ICD code rau chronic iron deficiency anemia - D50.
Iron deficiency tuaj yeem ua rau muaj ntau yam teeb meem, xws li qaug zog thiab khaus plaub hau mus rau anemia. Muaj coob tus neeg tsis txaus nyob rau hauv no micronutrient yam tsis paub txawm nws. Yog li, yuav ua li cas koj thiaj paub txog cov hlau tsis muaj peev xwm mob ntshav qab zib? Koj yuav ua li cas nrog nws? Peb mam li tham txog qhov no tom qab.
Iron deficiency hauv lub cev: nws yog dab tsi?
Hais txog xya caum feem pua ntawm tag nrho cov anemias tshwm sim vim tsis muaj hlau. Vim yog qhov me me ntawm cov kab no, hemoglobin molecules tsis raug tsim tawm. Yog li ntawd, tib neeg cov ntshav nqa oxygen tsawg dua. Hlau deficiency hauv cov ntaub so ntswg ua rau muaj teeb meem nrog plaub hau, tawv nqaij, lub plawv, thiab ntxiv rau, nrog rau kev zom.
Raws li kev txheeb xyuas kev kho mob, mob ntshav tsis txaus hlau tsis txausze li ob txhiab tus neeg raug cuam tshuam. Ib tug zais deficiency ntawm lub ntsiab yog pom nyob rau hauv peb billion. Feem ntau, anemia tshwm sim rau cov poj niam thaum lub sij hawm fertility, thiab ntxiv rau, nyob rau hauv cov poj niam cev xeeb tub thiab cov hluas.
Cov tsos mob ntev
Txawm tias ua ntej pib mob ntshav qab zib tsis txaus, tib neeg pom cov cim tshwj xeeb. Yeej, cov plaub hau, hnyuv, tawv nqaij thiab lub plawv cov leeg raug cuam tshuam nrog rau lub paj hlwb. Nyob rau hauv tas li ntawd, yog tias koj npaj cov tsos mob ntawm cov hlau deficiency los ntawm feem ntau mus rau qhov tsawg tshaj plaws, koj tau txais cov npe hauv qab no:
- Ntxhais tawv nqaij qhuav thiab nkig txheej rau tes.
- Split xaus nrog rau lawv txoj kev loj hlob qeeb.
- Kev qaug zog, asthenia thiab qaug zog, thiab nrog nws pallor.
- Saj tsis haum nrog rau lub siab xav noj chalk, pleev xim thiab lwm yam.
- Muaj tsw txawv txawv rau tsw.
Tawm tsam keeb kwm yav dhau los ntawm kev txo qis hauv hemoglobin, muaj cov cim qhia ntawm oxygen deficiency nyob rau hauv daim ntawv ntawm kiv taub hau thiab ua tsis taus pa. Feem ntau txhawj xeeb txog palpitations nrog tinnitus nyob rau hauv chronic iron deficiency anemia.
Severities and stages
Qhov tsis muaj qhov tseem ceeb xws li cov cim tseem ceeb nce zuj zus, dhau los ntawm ntau theem. Thawj theem yog hu ua prelatent. Nyob rau theem no, hlau tau noj ntau dua li nws nkag mus rau hauv lub cev, txawm li cas los xij, nws cov khoom khaws cia hauv cov ntaub so ntswg tseem muaj txaus. Xws li qhov tsis txaus yog qhov yooj yim los kho yog tias koj hloov koj cov khoom noj. Koj tuaj yeem siv txhua yam kev noj zaub mov ntxiv nrog rau kev noj zaub mov tshwj xeeb. Kev tiv thaiv zoo ib yamNws yeej yuav pab kho cov khoom ntawm cov kab mob thiab tiv thaiv kev loj hlob ntawm anemia.
