ʻO ka maʻi o nā luina i ʻai wale i ka meaʻai i ka wā i ko lākou hele ʻana i ke kai, pili ka maʻi Beriberi i kahi hemahema o nā huaʻai B1. Pono i ke kino, aia kēia hemahema ma ke kumu o nā maʻi neurological a me ka maʻi puʻuwai, i kekahi manawa ʻaʻole hiki ke hoʻi. ʻO kāna mea hoʻonui mua ma o ka meaʻai a me ka mālama ʻana e ʻae iā ia e mālama. 

ʻO ka maʻi hemahema i ʻike ʻia ma ka Hikina mai ka ʻumikūmāhiku kenekulia i nā kumuhana ʻAsia i ʻai i ka raiki keʻokeʻo wale nō, ua ʻike ʻia nō hoʻi i nā luina e ʻai wale nei i ka meaʻai i kēīa i ka wā o kā lākou huakaʻi lōʻihi ma ke kai ma mua o ka hoʻomaopopo ʻana i ka hele ʻana o kā lākou pale ʻana ma o ka papaʻai momona o nā huaora. ʻoi loa ka wikamina B1. No laila ka inoa Beriberi no ka wikamina B. 

ʻAʻole hiki i ke kino o ke kanaka ke synthesizing i kēia wikamina a pono i nā makana kūpono kūpono no ka metabolism e hana i kahi kaulike a me ka maikaʻi.

Aia naʻe kēia huaora i nā huahana he nui o ka meaʻai maʻamau e like me ka ʻai piha, ka ʻiʻo, nā nati, nā legumes a i ʻole ka ʻuala.

Pili mau ka hemahema i kēia lā a ʻo nā ʻāina e ulu nei i ʻeha i ka malnutrice a makemake i kahi papaʻai e pili ana i nā huaʻomaʻomaʻo i hoʻomaʻemaʻe ʻia (laiki keʻokeʻo, kō keʻokeʻo, nā wī keʻokeʻo…). 

Akā hiki ke hana ʻia i nā papaʻai kaulike ʻole e like me ka ʻai vegan, a i ʻole nā ​​hihia o anorexia nervosa i ka poʻe ʻōpio makua. Hiki i kekahi mau maʻi ke kumu o ka hemahema o ka wikamina B1 e like me hyperthyroidism, hoʻolōʻihi ʻia i loko o ka ʻōpū e like me ka wā o ka diarrhea mau a i ʻole ke kō ʻole o ke ake. Loaʻa wale ia i nā mea maʻi e ʻeha nei i ka lāʻau ʻalekohola a me ka cirrhosis o ke ake.

ʻO ka hemahema o ka Vitamin B1 e alakaʻi i ka hoʻohaʻahaʻa o nā ʻaoʻao āpau (neuropathy), o kekahi mau wahi o ka lolo (thalamus, cerebellum, a me nā mea ʻē aʻe) a hoʻoliʻiliʻi i ke kahe ʻana o ka cerebral e ka hoʻonui ʻana i ke kūpaʻa ʻana o nā kīʻaha koko cerebral i ke kahe o ke koko. Hoʻopili pū ia i ka puʻuwai, ka mea dilates a hana maikaʻi ʻole i kāna hana pump e ʻae i ke kahe o ke koko i loko o ke kino (puʻuwai puʻuwai). 

ʻO ka hope loa, hiki i kēia hemahema ke kumu i ka dilation o nā moku (vasodilation) e hoʻoulu ana i ka edema (ka pehu) o nā wāwae a me nā wāwae.

Ke akahai ka hemahema, hiki wale i kekahi mau hōʻailona kikoʻī ʻole e like me ka luhi (astenia akahai), huhū, hoʻoweliweli i ka hoʻomanaʻo a me ka hiamoe.

Akā ke ʻōlelo hou ia, aia kekahi mau hōʻailona ma ke ʻano o nā papa ʻelua.

