Ulwaphulo lweVitamin kunye nemiphumo ye-Neurological
Ukungaphumeleli kwe-Vitamin kunokubangela iingxaki ezahlukeneyo zeengxaki zegazi. Enye yeyona nto ibethayo kukuba i-myeloneuropathy, ithetha iingxaki kunye nomnatha womgogodla kunye nenkqubo yesifo senzwa .
Iingxaki ze-neurological ezinxulumene ne-vitamin deficiencies zaqala ukuphawula malunga no-2004. Abantu baqala ukuhlakulela i- ataxia kunye nokuxhamla ngenxa yokungabi nako ukukwazi ukuxelela ukuba iziphi iziko zomzimba zazo zisesigxina .
Ubungqina kunye nobuthathaka buye lwaphuhliswa. Kuhlolisiso lwe-neurological, i-reflexes ifumaneka ngokungaqhelekanga.
Enye yezona zinto ziyaziwa ngokuba yi-myeloneuropathy yinto ebangelwa yi-vitamin B12. Kodwa ezinye i-vitamin zokusilela ezinjengezobhedu, i- folate , okanye i-vitamin E nazo zingabangela iingxaki ngomtya womgca.
I-Vitamin B12
Ukusilela kwe-B12 kunokubangela inani elininzi leengxaki ezahlukeneyo zeengxaki zegazi, kodwa eyona nto iyaziwa yi-myeloneuropathy ebizwa ngokuba yi-myeloneuropathy. Ukulahleka kwe-B12 kubangela izifo zamakholomu aphezulu emva komgca wesigxina, ophethe ulwazi malunga nokukhanya okukhawulezayo, ukutshukunyiswa kunye nesimo somzimba kwisithuba (umthombo) ukusuka emzimbeni ukuya kwingqondo. Ngenxa yolu hlobo lwama-myeloneuropathy, ukuphazamiseka kunye nobuthathaka kubangelwa. Ubungqongqelo bukhula "kumzekelo wesigxobhozo" oku kuthetha ukuba uhamba ngokuthe ngcembe kwaye uphakamise iingalo nemilenze (emva kokuqala ezinyaweni nasezandleni).
Ulwaphulo lweCopper
Ukulahleka kweCopper kufana nokungafani kweB12. Isizathu esona siqhelo kukuba i-malabsorption, efana nokuhlinzwa okwenziwa nge-bariatric, okanye i-malabsorption syndromes njenge- malaria celiac . Ukugqithiswa kwe-zinc eyongezelelekileyo kunokukhokelela ekunqongopheni kobhedu. Ukongeza kwi-zinc zongeziweyo, ezinye i-denture creams ziqukethe amanqanaba amaninzi e-zinc.
Ukuxilongwa kobunzima beetya kungenziwa ngokuvavanywa kwamanqatha egazini - kwaye ngokuqhelekileyo, ugqirha uya kujonga amanqanaba e-zinc.
Ukunyanga kokunqongophala kwebhebri kukuxhaswa ngobhedu bomlomo kwaye, xa kuyimfuneko, ukunciphisa ukusetshenziswa kwe-zinc.
Ulwaphulo lwabantu
I-Folate (i-tetrahydroflic acid) ifumaneka kwiziqhamo ze-citrus kunye nemifuno eluhlaza. Inokuba yinto ephantsi kotywala okanye i-malabsorptive syndromes. Xa ukhulelwe, amanqanaba aphantsi angabangela ukuba u-fetal malformations malformations, ekhokelela kwiziphakamiso eziqhelekileyo ukuba abafazi bancedisa nale vivamitha ukuba bacinga ukukhulelwa.
Ukusilela kwintolwazi ngokuqhelekileyo kuhamba kunye nezinye iindawo ezinobunzima be-vitamin ezingabangela iipatheni ze-neurological. Oko kwathiwa, iipatheni ezifana nokuxhatshazwa okuhlangeneyo ziye zachazwa ngokusweleka komntu, ngokuguqulwa kwengqondo, kunye nobunzima kunye nobuthathaka, kwaye oogqirha baninzi bajonga isigaba se-folate kwiimpawu ukuba zikhoyo kwaye zicebise i-myeloneuropathy.