Yog tias qhov tsis txaus tsis tau muab tshem tawm, cov hlau tshwj xeeb tau maj mam depleted. Tawm tsam keeb kwm yav dhau los no, qib ntawm hemoglobin tsis hloov pauv, tab sis cov cim tshwj xeeb yuav tshwm sim. Thaum ua qhov kev tshawb fawb, qhov txo qis hauv cov tshuaj transferrin thiab ferritin tuaj yeem kuaj pom. Nyob rau hauv lub xub ntiag ntawm ib tug latent deficiency, nws yog tsim nyog los tshuaj xyuas koj cov zaub mov thiab siv tshwj xeeb noj tshuaj ntxiv nrog rau cov vitamin complexes.
Yog tias qhov zais tsis muaj hlau tsis raug kho, ces mob ntshav qab zib yuav tshwm sim. Qhov hnyav me me, tsis hais txog qhov nruab nrab thiab hnyav, yuav tsum tau noj cov tshuaj tsim nyog. Kev kho mob feem ntau yuav kav ntev npaum li lub cev xav tau hlau.
mob ntshav qab zib tsis muaj hlau tsis txaus ntawm qhov mob hnyav feem ntau raug kuaj pom. Qhov no yog ib qho mob thaum qib hemoglobin siab dua 90 grams ib liter.
Cov mob me me ntawm cov kab mob tsis muaj hlau tsis txaus feem ntau tsis muaj tsos mob thiab tsuas yog kuaj tau los ntawm kev kuaj ntshav.
Kev kho mob feem ntau yog ua raws li kev noj zaub mov kom zoo kom normalize hemoglobin. Kev noj zaub mov kom rov zoo yog raws li cov zaub mov muaj hlau thiab cov vitamins B.
Mob ntshav qab zib tsis muaj hlau tsis txaus muaj cov tsos mob tshwm sim ntau dua. Tawm tsam nws keeb kwm yav dhau, hemoglobin yog 70-89grams rau ib liter. Kev kho mob hauv qhov no yuav tsum tau pib tam sim ntawd raws li cov txheej txheem tau hais los ntawm tus kws tshaj lij.
Tseem muaj mob hnyav hlau tsis txaus anemia. Qhov ntsuas hemoglobin hauv qhov no yog tsawg dua 70 grams ib liter. Kev kho tus kab mob no yog ua hauv tsev kho mob.
Mob ntshav qab zib hemorrhagic iron deficiency anemia yog ib qho nyuaj ntawm kev kho mob thiab hematological hloov pauv uas tau tshwm sim vim kev mob ntshav siab lossis mob ntev. Cov tsos mob tseem ceeb: pallor, ua tsis taus pa luv, darkening ntawm lub qhov muag, kiv taub hau, hypothermia, arterial hypotension. Hauv cov xwm txheej hnyav - lethargy, thready mem tes, poob siab, tsis nco qab. Pathology raug kuaj raws li daim duab kho mob thiab ua tiav cov ntshav suav. Txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau los ntshav, ua qhov ntsuas ntsuas. Nrog rau kev loj hlob ntawm tus kab mob no, kev hloov pauv thiab kho cov tsos mob yog tsim nyog.
cov ntaub ntawv dav dav
Kev kuaj ntshav qab zib yog nyob ntawm cov ntaub ntawv tau txais thaum lub sijhawm kuaj. Ua ntej tshaj plaws, cov txiaj ntsig nrog kev txiav txim siab ntawm qib ntawm hemoglobin concentration yog qhov tseem ceeb. Raws li cov kev cai, cov txheej txheem rau kev pib mob ntshav qab zib hauv cov menyuam yaus yog qhov txo qis ntawm hemoglobin concentration tsawg dua 110 grams ib liter, rau cov poj niam tsawg dua 120, thiab cov txiv neej tsawg dua 130.
Feem ntau hauv kev kho mob yog mob tsis muaj hlau tsis txaus anemia ntawm qhov hnyav me, uas yog mob hnyav tshwm sim los ntawm kev ua txhaum ntawm hemoglobin synthesis vim qhov tsis txaus.hlau.
