Sideropenic maʻi pale ma ka hao deficiency anaemia: symptoms, lapaʻau

Hao - o kekahi o na kumu mua, ole i ke kanaka kino hiki ole hoakaka kuleana pili i. Aka hoi, aia no he pilikia o ka 'aʻe' ana o kona mau lako, mai ka hopena mai o kekahi mau aʻe a me keʻano o ka hanaʻana. Kekahi o ka loa e like me ka pilikia ka mea hao deficiency anaemia (Ida). Ua hiki hoʻomōhala i nā keiki a me nā mākua, a hiki wale aku i ma kamepiula. Ua haawiia i ka lukuʻia o ka maʻi, he waiwai e loaʻa mai hou au mamuli.

He aha ka mea i manaoia e ka hao deficiency anaemia?

Ma mua o like sideropenic maʻi pale me ka hao deficiency anaemia, e hoʻopā aku i ke kumu o ka pilikia pili me ka nele o ke kumumea'āweʻaweʻa. Kēiaʻano o ka anaemia mea he pathological ana wehewehe aku ma ka emi i loko o ka nui o ka hemoglobin i loko o ke koko ma muli i ka kekahi 'deficiency o ka hao i loko o ke kino. 'Ana i ka nele akaka aie i ka' aʻe ana i kona loaa ana a me ka kaʻaluna, a no ka pathological lilo o keia hehee ai.

Iron deficiency anaemia (aka sideropenic) oko a loa 'ē anaemia, mai ia ina ka mea, aole ia ole he mea he ka ho'ēmiʻana o ka ulaula koko keena. Ma ka hapanui o na hihia ka mea, ua diagnosed i loko o nā wāhine o ka hanau keiki makahiki, hapai na wahine a me na kamalii.

Nā kumu o ka maʻi

Initially pane e wehewehe i ka kamepiula kumumea, a hiki i hoʻomaka ai ka wā hao deficiency. Hoonuiia hokii, o ka hao, a ua ukali ma ka anaemia hiki e kena ae la ia e hai hāpai keiki nui menstruation au o kokololio ka ulu a me ka lactation i pubertantnogo manawa. Mua kanaka i hihia hoʻi i loko hao ka hanaʻana. Nō hoʻi i ka helu o senile mai e ku e ia i anaemia ua me ka nui loa, a mahuahua nui (diverticulosis naʻau liʻiliʻi, ʻaʻa puʻuwai insufficiency, oncopathology listen'ōlelo.).

Hopohopo e pili ana ia i ka pilikia e like me ka hao deficiency, ia mea e pono ai, a ma ia hihia, i ka wa o Nyos i ke omo o keia hehee ai ma luna o erythrokaryocytes 'ilikai (ma muli o ka lawa oleʻai ana o ka hao mai ai). E like me na kumu o ka hao deficiency anaemia, ka mea i pono, e hana i kekahi maʻi e alakai ana i ke koko me keia poho. Kēia i ke ulceratedʻeho a me keʻano o ka hanaʻana i loko o ka gastrointestinal'āpana, endometriosis, maʻi hemorrhoids a me kekahi poe e ae. Ma pohihihi keia hoopii, e hiki e malama ke koko emi mai Meckel diverticulum mai o ka meaʻuʻuku naʻau liʻiliʻi, kahi i peptic ulcer ku i ke kahua o ka hydrochloricʻakika a me ka peptin.

Nā kumu o ka hao deficiency anaemia i ke pili me ka glomicheskimi hikoko i loko o nā maʻiʻaʻai, pleura a me ka diaphragm, e like me ia ma ka mesentery o ka naʻau liʻiliʻi a me ka'ōpū. Mau hikoko, a i ka pololei e pili ana me ka panina o ka arteries, hiki ulcerate, a lilo i ka kumu o ke kahe ana ke koko. hemorrhage kekahi manawa hookupaa mea i loko o ka hihia o ka ili a loaa pulmonary siderosis, a ua huikau ma hemorrhage. E like me ka hopena o kēia kaʻina hana, ka hao i loko o ka kanaka kino ua hookuu, ukali ma ka pale ana aku i kona akemāmā i loko o ka palapala hemosiderin me ka manawa kūpono o ka hope hoʻolilo. I ka lilo ana o ka hao i loko o ka mimi i e ku pono ana i kekahi hui malu pu ana o ka maʻi e like me maʻi glomerulonephritis , a loaa hemosiderosis malamalama, ka autoimmune kumu.

