Ithebhulethi Ngempumelelo ukukhulisa elithwala umoya-mpilo

Xilonga izifo eziningi kungaba ezingeni elithwala umoya-mpilo kule ukuhlolwa igazi. Ingqikithi obhekene umoya-mpilo kuzo zonke izicubu kanye izitho. Nge ngokuntula kwakhe ekuthuthukiseni yensimbi ukuntula kwegazi, libhekene izimpawu ezingezinhle. Kulokhu, isiguli kumele uthathe amaphilisi ukukhulisa elithwala umoya-mpilo nokudla okukhethekile. Cabanga izidakamizwa ethandwa kakhulu, futhi ikakhulukazi labo lokusebenza.

I-hemoglobin - Kuyini?

Iron-aqukethe amaprotheni kokuba eyinkimbinkimbi futhi unesibopho ukuhamba umoya-mpilo emzimbeni, okuthiwa i-hemoglobin. He khulumela sombala kwamangqamuzana egazi abomvu futhi ngqo kuthinta umbala wegazi. I-hemoglobin kuyinto into ebalulekile, ukusekela izinqubo ezenzeka emzimbeni.

Ukuswelakala kokusebenza ngokuhlanganyela yensimbi, ingxenye-hemoglobin, nomthelela ongemuhle empilweni yomuntu. Ngokuvamile, izimpawu njengokuba nesiyezi, ukuphaphatheka isikhumba, eziya ziba zimbi isimo izinwele nezinzipho. Isiguli azizwa ukukhathala, ubuthakathaka, yokufikelwa. Iron ukuntula anaemia ingadala ukopha ngesikhathi sokubeletha noma esikhathini.

Ukuqeda into sokugembula ezinjalo, odokotela batusa amaphilisi (yensimbi) ukukhulisa elithwala umoya-mpilo. Lena indlela ephumelela kakhulu ukuze agcwalise yokuntuleka zensimbi egazini. Abekho embonini yokwenziwa kwemithi inikeza lenqwaba ukwakhiwa mono- ne-multi-ingxenye ukuthuthukisa isimo nesineke, abaphethwe yensimbi ukuntula igazi. Akunikeze imithi ngemva kokumiswa izimbangela zezifo kweqiniso.

-hemoglobin okuphansi: yisiphi isizathu?

Emzimbeni, kukhona okuncane yensimbi, okuyinto ethatha iqhaza izinqubo ezibaluleke kakhulu sokusebenza. Njengoba sazi ukuthi uhlelo ibusa nsukuzonke lento, kudingeka bahlale ubuyise isitokwe yakhe. Kungenjalo ekuthuthukiseni igazi. Ngenxa yezizathu ukuthi kungabangela lesi sifo zihlanganisa:

• kakhulu ukopha esesikhathini;
• lesizalo ukopha;
• ukuhlinzwa;
• ukwephulwa engenayo (noma ukugaya) yensimbi;
• esingamahlalakhona hepatic.

Qala ukwelashwa kuyadingeka ukuqeda izici ezibangela isifo. Futhi uzodinga ukulungisa amandla imithi ekhethekile yensimbi-aqukethe.

ukwelashwa imithi

Ukuphungula anaemia cishe akunakwenzeka okubeka ukudla. Ezimweni eziningi, odokotela batusa ukwelashwa. Izidakamizwa (isiraphu, amaphilisi) ukukhulisa-hemoglobin yensimbi kula makilasi sicela hhayi ngaphansi kuka 2 izinyanga. Bamiswa nsuku saziso kunoma yimuphi igazi. Ngaphambi kokuqala ukwelashwa izidakamizwa kanye nezidakamizwa equkethe athomu okusansimbi, isiguli kumelwe ibhekane luhlolo.

I imithi eziqukethwe yensimbi zalokho noma ifomu trivalent. Eyokuqala ugxile pheshana emathunjini kangcono. Qinisa inqubo ukumuncwa ezinye izinto faka kanyekanye ne izidakamizwa kuya esiswini. Lezi zihlanganisa succinic acid ascorbic acid, fructose.

Odokotela abaningi linqume iziguli yensimbi ukuthaka imithi zenzelwe ukusetshenziswa ngomlomo. Isikali kumele ibalwe ngokuqinile ngamunye, esekelwe isisindo isiguli kanye izici ngamunye umzimba.

Endabeni encishisiwe yensimbi ukumuncwa e pheshana emathunjini kuboniswa ekuphathweni parenteral ka izidakamizwa. Kulokhu okuvela kungenzeka izigigaba ezingezinhle.

Tablets okwesikhathi Ukukhuphula elithwala umoya-mpilo: uhlu

Imithi anaemia zingaboniswa kuphela enikezwa onguchwepheshe. Isiguli, esikhundleni salokho, kufanele banamathela izeluleko izidakamizwa zemithi. Kumele kukhunjulwe ukuthi ngokuvamile ukwelashwa okunjalo kuhambisana komzimba okufana isicanucanu, ukuhlanza, ubuhlungu besisu.

