Ukudla okunempilo kufanele kufake i-Vitamin B12. Ukuze umzimba wethu ukhiqize amangqamuzana egazi abomvu anele futhi ugcine isimiso sezinzwa esinempilo, le vithamini kufanele ibe khona ngamanani angashintshi. Amazinga aphansi e-B12 awavamile kubantu abaningi abanamathela ekudleni okunomsoco. Bangase, nokho, behle ngaphansi kwesilinganiso ngenxa yezizathu ezihlukahlukene. I-anemia eyingozi, kwesinye isikhathi ebizwa ngokuthi i-megaloblastic anemia, ibangelwa a Ukwehla kwe-Vitamin B12 futhi kubangela ukwehla kwamangqamuzana abomvu egazi. Ukuthi amazinga ajwayelekile, aphansi, noma aphakathi nendawo kunganqunywa ngokuhlolwa kwegazi okusheshayo.

Kuyini ukuhlolwa kwe-Vitamin B12?

Ukuhlolwa kwezinga likavithamini B12 kulinganisa inani likaVithamini B12 elikhona egazini noma emchameni womuntu ukuze kuhlolwe inani eliphelele likavithamini B12 womzimba. Ngokuvamile, ukugxila kwe-vitamin B12 kusuka ku-190-950 piccograms nge-ml; nokho, indlela yokulinganisa esetshenziswayo izohluka kusuka elabhorethri kuye elabhorethri. Ukuhlolwa kwe-folic acid kuvame ukwenziwa ngokuhambisana nokuhlolwa kwegazi likaVithamini B12 ngoba ukushoda kwe-Vitamin B12 noma kokubili kungabangela i-anemia. Udokotela angakwazi ukubona noma yikuphi ukushiyeka futhi aphakamise indlela yokwelapha engcono kakhulu ngokusebenzisa ukuhlolwa kwezinga le-Vitamin B12.

Inhloso yokuhlolwa kwe-Vitamin B12

Ukuhlolwa kwe-Vitamin B12 kwenziwa ukuze kutholakale ukuthi umuntu unokuntuleka kwe-Vitamin B12 noma izinga le-B12 eliphansi ngokungavamile emzimbeni wakhe. Kwezinye izimo, izinga le-Vitamin B12 lingase lihlolwe ngokuzimela, kanti kwezinye, lingalinganiswa ngokuhambisana nezinye izivivinyo ukuze kuhlonzwe noma kuqashwe izimo ezithile zempilo. Ukuhlolwa kokuntuleka kwe-Vitamin B12 kungase kunqunywe udokotela uma umuntu ebonisa I-anemia noma izimpawu ze-neurological njengokushintsha kwengqondo, ukuntuleka kokulinganisela noma ukungakwazi ukuhamba, ubuhlungu, noma ukuba ndikindiki ezandleni nasezinyaweni. Ukwengeza, ukuhlolwa kwe-Vitamin B12 kungase kumiswe njengokulandelela uma umuntu ehlolwe igazi okubonisa ukuba khona kwamangqamuzana egazi abomvu ngokungavamile, ahlotshaniswa nokuthuthukiswa nokulawulwa kwe-anemia.

Kwenzekani ngesikhathi sokuhlolwa kwe-Vitamin B12?

Ukuze bahlole izinga likavithamini B12 wesiguli, odokotela bavame ukudonsa igazi, nakuba kukhona nokuhlolwa komchamo wasekhaya okutholakalayo. Uhlobo olujwayelekile lokuhlolwa kwegazi lungasetshenziswa ukuthola ukuthi amazinga kavithamini B12 ajwayelekile yini. Kubalulekile ukwazisa udokotela nganoma yimiphi imithi noma izithasiselo eziphuzwa isiguli, njengoba ezinye zalezi zinto zingase zibe nomthelela emiphumeleni yokuhlolwa kwe-Vit B 12. Cishe amahora ayisithupha kuya kwayisishiyagalombili ngaphambi kokuhlolwa, uchwepheshe wezempilo uzokweluleka ukuthi ungadli noma uphuze noma yini enye ngaphandle kwamanzi. 

