Izifo kunye neemeko zabantwana
Nangona kungenjalo njengokuba kwakunjalo njengoko kwakunjalo, ngenxa yokufumaneka kokutya kwintsimbi kwiminyaka ye-1980 kunye neye-1990, ukusilela kwesinyithi kuseyona nto ibangela ukuba i-anemia ibangelwe kubantwana abancinci.
Imizimba yethu idinga inani elithile lensimbi ekuncedeni i-hemoglobin kwiiseli zethu zegazi ithwala i-oxygen. I-Iron nayo inxalenye yeenzyme ezininzi kwaye kuyadingeka ukuba isebenze ngokufanelekileyo, umzekelo, ukunceda ukutya ukutya nokulawula ukukhula kweseli, njl, kwaye inceda izidumbu zethu zisebenzisa i-oxygen.
Abantwana bangahlakulela ukungabikho kwensimbi ngenxa yokuba abafumana ukutya okwaneleyo ngesinyithi ekudleni kwabo, eyona ndlela iyona ndlela ixhaphakileyo, okanye ngenxa yokuba ilahlekelwa yigazi nentsimbi ngesizathu esithile.
Sibanzi
Ukuncedisa ukufumana bonke abantwana abane-anemia yokunqongophala kwesinyithi, i-American Academy ye-Pediatrics incoma ukuba bonke abantwana bahlolwe okanye bavavanyelwe ukungena kwe-anemia xa beneminyaka engama-12 ubudala (ukuhlolwa kwendawo yonke).
Iintsana, iintsana kunye nabantwana abakhulu bangaphinda bahlolwe ngamanye amaxesha ukuba bacinga ukuba basengozini yokunqongophala kwe-anemia ye-iron, kuquka:
- iintsana ezingaphambi kwexesha
- Iintsana ezisetyaleni kuphela ezingenakuqala ukutya ukutya kwesoyile, okanye ukufumana omnye umthombo okanye isinyithi, malunga neenyanga ezine
- Iintsana ezinikezwa ubisi lweenkomo okanye ubisi lwebhokhwe olungagciniweyo, endaweni yobisi lwebele okanye imfesane yomntwana, ngaphambi kokuba iinyanga ezili-12 ubudala
- ukusela ngaphezulu kwama-ounces angama-24 yobisi ngalunye suku, isizathu esiqhelekileyo sokunqongophala kwesinyithi kubantwana abaselula
- abantwana bezinga eliphantsi loluntu
- Abantwana abanokulahleka kwegazi okungapheliyo, njenge-diarrhea engapheliyo, isilonda, okanye isifo sesifuba esivuthayo, njl njl.
- abantwana abaneengxaki ezingapheliyo zezonyango okanye iimfuno zonyango zempilo ezikhethekileyo kunye / okanye ezo zidlo ezidityanisiweyo, ezifana nokutya okungekho guten okanye ukutya okuphelisa ukutya
- izityalo kunye neentlobo ezingenakufumana ukutya okwaneleyo ngesinyithi okanye ukuxhaswa kwesinyithi
- amantombazana amantombazana asemncintiswaneni kunye / okanye anamaxesha amaninzi
U vavanya
Ukuba uvavanyo lokuqala lokunqongophala kwe-iron anemia, oluqhelekileyo luvavanyo lwegazi lwe-hemoglobin , luphantsi, uvavanyo olongezelelweyo lokunqongophala kwesinyithi lungenziwa. Oku kungabandakanya uvavanyo:
- i-serum ferritin (i-SF) ne- C-reactive protein (CRP), okanye
- amazinga e-reticulocyte hemoglobin (CHr)
Ngokuqhelekileyo, abantwana abaneenkunkuma ze-anemia baya kuba ne-hemoglobin ephantsi, i-serum ferritin ephantsi, i- CRP eqhelekileyo , kunye ne-low reticulocyte i-hemoglobin level, enokulinganisa kwensimbi ekhoyo ukuze isetyenziswe.
Kwabantwana abane-anemia emnene, ukuvavanya okuqhubekayo akusoloko kuyadingeka, nangona kunjalo baya kuthi baphathwe ngetsimbi eyongezelelweyo (ukuhlolwa kwetrheji yonyango) kwaye i-hemoglobin yabo ibuyeke emva kwenyanga. Ukuvavanya okuqhubekayo kunokukwenziwa xa bengaphuculanga.
Iimpawu
Abantwana abaninzi abanalo na impawu okanye iimpawu zentsimbi ye-anemia impawu kwaye kunoko zifunyanwe kwi-test screening test.
Abanye banesifo se-anemia okanye iimpawu ezingenakuncedo, ezinokubandakanya:
- ububanzi obubanzi, kubandakanya isikhumba esiluhlaza, imilomo, kunye nebheyinti yamehlo (pallor)
- ukucaphuka
- ukugquma okanye ukugijima kwentliziyo (iipilpitations)
- intloko
- uziva ubuthathaka
- ukungcola
- ukhathala lula
- ukusebenza kwe sikolo
- ingxaki yokugcina ubushushu bomzimba obuqhelekileyo
- Ukuba nolwimi oluvuthayo (i-glossitis)
- ukukhahlela okanye ukwahlula emacaleni omlomo (i-stomatitis, i-cheilitis, okanye i-cheilosis)
- ukuhlafuna izinto ezingekho ukutya, ezifana nodongwe, iphepha, ukungcola, njl, ebizwa ngokuba yi-pica, okanye ukuhlafuna kwi-ice (pagophagia)
- unobunzima obunobunzima obunobunzima obunobumba obunobumba (koilonychia)
- ukuphuhlisa i-tinge ye-bluk kwi-sclera okanye inxalenye emhlophe yeso (i-blue sclera)
- ukwanda kwengozi yezifo
Ukuqaphela nokuphatha i-anemia yokunqongophala kwesinyithi kubalulekile, njengoko kunokuchaphazela nokuphuhliswa kwemoto kunye nophuhliso lwengqondo.