Ukuze ukwakhiwa equkethe divalent yensimbi zihlanganisa:

• "Tardiferon";
• "Gemofer prolongatum";
• "Sorbifer durules";
• "Totem";
• "Aktiferrin".

Iron amalungiselelo kufanele kube 80-160 mg. imithamo Ephakeme kungadala nemiphumela emibi emzimbeni.

izidakamizwa okuningi ngempumelelo kucatshangwa yensimbi ferric. Lakhicitwe ngesimo imijovo, kumasayiraphu kanye amaphilisi chewable. Ukwakhiwa efanelekayo ekuphathweni temlomo, abe bioavailability ongaphakeme, ngakho-ke kufanele ingasetshenziswa isikhathi eside. Ferric izidakamizwa yensimbi equkethe ezifana "Ferrum lek", "Maltofer", "Kosmofer", "Venofer", "Zhektofer".

Izidakamizwa "Tardiferon"

Kusho "Tardiferon" ukhiqiza inkampani eyenza imithi French. Tablets ukufuya-hemoglobin yakhiwa yensimbi sulfate ngesikhathi umthamo 80 mg. Njengoba izingxenye asizayo esetshenziswa ascorbic acid, amazambane isitashi, a copolymer ka methacrylic acid methacrylate, uwoyela ocolisekileyo hydrolyzed, magnesium trisilicate, povidone futhi talc. Mukoproteoza bahlanganiswa ukwakheka, ngcono ukuphatheka we nomuthi.

Ngokusho imiyalelo izidakamizwa kunomphumela isikhathi eside. Tablets angaqoka njengoba ukwelashwa nokuvinjelwa yensimbi ukuntula uthi. Izinkomba ukusetshenziswa kukhona izifo ukuthi zinciphisa amazinga e-hemoglobin, ukudla ongenakulinganisela, ukukhulelwa, yensimbi absorbability mayelana nokwephulwa komthetho.

Izimo futhi side effects

Iron ukulungiselela aluboniswa uma ukungabekezelelani ukuba kwenye yezingxenye eziqukethwe ngezithako zawo. Futhi contraindicated kukhona uthi ezilandelayo:

• anaemia ongakaphathelani yensimbi ukuntula;
• uma isiguli ukopha zangaphakathi;
• stenosis we emphinjeni, izilonda;
• izinguquko obstructive ka ipheshana wokugaya ukudla;
• ukumuncwa kahle ka-galactose, glucose;
• ukungabekezelelani glucose.

izindlela Akusebenzi ekwelapheni isifo sokulahlekelwa igazi ezinganeni ezingaphansi kweminyaka engu-6. Tablets ingadala ukusabela iguliswa uma kwenzeka ukumuncwa futhi kukhuthaza inqubo yensimbi emzimbeni. Iningi amathuba okuba nemiphumela engemihle sakubona isimiso sokugaya ukudla bungene. Iziguli esekhala ubuhlungu besisu, isicanucanu, ukuqunjelwa, kanye nesifo sohudo.

Usifaka kanjani isicelo?

Tablets nensimbi ukukhulisa-hemoglobin Umhlahlandlela incoma nokudla. Izingane abaneminyaka engaphezu kuka-6 ubudala kufanele baphuze 1 tablet (usuku) aphuze ketshezi. iziguli kwabadala kanye nezingane engaphezu kwengu-10 enqunyiwe 1-2 amaphilisi "tardiferon" ngosuku. Idlule umthamo kuyinto engathandeki kakhulu. Tablets akufanele ezokuhlafunwa nensimbi.

Ubude yokwelashwa kuzoncika ezingeni elithwala umoya-mpilo umthamo wegazi lesiguli. Ngokuvamile ukubuyela amagugu evamile kungenzeka emva 3-4 nezinyanga zokwelashwa. Kwezinye izimo, inkambo sandisiwe izinyanga eziyisithupha noma ngaphezulu.

Yini ekhulelwe?

Iron ukuntula anaemia kwenzeka kwabesifazane abaningi abakhulelwe. Izinkomba of-hemoglobin ngokuvamile aqala ukuwela ngesikhathi senyanga yesibili. Lapho yinto evamile ukukhuluma 110-130 g / l ezingeni uwela 90 g / l. Lesi isikhathi ukuqala ukwelashwa. Kulokhu, lesi sidakamizwa umkhethe yini udokotela wezifo zabesifazane.

Ungakhathazeki mayelana nokuphepha kwemithi enjalo. A amaphilisi ekhethwe kahle ukukhulisa elithwala umoya-mpilo ngesikhathi sokukhulelwa kuyoletha izinzuzo kuphela kumama umntwana. Ngokuvamile ezimweni ezinjalo, odokotela batusa ngokuthatha izidakamizwa "Sorbifer". Ngo ngezithako zawo has a sulfate ferric futhi ascorbic acid ngoba kangcono ukumuncwa isici. Enye izidakamizwa ngempumelelo - "Gino-Tardiferon" - siqukethe zensimbi i-folic acid.