I kekahi manawa, lalau mai o ka hao deficiency anaemia pili me ka mea hao kahe a me ke koko, e pono e pili ana i ke kanawai o ke helminth i e penetrating i loko o ka intestinal paia, ma o na la poino ia ia, a, me ia i kaʻilihune, mikrokrovopoteri mea hiki alakai i ke kūpono 'ana o Ida. Ka pilikia o kēia 'ano o ka anaemia mea maoli, a no ka poe nā mea hāʻawi i lūlū mai ke koko pinepine ia. A me kekahi kumu hemorrhage, e pono ai ka noonoo, he mea hiki e hooholo i ka hemangioma o ka mea na nā loko.

I ka hao i loko o ka kanaka kino i ke poorly ke kemu aie i ka meaʻuʻuku na naau oʻu maʻi, i hoʻomaka ai ma ka huipūʻana me ka malabsorption maʻi pale dysbacteriosis liʻiliʻi a me ka uuku liʻiliʻi resection. Mua, e hiki nō pinepine halawai i ka manao o ka atrophic gastritis, ua hoemiia secretory hana i, ka mea, ua pono, e noonoo i ka mea maoli kumu o ka hao deficiency anaemia. I ka mea, e like me ka maʻi mea hiki ke i wale i kākoʻo keiki.

Ke latent hao deficiency (huna, me ka lapaʻau symptoms) hiki ke 'akomi i ma ka biochemical kiʻekiʻe. Wehewehe aku ma ka deficiency a kaawale o ka oi emi ma ka hoʻokomo kālā o ka microelement iwi lolo macrophages, i hiki ke hōʻike 'ia e kekahi kuikawa waihoʻoluʻu. He waiwai hou ana ma keia kahua, i ka hao poho hiki ke 'akomi i wale ma ka keʻena hoʻokolohua ana.

Kekahi hiʻona, e leie aku e kuhikuhi i ka nele - he ka ho'ēmiʻana i ka lāʻau lapaʻau ferritin.

Symptoms ano o ka hao-deficiency anaemia

I symptoms Ua maikaʻi maopopo, ka mea i ano e puunaue i ke kaʻina hana o ke kahua o ka hao deficiency ma 3 kahua o ka hoʻonaʻauao.

Olelo ana mai o ke kahua mua, e pono ke kūʻai 'ana i kumumanaʻo i ka mea, ua i pu ma ka lapaʻau hoailona. Ua hiki wale kuhikuhi ma ka hoomaopopo ana i ka nui o radioactive hao omo i loko o ka gastrointestinal'āpana, a me ka helu o ka hemosiderin, i ua iloko o ka iwi lolo macrophages.

hiki ke ho'ākāka 'ia ma ka lua o ke kahua me ka latent hao deficiency. Ua Ua hoikeia aku ai e ke emi ma ka hoʻokō 'ke ahonui, a me ka nui luhi. A pau kēia mau hoailona maopopo hoike i ka nele i ka hao i loko o nā nā'aʻaʻa aie a hiki i ka emi ana i loko o ka lehulehu o ka hao-i loaʻa nā'ūhū. Ma keia wahi, mau keʻano o ka hanaʻana i hoʻomaka ai ka poʻe: hoemi ferritin pae ma erythrocytes a me ka lāʻau lapaʻau, e like me ka nele o ka transferrin hao saturation.

