Sideropenic ciwo a cikin baƙin ƙarfe rashi anemia: cututtuka, magani

Iron - shi ne daya daga cikin abubuwa, ba tare da wanda jikin mutum ba zai iya cikakken aiki. Duk da haka, akwai wani hadarin take hakkin ya kayayyaki daga tasirin daban-daban dalilai da kuma matakai. Daya daga cikin na kowa matsaloli ne da baƙin ƙarfe rashi anemia (IDA). Yana iya ci gaba a da yara da manya, har ma da mata masu juna biyu a hadarin. Ba duk da hallakaswa m cuta, yana da daraja don gano more daki-daki.

Me ake nufi da wani baƙin ƙarfe rashi anemia?

Kafin binciken sideropenic ciwo da baƙin ƙarfe rashi anemia, dole ne a taba tushen matsalar hade da rashin alama kashi. Wannan irin anemia ne pathological yanayin halin da karu a matakin na haemoglobin a cikin jini saboda da m rashi na baƙin ƙarfe a cikin jiki. Kai tsaye da kasawa bayyana saboda da take hakkin ta samu da kuma assimilation, ko saboda pathological asarar wannan kashi.

Iron karanci anemia (aka sideropenic) ya bambanta daga mafi sauran anemias cewa idan ba a can ne akan rage ja jini Kwayoyin. A mafi yawan lokuta shi ne kamu a mata na haihuwa, mata masu juna biyu da kuma yara.

A Sanadin cutar

Da farko ya kamata nuna hadarin dalilai, wanda na iya faruwa a lokacin da baƙin ƙarfe rashi. Karuwan amfani da baƙin ƙarfe, wanda aka bi da anemia za a iya lalacewa ta hanyar maimaita ciki m al'ada m girma da kuma lactation a lokacin pubertantnogo lokaci. Mazan mutane na iya rage baƙin ƙarfe yin amfani. Har ila yau, yawan na tsufa cututtuka da wanda anemia aka muhimmanci ƙãra (cushewar hanji, koda insufficiency, oncopathology et al.).

Damu game da irin wannan matsalar kamar yadda baƙin ƙarfe rashi, shi wajibi ne kuma a cikin wannan yanayin, a lokacin da disrupted da sha na wannan kashi a erythrokaryocytes matakin (saboda kasa ci na baƙin ƙarfe daga abinci). Kamar yadda haddasawa na baƙin ƙarfe rashi anemia, shi ya sa hankalta da su bi wani cututtuka da kai ga jini hasãra. Wannan na iya zama ulcerated ƙari kuma matakai a cikin gastrointestinal fili, endometriosis, na kullum basur da sauransu. A rare lokuta, ana iya lura da jini da asarar daga Meckel diverticulum na kananan hanji, inda wani peptic miki saboda da samuwar hydrochloric acid da kuma peptin.

A Sanadin na baƙin ƙarfe rashi anemia iya dangantawa da glomicheskimi marurai a cikin huhu, pleura kuma diaphragm, kazalika a mesentery na hanji da kuma ciki. Wadannan siffofin maruran, wanda da kai tsaye dangane da rufe arteries, za a iya ulcerate da kuma zama tushen zub da jini. hemorrhage wani lokacin kafa hujja a cikin hali na gaji ko samu na huhu siderosis, wanda da wahala ta hemorrhage. A sakamakon wannan tsari, da baƙin ƙarfe a cikin jikin mutum da aka saki, ya bi ta hanyar tunzura kashe ya huhu a cikin hanyar hemosiderin ba tare da yiwuwar m dashi. Da asarar da na baƙin ƙarfe a cikin fitsari iya zama saboda wani hade da cututtuka kamar na kullum glomerulonephritis kuma samu hemosiderosis haske, da ciwon autoimmune asalin.

Wani lokaci haddasawa na baƙin ƙarfe rashi anemia hade da baƙin ƙarfe asara tare da jini, an kai tsaye alaka da sakamako na helminth wanda ake iya shiga cikin hanji bango, haddasa lalacewar shi kuma, kamar yadda wani sakamako, mikrokrovopoteri cewa zai iya kai wa ga ci gaban IDA. A hadarin irin wannan anemia ne real kuma ga waɗanda gudunmawa wanda bada gudumawar jini akai-akai. Kuma kamar yadda wani dalili hemorrhage, kuma ya cancanci da hankali, shi ne mai yiwuwa a ƙayyade hemangioma na ciki gabobin.