Inqubo yokuhlolwa kwe-Vitamin B12

Kudingeka isampula yegazi ukuze kuhlolwe i-Vitamin B12. Lesi sampula ngokuvamile sithathwa engalweni yesiguli. Uma isiguli sikhethe ukuthola ikhithi yokuhlola i-Vitamin B12 yasekhaya, sizonikezwa izinto ezidingekayo ukuze silande isampula yegazi. Amakhithi athile okuhlola ama-micronutrient ekhaya angase ahlole i-Vitamin B12 namanye ama-micronutrients ngesampula yomchamo noma isampula lezinwele.

• Kunconywa ukuthi abantu baqede isikhathi sokuzila ukudla amahora ayisithupha kuya kwayisishiyagalombili ngaphambi kokuhlolwa kwegazi likaVithamini B12.
• Ibhendi ingase isongwe engalweni engenhla nguchwepheshe wezokwelapha ethatha isampula yegazi ukuze kube lula ukuthola imithambo. 
• Ishubhu yesampula ixhunywe emthanjeni, futhi inaliti isetshenziselwa ukudonsa inani elincane legazi epayipini, elingase libangele ulume kancane. Yonke inqubo ngokuvamile ithatha ngaphansi komzuzu owodwa.
• Isiguli singase selulekwe ukuthi sisebenzise ukucindezela okuncane endaweni lapho igazi likhishwe khona nge-cotton swab, i-gauze noma i-bandage, elandelwa ukufakwa kwe-bandage endaweni lapho igazi likhishwe khona.

Ukusetshenziswa kwe-Vitamin B12 Test

Uma umuntu ebonisa izimpawu ezibonisa ukuntula okungaba khona kwevithamini B eyodwa noma ngaphezulu, kusetshenziswa ukuhlolwa kwegazi lokushoda kwe-Vitamin B12. Isibonelo, i-Vitamin B12 kanye nokuhlolwa kwe-folate kuvame ukusetshenziselwa izimpawu zezinhlobo ezithile ze-anemia. Ngisho noma zingekho izimpawu, udokotela angase ahlole amazinga kavithamini B uma isiguli sinesifo esiphakamisa ingozi yokuntuleka kukavithamini B. Lokhu kuhlolwa kwe-vitamin B12 kuyasetshenziswa futhi uma kwenzeka izimpawu ezihlobene nesistimu yezinzwa. Ngezansi ezinye izizathu zokusetshenziswa kokuhlolwa kwe-Vitamin B12:

• Ukulandelela ukuphazamiseka kwemizwa njenge-peripheral neuropathy.
• Lapho kunenkinga yebhalansi
• Uma umuntu eba nezimpawu ezinjengobuthakathaka nokuncipha kwesifiso sokudla.
• Ukuze wazi ukuthi yini ebangela isilonda emlonyeni.

Ukuhlolwa kwe-Vitamin B12 kungenziwa ngokwakho noma kuhlanganiswe nokunye ukuhlolwa kwegazi.

Kudingeka nini Ukuhlola I-Vitamin B12

Ukuhlolwa kwe-Vitamin B12 kuvame ukutuswa kulezi zimo ezilandelayo:

