Ukuqhuma kwi-thiamine (uhlobo lwe-vitamin B) kunokubeka umngcipheko kwiimeko ezinzima ezibizwa ngokuba yi-beriberi. Ekubeni ukutya okuninzi kunotyebi kwi-thiamine, i-beriberi ayinqabile kakhulu e-United States. Nangona kunjalo, ukusetyenziswa kakubi kotywala kunye nemiba ethile yezokwelapha kunokunyusa umngcipheko we-thiamine.
Kwakhona kuthiwa yi-vitamin B1, i-thiamine idlala indima ephambili ekuguquleni i-carbohydrates ibe namandla.
Kwakhona kubandakanyeka kwinkqubo yokuqhekeka kwemisipha, kunye nokuhanjiswa kweempawu zentsholongwane kunye nokuveliswa kwama-acids okubalulekileyo ekugulweni okufanelekileyo. Nangona ixhomekeke kakhulu kwiimisipha zakho zegazi, i-thiamine ifumaneka kwingqondo yakho, intliziyo, isibindi kunye neentso.
Xa ushiywe ungagqithwanga, i-beriberi inokukhupha ngamandla amanqanaba akho wamandla kwaye ibangele iingxaki ezisongela ubomi entliziyweni yakho okanye kwinkqubo yesantya.
Iintlobo zeBeriberi: I-Wet vs Dry
Kukho iintlobo ezimbini ze-beriberi: i-beriberi emanzi (echaphazela inkqubo ye-cardiovascular) kunye ne-beriberi eyomileyo (echaphazela inkqubo ye-nervous). Ukuba iyahamba ingagqalwa, i-beriberi emanzi ingabangela ukulimala kwiisisu zomzimba. Kwakhona kudibaniswa nokuhluleka kwenhliziyo, apho intliziyo ayikwazi ukupompa igazi elaneleyo ukuhlangabezana neemfuno zomzimba.
I-beriberi eyomileyo yonakalisa iimbulunga kwaye ingakhokelela ekulahlekelweni kwamandla emisipha kwaye, ekugqibeleni, ukukhubazeka. Ukuba imeko ifunyenwe kwaye iphathwe kumazinga ayo okuqala, umonakalo kwinkqubo yeentlanzi ngokuqhelekileyo iguqulwa.
Ukungabikho kwonyango lokuqala kunokubangela iingxaki ezifana nokulahlekelwa kwememori.
I-Wernicke-Korsakoff syndrome yintlobo yesifo sengqondo esibangelwa ukungabikho kwe-thiamine. Ngokuqhelekileyo, iimpawu zesifo sikaWernicke ziqala ukuvela. Iimpawu ziquka ukudideka, ukulahleka kwemisipha kunye nokutshintsha kwimbono enjenge-nystagmus (ukukhawuleza kwamehlo okungalawulwayo).
I-Korsakoff syndrome ihlala ikhula emva koko, kunye neempawu eziquka ukulahleka kwememori, ubunzima bokudala imemori emitsha, ukucamngca, kunye nokwenza amabali (abizwe ukudibanisa).
Izizathu
Ngenxa yokuba ukusela kukuphazamisa kakhulu amandla omzimba wakho wokubamba nokugcina i-thiamine, ukusetyenziswa kakubi kotywala ngenye yezona zinto ezibangela i-beriberi namhlanje.
Kwiimeko ezinqabileyo kakhulu, i-beriberi ivela njengesifo somzimba. Kwabanye abantu abaneli meko, ukukwazi ukuthatha i-thiamine ekudleni kunokunciphisa ubuncinane.
Ukongezelela, iintsana ezincelisayo zikwazi ukuhlakulela i-beriberi xa umzimba womama uswele i-thiamine eyaneleyo.
Izinto zobungozi
Ngokuphathelele ukusetyenziswa kakubi kotywala, imiba efana nehudo elide kunye nokuhlanza okuxhomekeke ekukhulelweni kukuphakathi kwezinto ezibeka umngcipheko kwi-beriberi.
Ukongezelela, ukuhamba nge- dialysis , ukuthatha iqondo eliphezulu lezonyango , kunye nokufumana utyando lwabantu abanakho konke kunokuphakamisa umngcipheko wokuntuleka kwe-thiamine. Abantu abane- hyperthyroidism , i- AIDS , okanye isifo esinesibindi esinokuthi sinokubangela ukuba le meko ibe yinto engakumbi.
