{"id":771,"date":"2014-02-15T16:00:42","date_gmt":"2014-02-16T00:00:42","guid":{"rendered":"http:\/\/www.stanc.org\/wp3p8\/?page_id=771"},"modified":"2014-02-17T13:48:35","modified_gmt":"2014-02-17T21:48:35","slug":"%e6%82%a8%e6%98%af%e5%90%a6%e7%8d%b2%e5%be%97%e8%b6%b3%e5%a4%a0%e7%9a%84%e7%b6%ad%e7%94%9f%e7%b4%a0-b12%ef%bc%9f","status":"publish","type":"page","link":"https:\/\/www.stanc.org\/wp3p8\/%e6%82%a8%e6%98%af%e5%90%a6%e7%8d%b2%e5%be%97%e8%b6%b3%e5%a4%a0%e7%9a%84%e7%b6%ad%e7%94%9f%e7%b4%a0-b12%ef%bc%9f","title":{"rendered":"\u60a8\u662f\u5426\u7372\u5f97\u8db3\u5920\u7684\u7dad\u751f\u7d20 B12\uff1f"},"content":{"rendered":"

\u7dad\u751f\u7d20 B12 \u592a\u5c11\uff1f\u6709\u7814\u7a76\u767c\u73fe\uff0c 65 \u6b72\u53ca\u4ee5\u4e0a\u7684\u7f8e\u570b\u4eba\u6709 20\uff05\u8840\u6db2\u7684\u7dad\u751f\u7d20\u6fc3\u5ea6\u4f4e\u3002\u6709 \u6642\u552f\u4e00\u7684\u75c7\u72c0\u662f\u4e9b\u5fae\u7684\u8a8d\u77e5\u548c\u795e\u7d93\u7cfb\u7d71\u7684\u8b8a\u5316\uff0c\u66f4\u56b4\u91cd\u7684\u77ed\u7f3a\u53ef\u5c0e\u81f4\u7661\u5446\u75c7\u6216\u8ca7\u8840\uff0c\u56e0 \u70ba B12 \u662f\u9aa8\u9ad3\u88fd\u9020\u7d05\u8840\u7403\u6240\u5fc5\u9700\u7684\u3002\u6bcd\u4e73\u9935\u990a\u5b30\u5152\u7684\u6bcd\u89aa\u5982\u679c\u7f3a\u4e4f\u7dad\u751f\u7d20 B12\uff0c\u5b30\u5152\u6703 \u6709\u56b4\u91cd\u7684\u767c\u80b2\u7570\u5e38\u548c\u4e0d\u53ef\u9006\u7684\u795e\u7d93\u640d\u50b7\u7684\u98a8\u96aa\u3002\u9019\u662f\u5728\u7b2c\u4e09\u4e16\u754c\u570b\u5bb6\u751a\u81f3\u53ef\u80fd\u5728\u7f8e\u570b\u4e5f \u662f\u6700\u5e38\u898b\u7684\u71df\u990a\u7f3a\u4e4f\u75c7\u3002<\/span><\/span><\/p>\n

\u591a\u7a2e\u7dad\u751f\u7d20\u6216\u6dfb\u52a0\u7dad\u751f\u7d20\uff08\u901a\u5e38\u5305\u62ec B12\uff09\u7684\u65e9\u9910\u7a40\u7269\u53ef\u4ee5\u89e3\u6c7a\u9019\u500b\u554f\u984c\u3002\u4e8b\u5be6\u4e0a\uff0c\u7dad \u751f\u7d20\u85e5\u7247\u548c\u65e9\u9910\u7a40\u985e\u98df\u54c1\u4e2d\u6240\u542b\u7684\u6676\u578b\u7dad\u751f\u7d20\u6bd4\u5728\u98df\u54c1\u4e2d\u767c\u73fe\u7684\u201c\u81ea\u7136\u201d \u5f62\u5f0f\u7684\u7dad\u751f\u7d20 \u66f4\u5bb9\u6613\u88ab\u4eba\u9ad4\u5438\u6536\u3002<\/span><\/span><\/p>\n

\u7dad\u751f\u7d20 B12 \u7684\u98df\u7269\u4f86\u6e90\u662f\u8089\u985e\uff0c\u9b5a\u985e\uff0c\u8c9d\u985e\uff0c\u5bb6\u79bd\uff0c\u96de\u86cb\uff0c\u725b\u5976\uff0c\u548c\u4e73\u88fd\u54c1\u3002\u725b\u809d\u548c\u5e7e \u500b\u54c1\u7a2e\u7684\u9b5a\u985e\u6709\u9ad8\u542b\u91cf\uff0c\u5976\u88fd\u54c1\u548c\u96de\u86cb\u5247\u8f03\u5c11\u3002\u7d20\u98df\u8005\u53ef\u4ee5\u5403\u8c46\u8c49\uff0c\u662f\u7d30\u83cc\u5c07\u5927\u8c46\u767c\u9175 \u7684\u7522\u54c1\uff0c\u904e\u7a0b\u4e2d\u6703\u7522\u751f B12\u3002<\/span><\/span><\/p>\n

