The 48-year-old woman has numbness in her hands and is walking unsteadily, and this disease has been detected......... These 6 groups of people should be vigilant

A 48-year-old woman

Go to the doctor because of the numbness in the hands

The doctor examined her and found her incoherent

Walking unsteadily

So what disease did she get?

This is February 14, 2019 in the New England Journal of Medicine

Published one case

The results are:

She has a vitamin B12 deficiency

Then vitamin B12 deficiency

How should I make up for it?

CSPC Pharmaceutical Group was jointly launched by Hebei Youth Daily

Vitamin Lecture Hall

Explained to you

Today's invitation to our vitamin lecture hall

Xuanwu Hospital, Capital Medical University

Chief Physician of the Department of Endocrinology

Pan Yongyuan

Take a look at the knowledge of vitamin B12

1

What is Vitamin B12? What are the roles?

Vitamin B12 is also called cobalamin

It is a vitamin containing metallic elements

Vitamin B12 increases the utilization of folic acid

Promotes the formation of nucleic acids and DNA

meantime

Also neuromyelin lipoprotein synthesis

Required ingredients

Vitamin B12 deficiency

Can lead to megaloblastic anemia

and peripheral neuropathy

Other than that

Vitamin B12 is also involved in the metabolism of fats

In neurological disorders

It also has a certain adjuvant therapeutic effect

Can affect the synthesis of sphingomyelin

as well as maintaining the normal function of nerve fibers

2

Why is there a lack of vitamin B12?

B vitamins are water-soluble cellulose

It is easily excreted with sweat and urine

Cannot be synthesized in the human body

Available only through food or nutritional supplements

thereinto

Vitamin B12 is stored in the liver

It can remain in the human body for many years

Hence the deficiency of vitamin B12

It is caused by chronic, long-term factors

●Dietary intake decreased

●The stomach's ability to break down food-derived vitamin B12 is weakened

●Gastrointestinal malabsorption

3

These types of people are prone to vitamin B12 deficiency, quick self-examination

In life

These groups of people are prone to vitamin B12 deficiency

Check yourself out

●Decreased dietary intake, such as the elderly, alcoholics, and unbalanced dietary structure, such as vegetarians.

●History of atrophic gastritis.

●History of gastrointestinal surgery.

●Autoimmune gastritis.

●Gastrointestinal malabsorption, such as Crohn's disease, celiac disease.

●Long-term use of the following drugs: drugs that reduce vitamin B12 absorption; some anticonvulsants; drugs that reduce the breakdown of vitamin B12 in foods.

4

The appearance of these symptoms in the body suggests a possible deficiency of vitamin B12

The B vitamin family is a large family

Often when a vitamin is deficient

Other kinds of vitamins are also deficient

The most common symptom of vitamin B deficiency is

memory loss, unresponsiveness, lack of energy,

Prone to headache, dizziness, irritability,

Mouth ulcers, etc

Special reminder

Diagnosis and treatment of vitamin B12 deficiency

It's all up to the clinician

When there are the above risk factors

Or clinical manifestations should be treated as soon as possible

5

How can vitamin B12 deficiency be prevented?

If you can do a reasonable diet

The diet is balanced

Most people have a lower risk of vitamin B12 deficiency

For the elderly, vegans,

Previous gastrectomy

and individuals with the above risk factors

Should be under the guidance of a clinician and a nutritionist

Supplementation with vitamin nutrient preparations