Ka puta mai te kore o te wītamini B12 ina kore e whiwhi te tinana i te wītamini B12, he matū nui e hiahiatia ana hei hanga i ngā pūtau toto whero, hei hanga i te DNA, me te pupuri i te pūnaha io i te mahi pai. Ki te kore e rongoā, ka taea e tēnei korenga te whakaeke i te mate toto me ngā raruraru ki te pūnaha io.

He maha ngā mea ka taea te whakaeke i te kore o te wītamini B12. Ko tetahi take noa ko te kore e whiwhi kai nui, ina koa mō ngā kai tipu me ngā kai whaiwhakaaro ka kore pea e kai i ngā kai kua whakakikīhia, kāore rānei i ngā hua kararehe. Ano hoki, ētahi āhuatanga hauora pēnei i te gastritis, te mate a Crohn, me te mate toto pernicious ka uaua ai te tango i te wītamini B12 e te tinana. Ko te pakeke tētahi take, i te mea ka iti ake pea te waikawa o te kopu e whakaputahia ana e ngā kaumātua, ka uaua ai te wetewete i te B12 mai i te kai.

He mea nui kia mohio ki ngā tohu o te kore o te wītamini B12. Kei roto i ngā tohu noa te ngenge, te ngoikore, te kiri ma, me te poto o te manawa. I roto i ngā take nui ake, ka taea te raruraru ki te pūnaha io, pēnei i te ngawari me te wiri.

Ngā Tohu me ngā Hua o te Kore o te Wītamini B12

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Te mate toto, te kiri ma, te arero mamae, te glossitis (te arero mumura).

Ngā Tohu	Ngā Taipitopito
Ngā Tohu Noa	Te ngenge, te ngoikore, te kiri ma, te ngawari, te wiri, te huringa o te ngākau.
Ngā Tohu Neurological	Te ngawari, te wiri, te ngaro o te mahara, te heke o te hinengaro, me ngā raruraru o te taurite.
Ngā Tohu Hematological
Ngā Hua Roa	Te kino o te io, te ngoikore o te hinengaro, te mate ngakau, ngā mate ngākau, ngā hapa whānau.
Ngā Rōpū Kei te Raru	Ngā kai tipu/kai whaiwhakaaro, ngā kaumātua, ngā tāngata he mate GI rānei he pokanga, ngā kai taumaha.
Nōhea te Tūhono ki te Tākura	Te ngenge tonu, ngā tohu neurological, te mate toto kaore i te whakamārama.

Te Mārama i te Wā Whakaora

1. Te Whakaora i ngā Tohu Tuatahi (1-2 Wiki)
I muri i te tīmatanga o te tāpiri B12, ka tīmata te hunga e rongo ana i te whakaora i ētahi tohu, pēnei i te ngenge me te ngoikore, i roto i te wiki tuatahi ki te rua. Koinei te take i te mea ka awhina te B12 ki te whakahoki i te hanga pūtau toto whero noa me te whakakii i ngā taumata kaha.

2. Te Whakapai o te Neurological (4-6 Wiki)
Ka roa pea te whakapai ake o ngā tohu neurological, pēnei i te ngawari, te wiri, kāore rānei i ngā take hinengaro. I roto i ngā wiki e whā ki te ono, ka nui ake te whakapai ake o te hunga i roto i ēnei tohu, ahakoa ka roa pea etahi marama te whakaora katoa, ina koa ki te kino te kino o te io.

3. Te Whakatika i te Tohu Toto Katoa (2-3 Marama)
I te whakakii o te tinana i ona toa B12, me whakaatu ngā whakamātautau toto i te whakapai ake nui o te tau o te pūtau toto whero me ngā taumata hemoglobin. Ka taea tēnei i ngā marama e rua ki te toru o te rongoā tonu.

4. Te Whakaora Roa (6 Marama ki te 1 Tau)
Mō te whakaora katoa, ina koa i roto i ngā take o te korenga roa, ka roa pea te ono marama ki te tau te whakaoti i ngā tohu katoa. Ko te whakaora kei runga i te kino o te korenga, te take taketake, me te wa e tīmata ai te rongoā.

