Shin Ciwon Ciwon Ciki Zai Iya Zama Dalilin da Ya Sa Kuke Ƙauna?

Wadatacce

• Menene cutar rashin jini?
• Yaya yawan cutar karancin jini?
• Alamomin cutar anemia mai lalata
• Abubuwan da ke haifar da cutar anemia
• Maganin Anemia Pernicious
• Bita don

Gaskiya: Jin gajiya a nan kuma akwai bangaren zama mutum. Gajiya mai ɗorewa, duk da haka, na iya zama alamar yanayin rashin lafiya mai mahimmanci - gami da wani abu da ake kira ƙarancin jini.

Wataƙila kun saba da cutar anemia, yanayin da aka saba da shi wanda ke nuna rashin ingantattun ƙwayoyin jinin jini wanda zai iya haifar da gajiya mai ƙarfi, dizziness, da gajeriyar numfashi.

Alamun cutar rashin jini, a gefe guda, cuta ce da ba a saba gani ba a cikin jiki wanda jiki ba zai iya amfani da bitamin B12 da kyau ba, muhimmin bitamin ga ƙwayoyin jajayen jini masu lafiya, a cewar Ƙungiyar Lafiya ta Ƙasa (NORD). Hakazalika da anemia, muguwar cutar anemia yawanci tana nuna gajiya mai ɗorewa, a tsakanin sauran alamomi, amma gano ƙarancin cutar anemia ya zama mafi wayo.

Halin da ake ciki: Kwanan nan mai ba da horo Harley Pasternak ya buɗe game da ƙwarewarsa da cutar rashin jini. "Bayan 'yan shekarun da suka gabata, na gaji, kuma na kasa gano abin da ba daidai ba - Ina cin abinci da kyau, ina motsa jiki, ina gwadawa kuma ina barci da kyau," in ji shi a bidiyon Instagram. "Na yi gwajin jini, kuma ya nuna cewa a zahiri ba ni da bitamin B12 a jikina," duk da cin abinci mai yawa a cikin B12, Pasternak ya bayyana.

Bayan samun waɗancan sakamakon, Pasternak ya ce ya haɓaka yawan amfani da B12 ta hanyar kari iri-iri, daga feshin B12 zuwa allunan B12. Amma gwajin jini na gaba ya nuna cewa ya har yanzu "ba shi da B12 a jikinsa," in ji Pasternak. Ya juya, yana da cutar rashin jini, kuma yanayin yana hana jikinsa sha da amfani da B12, komai yawan abin da ya ci ya ci, ya bayyana. (Mai dangantaka: Shin raunin bitamin na iya lalata aikin ku?)

A ƙasa, masana sun bayyana duk abin da kuke buƙatar sani game da cutar anemia mai lalata, daga abin da zai iya haifar da yanayin zuwa yadda ake magance shi.

Menene cutar rashin jini?

Mummunan anemia yana faruwa ne lokacin da jikinka ba zai iya samar da isassun ƙwayoyin jajayen jini masu lafiya ba saboda ba zai iya amfani da bitamin B12 da kake ciki ba, a cewar Cibiyar Zuciya, Lung, da Blood Institute (NHLBI). An samo shi a cikin madara, ƙwai, kifi, kaji, da hatsi masu ƙarfi, bitamin B12 yana da mahimmanci don kiyaye matakan kuzarin ku. (Ƙari a nan: Dalilin da yasa bitamin B Asirin Ƙarin Ƙarfi ne)

Tare da cutar rashin jini, jikinka ba zai iya shan isasshen bitamin B12 daga abinci ba. A mafi yawancin lokuta, wannan yana faruwa ne saboda jikinka ba shi da wani abu mai mahimmanci, furotin da aka yi a ciki, bisa ga NHLBI. A sakamakon haka, kuna tashi tare da rashi bitamin B12.

FWIW, wasu yanayi na iya haifar da rashi na bitamin B12, don haka mummunan anemia ba shine zuwa ga ganewar asali ba idan gwajin jini ya nuna cewa kuna da ƙananan B12. "Kasancewa mai cin ganyayyaki da rashin shan isasshen B12 a cikin abincinku, yin aikin tiyata na ciki don asarar nauyi, ƙwayar ƙwayar cuta a cikin hanji, magunguna irin su magungunan acid reflux, metformin don ciwon sukari, ko cututtuka na kwayoyin halitta" duk na iya haifar da rashi bitamin B12. , in ji Sandy Kotiah, MD, masanin ilimin jijiyoyin jini, likitan oncologist, kuma darektan Cibiyar Tumor ta Neuroendocrine a Mercy Medical Center a Baltimore. (Mai alaƙa: Kuskuren Gina Jiki 10 Masu Cin Gurasa Suna Yi - da Yadda ake Gyara su)

Yaya yawan cutar karancin jini?