The baƙin ƙarfe a cikin jikin mutum iya talauci tunawa saboda da kananan hanji cututtuka, wanda ke faruwa a tare da malabsorption ciwo dysbacteriosis hanji da kuma kananan hanji resection. A baya can, ka iya quite sau da yawa hadu da ra'ayin cewa da atrophic gastritis, tun rage secretory aiki, ya wajaba a yi la'akari a matsayin real dalili na baƙin ƙarfe rashi anemia. A gaskiya, irin wannan cuta ne iya samar da kawai wani karin tasiri.

A latent baƙin ƙarfe rashi (boye, ba tare da na asibiti cututtuka) za a iya gano a biochemical matakin. Halin da wani rashi ko babu wani kaifi karu a adibas na microelement bargo macrophages, wanda za a iya gano ta musamman launi. Shi ne ya cancanci maimai da cewa a wannan mataki, da baƙin ƙarfe asarar za a iya gano kawai a awon yanayi.

Wani alama, wanda damar su gane gaira - raguwa a magani ferritin.

Alamun halayyar da na baƙin ƙarfe-karanci anemia

Don cututtuka da aka fi gane, shi ya sa hankali domin raba kan aiwatar da samuwar na baƙin ƙarfe rashi a kan 3, saukarwa.

Magana na mataki na farko, shi ne ya kamata a lura da cewa shi ne ba tare da na asibiti da ãyõyinMu. Yana iya kawai gane ta kayyade yawa na rediyoaktif baƙin ƙarfe sha a cikin gastrointestinal fili da kuma yawan hemosiderin, wanda yake kunshe a cikin bargo macrophages.

A mataki na biyu za a iya bayyana a matsayin wani latent baƙin ƙarfe rashi. An bayyana ta a karu a motsa jiki juna da ragowa da gagarumin gajiya. Duk wadannan alamu ya nuna a fili rashin baƙin ƙarfe a cikin tsokoki saboda da rage a cikin taro na baƙin ƙarfe-dauke da enzymes. A wannan jiha, biyu tafiyar matakai faruwa lokaci guda: rage ferritin matakai a erythrocytes da kuma magani, kazalika da rashin transferrin baƙin ƙarfe jikewa.

A karkashin uku mataki shi wajibi ne don fahimtar asibiti bayyanuwar na baƙin ƙarfe rashi anemia. Babban bayyanar cututtuka da wannan lokaci za a iya dangana trophic cuta na fata, da kusoshi, gashi, sideropenic cututtuka (gajiya da wani rauni), da girma da tsoka rauni, shortness na numfashi da kuma alamun da cerebral kuma cardiac gazawar (ringing a cikin kunnuwansu, juwa ko jiri, ciwon kirji, aka rufe da mãgãgi ).

By sideropenic cututtuka a lokacin da na uku mataki ya shafi sha'awar ci alli -. Geophagy, dysuria, urinary incontinence, tura zuwa fetur wari, acetone, da dai sauransu Tare game geophagic, shi ne ban da baƙin ƙarfe rashi iya zama nuni da rashin a jikin magnesium da kuma tutiya.

Kwatanta kowa bayyanar cututtuka na baƙin ƙarfe rashi, shi wajibi ne don kula da cututtuka kamar wani rauni, ci hasara, syncope, palpitations, ciwon kai, irritability, low jini walƙiya "tashi" kafin idanu, matalauta barci da dare, kuma sleepiness lokacin da rana, a hankali a hankali karuwa a yawan zafin jiki, rage a hankali da kuma memory, kazalika da tearfulness da nervousness.

