Tsis muaj hlau hauv tib neeg lub cev tuaj yeem ua rau muaj teeb meem ntau. Cov tshuaj niaj hnub uas tsis tshua muaj hemoglobin yuav pab ntxiv cov khoom khaws cia ntawm ib qho tseem ceeb.
Dab tsi yog anemia
Tus mob no yog tus yam ntxwv los ntawm cov qauv qis ntawm hemoglobin. Anemia tshwm sim, uas cov pa oxygen rau cov ntaub so ntswg deteriorates. Muaj cov tshuaj uas nce hemoglobin hauv tib neeg lub cev.
Muaj ntau hom kab mob anemic uas tsis muaj cov proteins, hlau sib txuas lossis cyanocobalamin.hom ntau tshaj plaws yog hlau deficiency anemia, tshwm sim los ntawm kev tsis sib haum xeeb hauv kev xav tau thiab kev noj haus. Fe ions.
Muaj ob theem kab mob:
- Tsis muaj hlau tsis txaus, uas txo qis ferritin thiab hemoglobin, nrog rau kev hloov pauv hloov, thaum tsis muaj cov tsos mob ntawm Fe deficiency.
- Tus mob anemic kom zoo nrog cov yam ntxwv ntawm cov hlau tsis txaus hauv tib neeg lub cev thaumKev ua txhaum ntawm kev tsim cov hemoglobin molecules.
Qhov tseem ceeb ntawm hlau hauv lub cev
Qhov no yog qhov tsim nyog rau tus neeg. Kwv yees li 70% ntawm cov tshuaj no suav nrog hauv cov tshuaj hemoglobin. Cov kab mob hauv nruab nrog cev tsis tuaj yeem tsim cov ions hlau, lawv tsuas yog xa nrog zaub mov xwb.
Hemoglobin protein khi cov pa oxygen molecules hauv erythrocyte cells.
Iron tsis txaus ua rau oxygen tshaib plab. Txo hemoglobin rov qab los ntawm cov tshuaj thiab tshuaj uas muaj Fe-ions.
hemoglobin qauv
Cov qauv ntawm hemoglobin muaj plaub lub heme-muaj protein ntau subunits. Hydrophobic, ionic, hydrogen-hom tebchaw tshwm sim ntawm protomers raws li txoj cai complementary.
Heme muaj cov hlau divalent ion, uas muaj nyob rau hauv pab pawg neeg prosthetic.
Cov tsos mob ntawm anemia
Iron npaj rau qis hemoglobin nyob rau hauv cov neeg laus yog muab rau hypotension, pallor ntawm daim tawv nqaij, veins veins, tsis muaj zog, tsaug zog, kiv taub hau, tsis ua hauj lwm, palpitations, ua tsis taus pa.
Yog vim li cas noj tshuaj yog ib qho kev hloov ntawm daim tawv nqaij nrog dryness, tev. Cov ntsia hlau phaj ua striated thiab nkig, thiab cov plaub hau tsis muaj zog txaus, lawv poob tawm thiab sib cais. Daim ntawv tsis muaj hlau tuaj yeem txheeb xyuas los ntawm kev tsis txaus siab ntawm kev nyiam saj.
Hauv kev kuaj ntshav, qhov qis dua ntawm cov ntsiab lus hemoglobin ib txwm yuav yog 130 grams ib liter rautus txiv neej lub cev thiab 120 grams ib liter rau poj niam.
Maj anemic yog Hb tus nqi siab tshaj 90 grams ib liter tab sis tsawg dua 110 grams ib liter, nruab nrab anemic yog Hb ntawm 70 mus rau 90 grams ib liter, thiab hnyav yog Hb qis dua 70 grams ib liter.
Txoj kev xaiv tshuaj
Txhawm rau tshem tawm lub xeev tsis muaj hlau tsis txaus, tus kws kho mob xaiv cov tshuaj uas nce hemoglobin, raws li cov yam ntxwv ntawm cov metabolism ntawm cov hlau ions, cov yam ntxwv ntawm kev nqus, muaj pes tsawg leeg thiab ntau npaum li cas.
Kev tswj hwm tshuaj Intramuscular tau pom tias ua rau cov txiaj ntsig tsis zoo dua li cov tshuaj hauv qhov ncauj. Qhov no yog vim txoj kev ntawm cov hlau ions absorbed, uas pib hauv cov hnyuv. Thawj txoj kev tswj hwm ua rau muaj kev phiv ntau dua.
Iron npaj rau qis hemoglobin hauv cov neeg laus yuav tsum suav nrog cov ntsiab lus zoo ntawm cov khoom hauv nws daim ntawv ntshiab, uas muaj li ntawm 80 txog 160 mg. Cov nyiaj no yog sib npaug rau 320 mg ntawm sulfate, nws txaus kom tau txais cov txiaj ntsig kho mob xav tau. Kev sib txawv ntawm cov koob tshuaj uas tau xaiv los yog txiav tawm ntawm cov tshuaj yuav ua rau tsis xav tau.