\u9020\u6210\u7dad\u751f\u7d20 B12 \u7f3a\u4e4f\u7684\u56db\u7a2e\u60c5\u6cc1:<\/span><\/span><\/p>\n

\u5728\u6b63\u5e38\u7684\u6d88\u5316\u904e\u7a0b\u4e2d\uff0c\u80c3\u6db2\u6703\u5c07\u8207\u52d5\u7269\u6027\u86cb\u767d\u8cea\u7d50\u5408\u7684 B12 \u6e38\u96e2\u3002\u4f46\u5c0f\u8178\u4e0d\u80fd\u5438\u6536\u88ab\u6e38 \u96e2\u7684\u7dad\u751f\u7d20\uff0c\u5fc5\u9808\u8981\u548c\u80c3\u58c1\u7d30\u80de\u5206\u6ccc\u7684\u201d\u5167\u5728\u56e0\u7d20\u201d \u86cb\u767d\u8cea\u7d50\u5408\u624d\u80fd\u88ab\u5438\u6536\u3002B12 \u7f3a\u4e4f \u75c7\u7684\u7522\u751f\u9700\u8981\u76f8\u7576\u9577\u7684\u6642\u9593:\u4e00\u500b\u5065\u5eb7\u4eba\u7684\u809d\u81df\u53ef\u4ee5\u5132\u5b58\u9577\u9054\u4e94\u5e74\u6240\u9700\u7684\u7dad\u751f\u7d20 B12\uff0c\u800c \u4e14\u5c0f\u8178\u4e5f\u53ef\u4ee5\u7531\u81bd\u6c41\u56de\u6536\u5927\u91cf\u7684 B12\u3002<\/span><\/span><\/p>\n

\u907f\u514d\u6240\u6709\u52d5\u7269\u7522\u54c1\u7684\u56b4\u683c\u7684\u7d20\u98df\u8005\u6700\u6613\u7522\u751f\u7dad\u751f\u7d20 B12 \u7f3a\u4e4f\u3002\u4f46\u5373\u4f7f\u662f\u53ef\u4ee5\u5403\u5976\u8207\u86cb\u7684 \u7d20\u98df\u8005\uff0c\u4e5f\u53ef\u80fd B12 \u4e0d\u8db3\u3002<\/span><\/span><\/p>\n

\u80c3\u9178\u4e0d\u8db3: 50 \u6b72\u4ee5\u4e0a\u7684\u4eba\u6709 30\uff05\u60a3\u840e\u7e2e\u6027\u80c3\u708e\uff0c\u4ea6\u5373\u80c3\u5167\u58c1\u8b8a\u8584\u81f4\u80c3\u6c41\u5206\u6ccc\u6e1b\u5c11\uff0c\u56e0\u800c \u6e1b\u5c11\u4e86\u5f9e\u52d5\u7269\u6027\u86cb\u767d\u8cea\u6e38\u96e2\u7684\u81ea\u7531 B12\uff0c\u5c0f\u8178\u6240\u80fd\u5438\u6536\u7684 B12 \u4e5f\u5c31\u66f4\u5c11\u3002 \u80c3\u6db2\u7f3a\u4e4f\uff0c\u9084 \u6703\u4f7f\u5c0f\u8178\u5167\u7684\u7d30\u83cc\u904e\u5ea6\u6ecb\u9577\uff0c\u628a B12 \u6436\u70ba\u5df1\u7528\uff0c\u5c11\u7559\u7d66\u8178\u9053\u5438\u6536\u3002<\/span><\/span><\/p>\n

\u7f3a\u5c11\u5167\u5728\u56e0\u7d20: \u6709\u4e9b\u4eba\u7684\u80c3\u5167\u5728\u56e0\u7d20\u4e0d\u5920\u800c\u7121\u6cd5\u5438\u6536\u8db3\u5920\u7684 B12\u3002\u539f\u56e0\u662f\u4e00\u7a2e\u81ea\u8eab\u514d\u75ab \u6027\u75be\u75c5\uff1a\u4eba\u9ad4\u7684\u514d\u75ab\u7cfb\u7d71\u6703\u7522\u751f\u6df7\u4e82\u800c\u7522\u751f\u6297\u9ad4\uff0c\u4e0d\u662f\u8ffd\u6bba\u7d30\u83cc\uff0c\u800c\u662f\u731b\u6253\u80fd\u7522\u751f\u5167\u5728 \u56e0\u7d20\u7684\u80c3\u7d30\u80de\uff0c\u800c\u53ef\u80fd\u9020\u6210\u8ca7\u8840\u3002<\/span><\/span><\/p>\n

