Iron kushomeka anemia

Anemia mamiriro ezvinhu umo muviri usina masero matsvuku eropa akagwinya. Masero matsvuku eropa anopa okisijeni kumatumbu emuviri. Kune akawanda marudzi eanemia.

Iron inoshaya anemia inoitika kana muviri wako usina iron yakakwana. Iron inobatsira kugadzira masero matsvuku eropa. Iron kushomeka anemia ndiyo yakajairika fomu yekushaya ropa.

Masero matsvuku eropa anounza okisijeni kumatumbu emuviri. Masero matsvuku eropa akagadzirwa mupfupa rako. Masero matsvuku eropa anotenderera nemuviri wako kwemwedzi mitatu kana mina. Zvikamu zvemuviri wako, senge yako spleen, bvisa masero eropa ekare.

Iron chinhu chakakosha chemasero matsvuku eropa. Pasina ayoni, ropa harigone kutakura okisijeni zvinobudirira. Mumuviri wako kazhinji unowana simbi kuburikidza nedhayeti yako. Inoshandisa zvakare iron kubva kumasero matsvuku eropa.

Iron kushomeka anemia inokura apo muviri wako wesimbi zvitoro zvadzikira pasi. Izvi zvinogona kuitika nekuti:

• Unorasikirwa nemamwe masero eropa uye iron kupfuura izvo muviri wako unogona kutsiva
• Muviri wako hauite basa rakanaka rekutora simbi
• Muviri wako unokwanisa kutora iron, asi hausi kudya chikafu chakaringana chine iron
• Mumuviri wako unoda iron yakawanda kupfuura yakajairwa (senge kana uri nepamuviri kana kuyamwisa)

Kubuda ropa kunogona kukonzera kurasikirwa kwesimbi. Zvinowanzokonzera kubuda ropa ndezvi:

• Inorema, yakareba, kana inowanzoenda kumwedzi
• Kenza mune yegurokuro, mudumbu, mudumbu mudiki, kana colon
• Esophageal varices, kazhinji kubva ku cirrhosis
• Iko kushandiswa kweaspirin, ibuprofen, kana arthritis mishonga kwenguva yakareba, iyo inogona kukonzera kubuda kwemudumbu
• Peptic ulcer chirwere

Mutumbi unogona kusatora zvakakwana simbi mukudya kwako nekuda kwe:

• Chirwere cheCeliac
• Chirwere cheCrohn
• Gastric bypass kuvhiyiwa
• Kutora maantacid akawandisa kana yakawandisa mishonga inorwisa mabhakitiriya tetracycline

Iwe haugone kuwana yakakwana iron mukudya kwako kana:

• Iwe uri murimi wezvirimwa
• Haudye chikafu chakaringana chine iron

Iwe unogona kunge usina zviratidzo kana iyo anemia iri nyoro.

Kazhinji yenguva, zviratidzo zvinyoro pakutanga uye zvinokura zvishoma. Zviratidzo zvinogona kusanganisira:

• Kunzwa kupera simba kana kuneta kazhinji kazhinji kupfuura zvakajairwa, kana nekurovedza muviri
• Kutemwa nemusoro
• Dzungu
• Palpitations
• Matambudziko ekuisa pfungwa kana kufunga

Sezvo kushomeka kweropa kuri kuwedzera, zviratidzo zvinogona kusanganisira:

• Zvipikiri zvinopwanyika
• Ruvara rwebhuruu kune vachena veziso
• Chido chekudya chando kana zvimwe zvisiri-zvekudya zvinhu (pica)
• Kunzwa kuve nemusoro musoro paunosimuka
• Ruvara rweganda rakachenuruka
• Kufema kwekufema
• Rurimi runorwadza kana kuti rwakazvimba
• Muromo maronda
• Kusadzora kufamba kwemakumbo (panguva yekurara)
• Bvudzi kurasikirwa

Zviratidzo zvemamiriro acho (zvinosanganisirwa nekubuda ropa) izvo zvinokonzeresa kushomeka kwesimbi anemia zvinosanganisira:

• Rima, zvituru zvine mavara-tara kana ropa riri muchitsiko
• Kubuda kumwedzi kubuda ropa (vakadzi)
• Marwadzo mudumbu repamusoro (kubva pamaronda)
• Kurera uremu (mune vanhu vane cancer)