Ma lalo o ke kolu o ke kahua me ia mea e pono e maopopo i ka lapaʻau hoike ana o ka hao deficiency anaemia. I ka papa kuhikuhiE symptoms o kēia wā hiki e wahi trophic kāna hana o kaʻili, kui, lauoho, sideropenic symptoms (luhi a me ka nawaliwali), i ka ulu ana o Muscle nawaliwali, pokole o ka hanu a me na hoailona o cerebral a me ka cardiac 'ole (ringing i loko o nā pepeiao, pōniuniu, umauma eha, maʻule hou ihola nō ).

Ma sideropenic symptoms i ke kolu o ka anu u Ua pili ka makemake eʻai chalk -. Geophagy, dysuria, urinary incontinence, nonoi aku i ka kakolina ala, acetone, etc. pili ana geophagic, ia mea ma ka hou i ka hao deficiency i e hōʻike no ka nele i loko o ke kino o ka makanekiuma a me ka kiniki.

Hōʻike no ka mea, he pono ole symptoms o ka hao deficiency, ia mea e pono nō ia e lohe i ka symptoms e like me ka nawaliwali, ikaika loa ka makemake poho, syncope, palpitations, headaches, irritability, haʻahaʻa ke koko, huali, "lele" mua o nā maka, ilihune hiamoe i ka po a me sleepiness i ka lā, he gradual mahuahua ma ka wela, ke emi ma ka maliu a me ka hoomanao ana, e like me tearfulness a me ka nervousness.

Keiki sideropenic maʻi pale

He nui no ka maopopo i ka hao o ka ke keʻena o na mea he nui nā'ūhū. No keia kumu, ka wā he mea he deficiency, ka'ūhū ha awina ua hoemi a me ka manawa maʻamau metabolic keʻano o ka hanaʻana i loko o ke kino, ua kupikipikio. Penei, sideropenic maʻi pale nei i ke kumu o na mea he nui symptoms:

1. Skin hoʻololi. A hiki aku ka mea, he deficiency o ka hao, e hiki ke ike kaha onionio a me dryness o kaʻili, a ho'ōla mawae. Ka hanana o ka mawae ke poho, kihi o ka waha, a me na wawae o ka anus. Hair me keia maʻi pale kakahiaka huli poohina, lilo brittle, a haule mai 'Imi. Kahi o ka hapaha o ka hoʻomanawanui iki maiʻalo me brittle, thinning a me ka transverse striations fingernails. 'aʻaʻa hao deficiency He nae heʻilihune o ka nele o ke'aʻaʻa nā'ūhū.
2. Hou muscular nenoaiu. Ka hao deficiency i nā hualoaʻa ma ka nele o nā'ūhū a me myoglobin i loko o ka Muscle. Ua hiki aku i ka luhi a me ka nawaliwali ka hoomaopopo ana. Ma adolescents, e like me ka na keiki, o ka nele o ka hao i loko o nā'ūhū hoʻonāukiukiʻana mai o ka kali hou aku; o physical? Acaeoey a me ka ulu ana. Aie i ka mea i ka muscular'ōnaehana ua hoʻonāwaliwaliʻia, i ka hoʻomanawanui Kahalaopuna i kekahi nāna i koi aku koi aku ia i ka hemo o, pilikia i ka malama ana i ka mimi ka wāʻakaʻaka, a me ka puʻu. Girls me ka hao deficiency pinepine i ka hana me ka bedwetting.

sideropenic maʻi pale kekahi alters ka mucous membranes o ka intestinal'āpana (mawae ma na kihi o ka waha, angular stomatitis, mahuahua susceptibility i kahua niho caries a periodontal mai). No hoi, aia no he loli o ka pokole o ke ala. Me ia he maʻi pale hoʻomanawanui iki mai hoʻomaka e makemake ala kamaa Polish, wahie aila, kakolina, kinoea, naphthalene, acetone, pulu lepo ma hope o ka ua, varnishes.

Nā loli i aloha ia ono. He He ikaika makemake e hoao nonfood huahana e like me ka niho ka pauka, heʻiʻo maka nō palaoa kāwiliʻia, hau, ke one, ka lepo, minced ai, kiliala.

