Iron yog ib qho ntawm cov ntsiab lus uas tib neeg lub cev tsis tuaj yeem ua haujlwm tag nrho. Txawm li cas los xij, muaj kev pheej hmoo ntawm kev ua txhaum ntawm nws cov peev txheej vim muaj kev cuam tshuam ntawm ntau yam thiab cov txheej txheem. Ib qho teeb meem feem ntau yog hlau deficiency anemia (IDA). Nws tuaj yeem loj hlob hauv cov menyuam yaus thiab cov neeg laus, thiab txawm tias cov poj niam cev xeeb tub muaj kev pheej hmoo. Muab qhov kev puas tsuaj ntawm tus kab mob no, nws tsim nyog kawm ntxiv txog nws.
Iron deficiency anemia yog dab tsi?
Ua ntej kawm txog kev mob sideropenic hauv cov hlau tsis muaj peev xwm anemia, nws yog ib qho tsim nyog yuav tsum tau kov cov ntsiab lus ntawm qhov teeb meem cuam tshuam nrog qhov tsis muaj cov kab no. Anemia ntawm hom no yog cov kab mob pathological uas tshwm sim los ntawm kev txo qis ntawm hemoglobin hauv cov ntshav vim qhov tsis txaus ntawm cov hlau hauv lub cev. Qhov tsis txaus nws tus kheej tshwm ncaj qha vim yog kev ua txhaum ntawm nws qhov kev noj haus thiab assimilation, lossis vim yog pathological poob ntawm lub caij no.
Iron deficiency anemia (aka sideropenic) txawv ntawm feem ntau lwm yam anemias vim tias nws tsis ua rau txo qis hauv cov qe ntshav liab. ATFeem ntau, nws tau pom nyob rau hauv cov poj niam uas muaj hnub nyoog yug me nyuam, cov poj niam cev xeeb tub thiab menyuam yaus.
Ua rau kab mob
Thawj pib, nws tsim nyog txheeb xyuas cov xwm txheej uas yuav ua rau muaj hlau tsis txaus. Kev siv nyiaj ntau ntxiv ntawm cov hlau ua raws li kev mob ntshav qab zib tuaj yeem tshwm sim los ntawm kev xeeb tub, hnyav hnyav, lactation, thiab kev loj hlob sai thaum lub sijhawm puberty. Cov neeg laus tuaj yeem siv cov hlau tsis zoo. Tsis tas li ntawd, thaum muaj hnub nyoog laus, tus naj npawb ntawm cov kab mob uas ua rau mob ntshav qab zib (kab mob plab hnyuv, lub raum tsis ua haujlwm, oncopathology, thiab lwm yam) nce ntxiv.
Kev txhawj xeeb txog qhov teeb meem zoo li tsis muaj hlau tsis txaus kuj tseem tsim nyog thaum kev nqus ntawm cov khoom no ntawm qib erythrokaryocytes cuam tshuam (vim kev noj zaub mov tsis txaus nrog rau cov zaub mov). Raws li yog vim li cas rau txoj kev loj hlob ntawm hlau deficiency anemia, nws ua rau kev txiav txim siab txog tej yam kab mob uas ua rau cov ntshav poob. Cov no tuaj yeem ua cov qog thiab cov txheej txheem ulcerative hauv plab hnyuv, endometriosis, mob hemorrhoids, thiab lwm yam. Nyob rau hauv tsawg zaus, tej zaum yuav muaj ntshav los ntawm Meckel diverticulum ntawm txoj hnyuv me, qhov twg cov kab mob peptic tshwm sim vim yog tsim ntawm peptin thiab hydrochloric. acid.
Qhov ua rau tsis muaj hlau tsis txaus anemia tuaj yeem cuam tshuam nrog cov qog nqaij hlav hauv lub ntsws, pleura thiab diaphragm, nrog rau hauv mesentery ntawm txoj hnyuv thiab plab. Cov qog no, uas muaj kev sib txuas ncaj qha nrog cov hlab ntsha hauv qab, tuaj yeem ua rau mob thiab ua rau los ntshav. Qhov tseebntshav poob yog qee zaum tsim nyob rau hauv cov ntaub ntawv ntawm kis los yog hereditary pulmonary siderosis, uas yog nyuaj los ntawm hemorrhage. Raws li qhov tshwm sim ntawm cov txheej txheem no, hlau nyob rau hauv tib neeg lub cev raug tso tawm, ua raws li nws cov deposition nyob rau hauv lub ntsws nyob rau hauv daim ntawv ntawm hemosiderin tsis muaj peev xwm ntawm kev siv tom ntej. Kev poob ntawm cov hlau hauv cov zis tuaj yeem yog vim muaj kev sib txuam ntawm cov kab mob xws li mob glomerulonephritis thiab kis tau hemosiderosis ntawm lub ntsws, uas yog qhov xwm txheej autoimmune.
