Kumhanya kunokonzerwa neyamine (rudzi rweB vitamini) kunogona kukuisa pangozi yehutano hwakanyanya hunoti beriberi. Sezvo kuwanda kwezvokudya zvakapfuma mu thiamine, beriberi inowanikwa zvikuru muUnited States. Zvisinei, kunwa doro zvisina kunaka uye dzimwe nyaya dzehutano zvinogona kuwedzera dambudziko rako rekushaya simba kwe thiamine.
Iyo inozivikanwawo se vitamini B1, thiamine inobatsira zvikuru mukushandura makhahydrates muhutu.
Izvo zvinobatanidzwa mukugadzirisa kwemasimba kuputika, pamwe nekuendesa kwemashoko emagetsi uye kugadzirwa kweAicid inokosha pakugadzirisa kudya kwakakodzera. Kunyange zvazvo inonyanya kuiswa mumasumbu ako, thiamine inowanikwawo muuropi yako, mwoyo, chiropa, uye itsvo.
Kana ukasiyiwa usina kutenderwa, beriberi inogona kukurira zvakanyanya simba rako uye inoguma nezvinetso zvinotyisa upenyu nemoyo wako kana chirwere chetsitsi.
Aina dzeBeriberi: Wet vs. Dry
Kune mhando mbiri dze beriberi: wet beriberi (iyo inobata mwoyo yemavhudhi) uye yakaoma beriberi (iyo inokanganisa chirwere chetsitsi). Kana ikaenda isinganzwiki, wet beriberi inogona kukonzera kukuvadza kumutsipa wemutsipa. Izvo zvinobatanidzwa ne congestive moyo kusakundikana, umo mwoyo haugone kupwanya ropa rakakwana kuti usangane nezvido zvemuviri.
Dry beriberi inokuvadza mitsipa uye inogona kukonzera kupera simba kwesimba uye, pakupedzisira, kuora mwoyo. Kana chirwere chacho chikaonekwa uye chichirapwa mumaitiro ake okutanga, kukanganisa kwenheyo yenguva dzose inowanzoshandurwa.
Kushaya kurapwa kwekutanga kunogona kukonzera matambudziko akadaro sekusakanganwa mupfungwa nguva dzose.
Wernicke-Korsakoff syndrome rudzi rwehutano hwehupfungwa hunokonzerwa nekushayikwa kwechiamine. Kazhinji, zviratidzo zvehutano hweWernicke dzinotanga kuonekwa. Zviratidzo zvinosanganisira kuvhiringidzika, kurasikirwa kwemasisita kuwirirana, uye kuchinja pane zvakaratidzwa zvakadai se nystagmus (kukurumidza, kusadzora kushanduka kweziso).
Korsakoff syndrome inowanzotanga zvakare, ine zviratidzo zvinosanganisira kukanganwa kwepfungwa, kuoma kuumba zvirangariro zvitsva, kufungidzira, nekugadzira nhau (dzinonzi kugadzikana).
Zvinokonzera
Nokuti kunwa kunopindira zvakanyanya mumuviri wako kukwanisa kudya nekuchengetedza kunwisa, kunwa doro zvisina kufanira ndeimwe yezvikonzero zvinokonzera beriberi nhasi.
Muzvikamu zvisingawanzoitiki, beriberi inowanzoita sechirwere chemazwi. Kune vamwe vanhu vane chirwere ichi, kukwanisa kubata thiamine kubva kune zvokudya zvishoma nezvishoma kunowedzera nezera.
Uyezve, vacheche vacheche vanogona kukura beriberi kana muviri waamai usina mvura yakakwana ye thiamine.
Risk Factors
Pamwe nechinwa doro, zvinoita sekurara kwenguva yakareba uye kushambidzika kunobata pamuviri kune zvimwe zvipingamupinyi zvinokonzera beriberi.
Mukuwedzera, kutarisa dialysis , kutora mizinga yakakura ye diuretics , uye kugamuchira chirongwa chebhaatric zvese zvinokonzera njodzi yekushayikwa kwako kwe thiamine. Vanhu vane hyperthyroidism , AIDS , kana chirwere chakakomba chechiropa chinogona kunge chakawedzerwa kune izvi.
