Lungisa ukunqongophala kweVithamini B12

Sichaza indlela ukusilela kwe-vitamin B12 kunokuzibonakalisa ngayo, oko kukuthi, zeziphi iimpawu ezibangelayo. Ewe kunjalo, uya kufunda kwakhona ukuba unokumisela njani ukunqongophala kwevithamin B12, yintoni ebangela ukuba ibekho kwaye, ewe, ungayilungisa njani i-vitamin B12.

Ukunqongophala kwe-Vitamin B12 kuchaphazela abantu abaninzi

Ukunqongophala kwe-Vitamin B12 kuchaphazela abantu abaninzi. EJamani, isi-5 ukuya kwisi-7 ekhulwini sabantu abancinci ukuya kuthi ga kuma-30 ekhulwini abantu abadala babonisa ukuba abanayo ivithamin B12. Inani leemeko ezingaxelwanga linokuba phezulu kakhulu njengoko ukunqongophala kweevithamini akujongwa rhoqo ngexesha lovavanyo lwesiqhelo lonyango.

Ukungabikho kwe-Symptomatic okanye i-asymptomatic ye-vitamin B12

Ukunqongophala kwevithamin B12 kunokuhlala kungekho zimpawu iminyaka emininzi, ngenxa yokuba oovimba bomzimba bahlala ixesha elide kakhulu. Malunga ne-4000 micrograms ye-vitamin B12 igcinwe kwisibindi kunye nezihlunu zomntu omdala. Aba vimba basetyenziswa kancinci kancinci xa ivithamin ingabonelelwanga ukuze intsilelo ibe ngumqondiso emva kweminyaka emithathu nangaphezulu.

Xa amanqanaba e-vitamin B12 esezantsi kodwa kungekho zimpawu okwangoku, oku kubizwa ngokuba kukunqongophala kwe-vitamin B12.

Ngokusemthethweni, ukunqongophala kwe-vitamin B12 okubonakalayo kubandakanya i-anemia eyingozi kunye nento ebizwa ngokuba yiHunter glossitis. Ngakolunye uhlangothi, iimpawu ezingabonakaliyo azihlali zidibene nokungabikho kwe-vitamin B12 ngoogqirha.

Iimpawu zokuqala ezingezizo ezodwa zokusilela

Iimpawu zokuqala ezingabonakaliyo zokungabikho kwe-vitamin B12 ziquka ezi zilandelayo. Ukuba uyaqaphela ezi zinto, jonga amanqanaba akho e-vitamin B12:

• ukuba ndindisholo eluswini
• Ukutshotshozela ezingalweni kunye/okanye emilenzeni
• ukulahleka kwesidlo
• ulwimi oluvuthayo
• iikona zomlomo eziqhekekileyo
• ubuthathaka obubonakalayo ekusebenzeni kunye nenkumbulo
• ukuguquka kweemvakalelo rhoqo ngaphandle kwesizathu
• ukungcola
• kunzima ukugxila
• izifo zokulala
• Ukudinwa nokudinwa ngaphandle kwesizathu esicacileyo

Kamva, kukho izifo ezinzulu, umzekelo:

• izifo zentliziyo
• Izifo ze-Hematological (= izifo / ukuphazamiseka kokubunjwa kwegazi), njenge-anemia, umz. B. I-anemia enobungozi. I-anemia kukungabikho kwegazi.
• I-dementia okanye iimpawu ezifana ne-dementia
• Izifo zemithambo-luvo: i-neuropathies (izifo zemithambo-luvo), umz. B. funicular myelosis ene-gait engazinzanga kunye nokukhubazeka; ukuphazamiseka kwengqwalasela; ukudakumba

I-anemia eyingozi ngenxa yokunqongophala kwe-vitamin B12

Kwi-anemia eyingozi, iiseli ezibomvu zegazi ziyandiswa. Zikwaqulethe i-hemoglobin eninzi (ibala elibomvu legazi) kuneeseli zegazi eziqhelekileyo. Ezi seli zegazi zandisiweyo zikwabizwa ngokuba yi-megaloblasts, ngelixa iiseli zegazi eziqhelekileyo zibizwa ngokuba yi-normoblasts. I-anemia eyingozi ke ngoko yenye ye-megaloblastic anemias, ekwabandakanya ne-folic acid yokusilela i-anemia.