Raws li kev txheeb cais, kwv yees li ob lab tus tib neeg hauv ntiaj teb hauv ib daim ntawv lossis lwm qhov kev txom nyem los ntawm cov hlau tsis txaus, feem ntau yog menyuam yaus thiab poj niam. Qhov zaus ntawm me me thiab nruab nrab tsis muaj hlau tsis txaus ntshav ntshav hauv cov poj niam cev xeeb tub hauv ntiaj teb yog li ntawm nees nkaum mus rau tsib caug feem pua. Thiab nyob rau hauv cov teb chaws tsim, tus lej no nce mus txog 75 feem pua.
Ntawm cov txheej txheem ntawm cov hlau metabolism hauv tib neeg lub cev
Cov txiv neej feem ntau noj txog 18 milligrams ntawm cov hlau ib hnub twg los ntawm cov khoom noj, thiab tsuas yog nqus 1 milligram raws li qhov tshwm sim. Qhov ntawd yog, hlau poob hauv cov zis, hws, thiab lwm yam.
Cov poj niam tau 12 milligrams ib hnub nrog zaub mov, thiab qhov siab tshaj plaws ntawm 1 milligram yog nqus. Tab sis qhov tseeb yog tias cov poj niam kuj poob hlau thaum lub sij hawm cev xeeb tub, thiab ntxiv rau, vim cev xeeb tub.
Nrog qhov xav tau ntau ntxiv rau hlau, tsis pub ntau tshaj 2 milligrams tuaj yeem nqus tau los ntawm cov zaub mov. Yog li, nyob rau hauv cov xwm txheej uas lub cev poob ntawm cov hlau ntau tshaj 2 milligrams ib hnub, ces anemia tshwm sim. Tom ntej no, cia peb tham txog cov laj thawj tseem ceeb uas tuaj yeem cuam tshuam qhov txo qis ntawm cov hlau hauv tib neeg lub cev.
Cas of chronic iron deficiency anemia
Lub laj thawj tseem ceeb rau kev loj hlob ntawm cov kab mob no suav nrog cov hauv qab no:
- Lub xub ntiag ntawm alimentary insufficiency. Nyob rau tib lub sijhawm, muaj me me ntawm cov hlau nrog cov zaub mov, vim tsis muaj cov khoom noj nqaij (piv txwv li, vim yog kev tshaib plab los yog neeg tsis noj nqaij). Kev noj zaub mov zoo li no tsis pub ib tus neeg tuaj yeem ua rau poob ntawm cov hlau uas tshwm sim vim kev puas tsuaj ntawm cov qe ntshav liab.
- Iron absorption tsis ua haujlwm. Qhov no tuaj yeem txhim kho hauv cov neeg mob uas muaj kab mob enteritis ntawm ntau lub hauv paus chiv keeb, thiab ntxiv rau, tawm tsam keeb kwm ntawm malabsorption syndrome, ib qho mob tom qab phais, thiab qhov no qee zaum cuam tshuam nrog kev siv cov tshuaj uas cuam tshuam kev nqus hlau.
- Xav tau hlau ntxiv. Raws li txoj cai, qhov no yog vim kev xeeb tub thiab kev loj hlob hnyav tiv thaiv keeb kwm ntawm kev puberty.
- Ntau zaus muaj cov kab mob uas tsis muaj hlau tsis muaj peev xwm thib ob vim ntshav poob. Cov ntshav poob yog tshwm sim los ntawm cov kab mob hauv plab, piv txwv li, reflux esophagitis, peptic ulcer, qog, thiab lwm yam. Cov ntshav poob kuj ua rau mob uterine, xws li mob khaub thuas hnyav. Lub raum, qhov ntswg thiab urolithiasis kuj feem ntau ua rau cov ntshav poob, vim tias hemoglobin ploj. Qhov tshwm sim feem ntau yog posthemorrhagic anemia, uas tshwm sim vim ntshav poob tshwm sim hauv lub plab zom mov. Cov ntshav poob no feem ntau ua rau cov txiv neej tsis muaj hlau thiab qhov thib ob feem ntau ntawm cov poj niam.
