Txhim kho Vitamin B12 Deficiency

Peb piav qhia txog yuav ua li cas qhov tsis muaj vitamin B12 tuaj yeem tshwm sim nws tus kheej, piv txwv li cov tsos mob dab tsi nws ua rau. Tau kawg, koj tseem yuav tau nyeem seb koj tuaj yeem txiav txim siab qhov tsis muaj vitamin B12, dab tsi ua rau nws muaj peev xwm thiab, ntawm chav kawm, koj tuaj yeem kho qhov tsis muaj vitamin B12 li cas.

Vitamin B12 deficiency cuam tshuam rau ntau tus neeg

Vitamin B12 deficiency cuam tshuam rau ntau tus neeg. Hauv tebchaws Yelemes, 5 txog 7 feem pua ​​​​ntawm cov neeg yau thiab txog li 30 feem pua ​​​​ntawm cov neeg laus tau pom tias tsis muaj vitamin B12. Tus naj npawb ntawm cov neeg mob uas tsis tau tshaj tawm yuav muaj ntau dua vim tias cov vitamin tsis txaus tsis tau kuaj xyuas txhua lub sijhawm thaum kuaj mob ib txwm.

Cov tsos mob lossis asymptomatic vitamin B12 tsis txaus

Ib qho vitamin B12 tsis muaj peev xwm nyob twj ywm yam tsis muaj tsos mob rau ntau xyoo, uas yog vim lub fact tias lub cev reserves nyob rau lub sij hawm ntev heev. Nyob ib ncig ntawm 4000 micrograms ntawm vitamin B12 yog khaws cia hauv daim siab thiab cov leeg ntawm tus neeg laus. Cov nyiaj khaws cia no maj mam siv thaum tsis muaj cov vitamin uas tsis muaj peev xwm tuaj yeem ua cov tsos mob tom qab peb lossis ntau xyoo.

Thaum cov vitamin B12 qis tab sis tsis muaj cov tsos mob tshwm sim, qhov no hu ua asymptomatic vitamin B12 deficiency.

Raws li txoj cai, cov tsos mob ntawm vitamin B12 tsis muaj xws li pernicious anemia thiab tseem hu ua Hunter glossitis. Ntawm qhov tod tes, cov tsos mob tsis tshwj xeeb tsis yog ib txwm cuam tshuam nrog cov vitamin B12 tsis txaus los ntawm kws kho mob.

Thawj cov tsos mob ntawm qhov tsis txaus

Thawj cov tsos mob tsis tshwj xeeb ntawm vitamin B12 tsis muaj xws li hauv qab no. Yog tias koj pom cov no, kuaj xyuas koj qib vitamin B12:

• loog ntawm daim tawv nqaij
• Tingling hauv caj npab thiab / lossis ob txhais ceg
• tsis qab los noj mov
• tus nplaig kub
• tawg ces kaum ntawm lub qhov ncauj
• pom tsis muaj zog hauv kev ua haujlwm thiab kev nco
• nquag mus ob peb vas rau tsis muaj laj thawj
• kiv taub hau
• nyuaj nyuaj
• pw tsaug zog
• Kev qaug zog thiab qaug zog yam tsis muaj laj thawj

Tom qab ntawd, muaj mob hnyav, qe:

• mob plawv
• Cov kab mob hematological (= kab mob / kab mob ntawm cov ntshav tsim), xws li anemia, xws li B. Pernicious anemia. Anemia yog qhov tsis muaj ntshav.
• Dementia lossis cov tsos mob zoo li dementia
• Cov kab mob ntawm lub paj hlwb: neuropathies (cov kab mob paj hlwb), xws li B. funicular myelosis nrog tsis khov kho thiab tuag tes tuag taw; kev tsis pom kev tsis txaus ntseeg; kev nyuaj siab

Pernicious anemia vim qhov tsis muaj vitamin B12

Nyob rau hauv pernicious anemia, cov qe ntshav liab yog loj. Lawv kuj muaj ntau hemoglobin (cov ntshav liab pigment) dua li cov qe ntshav. Cov qe ntshav loj no tseem hu ua megaloblasts, thaum cov qe ntshav ib txwm hu ua normoblasts. Pernicious anemia yog li ntawd ib qho ntawm megaloblastic anemias, uas kuj suav nrog folic acid deficiency anemia.

