Ukuntuleka kweVitamin B12 kwenzeka uma umzimba ungayitholi iVitamin B12 eyanele, i-nutrient ebalulekile edingekayo ekwenzeni ama-red blood cells, ukwakha i-DNA, nokugcina uhlelo lwezinzwa lusebenza kahle. Uma ingaphathwa, lokhu kuntuleka kungabangela i-anemia nezingqinamba kuhlelo lwezinzwa.

Izinto eziningi zingabangela ukushoda kweVitamin B12. Esinye isizathu esivamile ukungatholi ukudla okwanele, ikakhulukazi kubantu abangadli inyama nabangadli izinto eziphilayo ezingadli inyama abangase bangadli ukudla okunamandla noma imikhiqizo yezilwane. Futhi, izimo zezempilo ezithile njenge-gastritis, i-Crohn’s disease, ne-pernicious anemia kungenza kube nzima emzimbeni ukumunca iVitamin B12. Ubudala yingxenye enye, njengoba abadala bangase bakhiqize ama-acid amancane esiswini, okwenza kube nzima ukuqothula i-B12 ekudleni.

Kubalulekile ukuqaphela izimpawu zokuntuleka kweVitamin B12. Izimpawu ezivamile zihlanganisa ukukhathala, ubuthakathaka, isikhumba esimhlophe, nokuqina komoya. Emacaleni abunzima kakhulu, kungaba khona izinkinga kuhlelo lwezinzwa, njengokungabi namqondo nokuhlunguluka.

Izimpawu Nemiphumela Yokuntuleka kweVitamin B12

Izimpawu	Imininingwane
Izimpawu Ezivamile	Ukukhathala, ubuthakathaka, isikhumba esimhlophe, ukungabi namqondo, ukukhungatheka, ukushintsha kwemizwelo.
Izimpawu Zezinzwa	Ukungabi namqondo, ukuhlunguluka, ukukhohlwa, ukwehla kwamandla engqondo, nezingqinamba zokulinganisela.
Izimpawu Zegazi	I-anemia, isikhumba esimhlophe, ulimi oluhlungu, i-glossitis (ulimi oluvuvukile).
Imiphumela Yesikhathi Eside	Ukonakala kwezinzwa, ukwehla kwamandla engqondo, isifo senhliziyo, ukuphazamiseka kwengqondo, iziphambeko zokuzalwa.
Amaqembu Asengozini	Abantu abangadli inyama/abangadli izinto eziphilayo, abadala, labo abanezifo ze-GI noma ukuhlinzwa, ukudla okunqunyiwe.
Nini Okufanele Ubone Udokotela	Ukukhathala okuqhubekayo, izimpawu zezinzwa, i-anemia engachazeki.

Ukuqonda Isikhathi Sokutakula

1. Ukukhululeka Kwezimpawu Zokuqala (Amasonto angu-1-2)
Ngemva kokuqala ukusetshenziswa kwe-B12 noma ukwelashwa, abantu bavame ukuqala ukuzwa ukukhululeka kwezimpawu ezithile, njengokukhathala nobuthakathaka, phakathi nesonto lokuqala kuya kwamasonto amabili. Lokhu kungenxa yokuthi i-B12 iyasiza ekuvuseleleni ukukhiqizwa kwama-red blood cells okujwayelekile futhi ikhuthaza amazinga amandla.

2. Ukuthuthuka Kwezinzwa (Amasonto angu-4-6)
Izimpawu zezinzwa, njengokungabi namqondo, ukuhlunguluka, noma izinkinga zengqondo, kungathatha isikhathi eside ukuthuthuka. Phakathi kwamasonto amane kuya kwamasonto ayisithupha, abantu abaningi bayabona ukuthuthuka okuphawulekayo kulezi zimpawu, nakuba kungathatha izinyanga eziningi ukutakula ngokuphelele, ikakhulukazi uma ukonakala kwezinzwa kunzima.

3. Ukulingana Kwegazi Okugcwele (Iinyanga ezingu-2-3)
Njengoba umzimba ugcwalisa izitolo ze-B12, ukuhlolwa kwegazi kufanele kubonise ukuthuthuka okukhulu enani lama-red blood cells nama-hemoglobin levels. Lokhu kungathatha izinyanga ezimbili kuya kwezintathu zokwelashwa okuqhubekayo.

4. Ukubuyela Esempilweni Okuphelele (Iinyanga eziyi-6 kuya konyaka)
Ukutakula ngokuphelele, ikakhulukazi emacaleni okushoda okuphakathi nendawo noma okunzima, kungathatha izinyanga eziyisithupha kuya konyaka ukuze zonke izimpawu ziphele ngokuphelele. Ukubuyela esimweni esijwayelekile kuncike ebukhulu boshoda, esizathwini esiyimbangela, nokuthi ukwelashwa kuqala nini.