Iimpawu ze-megaloblastic anemia zifana nezo zezinye i-anemias kwaye ziquka ukudinwa, ukudinwa ngokukhawuleza, ukunciphisa ukusebenza, i-tachycardia, i-paleness, kwaye mhlawumbi i-Hunter glossitis. I-Hunter glossitis lutshintsho lwe-pathological kulwimi ngolwimi oluvuthayo, ubuso obugudileyo bolwimi, kunye nolwimi oluqale luphaphathekile kwaye kamva lujika ulwimi olubomvu. Kwiimeko ezinzima, i-anemia enobungozi inokuphuhla ibe yi-funicular myelosis.

I-Funicular myelitis ngenxa yokunqongophala kwevithamin B12

I-Funicular myelitis sisifo esifana ne-multiple sclerosis kodwa, ngokungafaniyo nayo, sinokunyangwa ngokulawulwa kwe-vitamin B12. I-Funicular myelosis nayo ibangela ukuwohloka kwe-myelin sheaths ye-nerve kwingqondo kunye nentambo yomgogodla. (Ii-Myelin sheaths luhlobo lomaleko olukhuselayo olujikeleze imicu yemithambo-luvo). Kwiimeko ezininzi, ukuvakalelwa okungaqhelekanga okufana nokubetha okanye intlungu yenzeke kuqala, ilandelwa kamva yi-gait engazinzanga, ubuthathaka bemisipha, kunye (ne-spastic) ukukhubazeka. Ukuba ingqondo ichaphazelekile, ukuphazamiseka kwengqondo, ukudinwa, kunye neengqondo zivela.

Uphuculo luza ngokukhawuleza

Ngokuqhelekileyo kubuzwa ukuba ngokukhawuleza iimpawu zokunqongophala kwe-vitamin B12 ziphucula xa uqala ukuthatha i-vitamin B12 njengesongezelelo sokutya. Ukuba uthatha i-vitamin B12 kwiimpawu zokunqongophala kwe-vitamin B12, iimpawu ze-hematological zihlala ziphucula phakathi kweveki, iimpawu ze-neurological phakathi kweenyanga ezintathu - kuxhomekeke kubunzima, kunjalo.

Imfuno yemihla ngemihla

Ngelixa udla ngokuthatha iidosi eziphezulu ze-vitamin B12 xa kukho intsilelo ukuze ulungise intsilelo ngokukhawuleza, umzimba ufuna kuphela isixa esincinci se-vitamin B12 yonke imihla xa sele ugcwalise iivenkile zawo. Imfuno yemihla ngemihla yevithamin B12 imi ngolu hlobo lulandelayo (nganye kwi µg (micrograms) ngosuku):

baby

• 0 ukuya ngaphantsi kweenyanga ezi-4: 0.5
• 4 ukuya ngaphantsi kweenyanga ezi-12: 1.4

abantwana

• 1 ukuya ngaphantsi kweminyaka emi-4: 1.5
• 4 ukuya ngaphantsi kweminyaka emi-7: 2.0
• 7 ukuya ngaphantsi kweminyaka emi-10: 2.5
• 10 ukuya ngaphantsi kweminyaka emi-13: 3.5
• 13 ukuya ngaphantsi kweminyaka emi-15: 4.0

abafikisayo kunye nabantu abadala

• 15 ukuya ngaphantsi kweminyaka emi-19: 4.0
• 19 ukuya ngaphantsi kweminyaka emi-25: 4.0
• 25 ukuya ngaphantsi kweminyaka emi-51: 4.0
• 51 ukuya ngaphantsi kweminyaka emi-65: 4.0
• Iminyaka engama-65 nangaphezulu: 4.0
• Ukhulelwe: 4.5
• Ukuncancisa: 5.5

Lungisa ukusilela kwevithamin B12

Ukunqongophala kwevithamin B12 kunokufunyaniswa ngokulula ngugqirha, enye ingcali, okanye uvavanyo lwasekhaya. Ukuba unengxaki yokunqongophala kwevithamin B12, ungayilungisa ngokulula kakhulu.