Iimpawu
Iimpawu eziqhelekileyo zeer beriberi ezimanzi ziquka:
- Ukongeza kwenani lentliziyo
- Ukuphefumula (kuquka ukuvuswa ebusuku ngokuphefumla)
- Ukuvuvukala kwemilenze ephantsi
Kwiimeko apho i-beriberi emanzi ibangela ukungaphumeleli kwentliziyo, abantu banokufumana ezi zinto zilandelayo:
- Ukuphefumula okunzima okuhamba kunye nemivilini yeentamo
- Intliziyo ekhulisiweyo
- Umkhuhlane kwimiphunga
- Intliziyo esheshayo
Kwi-beriberi eyomileyo, iimpawu ziquka:
- Unzima ukuhamba
- Ukulahlekelwa yintliziyo ezandleni nasezinyaweni
- Ukulahlekelwa kwemisipha yomsebenzi okanye ukukhubazeka kwemilenze ephantsi
- Ukudideka kwengqondo
- Ubuhlungu
- Ingxaki yokuthetha
- Iimpawu zamehlo ezintle
- Ukulinganisa
- Ukuvutha
Thintelo
Ukulandela ukutya okunokulinganisela kukubheja phambili ekukhuseleni i-beriberi. Ukuze uzalise i-thiamine, yithwala ngokutya okulandelayo:
- Ubhontshisi kunye nemigqabi
- Iimveliso zobisi (ezifana ne-yogurt)
- Amaqanda
- Inyama, iinkuku kunye nentlanzi
- Amantonga kunye nembewu
- I-Thiamine-ityebile ukutya okutya kwasekuseni
- Amazimba
Imifuno elandelayo iphezulu kwi-thiamine:
- Isikrashi
- I-asparagus
- Beet imifuno
- ibrussels sprouts
- Ispinatshi
Kufuneka kuqatshelwe ukuba ukutya okuninzi kuqukethe i-thiaminase, eziyi-enzyme ezitholakalayo zenza i-thiamine ingasebenzi. Ezi zokutya ziquka:
- Vlams
- Ilayisi ilayisi
- Iimbaza
- I-shrimp
Ukunciphisa ukutya kwakho okunjalo kunokunceda ekukhuseleni i-beriberi.
Unyango
Ukunyangwa kwe-beriberi kugxininise ekubuyiseleni izinga le-thiamine yomzimba. Ezinye izigulane zithathwa nge-supplement thiamine, ngelixa ezinye zithola i-injini ye-thiamine.
Kwiimeko ezininzi, ukufumana unyango lwe-beriberi kunciphisa iimpawu kwaye kubuyisa umonakalo entliziyweni okanye kwinkqubo yesantya.
Ukungaphumeleli ukuphatha i-beriberi (kunye ne-Wernicke-Korsakoff syndrome) kunokubangela ukulimala ngonaphakade kwintliziyo kunye / okanye neentsimbi, kunye ne-coma, i-psychosis, kunye nokufa.
Ukongezwa kweVithamini B
Ukuba uyisiselo esinxilisayo, ukuthatha i-vitamin B isongezelelo akukhuthazwa njengeqhinga lokukhusela i-beriberi. Ngokubhekiselele kwiNkcitho yokuSebenzisa kakubi kwezeMpilo kunye noLawulo lweeNkonzo zezeMpilo zengqondo, ukusetyenziswa kotywala okunzima kubhekiswa njengokusela ukusela ngokweqile (oko kukuthi, ukutya malunga neesiselo zokusela izilwanyana kunye nezihlanu zokuphuza amadoda) kwiintsuku ezintlanu okanye ngaphezulu kwinyanga edlulileyo.
Ukuba uhlangabezana nayo nayiphi na imiqondiso yokuntuleka kwe-thiamine, qhagamshelana nodokotela wakho ngokukhawuleza.
> Imithombo:
> Hanninen SA, iDarling PB, uSle MJ, uBarr A, uKeith ME. "Ukuxhaphaka kwamanqanaba e-thiamin kwizigulane ezibhedlele ezinokukhubazeka kwentliziyo." J Am Coll Cardiol. 2006 Jan 17; 47 (2): 354-61.
> Lee HS, Lee SA, Shin HS, Choi HM, Kim SJ, Kim HK, Park YB. "Iimeko zentliziyo ye-beriberi: isifo esalilibalekileyo kodwa esingalibalekiyo." I-Korean Circ J. 2013 Aug; 43 (8): 569-72.
> Matrana MR, Davis WE. "Ubunzima be-Vitamin emva kokuhlinzwa ngonyama: ukuhlaziywa." UMzantsi Med J. 2009 Oct; 102 (10): 1025-31.
> Wooley JA. "Iimpawu ze-thiamin kunye nokuhambelana kwayo nokulawulwa kwentliziyo." I-Clinic Pract. 2008 ngo-Oktobha-Nov; 23 (5): 487-93.
Ukuziphendulela: Ulwazi oluqulethwe kule ndawo lujoliswe kwiinjongo zemfundo kuphela kwaye alithathi indawo yeengcebiso, ukuxilongwa okanye unyango ngumgqirha onelayisenisi. Akunakuthetha ukukhusela zonke iindlela zokulondoloza, ukusebenzisana kwezidakamizwa, iimeko kunye nemiphumo emibi. Kufuneka uncede unyango lwangonyango ngokukhawuleza kuyo nayiphi na imiba yempilo uze ubonane nodokotela wakho ngaphambi kokusebenzisa elinye iyeza okanye wenze utshintsho kwi-regimen yakho.