Iron inoshaya anemia, mhedzisiro yekushaikwa kwesimbi

Anemia inoratidzwa nekuderera kwehuwandu hwemasero matsvuku eropa muropa kana mune yavo hemoglobin. Zviratidzo zvikuru, kana zviripo, kuneta, ruvara rwakacheneruka uye kuwedzera kupfupika kwekufema pakushanda.

Iron inoshaya anemia inoitika nekuda kwe kutadza kwesimbi. Iron inosunga ku“heme” pigment yehemoglobin inoendesa oxygen kumasero emuviri. Oxygen inokosha kuti masero abudise simba uye aite mabasa awo.

Iron inoshaya anemia inowanzokonzerwa ne kurasikirwa neropa yakaoma kana isingarapiki kana nea kushaya iron mukudya. Chokwadi, muviri haugone kugadzira iron uye saka unofanirwa kuitora kubva muchikafu. Kunyanya kashoma, zvinogona kunge zviri nekuda kwematambudziko nekushandiswa kwesimbi mukugadzira hemoglobin.

Zviratidzo zvekushaya iron anemia

Vanhu vazhinji vane iron kushomeka kupererwa neropa zvishoma usazviona. Zviratidzo zvinowanzoenderana nekuti kupererwa neropa kwakakurumidza sei. Kana kupererwa neropa kunoonekwa zvishoma nezvishoma, zviratidzo zvacho hazvinyanyi kuoneka.

• Kuneta kusingawanzoitiki
• Pale pepa
• Kurova kwekukurumidza
• Kupfupika kwekufema kunonyanya kuoneka pakushanda nesimba
• Maoko anotonhora nemakumbo
• Headaches
• Chizutu
• Kuderera kwekuita kwenjere

Vanhu vari panjodzi

• Vakadzi vezera rekubereka vane jeko yakawanda kwazvo, nokuti kune kurasikirwa kwesimbi muropa rekuenda kumwedzi.
• The vakadzi vane pamuviri neavo vane mimba dzakawanda uye dzinenge dziri pedyo nepakati.
• The Adolescents.
• The vana uye, kunyanya kubva pamwedzi mitanhatu kusvika kumakore mana.
• Vanhu vane chirwere chinokonzera iron malabsorption: chirwere cheCrohn kana chirwere chechiliac, somuenzaniso.
• Vanhu vane dambudziko rehutano rinokonzera kurasikirwa kweropa risingaperi muchituru (chisingaonekwi neziso): peptic ulcer, benign colon polyps kana colorectal cancer, semuenzaniso.
• The vanhu venyama, kunyanya kana vasingadye chero chigadzirwa chemhuka (vegan diet).
• The vacheche vasina kuyamwiswa.
• Vanhu vanogara vachidya zvimwe Pharmaceuticals, senge proton pump inhibitor-type antacids yekuzorodza chirungurira. Asidhi yemudumbu inoshandura iron iri muchikafu kuita chimiro chinogona kutorwa nemudumbu. Aspirin uye nonsteroidal anti-inflammatory drugs zvinogona kukonzera kubuda ropa mudumbu kwenguva refu.
• Vanhu vanotambura nekutadza kwetsvo, kunyanya avo vari padialysis.

Kuwanda

Iron inoshaya anemia ndiyo nzira yeanemia Yakawanda kwazvo. Vanopfuura 30% yehuwandu hwepasi rose vane anemia, maererano neWorld Health Organisation¹. Hafu yezviitiko izvi zvinotendwa kuti zvakakonzerwa nekushaya iron, kunyanya munyika dzichiri kusimukira.

MuNorth America neEurope, zvinofungidzirwa kuti 4% kusvika 8% yevakadzi vezera rekubereka vana kushomeka mukati Fer³. Zvinofungidzirwa zvinogona kusiyana nekuti maitiro anoshandiswa kutsanangura kushomeka kwesimbi haana kufanana kwese kwese. Muvarume nevakadzi postmenopausal, kushomeka kwesimbi kuri kushoma.

MuUnited States neCanada, zvimwe zvinogadzirwa zvekudya zvakanatswa, zvakadai sefurawa yegorosi, zviyo zvemangwanani, mupunga wakabikwa kare, uye pasta. simbi yakasimbiswa kuitira kudzivirira kukanganisa.

chirwere

Sezvo zviratidzo zveiron kushomeka kupererwa neropa zvinogona kunge zvichikonzerwa nerimwe dambudziko rehutano, kuongororwa murabhoritari yesampuli yeropa kunofanirwa kuitwa kuongororwa kusati kwaitwa. Kuwanda kweropa rakazara (kuverengwa kweropa rakazara) kunowanzorongedzerwa nachiremba.

