Kev xeeb tub feem ntau nrog ntshav ntshav. Hauv qhov xwm txheej no, tsis muaj cov qe ntshav liab noj qab haus huv txaus los xa cov pa oxygen mus rau cov ntaub so ntswg ntawm leej niam thiab tus menyuam.
Thaum cev xeeb tub, cov qe ntshav ntau ntxiv los txhawb kev loj hlob ntawm tus menyuam. Yog tias leej niam lub cev tsis tau txais cov hlau txaus lossis qee yam khoom noj, cov kab mob hematopoietic tsis tuaj yeem tsim cov qe ntshav liab txaus. Yog li ntawd, anemia tshwm sim. Ib qho tshuaj rau nws txoj kev kho mob yog Ferrum Lek. Thaum cev xeeb tub, txawm tias me me ntawm kev txhaj tshuaj ntawm cov tshuaj no txaus.
Kev faib tawm
Anemia muaj peb theem ntawm qhov hnyav, nyob ntawm seb cov qe ntshav liab thiab hemoglobin hauv cov ntshav. Qhov mob no tshwm sim vim tsis muaj cov kab mob lossis cov vitamins. Anemia tuaj yeem yog hom hauv qab no:
- folate-deficient;
- hlau tsis muaj;
- ua los ntawm vitamin B12 deficiency.
Cov ntshav ntshav ntau tshaj plaws thaum cev xeeb tub yog qhov tsis muaj hlau. Hauv daim ntawv no, tus nqi ntawm hemoglobin raug txo, uasthauj oxygen los ntawm lub ntsws mus rau txhua lub hlwb hauv lub cev.
Txhais tau
Folic acid thiab vitamin B12 tsis txaus tuaj yeem ua rau muaj kev yug me nyuam, yug ntxov ntxov thiab fetal growth retardation syndrome. Thaum yug me nyuam vim ntshav ntshav, muaj feem ntau ntawm kev qaug zog thaum yug menyuam. Tsis tas li ntawd, cov teeb meem hauv qab no tuaj yeem tshwm sim:
- yug me nyuam ntxov los yog qis dua;
- poob ntawm cov ntshav tseem ceeb thaum yug menyuam, uas yuav tsum tau txhaj cov ntshav;
- kev nyuaj siab tom qab yug me nyuam;
- yug me nyuam muaj ntshav liab.
Predisposing factors
Kev pheej hmoo ntawm ntshav ntshav thaum cev xeeb tub nce yog:
- ua ntej xeeb tub, qhov txo qis hauv hemoglobin tau txiav txim siab;
- ntau lub cev xeeb tub tshwm sim;
- luv luv nruab nrab ntawm cev xeeb tub;
- toxicosis ntawm thawj ib nrab nrog xeev siab thiab ntuav;
- teenage cev xeeb tub;
- Niam txiv noj mov muaj hlau tsawg.
Txhua yam no yog coj los rau hauv tus kws kho mob thaum soj ntsuam tus poj niam cev xeeb tub. Nyob rau hauv cov ntaub ntawv no, kev kho mob raws cai kom tsis txhob muaj ntau yam tshwm sim.
Symptoms
Cov tsos mob feem ntau ntawm anemia thaum cev xeeb tub yog:
- pallor ntawm mucous daim nyias nyias, tawv nqaij, daim di ncauj thiab rau tes;
- xav nkees lossis qaug zog;
- kiv taub hau;
- ua tsis taus pa;
- heartbeat;
- kev nyuaj siab.
NyobNyob rau theem pib ntawm anemia, tej zaum yuav tsis muaj cov tsos mob pom tseeb. Thiab ntau ntawm lawv yog tus yam ntxwv ntawm kev xeeb tub. Txhawm rau kom tau txais kev kho mob kom raug thiab tsim nyog, nws yuav tsum dhau mus kuaj ntshav, thiab yog tias tsim nyog, hematocrit thiab kuaj ntshav rau cov hlau ions.
Thaum Ferrum Lek raug xaiv
Iron npaj yog siv los kho ntshav ntshav. Txog niaj hnub no, muaj kev xaiv loj ntawm cov tshuaj no. Ntau tus kws kho mob nyiam sau tshuaj Ferrum Lek thaum cev xeeb tub. Qhov no yog vim muaj ntau yam ntawm nws cov khoom zoo. Tsis tas li ntawd, cov ntaub ntawv yooj yim ntawm kev tso tawm Ferrum Lek tau tsim: kev txhaj tshuaj (kev daws teeb meem rau cov hlab ntsha thiab cov tshuaj intramuscular), chewable ntsiav tshuaj thiab syrup.
Ib tug me nyuam yug los rau leej niam anemic kuj tau txais hlau ions tsawg. Cov tshuaj no tsis ntxiv thaum pub niam mis. Cov niam uas muaj ntshav qab zib yuav muaj mis nyuj tsis txaus thiab cov ntsiab lus hlau tsawg.