- Tsis muaj kev thauj mus los ntawm hlau nyob rau hauv muaj hypoproteinemia ntawm ntau lub hauv paus chiv keeb. Lub ntsiab mechanism rau kev loj hlob ntawm anemia yog tsis muaj hlau nyob rau hauv lub cev, uas yog lub ntsiab lub tsev cov ntaub ntawv rau tsim lub molecules ntawm cov hlau uas muaj ib feem, uas yog hu ua "heme".
Ntau tshaj qhov kev kho mob tshwm sim
SeverityCov tsos mob ntawm tus mob anemia tuaj yeem sib txawv thiab nyob ntawm seb cov ntshav poob, hnub nyoog thiab poj niam txiv neej ntawm tus neeg mob. Qhov hnyav ntawm tus mob yog vim cov ntaub so ntswg hlau tsis txaus. Cov tsos mob ntawm anemic syndrome yog vim cov ntaub so ntswg hypoxia, nws tshwm sim yog universal rau tag nrho cov hom ntawm anemia:
- Tshuaj muaj zog thiab qaug zog.
- Tshuaj tawv nqaij daj ntseg thiab cov mucous.
- mob taub hau thiab throbbing hauv tuam tsev.
- Tseem muaj kiv taub hau thiab qaug zog.
- Qhov tsos ntawm ua tsis taus pa thiab palpitations thaum lub sij hawm ib txwm siv lub cev.
- Kev mob anginal nrog mob plawv.
- Txo tag nrho kev ua haujlwm siab ntev.
- Muaj qhov tsis kam tiv thaiv kev kho mob tsis tu ncua nrog vasodilators.
Sideropenic syndrome yuav yog vim cov ntaub so ntswg tsis muaj hlau, nws cov tsos mob tseem ceeb yog cov tsos mob hauv qab no:
- Kev muaj cov tawv nqaij qhuav, tawg ntawm tes, thiab ntxiv rau, ob txhais ceg thiab ntawm lub qhov ncauj ntawm lub qhov ncauj, thaum tus neeg mob tau kuaj pom tus kab mob hu ua angular stomatitis.
- Qhov muaj glossitis, nrog rau atrophy ntawm papillae, muaj mob thiab liab ntawm tus nplaig.
- Qhov tshwm sim ntawm brittleness, thinning thiab delamination ntawm tes.
- plaub hau poob ua ke nrog thaum ntxov greying.
- Kev muaj kev tsis txaus siab thaum cov neeg mob noj chalk, av nplaum, nqaij minced, xuab zeb thiab lwm yam.
- Muaj kev quav tshuaj rau cov ntxhiab tsw txawv txawv, xws li roj av, roj roj, roj av, acetone, naphthalene, tsheb tso tsheb, uas yog tag nrhodaws tom qab noj tshuaj ntxiv.
- Muaj dysphagia, uas yog, nyuaj nqos cov khoom noj.
Qhov muaj cov kab mob tiv thaiv kab mob thib ob yog qhov ua rau muaj kev cuam tshuam ntau zaus ntawm cov kab mob sib kis. Cov mob no suav nrog:
- Qhov muaj kev puas tsuaj rau lub plab zom mov hauv daim ntawv ntawm glossitis, dysphagia, txo cov kua qaub ua haujlwm ntawm lub plab, atrophic gastritis, tsam plab, cem quav thiab raws plab.
- Kev muaj kab mob hepatobiliary.
- Lub xub ntiag ntawm cov kev hloov pauv hauv lub plawv, uas yog tshwm sim los ntawm qhov tshwm sim ntawm kev ua tsis taus pa, tachycardia, cardialgia, edema hauv ob txhais ceg, mob anginal, hypotension, nthuav dav ntawm ciam teb ntawm lub plawv, thiab lwm yam. ntawm.