Ib yam tseem ceeb rau kev kho kom raug yog kom muaj kev ncaj ncees ntawm cov tshuaj thaum noj. Nws tsis yog chewed, tab sis tam sim ntawd nqos nrog dej. Feem ntau, cov tshuaj ua kua hlau tsis zoo dua li cov ntawv ntsiav tshuaj.
complex vitamin thiab ntxhia npaj tsis muaj peev xwm ua tiavua rau lub cev tsis muaj lub ntsiab lus vim nws cov ntsiab lus tsawg.
Qhov nyab xeeb tshaj plaws yog encapsulated thiab coated npaj nrog hlau kom nce hemoglobin. Daim ntawv no tiv thaiv cov mucous epithelium ntawm lub plab zom mov los ntawm qhov tsis zoo ntawm cov tshuaj.
Tshuaj rau anemia
Nyob ntawm hom mob ntshav qab zib, siv tshuaj sib txawv. Cov no tuaj yeem yog cov khoom muaj hlau, lossis cov vitamin tshuaj nyob rau hauv daim ntawv ntawm cyanocobalamin, folic thiab ascorbic acid, alpha-tocoferrol, riboflavin los yog pyridoxine.
Nyob rau hauv daim ntawv aplastic ntawm tus kab mob, tshuaj glucocorticosteroid, tshuaj raws li anabolic steroids, androgens, cytostatics yog siv. Erythropoietin tshuaj yog tsom rau stimulating hematopoiesis thiab nce hemoglobin cov ntsiab lus.
khoom siv hlau
Lawv feem ntau siv los kho tus mob anemic. Cov pab pawg no suav nrog kev npaj cov hlau kom nce hemoglobin tsawg. Feem ntau, cov no yog cov tshuaj ntsev uas tau zoo absorbed los ntawm lub plab hnyuv phab ntsa rau kev koom ua ke rau hauv cov qauv heme. Kev tsim ntawm hemoglobin ua rau kev txhim kho hauv kev thauj mus los ntawm oxygen.
Muaj tshuaj muaj trivalent lossis ferrous hlau. Txhawm rau txhim kho qhov muaj nyob hauv thawj daim ntawv, cov amino acid tebchaw yog xav tau los thauj Fe2+-ions mus rau cov pob txha. Kev nqus ntawm cov hlau nrog valence II yog txhim kho nyob rau hauv cov kua qaubascorbic, uas muab ion thauj thiab koom ua ke rau hauv cov qauv heme.
Los ntawm qhov kev xav ntawm lub cev, kev npaj cov ntsiav tshuaj yog qhov zoo dua. Parenteral kev tswj hwm tshuaj yog siv los ua kom lub cev saturate lub cev sai sai thaum muaj cov kab mob hauv plab hnyuv thiab tsis muaj kev txhim kho los ntawm kev kho mob nrog cov ntaub ntawv zoo.
Cov tshuaj ntau npaum li cas yog siv kom tau txais cov txiaj ntsig hemoglobin ib txwm, thiab tom qab ntawd hloov kho koob tshuaj. Cov tshuaj txo qis yog siv los tiv thaiv anemia.
Tshuaj nrog ferrous hlau
Cov neeg mob ntshav qab zib feem ntau nug tus kws kho mob yuav ua li cas txhawm rau nce hemoglobin hauv cov ntshav. Cov kev npaj yog sulfates nrog cov vitamins ntxiv. Cov tom kawg pab txhawb kev nqus tau zoo dua thiab muaj.
Cov tshuaj siv ntau tshaj plaws yog Sorbifer Durules, nws muaj ferrous sulfate thiab C-vitamin.
Lwm txoj kev kho mob yog Tardiferron ntsiav tshuaj, uas ascorbic acid hloov los ntawm folic acid. Cov tshuaj yog noj thaum sawv ntxov thiab yav tav su, 30 feeb ua ntej noj mov. Cov ntsiav tshuaj yuav tsum tau ntxuav nrog 200 ml dej.
Cov tshuaj ntsiav tshuaj suav nrog cov nyiaj:
- "Ferrofolgamma" nrog ferrous sulfate, cyanocobalamin, C-vitamin.
- Ferretab nrog fumarate thiab folic acid. Fenules nrog FeSO
- 4, B9, B5, C, B2, B6.
Tshuaj "Aktiferrin" hauv daim ntawv tshuaj ntsiav, tee thiabsyrup kho anemia hauv menyuam yaus.
tshuaj pheej yig kom nce hemoglobin "Hematogen" muaj albumin protein thiab FeSO 4..
Cov tshuaj "Totem" nyob rau hauv daim ntawv ntawm cov tshuaj muaj hlau (II) gluconate, tooj liab, manganese.
Prolongatum Hemofer dragee muaj Fe sulfate.
Tshuaj nrog ferric hlau
Cov no suav nrog tshuaj txhawm rau nce hemoglobin hauv cov ntshav. Kev tshuaj xyuas ntawm pawg tshuaj no tso cai rau koj los txiav txim siab txog daim ntawv ntau npaum li cas thiab cov yam ntxwv ntawm cov khoom xyaw nquag hauv cov tshuaj anemia.