5. Isigaba Sokugcina
Uma ukushoda sekulungisiwe, abantu bangadinga ukusetshenziswa kwe-B12 okuqhubekayo noma ukulungiswa kokudla ukuze bagcine amazinga ajwayelekile, ikakhulukazi uma banezimo ezinjenge-pernicious anemia noma izinkinga zokumunca.

Izindlela Zokusiza Ukubuyela Esempilweni Ekushodweni kweVitamin B12

1. Izithasiselo zeVitamin B12
Ukuthatha izithasiselo zeVitamin B12 yindlela evamile yokwelapha ukushoda. Lezi zingatholakala ngezindlela ezahlukene, kuhlanganise amathebulethi omhlathi, amathebulethi ase-sublingual, nezinjoloba. Kuye ngobunzima boshoda, umhlinzeki wezempilo angase ancome ama-doses aphezulu ekuqaleni, alandelelwe ama-doses okugcina.

2. Ukulungiswa Kokudla
Ukwandisa ukudla kwezinto zokudla ezinengxube eningi yeVitamin B12 kungasiza ekuthuthukiseni amazinga ngokuhamba kwesikhathi. Ukudla okunjengenyamas, izinhlanzi, imikhiqizo yobisi, amaqanda, nezinto zokudla ezinamandla kuyimithombo emihle ye-B12. Kubantu abalandela ukudla okusekelwe ezitshalweni, ukudla okunamandla (njengobisi lwezitshalo ne-nutritional yeast) noma izithasiselo ze-B12 kungadingeka.

3. Izinjoloba ze-B12
Kubantu abanesidingo esinzima noma izinkinga zokumunca, izinjoloba ze-B12 zivame ukusetshenziswa. Lezi zinjoloba zithumela iVitamin ngqo egazini, zidlula uhlelo lokugaya ukudla ukuze kube lula ukumunca. Zivame ukunikezwa ngumhlinzeki wezempilo noma ekhaya ngokuqondiswa okufanele.

4. Welapha Izimo Ezingaphansi
Uma isimo esingaphansi njenge-pernicious anemia, isifo se-celiac, noma i-Crohn’s disease sinikela ekushodweni, ukulungisa imbangela yengcambu kubalulekile ukutakula okuphumelelayo. Ukwelashwa kungase kuhlanganise imithi noma ukushintsha indlela yokuphila okuthuthukisa ukumunca kwe-B12 noma kuphathe isimo.

5. Ukuqapha Okujwayelekile
Ngemva kokuqala ukwelashwa, ukuhlolwa kwegazi okujwayelekile kubalulekile ekuqapheleni intuthuko nasekulungiseni ama-doses uma kudingeka. Lezi zivivinyo zisiza ekuqinisekiseni ukuthi amazinga e-B12 ayaphakama nokuthi izimpawu ziyathuthuka.

6. Phatha Ukuqina Nemizamo Yokuphila
Ukuqina okuqhubekayo, ukubhema, nokusetshenziswa okukhulu kotshwala kungenza ukushoda kweVitamin kube sibi. Ukuncipha kwalezi zinto, kanye nokulondoloza ukudla okulinganiselayo nendlela yokuphila enempilo, kungasekele inqubo yokutakula futhi kuvimbele ukushoda kwesikhathi esizayo.

Isifinyeto

Ukuntuleka kweVitamin B12 kungabangela izimpawu ezihlukahlukene, kuhlanganise ukukhathala, ubuthakathaka, isikhumba esimhlophe, ukungabi namqondo, ukukhungatheka, nokushintsha kwemizwelo. Izinkinga zezinzwa ezinjengokuhlamba, ukukhohlwa, nezingqinamba zokulinganisela zingase zenzeke, kanye nezimpawu zegazi ezinjenge-anemia nolimi oluhlungu. Ukuntuleka kwesikhathi eside kungabangela ukonakala kwezinzwa okungapheli, ukwehla kwamandla engqondo, isifo senhliziyo, neziphambeko zokuzalwa.

Amaqembu asengozini ahlanganisa abantu abangadli inyama/abangadli izinto eziphilayo, abadala, nalabo abanezifo ze-gastrointestinal. Kubalulekile ukufuna iseluleko sokuthi uma izimpawu ziqhubeka, njengoba ukuxilongwa okusheshayo nokwelashwa ngezithasiselo ze-B12 noma ukushintsha kokudla kungavimbela imiphumela emibi.