Beriberi

Beriberi cuta ce wacce jiki baya da isasshen thiamine (bitamin B1).

Akwai manyan nau'ikan beriberi guda biyu:

• Rigar beriberi: Yana shafar tsarin zuciya da jijiyoyin jini.
• Dry beriberi da ciwo na Wernicke-Korsakoff: Yana shafar tsarin mai juyayi.

Beriberi ba safai ake samunsa ba a Amurka. Wannan saboda yawancin abinci yanzu sun wadatar da bitamin. Idan kun ci abinci na yau da kullun, mai ƙoshin lafiya, yakamata ku sami isasshen thiamine. A yau, beriberi yana faruwa galibi a cikin mutanen da ke shan giya. Shan giya da yawa na iya haifar da rashin abinci mai gina jiki. Yawan barasa yana sanya wuya ga jiki sha da adana bitamin B1.

A cikin al'amuran da ba safai ba, beriberi na iya zama kwayar halitta. Wannan yanayin ya wuce ta cikin dangi. Mutanen da ke da wannan yanayin sun rasa ikon shanye maganin daga cikin abinci. Wannan na iya faruwa a hankali kan lokaci. Alamomin na faruwa ne lokacin da mutum ya girma. Duk da haka, wannan ganewar asali yakan rasa. Wannan saboda masu bada sabis na kiwon lafiya bazai ɗauki beriberi a cikin mashayan mashaya ba.

Beriberi na iya faruwa a jarirai lokacin da suke:

• Shayar da nono da jikin uwa ba shi da ruwa a cikin thiamine
• Ciyar da dabarun da ba su da isasshen ruwa

Wasu jiyya na likita waɗanda zasu iya haifar da haɗarin beriberi sune:

• Samun dialysis
• Shan babban allurai na diuretics (kwayoyi na ruwa)

Kwayar cutar beriberi ta bushe sun hada da:

• Wahalar tafiya
• Rashin ji (ji) a hannu da ƙafa
• Rashin aikin tsoka ko ingarman kafafuwa na kasa
• Rikicewar hankali / matsalolin magana
• Jin zafi
• Movementsungiyoyin ido daban (nystagmus)
• Kunnawa
• Amai

Kwayar cutar beriberi ta hada da:

• Farkawa cikin dare gajeren numfashi
• Rateara yawan bugun zuciya
• Breatharancin numfashi tare da aiki
• Kumburin ƙananan kafafu

Gwajin jiki na iya nuna alamun gazawar zuciya, gami da:

• Wahalar numfashi, tare da jijiyoyin wuya wadanda suka fita waje
• Fadada zuciya
• Ruwa a cikin huhu
• Saurin bugun zuciya
• Kumburi a duka ƙananan ƙafafu

Mutumin da ke da matakin beriberi na ƙarshe zai iya rikicewa ko kuma ya rasa ƙwaƙwalwar ajiya da rudu. Mutumin na iya kasa samun damar jin motsi.

Nazarin nazarin jijiyoyin jiki na iya nuna alamun:

• Canje-canje a cikin tafiya
• Matsalar daidaitawa
• Rage tunani
• Faduwa daga gira

Za a iya yin gwaje-gwaje masu zuwa:

• Gwajin jini don auna adadin thiamine a cikin jini
• Gwajin fitsari dan ganin ko thiamine yana wucewa ta cikin fitsarin

Manufar magani ita ce maye gurbin abin da jikinku baya ciki. Ana yin wannan tare da ƙarin abubuwan ƙari. Ana ba da kari na kwayar cutar ta hanyar harbi (allura) ko ɗauka ta baki.

Mai ba ku sabis na iya bayar da shawarar wasu nau'ikan bitamin.

Ana iya maimaita gwajin jini bayan an fara jiyya. Wadannan gwaje-gwajen zasu nuna yadda kake amsa maganin.

Ba tare da magani ba, beriberi na iya zama na mutuwa. Tare da magani, bayyanar cututtuka yawanci inganta cikin sauri.

Lalacewar zuciya galibi abin juyawa ne. Ana tsammanin cikakken dawowa cikin waɗannan lamuran. Koyaya, idan mummunan zuciya ya riga ya faru, hangen nesa ba shi da kyau.

Hakanan lalacewar jijiyoyi ma ana iya juyawa, idan an kama su da wuri. Idan ba a kama shi da wuri ba, wasu alamun (kamar su ƙwaƙwalwar ƙwaƙwalwar ajiya) na iya kasancewa, ko da tare da magani.

Idan mai cutar Wernicke encephalopathy ya karɓi maye gurbinsa, matsalolin harshe, motsin ido na yau da kullun, da matsalolin tafiya zasu iya tafiya. Koyaya, cututtukan Korsakoff (ko Korsakoff psychosis) yana ci gaba kamar yadda alamun Wernicke ke tafiya.

Matsaloli na iya haɗawa da:

• Coma
• Ciwon zuciya mai narkewa
• Mutuwa
• Cutar ƙwaƙwalwa

Beriberi yana da wuya a cikin Amurka. Koyaya, kira mai baka idan:

• Kuna jin abincin gidan ku bai isa ba ko kuma ya daidaita
• Ku ko yaranku kuna da alamun beriberi

Cin abinci mai kyau wanda ke da wadataccen bitamin zai hana beriberi. Iyaye masu shayarwa ya kamata su tabbatar cewa abincinsu ya ƙunshi dukkan bitamin. Idan jaririn bai sha nono ba, ka tabbata cewa abincin jarirai yana dauke da sinadarin thiamine.

Idan ka sha da yawa, yi ƙoƙari ka yanke ko ka daina. Hakanan, ɗauki bitamin B don tabbatar cewa jikinku yana sha da kuma adana thiamine.

Rashin gwajin Thiamine; Rashin bitamin B1

Koppel BS. Abincin abinci mai gina jiki da cututtukan da ke tattare da barasa. A cikin: Goldman L, Schafer AI, eds. Magungunan Goldman-Cecil. 26th ed. Philadelphia, PA: Elsevier; 2020: babi na 388.

Sachdev HPS, Shah D. Vitamin B ƙarancin rashi da ƙari. A cikin: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Littafin koyar da ilimin yara. 21st ed. Philadelphia, PA: Elsevier; 2020: babi na 62.

Don haka YT. Rashin cututtukan cututtuka na tsarin mai juyayi. A cikin: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology a cikin Clinical Practice. 7th ed. Philadelphia, PA: Elsevier; 2016: babi na 85.