Zvirwere Zvemwana uye Zvirongwa
Kunyange zvazvo zvisina kufanana sezvazvaimbova, nekuda kwekuwedzera kwezvokudya zvine iron mukati me1980 ne1990, kuperevedza kwesimbi kuchiri chikonzero chinowanzokonzera kushaya ropa mune vana vaduku.
Mitumbi yedu inoda huwandu hwesimbi kuti ubatsire hemoglobin mumasero edu eropa anotakura okisijeni. Iron inewo chikamu chema enzymes akawanda uye inofanirwa kuti vashande zvakanaka, somuenzaniso, kubatsira kubvisa zvokudya uye kuronga kushamba kwekamuri, nezvimwewo, uye kunobatsira masumbu edu kushandisa oxygen.
Vana vanogona kukura kushayikwa kwesimbi nokuti havakwanisi kudya zvakakwana nesimbi mune zvekudya kwavo, iyo ndiyo nzira yakanyanya kufanana, kana kuti nokuti vanoramba vachirasikirwa neropa nesimbi pane chimwe chikonzero.
Overview
Kuti vabatsire kuona vana vose vane iron inoshaiwa anemia, American Academy of Pediatrics inokurudzira kuti vana vose vaongororwe kana kuongororwa nehutachiona hwehutera anemia apo vane makore gumi nemaviri (kuongorora pasi rose).
Vana vacheche, vana vaduku, uye vana vakwegura vanogonawo kuongororwa pane dzimwe nguva kana vachifunga kuti vari pangozi yekushaiwa simba kwesimbi, kusanganisira:
- vana vasati vasvika
- vana bedzi vana vemazamu avo vasingatangi kudya doro rakaumbwa nesimbi, kana kuwana imwe nzvimbo kana simbi, inenge mwedzi mina
- vacheche vanopiwa mukaka wemhou kana mukaka wembudzi usina kukwana, pane mukaka wemwana kana mukomana wemwana, vasati vava nemwedzi 12
- kunwa zvinopfuura 24 ounces emukaka zuva rimwe nerimwe, chikonzero chinowanzo chekushaya kwesimbi muvana vaduku
- vana vanotsika pasi pezvematongerwe enyika
- vana vane kurasikirwa kweropa kusingaperi, kufanana nehutachiona husingaperi, chirwere chechirwere, kana chirwere chinoputika, nezvimwewo.
- vana vane zvinetso zvechirwere zvisingaperi kana zvidikanwi zvekuchengetwa kwehutano uye / kana avo vane zvokudya zvisingabvumirwi, zvakadai sezvokudya zvisina kuguten kana kudya kwekudya kwekudya
- zvinomera uye vegans vasina kuwana zvekudya zvakawandisa ane iron kana iron yekuwedzera
- vasikana vechidiki vane makwikwi emitambo uye / kana vane nguva yakaoma
Kuedzwa
Kana kuongorora kwekutanga kuongororwa kwesimbi kusakwana anemia, iyo inowanzosangana nehemoglobin blood test , yakaderera, kuongororwa kwakawedzerwa nekushaya simba kwesimbi kunogona kuitwa. Izvi zvinogona kusanganisira kuongorora kwe:
- serum ferritin (SF) uye C-reactive protein (CRP), kana
- reticulocyte hemoglobin (CHr) mazinga
Muzhinji, vana vane hutachiona hwehutachiona hwehutano huchava nehaemoglobin, low serum ferritin, kazhinji CRP , uye pasi reticulocyte hemoglobin level, iyo inoyera yesimbi inowanika masero kuti ishandise.
Kune vana vane chirwere chemafupa, kunyanya kuedzwa hakuwanzodikanwa, kunyange zvakadaro, uye ivo vachangozobatwa nehuwandu hwematare (kurapwa kwesimbi kutongwa) uye vane hemoglobin yavo inodzokorora mumwedzi. Kuwedzerwa kuedza kunogona kuitika zvino kana vasingagadziri.
Zviratidzo
Vana vazhinji havana zviratidzo kana zviratidzo zvekushaya simba kwesimbi kunomia uye pane zvinowanikwa pane chiitiko chekuongorora kuongorora.
Vamwe vane hutachiona hwesimbi huri zviratidzo kana zviratidzo, zvinogona kusanganisira:
- kazhinji mararamiro, kusanganisira ganda, miromo, uye kubatana kwemaziso (pallor)
- kutsamwa
- kuvhara kana kukwikwidza mwoyo (palpitations)
- headaches
- kunzwa kuneta
- chizoro
- kuneta kuneta nyore
- kushanda kuchikoro mashoma
- dambudziko richichengetedza kupisa kwemazuva ose
- kuva nerurimi runopisa (glossitis)
- kuputika kana kuparadzaniswa mumakona emiromo (angular stomatitis, cheilitis, kana cheilosis)
- kutsva pane zvisiri zvekudya, zvakadai sevhu, mapepa, tsvina, nezvimwewo, zvinonzi pica, kana kutsvaga pamusoro pechando (pagophagia)
- kuva nemhete uye zvinyoronyoro zvigunwe, izvo zvinoshandiswa nehuta-shaped (koilonychia)
- kukudziridza bluish tinge kune shrera kana chichena chikamu cheziso (blue sclera)
- njodzi yakawanda yezvirwere
Kuziva nekurapa kusakosha kwesimbi kunoshaiwa, sezvo kunogona kukanganisa motokari yemwana nekusimudzirwa kwepfungwa.