Qee lub sij hawm ua rau muaj hlau tsis muaj ntshav liab cuam tshuam nrog kev poob ntawm cov hlau nrog rau cov ntshav yog ncaj qha cuam tshuam rau kev cuam tshuam ntawm helminths, uas, nkag mus rau hauv cov hnyuv phab ntsa, ua rau puas tsuaj rau nws thiab, vim li ntawd, microblood. poob uas tuaj yeem ua rau kev txhim kho ntawm IDA. Qhov kev pheej hmoo ntawm hom ntshav qab zib no yog tiag tiag rau cov neeg pub ntshav uas pub ntshav ntau zaus. Thiab raws li lwm qhov ua rau ntshav poob tsim nyog yuav tsum tau saib xyuas, ib tus tuaj yeem txiav txim siab hemangioma ntawm cov kabmob sab hauv.
Hlau hauv tib neeg lub cev tuaj yeem nqus tau tsis zoo vim cov kab mob ntawm txoj hnyuv me, uas tshwm sim ua ke nrog malabsorption syndrome hauv plab hnyuv dysbacteriosis thiab resection ntawm ib feem ntawm cov hnyuv. Yav dhau los, feem ntau nws muaj peev xwm ua tau raws li kev xav tias atrophic gastritis, uas muaj qhov txo qis hauv kev ua haujlwm, yuav tsum raug suav hais tias yog qhov ua rau muaj hlau tsis txaus ntshav ntshav. Qhov tseeb tiag, tus kab mob no tsuas muaj peev xwm pab tau xwb.
Latent iron deficiency (pob ntseg, tsis muaj cov tsos mob tshwm sim) tuaj yeemyuav kuaj tau ntawm qib biochemical. Xws li ib tug deficiency yog yus muaj los ntawm tsis muaj los yog ib tug ntse txo nyob rau hauv cov deposits ntawm no kab nyob rau hauv cov pob txha macrophages, uas muaj peev xwm yuav ntes tau siv tshwj xeeb staining. Nws yog ib qho tsim nyog rov hais dua tias nyob rau theem no, qhov poob ntawm cov hlau tsuas tuaj yeem raug kaw hauv chav kuaj.
Lwm qhov cim ntawm qhov tsis txaus yog qhov txo qis hauv cov ntshav ferritin.
Symptoms of iron anemia
Yuav ua kom cov tsos mob pom tseeb, nws ua rau kev txiav txim siab faib cov txheej txheem ntawm cov hlau tsis muaj zog rau 3 theem.
Hais txog thawj theem, nws tsim nyog sau cia tias nws tsis nrog cov tsos mob tshwm sim. Nws tuaj yeem kuaj pom tsuas yog los ntawm kev txiav txim siab qhov nqus ntawm cov hlau hluav taws xob hauv lub plab zom mov thiab cov nyiaj hemosiderin, uas muaj nyob hauv cov pob txha macrophages.
theem thib ob tuaj yeem piav qhia tias yog qhov tsis muaj hlau latent. Nws manifests nws tus kheej los ntawm ib tug txo nyob rau hauv lub dag zog kam rau siab thiab tseem ceeb qaug zog. Tag nrho cov cim qhia no qhia meej tias tsis muaj hlau nyob hauv cov ntaub so ntswg vim qhov txo qis ntawm cov enzymes uas muaj hlau. Hauv lub xeev no, ob txoj haujlwm tshwm sim ib txhij: qhov txo qis ntawm ferritin hauv erythrocytes thiab ntshav cov ntshav, nrog rau qhov tsis txaus ntawm cov tshuaj hloov pauv nrog hlau.
theem peb yuav tsum to taub raws li kev kho mob tshwm sim ntawm IDA. Cov tsos mob tseem ceeb ntawm lub sijhawm no suav nrog kev mob ntawm daim tawv nqaij trophic,rau tes, plaub hau, cov tsos mob ntawm sideropenic (kev qaug zog thiab kev tsis muaj zog), ua rau cov leeg tsis muaj zog, ua tsis taus pa thiab cov tsos mob ntawm cerebral thiab lub plawv tsis ua hauj lwm (tinnitus, kiv taub hau, mob plawv, fainting).