Cov tsos mob ntawm megaloblastic anemia zoo ib yam li lwm yam mob ntshav qab zib thiab muaj xws li qaug zog, qaug zog sai, txo qis kev ua haujlwm, tachycardia, daj ntseg, thiab tejzaum nws yog Hunter glossitis. Hunter glossitis yog ib qho kev hloov pauv ntawm tus nplaig nrog tus nplaig kub, tus nplaig du, thiab tus nplaig uas pib daj ntseg thiab tom qab ntawd hloov tus nplaig liab. Hauv qhov xwm txheej hnyav, pernicious anemia tuaj yeem tsim mus rau funicular myelosis.

Funicular myelitis vim qhov tsis muaj vitamin B12

Funicular myelitis yog ib yam kab mob uas zoo ib yam li ntau yam sclerosis tab sis, tsis zoo li nws, tuaj yeem kho nrog kev tswj hwm ntawm vitamin B12. Funicular myelosis kuj ua rau degeneration ntawm myelin sheaths ntawm cov hlab ntsha hauv lub hlwb thiab qaum qaum. (Myelin sheaths yog ib hom kev tiv thaiv txheej uas nyob ib puag ncig cov hlab ntsha). Feem ntau, cov kev xav txawv txav xws li tingling lossis mob tshwm sim ua ntej, tom qab ntawd los ntawm kev tsis khov kho, cov leeg tsis muaj zog, thiab (spastic) tuag tes tuag taw. Yog tias lub hlwb raug cuam tshuam, kev paub tsis meej, qaug zog, thiab kev puas siab puas ntsws tshwm sim.

Kev txhim kho tuaj sai sai

Nws feem ntau nug seb cov tsos mob ntawm cov vitamin B12 tsis muaj peev xwm txhim kho sai npaum li cas thaum koj pib noj cov vitamin B12 raws li kev noj haus ntxiv. Yog tias koj noj cov vitamin B12 rau cov tsos mob ntawm vitamin B12 tsis txaus, cov tsos mob hematological feem ntau txhim kho nyob rau hauv ib lub lis piam, cov tsos mob ntawm lub paj hlwb tsis pub dhau peb lub hlis - nyob ntawm qhov hnyav, tau kawg.

Qhov xav tau txhua hnub

Thaum koj feem ntau noj cov tshuaj vitamin B12 siab thaum muaj qhov tsis txaus txhawm rau kho qhov tsis txaus sai, lub cev tsuas yog xav tau me me ntawm cov vitamin B12 txhua hnub thaum nws tau ntim nws lub khw. Qhov xav tau txhua hnub ntawm vitamin B12 yog raws li hauv qab no (txhua hauv µg (micrograms) ib hnub):

tus me nyuam

• 0 mus rau 4 lub hlis: 0.5
• 4 mus rau 12 lub hlis: 1.4

cov me nyuam

• 1 txog 4 xyoos: 1.5
• 4 txog 7 xyoos: 2.0
• 7 txog 10 xyoos: 2.5
• 10 txog 13 xyoos: 3.5
• 13 txog 15 xyoos: 4.0

cov hluas thiab cov laus

• 15 txog 19 xyoos: 4.0
• 19 txog 25 xyoos: 4.0
• 25 txog 51 xyoos: 4.0
• 51 txog 65 xyoos: 4.0
• 65 xyoo thiab laus dua: 4.0
• cev xeeb tub: 4.5
• Kev pub niam mis: 5.5

Txhim kho qhov tsis muaj vitamin B12

Ib qho tsis muaj vitamin B12 tuaj yeem kuaj tau yooj yim los ntawm kws kho mob, lwm tus kws kho mob, lossis kuaj hauv tsev. Yog tias koj muaj vitamin B12 tsis txaus, feem ntau koj tuaj yeem kho nws yooj yim heev.