Izizathu zokunqongophala kwe-vitamin B12

Ekubeni ivithamin B12, ngokungafaniyo nazo zonke ezinye iivithamini ze-B complex, ifumaneka phantse kuphela kukutya kwezilwanyana, i-vegans ithathwa njengemiselwe kwangaphambili ngenxa yokunqongophala kwevithamini B12. Kodwa i-non-vegans nayo inokubandezeleka ngenxa yokunqongophala kwe-vitamin B12.

Ngenxa yamanye amayeza, ukutya okungekho mpilweni, okanye usulelo lunokukhokelela ekonakaleni kwesisu kunye namathumbu, nto leyo eyenza ukuba ukusilela kwevithamin B12 kube lula. Ukusetyenziswa kakubi kotywala, i-anorexia, kunye neentlobo zokungondleki ngokubanzi (umz. ebudaleni, xa usitya kancinci kakhulu okanye ecaleni elinye) zikwajongwa njengoonobangela bokunqongophala kwevithamin B12.

Zombini i-vegans kunye ne-non-vegans inokuchaphazeleka kukungabikho kwe-vitamin B12 - kuphela isizathu esiqhelekileyo sihluke.

I-Omnivores ene-B12 yokunqongophala ihlala inesifo se-gastrointestinal, ngelixa i-vegans ayinayo into ekrwada kuba ukutya okusekwe kwisityalo kuphela kuqulethe i-vitamin B12 encinci, ukuba ikhona, kwaye ayisoloko ibhekisela ekuthatheni i-vitamin B12 eyongeziweyo.

Izikhalazo zesisu zingakhokelela njani ekunqongopheni kwe-vitamin B12

I-Vitamin B12 idinga ukuba umgudu wesisu osempilweni ufunxe ngokupheleleyo ngenxa yezi zizathu zilandelayo:

Into ebizwa ngokuba yi-intrinsic factor iveliswa kwiiseli ze-parietal ze-gastric mucosa - iprotheni ye-transporter apho i-vitamin B12 evela kukutya inokuzibophelela ukuze ifakwe emathunjini amancinci (ileum).

Nangona kunjalo, xa inwebu ye-mucous yesisu yonakalisiwe, kuqala kukho ukunqongophala kwento engaphakathi kwaye ngenxa yoko kukho ukusilela kwe-B12. Kodwa abantu abaninzi banesisu esibi, ii-omnivores ezininzi kune vegans.

Kukwanjalo nakwizifo zamathumbu. Ezi, nazo, zihlala zikhokelela ekunqongophelweni kwevithamin B12 ukuba ivithamin ayisakwazi ukufunxwa ngokupheleleyo, umz. B. kwizibilini ezinomsindo kunye norhudo oluhlala rhoqo okanye kwizifo ezingapheliyo zokudumba kwamathumbu, okanye ngokuqinisekileyo ukuba iinxalenye zamathumbu sele zenziwe utyando. isusiwe.

Indlela i-heartburn inokukhokelela ngayo kwi-vitamin B12 yokunqongophala

Kwimeko yeengxaki zesisu, akunyanzelekanga nokuba ibe sisifo sesisu esibi, umz. B. gastritis type A (ukudumba kwenwebu yesisu), nto leyo enokukhokelela ekunqongophelweni kwevithamin B12. Isitshisa kwanele. Ngenxa yokuba abantu abaninzi bathatha i-acid blockers (i-proton pump inhibitors, njenge-omeprazole) ngenxa ye-heartburn - kwaye ngokuchanekileyo la mayeza akhuthaza ukuphuhliswa kwe-B12.