Cov tsos mob Sideropenic thaum lub sijhawm thib peb suav nrog kev xav noj chalk - geophagia, dysuria, urinary incontinence, xav tsis hnov tsw ntawm roj av, acetone, thiab lwm yam. Raws li rau geophagy, ntxiv rau cov hlau tsis muaj peev xwm, nws yuav qhia tau tias muaj kev tsis haum tshuaj. tsis muaj magnesium thiab zinc.
Thaum piav qhia txog cov cim qhia dav dav ntawm cov hlau tsis muaj zog, koj yuav tsum tau ua tib zoo saib xyuas cov tsos mob xws li qaug zog, tsis qab los noj mov, syncope, palpitations, mob taub hau, chim siab, tsis tshua muaj ntshav siab flickering " yoov" ua ntej ob lub qhov muag, pw tsaug zog tsis zoo. Thaum tsaus ntuj thiab tsaug zog thaum nruab hnub, maj mam nce hauv qhov kub thiab txias, txo kev mloog thiab nco, nrog rau kua muag thiab ntxhov siab.
Kev cuam tshuam ntawm sideropenic syndrome
Nws yog ib qho tseem ceeb kom nkag siab tias hlau yog ib feem ntawm ntau cov enzymes. Vim li no, thaum nws qhov tsis muaj peev xwm tshwm sim, kev ua haujlwm ntawm enzymes txo qis thiab kev ua haujlwm ntawm cov txheej txheem metabolic hauv lub cev cuam tshuam. Yog li, sideropenic syndrome yog qhov ua rau muaj ntau yam tsos mob:
- Daim tawv nqaij hloov. Thaum tsis muaj hlau tsis txaus, koj tuaj yeem pom cov tawv nqaij qhuav thiab tawg, uas tawg dhau sijhawm. Qhov tshwm sim ntawm cov kab nrib pleb yog ua tau rau ntawm xib teg, nyob rau hauv cov ces kaum ntawm lub qhov ncauj, ntawm taw thiab txawm nyob rau hauv lub qhov quav. Cov plaub hau nrog tus mob no hloov grey ntxov,ua brittle thiab nquag ntog tawm. Kwv yees li ib feem peb ntawm cov neeg mob tau ntsib nrog brittleness, thinning thiab transverse striation ntawm cov rau tes. Cov ntaub so ntswg tsis txaus yog qhov tshwm sim ntawm qhov tsis muaj cov enzymes.
- Hloov pauv hauv cov leeg nqaij. Iron deficiency ua rau tsis muaj enzymes thiab myoglobin hauv cov leeg. Qhov no ua rau kom qaug zog sai thiab tsis muaj zog. Hauv cov tub ntxhais hluas, nrog rau cov menyuam yaus, qhov tsis muaj hlau hauv cov enzymes provokes ncua kev loj hlob ntawm lub cev thiab kev loj hlob. Vim qhov tseeb tias cov leeg nqaij tsis muaj zog, tus neeg mob xav tias yuav tsum tso zis, nyuaj rau tuav zis thaum luag thiab hnoos. Cov ntxhais uas tsis muaj hlau feem ntau yuav tsum tau pw tsaug zog.
Sideropenic syndrome kuj ua rau muaj kev hloov pauv hauv cov mucous ntawm txoj hnyuv (kab ntawm cov ces kaum ntawm lub qhov ncauj, angular stomatitis, nce kev raug mob rau caries thiab kab mob periodontal). Kuj tseem muaj qhov hloov pauv ntawm kev xaav ntawm cov ntxhiab tsw. Nrog rau cov tsos mob zoo sib xws, cov neeg mob pib nyiam cov ntxhiab tsw ntawm khau polish, roj roj, roj av, roj, naphthalene, acetone, damp lub ntiaj teb tom qab los nag, thiab kua roj vanish.
Cov kev hloov pauv kuj cuam tshuam rau kev xav saj. Peb tab tom tham txog kev muaj siab xav saj cov khoom tsis yog khoom noj xws li cov hmoov txhuam hniav, khob cij nyoos, dej khov, xuab zeb, av nplaum, nqaij minced, cereals.