• Izimpawu Zokuntula: Uma uhlangabezana nezimpawu zokuntuleka kwe-Vitamin B12, njengokukhathala, ubuthakathaka, isikhumba esiphaphathekile noma esine-jaundice, ukuphefumula, isiyezi, ukuba ndikindiki noma ukugubha ezandleni nasezinyaweni, ukuhamba kanzima, noma izinkinga zengqondo, ukuhlolwa kwe-B12 kungase kwelulekwe.
• Ukudla Kwemifino noma Imifino: Abantu abalandela ukudla okuqinile kwemifino noma i-vegan basengozini enkulu yokuntuleka kwe-B12, njengoba leli vithamini litholakala ngokuyinhloko emikhiqizweni yezilwane. Ukuhlola okuvamile kungase kunconywe kulabo abadla kancane i-B12 ekudleni kwabo.
• Ukuphazamiseka Kokugaya: Izimo ezithinta ukumuncwa kwezakhi ohlelweni lokugaya ukudla, njenge-anemia eyingozi, isifo se-celiac, isifo sikaCrohn, kanye ne-atrophic gastritis, kungaholela ekuntulekeni kwe-B12. Ukuhlola kungase kudingeke kubantu abanalezi zimo.
• Iminyaka yobudala kanye nomlando wezokwelapha: Abantu abadala asebekhulile bathambekele kakhulu ekuntulekeni kwe-B12, futhi ukuhlolwa okuvamile kungase kuphakanyiswe, ikakhulukazi kulabo abangaphezu kweminyaka engu-50. Abantu abanomlando wokuhlinzwa kwe-gastric bypass kungase futhi badinge ukuqapha kwe-B12 okuvamile.
• Eminye Imithi: Ukusetshenziswa isikhathi eside kwemithi enciphisa i-asidi yesisu, njenge-proton pump inhibitors noma ama-antacid athile, kungaba nomthelela ekumunceni kwe-B12. Labo abasebenzisa imithi enjalo bangadinga ukuhlolwa kwe-B12 ngezikhathi ezithile.
• Ukukhulelwa: Abesifazane abakhulelwe bangase belulekwe ukuthi bahlole amazinga abo e-B12, njengoba ukuntula kungase kuthinte kokubili umama nosana olukhulayo.

Ungazilungiselela Kanjani Ukuhlolwa kwe-Vitamin B12?

Ngokuvamile kuyalulekwa ukuthi abantu bagweme ukudla noma iziphuzo cishe amahora angu-6 kuye kwayi-8 ngaphambi kokuhlolwa. Kodwa, kubalulekile ukugcina amazinga anele e-hydration, ngakho-ke amanzi okuphuza avunyelwe. Izinhlobo ezithile zemithi zingathinta imiphumela yokuhlolwa. Umhlinzeki wezempilo uzokweluleka uma kukhona imithi edinga ukuyekwa. Akunconywa ukuyeka noma yimiphi imithi ngaphambi kokubonisana nomhlinzeki wezempilo. Kubalulekile ukuthobela imiyalelo kachwepheshe wezempilo othintekayo ukuze uqinisekise ukuthi imiphumela yokuhlolwa inembile futhi ugweme noma yikuphi ukungezwani.

Izingozi Zokuhlolwa kwe-Vitamin B12

Nakuba ukuhlolwa kwe-Vitamin B12 ngokuvamile kuthathwa njengokuphephile futhi kwenziwa njalo, kunezingozi ezincane ezihlobene nenqubo. Nazi ezinye izinto ezingase zicatshangelwe:

• Ukungakhululeki noma Ubuhlungu: Ukuhlolwa kuhilela ukudweba igazi, okungase kubangele ukungakhululeki okuncane noma ubuhlungu endaweni yokufaka inaliti. Nokho, lokhu ngokuvamile kufushane.
• Ukulimala noma Ukopha: Ngemva kokudonsa igazi, kungase kube nengozi encane yokulimaza noma ukopha endaweni yokubhoboza. Ukufaka ingcindezi endaweni kungasiza ukunciphisa le ngozi.
• Ukuquleka noma Isiyezi: Abanye abantu bangase bazizwe bequleka noma benesiyezi ngesikhathi noma ngemva kokudonsa igazi. Kutuswa ukuthi wazise uchwepheshe wezokunakekelwa kwempilo uma unomlando wokuquleka noma uma uzizwa unekhanda elilula.
• Ukutheleleka: Kunengozi ephansi kakhulu yokutheleleka endaweni lapho inaliti ifakwe khona. Ochwepheshe bezokunakekelwa kwempilo basebenzisa izindlela eziyinyumba ukuze banciphise le ngozi.
• Ukwakheka kwe-Hematoma: Ezimweni ezingavamile, i-hematoma (iqoqo legazi elingaphandle kwemithambo yegazi) ingase yakheke endaweni yokubhoboza. Ukusebenzisa ingcindezi efanele kanye nokulandela imiyalelo yokunakekelwa kwangemva kokudweba kungasiza ekuvimbeleni lokhu.