Zviratidzo
Zviratidzo zvakajairika zvemvura ye beriberi dzinosanganisira:
- Kuwedzera kwenhamba yemwoyo
- Kusuruvara kwekufema (kusanganisira kumuka usiku pasina kupfurikidza)
- Kufugama kwemakumbo akadzika
Mumamiriro ezvinhu apo mvura yebrigiberi inoendesa ku congestive mwoyo kusakundikana, vanhu vanogona kuwana zviratidzo zvinotevera:
- Dambudziko rokufema rinoperekedzwa ne bulging neck veins
- Kuwedzera mwoyo
- Yakasviba mumapapu
- Rapid heartbeat
Pamusoro pemvura yakadzika, zviratidzo zvinowanzosanganisira:
- Zvakaoma kufamba
- Kurasikirwa kwekunzwa mumaoko nemakumbo
- Kurasikirwa kwemuviri kana kushanda kwemakumbo apasi
- Kukanganisa kwepfungwa
- Pain
- Kutaura zvinetso
- Simba maziso anofema
- Tingling
- Kudzora
Kudzivirira
Kutevera kudya kwakanyatsonaka ndiko kubheji kwako kwakanakisisa kwekudzivirira kwe beriberi. Kuti uwane kuzadzwa kwe thiamine, takura pazvinhu zvinotevera:
- Nyeredzi nemagumbe
- Zvigadzirwa zvemiti (zvakadai se yogurt)
- Mazai
- Nyama, huku, uye hove
- Nuts uye mbeu
- Thiamine-yakagadziridza zviyo zvekudya zvekudya zvekudya
- Whole grains
Mimwe miriwo inotevera inowedzera mu thiamine:
- Acorn squash
- Asparagus
- Beet inorima
- Brussels inomera
- Sipinachi
Zvinofanira kuonekwa kuti zvokudya zvakasiyana-siyana zvine thiaminases, izvo zvine enzymes zvakawanikwa zvichiita kuti thiamine isashande. Zvokudya izvi zvinosanganisira:
- Vlams
- Milled rice
- Mussels
- Shrimp
Kurambidza kudya kwako kwezvokudya zvakadaro kunogonawo kubatsira mukudzivirira kwe beriberi.
Kurapa
Mushonga we beriberi unotarisa mukudzorera muviri wehuamine mazinga. Vamwe varwere vanobatwa ne thiamine supplement, asi vamwe vanogamuchira injini ye thiamine.
Muzviitiko zvakawanda, kutarirwa kurapwa kwe beriberi kunoderedza zviratidzo uye kunodzokorora kukanganisa kumwoyo kana chirwere chinotyisa.
Kukundikana kurapa beriberi (uye Wernicke-Korsakoff syndrome) kunogona kukonzera kukuvadzwa kusingaperi kumwoyo uye / kana mitsipa, uyewo coma, psychosis, uye kunyange rufu.
Vitamin B Kuwedzera
Kana iwe uri munhu anonwa doro, kutora vitamin B kuwedzera hakusi kukurudzirwa senzira yekudzivirira ye beriberi. Maererano neHuman Substance Abuse uye Mental Health Services Administration, kunwa doro kunodhaka kunotsanangurwa sekumwa doro zvakanyanya (kureva, kupedza zvinodha zvinodha zvevakadzi uye zvishanu zvekunwa varume) mumazuva mashanu kana kupfuura mumwedzi wapfuura.
Kana uri kutarisana nehumwe zviratidzo zvekushayikwa kwewa thiamine, bvunza chiremba wako nekukurumidza.
> Sources:
> Hanninen SA, Darling PB, Sole MJ, Barr A, Keith ME. "Kuwanda kwekushaya simba kwevaini muzvipatara nevarwere vane kuora mwoyo kwekushaya simba." J Am Coll Cardiol. 2006 Jan 17; 47 (2): 354-61.
> Lee HS, Lee SA, Shin HS, Choi HM, Kim SJ, Kim HK, Park YB. "Chiitiko chechimiro beriberi: chirwere chinokanganwa asi chisingakanganwiki." Korean Circ J. 2013 Aug; 43 (8): 569-72.
> Matrana MR, Davis WE. "Vitamin inoshaya mushure mekuita chirwere chekuita chirwere: kuongorora." South Med J. 2009 Oct; 102 (10): 1025-31.
> Wooley JA. "Zviratidzo zvewainiamin uye zvakakosha kune vatungamiri vekushaya simba kwemoyo." Chipatara Chekudya. 2008 Oct-Nov; 23 (5): 487-93.
Zvinonzwisisika: Mashoko anowanikwa pane ino yepaiti inoitirwa zvinangwa zvekudzidzisa chete uye haisi kutsiva mazano, kuongororwa kana kurapwa nechiremba ane chiremba. Hazvirevi kuvhara zvose zvinogona kumira, kushamwaridzana kwezvinodhaka, mamiriro ezvinhu kana zvinetso zvakashata. Iwe unofanirwa kutsvaga kurapwa nokukurumidza mune zvehutano kune chero hutano hwehutano uye bvunza chiremba wako usati washandisa mamwe mushonga kana kuita shanduko kune regimen yako.