Ngaphandle kokuba kubangele i-anemia, kucingelwa ukuba ukungabikho kwesebe kunokuchaphazela inkumbulo yabaselula kunye nemisebenzi yengqondo. Kubantu abadala, kunokubangela ukukhathala nokukhupha amandla abo okwenza umsebenzi wenyama.
I-AAP ibonisa ukuba 'ukungabi nesebe ngaphandle kweemvelaphi kungaphinda kuthinte kakubi i-long-term neurovelopment and behavior and that some of these effects can not be reversed.'
Ukongeza
Ukwelashwa kwe-anemia ye-iron yintsholongwane kubandakanya ukunika umntwana okanye umntwana osemtsha isongezelelo sesinyithi nokuguqula isizathu sokunqongophala kwesinyithi, ezifana nokufumana abancinci ukusela ngaphantsi kwama-ounces angama-24 ebisi kunye nokufumana abantwana ukuba badle ukutya okuninzi ngentsimbi.
Izixhobo zokuncedisa izityebi ezininzi kubantwana ziquka:
- I-Fer-In-Sol Isongezelelo seHonge (Iron ferrous sulfate)
- Iifomati zeFoolol (i-ferrous sulfate)
- I-ICAR Ukumiswa kwezilwanyana kunye noTywala (i-carbonyl iron)
Kucingelwa ngabanye abantu ukuba ifomu ye-sulphate enesitrasi ifumaneka kangcono kune-carbonyl iron, kodwa abanye bacinga ukuba i-carbonyl yentsimbi ikhuselekile kwaye inemiphumo emincinci yemiphumo yesisu.
Xoxa nodokotela wezonyango malunga neyona nto ifanelekileyo yokuncedisa isinyithi, i-dose, kwaye umzali wakho uza kudinga ixesha elingakanani ukuba athathe isongezelelo sesinyithi. Hlalani nikhumbule ukuba nangona i-multivitamines ezininzi ezinokuba nezingane zingenalo isinyithi, ayinelanga ngokwaneleyo ukunyanga umntwana ngengxaki yensimbi.
Imiphumo emibi yesongezelelo sesinyithi ngamanye amaxesha ingabandakanywa ukutshatyalaliswa kwexeshana kwamazinyo, isicupunu, ukuhlanza, ukumbombola, isifo sohudo, izitulo ezimnyama kunye / okanye isisu esiswini.
Imithombo yeZidlo
Ukongeza kokuthatha isongezelelo sesinyithi, ukukhusela umntwana wakho ukuba aphinde aphuhlise ukungaphumeleli kwintsimbi, kubalulekile ukuba adle ukutya okuninzi ngentsimbi. Oku kunokukunceda ukunqanda ukusilela kwe-anemia kwindawo yokuqala.
Ukutya ngesinyithi kubandakanya abo abanesinyithi se-heme , njengezilwanyana ezibomvu ezinomzimba (inyama yenkomo, ingulube, imvana), iinkukhu kunye neefama zokutya. Le fom yesinyithi ibandakanyeka kabini kunesithathu kangcono kunesinyithi esesityalo kunye nokutya okuqingqiweyo, okungenalo isinyithi sesinyithi . Iiprotheni zenyama kunye ne-vitamin C zinokunceda imizimba yethu ithathe isinyithi esingenayo isinyithi nakuba.
Ezinye iziphuzo ziqiniswe ngetsimbi (engekho insimbi yesinyithi), kubandakanywa neCarnation Instant Breakfast Mix, i-Ovaltine, kunye neyona encinane kakhulu okanye iifomula ezilandelayo.
Oko Kufuneka Ukwazi
- Ukuncedisa i-iron yefomula akucingelwa ukuba kubangele ikholic okanye nayiphi na impawu zesisu.
- Ukutya kunye ne-vitamin C, kuquka imifuno eninzi, iziqhamo kunye ne-100% zerayisi zintyatyambo, kunokuncedisa i-iron ukuba ifumaneke ngcono, ngoko yinto efanelekileyo ukudibanisa ukutya okungenayo i-iron kunye nezongezo kunye nokutya okuninzi i-vitamin C.
- I-Iron supplement should often be given between food to help make sure iron as possible in the supplement.
- I-Tannins e-tea, i-calcium, kunye nama-phytates kwimifuno kwaye i-grains epheleleyo inganciphisa ukutsalwa kwe-iron non-heme.
Imithombo:
I-American Academy ye-Pediatrics Clinical Report. Ukuxilonga kunye nokukhusela ukuNqongophala kweNtsalane kunye nokuNqongophala kweNtsalane ye-Iron (Anemia) kwiintsana kunye nabantwana abaselula (0-3 Iminyaka yobudala). Iintsholongwane 2010; 126: 1040-1050.
IHoffman: iHematology: Imigaqo-siseko kunye nokuSebenza, u-5.
I-Kliegman: uNelson Inkcazelo yeePediatrics, 18th.
NIH. Ofisi yeZibonelelo zeZidlo. I-Supplement Supplement Sheet Fact: I-Iron. Ukuhlaziywa kukaAgasti 2007.