Qhov ua rau tsis muaj vitamin B12

Txij li thaum vitamin B12, nyob rau hauv sib piv rau tag nrho cov lwm cov vitamins ntawm B complex, muaj yuav luag tsuas yog nyob rau hauv cov tsiaj cov khoom noj, vegans raug suav hais tias predestined rau ib tug tsis muaj vitamin B12. Tab sis cov tsis-vegans kuj tuaj yeem raug kev txom nyem los ntawm qhov tsis muaj vitamin B12.

Vim tias qee cov tshuaj, noj zaub mov tsis zoo, lossis kis kab mob tuaj yeem ua rau lub plab thiab cov hnyuv puas tsuaj, uas tom qab ntawd rov ua rau qhov tsis txaus ntawm cov vitamin B12. Kev haus dej haus cawv, anorexia, thiab ntau hom kev noj zaub mov tsis txaus (xws li thaum muaj hnub nyoog laus, thaum noj tsawg dhau los lossis ib sab) kuj suav hais tias ua rau tsis muaj vitamin B12.

Ob leeg vegans thiab tsis-vegans tuaj yeem cuam tshuam los ntawm qhov tsis muaj vitamin B12 - tsuas yog qhov ua rau feem ntau sib txawv.

Omnivores nrog B12 tsis txaus feem ntau muaj kab mob hauv plab, thaum cov vegans tsuas yog tsis muaj cov khoom siv raw vim tias cov khoom noj tsuas yog cov nroj tsuag muaj cov vitamin B12 me me, yog tias muaj, thiab tsis tas li hais txog kev noj cov vitamin B12 ntxiv yog xav.

Yuav ua li cas kev tsis txaus siab ntawm plab hnyuv tuaj yeem ua rau tsis muaj vitamin B12

Vitamin B12 yuav tsum muaj kev noj qab haus huv ntawm plab hnyuv siab raum kom nqus tau los ntawm cov laj thawj hauv qab no:

Lub npe hu ua intrinsic yam yog tsim nyob rau hauv parietal hlwb ntawm lub plab mucosa - ib tug transporter protein uas vitamin B12 los ntawm cov zaub mov tuaj yeem txuas nws tus kheej kom nws thiaj li yuav nqus tau hauv cov hnyuv (ileum).

Txawm li cas los xij, thaum lub mucous daim nyias nyias ntawm lub plab puas lawm, muaj thawj qhov tsis txaus ntseeg hauv lub cev thiab yog li tseem muaj B12 tsis txaus. Tab sis ntau tus neeg muaj plab tsis zoo, ntau dua omnivores dua li vegans.

Tib yam muaj tseeb rau cov kab mob plab hnyuv. Cov no, ib yam nkaus thiab, feem ntau ua rau cov vitamin B12 tsis txaus yog tias cov vitamin tsis tuaj yeem nqus tau tag nrho, xws li B. nyob rau hauv lub plab zom mov uas nquag zawv plab lossis mob plab hnyuv, lossis tau kawg yog tias qee qhov ntawm txoj hnyuv twb tau phais lawm. tshem tawm.

Yuav ua li cas kub hnyiab tuaj yeem ua rau tsis muaj vitamin B12

Thaum muaj teeb meem plab, nws tsis tas yuav muaj kab mob plab hnyav, xws li B. gastritis hom A (mob plab hauv ob sab phlu), uas tuaj yeem ua rau muaj vitamin B12 tsis txaus. Mob plawv txaus. Vim hais tias muaj coob tus neeg noj cov kua qaub blockers (proton twj tso kua mis inhibitors, xws li omeprazole) vim yog kub hnyiab - thiab nws yog precisely cov tshuaj uas txhawb txoj kev loj hlob ntawm B12 deficiency.