- Kev muaj kev puas tsuaj rau lub paj hlwb, uas tshwm sim los ntawm kev txo qis hauv kev nco thiab muaj peev xwm ua kom pom tseeb.
- Qhov muaj kev puas tsuaj rau cov pob txha pob txha, uas yog tshwm sim los ntawm cov leeg tsis muaj zog thaum lub sijhawm ua haujlwm ib txwm ua, thiab ntxiv rau, sib xyaw tso zis tsis tuaj yeem thiab lwm yam.
Daim tawv nqaij hauv cov neeg mob uas mob ntshav qab zib feem ntau yog daj ntseg, tab sis tsis yog icteric. Raws li rau daim siab, spleen thiab peripheral lymph nodes, lawv tsis loj. Qee lub sij hawm daim tawv nqaij tuaj yeem tau txais cov xim xiav. Cov neeg mob zoo li no sunbathe phem heev nyob rau hauv lub hnub, thiab cov ntxhais, raws li txoj cai, yog infantile thiab feem ntau muaj kev coj khaub ncaws txawv txawv xws li amenorrhea mus rau hnyav poj niam.
Labdiagnostics
Cov ntsiab lus tseem ceeb rau kev txiav txim siab tus neeg mob uas muaj cov kab mob tsis muaj hlau tsis txaus yog:
- Muaj xim qis.
- Kev muaj RBC hypochromia thiab microcytosis.
- Txuag hauv cov kua roj ntsha.
- Ntau ntxiv hauv cov ntshav cov hlau khi ua haujlwm thiab txo qis hauv ferritin.
Tom qab txiav txim siab seb tus neeg mob puas muaj ntshav qab zib thiab nws qhov hnyav, nws yuav tsum tau tshawb xyuas qhov ua rau thiab qhov los ntshav. Txhawm rau ua qhov no, ntau yam kev tshawb fawb yuav tsum tau ua. Cov kev kuaj mob tseem ceeb suav nrog:
- Kev kuaj xyuas endoscopic ntawm lub plab zom mov. Raws li txoj cai, raws li ib feem ntawm qhov kev kuaj mob no, kev kuaj ntshav colonoscopy yog ua, tejzaum nws nrog biopsy.
- Kev pub ntshav occult.
- Kev ua gynecological phau ntawv thiab kuaj ultrasound hauv cov poj niam.
- Txoj kev tshawb fawb txog kev tso zis. Nyob rau tib lub sijhawm, cov neeg mob tau kuaj zis, kuaj ultrasound ntawm lub raum, thiab ntxiv rau, cystoscopy.
- x-ray.
- Kev kuaj cov hnoos qeev thiab bronchial ntxuav.
Thaum tsis muaj cov ntaub ntawv uas yuav qhia tau meej meej erosive thiab ulcerative txheej txheem, nws yog ib qho tsim nyog yuav tau ua kom paub txog oncological tshawb fawb.
Kev kho mob
Lub hom phiaj ntawm kev kho mob ntshav qab zib mob ntev yog:
- Txoj kev tshem tawm ntawm qhov ua rau nwshu ua. Txhawm rau ua qhov no, ua ntej ntawm tag nrho cov, qhov chaw ntawm cov ntshav tau txheeb xyuas thiab tshem tawm, rov ua kom cov txheej txheem ntawm kev nqus hlau.
- Kev rov ua kom tsis muaj hlau.
- Tiv thaiv kev txhim kho ntawm kev hloov pauv dystrophic hauv lub cev nrog rau kev tswj hwm lawv lub peev xwm ua haujlwm puv.
Kev noj zaub mov raws li ib feem ntawm kev kho mob
Nws tsis tuaj yeem tshem tawm cov kab mob tsis muaj hlau tsis txaus (ICD-10 code - D50) tsuas yog los ntawm kev noj zaub mov, txij li kev nqus hlau los ntawm cov zaub mov tsis pub ntau tshaj 2 milligrams ib hnub. Tab sis los ntawm cov tshuaj nws tuaj yeem nqus tau nees nkaum zaug ntxiv. Tab sis, txawm li cas los xij, cov neeg mob ntshav qab zib tau pom zoo cov khoom noj uas muaj cov protein ntau txaus absorbed thiab, raws li, hlau.