Tasiri sideropenic ciwo

Yana da muhimmanci a fahimci cewa baƙin ƙarfe ne a bangaren enzymes masu yawa. Saboda wannan dalili, idan akwai wani rashi, da enzyme aiki an rage da kuma a lokacin al'ada tafiyar matakai na rayuwa a cikin jiki ne gaji da damuwa. Saboda haka, sideropenic ciwo ne hanyar da yawa cututtuka:

1. Skin canje-canje. Lokacin da akwai wani rashi na baƙin ƙarfe, da shi za a iya gani peeling da kuma rashin ruwa da fata, wadda daga ƙarshe ta fasa. Da ya faru na fasa iya itãcen dabĩnai, sasanninta na bakinka, har ma da ƙafãfunsu daga dubura. Gashi da wannan ciwo farkon juya launin toka, zama gaggautsa da kuma fada daga rayayye. Aƙalla kwata na marasa lafiya da fuskantar gaggautsa, thinning da kuma mai gangara striations yatsun. Nama baƙin ƙarfe rashi Shi ne ainihin wani sakamako na rashin nama enzymes.
2. Canjãwa murdede tsarin. Iron rashi sakamakon a wani rashin enzymes da myoglobin a cikin tsoka. Wannan take kaiwa zuwa gajiya da rashin ƙarfi. A matasa, kazalika a yara, da rashin baƙin ƙarfe a cikin enzymes tsokani wani bata lokaci ba ta jiki ci gaba da kuma ci gaba. Saboda gaskiya cewa murdede tsarin da aka raunana, da mãsu haƙuri ji mai tursasawa tura zuwa urinate, wahala a rike fitsari a lokacin da dariya da tari. Girls da baƙin ƙarfe rashi sau da yawa da za a magance bedwetting.

sideropenic ciwo kuma ya musanya masa a mucous membranes na hanji fili (fasa a cikin sasanninta na bakinka, mai kusurwa stomatitis, ta ƙara laulayi hakori caries periodontal cuta). Har ila yau, akwai wani canji na ji na kamshi. Tare da irin wannan ciwo marasa lafiya fara son wari takalma goge, man man fetur, fetur, iskar gas, naphthalene, acetone, rigar kasa bayan ruwan sama, varnishes.

A canje-canje kuma zai shafi dandano. Yana da wani karfi so dandana nonfood kayayyakin kamar hakori foda, raw kullu, kankara, yashi, lãka, minced nama, hatsi.

A irin wannan cuta a matsayin sideropenic ciwo, mucous bambanta manya da ƙananan numfashi fili membranes. Irin wannan canje-canje kai ga ci gaban atrophic rhinitis da pharyngitis. Mafiya yawa na mutane da baƙin ƙarfe kanjamau bayyana blue sclera. A sakamakon take hakkin gidroskolirovaniya lysine matsalar aiki na samfur ya auku a kan aiwatar da collagen kira.

Idan baƙin ƙarfe rashi ne mai hadarin canje-canje a tsarin na rigakafi. Muna magana ne game ragewan da matakan da wasu immunoglobulins, B-lysine, kuma lysozyme. Har ila yau, akwai wani ƙeta na phagocytic aiki na neutrophils da kuma salon salula rigakafi.

Lokacin da irin wannan matsalar kamar yadda sideropenic ciwo, ba a cire bayyanar dystrophic canje-canje na ciki gabobin. Wadannan sun hada da sakandare sideropenic tsokar m. Yana bayyana kanta da karfafa farko farar a koli na zuciya da kuma fadada daga cikin iyakokin feat. Irfan dullness.

Iron rashi iya canza da kuma jihar da narkewa kamar fili. Muna magana ne game da irin wannan cututtuka kamar sideropenic dysphagia, bushe mucous membranes na esophagus da yiwu ta hallaka. Marasa lafiya fara jin wahala a hadiya da dare ko a Jihar ci. Iya rage nama numfasawa, abu a hankali a hankali atrophy na ciki mucosa, a cikin abin da bunkasa atrophic gastritis. Sideropenic ciwo da zai iya haifar da wani akan rage na ciki da mugunya, wanda zai iya haifar da ahilii.

Me ne da baƙin ƙarfe rashi anemia a mata masu juna biyu?

A mata wanda ya ɗauko wani yaro, iron karanci iya zama saboda bayyanar extragenital kuma gynecological cututtuka kafin daukar ciki, kazalika da high bukatar baƙin ƙarfe a lokacin fetal ci gaba.