I-Omeprazole kunye ne-block blockers ye-asidi efanayo ayithinteli kuphela ukubunjwa kwe-asidi yesisu, kodwa kunye nokwakheka kwe-intrinsic factor ukuze kungabikho (okanye encinci kakhulu) i-vitamin B12 inokufunxwa (malabsorption).

Ii-parasites zinokukhokelela njani ekuswelekeni kwe-vitamin B12

Usulelo lwentshulube yetapeworm lunokukhokelela ekuswelekeni kwevithamin B12. I-fish tapeworm idla ngokusuleleka ngokutya intlanzi ekrwada. Esi sifunxi-gazi sikhupha amawakawaka amaqanda yonke imihla, athi abonwe lula esitulweni, nto leyo eyenza ukuba ukuxilongwa kube lula.

Ukunqongophala kwevithamin B12 ke ayisiyongxaki enokuchaphazela kuphela abantu abatya inyama. Kukunqongophala kwevithamin enokuthi ichaphazele nabani na, njengokunqongophala kwevithamin D, ukunqongophala kwemagnesium, okanye nakuphi na ukusilela.

Ukuzimisela kwe-vitamin B12 iyonke kwi-serum

Oogqirha abaninzi basamisela inqanaba le-vitamin B12 lilonke kwi-serum yegazi, kodwa oku akunangqiqo, kuba i-B12 engasebenziyo iyalinganiswa, umzimba ongenako ukuyisebenzisa.

Ngoko ke, kunokwenzeka ukuba eli xabiso lilonke le-B12 lisalungile ngokugqibeleleyo, kodwa enyanisweni, sele kukho ukusilela kwe-vitamin B12. Kuphela xa inqanaba le-B12 sele liwile ngokumangalisayo umntu uya kukwazi ukulimisela kwixabiso elipheleleyo le-B12 egazini.

Ukuzimisela kwe-methylmalonic acid kumchamo (uvavanyo lwe-MMA)

Eyona ndlela ilula luvavanyo lomchamo wevithamin B12, onokuthi uyi-odole kwi-Intanethi kwaye wenze ngokwakho ekhaya. Olu vavanyo lulinganisa inqanaba le-methylmalonic acid kumchamo, eyandiswe kwi-vitamin B12 yokusilela (kokubili kumchamo nasegazini).

Nangona kunjalo, kuba kukho abantu (ingakumbi abo bangaphezu kweminyaka engama-70 ubudala) abaye baphakamisa amanqanaba e-methylmalonic acid ngaphandle kokunqongophala kwe-B12 kwaye kwakhona (nakweyiphi na iminyaka) ukuphazamiseka kwamathumbu emathunjini kunokukhohlisa amanqanaba e-methylmalonic acid, olunye uvavanyo kufuneka luqhutywe. ngaphandle ukuba ube kwicala elikhuselekileyo ukwenza (ukuba uvavanyo lwe-methylmalonic acid lunyusiwe). Olu vavanyo lulinganisa into ebizwa ngokuba yi-holo-transcobalamin value (holo-TC) egazini.

I-Transcobalamin yiprotheni yokuthutha i-vitamin B12 (cobalamin). Xa i-vitamin B12 esebenzayo ibophelela kwi-transcobalamin, le ngqungquthela ibizwa ngokuba yi-holo-transcobalamin

Uvavanyo lwe-TC yegazi holo

Ngovavanyo lwe-Holo-TC, kuphela i-vitamin B12 esebenzayo ilinganiswa, ukwenzela ukuba ukunqongophala kwe-B12 kunokubonwa kwasekuqaleni kwaye kungekhona nje xa iivenkile ze-vitamin B12 zomzimba sele ziphelile okanye zingaphantsi. Ewe kunjalo, unokuba nexabiso le-holo-TC elimiselwe.