I ke ʻano maloʻo me 

• symmetrical peripheral neuropathies (polyneuritis) ma nā ʻaoʻao ʻelua o nā lālā o lalo, me ke ʻano o ke kaniʻuhū ʻana, ke ahi, ka ʻū ʻana, ka ʻeha o nā wāwae;
• hoʻemi i ka noʻonoʻo o nā lālā o lalo (hypoaesthesia) keu hoʻi i nā haʻalulu, kahi manaʻo o ka ʻōpala;
• hoʻemi i ka nui o nā mākala (atrophy) a me ka ikaika o nā mākala e hana i ka paʻakikī i ka hele wāwae;
• hoʻemi a i ʻole ka hoʻopau ʻana o nā reflex tendon (Achilles tendon, patellar tendon, a pēlā aku);
• piʻi ka paʻakikī i kahi kūlana squatting i kahi kūlana kū;
• nā ʻōuli neurological me ka lōlō o ka neʻe ʻana o ka maka (Wernicke's Syndrome), ka hele paʻakikī ʻana, ka huikau o ka noʻonoʻo, ka paʻakikī i ka lawe ʻana i nā hanana (abulia), amnesia me ka ʻike wahaheʻe (Korsakoff Syndrome).

I ke ʻano pulu

• hōʻino ka puʻuwai me ka puʻuwai puʻuwai, hoʻonui ka nui o ka puʻuwai (tachycardia), ka nui o ka puʻuwai (cardiomegaly);
• hoʻonui i ke kaomi o ka aa jugular (i ka ʻāʻī);
• pōkole o ka hanu ma ka hoʻoikaika ʻana (dyspnea);
• edema o nā lālā lalo (nā wāwae, nā wāwae, nā keiki bipi).

Aia kekahi mau hōʻailona digestive i kēia mau ʻano koʻikoʻi me ka ʻeha o ka ʻōpū, nausea, luaʻi. 

ʻO ka hope loa, i nā pēpē, lilo ke keiki i ke kaupaona, kūlū a kani ʻole paha (ʻaʻole ʻē hou a ʻū iki paha), ʻeha ʻia i ka maʻi pākī a me ka luaʻi a paʻakikī ka hanu ʻana.

Lawe ʻia nā loiloi hou inā he kānalua o Beriberi e hōʻoia i ka hōʻoia a lawe i ke ana o ka hemahema (thiamine mono a me diphosphate). Hiki ke kuhikuhi ʻia ka Mākēneki Resonance Imaging (MRI) o ka lolo e ʻike i nā mea pono ʻole e pili ana i ka hemahema Vit B1 (nā leona bilateral o ka thalamus, cerebellum, cerebral Cortex, a pēlā aku.).

ʻO ka mālama ʻana i ka maʻi Beriberi ka mea kōkua vitamina B1 i ka wā hiki loa e pale aku ai i ka sequelae hiki ʻole ke hoʻoliʻiliʻi. Hiki ke hoʻokō ʻia nā lāʻau lapaʻau prophylaxis i nā kumuhana i ka makaʻu (nā kumuhana e ʻeha ana i ka waiʻona mau a me ka cirrhosis, nā mea maʻi maʻi e loaʻa ana i ka maʻi maʻi maʻi, a me nā mea ʻē aʻe).

ʻO ka mea hope loa, ʻo ka pale ʻana i kēlā me kēia lā i ka hoʻonui ʻana i kahi papaʻai like ʻole me nā legum (peas, beans, pīpī, a me nā mea ʻē aʻe), nā kīʻaha piha (laiki, berena a me ka palaoa āpau, a pēlā aku). …). Pono ʻoe e hōʻalo i ka laiki keʻokeʻo a me nā mea āpau e hoʻomaʻemaʻe ʻia e like me ke kō keʻokeʻo a hōʻoia i kahi hoʻomākaukau i ka lumi kuke e luku ʻole i nā wikamina i ka nui.