I-anemia ebangelwa insimbi ephansi - izingane

I-anemia yisimo lapho umzimba ungenawo amangqamuzana egazi abomvu anele anele. Amangqamuzana abomvu egazi anikeza umoya-mpilo ezicutshini zomzimba. Kunezinhlobo eziningi ze-anemia.

I-ayoni isiza ukwenza amaseli abomvu futhi isize lawa maseli ukuphatha umoya-mpilo. Ukuntuleka kwensimbi emzimbeni kungaholela ekushoneni kwegazi. Igama lezokwelapha lale nkinga i-anemia yokushoda kwe-iron.

I-anemia ebangelwa ileveli yensimbi ephansi iyona ndlela ejwayelekile kakhulu yokushoda kwegazi. Umzimba uthola insimbi ngokudla okuthile. Iphinde isebenzise insimbi ephuma kumaseli abomvu egazi amadala.

Ukudla okungenayo i-ayoni eyanele kuyimbangela evame kakhulu yalolu hlobo lwe-anemia ezinganeni. Lapho ingane ikhula ngokushesha, njengesikhathi sokuthomba, kudingeka i-ayoni eyengeziwe.

Ojahidada abaphuza ubisi lwezinkomo oluningi bangaphinde babe negazi uma bengadli okunye ukudla okunempilo okune-ayoni.

Ezinye izimbangela kungaba:

• Umzimba awukwazi ukumunca i-ayoni kahle, yize ingane idla i-ayoni eyanele.
• Ukwehla kwegazi okuhamba kancane isikhathi eside, imvamisa kungenxa yokuya esikhathini noma ukopha emkhakheni wokugaya ukudla.

Ukuntuleka kwensimbi ezinganeni nakho kungahlotshaniswa nobuthi bomthofu.

I-anemia emincane kungenzeka ingabi nazimpawu. Njengoba izinga lensimbi nokubala kwegazi kwehla, ingane yakho inga:

• Yenza okuthukuthele
• Shesha uphefumule
• Langazelela ukudla okungajwayelekile (i-pica)
• Yidla ukudla okuncane
• Zizwe ukhathele noma ubuthakathaka ngaso sonke isikhathi
• Yiba nolimi olubuhlungu
• Unekhanda noma isiyezi

Nge-anemia enamandla kakhulu, ingane yakho ingaba nayo:

• Amehlo amhlophe anombala oluhlaza okwesibhakabhaka noma ompofu kakhulu
• Izipikili eziphukile
• Isikhumba esiphaphathekile

Umhlinzeki wezokunakekelwa kwempilo uzokwenza ukuhlolwa komzimba.

Ukuhlolwa kwegazi okungase kungavamile ngezitolo zensimbi eziphansi kufaka:

• I-Hematocrit
• I-serum ferritin
• Insimbi yeSerum
• Ingqikithi yomthamo wokubopha insimbi (TIBC)

Isilinganiso esibizwa ngokuthi yi-iron saturation (ileveli yensimbi ye-serum ehlukaniswe inani le-TIBC) singasiza ukuxilonga ukuntuleka kwensimbi. Inani elingaphansi kuka-15% lisekela ukuxilongwa.

Njengoba izingane zimunca kuphela insimbi encane eziyidlayo, izingane eziningi zidinga ukuba no-3 mg kuye ku-6 mg wensimbi ngosuku.

Ukudla ukudla okunempilo kuyindlela ebaluleke kunazo zonke yokuvikela nokwelapha ukushoda kwensimbi. Imithombo emihle yensimbi ifaka phakathi:

• Amabhilikosi
• Inkukhu, ikalikuni, inhlanzi nokunye ukudla
• Ubhontshisi obomile, udali, nobhontshisi
• Amaqanda
• Isibindi
• Ama-Molasses
• I-oatmeal
• Ibhitela lamantongomane
• Prune ijusi
• Omisiwe nama-prune
• Isipinashi, i-kale neminye imifino eluhlaza

Uma ngabe ukudla okunempilo kungavimbeli noma kuphathe izinga eliphansi le-iron ne-anemia yengane yakho, umhlinzeki wakho cishe uzoncoma izengezo zensimbi yengane yakho. Lezi zithathwa ngomlomo.

UNGANIKI ingane yakho izithasiselo zensimbi noma amavithamini ngensimbi ngaphandle kokuhlola umhlinzeki wengane yakho. Umhlinzeki uzonikeza uhlobo olufanele lokulekelela enganeni yakho. Insimbi eningi ezinganeni ingaba nobuthi.

Ngokwelashwa, umphumela kungenzeka ube muhle. Ezimweni eziningi, ukubalwa kwegazi kuzobuyela kokujwayelekile ezinyangeni ezimbili kuya kwezi-3. Kubalulekile ukuthi umhlinzeki athole imbangela yokushoda kwensimbi kwengane yakho.

I-anemia ebangelwa ileveli yensimbi ephansi ingathinta ikhono lengane lokufunda esikoleni. Izinga eliphansi lensimbi lingadala ukwehla kwesikhathi sokunaka, ukunciphisa ukuqapha, nezinkinga zokufunda ezinganeni.

Izinga lensimbi eliphansi lingadala ukuthi umzimba umunce umthofu omningi kakhulu.

Ukudla izinhlobo ezahlukene zokudla okunempilo kuyindlela ebaluleke kakhulu yokuvimbela nokwelapha ukushoda kwensimbi.

Ukushoda kwegazi - ukuntuleka kwensimbi - izingane

• I-Hypochromia
• Izakhi ezakhiwe zegazi
• IHemoglobin

UFleming MD. Ukuphazamiseka kwemetabolism yensimbi neyethusi, ama-anemias we-sideroblastic, nokuhola ubuthi. Ku: Orkin SH, Fisher DE, Ginsburg D, Bheka AT, Lux SE, Nathan DG, eds. I-Hematology ne-Oncology kaNathan no-Oski ye-Infancy ne-Childhood. Umhlaka 8. IPhiladelphia, PA: Elsevier Saunders; 2015: isahluko 11.

Iwebhusayithi yeNational Heart, Lung, neGazi Institute. Ukushoda kwe-iron anemia. www.nhlbi.nih.gov/health-topics/iron-deficiency-anemia. Kufinyelelwe ngoJanuwari 22, 2020.

URothman JA. Ukushoda kwe-iron anemia. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Incwadi kaNelson Yezingane. Umhlaka 21. IPhiladelphia, PA: Elsevier; 2020: isahluko 482.