Pellagra

Zamkati

• Zizindikiro zake ndi ziti?
• Zimayambitsa chiyani?
• Kodi amapezeka bwanji?
• Amachizidwa bwanji?
• Kukhala ndi pellagra

Kodi pellagra ndi chiyani?

Pellagra ndi matenda omwe amayamba chifukwa cha milingo yochepa ya niacin, yomwe imadziwikanso kuti vitamini B-3. Amadziwika ndi matenda amisala, kutsegula m'mimba, ndi matenda a dermatitis, omwe amadziwika kuti "ma D atatu". Pellagra ikapanda kuchiritsidwa imatha kupha.

Ngakhale kuli kofala kwambiri kuposa kale, chifukwa cha kupita patsogolo pakupanga chakudya, akadali vuto m'maiko ambiri omwe akutukuka. Zitha kukhudzanso anthu omwe matupi awo samayamwa bwino niacin.

Zizindikiro zake ndi ziti?

Zizindikiro zazikulu za pellagra ndi dermatitis, dementia, ndi kutsegula m'mimba. Izi ndichifukwa choti kusowa kwa niacin kumawonekera kwambiri m'magulu amthupi omwe ali ndi kuchuluka kwama cell, monga khungu lanu kapena m'mimba.

Dermatitis yokhudzana ndi pellagra nthawi zambiri imayambitsa zotupa kumaso, milomo, mapazi, kapena manja. Kwa anthu ena, dermatitis imapangidwa mozungulira khosi, chizindikiro chotchedwa Casal necklace.

Zizindikiro zina za dermatitis ndi monga:

• khungu lofiira, lofiira
• madera osinthika, kuyambira kufiyira mpaka bulauni
• wandiweyani, wokhotakhota, wakhungu, kapena wosweka
• khungu loyabwa komanso lotentha

Nthawi zina, zizindikiro zamitsempha za pellagra zimayamba msanga, koma nthawi zambiri zimakhala zovuta kuzizindikira. Matendawa akamakula, zizindikiritso za dementia zimaphatikizapo:

• mphwayi
• kukhumudwa
• kusokonezeka, kukwiya, kapena kusintha kwa malingaliro
• kupweteka mutu
• kusakhazikika kapena kuda nkhawa
• kusokonezeka kapena kunyengedwa

Zizindikiro zina zotheka za pellagra ndi monga:

• zilonda pamilomo, lilime, kapena m'kamwa
• kuchepa kudya
• kuvuta kudya ndi kumwa
• nseru ndi kusanza

Zimayambitsa chiyani?

Pali mitundu iwiri ya pellagra, yotchedwa pellagra yoyamba ndi pellagra yachiwiri.

Pellagra yoyamba imayambitsidwa ndi zakudya zochepa mu niacin kapena tryptophan. Tryptophan imatha kusinthidwa kukhala niacin mthupi, chifukwa chake kusapeza zokwanira kumatha kuyambitsa kusowa kwa niacin.

Ma pellagra oyambilira amapezeka kwambiri m'maiko omwe akutukuka kumene omwe amadalira chimanga ngati chakudya chachikulu. Chimanga chili ndi niacytin, mtundu wa niacin womwe anthu sangathe kupukusa ndi kuyamwa pokhapokha atakonzekera bwino.

Pellagra yachiwiri imachitika pamene thupi lanu silingathe kuyamwa niacin. Zinthu zomwe zingalepheretse thupi lanu kuti lisamwe niacin ndi monga:

• uchidakwa
• mavuto a kudya
• mankhwala ena, kuphatikizapo anti-convulsants ndi mankhwala osokoneza bongo
• matenda am'mimba, monga matenda a Crohn ndi ulcerative colitis
• matenda a chiwindi
• zotupa za khansa
• Matenda a Hartnup

Kodi amapezeka bwanji?

Pellagra imatha kukhala yovuta kuzindikira chifukwa imayambitsa zizindikilo zingapo. Palibenso mayeso enieni oti azindikire kusowa kwa niacin.

M'malo mwake, dokotala wanu ayamba kuyang'ana ngati ali ndi vuto m'mimba, zotupa, kapena kusintha kwamaganizidwe anu. Angayesenso mkodzo wanu.

Nthaŵi zambiri, kuzindikira kuti pellagra imaphatikizapo kuwona ngati zizindikiro zanu zimayankhidwa ndi mankhwala a niacin.

Amachizidwa bwanji?

Pellagra yoyamba imathandizidwa ndi kusintha kwa zakudya komanso ndiacin kapena nicotinamide supplement. Zifunikanso kuperekedwa kudzera m'mitsempha. Nicotinamide ndi mtundu wina wa vitamini B-3. Ndi chithandizo cham'mbuyomu, anthu ambiri amachira kwathunthu ndikuyamba kumva bwino m'masiku ochepa kuyambira atayamba kulandira mankhwala. Kusintha kwa khungu kumatha kutenga miyezi ingapo. Komabe, ngati sanalandire chithandizo, pellagra yoyamba imapha pambuyo pa zaka zinayi kapena zisanu.

Kuchiza pellagra yachiwiri nthawi zambiri kumayang'ana kuthana ndi chomwe chimayambitsa. Komabe, milandu ina ya pellagra yachiwiri imathandizanso mukamwa niacin kapena nicotinamide pakamwa kapena kudzera m'mitsempha.

Mukamachira pellagra yoyamba kapena yachiwiri, ndikofunikira kuti zotupa zilizonse zizisungunuka komanso kutetezedwa ndi zotchinga dzuwa.

Kukhala ndi pellagra

Pellagra ndi vuto lalikulu lomwe limayamba chifukwa cha kuchepa kwa niacin, chifukwa cha kusowa kwa zakudya m'thupi kapena vuto la kuyamwa. Ngati sakusamaliridwa, atha kubweretsa imfa. Ngakhale pellagra yoyamba imayankha bwino ku niacin supplementation, pellagra yachiwiri imatha kukhala yovuta kuchiza, kutengera chomwe chimayambitsa.