Cov khoom noj nqaij muaj hlau, uas yog ib feem ntawm heme, nws yog absorbed los ntawm 25 feem pua. Hlau, uas yog ib feem ntawm hemosiderin (nws muaj nyob rau hauv daim siab, qe thiab ntses), yog absorbed los ntawm kaum tsib feem pua. Thiab hlau los ntawm cov khoom cog (xws li kua zaub nrog spinach, dill, lettuce, apricots, prunes) yog absorbed los ntawm tsib feem pua. Kev siv ntau ntawm pomegranates, txiv apples, carrots thiab beets tsis raug cai, vim hais tias tawm tsam keeb kwm ntawm lawv cov kev siv muaj qhov nqus hlau tsawg.
Cov neeg noj nqaij tau txais hlau ntau dua li cov neeg tsis noj nqaij. Cov neeg tsis noj nqaij muaj cov hlau tsis txaus thaum lub sijhawm, vim cov zaub thiab cov nplej muaj cov khoom tiv thaiv kev nqus ntawm cov khoom tseem ceeb,tshwj xeeb, peb tab tom tham txog phosphates.
Nws yuav tsum raug sau tseg tias kev noj zaub mov kom zoo thiab ua tiav raws li nws cov khoom tseem ceeb ua rau nws tsuas yog tuaj yeem npog qhov kev xav tau ntawm tib neeg lub cev rau hlau, tab sis tsis tshem tawm nws qhov tsis txaus, thiab nws yuav tsum raug suav tias yog ib qho kev pab cuam ntawm kev kho mob.
Hemotransfusion nyob rau hauv mob tsis muaj hlau tsis txaus ntshav ntshav (raws li ICD-10 code - D50) yog ua rau cov neeg mob tsuas yog rau kev noj qab haus huv, thaum qhov qhia tsis yog qib ntawm hemoglobin, tab sis cov xwm txheej ntawm tus neeg mob thiab hemodynamics. Yeej, lawv mus rau hemotransfusion (ua kom hloov pauv ntawm erythrocyte loj) yog tias qhov poob ntawm hemoglobin qis dua 40 grams ib liter.
Drug therapy
Cov kev kho mob ntawm cov kab mob tsis muaj hlau tsis txaus yog nqa tawm tsuas yog nrog kev npaj cov hlau, qhov tseem ceeb ntawm lawv txhua tus yog qhov ncauj, tsis tshua muaj parenteral, lawv siv sijhawm ntev, nyob rau hauv kev tswj ntawm kev kuaj ntshav. Nws yog ib qho tsim nyog sau cia tias tus nqi ntawm kev rov qab los ntawm cov ntshav tsis nyob ntawm txoj kev ntawm kev tswj hwm tshuaj. Lub hauv paus ntsiab lus tseem ceeb rau kev kho mob ntawm cov hlau deficiency anemia nrog cov tshuaj hauv qhov ncauj muaj xws li:
- Tshuaj tshuaj nrog cov ntsiab lus ferrous txaus.
- Raws li ib feem ntawm kev siv cov ntaub ntawv tshiab, nws yog ib qho tsim nyog yuav tsum tsom mus rau qhov nruab nrab cov tshuaj kho mob.
- Kev teem caij ntawm cov hlau ua ke nrog cov tshuaj uas txhim kho lawv qhov nqus, peb tab tom tham txog ascorbic thiab succinic acid.
- Nws yog ib qho tsim nyog yuav tsum zam kom tsis txhob muaj qhov sib npaug ntawm cov tshuaj uas txo qhov nqus,Peb tab tom tham txog cov tshuaj tiv thaiv kab mob, tannin, oxalates thiab lwm yam.
- Siv cov khoom uas tsis muaj vitamin Cheebtsam, tshwj xeeb tshaj yog B12.
