Vitamin B Complex in Psychiatry
| Autor: | Daniela Bundalo, Azijada Srkalović Imširagić |
|---|---|
| Jazyk: | chorvatština |
| Rok vydání: | 2013 |
| Předmět: | |
| Zdroj: | Medicus Volume 22 Issue 2_Respiratorni_Konti |
| ISSN: | 1848-8315 1330-013X |
| Popis: | U ovome preglednom radu opisana su potencijalna djelovanja vitamina skupine B u ovim psihijatrijskim entitetima: depresiji, shizofreniji i alkoholizmu. Manjak vitamina B2 (ribofl avina) povezan je s razvojem depresije, a njegov nedostatak jedna od najčešćih hipovitaminoza u prehrani našeg stanovništva koja se povezuje s nedovoljnom potrošnjom mlijeka i mliječnih proizvoda. Uz nutritivni defi cit folata, malapsorpcija vitamina B12 česta je pojava i može biti povezana s patofi ziologijom shizofrenije. Zlouporaba alkohola i alkoholni sindrom sustezanja povezani su s više neuropsihijatrijskih sindroma od kojih su neki etiološki vezani za nedostatak vitamina B-grupe i stoga nadoknada tih vitamina ima važnu ulogu u profi laksi i liječenju ovih sindroma. Ovo je posebno važno za prevenciju Wernickeove encefalopatije. Zato se za prevenciju razvoja Wernickeove encefalopatije preporučuje pri prijmu u intenzivnu njegu svim osobama koje su pod rizikom od razvoja te bolesti prije primjene glukoze ili drugih ugljikohidratnih otopina dati parenteralno 200 mg tiamina. U nekim se zemljama kod svih pacijenata s epileptičkim statusom parenteralno daje tiamin prije bilo koje infuzije ugljikohidrata. Za primjenu u alkoholizmu peroralni pripravak vitamina B (Plibex) ima i registriranu indi kaciju koja glasi: liječenje hipovitaminoze i avitaminoze (beriberi, aribofl avinoza, pelagra); bolesti kože, neuritisa, neuralgija, polineuritisa i kardiomiopatije zbog nedostatka vitamina u kroničnih alkoholičara. This paper describes potential eff ects of vitamin B complex in the following psychiatric entities: depression, schizophrenia and alcoholism. Vitamin B2 (ribofl avin) defi ciency is associated with depression and is one of the most frequent hypovitaminoses related with the insuffi cient consumption of milk and dairy products. Along with nutritional folate defi ciency, vitamin B 12 malabsorption is common and may be related to the pathophysiology of schizophrenia. Alcohol abuse and alcohol withdrawal syndrome are related with a number of neuropsychiatric syndromes, some of which are etiologically related with vitamin B complex defi ciency. Consequently, the replacement of vitamin B complex plays an important role in the prophylaxis and treatment of these syndromes. This is especially important in the prevention of Wernicke’s encephalopathy. Consequently, in order to prevent Wernicke’s encephalopathy in risk patients admitted to intensive care units, the parenteral administration of 200 mg of thiamine is recommended before that of glucose or other carbohydrate solutions. In some countries, thiamine is administered parenterally before any carbohydrate infusion to all epileptic patients. The registered indication of the oral preparation of vitamin B (Plibex) in alcoholism is: treatment of hypovitaminosis and avitaminosis (beriberi, aribofl avinosis, pellagra); skin diseases, neuritis, neuralgia, polyneuritis and cardiomyopathy due to vitamin defi ciency in chronic alcoholism. |
| Databáze: | OpenAIRE |
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