B12 deficiency anemia tshwm sim los ntawm cov tsis muaj vitamin B12 nyob rau hauv lub cev. Hom mob ntshav qab zib tsawg dua li qub, feem ntau rau cov laus thiab muaj ntau dua rau cov txiv neej, tiam sis muaj mob ntawm cov kab mob hauv cov poj niam. B12 deficiency anemia yog qhov txaus ntshai heev, vim nws cuam tshuam rau cov plab hnyuv thiab lub hlwb, thiab kuj ua rau lub cev hematopoietic ua haujlwm ntawm lub cev.
Ua rau B12 deficiency anemia
Muaj ntau yam ua rau muaj ntshav qab zib, nrog rau txhua yam kev mob ntawm txoj hnyuv quav, heredity thiab banal vitamin deficiency hauv zaub mov. Nws yog ib qho ua tau rau ib leeg tawm ua rau lub ntsiab ntawm B12 tsis muaj peev xwm:
- tsis muaj vitamin, uas los nrog zaub mov noj;
- lub caij nyoog plob tsis so tswj;
- noj cov tshuaj uas txo qis theem ntawm cov vitamin nyob rau hauv lub cev;
- gastroectomy;
- Helminthiasis (raug tus kab mob hu ua tapeworms);
- cuam tshuam ntawm kev ua hauj lwm ntawm lub plab vim co toxins;
- mob plab;
- qub txeeg qub teg ntawm anemia;
- otoimmune qhov teebmeem ntawm qhov cuam tshuam nrog Kastla lossis parietal hlwb.
Cov tsos mob ntawm B12 deficiency anemia
Cov tsos mob ntawm vitamin B12 tsis muaj ntshav liab yeej zoo ib yam li cov neeg tau pom hauv lwm hom ntshav dawb:
- tsis muaj zog;
- txog kev ua tsis taus pa;
- palpitation;
- mob hauv ob txhais ceg, qee zaum hauv tus nplaig;
- kiv taub hau;
- ceev ceev-pib roj teeb;
- tsis txaus siab ua haujlwm;
- icteric xim xim;
- glossitis (lus npliag npliag);
- tachycardia ;
- nce nyob rau hauv qhov loj ntawm tus po thiab siab;
- polyneuritis;
- atrophy lossis mob nqaij ntshiv siab;
- qee zaus kev tsis sib haum xeeb thaum taug kev (qee zaus kev ploj tuag ntawm qis extremities).
Kev kuaj ntawm B12 deficiency anemia
Kev kuaj ntawm tus kab mob no yog sib koom tes los ntawm ib tug neurologist, hematologist, gastroenterologist thiab nephrologist. Ntxiv mus, muaj ntau cov kev xeem:
- Txhawm rau txiav txim siab B12 deficiency anemia, kuaj ntshav, tag nrho thiab biochemical, thiab tus nqi ntawm cov vitamin B12 nyob rau hauv cov ntshav dej.
- Zis tsom mus rau kev txiav txim ntawm methylmalic acid nyob rau hauv nws, uas nyob rau hauv theem siab ua rau nws nqus vitamin B12 rau hauv cov ntaub so ntswg thiab hlwb.
- Txoj kev uas siv cov hmoov txha hauv pob txha txhuam nrog pob txha liab liab siv. Nrog lub deficiency folic acid thiab vitamin B12 hauv cov pob txha pob txha, megaloblasts raug tsim, thiab lawv yuav raug kuaj los ntawm hom no.
- Ib qho tshuaj aspiration ntawm cov pob txha txha yuav ua tau.
Ntxiv rau cov kev soj ntsuam no, ultrasound ntawm lub plab kab noj hniav tseem tuaj yeem ua tau.
Kev kho tus kab mob B12 tsis txaus
Thawj zaug ntawm tag nrho cov, tus neeg mob tau pom zoo kom hloov nws cov khoom noj, ua rau cov ntsiab lus ntawm cov vitamins thiab cov as-ham ntxiv. Tsis tas li, kev tsis kam haus dej cawv yog qhov yuav tsum tau ua. Yog li, nws yog ib qho ua tau kom kho anemia nyob rau hauv thaum ntxov ua ntej, yam tsis tau txais kev pabcuam ntawm cov tshuaj vitamin.
Lub hauv paus ntawm kev kho mob ntawm anemia yog kev kho thiab kev saib xyuas ntawm vitamin B12 ntawm qhov yuav tsum tau txhaj. Qhov no yog tiav los ntawm kev txhaj tshuaj los ntawm kev txhaj tshuaj tiv thaiv kab mob intramuscular. Nyob rau hauv cov ntaub ntawv no, yog hais tias cov theem ntawm cov hlau tsis siab txaus los yog txo qis vim yog qhov noj cov vitamin B12, tom qab ntawd ntxiv cov tshuaj npaj muaj iron.
Yog hais tias muaj kev hem thawj ntawm anemic coma (nrog ib qib qis ntawm hemoglobin nyob rau hauv cov ntshav), ces kev hloov ntawm erythrocytes yog ua.
Yog tias ua kom tsis muaj B12 deficiency anemia yog kis tau ntawm lub cev nrog helminths, deworming yog nqa tawm thiab rov qab kho dua ntawm txoj haujlwm zoo ntawm txoj hnyuv.
Cov teeb meem ntawm B12 deficiency anemia
Cov ntshav qab zib no ua rau muaj teeb meem loj hauv cov hlab ntsha tawg, vim tias cov hlab hlwb thiab pob txha pob txha tseem ceeb heev rau cov tsis muaj vitamin B12. Yog li, kev kho mob yuav tsum tau ua kom tiav thiab kom sai li sai tau.