Omeprazole thiab cov kua qaub zoo sib xws tsis yog tsuas yog inhibit qhov tsim ntawm gastric acid, tab sis kuj tsim cov khoom siv hauv lub cev kom tsis txhob muaj ntau (lossis tsawg dhau) vitamin B12 tuaj yeem nqus tau (malabsorption).

Yuav ua li cas cov cab tuaj yeem ua rau tsis muaj vitamin B12

Kev kis tus kab mob ntses kab mob tuaj yeem ua rau muaj vitamin B12 tsis txaus. Ntses tapeworm feem ntau kis tau los ntawm kev noj cov ntses nyoos. Tus kab mob no tso ntau txhiab qe txhua hnub, uas yooj yim pom hauv cov quav, ua rau kev kuaj mob yooj yim.

Qhov tsis txaus vitamin B12 yog li ntawd tsis yog ib qho teeb meem uas tsuas yog cuam tshuam rau cov neeg vegan. Nws yog ib qho tsis muaj vitamin uas tuaj yeem cuam tshuam rau leej twg, ib yam li vitamin D tsis txaus, magnesium tsis txaus, lossis lwm yam tsis txaus.

Kev txiav txim siab ntawm tag nrho cov vitamin B12 hauv cov ntshav

Ntau tus kws kho mob tseem txiav txim siab tag nrho cov vitamin B12 qib hauv cov ntshav ntshav, tab sis qhov no tsis muaj txiaj ntsig, vim tias qhov tsis ua haujlwm B12 kuj tau ntsuas, uas lub cev siv tsis tau lawm.

Nws yog, yog li ntawd, muaj peev xwm hais tias qhov no B12 tag nrho tus nqi tseem zoo kawg nkaus, tab sis qhov tseeb, twb muaj vitamin B12 tsis txaus. Tsuas yog thaum B12 qib tau poob qis heev yuav ib tus tuaj yeem txiav txim siab los ntawm tag nrho B12 tus nqi hauv cov ntshav.

Kev txiav txim siab Methylmalonic acid hauv cov zis (MMA test)

Txoj kev yooj yim tshaj plaws yog kev kuaj zis vitamin B12, uas koj tuaj yeem xaj online thiab nqa koj tus kheej hauv tsev. Qhov kev ntsuam xyuas no ntsuas qib ntawm methylmalonic acid hauv cov zis, uas yog nce hauv vitamin B12 tsis txaus (ob leeg hauv cov zis thiab hauv cov ntshav).

Txawm li cas los xij, vim tseem muaj cov tib neeg (tshwj xeeb tshaj yog cov neeg muaj hnub nyoog 70 xyoo) uas tau nce qib methylmalonic acid yam tsis muaj B12 tsis txaus thiab tseem (txhua lub hnub nyoog) cov kab mob plab hnyuv tuaj yeem ua rau cov qib methylmalonic acid, lwm qhov kev kuaj yuav tsum tau nqa. tawm mus rau ntawm qhov kev nyab xeeb ua (yog tias qhov ntsuas methylmalonic acid tau nce). Qhov kev ntsuas no ntsuas qhov hu ua holo-transcobalamin tus nqi (holo-TC) hauv cov ntshav.

Transcobalamin yog cov protein thauj khoom rau cov vitamin B12 (cobalamin). Thaum lub active vitamin B12 khi rau transcobalamin, cov compound no hu ua holo-transcobalamin.

Ntshav holo TC test

Nrog Holo-TC kuaj, tsuas yog ntsuas cov vitamin B12, kom pom qhov tsis txaus B12 thaum pib thiab tsis yog thaum lub khw muag khoom vitamin B12 hauv lub cev tau ntau dua lossis tsawg dua. Tau kawg, koj tuaj yeem cia li muaj qhov holo-TC tus nqi txiav txim.

Tom qab ntawd qhov kev kuaj methylmalonic acid tsis tas yuav tsum tau ua. Nws yog qhov tshwj xeeb tshaj yog rau cov neeg uas tsis nyiam noj ntshav thiab tseem muaj raws li kev kuaj hauv tsev.

