Sideropenic syndrome mu chitsulo akusowa magazi m'thupi: zizindikiro, chithandizo

Iron - ndi mbali ina, popanda zomwe thupi la munthu angathe kugwira ncthito. Komabe, pali chiopsezo cha kuphwanya katundu wake ku zotsatira za zinthu zosiyanasiyana ndi njira. Limodzi mwa mavuto ambiri ndi akusowa chitsulo magazi m'thupi (Ida). Iwo akhoza kukhala ana ndi akulu omwe, ndipo ngakhale amayi apakati ali pa chiopsezo. Popeza angathe onse owononga matenda, ndi ofunika kuti tipeze mwatsatanetsatane.

Kodi zikutanthauzanji ndi akusowa chitsulo magazi m'thupi?

Pamaso kuphunzira sideropenic syndrome ndi akusowa chitsulo magazi m'thupi, ayenera kukhudza muzu wa vuto kugwirizana ndi kupanda kufufuza amafotokozera. Mtundu wa magazi m'thupi ndi chikhalidwe pathological yodziwika ndi kuchepa mu mlingo wa hemoglobin m'magazi chifukwa chakuchepa noticeable ya chitsulo mu thupi. Mwachindunji ndi kuchepekedwa zikuoneka chifukwa cha kuphwanya chiphaso wake ndi kuloŵerera, kapena chifukwa imfa pathological cha mchitidwe uwu.

Iron akusowa magazi m'thupi (Aka sideropenic) isiyana anemias ena ambiri kuti ngati zilibe pali kuchepetsa maselo a magazi. Nthawi zambiri amawapeza mu akazi wobereka msinkhu, akazi apakati ndi ana.

Zimayambitsa matenda

Poyamba zisonyeze zinthu chiopsezo, omwe angagwe ngati chitsulo akusowa. Kuchuluka mowa a ayironi amene kenako magazi m'thupi kungayambe chifukwa cha mimba mobwerezabwereza nthawi zambiri msambo kukula mofulumira ndi mkaka wa m'mawere nthawi pubertantnogo nthawi. Anthu achikulire akhoza kusokoneza chitsulo magwiritsidwe. Komanso chiwerengero cha matenda senile imene magazi m'thupi ndi kwambiri kuchuluka (diverticulosis intestine, aimpso insufficiency, oncopathology neri Al.).

Nkhawa vuto monga akusowa chitsulo, m'pofunika ndi choncho, pamene akusokoneza mayamwidwe wa chinthu ichi pa mlingo erythrokaryocytes (chifukwa wambiri osakwanira yachitsulo chakudya). Monga zimayambitsa akusowa chitsulo magazi m'thupi, n'zomveka kuti kuchiza matenda alionse amene kuyambitsa kutaya magazi. Izi akhoza ulcerated chotupa ndi njira mu kapepala m'mimba, endometriosis, zotupa aakulu ndi ena. Nthawi zina, mwina anaona kutaya magazi kuchokera Meckel diverticulum za m'mimba, kumene chironda chachikulu chifukwa mapangidwe hydrochloric acid ndi peptin.

Zimayambitsa chitsulo akusowa magazi m'thupi akhoza kugwirizana ndi zotupa glomicheskimi mu mapapo, pleura ndi zakulera, komanso mu mesentery za m'mimba ndi m'mimba. zotupa awa, amene kugwirizana ndi kutseka mitsempha, akhoza ulcerate ndi kukhala gwero la magazi. kukha magazi nthawi zina anakhazikitsa mfundo zinachitikira tinatengera kapena kugula m'mapapo mwanga siderosis, amene kobvuta ndi kukha magazi. Chifukwa cha ndondomekoyi, zitsulo thupi la munthu anamasulidwa, kenako kuvula m'mapapo ake mu mawonekedwe hemosiderin popanda kuthekera kwa kutaya wotsatira. Imfa ya chitsulo mu mkodzo mwina chifukwa osakaniza matenda monga glomerulonephritis aakulu ndi kuthi hemosiderosis kuwala, ndi chiyambi autoimmune.