Nrog rau tus kab mob xws li sideropenic syndrome, cov mucous daim nyias nyias ntawm cov khaubncaws sab nraud povtseg thiab sab sauv ntawm cov kab mob ua pa hloov. Xws li kev hloov pauv ua rau kev txhim kho ntawm atrophic pharyngitis thiab rhinitis. Feem coob ntawm cov neeg nroghlau deficiency, xiav sclera syndrome tshwm. Raws li qhov tshwm sim ntawm kev ua txhaum ntawm lysine hydrocollation, qhov tsis ua haujlwm tshwm sim hauv cov txheej txheem ntawm collagen synthesis.
Nrog tsis muaj hlau, muaj kev pheej hmoo ntawm kev hloov hauv lub cev tiv thaiv kab mob. Peb tab tom tham txog kev txo qis ntawm qee yam immunoglobulins, B-lysines thiab lysozyme. Kuj tseem muaj kev ua txhaum ntawm phagocytic kev ua haujlwm ntawm neutrophils thiab kev tiv thaiv ntawm tes.
Nrog rau qhov teeb meem xws li tus mob sideropenic, qhov tsos ntawm dystrophic hloov hauv lub cev tsis suav nrog. Cov no suav nrog theem nrab anemic sideropenic myocardial dystrophy. Nws manifests nws tus kheej los ntawm ntxiv dag zog rau thawj lub suab ntawm lub apex ntawm lub plawv thiab nthuav ciam teb ntawm percussion dullness.
Nrog cov hlau tsis txaus, cov kab mob ntawm lub plab zom mov tuaj yeem hloov pauv. Cov no yog cov tsos mob xws li sideropenic dysphagia, dryness ntawm esophageal mucosa thiab, tejzaum nws, nws puas. Cov neeg mob pib hnov qhov nyuaj ntawm kev nqos thaum yav tsaus ntuj lossis hauv lub xeev ntawm kev ua haujlwm ntau dhau. Tej zaum kev ua txhaum ntawm cov ntaub so ntswg ua pa, ua rau maj mam atrophy ntawm lub plab mucosa, uas atrophic gastritis tsim. Sideropenic syndrome kuj tuaj yeem ua rau txo qis hauv plab hnyuv, uas tuaj yeem ua rau achilia.
Vim li cas hlau deficiency anemia tshwm sim hauv cov poj niam cev xeeb tub?
Nyob rau hauv cov poj niam uas muaj menyuam, tsis muaj hlau yuav yog vim cov tsos mob ntawm extragenital thiab gynecological kab mob ua ntej cev xeeb tub, raws li zoo raws li xav tau ntau rau hlau thaum lub sij hawm fetal loj hlob.
Ntau yam tuaj yeem ua taucuam tshuam qhov tshwm sim ntawm cov kab mob xws li anemia. Iron deficiency nyob rau hauv cov poj niam cev xeeb tub feem ntau tshwm sim vim li no:
- cov kab mob sib kis tsis zoo uas tau hais los saum toj no (lub plawv tsis xws luag, duodenal thiab gastric ulcers, atrophic gastritis, raum pathology, helminthic invasions, kab mob siab, kab mob nrog lub qhov ntswg, thiab hemorrhoids);
- raug tus poj niam lub cev ntawm ntau yam tshuaj thiab tshuaj tua kab uas tuaj yeem cuam tshuam nrog kev nqus hlau;
- congenital deficiency;
- tsis txaus cov hlau nqus (mob mob pancreatitis, enteritis, resection ntawm txoj hnyuv me, plab hnyuv dysbacteriosis);
- khoom noj khoom haus tsis txaus, uas tsis tuaj yeem ua kom cov khoom ntawm cov kab no rau lub cev raws li qhov xav tau.
Iron deficiency hauv me nyuam
Thoob plaws tag nrho lub sijhawm cev xeeb tub, kev tsim cov ntsiab lus ntawm cov microelement hauv cov ntshav tshwm sim hauv tus menyuam lub cev. Txawm li cas los xij, hauv peb lub hlis thib peb, ib tus tuaj yeem soj ntsuam qhov kev noj ntau tshaj ntawm cov hlau los ntawm cov hlab ntsha placental. Hauv ib tus menyuam mos tag nrho, qib ib txwm ntawm nws cov ntsiab lus hauv lub cev yuav tsum yog 400 mg. Nyob rau tib lub sijhawm, rau cov menyuam yaus uas yug ntxov ntxov, qhov ntsuas no tsis nce siab dua 100 mg.