5. Te Wahanga Whakahaere
Ina whakatikahia te korenga, ka hiahia pea te hunga ki te tāpiri B12 haere tonu, kāore rānei i ngā whakarerekētanga kai hei pupuri i ngā taumata noa, ina koa ki te whai rātou i ngā āhuatanga pēnei i te mate toto pernicious, kāore rānei i ngā take tango.

Ngā Tikanga hei Āwhina i te Whakaora mai i te Kore o te Wītamini B12

1. Ngā Tāpiri Wītamini B12
Ko te tango i ngā tāpiri wītamini B12 te tikanga noa mō te rongoā i te korenga. Ka kitea ēnei i roto i ngā momo rerekē, tae atu ki ngā papa waha, ngā papa sublingual, me ngā weronga. Kei runga i te kino o te korenga, ka taea e te kaiwhakarongo hauora te tūtohutia ngā rāpoi nui ake i te tīmatanga, ka whai ake ngā rāpoi whakahaere.

2. Ngā Whakarerekētanga Kai
Ka taea e te whakanui i te kai o ngā kai whai wītamini B12 te whakapai ake i ngā taumata i te wa roa. Ko ngā kai pēnei i te mīti, te ika, ngā hua waiū, ngā hua manu, me ngā kākahu kua whakakikīhia he puna pai o te B12. Mō te hunga e whai ana i ngā kai tipu, ka hiahiatia pea ngā kai kua whakakikīhia (pēnei i te waiū tipu me te huakōre kai) kāore rānei i ngā tāpiri B12.

3. Ngā Weronga B12
Mō te hunga he korenga kino rānei he raruraru tango, ka whakamahia ngā weronga B12. Ka tukuna e ēnei weronga te wītamini tika ki roto i te toto, ka whakarere i te pūnaha kai mō te tango pai ake. Ka whakaratohia e te kaiwhakarongo hauora, kāore rānei i te kāinga me te aratohu tika.

4. Te Rongoā i ngā Āhuatanga Taketake
Mēnā he āhuatanga taketake pēnei i te mate toto pernicious, te mate celiac, kāore rānei i te mate a Crohn e whakaeke ana i te korenga, he mea nui te whakatika i te take taketake mō te whakaora pai. Ka uru pea te rongoā ki ngā rongoā kāore rānei i ngā whakarerekētanga noho ora e whakapai ake ana i te tango B12, kāore rānei e whakahaere i te āhuatanga.

5. Te Aroturuki Tonu
I muri i te tīmatanga o te rongoā, he mea nui ngā whakamātautau toto tonu hei aroturuki i te whakapai ake me te whakarite i ngā rāpoi mēnā e hiahiatia ana. Ka awhina ēnei whakamātautau kia whakapumautia ko ngā taumata B12 e piki ana, a kei te whakapai ake ngā tohu.

6. Te Whakahaere i te Pānga me ngā Take Noho Ora
Ka taea e te pānga roa, te wāhine, me te inu waipiro nui te whakaiti i ngā korenga wītamini. Ko te whakaiti i ēnei take, me te pupuri i te kai rite me te noho ora hauora, ka tautoko i te tukanga whakaora me te aukati i ngā korenga o muri.

Te Whakarapopototanga

Ka taea e te kore o te wītamini B12 te whakaeke i ngā momo tohu, tae atu ki te ngenge, te ngoikore, te kiri ma, te ngawari, te wiri, me te huringa o te ngākau. Ka puta pea ngā take neurological pēnei i te wiri, te ngaro o te mahara, me ngā raruraru o te taurite, me ngā tohu hematological pēnei i te mate toto me te arero mamae. Ka taea e te korenga roa te arahi ki te kino o te io kaore e taea te whakahoki, te ngoikore o te hinengaro, te mate ngakau, me ngā hapa whānau.

Ko ngā rōpū kei te raru ko ngā kai tipu/kai whaiwhakaaro, ngā kaumātua, me te hunga he mate gastrointestinal. He mea nui kia rapu tohutohu hauora mēnā ka mau tonu ngā tohu, i te mea ka taea e te taumata whakamātautau me te rongoā wawe me ngā tāpiri B12, kāore rānei i ngā whakarerekētanga kai te aukati i ngā hua kino.