Nthawi zina zimayambitsa akusowa chitsulo magazi m'thupi kugwirizana ndi imfa chitsulo pamodzi ndi magazi, ali mwachindunji zokhudzana ndi mphamvu ya helminth amene ozama kukhoma matumbo, kuchititsa kuwonongeka kwa izo ndi, monga Motero, mikrokrovopoteri zimene zingachititse kuti chitukuko cha Ida. Chiopsezo mtundu wa magazi ndi weniweni kwa ofuna kupereka amene aperekepo magazi pafupipafupi. Ndipo ngati wina kukha magazi chifukwa, lotereli, n'zotheka kudziwa hemangioma ziwalo mkati.

Chitsulo mu thupi la munthu akhoza bwino chosakanikirana chifukwa cha matenda yaing'ono matumbo, zimachitika molumikizana ndi malabsorption syndrome dysbacteriosis intestine ndi yaing'ono intestine resection. Poyamba, mukhoza zambiri kukumana kuganiza kuti gastritis atrophic, popeza yafupika ntchito secretory, kunali koyenera Lingalilani chimayambitsa akusowa chitsulo magazi m'thupi. Ndipotu, matenda amenewa angathe kupereka chabe kukopa wothandiza.

The zobisika akusowa zachitsulo (zobisika, popanda zizindikiro matenda) angathe kuonedwa pa mlingo amuzolengedwa. Yodziwika ndi akusowa kapena kusapezeka kwa kuchepa lakuthwa mu miyala ya microelement mafupa macrophages, sipangakhalenso amadziwika ndi mtundu wapadera. M'pofunikanso kubwereza kuti panthawi imeneyi, imfa chitsulo angathe kuonedwa okha zinthu zasayansi.

Chinthu china, amene amalola kudziwa kuchepekedwa - kuchepetsa seramu ferritin.

Zizindikiro khalidwe la chitsulo akusowa magazi m'thupi

Kuti zizindikiro anali bwino, n'zomveka kugawanitsa ndondomeko ya mapangidwe akusowa zachitsulo magawo 3.

Ponena za gawo loyamba, ndi Dziwani kuti si limodzi ndi zizindikiro matenda. Likhoza kuzindikira ndi kudziwa kuchuluka kwa mayamwidwe nyukiliya chitsulo kapepala kakuti m'mimba ndi chiwerengero cha hemosiderin, amene ali macrophages mafupa.

Siteji yachiwiri monga akusowa zobisika chitsulo anafotokoza. Iwo akuwonetseredwa ndi kuchepa kulolerana zolimbitsa thupi ndi kutopa kwambiri. Zizindikiro zonse izi zikuonetseratu poyera kupanda chitsulo zimakhala chifukwa cha kuchepa ndende ya michere chitsulo munali. Mmenemonso, njira ziwiri zimachitika nthawi imodzi: kuchepetsa milingo ferritin mu erythrocytes ndi seramu, komanso kupanda machulukitsidwe transferrin chitsulo.

Mu gawo lachitatu m'pofunika kumvetsa mawonetseredwe matenda a akusowa chitsulo magazi m'thupi. Zizindikiro zazikulu za nthawi imeneyi akhoza zimachitika matenda trophic wa khungu, misomaliyo, tsitsi, zizindikiro sideropenic (kutopa ndi kufooka), kukula kwa kufooka kwa thupi, kufupika kwa mpweya ndi zizindikiro za oziziritsa ndi mtima kulephera (Ndikuganizira makutu, chizungulire, kupweteka m'chifuwa, kukomoka ).

Ndi zizindikiro sideropenic pa sitepe wachitatu likukhudza chikhumbo chofuna kudya choko -. Geophagy, dysuria, mkodzo incontinence, analimbikitsa kuti mafuta fungo, acetone, etc. Pankhani geophagic, ndi kuwonjezera akusowa chitsulo mwina chakusowa mu thupi la magnesium ndi nthaka.

Pofotokoza zizindikiro zosonyeza akusowa chitsulo, m'pofunika kulabadira zizindikiro monga kufooka, kusakhala kudya, syncope, palpitations, litsipa, irritability, otsika magazi zikuthwanima "ntchentche" pamaso pa, osauka tulo usiku ndi tulo masana, kuwonjezereka pang'onopang'ono kutentha, kuchepa mu tcheru ndi kukumbukira, komanso tearfulness ndi mantha.