\u80c3\u8178\u969c\u7919\u548c\u624b\u8853:\u514b\u7f85\u6069\u75c5 Crohn\u2019s disease\u6703\u5e72\u64fe\u5c0f\u8178\u7684\u529f\u80fd\u800c\u53ef\u80fd\u5c0e\u81f4\u7dad\u751f\u7d20 B12 \u7f3a \u4e4f\u3002\u6709\u4e9b\u4eba\u505a\u4e86\u80c3\u7e5e\u9053\u624b\u8853\u8b93\u80c3\u8b8a\u5c0f\u5f8c\uff0c\u56e0\u70ba\u80c3\u7d30\u80de\u5206\u6ccc\u7684\u80c3\u9178\u548c\u5167\u5728\u56e0\u7d20\u6e1b\u5c11\u9020\u6210\u4e86 B12 \u7684\u7f3a\u4e4f\u3002<\/span><\/span><\/p>\n

\u89e3\u6c7a\u65b9\u6848<\/span><\/span><\/p>\n

\u60a3\u840e\u7e2e\u6027\u80c3\u708e\u7684\u8001\u5e74\u4eba\u548c\u7d20\u98df\u8005\u53ef\u4ee5\u85c9\u7531\u651d\u53d6\u8907\u65b9\u7dad\u751f\u7d20\u9320\u6216\u6dfb\u52a0\u7dad\u751f\u7d20\u7684\u65e9\u9910\u7a40\u985e\u5f97 \u5230\u6240\u9700\u7684\u7dad\u751f\u7d20 B12\u3002\u5927\u591a\u6578\u7dad\u751f\u7d20\u542b\u6709 6 \u5fae\u514b (mcg) \u7684 B12\uff0c\u662f FDA \u8a2d\u5b9a\u7684\u6bcf\u65e5\u9700\u8981 \u91cf\u3002<\/span><\/span><\/p>\n

\u60a3\u60e1\u6027\u8ca7\u8840( pernicious anemia)\u7684\u4eba\u6709\u4e00\u500b\u6bd4\u8f03\u68d8\u624b\u7684\u554f\u984c:\u56e0\u70ba\u4ed6\u5011\u7f3a\u4e4f\u5167\u5728\u56e0\u7d20\uff0c\u651d\u5165 \u7684\u984d\u5916\u7dad\u751f\u7d20 B12\uff0c\u7dad\u751f\u7d20\u85e5\u7247\u548c\u5f37\u5316\u7a40\u985e,\u00a0 \u4e26\u6c92\u6709\u52a9\u76ca\u3002\u81f3\u5c11\u5728\u521d\u671f\u9700\u8981\u6ce8\u5c04 B12\u3002\u4e4b \u5f8c\u6709\u4e9b\u4eba\u53ef\u7d93\u7531\u53e3\u670d\u651d\u5165\u984d\u5916\u7684\u7dad\u751f\u7d20 B12\uff0c\u4f46\u6709\u4e9b\u4eba\u9700\u8981\u6bcf\u9694\u5e7e\u500b\u6708\u6ce8\u5c04 B12\u3002<\/span><\/span><\/p>\n

\u514b\u7f85\u6069\u75c5\u548c\u5176\u4ed6\u6709 B12 \u5438\u6536\u4e0d\u826f\u7684\u554f\u984c\u7684\u75c5\u60a3\u53ef\u80fd\u9084\u9700\u8981\u6839\u64da\u81ea\u5df1\u7684\u75c5\u60c5\u7684\u56b4\u91cd\u6027\u63a5\u53d7 B12 \u6ce8\u5c04\u3002\u7e2e\u80c3\u624b\u8853\u7684\u60a3\u8005\u53ef\u80fd\u4e5f\u9700\u8981 B12 \u6ce8\u5c04\u3002<\/span><\/span><\/p>\n

\u4f60\u9700\u8981\u6e2c\u8a66\u55ce\uff1f<\/span><\/span><\/p>\n

\u8001\u5e74\u4eba\u548c\u56b4\u683c\u7684\u7d20\u98df\u4e3b\u7fa9\u8005\uff0cB12 \u7f3a\u4e4f\u75c7\u7684\u98a8\u96aa\u9ad8\u3002\u9577\u671f\u4f7f\u7528\u4e8c\u7532\u96d9\u80cd(Metformin, Glucophage)\u7684\u7cd6\u5c3f\u75c5\u85e5\u7269\uff0c\u53ef\u80fd\u6703\u964d\u4f4e B12 \u6c34\u5e73\u3002\u96d6\u7136\u56b4\u91cd\u7684\u5931\u8861\u5f88\u5c11\u767c\u751f\uff0c\u8f03\u8f15\u5fae\u7684 \u77ed\u7f3a\u4e5f\u53ef\u80fd\u5f71\u97ff\u5e73\u8861\uff0c\u8a18\u61b6\uff0c\u6216\u8005\u60c5\u7dd2\u3002\u5982\u679c\u4f60\u6709\u9019\u4e9b\u554f\u984c\uff0c\u8a62\u554f\u60a8\u7684\u91ab\u751f\u662f\u5426\u6709\u5fc5\u8981 \u505a B12 \u6c34\u5e73\u7684\u6e2c\u8a66\u3002<\/span><\/span><\/p>\n

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