Anyi la'akari da anemia mai ban tsoro azaman yanayin da ba a saba gani ba, don haka yana da wuya a faɗi daidai yadda mutane da yawa ke fama da shi.

Abu ɗaya shine, babu “yarjejeniya ta gaske” a cikin ƙungiyar likitocin akan abin da ake ɗauka azaman rashi na bitamin B12, a cewar Pernicious Anemia Society (PAS). Wancan ya ce, takarda ta 2015 da aka buga a cikin mujallar Magungunan Magunguna ya kiyasta cewa raunin bitamin B12 yana shafar aƙalla kashi 3 na manya na Amurka tsakanin 20 zuwa 39 da haihuwa, kashi 4 na waɗanda ke tsakanin 40 zuwa 59, da 6 bisa dari na manya masu shekaru 60 zuwa sama. Bugu da ƙari, ko da yake, rashin jin daɗi ba shi da laifi a duk waɗannan lokuta.

Hakanan yana da wahala a san yawan mutane da ke da cutar rashin jini saboda gwajin asalin abin da ake kira Intrinsic Factor Antibody Test, kusan kashi 50 cikin ɗari daidai ne, a cewar PAS. Wannan shi ne saboda kusan rabin waɗanda ke fama da cutar rashin jini ba su da ƙwayoyin rigakafin abubuwan da ake iya gano su, a cewar Ƙungiyar Kimiyya ta Clinical ta Amurka.

Tare da duk wannan a zuciya, bincike ya nuna yanayin na iya shafar kashi 0.1 kawai na yawan jama'a da kusan kashi 2 na mutanen da suka haura shekaru 60. Don haka, yayin da zai yiwu, bai kamata ku yi tsalle kawai don ɗaukar gajiyar ku ta haifar da ƙarancin jini ba.

Alamomin cutar anemia mai lalata

Wasu mutanen da ke fama da cutar rashin jini ba za su sami alamun cutar ba, alamu masu taushi sosai, ko, a wasu halaye, alamun ba za su bayyana ba sai bayan shekaru 30, a cewar Laburaren Magunguna na Kasa. Ba a bayyana cikakken dalilin ba, amma farawar cutar anemia sau da yawa yana jinkiri kuma yana iya ɗaukar shekaru da yawa, don haka me yasa bayyanar cututtuka ba za su bayyana ba sai daga baya, a cewar NORD.

"Yana iya ɗaukar shekaru da yawa don bayyanar cututtuka don haɓaka, dangane da kantin sayar da ku na farko na bitamin B12," in ji Jack Jacoub, MD, masanin ilimin hematologist da oncologist, kuma darektan likita na Cibiyar Ciwon daji ta MemorialCare a Cibiyar Kiwon Lafiya ta Orange Coast a Fountain Valley, California. "Amma alamu galibi sun wuce gajiya kawai." (Mai Alaƙa: Ciwon Gajiya Mai Wuya Ya Fi Karfin Kasancewa Gajiya koyaushe)

Alamomin cutar anemia na gama gari sun haɗa da:

• Zawo ko maƙarƙashiya
• Tashin ciki
• Yin amai
• Hasken haske lokacin tashi ko tare da aiki
• Rashin ci
• Kodan fata
• Gajeriyar numfashi, galibi a lokacin motsa jiki
• Ciwon zuciya
• Mai kumbura, ja harshe ko kuma zubar jini (aka pernicious anemia)

A tsawon lokaci, cutar rashin jini na iya haifar da lalacewar jijiya kuma mai yuwuwar haifar da ƙarin alamun da ke ƙasa, a cewar Laburaren Magunguna na Kasa:

• Rudani
• Rage ƙwaƙwalwar ajiya na ɗan lokaci
• Damuwa
• Rashin daidaituwa
• Kumbura da tingling a hannu da ƙafa
• Wahalar mai da hankali
• Haushi
• Hallucinations
• Rudu
• Atrophy jijiya na jijiya (yanayin da ke haifar da rashin gani)

