Zvinowedzera iron yakaderera Chizenga mune vakuru: pakudzokorora, mirayiridzo kushandiswa uye zvaunofunga

Kushaikwa simbi mumuviri womunhu kunogona kukonzera matambudziko akawanda. zvinodhaka Modern pamwe yakaderera Chizenga kuchabatsira kuzadza chinhu chinokosha pamusoro pamatanda.

Chii kupererwa neropa

Ichi chirwere kunoratidzwa yakaderera kwevari Chizenga zvivako. Kukudziridza kupererwa, umo yakachena wedzerai munyama kuipa masero. Kune mishonga awedzere Chizenga ari mumuviri womunhu.

Kune akasiyana anoverengeka neta neta ezvinhu umo pane kushayikwa mapuroteni, simbi yeimwe kana cyanocobalamin.
Vakawanda chimiro iron kushaikwa kupererwa ichaongororwa, anokonzerwa mismatch rokuvaka uye kugamuchira Fe-ions.

Pane nhanho mbiri chirwere:

1. Isimba rakadini rinogona kubudiswa kushaya simbi umo shoma Chizenga uye ferritin kuwanda, uye transferrin zvirimo, pasina kurapwa zviratidzo Fe kukanganisika.
2. Chaizvoizvo neta neta ezvinhu vane maitiro pachena pamusoro simbi kuperevedza nhengo dzakavandika dzevanhu, kana pane kukanganisa paumbwe Chizenga mamorekuru.

Kukosha simbi mumuviri

Zvakafanira kuti munhu maatomu akafanana. About 70% of pfuma rwuripowo hemoglobin. Nhengo dzomukati haagoni synthesize ions simbi, vakaponeswa chete zvokudya.

Chizenga mapuroteni anosunga okisijeni mamorekuru ari erythrocytic masero.

Kushomeka simbi kugutsikana kunokonzera yakachena nzara. Rutapudzo akanga kutura Chizenga mishonga, kuti ane Fe-ions.

Sechivako Chizenga

Maumbirwo Chizenga rine zvina heme tubhokisi mapuroteni subunits. Protomers kunoitika pakati mukomboni hydrophobic, Ionic, rehydrogen-mhando pamusoro nopindirana hwaro.

The Zvinoumba heme aripo divalent simbi Ion, iyo achitaurwa nevanopinda rimwe prosthetic boka.

Zviratidzo kupererwa neropa

simbi zvokuwedzera yakaderera Chizenga nedzevakuru nachiremba hypotension, pallor, akarara mutsinga, utera, nehope, dzungu, ungaderedza kuita, palpitations, kupfupika mweya.

The chikonzero kutora mushonga kuchinja ganda chete kunyanya kuoma, peeling. The chipikiri ndiro inova striated uye pfava, uye bvudzi haisi simba zvakakwana, zviri kurasikirwa kwavo uye chikamu. Iron kushaikwa vangazivikanwa kubudikidza chimiro kukanganisa kuravira zvavanosarudza.

Murabhoritari zvidzidzo, rezasi kumuganhu ropa chakaipa Chizenga kuva 130 magiramu por fő nokuda gono muviri, uye magiramu 120 paminiti fő nokomukadzi.

Light neta neta mwero HB chiri ukoshi, riri magiramu kupfuura 90 paminiti fő asi asingasviki 110 magiramu por fő, pamwe mwero vachatitaka HB indekisi 70 kusvika 90 magiramu muzana fő, uye zvakasimba HB pamwero zvishoma pane magiramu 70 paminiti fő.

Ine vakasarudzwa mishonga

Kubvisa neta neta simbi kushaikwa chiremba anosarudza zvinodhaka zvinowedzera Chizenga, kunobva hunhu muviri esimbi ions kuitwa unhu, akafanana uye chimiro chipimo chemushonga.

Rakavakwa kuti vatarisire zvinodhaka intramuscularly anopa kuipa mugumisiro kupfuura apo nomuromo raitongwa piritsi siyana. Izvi zvinotsanangurwa nenzira kuitwa nesimbi ions, rinotangira dumbu. In nzira yokutanga, vaitarira kunoitika zvakawanda vasingadiwi siyana.

simbi gadziriro chete pasi Chizenga nedzevakuru vanofanira vanoumba optimum zviri chinhu wawo yakachena, izvo anoda kubva 80 kusvika 160 MG. mari yakaenzana 320 MG pamusoro sulphate kwakadaro, zvakakwana kubudisa zvaaida kuchirapa mugumisiro. Nokutsauka kubva yasarudzwa dose kana discontinuation zvinodhaka achaita vasingadiwi migumisiro.