"Sorbifer Durules": incazelo izidakamizwa

Isifo sokulahlekelwa yigazi kubangelwa yensimbi ukuntuleka kwamavithamini, ukungezwani futhi buyingozi ngoba umama umntwana. isimo sokugembula kungaholela ezinkingeni nge sokukhulelwa, ngaphambi kwesikhathi abruption esinomhlapho, ukopha. Ukuvimbela ukuthuthukiswa salezi zimo, kubalulekile kulo lonke ukukhulelwa ukuqapha igazi elithwala umoya-mpilo okuqukethwe.

Ngesikhathi ukuphambuka kancane kusukela yinto evamile ukukhuluma umama okhulelwe ukhombe amalungiselelo akhethekile. Omunye amaphilisi ngempumelelo kakhulu futhi ephephile ezibhekwa ukukhulisa-hemoglobin "Sorbifer" (Hungary). Basuke elibekelwe abesifazane e senyanga yokukhulelwa wesibili nowesithathu.

Omunye sibhebhe sinamaphutha mg 100 yensimbi sulfate no-60 mg ascorbic acid. Ngokusho ukubuyekezwa, umthamo omkhulu isithako esebenzayo lihambisana askorbinku evumela fast ngokwanele ukubuyisela amazinga evamile e-hemoglobin. Lapho lwemithi babelwe kahle isimo lesiguli iqala ukuthuthukisa kakade 3-4 amasonto emva Ukuqalwa yokwelapha.

Isikali

Odokotela abaningi bathi ithebhulethi engcono yokusingatha elithwala umoya-mpilo. Uma kudingekile, nokuvimbela yensimbi ukuntula in iziguli ngaphezu kweminyaka engu-12: 1 ithebhulethi "Sorbifer". Ukuze ekwelapheni isifo sokulahlekelwa igazi umthamo senyuselwa 2 amaphilisi ngosuku. Thatha imithi kufanele okungenani isigamu sehora ngaphambi kokudla. Geza phansi ithebhulethi amanzi ahlanzekile.

Phakathi nenkathi yokukhulelwa "Sorbifer Durules" Kunconywa ukuthatha 1 tablet. Phakathi lactation, umthamo kungenziwa lenyuke kabili.

Hlobo luni amaphilisi ukukhulisa-hemoglobin kulungele izingane?

Izingane zisengozini futsi imvamisa tiboshwe uhlushwa amazinga aphansi e-hemoglobin. Lokhu kungase kube ngenxa izici amandla, ezifana uma ingane isebenzisa ukudla imifino kuphela. Isifo sokulahlekelwa yigazi ngokuvamile kutholakala izingane abazalwa ngaphambi kosuku lokugcina. Ukuze nokukhula okuvamile kanye nokuthuthukisa izingane e okuyimpoqo izindlela ebekiwe ukufuya-hemoglobin.

Ngokuvamile abazali cela Ochwepheshe indlela yokuphatha sokuntuleka kwegazi kanye amanye amaphilisi can ukukhulisa-hemoglobin ukunikeza ingane. Ezinganeni ukunikeza ukwakhiwa encomekayo ngesimo isiraphu noma isixazululo. izidakamizwa ezinjalo zihlanganisa "Ferronal" "Ferrum Lek", "Totem".

Ngosizo amalungiselelo akhethekile ukubhekana igazi ukuphatha fast ngokwanele. Qaphela ukuthi umthamo kanye nobude ukwelashwa ngezakhi zensimbi ingane kusho kunqunywa udokotela.

"Ferrum Lek": onjani ithuluzi?

Kulesetayelekile amazinga e-hemoglobin, abaqede laba izimpawu yensimbi ukuntula kuzosiza umuthi ezifana "Ferrum Lek". Dedela kusho ngesimo isiraphu, umjovo kanye amaphilisi chewable. ifomu Oral sokulungiselela isithako esebenzayo zimumethe yensimbi hydroxide polimaltozat nezisombululo komjovo - ferrisaharat (poliizomaltozat hydroxide ferric).

Isikhathi impatho nomuthi incike kobukhulu igazi. Umuthi ngesimo isiraphu angaqoka izingane kusukela ekuzalweni. Ngokusho imiyalelo, umthamo kumele singeqi 5 ml ngosuku. Izingane ezindala kweyodwa umthamo ngonyaka senyuselwa 10 ml (2 wokulinganisa nezinkezo).

umjovo i-intravenous noma esicutshini i nokulungiselela yensimbi iboniswa kuphela lokhu ikakhulukazi ezimweni lapho isiguli awukwazi ukuthatha ke ngomlomo. iziguli Adult iqondiswa kuboniswe izindlela 1 ampoule ngosuku. Ezinganeni, umthamo ilungisa udokotela.

Tablets ukufuya-hemoglobin "Ferrum Lek" eyenzelwe ukuhlafuna. Kufanele uthathwe 2-3 PC. ngosuku. Inkambo yokwelashwa - izinyanga 3-6. Kunconywa ukuqapha amazinga e-hemoglobin ngesikhatsi ukwelashwa.