Uvavanyo lwe-methylmalonic acid alukho mfuneko eyongezelelweyo. Iluncedo ngakumbi kwabo bangakuthandiyo ukuthathwa kwegazi kwaye iyafumaneka njengovavanyo lwasekhaya.

Ukuzimisela kweHomocysteine ​​​​egazini

Ukongeza, inqanaba le-homocysteine ​​​​egazini linokuqinisekiswa ukuba libe kwicala elikhuselekileyo. Ukuba iphakanyisiwe, ukunqongophala kwe-vitamin B12 - kodwa kunye nokusilela kwe-folic acid kunye / okanye ukunqongophala kwe-vitamin B6-kunokuba kudlalwa (okanye zonke iintsilelo ezintathu kunye).

Amaxabiso okubhekisa kwivithamin B12

Apha ngezantsi kukho amaxabiso okubhekisa kwivithamin B12 (yabantu abadala) ukuze ukwazi ukuhlela ngokuchanekileyo ufundo lwakho.

Amaxabiso okubhekisa kwi-vitamin B12 kwi-serum

Ukuba ugqirha wakho ulinganisa i-vitamin B12 kwi-serum kwaye iphantsi kakhulu, kukho ngokucacileyo ukungabikho kwe-vitamin B12. Nangona kunjalo, ukuba iyinto eqhelekileyo kodwa kwisiphelo esisezantsi sesikali esiqhelekileyo (esisezantsi-esiqhelekileyo), kufuneka wenze ezinye iimvavanyo, ezifana ne-holo-TC score okanye uvavanyo lwe-MMA. Ngenxa yokuba inqanaba le-vitamin B12 le-serum lisenokuba liqhelekileyo xa sele kukho ukunqongophala kwe-vitamin B12, umlinganiselo we-serum awufanelekanga ukufumanisa ukusilela kwe-incipient:

• Ngokwesiqhelo: 300 – 900 pg/mL (220 – 665 pmol/L)
  ukusilela okunokwenzeka: 200 – 300 pg/ml (150 – 220 pmol/l)
• Ukunqongophala: ngaphantsi kwe-200 pg/mL (150 pmol/L)
  ukusilela okukhulu: ngaphantsi kwe-150 pg/ml (110 pmol/l)

Amaxabiso okubhekisa kwi-methylmalonic acid MMA kumchamo nakwigazi

Amaxabiso okubhekiselele ekumiselweni kwe-methylmalonic acid kumchamo zezi zilandelayo:

• Ukunqongophala kwe-B12 akunakwenzeka: amaxabiso angaphantsi kwe-1.5 mg ye-MMA nge-g creatinine
• Ukusilela kwe-B12 kunokwenzeka: amaxabiso phakathi kwe-1.5 kunye ne-2.5 mg ye-MMA nge-g creatinine
• Ukusilela kwe-B12: amanqanaba aphezulu kune-2.5 mg MMA nge-g creatinine

Amaxabiso esalathiso ekumiselweni kwe-methylmalonic acid kwiserum yegazi ngolu hlobo lulandelayo:

• Ukusilela kwe-B12 akunakwenzeka: amaxabiso phakathi kwe-9 kunye ne-32 µ/l (elingana namaxabiso phakathi kwe-76 kunye ne-280 nmol / l)
• Ukusilela kwe-B12 okunokwenzeka: amaxabiso angaphezu kwe-32 µg/l (ihambelana malunga ne-280 nmol/l)

Ukuba kukho inqanaba eliphantsi le-holotranscobalamin ngexesha elifanayo, ukungabikho kwe-vitamin B12 ebonakalayo kunokucingelwa ngokuqinisekileyo.