- Yooj yim ib zaug mus rau ob zaug txhua hnub noj tshuaj.
- Zoo bioavailability, absorption thiab tolerability ntawm hlau npaj.
- Lub sijhawm txaus ntawm kev kho mob - tsawg kawg yim lub lis piam kom txog thaum ua tiav cov hemoglobin normalization.
- Txuas ntxiv noj tshuaj ib nrab rau plaub lub lis piam tom qab ua tiav hemoglobin normalization.
- Nws raug nquahu kom sau cov kev kho mob luv luv txhua hli los ntawm peb mus rau tsib hnub ntawm cov tshuaj kho mob nruab nrab rau cov neeg mob polymenorrhagia.
Qhov kev ntsuas rau kev ua tau zoo ntawm kev kho mob ntawm cov kab mob tsis muaj hlau tsis txaus (ICD-10 code - D50) nrog kev npaj cov hlau yog nce tsib npaug ntawm cov reticulocytes nyob rau hnub thib kaum txij li pib kho. Kev npaj hlau tau muab faib ua pawg hauv qab no:
- Ionic, uas yog ntsev lossis polysaccharide compound.
- Non-ionic compounds uas muaj hydroxide polym altose complex.
Ferrous sulfate, uas yog suav nrog hauv kev npaj ua ke thiab monocomponent, yog nqus tau zoo (feem ntau yog kaum feem pua) thiab yooj yim zam los ntawm cov neeg mob. Chloride tebchaw tej zaum yuav tsis zoo absorbed thiab muaj undesirable teebmeem, xws li ib tug metallic saj nyob rau hauv lub qhov ncauj, darkening ntawm cov hniav thiab cov pos hniav, thiab, ntxiv rau,dyspepsia.
Tam sim no, cov kws kho mob nyiam cov tshuaj uas muaj ferrous hlau (qhov tseeb yog tias nws nqus tau zoo dua piv rau cov tshuaj trivalent), lawv cov tshuaj noj txhua hnub yog li 300 milligrams. Tsis muaj ib qho xwm txheej twg koj yuav tsum tau sau ntau tshaj qhov nyiaj no hauv ib hnub, vim nws qhov nqus tsis nce ntxiv.
Qhov no tau lees paub los ntawm cov ntaub ntawv keeb kwm ntawm chronic iron deficiency anemia.
Nws tseem yuav tsum tau coj mus rau hauv tus account tias ntau yam khoom muaj nyob hauv cov khoom noj, xws li phosphoric acid, nrog rau ntsev, calcium, phytin thiab tannin, inhibition nqus hlau. Ib qho txiaj ntsig zoo sib xws tau sau tseg nrog kev siv ib txhij ntawm ferrous hlau, uas muaj nyob hauv qee cov tshuaj, piv txwv li, hauv Almagel.
Kev qhia rau cov tshuaj parenteral hlau
Cov lus qhia rau qhov no nyob rau hauv chronic iron deficiency anemia yog raws li hauv qab no:
- Presence ntawm malabsorption.
- Kev muaj kev tsis txaus siab rau qhov ncauj qhov ncauj npaj.
- Yuav tsum tau ceev hlau saturation (vim kev phais xwm txheej ceev).
- Kho nrog "Erythropoietin", thaum xav tau hlau nce siab rau lub sijhawm luv.
Nrog rau kev tswj xyuas parenteral, nyob rau hauv rooj plaub ntawm qhov kev kuaj mob tsis raug, kev loj hlob ntawm ntau lub cev tsis ua hauj lwm thiab hemosiderosis yuav muaj. Tsis txhob siv ntau tshaj 100 milligrams ib hnub twg rau parenterally.
