Ntau yam kab mob tuaj yeem kuaj tau los ntawm qib hemoglobin hauv kev kuaj ntshav. Cov khoom no yog lub luag haujlwm rau kev muab cov pa oxygen rau tag nrho cov ntaub so ntswg thiab lub cev. Nrog nws qhov tsis txaus, iron deficiency anemia tshwm sim, uas tshwm sim los ntawm cov tsos mob tsis zoo. Hauv qhov no, tus neeg mob yuav tsum tau noj tshuaj kom nce hemoglobin thiab ua raws li kev noj zaub mov tshwj xeeb. Cia peb saib cov tshuaj nrov thiab cov yam ntxwv ntawm lawv siv.
Hemoglobin - yog dab tsi?
Cov protein uas muaj hlau, uas muaj cov qauv tsim thiab ua lub luag haujlwm thauj oxygen thoob plaws lub cev, hu ua hemoglobin. Nws ua raws li cov xim hauv cov qe ntshav liab thiab cuam tshuam ncaj qha rau cov xim ntawm cov ntshav. Hemoglobin yog ib yam khoom tseem ceeb uas txhawb nqa cov txheej txheem tshwm sim hauv lub cev.
Tsis muaj hlau, uas yog ib feem ntawm hemoglobin, muaj kev cuam tshuam tsis zoo rau tib neeg kev noj qab haus huv. Cov tsos mob feem ntau tshwm sim, xws li kiv taub hau, pallortawv nqaij, deterioration ntawm cov plaub hau thiab rau tes. Tus neeg mob xav tias qaug zog, tsis muaj zog, fainting. Hlau deficiency anemia tuaj yeem ua rau los ntshav thaum yug menyuam lossis ua poj niam.
Txhawm rau tshem tawm qhov tshwm sim pathological no, cov kws kho mob pom zoo kom noj tshuaj (muaj hlau) txhawm rau nce hemoglobin. Qhov no yog txoj hauv kev zoo tshaj plaws los ntxiv qhov tsis muaj hlau nyob hauv cov ntshav. Kev lag luam kws tshuaj muaj ntau yam tshuaj mono- thiab multicomponent los txhim kho cov neeg mob uas muaj hlau deficiency anemia. Sau tshuaj kho mob tom qab tsim qhov tseeb ua rau pathology.
Low hemoglobin: yog vim li cas?
Hauv lub cev muaj cov hlau me me, uas koom nrog cov txheej txheem ua haujlwm tseem ceeb tshaj plaws. Xav tias qhov system siv qee qhov nyiaj ntawm cov khoom no txhua hnub, nws yog ib qho tsim nyog yuav tsum tau ntxiv nws cov khoom siv tas li. Txwv tsis pub, anemia tshwm sim. Cov laj thawj uas tuaj yeem ua rau muaj mob xws li:
- ntau los ntshav thaum cev xeeb tub;
- uterine los ntshav;
- phais;
- tsis txaus noj (lossis nqus) ntawm hlau;
- siab tsis ua hauj lwm.
Nws yog ib qho tsim nyog yuav tsum pib kho los ntawm kev tshem tawm cov xwm txheej uas ua rau muaj kab mob. Koj tseem yuav tau kho koj cov zaub mov thiab noj tshuaj tshwj xeeb uas muaj hlau.
Kev kho mob
Kho anemia nrog ib qho kev noj hausyuav luag tsis yooj yim sua. Feem ntau, cov kws kho mob pom zoo kom siv tshuaj kho mob. Kev npaj (syrups, ntsiav tshuaj) uas muaj hlau los tsa hemoglobin yog noj nyob rau hauv ib chav kawm ntawm tsawg kawg yog 2 lub hlis. Lawv raug sau tseg yam tsis muaj kev poob qis rau txhua hom ntshav qab zib. Ua ntej pib kho mob nrog cov tshuaj uas muaj hlau ions, tus neeg mob yuav tsum tau mus kuaj.