Amaxabiso okubhekisa kwiholotranscobolamine kwiserum

Amaxabiso okubhekiselele ekumiselweni kwe-holotranscobalamin kwi-serum ami ngolu hlobo lulandelayo:

• Ukusilela kwe-B12 akunakwenzeka: kumaxabiso angaphezu kwama-70 pmol/l
• Ukusilela kwe-B12 kunokwenzeka / umphumo womda: 35 - 70 pmol / l
• Ukusilela kwe-B12 kunokwenzeka: kumaxabiso angaphantsi kwe-35 pmol/l

Kuba amanqanaba asezantsi e-holo-TC akhona kwimeko yokusilela kwezintso, amaxabiso ezintso kufuneka asoloko ejongwa, ngakumbi kubantu abadala.

Iiyunithi ezahlukeneyo: indlela yokuguqula

Ukuba inqanaba lakho le-serum vitamin B12 liye lamiselwa kodwa isiphumo sakho sanikezelwa kwiyunithi eyahlukileyo, ungayiguqula ngolu hlobo lulandelayo kwaye uyithelekise kwakhona kumaxabiso esalathiso angentla:

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

Nceda uqaphele, nangona kunjalo, ukuba amaxabiso esalathiso anokwahluka ngokuxhomekeke kuhlobo lohlalutyo kunye nelabhoratri, ke ngoko kuya kufuneka usebenzise amaxabiso ereferensi elabhoratri ngokufanelekileyo njengesilumkiso.

Yile ndlela i-vitamin B12 ifunnwa ngayo ngumzimba

IVitamin B12 inokufunxwa ngumzimba ngeendlela ezimbini:

• Akukho ngaphezu kwe-1.5 micrograms yevithamin B12 enokuthi ifakwe kwisidlo ngasinye ngokufunxa okusebenzayo ngokusebenzisa iiprotheni zokuthutha (i-intrinsic factor).
• Ipesenti ye-1 yevithamin B12 esetyenzisiweyo inokufunxwa (ngaphandle kweeprotheni zokuthutha) ngokufunxa okungahambiyo ngokusasazwa, okubangela umdla ngakumbi xa uthatha izongezo zokutya eziphezulu. Kuba ukuba idosi ephezulu ye-vitamin B12 yokulungiselela ibonelela ngedosi yemihla ngemihla ye-1000 micrograms ye-vitamin B12, umzekelo, usenako ukufunxa i-10 micrograms ye-vitamin B12 nge-passive diffusion, enokuyigubungela imfuneko kakuhle.

Yile ndlela onokuyilungisa ngayo ukusilela kwe-vitamin B12

Ukuba ngoku kucacile ukuba kukho ukusilela kwe-vitamin B12, ngoko umbuzo uvela ngokwemvelo malunga nendlela oku kulungiswa ngayo. Amanyathelo ayimfuneko axhomekeke kwisizathu sesiphene.

Ukuphelisa ukungabikho kwe-vitamin B12 kwizikhalazo ezingapheliyo zesisu
Ukuba unengxaki yezikhalazo ezingapheliyo zesisu, ukuqinisa impilo yakho yesisu kufuneka kube yeyona nto kugxilwe kuyo. Kwangaxeshanye, idosi ephezulu ye-vitamin B12 yokulungiselela (idosi yemihla ngemihla ye-micrograms eziyi-1000) iyavakala, kuba oku kunokufunxwa kukusasazwa kwe-passive, ngoko ke kunokuthi kulungiswe unikezelo lwangaphambili lwangaphambili nakwindlela yesisu esigulayo.

Kwezinye iimeko, iinaliti ze-vitamin B12 ziyisisombululo esingcono ngakumbi, ngakumbi xa sele kukho ukunqongophala kwe-vitamin B12. Zinikwa i-intramuscularly, okt kwisihlunu, kwaye ziyakwazi ukunyanga ukunqongophala kwevithamin B12 kwiiveki ezimbalwa.