An chinokosha ezvinhu nokuti kurapwa ndiyo zvaidiwa kuvimbika mahwendefa pamabiko. Hazvina rikamunya muchindwi, uye ikamedza pakarepo nemvura. Kazhinji mvura mishonga simbi muduku piritsi muchimiro kunyatsoshanda.

Complex vhitamini uye chicherwa kugadzirira havagoni zvakazara nekure kwokushayikwa kwezvibereko chinhu mumuviri nokuda kwayo shoma kugutsikana.

The zvikuru vanoonekwa encapsulated uye zvemapuranga zvigadzirwa namatare kuwedzera hemoglobin. chimiro kwakadaro kunodzivisa ari mucosal epithelium ari zvomudumbu turakiti kubva nemigumisiro kurapwa.

Mishonga kupererwa neropa

Zvichienderana mhando kupererwa neropa vachishandisa mishonga siyana. Izvi zvinogona kuva vamiririri ane simbi kana vhitamini fuma muchimiro cyanocobalamin, folic uye ascorbic acid, Alpha-tokoferrola, riboflavin kana pyridoxine.

Kana aplastic chirwere fomu aishandisa zvinodhaka glucocorticosteroid, medicaments kunobva anabolic steroids, androgens, cytostatics.
Mishonga erythropoietin chinangwa kweiyi hematopoiesis uye kuwedzera hemoglobin.

Iron Ezvemutauro

Vari anowanzodanwa anoshandiswa kurapa neta neta ezvinhu. To boka iri rinosanganisira kugadzirira simbi kuvandudza yakaderera hemoglobin. Kazhinji ndiwo sesaline mishonga, izvo zvakanaka woga kuburikidza intestinal rusvingo unozotevera kukumbanidzwa sechivako heme. Nezvekugadzirwa Chizenga kunokonzera kuvandudzika oxygen senga.

Kune mishonga vatatu kana ferrous simbi. Kuti uvandudze Kuwanikwa wokutanga chimiro amino remubatanidzwa aifanira kubvumira Fe ²⁺ ions vari kuendeswa kune mumwongo. Absorção de Água iron ine Valence II kunosimudzirwa pasi pokudzora ascorbic asidhi izvo chinopa Ion kuchinjirwa uye kukumbanidzwa nemamiriro heme.

Kubva vasiri nemaonero, piritsi kugadzirira zvakawanda nzvimbo. Parenteral kwokubatsira mushonga rinoshandiswa muviri nhengo saturation yokutsanya kana paine intestinal zvokurwara uye kurapwa hapana kuvandudzika zvokufonongonwa siyana.

High dosages zvinodhaka zvinoshandiswa pakugadzira kwomuzvarirwo Chizenga tsika, uye ipapo atore Nokuraramisa dose. Kwakaderedza uwandu zvinodhaka vakatakura dziviriro kupererwa neropa.

Mishonga divalent simbi

Vanhu vane kupererwa neropa kazhinji bvunza chiremba mubvunzo pamusoro chii kuwedzera Chizenga muropa. The gadziriro muri sulfates pamwe vhitamini zvokuwedzera. Recent inobatsira kuti tiwedzere Absorção de Água uye kuwanikwa.

Most yaiwanzoshandiswa mushonga "Sorbifer Durules", aro aripo Zvinoumba simbi ferrous sulfate uye C-vhitamini.

Chimwe zvakafanana rinoreva vari "Tardiferron" Mahwendefa umo ascorbic asidhi anotsiviwa folic. Mushonga mangwanani uye masikati, maminitsi 30 vasati kudya. Mahwendefa zvinofanira kusukwa pasi pamwe 200 ml mvura.

Pachishandiswa Kamudzira Formulations dzinosanganisira:

• "Ferrofolgamma" pamwe divalent simbi sulfate, cyanocobalamin, vhitamini C.
• "Ferretab" ne fumarate uye folic acid.
• "Fenyuls" pamwe FeSO _4, B9, B5, C, B2 , B6 mavhitaminzi.

Medicament "Aktiferrin" muchimiro capsules, madonhwe manyuchi vaitire kupererwa neropa vana.

Chipa mushonga kuwedzera Chizenga "Hematogen" iri kwayo sezvamunoita ane sealbumin mapuroteni uye FeSO _4.

"Totem" mushonga ari mhinduro ine simbi (II) gluconate, mhangura, manganese.

The dragees "Prolongatum gemofer" Fe sulphate chipo.