Cov tshuaj muaj hlau nyob rau hauv daim ntawv divalent lossis trivalent. Cov qub yog absorbed zoo dua nyob rau hauv lub plab zom mov. Txhim kho cov txheej txheem ntawm kev nqus ntawm qee yam tshuaj uas nkag mus rau hauv lub plab ib txhij nrog tshuaj. Cov no suav nrog succinic thiab ascorbic acid, fructose.
Rau cov neeg mob feem ntau, cov kws kho mob tau sau cov tshuaj uas muaj hlau npaj rau kev siv qhov ncauj. Qhov ntau npaum li cas yuav tsum tau xam nruj me ntsis ntawm tus kheej, raws li qhov hnyav ntawm tus neeg mob thiab tus yam ntxwv ntawm lub cev.
Nyob rau hauv rooj plaub uas txo qhov nqus ntawm cov hlau nyob rau hauv lub plab zom mov, parenteral tswj cov tshuaj yog qhia. Hauv qhov no, cov kev mob tshwm sim tuaj yeem tshwm sim.
Pills kom nce hemoglobin: npe
Tshuaj rau ntshav ntshav tsuas yog muab los ntawm tus kws kho mob tshwj xeeb. Tus neeg mob, nyob rau hauv lem, yuav tsum nruj me ntsis ua raws li cov lus pom zoo thiab kev tswj ntawm cov tshuaj. Nws yuav tsum tau nco ntsoov tias cov kev kho mob no feem ntau nrog cov kev mob tshwm sim ntawm xeev siab, ntuav, mob plab.
Tshuaj muaj ferrous hlau suav nrog:
- "Tardiferon";
- "Hemofer prolongatum";
- "Sorbifer durules";
- "Totem";
- "Aktiferrin".
Iron hauv kev npaj yuav tsum yog 80-160 mg. Kev noj ntau dua tuaj yeem ua rau muaj qhov tsis zoo rau lub cev.
Ferric hlau npaj tau suav tias ua tau zoo dua. Lawv muaj xws li txhaj tshuaj, chewable ntsiav tshuaj thiab syrups. Cov ntaub ntawv npaj rau kev siv qhov ncauj muaj tsawg bioavailability, yog li lawv yuav tsum tau siv ntev. Trivalent hlau muaj cov tshuaj xws li Ferrum Lek, M altofer, Kosmofer, Venofer, Zhektofer.
Tshuaj "Tardiferon"
Tardiferon yog tsim los ntawm Fabkis lub tuam txhab tshuaj. Cov ntsiav tshuaj rau kev loj hlob hemoglobin yog tsim los ntawm ferrous sulfate ntawm ib koob ntawm 80 mg. Raws li cov koom haum pab, ascorbic acid, qos starch, copolymer ntawm methacrylic acid thiab methacrylate, hydrolyzed castor roj, magnesium trisilicate, povidone thiab talc yog siv. Mucoproteose, kuj suav nrog, txhim kho tshuaj kam rau ua.
Raws li cov lus qhia, cov tshuaj muaj kev ua haujlwm ntev. Cov ntsiav tshuaj tuaj yeem muab tshuaj rau ob qho tib si rau kev kho mob thiab kev tiv thaiv ntawm cov hlau tsis muaj zog. Cov lus qhia rau kev siv yog pathologies uas ua rau txo qis hemoglobin qib, khoom noj khoom haus tsis txaus, cev xeeb tub, tsis haum rau kev nqus hlau.
Contraindications thiab phiv
Iron npaj tsis yogsau nyob rau hauv cov ntaub ntawv ntawm intolerance rau ib tug ntawm cov khoom uas muaj nyob rau hauv nws muaj pes tsawg leeg. Cov xwm txheej hauv qab no kuj yog contraindications:
- ntshav tsis txaus vim tsis muaj hlau;
- tus neeg mob muaj los ntshav sab hauv;
- esophageal stenosis, rwj;
- kev hloov pauv hauv plab hnyuv;
- tsis txaus nqus ntawm galactose, qabzib;
- glucose intolerance.
Tsis muaj rau cov menyuam yaus hnub nyoog qis dua 6 xyoos. Cov ntsiav tshuaj tuaj yeem ua rau muaj kev tsis haum tshuaj nyob rau hauv rooj plaub ntawm kev nqus tsis zoo thiab tshem tawm cov hlau los ntawm lub cev. Feem ntau ntawm cov kev mob tshwm sim yog tshwm sim los ntawm lub digestive system. Cov neeg mob pib yws ntawm qhov mob plab, xeev siab, cem quav thiab raws plab.
