{"id":26539,"date":"2025-06-24T13:51:38","date_gmt":"2025-06-24T11:51:38","guid":{"rendered":"https:\/\/www.clinica-sante.com\/ro\/analize-fara-categorie\/vitamina-b12\/"},"modified":"2026-03-17T12:32:39","modified_gmt":"2026-03-17T10:32:39","slug":"vitamina-b12","status":"publish","type":"product","link":"https:\/\/www.clinica-sante.com\/ro\/analize-diverse-vitamine-oligoelemente\/vitamina-b12\/","title":{"rendered":"Vitamina B12"},"content":{"rendered":"<p><b>1. Descriere general\u0103<\/b><\/p>\n<p>Vitamina B12 (cobalamina) este o vitamin\u0103 hidrosolubil\u0103, esen\u021bial\u0103 pentru regenerarea celular\u0103 \u0219i metabolismul energetic. Aceasta este implicat\u0103 \u00een formarea corect\u0103 a eritrocitelor, globulele ro\u0219ii ale s\u00e2ngelui, sinteza ADN-ului \u0219i func\u021bionarea normal\u0103 a sistemului nervos, av\u00e2nd rol \u00een protec\u021bia fibrelor nervoase.<br \/>\n<br \/>Principalele surse ale vitaminei B12 sunt produsele de origine animal\u0103, precum carnea, \u00een special carnea ro\u0219ie \u0219i organele, pe\u0219tele, fructele de mare, lactatele \u0219i ou\u0103le. Sursele vegetale includ alimente \u00eembog\u0103\u021bite cu vitamina B12, cum ar fi cerealele fortificate sau laptele vegetal fortificat.<br \/>\n<br \/>Vitamina B12 se absoarbe cu ajutorul unei proteine specifice produs\u0103 la nivelul stomacului, numit\u0103 factor intrinsec. Factorul intrinsec protejeaz\u0103 vitamina B12 de acidul din stomac \u0219i faciliteaz\u0103 transportul \u0219i absorb\u021bia acesteia \u00een organism.<br \/>\n<br \/>Determinarea vitaminei B12 \u00een s\u00e2nge evalueaz\u0103 nivelul circulant al vitaminei \u0219i este util\u0103 \u00een diagnosticul deficitului de B12, o cauz\u0103 frecvent\u0103 de anemie megaloblastic\u0103 \u0219i simptome neurologice (parestezii, tulbur\u0103ri de mers, tulbur\u0103ri cognitive).<\/p>\n<p><b>2. Indica\u021bii testare<\/b><span style=\"font-size: 2vh\"><br \/><\/span><\/p>\n<ul>\n<li>Condi\u021bii sau afec\u021biuni care pot determina deficit de vitamina B12:\n<ul>\n<li>Alimenta\u021bie deficitar\u0103, diete restrictive (vegane\/ vegetariene)<\/li>\n<li>Chirurgie bariatric\u0103, rezec\u021bii gastrice sau intestinale<\/li>\n<li>Boli digestive ce pot determina malabsorb\u021bie: boala celiac\u0103, boala Crohn, gastrita atrofic\u0103<\/li>\n<li>Consum excesiv de alcool<\/li>\n<li>Tratament cronic cu medicamente ce pot sc\u0103dea absorb\u021bia vitaminei B12: metformin, inhibitori de pomp\u0103 de protoni\/ blocan\u021bi de receptori H2<\/li>\n<\/ul>\n<\/li>\n<li>Diagnosticul anemiei megaloblastice (VEM crescut) sau anemiilor de cauz\u0103 neclar\u0103, \u00een special \u00een prezen\u021ba simptomelor precum oboseal\u0103, paloare, ame\u021beli<\/li>\n<li>Suspiciune de anemie pernicioas\u0103 (deficit de factor intrinsec)<\/li>\n<li>Simptome neurologice: furnic\u0103turi\/ amor\u021beli la nivelul membrelor, sl\u0103biciune, instabilitate la mers, tulbur\u0103ri de memorie sau concentrare<\/li>\n<li>Monitorizarea tratamentului cu vitamina B12 (oral sau injectabil)<\/li>\n<li>Evaluarea hiperhomocisteinemiei sau altor tulbur\u0103ri de metabolism al folatului\/ B12<\/li>\n<\/ul>\n<p><b>3. Preg\u0103tire pacient<br \/>\n<\/b><\/p>\n<ul>\n<li>Se recomand\u0103 recoltarea diminea\u021ba a jeun (pe nem\u00e2ncate), \u00een special dac\u0103 analiza este efectuat\u0103 \u00eempreun\u0103 cu alte teste metabolice.