Tiv thaiv kab mobposthemorrhagic hlau deficiency anemia yuav tsum tau nqa tawm nyob rau hauv cov ntaub ntawv ntawm zais cov cim qhia ntawm hlau deficiency los yog muaj feem xyuam rau txoj kev loj hlob ntawm xws li. Txoj kev tshawb fawb ntawm hemoglobin, nrog rau cov ntshav ntshav, yuav tsum tau ua tsawg kawg ib xyoos ib zaug, thiab yog tias muaj qhov tshwm sim ntawm kev kho mob, raws li qhov xav tau, kev sim yuav tsum tau coj los ntawm cov neeg mob hauv qab no:
- Cov neeg pub dawb, tshwj xeeb tshaj yog cov poj niam uas pub ntshav tsis tu ncua.
- Cov poj niam cev xeeb tub, tshwj xeeb tshaj yog cov uas cev xeeb tub ntau zaus.
- Cov poj niam uas raug mob ntev thiab hnyav.
- Cov me nyuam ntxov ntxov thiab cov uas yug los ntawm ntau lub cev xeeb tub.
- Cov ntxhais thaum puberty, thiab ntxiv rau, thaum lub sijhawm loj hlob sai, txhim kho los ntawm kev ua kis las thiab nyob rau hauv rooj plaub ntawm kev txwv cov khoom noj nqaij hauv kev noj haus.
- Cov neeg uas pheej thiab nyuaj rau tshem tawm cov ntshav poob (pas plab, plab hnyuv, qhov ntswg, uterine thiab hemorrhoidal).
- Cov neeg mob uas noj cov tshuaj uas tsis yog tshuaj steroid ntev.
- Cov neeg muaj nyiaj tau los tsawg.
kev txom nyem thib ob yog dab tsi?
mob ntshav tsis txaus hlau tsis txaus (raws li ICD - D50), uas tshwm sim tawm tsam keeb kwm ntawm cov kab mob sib kis, hu ua theem nrab. Hemoglobin yog ib qho ntawm cov proteins tseem ceeb tshaj plaws uas txhawb nqa tib neeg lub cev. Nws muaj nyob rau hauv cov qe ntshav liab thiab muaj lub luag haujlwm rau kev thauj cov pa oxygen. Ntawd yog, thaum nqus pa, oxygen nkag mus rau hauv lub ntsws, thiab cov protein disassembles nws mus rau hauv molecules, xa mus rau tag nrho cov nruab nrog cev. Yog vim li cas hemoglobinmuaj nuj nqis heev. Yog tsis muaj nws, oxygen tsuas yuav tsis kis thoob plaws hauv lub cev, uas thaum kawg yuav ua rau lub cev tsis ua haujlwm ntawm txhua lub cev thiab lub cev.
Secondary anemia tsis yog kab mob ywj pheej. Nws yeej ua hauj lwm raws li ib tug tshwm sim ntawm ib tug kab mob. Hauv qhov no, thaum kuaj pom cov hemoglobin qis, nws yuav tsum tau kuaj xyuas kom meej txhawm rau txheeb xyuas nws qhov tseeb ua rau thiab sau ntawv kho mob. Cov protein hemoglobin yog tsim nyob rau hauv cov qe ntshav liab, thiab lawv nyob ntawm tag nrho cov hlau nyob rau hauv tib neeg lub cev.
Yog li, yog tias hlau poob, tom qab ntawd nyob rau hauv kev cuam tshuam ntawm qee yam, hemoglobin kuj txo. Yog tias peb tab tom tham txog thawj yam ntshav qab zib, tom qab ntawd ib chav kawm ntawm cov hlau tau sau nrog kev noj zaub mov. Tom qab ob peb lub lis piam, cov ntsuas, raws li txoj cai, tau rov qab los. Thiab nrog rau daim ntawv thib ob ntawm pathology, nws yog ib qho tsim nyog yuav tsum nkag siab qhov ua rau nws tshwm sim, thiab tom qab ntawd pib kho. Nyob rau tib lub sijhawm, hlau ib leeg yuav tsis tuaj yeem rov qab tau cov protein ntau, vim thaum xub thawj nws yuav tsum tau kov yeej qhov tseem ceeb hauv kev txo cov hemoglobin.
