เหน็บชา อาการ สาเหตุ และการรักษาโรคเหน็บชา 9 วิธี !!

เหน็บชา อาการ สาเหตุ และการรักษาโรคเหน็บชา 9 วิธี !!



beriberi (Beriberi) or Vitamin B1 Deficiency Disease It is a common disease in some rural areas. especially in the north, northeastern region, is a group of symptoms that are mainly caused by vitamin B1 deficiency (Vitamin B1), which is a vitamin that the body cannot create on its own It must be obtained from food or supplements. Patients will have a variety of clinical symptoms depending on their age and the organs affected. Which can be divided into beriberi in children and beriberi in adults.

Vitamin B1 (Vitamin B1) or Thiamine (Thiamine) acts as a catalyst in the metabolism of carbohydrates, proteins and fats, causing energy for the body to function normally. It also plays an important role in the functioning of the nervous system. especially in the conduction of nerve conduction If the body does not get enough vitamin B1, it can cause beriberi (Vitamin B1 has a special property that is not toxic residues. If the body gets too much, it will be excreted immediately)

note : Beriberi mentioned in this article is not “beriberi” arising from the daily routine or lifestyle that is common This type of numbness is not very dangerous and can be solved by avoiding or changing the gestures that cause it.

  • numbness Refers to symptoms that any part of the organ is unable to fully feel the sensation. or temporarily impairs the sense of touch, such as numbness of the sensation of pain numbness to the senses of touch tea against heat and cold or numb to the point of feeling nothing
  • suppuration Refers to illnesses that are similar to or similar to symptoms of sitting on one’s legs for a long time, such as squatting for a long time The feet that have been folded and crushed for a long time cause pain and numbness. until sometimes they may be so weak that they can’t stretch their legs and can’t get up

Both of these symptoms may occur alone as a tingling or numbness. or may occur together as “beriberi” okay (The “Su” or “Suza” that appears when goosebumps is not considered beriberi. unless there is beriberi occur together)

Most people understand that Beriberi is a disease that can be found in people who are very emaciated. But in fact, in general people are sick with this disease as well. Because of eating habits that are lacking in vitamin B1, either from eating only rice, various junk foods, or foods that contain substances that destroy vitamin B1

Causes of beriberi

  • Beriberi is often caused by insufficient intake of vitamin B1. Especially in those who like to eat milled rice that has less vitamin B1, as well as washing and cooking rice with water. This will cause the loss of vitamin B1 further. Foods high in vitamin B1, such as meat or nuts, eat less.
  • Caused by eating foods that have substances that destroy or inhibit the absorption of vitamin B1 too much For example, tea leaves, Miang leaves, betel nuts, pickled fish, raw orange fish, raw fermented pork, raw clams, raw freshwater fish, sard, etc.
  • caused by a condition in which the body’s metabolism increases The body therefore needs more vitamin B1. such as in pregnant women lactating women children in the growing age manual labor or hard work (Especially workers and farmers) patients with high fever infectious disease People with overactive thyroid, etc.
  • It can also be caused by other causes, such as from diseases or surgery on the gastrointestinal tract, dialysis, alcoholism. (Alcoholism), people with genetic deficiencies, etc.