<\/li>\n<li>Se recomand\u0103 informarea medicului despre tratamentele actuale.<\/li>\n<\/ul>\n<p><b>4. Tipul probei recoltate<\/b><\/p>\n<ul>\n<li><b><\/b>S\u00e2nge venos<\/li>\n<\/ul>\n<p><b>5. Valori de referin\u021b\u0103<\/b><\/p>\n<p>Valorile de referin\u021b\u0103 pot varia \u00een func\u021bie de laborator.<br \/>\n<br \/>Valorile normale variaz\u0103 \u00een func\u021bie de v\u00e2rst\u0103 \u0219i starea fiziologic\u0103.<\/p>\n<ul>\n<li>La adul\u021bi: 200-800 pg\/mL<\/li>\n<\/ul>\n<p><b>6. Interpretare rezultate<\/b><\/p>\n<p><b>Valori sc\u0103zute <\/b>\u2013 indic\u0103 deficit de vitamina B12, care poate avea diferite cauze:<\/p>\n<ul>\n<li>Aport alimentar insuficient (diet\u0103 vegan\u0103\/ vegetarian\u0103 strict\u0103, malnutri\u021bie)<\/li>\n<li>Malabsorb\u021bie (boal\u0103 celiac\u0103, boal\u0103 Crohn, gastrit\u0103 atrofic\u0103)<\/li>\n<li>Anemie pernicioas\u0103 (deficit de factor intrinsec)<\/li>\n<li>Chirurgie bariatric\u0103 sau alte rezec\u021bii gastrice\/ intestinale<\/li>\n<li>Tratament cronic cu medicamente care pot reduce absorb\u021bia (metformin, inhibitori ai pompei de protoni, blocan\u021bi ai receptorilor H2).<\/li>\n<\/ul>\n<p><b>Valori crescute<\/b> \u2013 pot ap\u0103rea \u00een urm\u0103toarele situa\u021bii:<\/p>\n<ul>\n<li>Suplimentare cu vitamina B12 recent\u0103 (oral\u0103\/ injectabil\u0103)<\/li>\n<li>Unele afec\u021biuni hepatice (eliberare crescut\u0103 din depozite, metabolizare sc\u0103zut\u0103)<\/li>\n<li>Boli renale (sc\u0103derea elimin\u0103rii vitaminei).<\/li>\n<\/ul>\n<p>O valoare crescut\u0103, izolat, nu confirm\u0103 automat o problem\u0103; se interpreteaz\u0103 \u00een context clinic \u0219i \u00een corela\u021bie cu alte investiga\u021bii.<\/p>\n<p><b>7. Factori care pot influen\u021ba rezultatul<\/b><\/p>\n<ul>\n<li>Suplimentele cu biotin\u0103 \u00een doze mari \u2013 pot interfera cu metoda de dozare, determin\u00e2nd rezultate eronate<\/li>\n<li>Afec\u021biunile hepatice \u0219i renale cronice \u2013 pot modifica nivelul circulant, iar interpretarea rezultatelor depinde de contextul clinic<\/li>\n<\/ul>\n<p><b>8. Analize complementare<\/b><b><br \/><\/b><\/p>\n<ul>\n<li><b><a href=\"https:\/\/www.clinica-sante.com\/ro\/analize-hematologie\/hemoleucograma-completa\/\" target=\"_blank\">Hemoleucogram\u0103 complet\u0103<\/a><\/b> \u2013 pentru identificarea anemiilor<\/li>\n<li><b><a href=\"https:\/\/www.clinica-sante.com\/ro\/analize-diverse-vitamine-oligoelemente\/acid-folic-folat-seric\/\" target=\"_blank\">Acid folic<\/a><\/b> \u2013 pentru diferen\u021bierea cauzelor de anemie megaloblastic\u0103<\/li>\n<li><b><a href=\"https:\/\/www.clinica-sante.com\/ro\/analize-biochimie\/sideremie\/\" target=\"_blank\">Sideremie<\/a>, <a href=\"https:\/\/www.clinica-sante.com\/ro\/analize-biochimie\/feritina\/\" target=\"_blank\">feritin\u0103<\/a>, <a href=\"https:\/\/www.clinica-sante.com\/ro\/analize-biochimie\/transferina\/\" target=\"_blank\">transferin\u0103<\/a>, <a href=\"https:\/\/www.clinica-sante.com\/ro\/analize-biochimie\/ctlf-capacitatea-totala-de-legare-a-fierului\/\" target=\"_blank\">CTLF<\/a><\/b> \u2013 