I-acid ye-folic ithathwa kalula ngomlomo kodwa inokugubungela ubunzima be-vitamin B12 kwaye iphinde ibenze kakubi i-myeloneuropathy yomntu. Yingakho oogqirha baya kulawula i-vitamin B12 yokunqongophala ngaphambi kokuqala ukuxhaswa kwe-folic acid.
I-Vitamin E
Nangona ubuncwane bokuqala be-neurologic ekunqongopheni kwe-vitamin E yi-spinocerebellar syndrome, ngokuqhelekileyo kukho i-fiber enkulu ye-fibre sensory-predominant axonal peripheral neuropathy. Ubunqongophala be-Vitamin E bubonakala kwimeko ye-fatbs malabsorption (umzekelo, ukungasebenzi kwemali ye-biliary, i-cystic fibrosis) okanye izifo ze-genetic (umzekelo, i-ataxia ene-vitamin E okanye i-abetalipoproteinemia). Isicwangciso sokunqongophala kwe-vitamin E sichaphazela ukuphucula ukunyuswa kwamafutha kunye ne-vitamin E yomlomo.
I-Vitamin E iyinvitham e-fat-soluble efunyenwe kwiimbewu, iinkozo kunye nengqolowa yegqolo. Akunqabile ukuba i-vitamin E isweleka ngenxa yokunqongophala kokutya, kodwa kunokubangelwa kwiimeko ezibangelwa i-malabsorption enamandla kakhulu.
Ukugonya ngokufanelekileyo kwe-vitamin E kudinga i-enzyme ye-pancreatic kunye ne-bile salts esesibindi. Ngamanye amaxesha kukho ukuphazamiseka kwefa le-vitamine E emetabolism ezingabangela iingxaki, ingakumbi kubantwana.
Iimpawu zokuntuleka kwe-vitamin E ziquka ukungahambi kwamehlo, ukuguqulwa kombono, i- cerebellar ataxia kunye ne-peripheral neuropathy, ngaphezu kweempawu zokulahlekelwa kwintsholongwane ye-posterior ngendlela ekhunjulwayo i-other vitamin deficiencies.
Amanqanaba e-Vitamin E anokulinganiswa ngokuthe ngqo kwigazi, nangona la mazinga anokuchaphazeleka ngamanqanaba e-cholesterol kunye neep lipids kwigazi. Ukunyanga kwe-vitamin E kunqongophala kunye ne-vitamin E yomlomo kunye nokuphucula ukunyuswa kwamafutha (ukunyanga imeko yonyango, ukuba kunokwenzeka).
Okukwintsusa
Nangona i-myeloneuropathy ebangelwa ukusilela kwe-vitamin ingaba nzima, iindaba ezilungileyo iimpawu zingaphucula okanye zitshintshe unyango olufanelekileyo.
Ukuba ugqirha wakho akuvavanya i-myeloneuropathy, unokuyalela i-imagination magnetic imagination (MRI), engabonakalisa izilonda kwisithuba esingaphantsi komgcini womgogodla kunye ne- electromyogram (EMG) kunye nesifundo se-nerv conduction (NCS) , esibonisa ukucotha .
Imithombo:
Brent, uP. Goodman, Indlela yokuThola iNgcaciso ye-Myeloneuropathy; I-Continuum: Intambo yomgudu, Umsuka, kunye ne-Plexus Disorders Umqulu 17, Inani le-4, ngo-Agasti 2011.
Oh, RC, & Brown, iDL (2003). I-Vitamin B12. I-American Family Physician , uMar 1; 67 (5): 979-86.
Ropper, AH Samuels, MA Adams kunye neMigomo kaVictor ye-Neurology, eyesi-9: I-McGraw-Hill Companies, Inc., 2009.
Abasebenzi, iNP & Windebank, AJ (2014). I-peripheral neuropathy ngenxa ye-vitamin defence, i-toxins kunye neyeza. I-Continuum (Minneap Minn) , Oktobha; 20 (5 Iinkqubo zeNkqubo zeNkqubo zoMnxeba): 1293-1306.
INKCAZELO: Ulwazi olukule ndawo lusezinjongo zemfundo kuphela. Akufanele isetyenziswe njengendawo yokunyamekelwa ngumntu ogqirha. Nceda ubone ugqirha wakho ukuze ufumane unyango kunye nonyango malunga nayiphi na impawu okanye imeko yonyango .