Mishonga ferric simbi

Izvi zvinosanganisira mishonga kuwedzera Chizenga muropa. Overview zvinodhaka muboka iri kuziva uwandu husingakuvadzi chimiro uye chepfungwa unorapa muhuwandu yakafanira kubva kupererwa neropa.

The medicaments pamwe yezviri simbi iri ferric simbi aripo hydroxide polimaltozata. Saka murwiyo ane:

• zvinodhaka "Maltofer", iro anogadzirwa muchimiro manyuchi, imwe jekiseni, uye mahwendefa.
• mushonga "Fenyuls", kugadzirwa madonhwe uye manyuchi.
• rinoreva "Ferrum naAmareki" - pamahwendefa, manyuchi, uye injectable mhinduro.

The medicament "Biofer" polimaltozata hydroxide Uyezve, rine folic acid. Rinowanikwa piritsi fomu.

Mune nemamiriro zvinodhaka "Ferlatum" rinoita chirungiso anogadzirisa succinate mapuroteni.

Intramuscularly raitongwa gadziriro simbi ine pasi Chizenga nedzevakuru, kana pane zvimwe zviratidzo. Vari ne kwakaderedza Absorção de Água resimbi ions ari nemudumbu zviri siyana chisingaperi pathologies muchimiro enteritis, chisingaperi pfungwa nomuviri zvemwana asati, imwe kukwana kuitwa syndrome.

Mishonga Parenteral yaifanira pagungano kusembura nemaronda vari duodenum kana mudumbu, maronda colitis, nomumwe hypersensitivity kuti kungatowedzera nesimbi, kubvisa chikamu mudumbu kana ura diki.

Nokuti nokukurumidza saturation chesimbi muviri rinenge takawanda nokurasikirwa neropa, pamberi akavhiyiwa chokuita Mamota kurapwa fibromioticheskih idzodzo uye nedzimwe pathologies, akagadza okusuma ari zvinodhaka kupinda netsandanyama. Huwandu simbi iri zvinodhaka iyo inoshandiswa jekiseni kurapa, haafaniri kupfuudza 100 MG pazuva. Zvaringana kuti zvakazara saturate transferrin mamorekuru maererano simbi.
Muchimiro injectable zvinogadzirisa, zvinodhaka kusunungurwa "Venofer", "Argeferr", "Likferr", "Kosmofer".

Nenjodzi pakurapa

simbi gadziriro chete pasi Chizenga nedzevakuru anogona kutsamwisa nemishonga, izvo anokonzerwa aikanganiswa mumwe murwere uye chimiro medicament.

Vamwe maturusi anokwanisa kukonzera zvose zvemarudzi pezvakaitwa, ari sema zvisikwa anokonzerwa kusashivirirana yezviri chirungiso.

The mucosa of zvomudumbu ezvinhu nhengo dziri muchishungurudza kushanda nevasori ane simbi asi kwete nokufukidzwa rwokudzivirira mumuhara. In Muchiitiko ichi, iwe kuona zviratidzo kurwadziwa epigastric nharaunda, uyewo dzikatadza nokuisa ari muura.

Kugamuchira hwendefa uye mvura kugadzirira kuti achiipa pamusoro mazino enamel.

Intravenous nzira kushandisa zvinogadzirisa chinokurwadzai mamiriro thrombophlebitis, sezvamakaropafadzwa midziyo anorwadza munzvimbo jekiseni.

Kubata mishonga

simbi zvokuwedzera yakaderera Chizenga nedzevakuru vanotanga kuva nomugumisiro Mavhiki matatu chete agamuchira chinodhaka, iyo panova chokudzoka muna HB. Kubudirira pharmacotherapeutic maturo zvinodhaka anonzi akanaka kana kuipa Chizenga netsika kwemazuva 60. Mushure chipimo chemushonga iri kugadziridzwa yokuzvigadzirisa kurapwa.

In kurapwa resimbi kushaikwa kupererwa neropa varwere vari kutarisirwa munyika kufanana mishonga yaunodya zvirimwa zvokudya, facial, izvo varipo zvizhinji vhitamini zvinhu. Nokuti kuzoita muviri kuita mapuroteni pamwe nomukaka zvinhu uye nyama.

Chinonyanya kukosha - mushonga kusarudza kuti kurapa kupererwa neropa vanofanira kubata pamwe kurapa chiremba. Self haangatenderi kupa zvakafanira kuvandudzika, asi achaita siyana zvisingadiwi kuti kutowedzera chirwere.