To the normal level.
First, the reasons for treatment:
Etiological treatment is of great significance to correct the effect and speed of anemia and prevent its recurrence.
Second, iron therapy:
(1) Oral iron supplements: The most commonly used preparations are ferrous sulfate and iron fumarate (blood-rich acid). Avoid drinking tea when taking medicine to avoid iron being precipitated by tannic acid and not being absorbed.
Tiezhiyuan tablets are made of many traditional formulas and have no irritation to human gastrointestinal tract. It is recommended to take.
(2) Iron injection: Generally, oral medication is used as much as possible, and iron injection is only used in the following situations: ① Poor iron absorption in the intestine, such as chronic diarrhea after gastrectomy or gastrointestinal anastomosis.
Fatty dysentery, etc. ; ② Oral iron can aggravate gastrointestinal diseases, such as peptic ulcer, ulcerative colitis, segmental colitis, gastrointestinal dysfunction after gastrectomy and pregnancy persistence.
Persistent vomiting, etc. ; ③ Although the dosage of oral iron was reduced, there were still serious gastrointestinal reactions.
Commonly used iron injections include iron dextran and iron sorbitol citrate.
(3) Adjuvant therapy: Strengthen nutrition and increase foods rich in iron.
Anemia is generally manifested as sallow complexion, pale nails, shortness of breath, fatigue, palpitation, yellowing, dizziness, less menstrual flow and pale complexion. Anemia patients should pay attention to eat more protein in their daily diet.
Foods containing vitamin B and vitamin C and diets rich in iron. Beneficial fruits are apples, jujubes, lychees and bananas. In addition, eat more black fungus, mushrooms, black beans, sesame seeds and other foods.
It's good for enriching blood.
(4) Chinese medicine treatment: Chinese medicine preparation containing alum (ferrous sulfate) is the most symptomatic, such as Zhong Yi Shengxue Tablet.
Iron deficiency anemia is caused by insufficient iron stored in the body, which affects heme synthesis. This is the late manifestation of iron deficiency. This disease is the most common anemia, which occurs all over the world and at all ages, especially in women of childbearing age and infants. Ancylostomiasis is particularly common and severe in endemic areas. The diagnostic criteria are as follows: ① Anemia is characterized by small cell hypopigmentation, the mean hemoglobin concentration (MCHC) of red blood cells is less than 32%, the mean volume (MCV) of red blood cells is less than 80fl(Um3), and the mean hemoglobin (MCH) of red blood cells is less than 27 pg. ② There are definite reasons for iron deficiency, such as insufficient iron supply, absorption disorder, increased demand or chronic blood loss. ③ Serum (plasma) iron is less than 10.7 micromole/L (Umol/L). ④ The total iron binding force is more than 62.7 micromole/L, and the transferrin saturation is less than 65,438+05%, which is significant. ⑤ Extracellular iron in bone marrow decreased or disappeared obviously (0- 10), and iron granular red blood cells < 15%. ⑥ The erythrocyte free protoporphyrin is more than 500 micrograms per liter (Ug/L). ⑦ Serum ferritin is less than 16 μ g/L (Ug/L). ⑧ Iron therapy is effective. After 6 weeks of iron treatment, hemoglobin increased more than 10g/L (10g/L). Those who meet at least two of the above items (①, ②-⑧) can be diagnosed as iron deficiency anemia.
Clinical Analysis of Magic Tang Ge in Treating Iron Deficiency Anemia
Most iron deficiency anemia can be prevented, and people who are prone to this kind of anemia should pay attention to health education and preventive measures, such as: ① improving the breastfeeding mode of infants and increasing appropriate complementary food in time; (2) actively carry out family planning to prevent multiple births; ③ In late pregnancy and lactation, 0.2 or 0.3g ferrous sulfate can be taken orally every day; (4) Large-scale control of parasitic diseases in hookworm endemic areas; ⑤ Timely treatment of chronic bleeding focus.
Iron deficiency anemia refers to anemia caused by the fact that the iron stored in the body can not meet the needs of normal erythropoiesis. It is the most common anemia in clinic, especially in women of childbearing age and infants. Clinical symptoms include anemia (such as dizziness, fatigue, palpitation after exercise, shortness of breath, tinnitus, anorexia, etc. ), iron deficiency (such as children's developmental retardation, inattention, decreased academic performance and addiction, etc. ) and symptoms of underlying diseases leading to iron deficiency.