Abubuwan da ke haifar da cutar anemia

Akwai 'yan abubuwa daban -daban waɗanda zasu iya haifar da cutar rashin jini, a cewar NHLBI:

• Rashin tushen asali. Lokacin da kuna da cutar rashin jini, jikin ku yana yin ƙwayoyin rigakafi waɗanda ke kai hari da lalata sel parietal, waɗanda ke layin cikin ku kuma suna haifar da mahimman abubuwan ciki. (Masana sun ce ba a san dalilin da ya sa hakan ke faruwa ba.) Ba tare da abin da ke cikin jiki ba, jikinka ba zai iya motsa bitamin B12 ta cikin karamin hanji ba, inda ya sha, kuma a ƙarshe kuna haɓaka rashi na B12 kuma, bi da bi, anemia mai ɓarna.
• Malabsorption a cikin ƙananan hanji. M anemia na iya faruwa saboda ƙananan hanji ba zai iya ɗaukar bitamin B12 da kyau ba. Wannan na iya faruwa a sakamakon wasu kwayoyin cuta a cikin ƙananan hanji, yanayin da ke tsoma baki tare da shayarwar B12 (kamar cutar celiac), wasu magunguna, cire wani sashi ko duk ƙananan hanji, ko kuma, a lokuta da yawa, kamuwa da cutar tapeworm. .
• Abincin da ba shi da B12. NHLBI ta ce cin abinci '' ba kowa bane '' ke haifar da cutar rashin jini, amma wani lokacin yana taka rawa, musamman ga "tsauraran masu cin ganyayyaki" da masu cin ganyayyaki waɗanda ba sa ɗaukar kariyar bitamin B12.

Maganin Anemia Pernicious

Bugu da kari, rage cin abinci wani lokacin yana taka rawa a cikin cutar anemia mai lalata, amma gabaɗaya, magani ba zai yi tasiri ba idan kun kasance kawai cin karin bitamin B12 ko shan kari saboda hakan baya sanya sinadari ya samu rayuwa. Amanda Kaveney, MD, mataimakiyar farfesa a fannin ilimin jini a Jami'ar Rutgers - Makarantar Kiwon Lafiya ta Robert Wood Johnson ta bayyana cewa, "raunin B12 a cikin anemia mai cutarwa [yawanci] yana faruwa ne ta hanyar ƙwayoyin cuta da ke hana isasshen ƙwayar B12 a cikin ƙananan hanji." (Mai alaƙa: Ƙananan Alamomin Vitamin D Ya Kamata Kowa Ya Sani Game da su)

Dokta Jacoub ya kara da cewa "Kokarin shawo kan raunin B12 ta hanyar daukar karin B12 ba zai taimaka ba saboda kuna da matsala tare da sha."

Maimakon haka, magani yawanci zai yi la'akari da wasu dalilai daban -daban, gami da abin da ke haifar da mummunan cutar karancin jini da fari, a cewar NHLBI. Gabaɗaya, Laburaren Magunguna na Kasa ya ce muguwar cutar anemia yawanci tana haifar da:

• Bitamin B12 na kowane wata; allurar B12 yana taimakawa wajen ƙetare abubuwan da ke hana ruwa sha. (Mutanen da ke da ƙarancin matakan B12 na iya buƙatar ƙarin allurai a farkon jiyya.)
• Kadan fiye da yadda aka saba, wasu mutane suna ganin nasara bayan sun ɗauki manyan allurai na bitamin B12 da baki. "Akwai bayanai da za su nuna cewa idan kun ɗauki isasshen adadin bitamin B12 - micrograms 2,000 [ƙarƙashin harshe], alal misali - kuma ku sha ɗan adadin adadin, wanda zai iya gyara matakan bitamin B12 ɗin ku," in ji Dokta Kotiah. (Don mahallin, adadin shawarar yau da kullun na bitamin B-12 shine kawai micrograms 2.4.)
• Shan wani nau'in bitamin B12 ta hanyar fesa hanci (hanyar da aka nuna tana sa bitamin ya kasance ba ya samuwa a wasu lokuta).

Ƙashin ƙasa: Gajiya na dindindin ba al'ada ba ne. Maiyuwa ba lallai bane ya kasance saboda ƙarancin jini, amma ba tare da la'akari ba, yana da kyau yin magana da likitan ku game da shi. Wataƙila za su yi gwajin jini don gwada gano abin da ke faruwa, da ɗaukar abubuwa daga can.

Bita don