People at risk of beriberi

  • pregnant woman
  • women with young children who need to breastfeed
  • Infants who are exclusively breastfed where the mother is deficient in vitamin B1 or has beriberi (This makes the milk insufficient for the baby) or a breastfed infant that does not contain vitamin B1.
  • children of growing up
  • Physically stubborn people who have to work hard or work hard, such as laborers, farmers, athletes, as well as prison inmates. and fishermen who have been out at sea for a long time
  • elderly
  • Those who eat a lot of starchy foods and sugar. but eat a diet low in vitamin B1
  • People who eat foods containing vitamin B1 inhibitors or certain foods that produce enzymes that inhibit the activity of vitamin B1.
  • People with chronic liver disease such as cirrhosis, which prevents the liver from being able to utilize vitamin B1.
  • people with kidney disease need dialysis and have to take large doses of diuretics
  • those who have been inherited This results in a lack of ability to absorb vitamin B1 from food, which symptoms may manifest as an adult.
  • people who drink alcohol regularly Because alcohol has the effect of reducing the absorption of vitamin B1 and increasing the excretion of vitamin B1 from the body. causing the body to absorb and not store enough vitamin B1
  • people with alcoholism Due to insufficient intake of vitamin B1, together with poor intestinal absorption and the liver is not working well (cirrhosis)
  • chronic patient
  • patients with high fever an infectious disease or have an overactive thyroid gland May cause a condition in which the body has an increased metabolism. The body therefore needs more vitamin B1.

Symptoms of beriberi

  • beriberi in children Infantile beriberi is most common in infants between the ages of 2-6 months. It can be found in breastfed infants and mothers fed a vitamin B1 deficient diet or starved of slang, although certain foods are nutritious. or the mother has beriberi Babies are often brought to the doctor with one or more of these symptoms, such as: Green face, cyanosis, shortness of breath, swollen body, swollen legs, enlarged heart, fast heartbeat hoarse or no sound In some cases, nystagmus, drooping eyelids, seizures, or loss of consciousness may occur if not treated properly. It can cause death within 2-3 hours.
    What is beriberi caused by?
  • Beriberi in adults (Adult beriberi) In the early stages or with mild symptoms, the patient will feel tired, easily tired, anorexia, constipation, flatulence, numbness, memory loss, but on physical examination, no abnormalities are found. later when it became more which the patient will feel numbness at the tip of the hand and foot There may be a burning pain and a tingling sensation as well, often at the same time on both sides. Some patients may experience cramps. Pain in the calf muscles weak limbs And if it is a lot, there may be paralysis. The patients who are caused by alcoholism. Patients will have strabismus, squint due to paralysis of the eye movement muscles. Ataxia and mental disorders This can cause unconsciousness to death. Beriberi in adults can be divided into three types:
    1. Dry beriberi (Beriberi, emaciated type) The patient will have numbness without swelling. Often numbness at the tip of the hands and feet The limb muscles are weak. The test may be performed by having the patient squat and then get up on their own. which the patient cannot (affects the peripheral nervous system)
      beriberiBeriberi is deficient in what vitamins?
    2. Wet beriberi (Wet beriberi) Patients will have swelling along with numbness of the hands and feet. Congestion in the abdomen and lungs In some patients may experience shortness of breath. The heart is growing and beating fast. heart attack If not treated promptly the patient will die (affects the heart (Cardiovascular system) and other systems of the body)
      Beriberi is caused byberiberi remedy
    3. Wernicke-Korsakoff syndrome It is more common in patients with alcoholism. Patients will have three brain symptoms: little or no eye movement, staggered gait, and mental disorders. Most of them have a psychosis known as Korsakoff’s psychosis.

Complications caused by beriberi

  • Psychosis
  • coma
  • Congestive heart failure
  • died

beriberi diagnosis

  • in infants Shortness of breath, cyanosis, swollen legs, ptosis, twitching of the eye, less or no reflexes of the joints may be detected. and may detect heart failure such as enlarged liver, pulse more than 130 beats per minute, swelling, using a stethoscope to examine the lungs and a rustling sound
  • in older children and adults May detect numbness of the limbs, weakness (tested by having the patient squat where the patient is unable to stand up) or paralysis. For the reflex of that joint in the early stages will be faster than usual. But in the later stages it may be less than usual or not at all. Patients with severe symptoms will also have heart attacks, such as shortness of breath, swollen feet, unable to lie down, rapid pulse, enlarged liver, using a stethoscope to check the lungs with a cracking sound (Crepitaton), etc.