We all know that iron juice can replenish blood. The reason is that there is rust in human blood, and iron juice enters the abdomen and combines with oxygen in the abdomen, which is rust. In order to supplement the shortage of iron juice. The rehmannia glutinosa in Siwu decoction is cool, watery, black and contains iron, which can nourish true yin, cause fire to descend, and clear away heat, so that the heart is often served by yin essence and blood production benefits. Angelica sinensis is as red as blood, and its juice is thick and sticky as blood, with a fishy smell. This essence is especially good for boiling juice, and it takes juice similar to blood to replenish blood and deficiency. Chuanxiong is fragrant and can clear the air; It is pungent and can reduce turbidity. Therefore, from the leader down to the sea of blood, blood is not a product of hematopoiesis, but it is also a supplement to hematopoiesis. Peony tastes sour and bitter. Acid can restrain liver fire, and bitterness can clear heart heat. It can really nourish the viscera of wood fire and make it unable to help others flourish. Moreover, its juice is thick and sticky, which is a product of nourishing yin and can nourish blood. Angelica sinensis and Ligusticum chuanxiong are warm; Rehmannia glutinosa and peony are cool. Cold and warm are in harmony, and sex is like harmony. Rehmannia glutinosa and Paeonia lactiflora can nourish blood, while Angelica sinensis and Chuanxiong can regulate qi, making people disease-free.
Traditional Chinese medicine syndrome differentiation diet prescription
Deficiency of spleen-qi type
Clinical manifestations: sallow or pale complexion, listlessness, loss of appetite, thin stool, red tongue, thin greasy fur and thready pulse.
【 dietotherapy and medicated diet 】
1. Porphyra fried with pig blood: 300g of pig blood ink and 300g of laver (soaked), both of which are put into an iron pan for frying cooked food.
2. Huangqi Chicken Soup: Huangqi 30g, hen 1 hen (1000g) and japonica rice 100g. Slaughter the hen, remove the hair and viscera (cut into pieces), put it in a pot and add water to make a thick soup, and season it with this thick soup and japonica rice porridge.
3. Red ginseng round meat porridge: red ginseng 10g (sliced), round meat 15g, and japonica rice 100g, eaten together with porridge.
Deficiency of both qi and blood
【 Clinical manifestations 】 Pale complexion, listlessness, dizziness, palpitation, shortness of breath, laziness in speaking, light and fat tongue, thin and white fur, and thready pulse.
【 dietotherapy and medicated diet 】
1. Danggui Lycium Pig Liver Decoction: Danggui 15g, Lycium barbarum 15g, and pig liver 60g. Cook soup to taste.
2. Black bean round meat jujube soup: 50 grams of black beans, 20 grams of round meat, 50 grams of jujube, boiled.
3. Auricularia auricula jujube soup: Auricularia auricula 10g, jujube 15g, 60g lean pork, boiled in soup. Twice a day.
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Iron and family daily diet
Although many foods contain iron, the iron contained in meat is more easily absorbed by the human body than other foods. Foods rich in iron include:
1, red meat
2. poultry
3. Tuna
4. Salmon
5. eggs
6. Tofu
7. dried beans
8. leafy vegetables
9. brown sugar sauce
10, iron fortified breakfast oats.
You can choose some low-sugar whole-grain oats and try to avoid some sugary oats.
Pregnant women are prone to iron deficiency anemia.
Pregnant women's demand for iron has increased significantly. Fetal growth and development need about 350 mg of iron, and maternal blood volume needs about 650 mg of iron. After deducting the blood loss without menstrual cramps during pregnancy, the accumulation of iron is about 200 mg, so iron needs to be supplemented during pregnancy. The content of iron in daily diet is 10 ~ 15 mg, and its absorption and utilization rate is only 10%, that is, 1 ~ 1.5 mg. At this time, pregnant women need at least 4 mg of iron every day. By the second half of pregnancy, the absorption rate of iron can reach up to 40%, which still can't meet the requirements. Therefore, if there is not enough iron supplement during pregnancy, pregnant women are prone to iron deficiency anemia.
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