Nws tseem ceeb heev uas yuav tsum tau coj mus rau hauv tus account qhov tseeb tias niam cov kua mis muaj cov microelement txaus los ntxiv cov khoom cia ntawm tus menyuam lub cev ua ntej 4 lub hlis. Yog li yog tias nws sai dhau los nrespub niam mis, tus me nyuam yuav tsim ib qho tsis muaj hlau. Qhov ua rau IDA hauv cov menyuam yaus tuaj yeem cuam tshuam nrog lub sijhawm cev xeeb tub. Peb tab tom tham txog ntau yam kab mob sib kis ntawm leej niam thaum cev xeeb tub, nrog rau lig thiab ntxov toxicosis, nrog rau hypoxia syndrome. Cov xwm txheej xws li kev xeeb tub ntau yam hauv fetal transfusion syndrome, chronic iron deficiency anemia thaum cev xeeb tub, thiab uteroplacental los ntshav kuj tseem cuam tshuam rau cov hlau depletion.
Nyob rau lub sijhawm intranatal, qhov txaus ntshai yog los ntshav loj heev thaum yug thiab ntxov ligation ntawm txoj hlab ntaws. Raws li rau lub sijhawm tom qab yug menyuam, nyob rau theem no, qhov tsis txaus ntawm cov hlau tuaj yeem yog qhov tshwm sim ntawm kev loj hlob sai ntawm tus menyuam, kev noj zaub mov thaum ntxov nrog tag nrho cov nyuj cov mis nyuj thiab cov kab mob uas muaj nrog kev ua txhaum ntawm kev nqus ntawm txoj hnyuv.
IDA ntshav kuaj
Txoj kev kuaj mob no yog qhov tsim nyog txhawm rau txiav txim siab qib qis ntawm hemoglobin thiab cov qe ntshav liab. Nws tuaj yeem siv los txheeb xyuas hemolytic thiab hlau deficiency anemia los ntawm kev kho cov yam ntxwv morphological ntawm erythrocytes thiab erythrocyte loj.
Thaum IDA, kev kuaj ntshav biochemical yuav tsum ua kom pom qhov txo qis hauv cov ntshav ferritin, nce hauv TI, txo qis hauv cov ntshav cov ntshav thiab txo qis qis ntawm cov microelement ntawm transferrin. piv rau tus qauv.
Nws yog ib qho tseem ceeb kom paub tias koj yuav tsum tsis txhob haus cawv ib hnub ua ntej kev xeem. Tsis tsim nyognoj 8 teev ua ntej kuaj pom, tsuas yog dej huv tsis muaj roj xwb.
Differential Diagnosis
Nyob rau hauv rooj plaub no, keeb kwm kev kho mob tuaj yeem pab tau zoo hauv kev kuaj mob. Hlau deficiency anemia feem ntau tshwm sim nrog rau lwm yam kab mob, yog li cov ntaub ntawv no yuav pab tau heev. Raws li kev sib txawv mus rau qhov kev kuaj mob ntawm IDA, nws tau ua nrog cov kab mob uas tuaj yeem ua rau tsis muaj hlau. Nyob rau tib lub sijhawm, thalassemia yog tus cwj pwm los ntawm kev soj ntsuam thiab kuaj cov cim qhia ntawm erythrocyte shemolysis (kev nce hauv qhov loj ntawm tus po, nce qib ntawm indirect bilirubin, hypochromic anemia, reticulocytosis, thiab qib siab ntawm cov hlau hauv cov khoom thiab cov ntshav. serum).
Txoj Kev Kho Mob
Yuav kom kov yeej qhov teeb meem zoo li qhov tsis muaj hlau nyob hauv cov ntshav, nws yog ib qho tsim nyog yuav tsum tau ua raws li lub tswv yim zoo. Ib tug neeg mus kom ze yuav tsum tau qhia rau txhua tus neeg mob, txwv tsis pub nws yog ib qho nyuaj rau ua kom tiav qib uas xav tau ntawm cov kev pab cuam ntawm kev kho mob.
Nrog rau qhov teeb meem xws li tsis muaj hlau nyob hauv lub cev, kev kho mob feem ntau cuam tshuam rau qhov tshwm sim uas ua rau muaj qhov tshwm sim ntawm anemia. Kev kho tus mob no nrog kev pab ntawm cov tshuaj kuj ua lub luag haujlwm tseem ceeb hauv txoj kev rov zoo.
