Ígwè Mmeju na ala haemoglobin okenye: a nyochaa, ntuziaka maka ojiji na nzaghachi

Enweghị ígwè na ahụ nke mmadụ nwere ike ime ka ọtụtụ nsogbu. Modern ọgwụ ọjọọ na ala haemoglobin ga-enyere jupụta ihe dị mkpa nke ebuka.

Gịnị bụ anaemia

Nke a ọnọdụ e ji ala etoju nke haemoglobin owuwu. Emepe emepe anaemia, nke oxygen tụkwasị anụ ahụ ga-adị njọ mkpụrụ ndụ. E nwere ọgwụ ọjọọ na-amụba haemoglobin na ahụ mmadụ.

E nwere ọtụtụ iche nke ụkọ ọbara na ọnọdụ bụ nke a enweghị protein, ígwè ogige ma ọ bụ cyanocobalamin.
Kacha nkịtị ụdị ígwè erughi anaemia a na-ewere, mere site na mismatch na ina na-enweta a Fe-ion.

E nwere ihe abụọ na-etoju nke ọrịa:

1. Latent enweghị ígwè nke na-ebelata haemoglobin na ferritin kasịnụ, na transferrin ọdịnaya, na-enweghị na-adakarị ịrịba ama nke Fe erughi.
2. N'ezie ụkọ ọbara ọnọdụ na ihe doro anya e ji mara metal ụkọ mmadụ akụkụ, mgbe e nwere ihe ịda iwu guzobere haemoglobin ụmụ irighiri.

The uru nke ígwè na ahu

Ọ dị mkpa ka ndị mmadụ mmewere. Banyere 70% nke umi a gụnyere ke haemoglobin. Esịtidem akụkụ ike synthesize ígwè ion, ha na-anapụta naanị na a nri.

Haemoglobin protein ejikọ oxygen ụmụ irighiri na erythrocytic mkpụrụ ndụ.

Ezughi oke ígwè ọdịnaya na-akpata oxygen agu. Mbelata e zie haemoglobin ọgwụ na ọgwụ, na-ebu Fe-ion.

Ọdịdị nke haemoglobin

Structure haemoglobin nwere anọ heme-nwere protein subunits. Protomers emee n'etiti compound hydrophobic, ionic, hydrogen-ụdị na-arụkọ ndabere.

The mejupụtara nke heme ugbu divalent metal ion, nke a na-webatara ke a prosthetic otu.

Mgbaàmà nke anaemia

ígwè Mmeju na ala haemoglobin okenye kenyere hypotension, pallor, na-ehi ụra veins, adịghị ike, na-ehi ụra, dizziness, ebelata arụmọrụ, palpitations, iku ume ọkụ ọkụ.

Ihe kpatara na-ọgwụ bụ a mgbanwe na akpụkpọ ya oké nkụ, ekpepụsị. Na ntu efere na-aghọ striated na kenkuwa, ntutu bụ ezughị ike, bụ ọnwụ ha na ngalaba. Iron erughi nwere ike mata site na udi distortion nke uto mmasị.

Na laabu ọmụmụ, ala ókè nke ọbara nkịtị haemoglobin na-130 grams kwa liter maka nwoke ahụ, na 120 grams kwa liter maka nwaanyị.

Light ụkọ ọbara ogo HB bụ a bara uru, nke bụ ukwuu karịa 90 grams kwa liter ma na-erughị 110 grams kwa liter, na-agafeghị oke ga HB index nke 70 90 grams kwa liter, na oké HB larịị erughị 70 grams kwa liter.

Akụkụ a nhọrọ nke ọgwụ

Iji kpochapụ ụkọ ọbara ígwè erughi dọkịta ahọrọ ọgwụ ọjọọ na-amụba haemoglobin, dabere na e ji mara nke metabolism ígwè ion assimilation àgwà, mejupụtara na udi nke usoro onunu ogwu.

E guzobere ya na ochichi nke ọgwụ intramuscularly enye njọ N'ihi karịa mgbe ọnụ ndinọ mbadamba iche-iche. Nke a na-kọwara site n'ụzọ nke assimilation nke metal ion, nke na-amalite gootu. Ke akpa usoro, ochichi emee ihe na-achọghị Jeremaya mere.

ígwè preparations na ala haemoglobin okenye kwesịrị nkejikotara kacha ọdịnaya nke mmewere ya dị ọcha ụdị, nke na-àmà site 80 ka 160 mg. Dị otú ahụ ego Ẹkot 320 mg nke sulphate, ọ bụ zuru ezu na-emepụta na chọrọ ọgwụgwọ mmetụta. The ndiiche si họrọ dose ma ọ bụ discontinuation nke ọgwụ ga-eme ka a na-achọghị mmetụta.

