Kana iwe wakamboonekwa uine uremu hwesimbi kana kuti usina chirwere chekushaya ropa , zvingaita sekugadzirisa nyore. "Ndichangotora matafura esimbi, ipapo zvose zvichava zvakanaka." Kunyange zvazvo izvi zviri zvechokwadi kune vanhu vakawanda vane utera hwesimbi, zvinogona kunge zvakaoma zvikuru.
Kusarudza Ndeipi Inonzi Iron Therapy Yakakunakira Iwe
Kana uchitarisisa kuti ndeipi iyo yakagadzirwa nesimbi yakakunakira iwe, muromo unopesana nehuwandu (IV), zvakakosha kuongorora zvinhu zvakasiyana.
Izvozvo zvinosanganisira:
- Zera: Nhoroondo, vana nevana vave vachirapa nesimbi dzesimbi kunze kwezvisina kuitika mumamiriro ezvinhu, sevana vasingakwanisi kunyora ivhu remuromo nekuda kwematambudziko emimba. Muvanhu vakuru, iron IV inoshandiswa kakawanda, kunyanya kune vanhu vanoramba vachibuda ropa kana mushure mekugadzira chirwere chekudya, izvo zvinoita kuti zvive nyore kuunganidza iron.
- Mariro: Pasina mubvunzo, muromo wesimbi hauna mari shoma. Inowanikwa nyore nyore pamusoro pekambani uye inogona kunge iine chisarudzo chete mune zvigadziriswa-mashoma zvirongwa. Inogona kupiwa pamba isina kunyatsoongorora. IV simbi inofanira kushandiswa mumakiriniki kana kuchipatara kuti iongororwe muchengeti inoita kuti iwedzere mari.
- Kubvumira: Vamwe vanhu havagone kunyora ivhu remuromo. Zvinokonzera zvinogona kusanganisira gastric surpass surgery (iron inowanikwa mumudumbu uye inoda gastric acid kuti inyore), chirwere chechiliac , chirwere chinoputika chirwere , kana kuti mushure mekunyorwa kwe Whipple.
- Kushivirira: Kunyange zvazvo simbi yemuromo isingadhuri, inenge 70 kubva muzana yevanhu vanotora munyore yemuromo vanonyunyuta nezvemigumisiro yemigumisiro inosanganisira kuora mwoyo, kuvimbiswa, kurwadziwa kwepamuviri uye / kana kurutsa. Mvura yacho inoshandiswa mumatare emuromo, kunyanya, ane tambo yesimbi uye inogona kukonzera kudonha kwemeno. Nenzira, tsvina ndeyechinguva uye inogona kuderedzwa nekupwanya meno shure. Izvi zvinokonzera zvikonzero zvikonzero zvinowanzoita kuti vanhu vasatora iron sezvakakurudzirwa nachiremba wavo.
- Utachire hwekurapa: Zvinogona kutora mwedzi kuti utsi hwesimbi hugadzirise zvakakwana chirwere chemahyamu uye kunyange kwenguva refu kuti udzorere zvakakwana dare rekuchengetedza mumuviri nemuromo wesimbi. IV simbi inogona kugadzirisa kusakwana kwesimbi pamwe chete kusvika kune maviri.
- Chikonzero chekushaya ropa: Kune vanhu vane hutachiona hwesimbi hunokonzerwa nokurasikirwa kweropa kunoramba kuripo, chirwere chesimbi chinenge chisingaiti kuchengetedza zvinodiwa. IV simbi inogona kuva sarudzo iri nani mumamiriro ezvinhu aya.
Sarudzo yeV Iron
Kwemakore mazhinji IV iron yakachengeterwa matambudziko akaoma esimbi kusakosha anemia nokuti ye IV midziyo yesimbi inowanika inogona kukonzera chirwere cheseergic / anaphylactic. Zvisinei, itsvaer formulations ndeyekuchengetedza uye zvisingakwanisi kuita izvi. Zvimwe asi kwete maitiro ese eI iron achaongororwa pasi apa.
- Iron dextran: Icho chinodhura chinyorwa chinodhura chesimbi IV. Kushayikwa kwesimbi kunowanzogadziriswa nekamwe chete. Zvitsva zvesimbi zvextxtran hazvikwanise kukonzera kugadzikana kwevhutano kupfuura yekare. Kazhinji, chirwere chiduku chinotanga kupiwa chekutanga uye kana chakanyatsorasikirwa, zvakasara zvemuti wacho zvinopiwa. Dzimwe nguva mishonga inopiwa pamberi pesimbi yeA IV mukuedza kudzivirira kuita. Iyi ndiyo fomu yakakurumbira inoshandiswa kuvana, kunyange zvazvo imwe yei inogona kushandiswa.
- Ferric gluconate: Ichi chimiro chesimbi IV chinogona kupiwa pamusoro pezvidimbu zviduku zvishoma. Izvi zvinowanzoshandiswa kuvanhu vanogamuchira hemodialysis yehosha yakaipa yepvo.
- Iron sucrose: Iron sucrose inopiwawo pane zviduku zvishoma. Kana uri weergoric kune mamwe mishonga, unogona kuwana chirwere chiduku chekutanga kuti uone kuti hapana chekuita musati wagamuchira zvakasara zvemishonga. Iyi fomu yesimbi inogona kushandiswa muzvirongwa zvakasiyana-siyana zvinosanganisira dialysis kana vakadzi vane pamuviri.
- Ferric carboxymaltose: Iyi mishonga inopiwa mu 1 kana 2 infusions zvichienderana nekuoma kwekushaya simba kwesimbi. Yakashandiswa zvakachengeteka muzvirongwa zvakasiyana-siyana kusanganisira vana vane utera hwesimbi.
Shoko Rinobva
Kupera kwesimbi kunowanzokonzera kushaya ropa muUnited States uye pasi rose. Kunyange zvazvo dare remuromo rinogona kunge iri nyore, kurapa mari shoma kuvanhu vakawanda, zvingasava nzira yakanakisisa yevanhu vose. Kurukura nachiremba wako zvose zvaunogona kurapa, kusanganisira dambudziko uye kubatsirwa, usati watanga mishonga mitsva.
> Sources:
> Schrier SL uye Auerbach. Kurapa kwekushaiwa kwesimbi kuvanhu vakuru. Mu: UpToDate, Post TW (ed), UpToDate, Waltham, MA.
> Mahoney DH. Kusakwana kwesimbi mucheche nevana vaduku: Kurapa. Mu: UpToDate, Post TW (ed), UpToDate, Waltham, MA.