Chronic fatigue syndrome is caused by a high pace of life, plenty of information and psychological pressure of the surrounding social environment? Or all the same symptoms of the disease?
By this word, doctors mean a decreasehemoglobin of blood. Hemoglobin is a compound of the globin protein and iron found in red blood cells - red blood cells. A person has a lot of them: up to 5,000,000,000,000 in 1 liter of blood, so the blood has a red color. It is the red blood cells that deliver oxygen, inhaled by a person with air, to all organs, brain, muscles and cells. When hemoglobin and / or red blood cells become small, the whole body begins to suffer, it develops "oxygen starvation".
The manifestations of anemia
- First, pallor of skin, especially the face and lips. Brown-eyed people have common symptom - blue sclera.
- Fatigue, weakness, palpitations, and shortness of breath during exertion previously familiar.
- Brittle and transverse striations, thinning of the nails.
- Dry skin, dull hair, hair loss.
- Change language: pale, smooth tongue can crack, burning.
- Painful cracks in the corners of the mouth, sores in the mouth.
- Unusual smell and taste preferences: for example, the need to eat chalk, paint sniffing and so forth.
- Poor cold tolerance, constant chilliness.
If you experience these symptoms, you first need to see a doctor and blood test from the finger. This is a simple and at the same time very informative diagnostic method, which immediately show whether there is a decrease in hemoglobin and / or erythrocytes, and how, and tell your doctor type of anemia. After a general blood test the doctor will prescribe additional methods of investigation to determine the exact cause of the anemia.
Why can not self-medicate?
In the life and medical practice is the most common (80% of cases).
Iron - one of the most important elements, it is necessarynot only for the transport of oxygen, but also an integral part of many enzymes in virtually all tissues, so when it is suffering a lack of all exchanges.
Iron comes to us with food andabsorbed in the stomach and duodenum. Iron is found in animal products (meat, liver, kidney), and of plant origin (buckwheat, beans, apples, apricots, prunes, etc.). But what matters is not just how much iron is contained in the product, but also in what form. The meat contains iron complex with protein (in the form of haem) which is absorbed much faster and better than iron in plant foods. The availability of iron from plant foods - 2-3% of the meat to digest up to 23%.
During the day, when the good work of the gastrointestinaltract absorbed an average of 1.5 milligrams of iron, the maximum that can be acquired from the diet - no more than 2-2.5 milligrams, even if the food contains more iron.
iron losses occur through sweat, hair, skin small particles, natural departures - it is no more than 1 mg / day.
What is a hidden iron deficiency?
In the body of the iron contained in red blood cells(About 60%), muscle and enzymes (about 21-25%), while the remaining 10-15% is stored in the tissues. If you do not have enough iron, the first consumed the stock of fabrics and until it is completely over, the decrease in hemoglobin does not happen. E. Anemia like as yet, and the tissues are already beginning to suffer. Manifested hidden iron deficiency dry skin, hair change, brittle nails.
risk group for the development of anemia
Most often suffer from iron deficiency anemiawomen of childbearing age, as due to menses have lost up to 3 milligrams of iron per day, which exceeds 0.5-1 mg physiological revenue opportunity. During the year, iron deficiency may reach 180-200 mg.
During pregnancy and lactation iron requirement increases dramatically. It is consumed on the growth of the fetus, placenta, is lost during hemorrhage in childbirth, enters the milk. In general, it is about 800-900 mg.
If pregnancy occurs in the background or hiddenapparent iron deficiency, the child will also suffer from anemia. It would be worse to grow, and often get sick. Children - is the second most common category of risk and vulnerability. According to statistics, the prevalence of anemia in children is 25%.
The causes of iron deficiency anemia
- Malnutrition, especially among young vegetarianism, women giving birth, as well as in children.
- Menses lasting more than 5 days.
- Repeated childbirth after a short period of time (less than 1.5 s), a large number of delivery, multiple pregnancy.
- Diseases of the gastrointestinal tract: stomatitis, erosive gastritis, Peptic ulcer disease, polyps, ulcerative colitis(Inflammation of the colon with ulceration). Erosions, polyps, especially ulcers can be a source of hidden, a small but constant bleeding, and therefore iron losses.
- Hemorrhoids (for the same reason).
- Tumors of the stomach and intestines.
- Operated stomach (eg for peptic ulcer disease) or the intestine.
- Chronic lung diseases: bronchiectasis, tuberculosis, Obstructive pulmonary disease.
