswa Izithako zokudla.

It is wafakazela ukuthi uma imifino kumama ingane ibele, ingane nayo inenkinga ukuntuleka vitamin B12. Isidumbu sakhe Awukwazi ukudala stock cyanocobalamin, kanye nokukhula ngokushesha kwandisa isidingo yalolu ketshezi.

esingamahlalakhona endogenous

esingamahlalakhona Endogenous elihlobene ne inqubo malabsorption sidakamizwa emathunjini. Kulokhu kukhona ukuntuleka vitamin B12, futhi izimpawu kuleso simo kunazo ngenkuthalo ebonakaliswa asebekhulile. Le nqubo ibizwa ngokuthi malabsorption syndrome, lihlotshaniswa kwehle uketshezi asidi esiswini.

Iningi leziguli ezine-izinkinga ukumuncwa kuphakama ngenxa syndrome iluphu abayizimpumputhe, lapho ukukhula kwamagciwane. namagciwane abangela izifo ezidla ngokufaka emathunjini vitamin B12.

Ukumuncwa izinto ezidingekayo nomthelela ukuvuvukala ileum. Umzimba engakutholi isilinganiso esifanele cyanocobalamin uma le ileum kancane isusiwe.

Uma imbangela vitamin B12 ukuntula - Tapeworm

Helminthiasis kuleli cala - a tapeworm, ingabagulisa ukuntuleka vitamin B12. Izimpawu e abadala zingavela ngesimo isicanucanu, ubuthakathaka, ubuhlungu esiswini, uhudo kanye nesisindo nokwehlisa. Izingane ku khona lesi silwanyana basabela libukhali kakhulu. Ngaphezu ukucobeka jikelele, bangase ukubambezela ukuthuthukiswa ngokomzimba nangokomzwelo.

Ngokucaca, ake sithi ibhande tapeworm esikhulu ngokuthi amagciwane isidumbu obuphelele bengase bazikhandlele 10-15 m. The amagciwane iqinile e amathumbu uhlala ngenxa izakhi kanye amavithamini aphethe. Ngenxa yalokho, lo muntu omncane kakhulu ebalulekile izinto. Ngaphezu kwakho konke kukhona ukuntuleka vitamin B12. Izimpawu e abadala ngeke azibonakali ehlukile kuka ezinganeni. Okuningi izimpawu Ngokuphambene kuchaziwe ngenhla.

izimbangela Ngaphansi ezivamile B12 ukuntula

Kunezizathu eziningana ezibangela izimpawu ukuntula vitamin B12. Lezi zizathu pancreatitis, ukuhlinzwa isabelo esiswini antacid futhi metformin, ingculaza, isifo esidluliselwa ngofuzo - syndrome Imerslunda-Grosberg.

Izimpawu kanye izimpawu

Ezimweni eziningi, le abantu isibindi nenqwaba cyanocobalamin, okuyinto kwanele iminyaka 2.5-3. Khona-ke lezi zimpawu ezilandelayo ziqala ukuvela:

• ukukhathala kungazelelwe, ubuthakathaka jikelele;
• isiyezi njalo;
• isikhumba eliphaphathekile;
• uhudo ngaphandle kwesizathu;
• nokuncipha isisindo ngaphandle kokushintsha yokudla;
• izinkinga inkumbulo, ukulahlekelwa okuhlushwa;
• ndikindiki iminwe;
• nokucindezeleka;
• izimpawu uhlanyiswa;
• anaemia;
• abesifazane iphazamiseke umjikelezo wokuya esikhathini, ukungazali kwenzeka.

izimpawu Bright ebonwe asebekhulile. Bona konakalisa umlingisi, kukhona ukuthambekela amahlazo, kukhona umfutho okhuphuka ngokungazelelwe, ngokuvamile emaphilisini ekhanda, kwengozi ukuhlaselwa isifo senhliziyo, isifo sokuqina kwemithambo yegazi kanye nesifo sohlangothi.

anaemia eziyingozi

Isifo umsebenzi hematopoietic, ngokuthi anaemia eziyingozi ngenxa yokuntuleka vitamin B12. Yeka indlela okuyingozi kuyinto esimweni uqinisekisa ukuthi ukuvezwa okuqala umnkantsha futhi uqondiswe isimiso sezinzwa esiyinhloko. Namuhla, le nqubo ibizwa njengoba isifo Addison laziwe, futhi ngaphambili yayibizwa ngokuthi i-anemiya eziyingozi.

In the ukungabikho ukwelashwa kungenzeka ukonakala engelapheki of izinzwa, nezibilini umnkantsha.

ukuhlola

Indlela eyinhloko uphethwe - blood test ezivamile. Lokho kwaba ke futhi namanje namuhla. Kodwa imitholampilo okuthuthukile ngaphezu amazinga ebekiwe yokuhlola ye asebenzayo vitamin B12 ku serum igazi.

Ezimweni eziningi, uzodinga ukufunda isimo isisu namathumbu.

Indlela esiphatha ngayo

Ngesisekelo kwelashwa sokulungisa ukuntuleka vitamin B12. Lokhu kungaba amandla ukulungiswa, futhi bathole imishanguzo engabasiza. Kodwa self akwamukeleki, ngoba akubona bonke izakhiwo Vitamin bayakwazi lapho zibhekene nomsebenzi. Ukuze amavithamini eziyinkimbinkimbi zivame ukungezwa acid B1 kanye folic. Ukuncela ngaphansi ukwakhiwa encishisiwe yaphathwa ngendlela imijovo.

Uma amandla ukulungiswa Kunconywa ukuba adle amaqanda, ushizi, imikhiqizo yobisi, nezinso isibindi.

Lapho izinkinga pheshana emathunjini ngaphezu kwalokho linqume gastroenterologist futhi lwahlolwa ukuze izimuncagazi emathunjini.