Beriberi

Beriberi ndi matenda omwe thupi silikhala ndi thiamine yokwanira (vitamini B1).

Pali mitundu iwiri ikuluikulu ya beriberi:

• Beriberi Wet: Zimakhudza mtima wamtima.
• Dry beriberi ndi matenda a Wernicke-Korsakoff: Amakhudza dongosolo lamanjenje.

Beriberi ndi yosowa ku United States. Izi ndichifukwa choti zakudya zambiri tsopano zimalimbikitsa mavitamini. Ngati mumadya chakudya choyenera, chopatsa thanzi, muyenera kupeza thiamine yokwanira. Masiku ano, beriberi imapezeka makamaka mwa anthu omwe amamwa mowa mwauchidakwa. Kumwa mopitirira muyeso kumatha kudzetsa kusadya zakudya zabwino. Kumwa mowa mopitirira muyeso kumapangitsa kuti zikhale zovuta kuti thupi lizitha kuyamwa ndi kusunga vitamini B1.

Nthawi zambiri, beriberi imatha kukhala chibadwa. Vutoli limaperekedwa kudzera m'mabanja. Anthu omwe ali ndi vutoli samatha kuyamwa thiamine pazakudya. Izi zitha kuchitika pang'onopang'ono pakapita nthawi. Zizindikirozi zimachitika munthuyo atakula. Komabe, matendawa nthawi zambiri samasowa. Izi ndichifukwa choti othandizira azaumoyo sangalingalire za beriberi mwa osakhala zidakwa.

Beriberi imatha kuchitika mwa makanda ali:

• Woyamwitsa komanso thupi la mayi limasowa thiamine
• Anadyetsa njira zosazolowereka zomwe zilibe thiamine yokwanira

Mankhwala ena omwe angabweretse chiopsezo ku beriberi ndi awa:

• Kupeza dialysis
• Kumwa kwambiri diuretics (mapiritsi amadzi)

Zizindikiro za beriberi zouma ndizo:

• Kuvuta kuyenda
• Kutaya kumverera (kutengeka) m'manja ndi m'mapazi
• Kutaya kwa minofu kugwira ntchito kapena kufooka kwa miyendo yakumunsi
• Kusokonezeka kwamaganizidwe / mavuto olankhula
• Ululu
• Kusuntha kwamaso kwachilendo (nystagmus)
• Kujambula
• Kusanza

Zizindikiro za beriberi yonyowa ndi monga:

• Kudzuka usiku kupuma pang'ono
• Kuchuluka kwa kugunda kwa mtima
• Kupuma pang'ono ndi zochitika
• Kutupa kwa miyendo yakumunsi

Kuyesedwa kwakuthupi kumatha kuwonetsa zizindikiritso zamatenda amtima, kuphatikiza:

• Kuvuta kupuma, ndimitsempha ya khosi yomwe imatuluka
• Kukulitsidwa mtima
• Zamadzimadzi m'mapapu
• Kugunda kwamtima mwachangu
• Kutupa m'miyendo yonse yakumunsi

Munthu yemwe ali ndi mochedwa beriberi atha kusokonezeka kapena kuiwala komanso kusokonekera. Munthuyo samatha kumva kugwedera.

Kuyezetsa kwa mitsempha kungasonyeze zizindikiro za:

• Zosintha poyenda
• Mavuto ogwirizana
• Kuchepetsa malingaliro
• Kutsikira kwa zikope

Mayesero otsatirawa akhoza kuchitika:

• Kuyezetsa magazi kuyeza kuchuluka kwa thiamine m'magazi
• Kuyesa kwamikodzo kuti muwone ngati thiamine akudutsa mkodzo

Cholinga cha chithandizo ndikubwezeretsa thiamine yomwe thupi lanu likusowa. Izi zimachitika ndi zowonjezera thiamine. Zowonjezera za thaamine zimaperekedwa kudzera mu kuwombera (jekeseni) kapena kumamwa pakamwa.

Woperekayo amathanso kunena mitundu ina ya mavitamini.

Kuyezetsa magazi kumatha kubwerezedwa mankhwala akayamba. Mayesowa akuwonetsa momwe mukuyankhira bwino mankhwalawo.

Popanda kuchiritsidwa, beriberi imatha kupha. Ndi chithandizo, zizindikiro zimasintha msanga.

Kuwonongeka kwa mtima nthawi zambiri kumasinthidwa. Kuchira kwathunthu kumayembekezeka pamilandu iyi. Komabe, ngati kulephera kwakukulu kwa mtima kwachitika kale, malingaliro ake ndiabwino.

Kuwonongeka kwamanjenje kwamachitidwe kumasinthidwanso, akagwidwa molawirira. Ngati sichikugwidwa msanga, zizindikiro zina (monga kukumbukira kukumbukira) zimatha, ngakhale atalandira chithandizo.

Ngati munthu yemwe ali ndi matenda a Wernicke encephalopathy alandila thiamine m'malo mwake, mavuto azilankhulo, mayendedwe achilendo, komanso zovuta kuyenda zitha. Komabe, matenda a Korsakoff (kapena Korsakoff psychosis) amayamba kukula chifukwa cha matenda a Wernicke.

Zovuta zingaphatikizepo:

• Coma
• Kulephera kwa mtima
• Imfa
• Kusokonezeka maganizo

Beriberi ndichosowa kwambiri ku United States. Komabe, itanani omwe akukuthandizani ngati:

• Mumamva kuti chakudya cha banja lanu ndi chokwanira kapena choperewera
• Inu kapena ana anu muli ndi zizindikilo za beriberi

Kudya chakudya choyenera chomwe chili ndi mavitamini ambiri kumathandiza kupewa beriberi. Amayi oyamwitsa ayenera kuonetsetsa kuti zakudya zawo zili ndi mavitamini onse. Ngati khanda lanu siliyamwitsidwa, onetsetsani kuti mkaka wa mkakawo uli ndi thiamine.

Ngati mumamwa kwambiri, yesetsani kuchepetsa kapena kusiya. Komanso, tengani mavitamini a B kuti muwonetsetse kuti thupi lanu likuyamwa bwino ndikusunga thiamine.

Kulephera kwa thiamine; Kulephera kwa Vitamini B1

Koppel BS. Matenda okhudzana ndi thanzi komanso mowa. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: mutu 388.

Sachdev HPS, Shah D. Vitamini B kusowa kovuta komanso kuchuluka. Mu: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, olemba. Nelson Textbook of Pediatrics. Wolemba 21. Philadelphia, PA: Elsevier; 2020: chap 62.

Chifukwa chake YT. Kulephera kwa matenda amanjenje. Mu: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, olemba. Neurology ya Bradley mu Kuchita Zachipatala. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2016: chap 85.