Kev txiav txim siab homocysteine ​​​​hauv cov ntshav

Tsis tas li ntawd, qib homocysteine ​​​​hauv cov ntshav tuaj yeem txiav txim siab nyob rau sab nyab xeeb. Yog tias nws nce siab, vitamin B12 tsis txaus - tab sis kuj yog folic acid tsis txaus thiab / lossis vitamin B6 tsis txaus - tuaj yeem ua si (lossis tag nrho peb qhov tsis txaus ua ke).

Cov nqi siv rau vitamin B12

Hauv qab no yog cov txiaj ntsig siv rau vitamin B12 (rau cov neeg laus) kom koj tuaj yeem faib koj cov ntawv nyeem kom raug.

Kev siv qhov tseem ceeb rau vitamin B12 hauv cov ntshav

Yog tias koj tus kws kho mob ntsuas cov vitamin B12 hauv cov ntshav thiab nws qis dhau, nws muaj qhov tsis txaus vitamin B12. Txawm li cas los xij, yog tias nws zoo li qub tab sis nyob rau qis kawg ntawm qhov ntsuas ib txwm (tsawg-ib txwm), koj yuav tsum muaj lwm yam kev sim ua tiav, xws li qhov qhab nia holo-TC lossis MMA xeem. Vim tias qib ntshav vitamin B12 tseem tuaj yeem yog qhov qub thaum muaj qhov tsis txaus vitamin B12, qhov ntsuas ntshav tsis haum rau kev kuaj mob tsis txaus:

• Nquag: 300 - 900 pg / mL (220 - 665 pmol / L)
  tsis muaj peev xwm ua tau: 200 - 300 pg / ml (150 - 220 pmol / l)
• Tsis muaj peev xwm: qis dua 200 pg / mL (150 pmol / L)
  tsis muaj peev xwm loj: qis dua 150 pg / ml (110 pmol / l)

Kev siv qhov tseem ceeb rau methylmalonic acid MMA hauv cov zis thiab ntshav

Cov txiaj ntsig siv rau kev txiav txim siab ntawm methylmalonic acid hauv cov zis yog raws li hauv qab no:

• B12 tsis muaj peev xwm tsis zoo: qhov tseem ceeb hauv qab 1.5 mg MMA ib g creatinine
• B12 deficiency tej zaum: qhov tseem ceeb ntawm 1.5 thiab 2.5 mg MMA ib g creatinine
• B12 deficiency: qib siab dua 2.5 mg MMA ib g creatinine

Cov txiaj ntsig siv rau kev txiav txim siab ntawm methylmalonic acid hauv cov ntshav ntshav yog raws li hauv qab no:

• B12 deficiency tsis zoo li: qhov muaj nuj nqis nruab nrab ntawm 9 thiab 32 µ/l (sib npaug rau qhov tseem ceeb ntawm 76 thiab 280 nmol / l)
• B12 deficiency tej zaum: qhov muaj nuj nqis ntau dua 32 μg / l (sib raug rau li 280 nmol / l)

Yog tias muaj qhov qis holotranscobalamin nyob rau tib lub sijhawm, qhov tshwm sim ntawm cov vitamin B12 tsis muaj peev xwm tuaj yeem xav tias muaj tseeb.

Kev siv qhov tseem ceeb rau holotranscobolamine hauv cov ntshav

Cov txiaj ntsig siv rau kev txiav txim siab ntawm holotranscobalamin hauv cov ntshav yog raws li hauv qab no:

• B12 deficiency tsis zoo li: ntawm qhov muaj nqis tshaj 70 pmol / l
• B12 deficiency ua tau / ciam teb tshwm sim: 35 - 70 pmol / l
• B12 deficiency yuav tshwm sim: ntawm qhov tseem ceeb hauv qab 35 pmol / l

Txij li cov qib holo-TC tsawg kuj tseem muaj nyob rau hauv cov ntaub ntawv ntawm lub raum tsis txaus, lub raum qhov tseem ceeb yuav tsum tau kuaj xyuas, tshwj xeeb tshaj yog rau cov neeg laus.