Hauv cov menyuam yaus, qhov tsis muaj hlau nyob hauv lub cev yuav tsis tshwm sim nws tus kheej, tab sis thaum lub sij hawm puberty, cov tub ntxhais hluas muaj cov tsos mob ntawm anemia. Feem ntau, cov menyuam yaus no pom muaj mob khaub thuas, asthenic lub cev thiab qee qhov kev loj hlob qeeb. Vim li no, nws yog ib qho tsim nyog yuav tau ua kev kho mob ntshav qab zib rau cov niam uas muaj menyuam. Ntxiv nrog rau kev noj zaub mov uas muaj hlau thiab protein ntau, nws yuav tsum tau ntxiv cov vitamins thiab cov khoom muaj hlau, uas suav nrog Ferrum Lek.
Drug action
Txoj kev muaj pes tsawg leeg ntawm cov tshuaj - kev sib xyaw ntawm cov hlau ions nrog polym altose -txiav txim nws qhov kev txiav txim. Xws li ib tug complex zoo ib yam li cov hlau cia protein. Yog li ntawd, cov ntsiab lus tseem ceeb ntawm Ferrum Lek thaum cev xeeb tub tsis tuaj yeem ua rau tsaus nti ntawm cov hniav enamel thiab zoo nqus los ntawm lub cev.
Ntau tus ntseeg tias koj tuaj yeem nce hemoglobin tsuas yog los ntawm kev noj zaub mov xwb. Kev noj zaub mov, qhov tseeb, yuav tsum muaj cov khoom noj uas muaj hlau thiab cov protein ntau. Tab sis koj yuav tsum paub tias cov khoom noj khoom haus sib txawv ntawm ntau theem ntawm assimilation ntawm cov khoom xws li Fe. Piv txwv li, nyob rau hauv cov nqaij, nws cov nyiaj yog 40-50%, thiab rau cov khoom ntawm tsob nroj keeb kwm, daim duab no tsis pub tshaj 3-5%.
Hlau nqus tau txo qis vim yog siv cov tannins (kas fes, tshuaj yej), phytins (ntsev), phosphates (khoom noj qab haus huv, dej ntses). Vim tib yam, haus tshuaj yej tsis pom zoo. Kev siv "Ferrum Lek" nrog ntau yam tshuaj - antacids, tetracyclines, magnesium thiab calcium ntsev - thaum cev xeeb tub yuav tsis nce hemoglobin mus rau qib uas yuav tsum tau ua.
Thaum muab tshuaj rau cov poj niam cev xeeb tub, tus kws kho mob yuav siv ntau yam. Ntawm cov kev xav tau tseem ceeb: kev ua siab ntev, qhov feem pua ntawm cov assimilation hauv lub cev thiab kev nyab xeeb ntawm kev siv. Cov tshuaj "Ferrum Lek" (txhaj tshuaj, ntsiav tshuaj thiab syrup) tau tsim nws tus kheej ua cov tshuaj uas haum txhua qhov tsim nyog ntsuas.
Efficiency
Nyob hauv nws cov txiaj ntsig, nws zoo ib yam li cov hlau ferrous, tab sis nws muaj kev nyab xeeb dua thiab tsis tso cai rau cov teeb meem tom qab noj ntau dhau. "Ferum Lek" syrup, nrog rau lwm cov ntaub ntawvcov tshuaj yog yus muaj los ntawm ib tug ncaj siab kam rau ua. Cov tshuaj no tsis yog inactivated los ntawm ntau yam khoom xyaw. Vim li no, noj nrog zaub mov tsis txo cov hlau nqus.
Cov kab mob ntawm cov kab mob ntawm cov kab mob plab tsis tshua muaj. Kev siv "Ferrum Lek" thaum cev xeeb tub ua rau nws muaj peev xwm ua tiav qhov kev txhim kho me ntsis hauv chav kuaj thiab cov tsos mob ntawm cov hlau tsis txaus. Cov no suav nrog qaug zog, tachycardia, tawv nqaij qhuav, kiv taub hau thiab qaug zog.
Drug Forms
Cov tshuaj tau nthuav tawm ntau hom: cov ntsiav tshuaj zom tau, txhaj tshuaj thiab kua qab zib. Lub sijhawm kho thiab ntau npaum li cas yog txiav txim siab los ntawm cov xwm txheej ntawm tus poj niam cev xeeb tub, qib ntawm hemoglobin, cov qe ntshav liab thiab hematocrit. Feem ntau, 3 ntsiav tshuaj los yog syrup yog sau nyob rau hauv ib tug npaum li ntawm 20-30 ml ib hnub twg. Cov chav kawm txuas ntxiv mus txog thaum qib hemoglobin nce mus txog 110 g / l. Qhov no yog soj ntsuam los ntawm kev kuaj ntshav. Feem ntau, 10-14 hnub yog txaus. Nyob rau hauv lub neej yav tom ntej, qhov ntau npaum li cas yog txo mus rau 1 ntsiav tshuaj los yog mus txog 10 ml ntawm syrup ib zaug. Muab tshuaj feem ntau tom qab noj mov. "Ferrum Lek" (syrup) raug pom zoo kom muab ntxiv rau hauv dej lossis dej haus, thiab cov ntsiav tshuaj yuav tsum nqus los yog zom.