Yuav thov li cas?
Cov tshuaj hlau kom nce qib hemoglobin qhia pom zoo kom noj mov. Cov menyuam yaus hnub nyoog qis dua 6 xyoos yuav tsum noj 1 ntsiav tshuaj (ib hnub) nrog kua. Cov neeg laus thiab cov menyuam yaus hnub nyoog qis dua 10 xyoo raug tshuaj 1-2 ntsiav tshuaj ntawm Tardiferon ib hnub. Nws yog heev undesirable kom tshaj qhov ntau npaum. Cov ntsiav tshuaj hlau yuav tsum tsis txhob chew.
Lub sijhawm kho yuav nyob ntawm tus neeg mob qib hemoglobin. Feem ntau nws muaj peev xwm rov qab tau cov txiaj ntsig zoo tom qab 3-4 lub hlis ntawm kev kho mob. Qee zaum, chav kawm txuas ntxiv mus rau rau lub hlis lossis ntau dua.
Cov poj niam cev xeeb tub ua tau dab tsi?
Iron deficiency anemia tau pom nyob rau hauv ntau leej niam uas xav tau. Cov txiaj ntsig hemoglobin feem ntau pib poob rau hauv peb lub hlis thib ob. Ntawm tus nqi ntawm 110-130 g / l, qib poob mus rau 90g/l. Nws yog lub sijhawm no uas kev kho tshuaj yuav tsum pib. Hauv qhov no, cov tshuaj yuav tsum tau xaiv los ntawm gynecologist.
Tsis txhob txhawj txog kev nyab xeeb ntawm cov tshuaj no. Cov tshuaj xaiv kom raug rau kev loj hlob hemoglobin thaum cev xeeb tub yuav ua rau muaj txiaj ntsig tshwj xeeb rau leej niam thiab tus menyuam. Feem ntau, nyob rau hauv cov ntaub ntawv no, cov kws kho mob pom zoo kom noj cov tshuaj "Sorbifer". Nws muaj ferrous sulfate thiab ascorbic acid kom zoo dua nqus ntawm cov khoom. Lwm cov tshuaj zoo - "Gino-Tardiferon" - muaj hlau thiab folic acid.
"Sorbifer Durules": piav qhia ntawm cov tshuaj
ntshav ntshav los ntawm qhov tsis muaj hlau yog txaus ntshai rau leej niam thiab tus menyuam mos. Cov kab mob pathological tuaj yeem ua rau muaj teeb meem nrog cev xeeb tub, ntxov ntxov detachment ntawm placenta, los ntshav. Txhawm rau tiv thaiv kev txhim kho ntawm cov xwm txheej zoo li no, cov ntsiab lus hemoglobin hauv cov ntshav yuav tsum tau saib xyuas thaum cev xeeb tub.
Thaum qhov sib txawv me ntsis ntawm tus qauv, tus niam uas muaj kev cia siab tau muab tshuaj tshwj xeeb. Ib qho tshuaj zoo tshaj plaws thiab muaj kev nyab xeeb rau kev nce hemoglobin "Sorbifer" (Hungary). Lawv raug muab tshuaj rau cov poj niam nyob rau hauv lub thib ob thiab peb lub hlis twg ntawm cev xeeb tub.
Ib ntsiav tshuaj muaj 100 mg ntawm ferrous sulfate thiab 60 mg ntawm ascorbic acid. Raws li kev txheeb xyuas, koob tshuaj ntau ntawm cov khoom xyaw ua ke nrog ascorbic acid tso cai rau koj los kho sai sai.normalization ntawm hemoglobin. Nrog rau txoj kev kho kom raug, tus neeg mob tus mob pib txhim kho sai li 3-4 lub lis piam tom qab pib kho.