Txawv units: yuav ua li cas hloov

Yog tias koj qib ntshav vitamin B12 tau txiav txim siab tab sis koj qhov txiaj ntsig tau muab rau hauv ib chav sib txawv, koj tuaj yeem hloov nws raws li hauv qab no thiab muab piv rau nws rov qab rau cov txiaj ntsig saum toj no:

• pmol/L x 1.355 = pg/mL = ng/L
• ng/L x 1 = pg/mL

Thov nco ntsoov, txawm li cas los xij, cov txiaj ntsig siv feem ntau tuaj yeem sib txawv nyob ntawm seb hom kev tsom xam thiab kev kuaj mob li cas, yog li koj yuav tsum siv cov txiaj ntsig ntawm qhov kev soj ntsuam raws li kev ceev faj.

Qhov no yog li cas vitamin B12 yog nqus los ntawm lub cev

Vitamin B12 tuaj yeem nqus tau los ntawm lub cev los ntawm ob txoj haujlwm:

• Tsis pub ntau tshaj 1.5 micrograms ntawm vitamin B12 tuaj yeem noj ib pluas noj los ntawm kev nqus nqus los ntawm kev thauj cov proteins (qhov tseem ceeb hauv nruab nrab).
• 1 feem pua ​​​​ntawm cov vitamin B12 noj tuaj yeem nqus tau (tsis muaj cov khoom thauj khoom thauj) los ntawm kev nqus nqus los ntawm kev nthuav dav, uas yog qhov tshwj xeeb tshaj yog thaum noj cov khoom noj khoom haus ntau. Vim hais tias yog ib koob tshuaj vitamin B12 siab muab ib hnub koob tshuaj ntawm 1000 micrograms ntawm vitamin B12, piv txwv li, koj tseem tuaj yeem nqus tau 10 micrograms ntawm vitamin B12 ntawm passive diffusion, uas tuaj yeem npog qhov kev xav tau zoo.

Nov yog qhov koj tuaj yeem kho qhov tsis muaj vitamin B12

Yog tias tam sim no paub meej tias muaj vitamin B12 tsis txaus, ces cov lus nug tshwm sim li cas qhov no tuaj yeem kho tau. Cov kev ntsuas tsim nyog nyob ntawm seb qhov ua rau muaj qhov tsis xws luag.

Tshem tawm cov vitamin B12 tsis muaj peev xwm nyob rau hauv kev tsis txaus siab ntawm lub plab zom mov
Yog tias koj raug kev txom nyem los ntawm kev tsis txaus siab ntawm plab hnyuv, ua kom koj lub plab noj qab haus huv yuav tsum yog lub hom phiaj ntawm kev ua haujlwm ntxiv. Nyob rau tib lub sijhawm, kev npaj cov tshuaj vitamin B12 siab (ib hnub koob tshuaj ntawm 1000 micrograms) ua rau kev txiav txim siab, vim qhov no tuaj yeem nqus tau los ntawm kev sib kis tsis zoo, yog li nws feem ntau tuaj yeem kho cov khoom siv yav dhau los txawm tias muaj mob plab hnyuv.

Qee zaum, kev txhaj tshuaj vitamin B12 yog ib qho kev daws teeb meem zoo dua, tshwj xeeb tshaj yog thaum twb muaj cov vitamin B12 tsis txaus. Lawv tau muab intramuscularly, piv txwv li mus rau hauv cov leeg nqaij, thiab feem ntau tuaj yeem kho qhov tsis muaj vitamin B12 hauv ob peb lub lis piam.