Mphamvu sideropenic syndrome

Nkofunika kuzindikira kuti chitsulo ndi chigawo chimodzi cha michere ambiri. Pachifukwa ichi, pamene pali akusowa munthu, ntchito enzyme yafupika ndipo nthaŵi yachibadwa kagayidwe kachakudya mu thupi kusokonezedwa. Choncho, matenda sideropenic chifukwa cha zizindikiro zambiri:

1. Khungu kusintha. Pamene pali akusowa yachitsulo, izo Tingaone ukuchoka ndi dryness wa khungu, kenako ming'alu. Nthawi ya ming'alu mwina kanjedza, ngodya ya kamwa, komanso ngakhale mapazi a chotulukira lapansi. Tsitsi ndi matenda izi oyambirira imvi, kukhala Chimaona ndi dana mwachangu. Pafupifupi kotala odwala anakumana ndi Chimaona, kupatulira ndi yopingasa striations zikhadabo. Minofu akusowa chitsulo Ndi makamaka chifukwa cha kusowa kwa michere minofu.
2. Anasintha dongosolo akulu. Iron zotsatira akusowa mu kusowa kwa michere ndi myoglobin mu minofu kuti. Zimenezi zimabweretsa kutopa ndi kufooka. Mu achinyamata komanso ana, kupanda chitsulo michere amakwiya akuchedwa ya kukula ndi kukula. Chifukwa chakuti dongosolo akulu amakhala wofooka, wodwala akumva ndi chibaba zokondera kukodza, vuto akugwira mkodzo pamene kuseka ndi kukhosomola. Atsikana ali ndi vuto chitsulo zambiri timalimbana ndi bedwetting.

syndrome sideropenic limachititsanso nembanemba mucous pa mundawo matumbo (ming'alu mu ngodya m'kamwa, okhota stomatitis, kuchuluka chiwopsezo kuti caries mano ndi matenda periodontal). Komanso, pali kusintha maganizo ndi zofukiza. Ndi matenda oterowo odwala anayamba ngati fungo nsapato osalala, mafuta mafuta, mafuta, gasi, naphthalene, acetone, chonyowa nthaka pambuyo mvula, vanishi.

Kusintha kusokoneza kukoma. Ndi mtima wofunitsitsa kulawa mankhwala nonfood monga dzino ufa, mtanda yaiwisi, ayezi, mchenga, dongo, minced nyama, dzinthu.

Mu matenda monga matenda sideropenic, mucous zosiyanasiyana chapamwamba ndipo m'munsi kupuma thirakiti zimagwira ntchito zosiyanasiyana. kusintha zimachititsa kuti pakhale rhinitis atrophic ndi pharyngitis. The anthu ambiri ali ndi matenda akusowa chitsulo limapezeka buluu sclera. Chifukwa cha kuphwanya gidroskolirovaniya lysine wonongeka akupezeka ndondomeko ya kolajeni kaphatikizidwe.

Ngati akusowa chitsulo chiopsezo cha kusintha chitetezo cha m'thupi. Tikuyankhula zokhudza kutsitsa kaperekedwe ka immunoglobulins ena, B-lysine, ndi lysozyme. Komanso, pali siudzalandilidwa ngathi lamulo la ntchito phagocytic wa neutrophils ndi chitetezo chokwanira ma.

Pamene vuto monga syndrome sideropenic, osati lilibe maonekedwe a kusintha dystrophic a ziwalo. Zikuphatikizapo sekondale sideropenic m'mnyewa wamtima magazi ochepa. Izo kumaonekera ndi kulimbikitsa phula woyamba pachimake pa mtima ndi kukula kwa malire a percussion afiira.

Iron akusowa amathanso kusintha mkhalidwe wa mundawo m'mimba. Tikuyankhula zokhudza zizindikiro monga dysphagia sideropenic, youma nembanemba mucous ya kholingo ndipo mwina uwonongedwe. Odwala anayamba kumverera vuto Pomeza usiku kapena mu mkhalidwe kutopa. Mwina kusokoneza minofu kupuma, zikubweretsa manja pang'onopang'ono kwa mucosa chapamimba, amene akutukuka atrophic gastritis. Sideropenic syndrome ndi chingayambitse kuchepetsa katulutsidwe chapamimba, zingachititse ahilii.

N'chifukwa chiyani chitsulo akusowa magazi m'thupi mwa amayi apakati?

Mu akazi amene akuchitira mwana akusowa chitsulo mwina chifukwa maonekedwe a matenda extragenital ndi matenda pamaso mimba, komanso kufunika kwambiri chitsulo pa chitukuko yoopsa.