KOJ
Ntau tus kws kho mob hais tias cov no yog cov tshuaj zoo tshaj plaws rau kev txhawb nqa hemoglobin. Yog tias tsim nyog los tiv thaiv qhov tsis txaus ntawm cov hlau, cov neeg mob uas muaj hnub nyoog tshaj 12 xyoos tau muab 1 ntsiav tshuaj ntawm Sorbifer. Rau kev kho mob ntshav qab zib, koob tshuaj tau nce mus rau 2 ntsiav tshuaj ib hnub. Cov tshuaj yuav tsum tau noj tsawg kawg ib nrab teev ua ntej noj mov. Ntxuav cov ntsiav tshuaj nrog dej huv.
Thaum cev xeeb tub, "Sorbifer Durules" raug pom zoo kom noj 1 ntsiav tshuaj. Thaum lactation, koob tshuaj tuaj yeem raug muab faib ua ob npaug.
Cov tshuaj hemoglobin twg haum rau menyuam yaus?
Cov menyuam mos muaj kev pheej hmoo thiab feem ntau raug kev txom nyem los ntawm qib hemoglobin qis. Qhov no tej zaum yuav yog vim lub peculiarities ntawm kev noj haus, piv txwv li, yog hais tias tus me nyuam noj tsuas yog cog zaub mov. Anemia feem ntau kuaj pom hauv cov menyuam mos uas yug ua ntej hnub kawg. Rau kev loj hlob thiab kev loj hlob ib txwm muaj, cov menyuam yaus yuav tsum tau sau nyiaj los txhawb hemoglobin.
Cov niam txiv feem ntau nug cov kws kho mob yuav ua li cas kho cov ntshav ntshav kom zoo thiab cov tshuaj twg tuaj yeem muab rau tus menyuam kom nce hemoglobin. Rau cov menyuam yaus, nws yog qhov zoo dua los muab tshuaj rau hauv daim ntawv syrup lossis tshuaj. Cov tshuaj no suav nrog Ferronal, Ferrum Lek, Totema.
Nrog kev pab los ntawm kev npaj tshwj xeeb, anemia tuaj yeem daws tau sai heev. Yuav tsum xav txog,tias qhov ntau npaum li cas thiab lub sijhawm ntawm kev kho tus menyuam nrog cov tshuaj muaj hlau yog txiav txim los ntawm tus kws kho mob.
Ferrum Lek: yuav kho li cas?
Ua kom cov qib ntawm hemoglobin zoo li qub thiab tshem tawm cov cim ntawm cov hlau tsis muaj zog yuav pab tau cov tshuaj xws li Ferrum Lek. Cov tshuaj muaj nyob rau hauv daim ntawv ntawm syrup, txhaj tshuaj thiab chewable ntsiav tshuaj. Cov ntaub ntawv ntawm qhov ncauj ntawm cov tshuaj muaj hlau hydroxide polym altose ua cov khoom xyaw nquag, thiab cov kev daws rau kev txhaj tshuaj muaj ferrisaccharate (hlau hydroxide polyisom altose).
Lub sijhawm ntawm kev kho tshuaj tsuas yog nyob ntawm qhov hnyav ntawm cov ntshav ntshav. Cov tshuaj nyob rau hauv daim ntawv ntawm ib tug syrup yuav muab tau rau cov me nyuam thaum yug los. Raws li cov lus qhia, qhov koob tshuaj yuav tsum tsis pub tshaj 5 ml ib hnub. Rau cov menyuam yaus hnub nyoog qis dua ib xyoos, qhov koob tshuaj tau nce mus rau 10 ml (2 scoops).
Kev tso ntshav lossis intramuscular hlau tsuas yog qhia rau cov neeg mob uas tsis tuaj yeem noj nws qhov ncauj. Cov neeg laus tau pom tias siv 1 ampoule ntawm cov tshuaj ib hnub. Rau cov menyuam yaus, tus kws kho mob kho qhov koob tshuaj.
Cov lus rau kev nce hemoglobin "Ferrum Lek" yog npaj rau zom. Lawv yuav tsum tau noj nyob rau hauv 2-3 pieces. hauv ib hnub. Cov chav kawm ntawm kev kho mob yog 3-6 lub hlis. Nws raug nquahu kom saib xyuas qib hemoglobin thaum kho.