Mutane da yawa dalilai na iya tasiri da ya faru na wannan cututtuka kamar anemia. Iron karanci a mata masu juna biyu, kamar yadda mai mulkin, ɓullo da ga wadannan dalilai:

• aka ambata a sama ekstragenital'nye kullum cututtuka (cututtukan zuciya, duodenal miki da ciki, atrophic gastritis, na koda gazawar, helminthic infestations, hanta cututtuka, cututtuka da cewa suna tare da epistaxis, kuma basur).
• tasiri a kan mace ta jiki daban-daban da sinadarai da kuma magungunan kashe qwari, waxanda suke iya hana sha na baƙin ƙarfe.
• nakasar rashi.
• cuta na baƙin ƙarfe sha tsari (na kullum pancreatitis, enteritis, resection na kananan hanji, na hanji dysbiosis).
• m rage cin abinci, wanda ba zai iya samar da ceto na alama kashi a cikin jiki a cikin bukata yawa.

Iron karanci a yara

Cikin dukanin tsawon ciki a jikin yaro ne da samuwar na asali abun da ke ciki na alama kashi a jini. Duk da haka, ya fi aiki baƙin ƙarfe isar da placental tasoshin za a iya lura a cikin na uku trimester. A full-lokaci jariri al'ada matakan da shi a cikin jiki dole ne daidai to 400 MG. A wannan yanayin, waɗanda yara, waɗanda aka haifa kafin so lokaci, wannan nuna alama ba tashi sama 100 MG.

Yana da muhimmanci a yi la'akari da cewa nono madara ƙunshi isa wannan alama kashi ga ƙari yaro ta jiki kafin 4 watanni da shekaru. Saboda haka, idan shi ne ma farkon dakatar da nono, da yaro zai iya ci gaba da baƙin ƙarfe rashi. A Sanadin na baƙin ƙarfe rashi anemia a yara iya dangantawa da prenatal lokaci. Muna magana ne game daban-daban cututtuka na uwa a lokacin daukar ciki, farkon da kuma marigayi toxicosis da hypoxia ciwo. Shafi na baƙin ƙarfe ãr yiwu dalilai kamar mahara ciki a lokacin da fetal transfussion ciwo, kullum baƙin ƙarfe rashi anemia a lokacin daukar ciki, da kuma igiyar ciki-placental zub da jini.

A hatsari ne intrapartum lokaci m zub da jini a lokacin bayarwa da kuma wanda bai kai ba tying igiyar. Game da post-Natal lokaci, a wannan mataki na baƙin ƙarfe rashi iya zama sakamako na kara kudi na girma na yaro, farkon yãye dukan saniya ta madara da cututtuka, wanda suna tare da hanji sha.

A jini gwajin gano IDA

Wannan hanya na da lifiya ake bukata domin sanin ko rage matakan haemoglobin da kuma ja da maikacin jini. Yana za a iya amfani da su gano hemolytic anemia, da baƙin ƙarfe rashi, ta kayyade da morphological halaye na ja da maikacin jini da cushe ja Kwayoyin.

A cikin hali na IDA jini sunadarai zai dole rage a cikin taro na magani ferritin, ta ƙara TIBC, ragewan da taro na magani da baƙin ƙarfe , da muhimmanci kasa da al'ada transferrin jikewa data alama kashi.

Yana da muhimmanci a san cewa rana kafin isar da bincike ba zai iya sha barasa. Ba lallai ba ne su ci for 8 hours kafin ganewar asali da aka jiyar kawai ruwa mai tsabta ba tare da iskar gas.

bambanci ganewar asali

A wannan yanayin, ƙwarai taimaka a cikin ganewar asali na cutar da yake iya tarihi. Iron karanci anemia sau da yawa tasowa a kan bango na sauran cututtuka, don haka da cewa bayanai zai zama musamman da amfani. Amma ga bambanci tsarin kula da ganewar asali na baƙin ƙarfe rashi anemia, yadda aka gudanar da wadanda cututtuka da za su iya haifar da baƙin ƙarfe rashi. Kamar wancan thalassemia ne halin da na asibiti da kuma awon ãyõyi shemoliza erythrocytes (kara girman baƙin ciki size, ta ƙara matakan kai tsaye ba bilirubin, hypochromic anemia, reticulocytosis kuma high baƙin ƙarfe abun ciki a cikin daffo da jini magani).