Amanani Emiphumela Yokuhlola Ye-Vitamin B12

Ngokuya ngemiphumela yokuhlolwa kwaselabhorethri, uhla olujwayelekile lwamazinga kaVithamini B12 ekuhambeni kwegazi lomuntu lungahluka ngandlela thize. Ngokuvamile, izinga elivamile le-Vitamin B12 liphakathi kuka-200 no-800 pg/mL. Izinga lomngcele we-150 kuya ku-300 pg/mL libhekwa njengeliphansi, futhi kungase kudingeke ukuhlolwa okwengeziwe. Ngaphansi kwe-150 pg/mL, ukuhlolwa okwengeziwe kuyadingeka. Kwezinye izimo, udokotela angase ahlole izinga le-folate yegazi lesiguli njengoba amazinga aphansi e-folate angabangela izimpawu ezifana nalezo ze-B12 ephansi.

Isiphetho

Ukuhlolwa kwezinga le-Vitamin B12 kunqunywa njengengxenye yokuhlolwa kwezokwelapha okujwayelekile, njengengxenye ukuhlolwa kwangaphambi kokukhulelwa, noma ukunikeza ubufakazi obuqinisekile besimo esiwumsuka. Ezibhedlela ze-CARE, izindleko zokuhlolwa kwegazi zika-Vitamin B12 ziphansi futhi zenziwa kuzo zombili izibhedlela ezilaliswe ezigulini nasezikhungweni zokuxilonga.

Imibuzo Evame Ukubuzwa

1. Kwenzekani uma i-Vitamin B12 yakho iphansi?

Izimpendulo. Ukuntuleka kwe-Vit B12 kungaholela ezinhlobonhlobo zezimpawu zemizwa nezokuqonda, okuhlanganisa ukuba ndikindiki, ubuthakathaka bemisipha, nezinkinga zempilo yengqondo, njengokucindezeleka okuncane nokukhathazeka, kanye nokudideka nokuwohloka komqondo.

2. Kwenzekani uma amazinga akho e-B12 ephakeme kakhulu?

Izimpendulo. Amazinga amaningi e-Vitamin B12 angase abangele ikhanda elibuhlungu njalo. Kungase futhi kubangele izinkinga zesisu ezifana nesifo sohudo, isicanucanu nokuhlanza. Ukwengeza, amazinga aphezulu e-Vitamin B12 angase abangele ukukhathala nobuthakathaka. Izinga eliphezulu le-Vitamin B12 lingabangela ukuntweza ezandleni nasezinyaweni.

3. Yiziphi izimpawu zokuqala zokuntuleka kwe-B12?

Izimpendulo. Izimpawu nezimpawu zokushoda kwe-Vitamin B12 zingase zihlanganise ukuba ndikindiki, ubuthakathaka bemisipha, ukuhamba kanzima, ukuphelelwa ukudla, isicanucanu, ukukhathala, kanye nokuphakama kwenhliziyo.

4. Kuthatha isikhathi esingakanani ukuthi izithasiselo ze-B12 zisebenze?

Izimpendulo. Kungase kuthathe isikhathi esingamaviki ambalwa ukuthi amazinga kaVithamini B12 abuyele kokujwayelekile kanye nezimpawu (isb., ukukhathala okukhulu noma ukukhathala) ukuthi zehle ngemva kokuphuza izithasiselo.

Izikhombo:
https://www.webmd.com/a-to-z-guides/vitamin-b12-test

https://www.medicalnewstoday.com/articles/322286#:~:text=A%20vitamin%20B%2D12%20level%20test%20checks%20the%20amount%20of,will%20depend%20on%20the%20laboratory.

https://medlineplus.gov/lab-tests/vitamin-b-test/#:~:text=What%20is%20it%20used%20for,of%20certain%20types%20of%20anemia.

https://www.ucsfhealth.org/medical-tests/vitamin-b12-level#:~:text=You%20should%20not%20eat%20or,before%20talking%20to%20your%20provider