Pali zinthu zambiri zomwe zimakhudza yatsoka matenda ngati magazi m'thupi. Iron akusowa mu amayi apakati, monga ulamuliro, anakamba pa zifukwa zotsatirazi:

• tatchulazi matenda ekstragenital'nye aakulu (matenda a mtima, mmatumbo chilonda ndi m'mimba, atrophic gastritis, kulephera aimpso, helminthic infestations, matenda a chiwindi, ndi matenda amene anatsagana ndi epistaxis, ndi zotupa);
• amawamvetsera m'thupi la mayi mankhwala osiyana ndi mankhwala, okhoza ziletsa mayamwidwe zachitsulo;
• kobadwa nako akusowa;
• matenda a ndondomeko chitsulo mayamwidwe (aakulu kapamba, enteritis, resection ya matumbo aang'ono, matumbo dysbiosis);
• zosayenera chakudya, amene sangathe kupereka yobereka amafotokozera kufufuza mu thupi ndalama chofunika.

Iron akusowa ana

Mu nthawi ya mimba mu thupi la mwana ndi mapangidwe zikuchokera zoyambirira za kufufuza amafotokozera mu magazi. Komabe, achangu chitsulo yobereka ndi ziwiya placental zingaoneke mu trimester lachitatu. Mu mwana zonse yaitali milingo wabwinobwino wa mu thupi ziyenera kukhala wolingana ndi 400 mg. Pankhaniyi, ana amene anabadwa pamaso pa akuti akufuna, chizindikiro ichi sasefukira pamwamba 100 mg.

Nkofunika kuganizira kuti mkaka wa m'mawere uli zokwanira elementi kufufuza thupi kubwezeretsa mwana pamaso miyezi 4 zakubadwa. Choncho, ngati molawirira kwambiri kuletsa yoyamwitsa, mwana akhoza kukhala akusowa chitsulo. Zimayambitsa chitsulo akusowa magazi m'thupi ana akhoza kugwirizana ndi nthawi kuti akalandire chithandizo. Tikuyankhula zokhudza matenda osiyanasiyana opatsirana a mayi woyembekezera, oyambirira ndi mochedwa toxicosis ndi matenda hypoxia. Bwanji chitsulo wakuta mulole zinthu monga mimba angapo pamene yoopsa kuika syndrome, aakulu akusowa chitsulo magazi m'thupi woyembekezera, ndipo magazi uterine-placental.

Kuopsa ndi intrapartum nthawi yaikulu magazi nthawi yobereka ndi msanga zingwe chingwe. Pankhani nthawi positi-Natal, pa siteji iyi ya akusowa chitsulo zingakhale ndi zotsatira za mofulumira kukula kwa mwana, molawirira kuyamwa mkaka lonse ng'ombe ndi matenda omwe limodzi ndi mayamwidwe matumbo.

A magazi kudziwa Ida

Njira imeneyi matenda chofunika kudziwa milingo yafupika wa hemoglobin ndi maselo ofiira. Thiabendazole angagwiritsidwe ntchito kuzindikira hemolytic magazi ndi kuperewera chitsulo, ndi kukonza makhalidwe morphological maselo a magazi ndi maselo ofiira okhaokha.

Pankhani ya Ida umagwirira magazi kwenikweni ndichepe mu ndende ya seramu ferritin, kuchuluka TIBC, kutsitsa ndende ya chitsulo seramu ndipo kwambiri zosakwana yachibadwa transferrin machulukitsidwe deta kufufuza amafotokozera.

Nkofunika kudziwa kuti tsiku pamaso yobereka kusanthula sangathe kumwa mowa. Sikuti kudya kwa maola 8 pamaso matenda amaloledwa madzi aukhondo popanda mafuta.

matenda masiyanidwe

Pankhaniyi, kuthandiza kwambiri matenda a matenda amatha mbiri. Iron akusowa magazi m'thupi zambiri akufotokozera pa maziko a matenda ena, kotero zomwe zingakhale zothandiza kwambiri. Koma njira masiyanidwe kuti matenda a akusowa chitsulo magazi m'thupi, izo wochititsidwa ndi matenda amene angachititse akusowa chitsulo. Choncho thalassemia amakhala ndi matenda ndi zasayansi zizindikiro shemoliza erythrocytes (wakulitsidwa ndulu kukula, kuchuluka misinkhu ya bilirubin mozungulira, hypochromic magazi m'thupi, reticulocytosis ndi chitsulo okhutira mkulu mu kudzilimbitsa ndi magazi seramu).