Otu ihe dị mkpa ọnọdụ maka ọgwụgwọ kwesịrị ekwesị bụ nnabata ya na ike n'ezi ihe nke mbadamba na n'ikuku. Ọ na-adịghị ata ata, ma loo ozugbo na mmiri. Nọmalị mmiri mmiri ígwè ọgwụ usụhọde mbadamba ụdị arụmọrụ.

Mgbagwoju vitamin ma ịnweta preparations na-enweghị ike ewepụcha enweghị mmewere ke idem ruru ya ala ọdịnaya.

The kasị dịrị nchebe na-atụle encapsulated na ntekwasa ngwaahịa na ígwè ntọt haemoglobin. Ndị dị otú ahụ a na udi na-egbochi ndị mucosal epithelium nke digestive tract si oghom mmetụta nke ọgwụ.

Ọgwụ maka anaemia

Dabere ụdị nke anaemia eji dị iche iche ọgwụ. Ndị a nwere ike mmadụ nwere ígwè ma ọ bụ vitamin umi n'ụdị cyanocobalamin, folic na ascorbic acid, Alfa-tokoferrola, riboflavin ma ọ bụ pyridoxine.

Mgbe aplastic ọrịa n'ụdị eji glucocorticosteroid ọgwụ ọjọọ, ka ọgwụgwọ dabeere anabolic Steroid, androgens, cytostatics.
Ọgwụ na erythropoietin na-iji na mmetuta nke hematopoiesis na-abawanye na haemoglobin.

Iron ngwaọrụ

Ha na-akacha eji na-emeso ụkọ ọbara ala. Iji otu a na-agụnye ígwè preparations ka mma ala haemoglobin. Na-emekarị na ọ bụ saline ọgwụ, nke na-ọma etinye obi gị dum site na nsia mgbidi maka ụdi incorporation n'ime Ọdịdị nke heme. Formation haemoglobin akpata ihe mma na oxygen iga.

E nwere ọgwụ atọ ma ọ bụ ferrous ígwè. Ka iwelie mma na e mbụ ụdị amino compound mkpa iji ekwe Fe ²⁺ ion na-gaa na ụmị ọkpụkpụ. absorption ígwè na a valence II na-enwekwukwa n'okpuru nduzi nke ascorbic acid nke na-enye ion nyefe na incorporation n'ime Ọdịdị nke ahụ heme.

Site a n'ahụ ele ihe anya, mbadamba preparations ndị ọzọ họọrọ. Parenteral ochichi nke ọgwụ na-eji n'ahụ saturation ngwa ngwa mgbe e nwere nsia daa ọrịa na ọgwụgwọ dịghị mma nke siri ike iche-iche.

High Dosages nke ọgwụ ọjọọ eme ihe n'ihi na mmepụta nke nkịtị haemoglobin ụkpụrụ, na mgbe bulie a mmezi dose. Belata ego nke ọgwụ rụrụ anaemia mgbochi.

Ọgwụ na divalent ígwè

People na anaemia ajụkarị dọkịta a ajụjụ banyere ihe na-amụba haemoglobin ke iyịp. The preparations bụ sulfates na vitamin Mmeju. Adịbeghị anya na-eme ka rụọ ọrụ ndị absorption na nnweta.

Akacha eji na nkà mmụta ọgwụ "Sorbifer Durules", na ya ugbu a mejupụtara nke ígwè ferrous sulfate na C-vitamin.

Ọzọ nkịtị ụzọ "Tardiferron" mbadamba nke ascorbic acid na-anọchi folic. Were ọgwụ ahụ n'ụtụtụ na n'ehihie, 30 nkeji tupu nri. Mbadamba ga-asa ala na 200 ml mmiri.

Site Capsule formulations na-agụnye:

• "Ferrofolgamma" na divalent ígwè sulfate, cyanocobalamin, vitamin C.
• "Ferretab" na fumarate na folic acid.
• "Fenyuls" na FeSO _4, B9, B5, C, B2 , B6 vitamin.

Agwọ ọrịa "Aktiferrin" n'ụdị capsules, tụlee na sirop na-emeso anaemia na ụmụ.

Ọnụ ọgwụ ntọt haemoglobin "Hematogen" ya mejupụtara nwere albumin protein na FeSO _4.

"Totem" ọgwụ ọjọọ na a ngwọta nwere ígwè (II) gluconate, ọla kọpa, manganese.

The dragees "Prolongatum gemofer" Fe sulphate ugbu a.

