Pellagra

Pellagra ndi matenda omwe amapezeka ngati munthu sapeza niacin yokwanira (imodzi mwa mavitamini a B) kapena tryptophan (amino acid).

Pellagra amayamba chifukwa chokhala ndi niacin kapena tryptophan wochepa kwambiri pazakudya. Zitha kuchitika ngati thupi lilephera kuyamwa michere imeneyi.

Pellagra amathanso kukula chifukwa cha:

• Matenda am'mimba
• Kuchepetsa thupi (bariatric) opaleshoni
• Matenda a anorexia
• Kumwa mowa kwambiri
• Matenda a Carcinoid (gulu la zizindikilo zomwe zimakhudzana ndi zotupa za m'matumbo ang'ono, colon, zowonjezera, ndi ma bronchial machubu m'mapapu)
• Mankhwala ena, monga isoniazid, 5-fluorouracil, 6-mercaptopurine

Matendawa amapezeka pamagawo ena adziko lapansi (madera ena a ku Africa) komwe anthu amakhala ndi chimanga chambiri chosadyedwa pazakudya zawo. Chimanga ndi gwero loipa la tryptophan, ndipo niacin mu chimanga amamangidwa mwamphamvu kuzinthu zina za njere. Niacin amatulutsidwa ku chimanga ngati atanyowetsedwa m'madzi am'madzi usiku wonse. Njirayi imagwiritsidwa ntchito kuphika mikate ku Central America komwe pellagra imapezeka kawirikawiri.

Zizindikiro za pellagra ndi monga:

• Kusokonekera kapena kusokonezeka kwamaganizidwe
• Kutsekula m'mimba
• Kufooka
• Kutaya njala
• Ululu m'mimba
• Chotupa cha mucous nembanemba
• Zilonda zapakhungu, makamaka m'malo owonekera dzuwa

Wothandizira zaumoyo wanu adzakuyesani. Mudzafunsidwa za zakudya zomwe mumadya.

Mayeso omwe angachitike akuphatikizapo kuyesa kwamkodzo kuti muwone ngati thupi lanu lili ndi niacin yokwanira. Mayeso amwazi amathanso kuchitidwa.

Cholinga cha chithandizo ndikuchulukitsa msinkhu wa niacin wa thupi lanu. Mudzapatsidwa mankhwala a niacin. Mwinanso mungafunike kutenga zina zowonjezera. Tsatirani malangizo a omwe akukuthandizani momwe mungatengere zowonjezera komanso kangati.

Zizindikiro chifukwa cha pellagra, monga zilonda za khungu, zimathandizidwa.

Ngati muli ndi zovuta zomwe zimayambitsa pellagra, awa adzathandizidwanso.

Anthu nthawi zambiri amachita bwino atamwa mankhwala a niacin.

Pellagra ikapanda kuchiritsidwa imatha kuwononga mitsempha, makamaka muubongo. Zilonda pakhungu zimatha kutenga kachilomboka.

Itanani omwe akukuthandizani ngati muli ndi vuto lililonse la pellagra.

Pellagra itha kupewedwa potsatira zakudya zoyenera.

Pezani chithandizo chamankhwala omwe angayambitse pellagra.

Kulephera kwa Vitamini B3; Chosowa - niacin; Kuperewera kwa asidi a Nicotinic

• Vuto la Vitamini B3

Elia M, Lanham-New SA. Zakudya zabwino. Mu: Kumar P, Clark M, eds. Kumar ndi Clarke's Clinical Medicine. 9th ed. Philadelphia, PA: Elsevier; 2017: mutu 10.

Meisenberg G, Simmons WH. Micronutrients. Mu: Meisenberg G, Simmons WH, olemba. Mfundo Zazachipatala. Wolemba 4. Philadelphia, PA: Elsevier; 2017: mutu 31.

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.