Ma ia he maʻi like sideropenic maʻi pale, mucous ĸokoĸa ana nä pane i ka luna, a malalo naehana'āpana membranes. Oia loli alakai i ke kūpono 'ana o ke atrophic rhinitis a me ka pharyngitis. Ke uie kekahi hapanui hewahewa o kanaka me ka mea hao deficiency maʻi pale i Konakele. Uliuli sclera. E like me ka hopena o ka 'aʻe' gidroskolirovaniya lysine malfunction ia lŘlŘ ma ke kaʻina hana o ka collagen hoʻololi kemikala.

Inā hao deficiency mea he pilikia o nā loli i loko o ka'ōnaehana paleʻea nenoaiu. Mākou e kamaʻilio e pili ana i ua hakumakuma na pae o kekahi mau immunoglobulins, B-lysine, a me ka lysozyme. Nō hoʻi, he mea iʻaihue o ka phagocytic ha awina o neutrophils a me ke kelepona hele e hoʻonele.

A hiki aku ia i ka pilikia e like me sideropenic maʻi pale, i ke hoʻokoe 'i keʻano o ka dystrophic loli o na nā loko. O nā haumāna sideropenic myocardial anemic. Ua hoike mai ai ia ia ma ka hooikaika ana i ka mua kona nui ma ka apex ana o ka naau, a me ka anoe o na palena o ka percussion dullness.

Hao deficiency hiki no hoi hoʻololi i a me ka moku'āina o ka digestive'āpana. Mākou e kamaʻilio e pili ana i na symptoms me sideropenic dysphagia, maloo mucous membranes o ka esophagus, a hiki kona luku. Hoʻomanawanui iki mai hoʻomaka e manao ole i ka moni 'ia ma ka po paha i loko o ka moku'āina o exhaustion. E hihia hoʻi i loko'aʻaʻa ka hanu, e alakai i ka gradual atrophy o ka gastric mucosa, ma i ulu atrophic gastritis. Sideropenic maʻi pale a hiki alakai i ka ka ho'ēmiʻana o gastric secretion, i hiki ia ho ahilii.

No ke aha la ka hao deficiency anaemia i hapai nā wāhine?

Ma na wahine i hanau i ke keiki, hao deficiency paha e ku pono ana i ka ikea ana o extragenital a me ka gynecological maʻi mua hāpai keiki, e like me kiʻekiʻe koi no ka hao ma fetal ulu.

He nui aʻe ke ho ololi i ka hanana o na maʻi like anemia. Ka hao deficiency i hapai wahine, e like me ka rula, hoʻomohala no ka mea kēia mau kumu:

• i olelo ia ma luna o ekstragenital'nye maʻi maʻi (naau maʻi, duodenal ulcer a me ka opu, atrophic gastritis,ʻaʻa puʻuwai e hemahema, helminthic infestations, ake maʻi, mai e komo pū 'e epistaxis, a me hemorrhoids);
• hopena ma luna o ka wahine o ka kino okoa Nine Inch a me pesticides, i mea hiki ke inhibit i ke omo o ka hao;
• congenital deficiency;
• kāna hana o ka hao omo kaʻina (maʻi pancreatitis, enteritis, resection o ka poe liilii, na naau oʻu, intestinal dysbiosis);
• kūponoʻai, i mea ole hiki ke i haawi o ke kumumea'āweʻaweʻa i loko o ke kino i loko o ke koi 'ia dala.

Hao deficiency i keiki

Ma ka manawa o ka hāpai keiki i loko o ke kino o ke keiki o ke kahua o ka walaʻauʻana haku mele 'ana o ke kumumea'āweʻaweʻa i loko o ke koko. Naʻe, i ka K'lauea hao haawi ma ka placental moku hiki ke malama i ka kolu o ka trimester. I ka piha-manawa bebe mahana maʻamau o ia i loko o ke kino pono e like me 400 mg. Ma keia hihia, ua poe keiki, ka poe i hanau mua o ka makemake makahiki, keia anakahi 'aʻole e ala hou mai ai ma luna o 100 mg.

