Hemoglobini ndi mapuloteni okhala ndi chitsulo omwe amatha kumanga mpweya ndipo motero amaonetsetsa kuti zinyamulira zinyama. Mawonekedwe a haemoglobini m'magazi amachokera ku 120 mpaka 150 gm / lita kwa akazi, komanso kuchokera 130 mpaka 160 magalamu / lita kwa amuna. Ndi kuchepa kwa chiwonetserocho ndi magawo khumi kapena khumi ndi awiri kuchokera m'munsimu, kuchepa kwa magazi m'thupi ndi mankhwala akuyenera kuonjezera mlingo wa hemoglobin m'magazi.
Mankhwala osokoneza bongo chifukwa cha kuchuluka kwa hemoglobin
Kawirikawiri kuchepa kwa magazi kumayenderana ndi kusowa kwachitsulo, chomwe sichilowa m'thupi mokwanira, kapena sichikudzidwa bwino. Choncho, kuti muwonjezere mlingo wa hemoglobini, zopangidwa ndi divalent ferrous sulphate zimagwiritsidwa ntchito. Monga lamulo, mankhwalawa amakhalanso ndi acorbic acid (vitamini C), omwe amathandiza kuti chitsulo chikhale chochepa. Ndiponso, hemoglobini yotsika mtengo ingagwirizane ndi kusowa kwa vitamini B12 ndi folic acid.
Ganizirani mankhwala omwe amagwiritsidwa ntchito kwambiri.
Sorbifer Durules
Pulogalamu imodzi ili ndi 320 mg ya sulfate yachitsulo (yofanana ndi 100 mg yachitsulo chosakaniza) ndi 60 mg ya ascorbic acid. Mlingo wamba wa mankhwala ndi piritsi limodzi kawiri pa tsiku. Odwala omwe ali ndi vuto la kuchepa magazi m'thupi, mlingowo ukhoza kuwonjezeredwa ku mapiritsi 4 patsiku. Pogwiritsa ntchito piritsi limodzi patsiku, odwala ochuluka amakhala ndi zotsatira zowonongeka, kusanza, kupweteka m'mimba, kutsegula m'mimba, kapena kudzimbidwa. Sorbifrex sivomerezedwa kwa ana osapitirira zaka khumi ndi ziwiri, kuphwanya kugwiritsa ntchito chitsulo mu thupi ndi stenosis ya mimba. Mpaka pano, Sorbifrex imatengedwa kuti ndi imodzi mwa mankhwala abwino kwambiri owonjezera hemoglobin.
Ferretab
Makapisozi amachitidwe nthawi yaitali, kuphatikizapo 152 mg ya fumarate yachitsulo ndi 540 μg ya folic acid. Mankhwalawa amapatsidwa kapisozi imodzi tsiku lililonse. Izi zimatsutsana ndi matenda omwe amawoneka ngati osalimba kapena odwala omwe amatha kusungunula chitsulo m'thupi, komanso kuperewera kwa magazi, osakhudzana ndi kusowa kwa chitsulo kapena folic acid.
Ferrum Lek
Amapanga mapiritsi osakanikirana, omwe amaphatikizapo 400 mg yachitsulo trivalent hydroxide polymaltose (yofanana ndi 100 mg ya chitsulo) kapena yankho la jekeseni (100 mg yogwiritsira ntchito mankhwala). Contraindications kwa kugwiritsa ntchito mankhwala mu mapiritsi ofanana ndi Ferretab. Majekeseni sagwiritsidwa ntchito m'miyezi itatu yoyamba ya mimba, chiwindi cha chiwindi, matenda opatsirana a impso ndi chiwindi.
Totem
Mankhwala osakaniza omwe amagwiritsidwa ntchito polimbikitsa hematopoiesis. Imapezeka ngati njira yothetsera mauthenga. Mu ampoule ali ndi chitsulo - 50 mg, manganese - 1.33 mg, mkuwa - 700 μg. Pogwiritsa ntchito phwando, buloule imasungunuka m'madzi ndipo imatengedwa chakudya chisanadye. Mankhwala a tsiku ndi tsiku kwa munthu wamkulu akhoza kusiyana ndi 2 mpaka 4 ampoules. Zotsatira zoterezi zimaphatikizapo kunyoza, kupweteka kwa mtima, kutsekula m'mimba kapena kudzimbidwa, kupweteka mmimba, mwinamwake kudetsedwa kwa mano.
Pakati pa mankhwala ena owonjezera kuchuluka kwa hemoglobin, tiyenera kutchula zida monga:
- Actyferrin;
- Maltofer;
- Feoglobin B-12;
- Ferro-foil;
- Hemofer;
- Folacin.
Zokonzekera zonse zomwe tatchulazi zili ndi chitsulo, koma zimasiyana ndi zina zomwe zimagwira ntchito komanso zothandizira. Kodi kwenikweni mankhwala osokoneza bongo kuti ayambe kugwiritsira ntchito hemoglobini akuyenera kugwiritsidwa ntchito, amatsimikiziridwa ndi dokotala payekha, pambali iliyonse, pamaziko a kuyesedwa kwa magazi.
Kukonzekera kwa kuwonjezeka kwa hemoglobini mu mimba
Kutaya magazi m'thupi komanso kuchepa kwa hemoglobini pamene ali ndi mimba ndi wamba. Choncho, mankhwala osokoneza bongo akakhala ndi mimba nthawi zambiri amatchulidwa kuti amachititsa kuti thupi liziyenda bwino, kuti asamapitirize kukula. Malinga ndi mankhwala osokoneza bongo alibe zifukwa zomveka zogwirizana ndi mimba, ngakhale zina mwazo sizivomerezedwa kuti ziloledwe mu trimestre yoyamba. Koma makamaka pofuna kupewa kapena kuwonjezereka kwa hemoglobini, amayi apakati akulamulidwa Sorbifer Mayi kapena Ferritab.