How to treat beriberi

  • Your doctor will prescribe 10-20 mg of vitamin B1 by ingestion or injection 2-3 times a day for 2 weeks (patients with alcoholism. The injection type should be used at a dose of 100 mg per day. consecutively for 5-7 days), after that, orally at a dose of 10 mg per day. for several weeks (Your doctor may continue to do blood tests to see if your body is responding to vitamin B1 as well.)
  • In those suspected of having a heart attack The doctor will inject vitamin B1 at a dosage of 25-50 mg and a diuretic such as ½ – 1 ampoule of furosemide, and if necessary, X-rays, blood tests and other special tests may be required. heart attack treatment
  • The disease may be seen in heavy laborers or physically stubborn men. People who eat large amounts of white rice alone but do not have vitamin B1 and eat foods that are low in vitamin B1 can cause vitamin B1 deficiency. Your doctor will give you immediate treatment with vitamin B1, including changing your eating habits.

Patients with beriberi who did not receive treatment often died. But if the symptoms are treated, they usually go away quickly. However, if the patient has acute heart failure, it is difficult to treat. And like the nervous system, it can be restored if treated early. but if left untreated in the first place Some symptoms, such as amnesia, will persist. even after receiving treatment

How to prevent beriberi

  • Should eat nutritious food that completes 5 food groups and a variety, especially foods that are high in vitamin B1 such as Lean pork, fish, liver, kidneys, milk, egg yolks, brown rice, oats, barley, wheat germ, rice bran, husks, whole grains, whole grains, nuts (e.g. soybeans, peanuts, green beans, black beans, red beans, lentils) Green) Brewer’s yeast, vegetables, asparagus, mushrooms, watermelon, orange juice etc., especially in pregnant women. women with young children who need to breastfeed and those who have to work hard Make sure you’re getting enough vitamin B1 food (for adults, the recommended daily intake is 1-1.5mg and 1.5-1.6mg for pregnant and lactating women).

  • People who like to drink alcohol should stop or reduce the amount. do not drink regularly To ensure that the body receives and accumulates enough vitamin B1
  • Should eat brown rice or brown rice instead of white rice that has been colored from the factory. And should cook rice without wiping water or washing rice several times. to get the maximum amount of vitamin B1 (Washing the rice and cooking it with water will lose about 50% of vitamin B1. Soaking the glutinous rice overnight. Drain and steam lose about 60% of vitamin B1, cooking meat can lose about 25-85% of vitamin B1, while boiling vegetables can lose up to 60% of vitamin B1. )
  • Reduce food intake with substances that destroy or inhibit the absorption of vitamin B1, such as Tea, coffee, Miang leaves, betel nuts, pickled fish, raw orange fish, raw fermented pork, raw clams, raw freshwater fish, satirical color etc. But if it is unavoidable, it should be cooked first. especially fish or to drink tea or chew Miang leaves or betel nuts during meals. Do not take immediately after meals. (Some fish and shellfish have an enzyme called Thiaminase, which has the ability to degrade vitamin B1, which cooked to help solve this problem. Tea, coffee, betel nut, betel nut contains Tannic acid and Caffeic acid, which are powerful. inhibits the absorption of vitamin B1)
  • for school Nurseries, old people and prisons or detention centers Should provide brown rice to eat. Adjust food items to be diverse, cooked, fresh, and complete in all 5 groups.
  • If an outbreak occurs, the health office should be notified for an investigation of the disease and a nutrition screening plan is in place.

beriberi food

Related Matters
  1. Textbook of general medical examination 2. “Beriberi/Vitamin B1 Deficiency (Beri-beri)”. (Dr. Surakiat power Pages 839-841.
  2. Medical Nutrition and Biochemistry Unit, Faculty of Medicine Ramathibodi Hospital Mahidol University. “Vitamin B deficiency can be fatal.”. (Dr. Sriwattana Songchitsomboon). [ออนไลน์]. Accessed from : [29 มี.ค. 2016].

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Compiled by the Maid Thai website (Medthai)