He nui e noonoo i ka mea i ka umauma o ka waiu he lawa o keia kumumea'āweʻaweʻa no ke kino i ka replenishment keiki ka mua 4 mahina o ka makahiki. Nolaila, ina ia mea, ua ala e noho paʻa breastfeeding, i ke keiki ke hoʻomōhala hao deficiency. Nā kumu o ka hao deficiency anaemia i loko o nā keiki i ke pili me ka prenatal wā. Mākou e kamaʻilio e pili ana i kekahi mau infectious maʻi o ka makuahine i hāpai keiki, i kakahiaka nui, a lohi toxicosis a me ka hypoxia maʻi pale. Lakou aloha ia i ka hao depletion ke kumumea like me mau pregnancies ka wā fetal transfusion maʻi pale, maʻi hao deficiency anaemia i hāpai keiki, a me ka uterine-placental kahe ana ke koko.

Ka weliweli Ua intrapartum wā papakaukau kahe ana ke koko i haawi a me ka hoʻopaʻa pipi 'premature kaula. Me ka pili ana i na kia-Natal manawa, ma keia kahua o ka hao deficiency hiki ia i kaʻilihune o ka hōʻeleu i uku o ka ulu ana o ke keiki, i kakahiaka nui keiki i ukuhiʻia a pau lepo bipi no ka waiū a me ka maʻi, a i pu e intestinal omo.

A koko ho'āʻo e huai ae Ida

Kēia hana o kaʻike, ua koi 'ia ma ka mea e hooholo i ka hoemi pae o ka hemoglobin a me kaʻulaʻula koko keena. Ua hiki ke hoʻohana i ka hōʻike hemolytic anaemia a me ka hao deficiency, ma ka hoʻopunipuni ka morphological ano o kaʻulaʻula koko keena, a piha ula keena.

Ma ka hihia o Ida koko kemika e pono ke emi i loko o ka lehulehu o ka lāʻau lapaʻau ferritin, a mahuahua nui TIBC, ua hakumakuma i ka lehulehu o ka lāʻau lapaʻau hao , a me ka nui loa emi ma mua o maʻamau transferrin saturationʻikepili kumumea'āweʻaweʻa.

He nui ka ike i ka lā ma mua haawi o ke Ka Ikepili hiki ole inu waiʻona. Ia mea,ʻaʻole e pono ke ai i 8 hola muaʻike, ua ae wale nō ka wai maemae me ke kinoea.

palena pauʻike,

Ma keia hihia, nui kōkua i loko o kaʻike, o ka maʻi, ua hiki o ka mōʻaukala. Iron deficiency anaemia pinepine e hoʻomōhala ana i ma luna o ke kāʻei kua o nā maʻi, no laila, ua 'ike he mea paʻakikī loa maikaʻi kēia. Like no ka palena pau e hoʻokokoke i kaʻike, o ka hao deficiency anaemia, ka mea, ua mālama 'ia i ka poe maʻi i hiki i hao deficiency. Pela thalassemia ua wehewehe aku ma ka lapaʻau a me ka keʻena hoʻokolohua hoailona shemoliza erythrocytes (ho'ākea spleen nui, mahuahua pae o kaʻauhau'ēʻaʻe bilirubin, hypochromic anaemia, reticulocytosis a me kiʻekiʻe hao maʻiʻo ma ke nei a me ke koko lāʻau lapaʻau).

Nā Papahana O Ka lapaʻau

I mea e lanakila ma luna ia o ka pilikia i ka nele i ka hao i loko o ke koko, ia mea pono e competently hoʻokokoke i ke ola ka hoʻolālā. Kēlā me kēia hoomanawanui pono e hoikeia kanaka hoea mai, ai ole i ka makemake nui o ka hoʻokōʻana o ka pākōlea uao ai 'e hiki pilikia.