Zvese izvi Matanho gumi anogona kuona anemia. Muchiitiko chekushayikwa kwesimbi anemia, zvinotevera zvinobuda pasi pezvakajairika.

• Hemoglobin level : kuwanda kwehemoglobin muropa, inoratidzwa mumagiramu ehemoglobin parita yeropa (g / l) kana pa100 ml yeropa (g / 100 ml kana g / dl).
• Iyo hematocrit level : reshiyo, inotaridzwa sechikamu, yevhoriyamu inogarwa nemasero matsvuku eropa esampuli yeropa (yakapfuura nepakati) kusvika kuhuwandu hweropa rose riri mumuenzaniso uyu.
• Kuwanda kwemasero matsvuku eropa : nhamba yemasero matsvuku eropa rakapiwa, rinowanzoratidzwa mumamiriyoni emasero matsvuku eropa pamicrolita yeropa.

Zvakajairwa tsika

taura pfungwa. Aya maitiro anoenderana neyakajairwa ye95% yevanhu. Izvi zvinoreva kuti 5% yevanhu vane "zvisiri-standard" hunhu vachiri hutano hwakanaka. Mukuwedzera, zvigumisiro zviri pamiganhu yakaderera yezvakajairwa zvinogona kuratidza kutanga kweanemia kana kazhinji kazhinji yakakwirira.

Kumwe kuongorora ropa kunoita kuti zvikwanisike simbisa kuongororwa ane iron inoshaya anemia:

• Chiyero che transferrin : transferrin ipuroteni inokwanisa kugadzirisa iron. Inoitakura kuenda kumatishu uye nhengo. Zvinhu zvakasiyana-siyana zvinogona kukanganisa iyo transferrin level. Muchiitiko chekushayikwa kwesimbi, iyo transferrin level inowedzera.
• Chiyero che serum iron : chiyero ichi chinoita kuti zvikwanise kutarisa kana kuwedzera kweyero yetransferrin kunokonzerwa nekushaikwa kwesimbi. Inonyatsoona huwandu hwesimbi inotenderera muropa.
• Chiyero che ferritin : inopa fungidziro yematura esimbi. Ferritin ipuroteni inoshandiswa kuchengetedza iron muchiropa, spleen uye bone marrow. Muchiitiko chekushayikwa kwesimbi, kukosha kwayo kunoderera.
• Kuongorora a ropa smear ne hematologist, kuona hukuru uye chitarisiko chemasero matsvuku eropa. Mukushaikwa kwesimbi anemia, aya madiki, akacheneruka uye akasiyana zvakanyanya muchimiro.

taura pfungwa. normal hemoglobin level sezvingabvira rakasiyana pamunhu nomunhu uye boka redzinza neboka. Chiyero chakavimbika kwazvo chingave chemunhu, anodaro Marc Zaffran, chiremba. Saka, kana tikawana panguva imwe chete musiyano wakakura pakati pebvunzo dze2 dzakaitwa panguva dzakasiyana et kuvapo kwe zviratidzo (kupenya, kutadza kufema, kurova kwemoyo nekukurumidza, kuneta, kubuda ropa kwekugaya, zvichingodaro), izvi zvinofanirwa kutariswa nachiremba. Nekune rumwe rutivi, munhu anoratidzika kuva ane anemia iri pakati nepakati zvichienderana nechiyero chehemoglobin yeropa asi asina zviratidzo haadi hake kunwa iron, kunyanya kana mhedzisiro yeropa yakagadzikana kwemavhiki akati wandei, anotsanangura Marc Zaffran.

Zvinogona kuitika

Mild anemia haina mhedzisiro yehutano yakakura. Kana pasina mamwe matambudziko ehutano, zviratidzo zvemuviri pakuzorora zvinongonzwika kune hemoglobin kukosha pasi pe 80 g / l (kana anemia yaisa zvishoma nezvishoma).

Zvisinei, kana ikasiyiwa isina kurapwa, kuwedzera kwayo kunogona kutungamirira kumatambudziko makuru:

• ye matambudziko emoyo : kuwedzera kwekuedza kunodiwa kwemhasuru yemwoyo, iyo chiyero chekugadzirisa chinowedzera; munhu ane coronary artery disorder ari panjodzi yakawedzerwa ye angina pectoris.
• nokuti vakadzi vane pamuviri : njodzi yakawedzera yekuzvarwa nguva isati yakwana uye vacheche vane uremu hushoma.