There are many types of anemia, with iron deficiency anaemia being the most common and especially common in women of childbearing age.
Iron deficiency anemia is mostly due to increased needs or inadequate intake (hunger, dieting, or vegetarian diet), and of course, disease can also cause. For example, various malabsorption or chronic blood loss.
Which groups of people have a high demand for iron?
Infants
juvenile
In the third trimester, some of the iron is transferred to the fetus
Blood loss during childbirth
Women with a lot of menstruation
Some diseases or drug factors can also cause iron deficiency anemia
Like what:
After gastrointestinal surgery, bleeding from the digestive system, hemorrhoids, large menstrual flow caused by uterine fibroids, or hemorrhagic telangiectasia can cause iron deficiency anemia.
Severe cases require blood transfusion therapy.
Patients who are not indicated for blood transfusion are routinely treated with medication.
An effective treatment for iron deficiency anemia is iron supplementation.
When supplementing with iron, in addition to hemoglobin levels, it is also necessary to consider the tolerance of oral iron and comorbidities that affect iron absorption.
Commonly used oral iron agents are ferrous sulfate, ferrous lactate, ferrous gluconate, ferrous fumarate, iron dextran, ferrous succinate, and polysaccharide iron complex.
In addition to these, there are also proprietary Chinese medicines such as spleen and blood tablets, which also have the effect of iron supplementation, and the gastrointestinal stimulation is also small.
When oral medications are used to treat iron deficiency anemia, many people feel nausea, pantothenic acid and other gastrointestinal reactions. If there is a significant gastrointestinal reaction, you can try taking iron with food, which will reduce the gastrointestinal reaction, but also lead to reduced absorption of iron.
It is recommended to take vitamin C while taking iron, vitamin C as a reducing agent can promote the conversion of iron into 2-valent iron, or form a complex with iron, thereby promoting the absorption of iron, children can recommend chewable vitamin C tablets or effervescent tablets.
Patients with iron deficiency anemia can supplement iron at the same time, combined with compound Ejiao pulp, angelica blood tonic granules and other blood tonic drugs, which can supplement iron and blood at the same time and enhance the efficacy.
If oral medications are intolerable, or if the re-examination of haemoglobin rises less than 10 g/l after 1 month of administration, intravenous administration may be considered.
There are 6 kinds of intravenous injections: iron sucrose, iron carboxy maltose, iron glucuronate, low-molecular weight dextran iron, nanoferric oxide and isomaltose iron. The specific selection needs to follow the doctor's medical advice and use it according to the existing varieties of the local hospital.
In addition to medication, dietary therapy is also an important part.
Lean meat, beef, animal offal, and green leafy vegetables are all rich in iron. It can be supplemented in the diet.
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