Ọgwụ na ferric ígwè

A na-agụnye ọgwụ ndị na-amụba haemoglobin ke iyịp. Isi nke ọgwụ ọjọọ na otu a iji chọpụta na onunu ogwu ụdị na atụmatụ nke nọ n'ọrụ Efrata na ichekwa ruru si anaemia.

The ọgwụgwọ na-arụsi ọrụ ike metal bụ ferric ígwè bụ ugbu ka a hydroxide polimaltozata. N'ihi ya mejupụtara nwere:

• ọgwụ ọjọọ, "Maltofer", nke na-emepụta na ụdị a sirop, ntụtụ, na mbadamba.
• na nkà mmụta ọgwụ "Fenyuls", arụpụtara ke tụlee na sirop.
• pụtara "Ferrum Amalek" - mbadamba, sirop, na injectable ngwọta.

The agwọ ọrịa "Biofer" polimaltozata hydroxide adianade do, nwere folic acid. Dị na mbadamba ụdị.

Na Ọdịdị nke ọgwụ "Ferlatum" n'ọrụ mgwa ngwọta bụ succinate protein.

Intramuscularly ndinọ ígwè preparations na a ala haemoglobin okenye, ọ bụrụ na e nwere ndị ụfọdụ na-egosi. Ha na-ji belatara absorption ígwè ion na eriri afọ tract na dị iche iche na-adịghị ala pathologies n'ụdị enteritis, ala ala pancreatitis, ihe ezughi oke assimilation syndrome.

Parenteral ọgwụ ga-rụrụ na ihe nkpasu-iwe nke ọnyá na duodenum ma ọ bụ na afo, ọnyá afọ, onye hypersensitivity ka ogige ya na ígwè, wepụ akụkụ nke afo ma ọ bụ obere eriri afọ.

N'ihi na a ngwa ngwa saturation metal ahụ anụ ahụ na nnukwu ọbara ọgbụgba, tupu arụmọrụ ejikọrọ na hemorrhoid, ọgwụgwọ fibromioticheskih formations na ndị ọzọ pathologies, họpụtara iwebata ọgwụ n'ime uru. The ego nke ígwè na ọgwụ nke na-eji maka ọgwụ ọrịa, ekwesịghị gafere 100 mg kwa ụbọchị. Ọ bụ iji n'ụzọ zuru ezu ahụ mejupụta transferrin ụmụ irighiri dị metal.
N'ụdị injectable ngwọta, ọgwụ ntọhapụ "Venofer", "Argeferr", "Likferr", "Kosmofer".

Oghom Jeremaya mere na ọgwụgwọ nke

ígwè preparations na ala haemoglobin okenye nwere ike kpasuo mmetụta, nke na-mere site uche nke ọ bụla ndidi na n'ụdị nke agwọ ọrịa.

Ụfọdụ ngwaọrụ nwere ike ime ka ụdị nile nke Filiks, na anabata agwa mere site ekweghị ibe nọrọ nke nọ n'ọrụ mgwa.

The mucosa nke digestive usoro akụkụ na-iwe mmetụta mmadụ nwere ígwè ma agaghị kpuchie a echebe n'ọbọ. Na nke a dịruru ná njọ, ị na-enwe mgbanwe nke ihe mgbu na epigastric region, nakwa dị ka ihe isi ike na nsị na colon.

Ịnata mbadamba na mmiri mmiri preparations ime ka a agbawanye ọchịchịrị na ezé Enamel.

Igba ogwu n'akwara usoro nke iji ihe ngwọta na-akpalite ala thrombophlebitis, achọ nanị ire ọkụ arịa nọ n'ógbè ogwu ogbugba.

Mmetụta nke ọgwụ

ígwè Mmeju na ala haemoglobin okenye na-amalite inwe mmetụta naanị izu atọ mgbe na-anata ọgwụ, bụ nke a obere MMALITEGHACHI na HB. Irè nke pharmacotherapeutic mmetụta nke ọgwụ a na-ewere mma nkịtị haemoglobin ụkpụrụ maka 60 ụbọchị. Mgbe onunu ogwu na-gbanwee maka mmezi ọgwụgwọ.

Na ọgwụgwọ nke ígwè erughi anaemia ọrịa na-ndinọ ke ukem na ọgwụ oriri nke osisi oriri, juices, nke nọ na nnukwu ichekwa vitamin bekee. Mgbake nke ahụ kwesịrị ime ndi na-edozi na mmiri ara ehi na ngwaahịa na anụ.

Ihe kacha mkpa - ọgwụ nke oke maka ọgwụgwọ nke anaemia kwesịrị obibi na n'imeso dibịa. Self ga-enye ndị dị mkpa ndozi, ma ga-eme ka a na-achọghị Jeremaya mere na ime ka ọrịa.