Kunyangwe pasina kukonzera chirwere chemafuro, zvinofungidzirwa kuti kushaya simba kwesimbi kunogona kukanganisa vechidiki chiyeuchidzo nemabasa ekufunga. Muvanhu vakuru, zvinogona kukonzera kuneta uye kukanganisa kukwanisa kwavo kuita basa rekunyama.
IAAP inototaurawo kuti 'kuperevedza kwesimbi pasina chirwere chekushaya ropa kunogona kukanganisawo kwenguva refu neurodevelopment and behavior uye kuti zvimwe zvezviitiko izvi zvingave zvisingagoneki.'
Supplementation
Kurapa kwekushaya simba kwesimbi kunowanzobatanidza kupa mwana kana kuti wechidiki shanduro yekuwedzera uye kuchinja chikonzero chekushaya simba kwesimbi, sekuita kuti vana vaduku vanwe maawa mashoma makumi maviri nemaviri emukaka uye vachiita vana kudya zvimwe zvokudya zvine iron.
Dhiyabhorosi yakakurumbira kuwedzera kwevana inosanganisira:
- Fer-In-Sol Iron Supplement Drops (ferrous sulfate)
- Feosol Tablets (ferrous sulfate)
- ICAR Pediatric Suspension and Chewables (carbonyl iron)
Inofungidzirwa nevamwe vanhu kuti firate sulphate fomu yesimbi inonyanyogadziriswa kupfuura carbonyl iron, asi vamwe vanofunga kuti carbonyl iron yakachengeteka uye ine mashoma emigumisiro yemigumisiro.
Taura nechiremba wako wevana pamusoro pekunakisisa kwesimbi yekuwedzera, chirwere, uye kuti mwana wako achada kwenguva yakareba sei kutora rimwe resimbi. Ramba uchiyeuka kuti kunyange zvazvo akawanda maviritamine yevana angave ane iron, kazhinji haikwanisi kubata mwana ane urombo hwesimbi.
Zvimwe zvinokonzerwa nesimbi zvinowedzera dzimwe nguva zvinosanganisira kushatisa kwemazino kwenguva pfupi, kushungurudza, kusuruvara, kuvimbiswa, kuvhara, masikati machena, uye / kana mudumbu aches.
Dietary Sources
Mukuwedzera pane kutora simbi kuwedzera, kubatsira kudzivirira mwana wako kubva zvakare kuwedzera kusakosha kwesimbi, zvinokosha kuti adye zvokudya zvizhinji zvine iron. Izvi zvinogonawo kubatsira kudzivirira kupera kwesimbi kusagadzikana kwepakutanga.
Zvokudya zvine dare zvinosanganisira avo vane heme iron , dzakasviba zvakatsvuka (nyama yemombe, nyama yenguruve, gwayana), huku, uye hove. Iyi fomu yesimbi inopetwa kaviri kana katatu iri nani kudarika dare iri mumiti uye zvokudya zvakasimbiswa, izvo zvisingaiti heme iron . Zviratidzo zvekudya uye vitamini C zvinogona kubatsira miviri yedu kugamuchira kwete yehemi yesimbi kunyange zvakadaro.
Zvimwe zvinwiwa zvinosimbiswa nesimbi (kwete-heme iron), kusanganisira Carnation Instant Breakfast Mix, Ovaltine, uye nechecheche kana duku inotevera.
Zvaunoda Kuziva
- Iron yekuwedzera yemuumbi haifungi kuti inokonzera colic kana chero zviratidzo zvepamuviri.
- Zvokudya zvine vitamini C, zvinosanganisira mimwe miriwo, michero, uye 100% majisi emichero, zvinogona kubatsira simbi kutora zvakanakisisa, saka chinhu chakanakisisa chekubatanidza zvokudya zvisiri zvemafuta uye zvinowedzera pamwe nekudya zvine mavitamini C. akawanda.
- Iron inowedzera inowanzopiwa pakati pezvokudya kuti ibatsire kuve nechokwadi kuti iron yakawanda sezvinobvira inotapira kubva kuwedzerwa kwesimbi.
- Tannins mutii, calcium, uye phytates muzvinyoro uye zviyo zvose zvinogona kuderedza kushandiswa kwesimbi isiri heme.
Sources:
American Academy of Pediatrics Clinical Report. Kuongororwa uye Kudzivirira Kushaya Kwe Iron uye Kushaya Iron Anemia mucheche neVana Vechiduku (0-3 Makore Ezera). Pediatrics 2010; 126: 1040-1050.
Hoffman: Hematology: Basic Principles and Practice, 5th ed.
Kliegman: Nelson Nhamba yeBhuku rePediatrics, 18th ed.
NIH. Office of Dietary Supplements. Dietary Supplement Fact Sheet: Iron. Yakavandudzwa August 2007.