Pernicious anemia chirwere chakakomba chinokonzerwa nekushaya vitamini B12 mumuviri. Ichi chinonzi anemia ine mazita akawanda, kusanganisira Addison-Birmer chirwere, chirwere chinorwara chinopisa, B12 kukwana anemia uye megaloblastic anemia.
Zviratidzo zvekushaya chirwere chinopera simba
Zviratidzo muvarwere vane njodzi yekushaya ropa, semutemo, vanozviratidza pachavo zvakajeka uye zvisina kujeka.
Zviratidzo zvakajeka zveAdisonison-Birmer chirwere:
- chivara chitsvuku (chiedza chakajeka), iyo inobva yava "yakavhenekera" nekuda kwekudzidzira kwevamukira pairi;
- anemia, kuvapo kwethological erythrocytes;
- gastric Achilles - kusavapo kwehydrochloric acid uye enzyme mujusi yejusi;
- kushungurudzika kwenheyo yenheyo;
- kuumbwa kwe megaloblasts (masero mashoma eusnaturally) mumapfupa emapfu panzvimbo pe erythrocytes.
Zviratidzo zvisingaoneki zvechirwere ichi:
- Zviratidzo zvinowanzoitika:
- kurasikirwa noupenyu, kusimba, kurara;
- kurwadzisa mumuromo nerurimi;
- kurwadziwa mukati memakumbo nepamusoro;
- kurasikirwa nechido, kuora kurasikirwa.
- change gait;
- kukanganisa kukwidza;
- kuora kwemaonero ;
- matambudziko epabonde;
- hallucinations;
- kukanganisika mupfungwa.
Kuongororwa kwehutachiona hwekushaya ropa
Chiratidziro chakajeka chekushaya ropa chinowanikwa mukuumbwa kweropa. Mune varwere vose, sekutonga, serum ine uwandu hwakanyanya hwe vitamini B12. Kubviswa kwevhitamini kwakadzika kwazvo uye kunogona chete nekutangisa kuwedzera kwemukati chinhu. Mukuwedzera, urinho sampuli dzinotorwa, sezvo, mushure mokunge kuenzanisa kuenzaniswa kweropa uye urine yakagadzirwa, kuongorora kunove kwakarurama.
Kunyanya kukosha kunopiwa kune kutsvaga chinokonzera chirwere chacho. Chirwere chepachiviri chinongororwa nokuda kwezvironda, gastritis nedzimwe zvirwere zvinogona kukanganisa kudya kwevhitamini B12.
Uyezve, nokuda kwekuwedzera kurapwa, zvakakosha kubvisa zvimwe zvirwere zvinogona kuita kuti zvive zvisina kunaka. Sezvo, somuenzaniso, kukundikana kwechirwere kana pielonephritis, iyo yakagadzirwa nemaune vitamini B12 ichiri kusati yatswa uye kurapwa hakuchina kuchinja kwakanaka.
Kurapa kwekutapukira kwemaemia
Kurapa kwevarwere kunoitwa nekuiswa kwezvinodhaka zvakadai seCyanocobalamin kana Oxycobalamin. Mari yacho inokonzerwa. Kutanga, zvakakosha kuunza huwandu hwevhitamini B12 kuhutano, uye ipapo nhamba yejojo dzinoderera, uye chirwere chinopindwa muropa chinongobatsira chete. Varwere vane chirwere chinokonzera chirwere chinokonzera kuparara kuchazofanira kutarisa huwandu hwevhitamini kusvikira pakuguma kwehupenyu uye nguva nenguva vanogamuchira prophylactic injections yechirwere.
Dzimwe nguva muhutungamiri hwevarwere, simbi inowedzera. Izvi zvinowanzoitika mushure memwedzi mitanhatu yekurapa uye inoda kuwedzera hutungamiri hwezvinodhaka zvinodzorera huwandu hwayo.
Nokubudirira kurapwa, zviratidzo zvose zvechirwere zvinopera zvishoma nezvishoma. Nguva yekudzorera inogona kupedza kusvika kumwedzi 6. Normalization ye vitamini B12 mazinga inogona kuitika mazuva makumi matatu kusvika ku80 mushure mekutanga kwejojo.
Kazhinji kazhinji kune varwere vane chirwere chinoparara, kana mushure mekurapa, zvirwere zvakadai se myxedema, kenza yemuviri kana kuti inyoka goiter inokura. Iroji yezviitiko zvakadaro haipfuuri 5.
Iyo inokosha zvikuru mukurapa kunamatira kune zvakakwana kudya, izvo zvinosanganisira mavitamine anodikanwa uye michina. Doro uye fodya zvinofanira kunge zvisingabatanidzwi. Chinhu chisina kukosha kukatsigirwa kwehama uye nemaonero akanaka ekutora murwere. Izvi zvinonyanya kuderedza nguva yekurapa.