- Worm infestation. Parasites take actively iron from the intestinal contents and its delivery into the human body is reduced.
- Donors with years of experience, especially women.
Typically, iron deficiency and decreased hemoglobinIt occurs gradually, over several months or years. The body adapts to live in conditions of lack of oxygen, and reduce the activity of enzymes, so vivid manifestations of anemia occur with a significant decrease in hemoglobin levels.
Doctors are the following severity of anemia:
- Mild hemoglobin from 90 to 110 g / l.
- The average degree of hemoglobin 90 to 70 g / l.
- Severe: hemoglobin less than 70 g / l.
- Extremely severe degree: hemoglobin less than 50-40 g / l.
The norm of hemoglobin for men: 150-130 g / l, red blood cells (5.1-4.0) x 10 ^ 12 / l; for women - hemoglobin 140-120 g / l, red blood cells - (4.7-3.7) x 10 ^ 12 / l.
What to do if your hemoglobin and / or red blood cells is below normal?
First of all, you have to pass a complete diagnosis ata qualified general practitioner. In addition to the level of red blood cells and hemoglobin your doctor will evaluate more than a dozen figures only in the general analysis of blood, the same biochemical taken from a vein, and decide what additional tests you need. Most often this will be the study of the stomach and intestines, ultrasound, for women - consulting gynecologist. These and other diagnostic methods are needed to determine the specific cause of anemia, without addressing that restore your hemoglobin will not be possible. In unclear situations you consult with a hematologist - a physician-specialist in blood diseases.
After the full picture, you can start treatment.
Principles of treatment of iron deficiency anemia
There will not be superfluous to repeat anemia can not be cured folk remedies or high-calorie diet!
Recall that there is a limit absorption of iron from food, so will not be able to increase hemoglobin even eating one meat (which also will be harmful).
Necessarily need to take iron supplements. There are many medications, they usually contain a so-called ion, ferrous iron, the intensity of suction which is many times the intake of iron from food. Preparations are chosen strictly individual doctor.
Be patient: You have to take pills for a long time. Exactly how much - will decide the physician. Moreover, we should not throw the intake of iron, even if your hemoglobin returned to normal: it must also restore tissue iron stores. If this is not done, then the hemoglobin after some time again to fall and have to start all over again.
Blood transfusions for anemia rarely, only in severe cases.
Features of the power in the treatment of anemia
There are products which impair iron absorption, both from food and from medicines. This coffee, tea, milk, cheese, chocolate, bran. Calcium supplementation, funds from heartburn and hyperacidity antibiotics also reduces the absorption of iron and hence the effectiveness of treatment. Negative influences and smoking.
Good to combine iron supplementation with ascorbic acid, lemon, apples (they contain acid accelerate absorption), as well as meat, fish.
By the way, from meat products maximum absorption of iron comes from veal. From fish and liver - is much less, so it is not necessary to eat raw liver!
These principles are valid for the treatment of iron deficiency anemia is. For other types of anemia (see. Above classification) approaches to treatment and prescribe drugs to differ materially.
Please contact a doctor and not self-medicate! The consequences can be unpredictable!
Prevention of iron deficiency anemia
First of all, it is with good nutritioninclusion in the diet of sufficient quantities of meat products. According to the pyramid of a balanced diet for adults for meat and fish products is given 120-300 grams per day. Combine them with the best vegetables and juices. Simultaneous use of, say, coffee and meatballs, or stew in sour cream, dramatically reduces iron absorption.
Children and adolescents (especially girls, oftenpassionately and unreasonably wishing to lose weight) also need to eat right. In a growing and maturing body needs in trace elements, vitamins and iron is much greater than in the mature. For infants and nursing babies primary prevention of anemia is iron metabolism and normalization of hemoglobin levels in mothers.
In addition to nutrition, the prevention of anemia with the inclusion of essential medicines:
- All women who have menstrual period lasts more than 5 days, and before pregnancy, childbirth and lactation.
- Teenage girls at puberty.
- Donors with years of experience, regardless of gender.
In these cases, long-acting formulations are used, which can be taken 1-2 times per day for 5-7 days each month.
Also includes the timely prevention of anemiadetection and treatment of diseases of the stomach, bowel, chronic infections and worm infestations. Patients with chronic diseases of the stomach, intestine, especially undergoing surgery, may also require preventive purpose.
Be well, dear readers of our site!