A hiki aku ia i ka pilikia e like me ka hao deficiency i loko o ke kino, lapaʻau kuhikuhi komo ai waiū ma ka ololi e hoʻonāukiukiʻana mai o anaemia. ? Iaea o keia ano me ka lapaʻauʻia Radio i ke kūlana i loko o ke ola kaʻina.

Noonoo E e uku ia, a no kou kino. Ke ration Ida nā mea maʻi e e komo pu me nā huahana i pihaʻi me heme hao. Kēia 'Olu ai, veal, pipi. Mai hoopoina succinic, citric a me ka ascorbicʻakika. E hoopiha hao deficiency, e kōkua i ka hana o dietary puluniu, kalipuna, oxalate, a me polyphenols (soy kumuʻiʻo, kī, kope, kokoleka, ka waiu).

Ua haawiia i ka lāʻau lapaʻau kumuhana i loko o hou au mamuli, e pono ke kūʻai 'ana i kumumanaʻo mea i hoakaka ia hao ai' ana mai ka 1.5 hiki i 2 mahina. Ma hope o ka 'ilikai HB mea normalized, hōʻike' ia ka hoʻoponopono Inc hoʻohana 'ana i ka hapalua o-nā māhele no 4-6 pule.

Hao kumukanawai a no ka anaemia maliuʻia ma muli 100-200 mg / lā. Ma hope o ka laʻau heluna ua hoemi ia 30-60 g. (2-4 mahina). Ka loa hanohano loaʻa nā kēia mau ai ': "Tardiferon", "Maltofer", "Totem", "Ferropleks", "Sorbifer", "Ferrum Lek". IeAUPIIe, IAa IO, ka lapaʻauʻia ua hana muaʻai. Nā hewa i nā mea maʻi i i diagnosed gastritis a me ulcers. hiki ole i ka luna-i oleloia lapaau inu huahana, hiki ke hoopaa i ka hao (ka waiū, kī, ke kope). I ole ia, o ko lakou kanawai, e lilo ana kā. Ka mea, e initially e makaala i ka hewa oleʻaoʻao kanawai, i mea hiki ke hao kumukanawai a no ka anaemia ( 'o ia hoʻi ka uala eleele i ke ano o ka niho). Ia e makau no ia i ka naoh mea i pono. Like no ka meaʻawaʻawa loa ka hopena o ka 'inikua lapaʻau, ka mea hiki i gastro-intestinal kāna hana (constipation, abdominal eha), a me ka nausea.

Ka walaʻauʻana hana o ka lawelawe ana ai 'me ka mea hao deficiency - loko. Akā, ma ka hihia o intestinal mai, ma a ka Nyos omo kaʻina hana hōʻike parenteral hooponopono.

Kāohi

Ma ka hapanui o na hihia, ka hoʻohana 'ana i ka' inikua lapaʻau o na kauka kahu ai i ka paʻipaʻi hao deficiency. Aka hoi, i ka maʻi mea hiki ke recur hou, a hoʻomōhala (kākaʻikahi). E pale ia he kūpono 'ana, ka mea e pono ai no ka Kāohiʻana o ka mea hao deficiency anaemia. Kēia 'o ia hoʻi ka makahiki e hooponopono ana i na mea kiko'î o lapaʻau koko Ka Ikepili, kokololio hoʻopau o nā kumu o ke koko a me ka poho kino. Poe e noho ana ma kamepiula, kou kauka i hoakaka ia e loaa ana i ka mea hoomakaukau no kāohi hana.

Ka mea, ua maopopo i ka nele o ka hao i loko o ke koko - keia mea he mea nui pilikia. Kēia e hōʻoia ana i kekahi 'inikua mōʻaukala. Hao deficiency anaemia, nānā 'ole no ka ano o ke ahonui i ka mea, o ke Kuhina Nui mamuli o ka loa luku maʻi. Nolaila, i ka wa a ka mua symptoms o ka nele o keia kumumea'āweʻaweʻa mea pono, e nīnau aku i ke kauka, a e hana i loko o ka 'eleu kūpono.