Tshem tawm qhov tsis muaj vitamin B12 thaum noj tshuaj

Yog tias koj tab tom noj cov tshuaj uas yuav ua rau tsis muaj vitamin B12, nrog koj tus kws kho mob tham seb lawv puas tseem xav tau lossis koj puas tuaj yeem tso tseg lawv. Yog tias koj yuav tsum tau noj koj cov tshuaj ntxiv, nug koj tus kws kho mob seb nws puas txaus yog tias koj noj cov tshuaj vitamin B12 tsis tu ncua lossis - yog tias qhov tsis txaus txaus - txawm tias koj yuav tsum tsis txhob txhaj tshuaj B12 ua ntej txwv tsis pub koj cov vitamin B12 tsis txaus yuav tsis ua. kho tau lossis tsuas yog kho tau maj mam.

Kev noj zaub mov kom raug cov vitamin B12 tsis txaus

Yog tias qhov tsis txaus vitamin B12 tau tsim los ntawm kev noj zaub mov vegan lossis lwm yam tsis paub, koj tuaj yeem kho qhov tsis txaus los ntawm kev noj cov vitamin B12 ntxiv. Muaj ntau yam kev npaj muaj rau lub hom phiaj no.

Kho cov vitamin B12 tsis txaus nrog cov kev npaj no

Yog tias koj xav kho qhov tsis txaus ntawm cov vitamin B12, kev noj cov tshuaj vitamin B12 siab nrog kev noj tshuaj txhua hnub ntawm 1000 micrograms ntawm vitamin B12 raug pom zoo.

Capsules nrog vitamin B12

Cov tshuaj ntsiav tshuaj uas muaj kev sib xyaw ntawm cov ntaub ntawv zoo tshaj plaws ntawm cov vitamin B12, piv txwv li cov vitamin B12 (hydroxocobalamin) thiab cov ntaub ntawv nquag B12 (methylcobalamin thiab adenosylcobalamin), yog qhov zoo tagnrho.

Qhov ntswg dauv nrog vitamin B12

Vitamin B12 qhov ntswg tee tam sim no kuj muaj muag. Nrog tee ntawm cov txiaj ntsig zoo, piv txwv li, koj tuaj yeem noj 1000 micrograms ntawm vitamin B12 ib hnub twg (2 tee). Cov vitamin tuaj yeem nqus tau los ntawm qhov ntswg mucosa, hla txoj hnyuv.

Tshuaj txhuam hniav nrog vitamin B12

Cov tshuaj txhuam hniav uas muaj vitamin B12 kuj tseem tuaj yeem pab them cov vitamin B12 txhua hnub. Lawv yuav tsum tau siv tsawg kawg ob zaug hauv ib hnub kom cuam tshuam rau qib vitamin B12.

Hauv kev tshawb fawb xyoo 2017, cov neeg tsis noj nqaij uas siv cov tshuaj txhuam hniav tsim nyog rau 12 lub lis piam tau nce qhov tseem ceeb hauv ob qho tib si holo-TC thiab ntshav B12, tom kawg nce los ntawm qhov nruab nrab ntawm 81 pg / mL, uas yog ntau heev. Yog tias qhov ntsuas qis dua 150 txog 200 pg / ml, muaj qhov tsis txaus. Qib ntawm 300 pg / ml thiab siab dua yog suav tias yog ib txwm, yog li kev siv cov tshuaj txhuam hniav niaj hnub tuaj yeem txhim kho lossis tswj kev noj qab haus huv ntawm B12.

Kev txhaj tshuaj feem ntau kho cov vitamin B12 tsis txaus sai sai

Intramuscular vitamin B12 txhaj tshuaj (xws li los ntawm Medivitan) kuj tseem siv tau rau hauv cov ntaub ntawv ntawm kev noj zaub mov muaj vitamin B12 tsis txaus - yog tias tus nqi twb qis heev. Cov no feem ntau yog muab ib zaug lossis ob zaug hauv ib lub lis piam rau ob peb lub lis piam. Vim tias qhov ncauj tau txais cov vitamin B12 npaj los yog siv cov tshuaj txhuam hniav uas muaj txiaj ntsig zoo ib leeg feem ntau tsis txaus los kho cov vitamin B12 tsis txaus sai li sai tau thiab txhim kho cov tsos mob.