Kev mloog yuav tsum tau them rau kev noj haus. Kev noj zaub mov ntawm cov neeg mob IDA yuav tsum suav nrog cov khoom noj uas muaj heme hlau. Cov no yog nqaij nyuj, nqaij nyuj, nqaij nyuj. Tsis txhob hnov qab txog amber, txiv qaub thiabascorbic acid. Cov hlau tsis muaj peev xwm kho tau los ntawm kev noj zaub mov fiber ntau, calcium, oxalate, thiab polyphenols (soy protein, tshuaj yej, kas fes, chocolate, mis nyuj).
Hais txog cov ncauj lus ntawm kev kho tshuaj kom ntxaws, nws tsim nyog sau cia tias kev npaj cov hlau tau raug sau tseg hauv chav kawm ntawm 1.5 mus rau 2 lub hlis. Tom qab theem ntawm Hb yog normalized, kev kho kev kho yog qhia nrog ib nrab koob tshuaj rau 4-6 lub lis piam.
Iron-muaj tshuaj rau anemia yog noj ntawm tus nqi ntawm 100-200 mg / hnub. Tom qab cov koob tshuaj txo qis rau 30-60 g (2-4 lub hlis). Cov tshuaj hauv qab no tuaj yeem raug ntaus nqi rau cov neeg nyiam tshaj plaws: "Tardiferon", "M altofer", "Totema", "Ferroplex", "Sorbifer", "Ferrum Lek". Raws li txoj cai, tshuaj noj ua ntej noj mov. Qhov tshwj xeeb yog cov neeg mob kuaj mob gastritis thiab ulcers. Cov tshuaj saum toj no yuav tsum tsis txhob muab ntxuav nrog cov khoom uas tuaj yeem khi hlau (mis nyuj, tshuaj yej, kas fes). Txwv tsis pub, lawv cov txiaj ntsig yuav tsis raug. Nws yog ib qho tsim nyog yuav tsum paub txog qhov tsis muaj kev phom sij uas cov tshuaj muaj hlau tuaj yeem tsim tau thaum muaj ntshav qab zib (txhais tau tias cov xim tsaus ntawm cov hniav). Koj yuav tsum tsis txhob ntshai ntawm cov tshuaj tiv thaiv zoo li no. Raws li qhov tshwm sim tsis zoo ntawm kev kho tshuaj, cov kab mob plab hnyuv siab raum (cem quav, mob plab) thiab xeev siab tuaj yeem tshwm sim.
Txoj hauv kev tseem ceeb los tswj cov tshuaj rau cov tsis muaj hlau yog los ntawm qhov ncauj. Tab sis nyob rau hauv cov ntaub ntawv ntawm txoj kev loj hlob ntawm txoj hnyuv pathology, nyob rau hauv uas cov txheej txheem nqus tau cuam tshuam, parenteral.kev taw qhia.
Kev Tiv Thaiv
Nyob rau hauv feem ntau ntawm cov neeg mob, nrog kev pab los ntawm kev kho tshuaj, kws kho mob tswj kom kho cov hlau deficiency. Txawm li cas los xij, tus kab mob tuaj yeem rov zoo thiab rov tsim dua (tsis tshua muaj heev). Txhawm rau kom tsis txhob muaj cov xwm txheej zoo li no, kev tiv thaiv ntawm cov hlau tsis muaj peev xwm anemia yog tsim nyog. Qhov no txhais tau tias kev soj ntsuam txhua xyoo ntawm qhov tsis muaj kev kuaj ntshav hauv tsev kho mob, tshem tawm sai sai ntawm txhua yam ua rau ntshav poob thiab khoom noj khoom haus zoo. Rau cov uas muaj kev pheej hmoo, tus kws kho mob yuav sau cov tshuaj tsim nyog rau kev tiv thaiv.
Pom tseeb, qhov tsis muaj hlau hauv cov ntshav yog ib qho teeb meem loj heev. Txhua yam keeb kwm kho mob tuaj yeem lees paub qhov no. Hlau deficiency anemia, tsis hais tus neeg mob zoo li cas, yog ib qho piv txwv tseem ceeb ntawm tus kab mob loj heev. Yog li ntawd, thawj cov tsos mob ntawm qhov tsis muaj microelement, nws yog ib qho tsim nyog yuav tau sab laj nrog kws kho mob thiab tau txais kev kho mob raws sij hawm.