Nrog kev kho kom txaus, ua tau zoo, kev tiv thaiv kev xeeb tub ntawm cov hlau tsis muaj zog rau leej niam thiab tus menyuam hauv plab thiab tiv thaiv ntau yam teeb meem yog lav.
Cov kev tshawb fawb paub meej txog kev nyab xeeb ntawm cov tshuaj, tab sis nws tuaj yeem sau tautshwj xeeb los ntawm tus kws kho mob tom qab cov txiaj ntsig ntawm kev sim. Kev noj tshuaj rau tus kheej nrog Ferrum Lek (syrup lossis ntsiav tshuaj) tsis suav nrog. Qhov no tuaj yeem cuam tshuam rau leej niam lub cev thiab tus mob ntawm tus menyuam hauv plab.
YPharmacokinetics
Hlau nkag mus rau hauv cov ntshav plasma sai heev: 10% ntawm cov koob tshuaj - tom qab 10 feeb, 45% - tom qab 30 feeb. Lub neej ib nrab-lub neej yog 3-4 hnub. Hlau nrog transferrin yog siv los tsim cov enzymes, hemoglobin, myoglobin. Cov complex nrog dextran tsis raug tso tawm los ntawm ob lub raum, vim nws muaj qhov hnyav molecular.
YContraindications
Cov tshuaj yog contraindicated nyob rau hauv thawj 12-13 lub lis piam ntawm cev xeeb tub. Obstetricians, raws li lawv cov kev paub, sau cov tshuaj nyob rau hauv II thiab III trimesters thiab thaum lub sij hawm pub niam mis, tab sis nyob rau hauv kev tswj ntawm tus me nyuam hauv plab los yog yug tshiab.
Kev siv tshuaj yog contraindicated thaum:
- kis kab mob ntawm lub raum nyob rau theem mob hnyav;
- cirrhosis ntawm daim siab, kab mob siab;
- pathological susceptibility rau tshuaj Cheebtsam;
- Yhemochromatosis, hemosiderosis;
- anemia tsis cuam tshuam txog Fe deficiency;
- qee yam ntawm anemia;
- Osler-Rendu-Weber syndrome;
- hyperparathyroidism.
Nrog ceev faj, cov tshuaj tau muab tshuaj rau bronchial hawb pob, mob plawv tsis txaus, mob polyarthritis, tsis muaj peev xwm ntawm cov hlau tsis txaus ntawm hemoglobin, tsis muaj folic acid, cov menyuam yaus hnub nyoog qis dua 4 lub hlis.
Side effects
Ntawm cov teebmeem tsis zoo, cov hauv qab no yuav tsum raug sau tseg:
- arterial hypotension;
- mob pob qij txha;
- lymphadenopathy;
- hyperthermia;
- mob taub hau, kiv taub hau;
- drowsiness, qaug zog;
- nausea, ntuav.
Qee zaum muaj kev tsis haum tshuaj. Kev txhaj tshuaj tsis raug tuaj yeem ua rau mob, o thiab mob ntawm qhov chaw txhaj tshuaj.
Txoj kev siv thiab ntau npaum li cas
Ua ntej txhaj tshuaj thawj zaug, txhua tus poj niam yuav tsum tau txais ib koob tshuaj, uas yog 25-50 mg ntawm hlau rau cov neeg laus thiab ib nrab koob tshuaj rau menyuam yaus. Qhov tsis muaj qhov tshwm sim hauv zos li ntawm 15 feeb qhia tau tias muaj kev zam txim zoo.
Ferrum Lek: price
Cov tshuaj no hauv tebchaws Russia tuaj yeem yuav ntawm tus nqi ntawm 200 txog 400 rubles. Tus nqi ntawm syrup yog 150 rubles. Raws li rau cov tshuaj Ferrum Lek ampoule, nws tus nqi yog siab heev - los ntawm 800 mus rau 1300 rubles. Tab sis nws yuav tsum nco ntsoov tias cov txiaj ntsig ntawm kev noj tshuaj ua rau muaj txiaj ntsig zoo ntawm Ferrum Lek. Tus nqi (cov ntsiav tshuaj, syrup lossis ampoules) yog qhov tsim nyog heev. Thiab qhov tseem ceeb tshaj plaws - tag nrho qhov no yuav ua rau muaj txiaj ntsig zoo rau txhua tus poj niam cev xeeb tub uas muaj ntshav qab zib.