Ukuphelisa ukunqongophala kwe-vitamin B12 xa uthatha amayeza

Ukuba uthatha amayeza anokuthi abe negalelo ekunqongopheni kwe-vitamin B12, thetha nogqirha wakho malunga nokuba zisafuneka okanye ukuba unokuyeka ukuwathatha. Ukuba kufuneka uqhubeke nokuthatha iyeza lakho, cela ugqirha wakho ukuba ngaba kwanele ukuba uthatha rhoqo i-vitamin B12 yokuncedisa okanye-ukuba ukusilela kunzima - nokuba akufanele ube ne-regimen ye-injection ye-B12 kuqala ngaphandle koko ukusilela kwakho kwe-vitamin B12 kungabikho. zilungiswe okanye zilungiswe ngokucothayo.

Iimeko zokutya zilungisa ukunqongophala kwe-vitamin B12

Ukuba ukusilela kwe-vitamin B12 kuye kwaphuhliswa ngenxa yokutya kwe-vegan okanye ezinye izizathu ezingaziwayo, unokulungisa ukusilela ngokuthatha rhoqo i-vitamin B12 yokuncedisa. Uluhlu olubanzi lwamalungiselelo akhoyo kule njongo.

Lungisa ukunqongophala kwe-vitamin B12 ngala malungiselelo

Ukuba ufuna ukulungisa ukunqongophala kwe-vitamin B12, i-dose ephezulu ye-vitamin B12 amalungiselelo kunye ne-dose yemihla ngemihla ye-1000 micrograms ye-vitamin B12 iyacetyiswa.

Iipilisi ezinevithamini B12

Amalungiselelo e-Capsule aqulethe umxube weyona ndlela ingcono ye-vitamin B12, oko kukuthi i-vitamin B12 yokugcina (i-hydroxocobalamin) kunye neefom ze-B12 ezisebenzayo (i-methylcobalamin kunye ne-adenosylcobalamin), zifanelekile.

Impumlo yehla nge-vitamin B12

I-Vitamin B12 yamathontsi eempumlo ngoku nayo iyafumaneka kurhwebo. Ngamaconsi endalo esebenzayo, umzekelo, unokuthatha i-1000 micrograms ye-vitamin B12 ngedosi yemihla ngemihla (amaconsi ama-2). I-vitamin inokuthi ifakwe kwi-mucosa yeempumlo, idlula i-gastrointestinal tract.

Intlama yamazinyo enevithamin B12

Intlama yamazinyo enevithamin B12 nayo inganceda ukuvala imfuno yemihla ngemihla yevithamin B12. Kufuneka zisetyenziswe ubuncinane kabini ngosuku ukuchaphazela amanqanaba e-vitamin B12.

Kuphononongo luka-2017, iivegans ezisebenzise intlama yamazinyo efanelekileyo kwiiveki ezili-12 ziye zanda kakhulu kuzo zombini iholo-TC kunye ne-serum B12, okokugqibela kunyuke ngomyinge we-81 pg/mL, nto leyo eninzi kakhulu. Ukuba amaxabiso angaphantsi kwe-150 ukuya kwi-200 pg/ml, kukho ukusilela. Amanqanaba e-300 pg / ml nangaphezulu abhekwa njengesiqhelo, ngoko ke ukusetyenziswa rhoqo kwe-toothpaste ephuculweyo kunokuphucula ngokuqhubekayo okanye ukugcina amanqanaba aphilileyo e-B12.

Iinaliti zihlala zilungisa ukunqongophala kwevithamin B12 ngokukhawuleza

I-Intramuscular vitamin B12 injections (umz. ukusuka kwi-Medivitan) ingasetyenziselwa kwimeko yokungabikho kwe-vitamin B12 enxulumene nokutya - ukuba ixabiso sele liphantsi kakhulu. Ezi zidla ngokunikwa kanye okanye kabini ngeveki kwiiveki ezimbalwa. Ngenxa yokuba ukuthatha ngomlomo amalungiselelo e-vitamin B12 okanye ukusetyenziswa kwe-toothpaste ephuculweyo yodwa kaninzi akwanelanga ukulungisa ukunqongophala kwe-vitamin B12 ngokukhawuleza kunye nokuphucula iimpawu.