Hanyar magani

Domin shawo kan wannan matsala a matsayin rashin baƙin ƙarfe a cikin jini, shi wajibi ne don competently kusanci dawo da dabarun. Kowane haƙuri dole ne a bayyana mutum tsarin kula, in ba haka ba da ake so matakin da ya dace da warkewa shisshigi to kai da wuya.

Lokacin da irin wannan matsalar kamar yadda baƙin ƙarfe karanci a cikin jiki, magani da farko ya shafi daukan hotuna da wani factor cewa tsokani anemia. Gyara wannan yanayin da magani kuma taka wata rawa a cikin dawo da tsarin.

Hankali ya kamata a biya da kuma abinci mai gina jiki. A rabon abinci IDA marasa lafiya ya kamata a hada da kayayyakin dake dauke da heme baƙin ƙarfe. Wannan zomo nama, naman maraki, da naman sa. Kada ka manta succinic, citric kuma ascorbic acid. Cika baƙin ƙarfe rashi zai taimaka da yin amfani da abin da ake ci fiber, alli, oxalate, kuma polyphenols (soya gina jiki, shayi, kofi, cakulan, madara).

Magana game da miyagun ƙwayoyi jiyya batutuwa a more daki-daki, shi ne ya kamata a lura da cewa ƙarfe kwayoyi suna wajabta kudi daga 1.5 zuwa 2 watanni. Bayan da HB matakin ne bisa al'ada, nuna goyon baya far amfani da rabin-allurai domin 4-6 makonni.

Iron kari ga anemia yarda tushen 100-200 MG / rana. Bayan da sashi an rage wa 30-60 g (2-4 watanni). Mafi mashahuri hada da wadannan kwayoyi: "Tardiferon", "Maltofer", "Totem", "Ferropleks", "Sorbifer", "Ferrum Lek". Yawancin lokaci, magani ake yi da abinci. A ware ne marasa lafiya da suke kamu gastritis da kuma ulcers. A muka ambata a sama magunguna ba zai iya sha kayayyakin, iya daura baƙin ƙarfe (madara, shayi, kofi). In ba haka ba, da sakamako za a rushe. Ya kamata da farko zama sane da wani m gefen sakamako, wanda yake iya samar da baƙin ƙarfe kari ga anemia (watau cikin duhu da launi da hakora). Don ji tsoro irin wannan dauki ba lallai ba ne. Amma ga m sakamakon da magani, da zai iya haddasa gastro-na hanji cuta (maƙarƙashiya, ciki zafi), da kuma tashin zuciya.

Ainihin hanyar da gudanarwa kwayoyi da baƙin ƙarfe rashi - ciki. Amma a cikin akwati na hanji cututtuka, a cikin abin da disrupted tsotsa aiwatar nuna parenteral gwamnati.

rigakafin

A mafi yawan lokuta, ta amfani da magani na likitoci sarrafa to gyara baƙin ƙarfe rashi. Duk da haka, cutar ne iya sake aukuwa sake da kuma ci gaba (da wuya). Don kauce wa irin wannan ci gaba, da bukatar yin rigakafi da na baƙin ƙarfe rashi anemia. Wannan yana nufin an shekara-shekara iko da sigogi na asibiti jini analysis, m kawar da duk Sanadin jini da asarar da abinci mai gina jiki. Waɗanda suke, a hadarin, your likita iya rubũta karbar zama dole shirye-shirye ga m dalilai.

Babu shakka cewa rashin baƙin ƙarfe a cikin jini - wannan shi ne babbar matsala. Wannan na iya tabbatar da wani likita tarihi. Iron karanci anemia, ko da kuwa abin da irin haƙuri a tambaya, shi ne Firayim misali na wani musamman hallakaswa cuta. Saboda haka, a lokacin da na farko bayyanar cututtuka na rashin wannan alama kashi wajibi ne don tuntubar likita da samun jiyya a dace hanya.