Hauv cov tshuaj nrog ferric hlau, cov hlau no muaj nyob rau hauv daim ntawv ntawm polym altose hydroxide. Cov ntaub ntawv no muaj:
- tshuaj "M altofer", uas yog tsim nyob rau hauv daim ntawv ntawm syrup, txhaj tshuaj thiab ntsiav tshuaj.
- tshuaj "Fenules", tsim tawm hauv tee thiab hauv daim ntawv syrup.
- Means "Ferrum Lek" - ntsiav tshuaj, txhaj tshuaj thiab syrup.
Tshuaj "Biofer", ntxiv rau polym altose hydroxide, muaj folic acid. Muaj nyob rau hauv daim ntawv ntsiav tshuaj.
Nyob rau hauv cov qauv ntawm cov tshuaj Ferlatum, lub active tivthaiv ntawm cov tshuaj yog protein succinate.
Intramuscularly tswj cov hlau npaj rau qis hemoglobin hauv cov neeg laus, yog tias muaj qee yam qhia. Lawv yog tus cwj pwm los ntawm kev txo qis ntawm cov hlau ions nyob rau hauv lub plab zom mov nyob rau hauv ntau yam mob pathologies nyob rau hauv daim ntawv ntawm enteritis, mob pancreatitis, tsis txaus absorption syndrome.
Kev siv cov tshuaj Parenteral yuav tsum tau nqa tawm nrog kev ua kom lub qhov txhab nyob hauv duodenum lossis lub plab, nrog rau cov kab mob ulcerative, tus neeg mob siab rau cov tebchaw nrog hlau, tshem tawm ib feem ntawm lub plab lossis cov hnyuv me.
Kom sai sai cov ntaub so ntswg lub cev nrog hlau nyob rau hauv cov ntaub ntawv ntawm cov ntshav loj, ua ntej kev ua hauj lwm txuam nrog hemorrhoids, kev kho mob ntawm fibromyotic formations thiab lwm yam pathologies, cov tshuaj yog muab rau hauv cov leeg. Tus nqi ntawm cov hlau hauv cov tshuaj siv rau kev txhaj tshuaj yuav tsum tsis pub tshaj 100 mg ib hnub twg. Nws yog txaus kom ua tiav cov tshuaj hloov pauv cov tshuaj molecules nrog cov hlau no. Venofer, Argeferr, Likferr, Cosmofer tshuaj yog tsim nyob rau hauv daim ntawv ntawm kev txhaj tshuaj.
Kev Kho Mob Tsis Txaus Siab
Iron npaj rau qis hemoglobin hauv cov neeg laus tuaj yeem ua rau muaj kev phiv, uas yog vim qhov kev nkag siab ntawm txhua tus neeg mob thiab daim ntawv ntawm cov tshuaj.
Qee yam khoom tuaj yeem ua rau txhua yam kev ua xua tshwm sim los ntawm kev tsis haum rau cov khoom xyaw nquag.
Cov mucous ntawm lub plab zom mov yog khaus los ntawm txhais tau tias muaj hlau, tab sis tsis npog nrog lub plhaub tiv thaiv. Hauv qhov no, muaj cov tsos mob ntawm qhov mob hauv thaj tsam epigastric, nrog rau kev nyuaj siab ntawm txoj hnyuv loj.
Kev noj tshuaj thiab kua dej ua rau cov enamel tsausntawm cov hniav.
Txoj kev siv cov tshuaj tua kab mob ua rau muaj kev mob thrombophlebitis, uas cov hlab ntsha hauv qhov chaw txhaj tshuaj ua rau mob.
Txoj kev kho mob
Iron npaj rau qis hemoglobin hauv cov neeg laus pib muaj txiaj ntsig tsuas yog peb lub lis piam tom qab noj cov tshuaj, uas muaj qhov nce me ntsis ntawm Hb. Kev ua tau zoo ntawm cov tshuaj pharmacotherapeutic nyhuv ntawm cov tshuaj yog suav tias yog qhov zoo thaum cov txiaj ntsig hemoglobin ib txwm muaj txog 60 hnub. Qhov ntau npaum li cas yog hloov kho rau kev kho mob.
Hauv kev kho mob ntshav qab zib mellitus, cov neeg mob tau sau tseg, ua ke nrog kev noj tshuaj, siv cov zaub mov cog, kua txiv hmab txiv ntoo, uas muaj cov tshuaj vitamin ntau. Txhawm rau kom rov zoo, cov protein yuav tsum tau muab rau lub cev nrog cov nqaij thiab cov khoom siv mis nyuj.
Qhov tseem ceeb tshaj plaws yog tus kws kho mob yuav tsum tau txiav txim siab xaiv cov tshuaj rau kev kho mob ntshav qab zib. Kev noj tshuaj rau tus kheej yuav tsis muab qhov kev xav tau ntawm kev txhim kho, tab sis nws yuav ua rau qhov tsis xav tau, uas yuav ua rau tus kab mob hnyav dua.
