Yakakura Nhamba dzeHomocysteine uye Matambudziko ekudzivirira
Kana uchinge uchinge uchinge uchinge uchinge uchinge wapera, chiremba wako angangodaro akarayira kutarisa chikwata che homocysteine muropa rako. Chii chaizvoizvo homocysteine? Ko homocysteine inobatanidza sei nekusava nepamuviri nemamwe matambudziko ekuzvitakura?
Chii Chinonzi Homocysteine?
Homocysteine rudzi rweaminosi iyo inowanzowanikwa mumuviri. Panzvimbo dzakasununguka, hazvikuvadzi, asi zvikwata zvakakwirira zvakawanikwa zvichibatanidzwa nekuparara kwepamusoro pamwe nehosha yemoyo.
Yakakura Nhamba yeHodocysteine
Nhamba yakakwirira ye homocysteine mumigumisiro yeropa mumamiriro ezvinhu anozivikanwa se hypercoagulability. Izwi coagulation rinoreva kuvhara ropa, uye hypercoagulability zvinoreva kuti ropa rinovhara nyore nyore kupfuura zvakakodzera.
Kana izvi zvichiitika mumidziyo yeropa, zvakadai seyoronic artery, zvinogona kuita kuti zvivharo zvinodzivirira mishonga yeropa inokonzerwa nehutachiona hwehutano.
Nekuita pamuviri, inofungidzirwa kuti idzi maduku maduku eropa zvinogona kuvhara mitsipa yeropa mumatenta, zvichiita kuti pave nepamuviri.
High Homocysteine uye Kuparara Kune Ngozi
Yakawanda homocysteine haisati yabvumidzwa kuita kuti kuve nokupererwa kwemimba, asi pane zvimwe zvinowanikwa pamwe chete nemamwe mamiriro ezvinhu anozivikanwa kutungamirira kumatambudziko. Chimwe chiitiko, chinonzi antiphospholipid syndrome , chinogona kukonzera kusununguka kwepamuviri uye chirwere chemwoyo nenzira yakafanana.
Mimwe Dambudziko Rokubata Mimba
Yakawanda homocysteine inonzi yakakonzerwa nengozi yezvimwe zvinetso pakuberekwa kusanganisira:
- Kuderedza kubereka
- Congenital developmental defects, yakadai seyeural tube kasina kufanana neanencephaly
- Preeclampsia
- Intrauterine kukura kunonoka
Sezvakaita nekuparara, humwe uchapupu hunopesana nehupamusoro hwehutano hwe homocysteine hunokonzera mamwe matambudziko ekudzivirira sekudai:
- Placental abruption
- Down syndrome
Kukonzera Kuongorora Kuchengeta Plasma Homocysteine (tHcy) muKubata
Kana chiremba wako achiongorora checycyineine yako, zvakakosha kuzivikanwa kuti kazhinji homocysteine mazinga anotenderera panguva yekuzvitakura. Mune mamwe mazwi, imwe nhanho inotorwa panguva imwe chete inogona kunge isina, chaizvoizvo, inomiririra kuti mazana ako ndeapi nguva. Pane huwandu hwezvokudya uye hupenyu hwehupenyu hunoita kuti zuva rimwe zuva kuve nekusiyana kwehuwandu. Mukuwedzera, kuchinja kweropa romuviri rakabatana nekudzivirira pamwe chete nehuwandu hwehutachiona hunogona kuunza mazinga panguva yekuzvitakura izvo hazvirevi hazvo kuti mazinga ako ndeapi kana iwe usina kubereka.
The Metabolism and Genetics of Homocysteine Levels
Kana uine mazinga e-homocysteine, mazamu ako anogona kunge ari chikonzero.
Vanhu vane kusiyanisa muMTHFR gene, kunyanya kuchinja kwe C677T, vanowanzove nekodzero yakakwirira ye homocysteine. Uye zvimwe zvidzidzo zvakawana kuwirirana pakati peMTHFR gene kuchinja uye kuwedzera kukura kwepabonde. Nzira inotungamirira musangano ndeyokuti high homocysteine mazinga muvanhu vane MTHFR gene vari varipo inopinza ngozi yekuparara.
Vamwe vanachiremba vanoedza MTHFR gene maitiro akasiyana sechikamu chekudzoka kwekupererwa kwepabonde.
Vamwe vanofunga kuti zvakakosha kuedza homocysteine nokuti havasi vose vane MTHFR gene variko vachave nekukwirira kweamino acid.
