Uma uthola ukuthi unesisindo se iron noma ungenayo i- anemia , kungase kubonakale sengathi kulula ukulungisa. "Ngizobe ngithatha amathebhu wensimbi, ngakho konke kuyokwenza kahle." Yize lokhu kuyiqiniso kubantu abaningi abanenkinga yokungena, kungaba nzima nakakhulu.
Ukunquma ukuthi yiluphi uhlobo lwe-Iron Therapy olulungile kuwe
Uma unquma ukuthi yikuphi ukwelashwa kwe-iron okulungile kuwe, ngomlomo nangokwemvelo (IV), kubalulekile ukucabangela izici eziningana.
Lezo zinto zihlanganisa:
- Ubudala: Ngokomlando, izinsana nezingane ziye zaphathwa nge-iron ngomlomo ngaphandle kwezimo ezingavamile, njengezingane ezingenakuthola insimbi yomlomo ngenxa yezinkinga zemathunjini. Kubantu abadala, insimbi ye-IV isetshenziswa kakhulu, ikakhulukazi kubantu abanegazi eliqhubekayo noma ngemuva kokuhlinzeka ngokuhlinzwa kwesisu, okwenza kube nzima ukuthola insimbi.
- Izindleko: Ngaphandle kombuzo, insimbi yomlomo ingabizi kakhulu. Itholakale kalula phezu kwekhasi futhi kungenzeka ukuthi yiyona kuphela okukhethwa kukho kuzilungiselelo ezingalungile zamasource. Inganikezwa ekhaya ngokuqapha kancane. Insimbi ye-IV kufanele ihanjiswe emtholampilo noma esibhedlela ukukhishwa okuqashwe okwenza kube kubi kakhulu.
- Ukwamukela: Abanye abantu abakwazi ukumbamba insimbi yomlomo. Izimbangela zingabandakanya ukuhlinzwa kwesisu esiswini esiswini (insimbi igxila esiswini futhi idinga i-asidi esiswini ukuze iminywe), izifo ze-celiac , isifo sofuba esivuvukalayo , noma ngemuva kwenqubo ye-Whipple.
- Ukubekezela: Nakuba insimbi yomlomo ingabizi, cishe abantu abangamaphesenti angu-70 bathatha insimbi yomlomo bayakhononda imiphumela emibi yezinsizi okubandakanya ukukhipha isisu, ukuqothulwa, ubuhlungu besisu kanye / noma ukuhlanza. Amafomu oketshezi ensimbi ngomlomo, ikakhulukazi, anomuncu wensimbi futhi angabangela ukubola kwamazinyo. Ngenhlanhla, ukukhwabanisa kuyesikhashana futhi kungancishiswa ngokuxubha amazinyo emva kwalokho. Lemiphumela emibi yizizathu ezivamile zokuthi kungani abantu bengathathi insimbi njengoba kunconywa udokotela wabo.
- Ubude bokwelashwa: Kungathatha izinyanga ngomlomo we-iron ukulungisa ngokugcwele i-anemia ngisho nangaphezulu ukubuyisela ngokuphelele isitoreji sensimbi emzimbeni ngomunwe womlomo. Insimbi ye-IV ingakwazi ukulungisa ukungabi nalutho kwensimbi ngezinga elilodwa kuya kokubili.
- Imbangela ye-anemia: Kubantu abane-anemia yokuntuleka kwe-iron okubangelwa ukulahlekelwa kwegazi okuqhubekayo, ukwelapha ngomlomo we-iron kungenakukwazi ukugcina isidingo. Insimbi ye-IV ingaba yisinqumo esingcono kulezi zimo.
Izinketho ze-IV Iron
Iminyaka eminingi i-iron yayinezinkinga ezimbi kakhulu zensimbi ye-anemia ngenxa yokuthi imikhiqizo ye-iron ye-IV etholakalayo ingabangela ukusabela kwe-allergen / anaphylactic. Noma kunjalo, amafomu amasha aphephile futhi angaphansi kakhulu ukuthi abe nalezi zenzo. Ezinye kodwa hhayi zonke izinhlobo zensimbi ze-IV zizobuyekezwa ngezansi.
- I-Iron dextran: Yinguqulo ebiza kakhulu ye-IV yensimbi. Ukuntuleka kwe-iron ngokuvamile kungalungiswa nge-infusion eyodwa kuphela. Izinguqulo ezintsha zensimbi ye-dextran ayinamathuba amancane okubangela ukusabela okweqile kunezingqinamba ezindala. Ngokujwayelekile, umthamo omncane wokuhlolwa unikezwa kuqala futhi uma ubekezeleleke kahle, okushiwo umthamo unikezwa. Ngezinye izikhathi imithi inikezwa ngaphambi kwensimbi ye-IV emzamweni wokuvimbela ukusabela. Leli fomu elivame kakhulu elisetshenziselwa izingane, nakuba noma yiluphi lwazo lungasetshenziswa.
- I-gluconate ye-ferric: Leli fomu le-iron linganikezwa ngamanani amancane amaningi. Lokhu kwakha kuvame ukusetshenziswa kubantu abathola i-hemodialysis yezifo ezinzima zezinso.
- I-sucrose ye-iron: I- Iron sucrose nayo inikezwa ngamanani amancane amaningi. Uma uthola imithi eminye imithi, ungathola umthamo omncane wokuhlola ukuze uqiniseke ukuthi awukho ukusabela ngaphambi kokuba uthole imithi eyisele. Leli fomu le-iron lingasetshenziswa ezindaweni eziningi ezihlanganisa i-dialysis noma kwabesifazane abakhulelwe.
- I-carboxymaltose ye-Ferric: Le mithi inikezwa ku-1 noma 2 i-infusions kuye ngokuthi ubunzima be-iron yakho bunzima kangakanani. Sekusetshenziselwe ngokuphepha emasethweni amaningi kufaka phakathi nezingane ezinenkinga yezinsimbi.
Izwi elivela
Ukuntuleka kwe-iron kuyimbangela evamile yokudangala kwegazi e-United States nasemhlabeni jikelele. Nakuba insimbi yomlomo ingaba ukwelashwa okulula, okungabizi kubantu abaningi, kungase kungabi yindlela engcono kakhulu kuwo wonke umuntu. Xoxa nodokotela wakho zonke izinketho zakho zokwelapha, kubandakanya izingozi nezinzuzo, ngaphambi kokuqala imithi emisha.
> Imithombo:
> Schrier SL ne-Auerbach. Ukwelashwa kokuntuleka kwensimbi kubantu abadala. Ku: U-UpToDate, i-Post TW (ed), i-UpToDate, i-Waltham, MA.
> Mahoney DH. Ukungabi nensimbi kwezingane nezingane ezincane: Ukwelashwa. Ku: U-UpToDate, i-Post TW (ed), i-UpToDate, i-Waltham, MA.