Kuti uongorore kupererwa neropa, wako mupi wezvehutano anogona kuraira idzi kuongororwa kweropa:

• Yakazara kuverenga ropa
• Reticulocyte kuverenga

Kuti utarise masimbi esimbi, mupi wako anogona kuraira:

• Bone marrow biopsy (kana kuongororwa kwacho kusiri pachena)
• Iron inosunga chinzvimbo (TIBC) muropa
• Serum ferritin
• Serum iron level
• Serum hepcidin level (protein uye mutongi wedare mumuviri)

Kuti utarise zvikonzero (kurasikirwa kweropa) kwekushomeka kwesimbi, mupi wako anogona kuraira:

• Colonoscopy
• Fecal zvemashiripiti kuongorora ropa
• Kumusoro endoscopy
• Kuyedza kutsvaga kwarasikirwa neropa mune weti turakiti kana chibereko

Kurapa kunogona kusanganisira kutora zvinowedzera iron uye kudya chikafu chine iron.

Iron inowedzera (kazhinji kazhinji ferrous sulfate) inovaka zvitoro zvesimbi mumuviri wako. Kazhinji yenguva, mupi wako anoyera chiyero chako chesimbi usati watanga kuwedzera.

Kana iwe usingakwanise kutora simbi nemuromo, ungangoda kuitora kuburikidza nemutsinga (intravenous) kana nejekiseni mumhasuru.

Vakadzi vane pamuviri uye vanoyamwisa vanofanirwa kutora imwe iron nekuti kazhinji havagone kuwana ayoni yakakwana kubva pachikafu chavo.

Hematocrit yako inofanira kudzokera kune yakasarudzika mukati memavhiki matanhatu esimbi kurapwa. Iwe unozofanirwa kuramba uchitora iron kweimwezve mwedzi mitanhatu kusvika gumi nemiviri kutsiva zvitoro zvemuviri zvesimbi mumongo wemapfupa.

Iron inowedzera inoregererwa zvakanaka, asi inogona kukonzera:

• Nausea
• Kusvipa
• Kuzvimbirwa

Zvokudya zvine iron-zvinosanganisira:

• Chicken uye turkey
• Nyemba dzakaomeswa, pizi, uye bhinzi
• Hove
• Nyama (chiropa ndiyo sosi yepamusoro)
• Soya, bhinzi dzakabikwa, nhokwe
• Chingwa chezviyo chose

Zvimwe zvinyorwa zvinosanganisira:

• Oatmeal
• Mazambiringa, mapurumu, maapurikoti, uye nzungu
• Sipinachi, kare, uye mamwe magidhi

Vitamin C inobatsira muviri wako kutora simbi. Kwakanaka mavitamini C ndeaya:

• Maorenji
• Muchero
• Kiwi
• Strawberries
• Broccoli
• Madomasi

Nokurapwa, mhedzisiro yacho inogona kunge yakanaka, asi zvinoenderana nechikonzero.

Fonera mupiki wako kana:

• Iwe une zviratidzo zvekushomeka kwesimbi
• Unocherechedza ropa muzvigaro zvako

Kudya kwakaringana kunofanirwa kusanganisira iron yakakwana. Nyama tsvuku, chiropa, uye mazai ezai zvihombe simbi. Hupfu, chingwa, uye zvimwe zviyo zvakasimbiswa nesimbi. Kana ukayambirwa nemupi wako, tora masimbi ekuwedzera kana usiri kuwana ayoni yakakwana mukudya kwako.

Anemia - kushomeka kwesimbi

• Reticulocytes
• Masero eropa
• Hemoglobin

Brittenham GM. Kukanganiswa kwesimbi homeostasis: kushomeka kwesimbi uye kuwandisa. Muna: Hoffman R, Benz EJ, Silberstein LE, et al, eds. Hematology: Basic Misimboti uye Maitiro. 7th ed. Philadelphia, PA: Elsevier; 2018: chits. 36.

Zvinoreva RT. Kusvika kune anemias. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chitsiko 149.

Dhipatimendi reUtano reHurumende neHuman Services; National Moyo, Lung, uye Ropa Institute webhusaiti. Iron-kushomeka anemia. www.nhlbi.nih.gov/health-topics/iron-deficiency-anemia. Yakasvika muna Kubvumbi 24, 2020.