Njira zochizira

Pofuna kuthana ndi vuto monga kusowa kwa ayironi mu magazi, m'pofunika mwaluso kufikako njira kuchira. Wodwala aliyense ayenera kuwonetseredwa njira payekha, mwinamwake mlingo Napempha kwa dzuwa la zikunena achire kufika kovuta.

Pamene vuto monga akusowa chitsulo m'thupi, mankhwala makamaka kumafuna kukhudzana ndi chinthu chimodzi chimene amakwiya magazi m'thupi. Kuwukonza chikhalidwe ichi ndi mankhwala komanso chimagwira ntchito mu ndondomeko kuchira.

Chidwi ayenera kulipira zakudya. The chakudya Ida odwala ayenera m'gulu mankhwala okhala heme chitsulo. Izi kalulu nyama, nyama yamwana wang'ombe, ng'ombe. Musaiwale succinic, citric acid ascorbic. Lembani akusowa yachitsulo kuthandiza ntchito CHIKWANGWANI zakudya, calcium, oxalate, ndi polyphenols (mapuloteni soya, tiyi, khofi, chocolate, mkaka).

Ponena za nkhani mankhwala mwatsatanetsatane, ndi Dziwani kuti mankhwala chitsulo ndi Kwalamulidwa mlingo kwa miyezi 1.5 kuti 2. Pambuyo mlingo HB ndi dekhetsa yasonyezedwa yokonza mankhwala ntchito theka Mlingo kwa masabata 4-6.

Owonjezera kwa magazi m'thupi inachokera 100-200 mg / tsiku. Pambuyo mlingo yafupika 30-60 ga (miyezi 2-4). Otchuka kwambiri monga mankhwala zotsatirazi: "Tardiferon", "Maltofer", "Totem", "Ferropleks", "Sorbifer", "Ferrum Lek". Kawirikawiri, mankhwala anachita musanadye. The kuchotserapo ndi odwala amene amapezeka gastritis ndi zilonda. The mankhwala tatchulawa sangathe kumwa mankhwala, amene anatha kum'manga zachitsulo (mkaka, tiyi, khofi). Apo ayi, zotsatira zawo idzachotsedwa. Iwo ayenera poyamba kudziwa mbali zotsatira wowona, chimene chingathe kubala zowonjezera chitsulo kwa magazi m'thupi (mwachitsanzo mdima mtundu wa mano). Kuopa kuti zimenezi zingachitike Sikuti. Koma zotsatira zoipa za mankhwala, chifukwa angayambitse matenda gastro-m'mimba (kudzimbidwa, kupweteka m'mimba), ndipo nseru.

The njira zofunika popereka mankhwala ndi akusowa chitsulo - mkati. Koma mu nkhani ya matenda m'mimba, amene akusokoneza suction ndondomeko wasonyeza makonzedwe parenteral.

kupewa

Nthawi zambiri ntchito mankhwala a madokotala kusamalira kukonza akusowa chitsulo. Komabe, matenda amatha anawathetsa akuyambiranso kachiwiri ndi kukhala (kawirikawiri). Kupewa zinthu zoterozo, kufunika kupewa kuperewera chitsulo magazi m'thupi. Izi zikutanthauza kuti ulamuliro wa pachaka wa magawo a kusanthula matenda magazi, Kupha mofulumira mavuto onse kutaika kwa magazi ndi thanzi. Anthu amene ali pa chiopsezo, dokotala anu mwina mankhwala kulandira kukonzekera zofunika zolinga njira.

N'zoonekeratu kuti kusowa kwa ayironi mu magazi - ichi ndi vuto lalikulu kwambiri. Izi zikhoza kutsimikizira mbiri iliyonse zachipatala. Iron akusowa magazi m'thupi, kaya wotani mtima mu funso, ndi chitsanzo chabwino cha matenda owononga kwambiri. Choncho, pamene zizindikiro loyamba la kusowa elementi kufufuza pamafunika kukaonana ndi dokotala ndiponso kupeza chithandizo m'njira yake.