Ukuba uye wafumanisa ukuba unesiphelo se- iron okanye ungenayo i- anemia , kunokubonakala ngathi kulula ukulungisa. "Ndiza kuthatha iiteyibhile zetsimbi, ngoko yonke into iya kuhamba kakuhle." Nangona oku kuyinyaniso kubantu abaninzi abanenkcenkcesha yensimbi, kunokuba nzima kakhulu.
Ukuqulunqwa kweyiphi Inkunkuma yeNtsalane efanelekileyo
Xa uchonga ukuba yintoni inyango yonyango efanelekileyo kuwe, ngomlomo ngokubhekiselele kumanyathelo (IV), kubalulekile ukuqwalasela izinto ezininzi.
Ezi zinto ziquka:
- Ubudala: Ngokomlando, iintsana kunye nabantwana baphathwe ngetsimbi yomlomo ngaphandle kweemeko ezinqabileyo, njengabantwana abangenakukwazi ukuthatha insimbi yomlomo ngenxa yemiba yesisu. Kubantu abadala, insimbi ye-IV isetyenziswe ngokuqhelekileyo, ngokukodwa kubantu abanegazi eliqhubekayo okanye emva kokuhlinzwa okwenziwe ngesisu, okwenza kube nzima ukufumana insimbi.
- Iindleko: Ngaphandle kombuzo, insimbi yomlomo ingabizi kakhulu. Itholakala ngokukhawuleza kwi-counter kwaye ingaba ngowona khetho kwizicwangciso ezingekho phantsi kwezibonelelo. Inokunikezwa ekhaya ngaphandle kokujonga okufutshane. Insimbi ye-IV kufuneka ilawulwe kwikliniki okanye kwisibhedlele ukuze i-infusion evezweyo eyenza ibe yindleko.
- Ukunyuka: Abanye abantu abakwazi ukufumana insimbi yomlomo. Izizathu zingabandakanya ukuhlinzwa kwesisu esiswini (insimbi ifakwa kwisisu kwaye idinga i-acid gastric ukuba ilandise), izifo ze-celiac , izifo zesibindi sokuvuvukala , okanye emva kwenkqubo ye-Whipple.
- Ukunyamezela: Nangona isinyithi somlomo singabibizi, malunga neepesenti ezingama-70 zabantu abathatha isinyithi ngomlomo bayakhonkxa ngeziphumo zesithintelo somzimba, kubandakanywa isicathulo, ukunqandeka, intlungu yesisu kunye / okanye ukuhlanza. Iifom ze-oyile zomnxeba womlomo, ngokukodwa, zinomsoco wesinyithi kwaye zingabangela ukubola kwamathambo. Ngethamsanqa, ukucofa kwesikhashana kwaye kunokuncitshiswa ngokutshiza amazinyo emva koko. Ezi ziphumo zecala zizathu eziqhelekileyo zokuba kutheni abantu bangathathi isinyithi njengoko kunconywe ngugqirha wabo.
- Ubude bonyango: Kungathabatha iinyanga zentsimbi yomlomo ukulungisa ngokupheleleyo i-anemia kwaye kude kube nzima ukubuyisela ngokupheleleyo ukugcinwa kwesebe emzimbeni ngesinyithi somlomo. Insimbi ye-IV ingayilungisa ukusilela kwesebe ngomlinganiselo omnye ukuya kwembini.
- Isizathu sokuphelelwa kwegazi: Kubantu abanesinyama sokunqongophala kwe-anemia ebangelwa ukulahleka kwegazi okuqhubekayo, unyango lwezonyango ngomlomo alukwazi ukugcina isidingo. Insimbi ye-IV ingaba yinto ekhethekileyo kwiimeko.
Izinketho ze-IV Iron
Kwiminyaka emine insimbi ye-IV yayigcinwe kwiimeko ezinzima zokunqongophala kwe-anemia ngenxa yokuba iimveliso zensimbi ze-IV zikhoyo zingabangela ukuphendulwa kwe-acterium / anaphylactic. Nangona kunjalo, iifom ezitsha zikhuselekile kwaye zincinci kakhulu ukuba zenze le mpendulo. Ezinye kodwa azikho zonke iindidi zensimbi ze-IV ziza kuhlolwa apha ngezantsi.
- I-Iron dextran: Yona ingqiniselo ebiza kakhulu ye-iron. Ukunqongophala kwetsimbi kunokuthi kulungiswe kunye ne-infusion eyodwa kuphela. Iinguqulelo ezintsha zentsimbi ye-dextran ayinakwenzeka ukuba ibangele ukuphazamiseka kunokugqithiswa kwamandulo. Ngokuqhelekileyo, umlinganiselo omncinane wokuvavanywa unikezelwa kuqala kwaye ukuba uthe wanyamezela, intsalela yesaliti inikwe. Maxa wambi amayeza anikwa ngaphambi kwensimbi ye-IV kumzamo wokuthintela ukusabela. Le yifom eqhelekileyo isetyenziswe kubantwana, nangona nayiphi na enye inokusetyenziswa.
- I-griconate yeFercon: Le fom ye-iron inganikwa ngamanani amaninzi amancinci. Olu hlobo lusetyenziswa ngokuqhelekileyo kubantu abafumana i-hemodialysis yezifo ezinzima zesifo.
- I-sucrose ye-Iron: I-sucrose ye-Iron nayo inikwe amaninzi amaninzi amanani. Ukuba uhlaselwa kwamanye amayeza, unokufumana umthamo omncinci wokuqala wokuqinisekisa ukuba awukho mpendulo ngaphambi kokufumana intsalela yeyeza. Le fom ye-iron ingasetyenziselwa izicwangciso ezininzi kuquka i-dialysis okanye kwabasetyhini abakhulelweyo.
- I-carboxymaltose ye-Ferric: La mayeza anikezwa kwi-1 okanye kwi-2 infusions ngokuxhomekeka kobunzima bentsimbi yakho. Isetyenziswe ngokukhuselekileyo kwizicwangciso ezininzi kuquka nabantwana abanenkcenkcesha yesinyithi.
ILizwi
Ukunqongophala kwetsimbi yimbangela eqhelekileyo yokuphelelwa kwesifo e-United States nakwihlabathi jikelele. Nangona insimbi yomlomo ingaba yinkqubo elula, engahlambulukiyo kubantu abaninzi, kungenokuba yinto engcono kunabo bonke abantu. Xoxa nodokotela wakho zonke iinketho zakho zokonyango, kubandakanywa ingozi kunye neenzuzo, ngaphambi kokuba uqale amachiza amatsha.
> Imithombo:
> Schrier SL kunye ne-Auerbach. Unyango lwe-iron deficiency kubantu abadala. Ku: U-UpToDate, i-Post TW (ed), UpToDate, i-Waltham, MA.
> Mahoney DH. Ukungabikho kwensimbi kwiintsana kunye nabantwana abancinci: unyango. Ku: U-UpToDate, i-Post TW (ed), UpToDate, i-Waltham, MA.