Zvinokonzera
MTHFR gene marinha haisi iyo chete inokonzera highcycysteine.
MTHFR gene marinha haisi iyo chete inokonzera highcycysteine. Mumuviri wako unoshandisa mishonga folic acid , vitamini B6 uye vitamini B12 kuti ishandise, kana kushandisa up, homocysteine. Vanhu vasina kusimba mavitamine avo vanogona kuva nekodysteine yakakura.
Zvimwe zvakasiyana-siyana zvehutano hwakanaka uye mishonga inogonawo kunge yakabatana nepamusoro ye homocysteine mazinga.
Dzimwe Ngozi dzehutano
Kunyange zvazvo iyo chaiyo inenge isingazivikanwi, yakakwirira ye homocysteine yakave ichionekwa mune atherosclerosis, kushaya mwoyo, kurwara, kuora mwoyo, chirwere chePalinson, multiple sclerosis, uye kuora mwoyo.
Inofungidzirwa kuti kukwirira kwezinga re homocysteine muropa rinogona kunge rakanyanyisa kukuvadza kune zvose zviri mumasvomhe uye nherera.
Kuchengetedza Yakakosha Homocysteine Muchiitiko Chisingakoshi
Hapana mazano anorongeka kuti atarise maitiro e homocysteine kuvakadzi vane kubuda kwepamuviri, uye hapana maitiro ekurapa akakurudzirwa pasi rose ekugadzirisa yakakwirira ye homocysteine kune vakadzi vanoonekwa kuti vane.
Vamwe vanachiremba vanoedza kuongorora homocysteine (kana kuti MTHFR gene variants) kuvakadzi vane kupererwa kwekudzivirira pamuviri uye vanorayira kurapwa kunyange pasina kusarudzwa kwemazano.
Iyo inowanzokurudzirwa mazano kuvakadzi vane yakakwirira ye homocysteine ndeyekutora mazinga akawanda e folic acid uye mavitamini B kuitira kuvandudza muviri wemagetsi we homocysteine. Ingoita izvo chete nechirongwa chechiremba wako, zvisinei, sezvo zvikamu zvakakwirira zvevhitamini izvi zvisingangokonzerisi migumisiro asi zvinogona kupindira nekudyiwa kwemamwe mavitamini. Kune avo vane MTHFR gene variko, supplemental folic acid haina kuwanika kuderedza dambudziko rekusiya pamuviri.
Vanachiremba vashomanana vanogona kukurudzira kupesana-clotting therapy, yakadai se heparin kana kuti pasi-aspirin inotapira , kuitira kuti kudzivirira ropa kurege kuumbwa munguva yekuzvitakura, asi tsika iyi haisi yepamusoro.
Zvinofadza kuti pane zvidzidzo zviripo zvichiri kutarisa mhinduro dzemibvunzo yese pamusoro pekuti basa rakakura sei homocysteine maitiro ane pamuviri uye nzira yakanakisisa yekurapa idzi kana iripo.
Sources:
Ansari, R., Mahta, A., Mallack, E., naJo Luo. Hyperhomocysteinemia uye Neurological Disorders: A Review. Zvinyorwa zveKliniki Neurology . 2014. 10 (4): 281-8.
Hekmatdoost, A., Vahid, F., Yari, Z., Sadeghi, M., Eini-Zinab, J., Lakpour, N., uye S. Arefi. Methyltetrahydrofolate vs. Folic Acid Supplementation muIdiopathic Inoshandiswa Kubviswa Zvichienderana neMethylenetetrahydrofolate Reductase C677T uye A1298C Polymorphisms: A Randomized Controled Trial. PLoS One . 2015. 10 (12): e0143569.
Levin, B., uye E. Varga. MTHFR: Kutaura nezveGentic Counseling Dilemmas Achishandisa Zvinyorwa-Zvakavakwa Zvinyorwa. Nhoroondo yeGentic Counseling . 2016. 25 (5): 901-11.
Puri, M., Kaur, L., Walia, G., Mukhopadhhyay, R., Sachdeva, M., Triveldi, S., Ghosh, P., uye K. Saraswathy. MTHFR C677T Polymorphism, Folate, Vitamin B12 uye Homocysteine muKurara Kuberekwa Kwekuberekwa: A Case Control Study pakati peNorth Women Women. Nhamba yePerinatal Medicine . 2013. 41 (5): 549-54.
Murphy, M., uye J. Fernandez-Ballart. Homocysteine in Pregnancy. Yakagadziridzwa muKliniki Chemistry . 2011. 53: 105-37.