pentru evaluarea anemiilor mixte<\/li>\n<li><b><a href=\"https:\/\/www.clinica-sante.com\/ro\/analize-boli-autoimune\/anticorpi-anti-factor-intrinsec\/\" target=\"_blank\">Anticorpi anti-factor intrinsec<\/a> \u0219i\/sau <a href=\"https:\/\/www.clinica-sante.com\/ro\/analize-boli-autoimune\/anticorpi-anti-celula-parietala-gastrica\/\" target=\"_blank\">anti-celul\u0103 parietal\u0103 gastric\u0103<\/a><\/b> \u2013 pentru diagnosticul anemiei pernicioase \u0219i evaluarea atrofiei gastrice<\/li>\n<li><b><a href=\"https:\/\/www.clinica-sante.com\/ro\/analize-biochimie\/homocisteina\/\" target=\"_blank\">Homocistein\u0103<\/a><\/b> \u2013 valori crescute pot indica deficit al vitaminei B12.<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Vitamina B12 are rol fundamental \u00een sinteza de ADN, formarea globulelor ro\u0219ii \u0219i func\u021bionarea optim\u0103 a sistemului nervos. Deficitul poate determina anemie megaloblastic\u0103 \u0219i neuropatii periferice. Analiza este indicat\u0103 pentru diagnosticul deficitului de vitamina B12, \u00een evaluarea anemiilor megaloblastice \u0219i a tulbur\u0103rilor neurologice, precum \u0219i pentru monitorizarea pacien\u021bilor cu risc de deficit (aport alimentar insuficient, malabsorb\u021bie, chirurgie bariatric\u0103).<\/p>\n","protected":false},"featured_media":0,"template":"","meta":{"_acf_changed":false,"inline_featured_image":false},"product_brand":[],"product_cat":[1209,3183,2876],"product_tag":[3905,3980,3977,3979,3978,3981],"class_list":{"0":"post-26539","1":"product","2":"type-product","3":"status-publish","5":"product_cat-analize","6":"product_cat-diverse-vitamine-oligoelemente","7":"product_cat-serviciu-laborator","8":"product_tag-anemie-megaloblastica","9":"product_tag-anemie-pernicioasa","10":"product_tag-b12","11":"product_tag-deficit-de-vitamina-b12","12":"product_tag-malabsorbtie","13":"product_tag-vem-crescut","14":"pa_conditii-medicale-afecti-anemii-feripriva-megaloblastica","15":"pa_conditii-medicale-afecti-boala-celiaca","16":"pa_conditii-medicale-afecti-boli-inflamatorii-intestinale-rectocolita-ulcerohemoragica-boala-crohn","17":"pa_conditii-medicale-afecti-gastrite-infectioase-autoimuna-ulcer","18":"pa_conditii-medicale-afecti-neuropatie-periferica","20":"first","21":"instock","22":"sale","23":"virtual","24":"purchasable","25":"product-type-simple"},"acf":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.clinica-sante.com\/ro\/wp-json\/wp\/v2\/product\/26539","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.clinica-sante.com\/ro\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/www.clinica-sante.com\/ro\/wp-json\/wp\/v2\/types\/product"}],"wp:attachment":[{"href":"https:\/\/www.clinica-sante.com\/ro\/wp-json\/wp\/v2\/media?parent=26539"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/www.clinica-sante.com\/ro\/wp-json\/wp\/v2\/product_brand?post=26539"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/www.clinica-sante.com\/ro\/wp-json\/wp\/v2\/product_cat?post=26539"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/www.clinica-sante.com\/ro\/wp-json\/wp\/v2\/product_tag?post=26539"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}