Ngati mwapezeka kuti muli ndi vuto lachitsulo kapena mulibe magazi m'thupi , zikhoza kuwoneka ngati zosavuta. "Ndidzangotenga mazati a zitsulo, ndiye zonse zidzakhala bwino." Ngakhale izi zili zoona kwa anthu ambiri okhala ndi vuto lachitsulo, zingakhale zovuta kwambiri.
Kuzindikira Kuti Ndi Njira Ziti Zolimbitsa Ngongole Ndizoyenera Kwa Inu
Pamene mukudziŵa kuti ndi chithandizo chotani chachitsulo chomwe mukuyenera kuchigwiritsa ntchito, pakamwa potsutsa (IV), ndikofunikira kulingalira zinthu zingapo.
Izi ndizo:
- Zakale: Zakale, ana ndi ana akhala akuchiritsidwa ndichitsulo koma nthawi zambiri, monga ana omwe satha kuyamwa chitsulo chifukwa cha mimba. Kwa akulu, chitsulo cha IV chimagwiritsidwa ntchito makamaka, makamaka kwa anthu omwe akukhala ndi magazi nthawi zonse kapena pambuyo pochita opaleshoni, zomwe zimapangitsa kuti zikhale zovuta kutengera chitsulo.
- Mtengo: Popanda kukayikira, chitsulo chosalankhula n'chosavuta. Zimapezeka mosavuta pa pepala ndipo zingakhale zosankha zokhazokha pazinthu zosauka zosowa. Ikhoza kuperekedwa kunyumba popanda kufufuza pang'ono. Chitsulo cha IV chiyenera kuperekedwa kuchipatala kapena kuchipatala kuti chitsimikizidwe chiziyendetsedwa kwambiri.
- Kusamalidwa: Anthu ena satha kuyamwa chitsulo chamlomo. Zifukwazi zimaphatikizapo opaleshoni ya opaleshoni yachitsulo (chitsulo chimalowa m'mimba ndipo chimafuna kuti chapamimba chikhale chokwanira), matenda a celiac , matenda opatsirana , kapena njira ya Whipple.
- Kupirira: Ngakhale kuti chitsulo chachitsulo n'chosawonongeka, pafupifupi anthu 70 pa 100 aliwonse omwe amamwa chitsulo chamlomo amadandaula za zotsatira za m'mimba kuphatikizapo kunyoza, kudzimbidwa, kupweteka m'mimba komanso / kapena kusanza. Mitundu yachitsulo yamakono, makamaka, imakhala ndi kukoma kwachitsulo ndipo imayambitsa kudetsa mano. Mwamwayi, kudayirira ndi kanthawi kochepa ndipo kungachepetsedwe pakutsuka mano pambuyo pake. Zotsatirapozi ndi zifukwa zomwe anthu ambiri sazitenga chitsulo monga momwe adokotala amachitira.
- Kuchuluka kwa chithandizo: Zitha kutenga miyezi kuti chitsulo chamlomo chikonzekeretse bwino kuchepa kwa magazi m'thupi komanso nthawi yaitali kuti ubwezeretse kusungirako zitsulo m'thupi ndi chitsulo chamlomo. Chitsulo cha IV chingakonzere kuchepa kwachitsulo ndi mlingo umodzi kapena awiri.
- Chifukwa cha kuchepa kwa magazi m'thupi: Anthu omwe ali ndi vuto la kuchepa kwa magazi chifukwa cha kuwonongeka kwa magazi nthawi zonse, mankhwala ochotsera chitsulo sangakhale osowa. Chitsulo cha IV chikhoza kukhala chinthu chabwino pazinthu izi.
Zosankha za IV Iron
Kwa zaka zambiri zitsulo zitsulo zinkasungidwa chifukwa cha matenda ochepa kwambiri a chitsulo chifukwa chakuti mankhwala a zitsulo zinayi angayambitse matendawa. Komabe, mawonekedwe atsopano ndi otetezeka ndipo sangafanane kwambiri ndi zotsatirazi. Zina koma osati mitundu yonse ya zitsulo za IV zidzakambirane pansipa.
- Iron dextran: Ndiyi yachitsulo chosakanikirana kwambiri ya IV. Kulephera kwa chuma kumatha kukonzedwa ndi kulowetsedwa kokha. Mankhwala atsopano a dextran sangawathandize kuchepetsa matendawa kusiyana ndi okalamba. Kawirikawiri, mlingo wochepa wa mayeso umaperekedwa poyamba ndipo ngati ukulekerera, mzere wotsalirawo waperekedwa. Nthawi zina mankhwala amaperekedwa chitsulo chitsulo chosakanikirana kuti ayambe kuchitapo kanthu. Imeneyi ndiyo mawonekedwe omwe amagwiritsidwa ntchito kwa ana, ngakhale kuti aliyense angathe kugwiritsidwa ntchito.
- Ferric gluconate: Chitsulo ichi chavini chingaperekedwe pazingapo zing'onozing'ono. Mawuwa amagwiritsidwa ntchito kwambiri kwa anthu omwe amalandira hemodialysis chifukwa cha matenda aakulu a impso.
- Iron sucrose: Iron sucrose imaperekanso pa kuchuluka kwa mlingo waukulu. Ngati muli ndi mankhwala enaake, mungalandire kachilombo koyeso kaye musanayambe kulandira mankhwala otsalawo. Chitsulo cha IV chikhoza kugwiritsidwa ntchito m'malo osiyanasiyana kuphatikizapo dialysis kapena amayi apakati.
- Ferric carboxymaltose: Mankhwalawa amaperekedwa mu 1 kapena 2 infusions malingana ndi kuuma kwa kusowa kwanu kwachitsulo. Zagwiritsidwa ntchito mosamala m'mapangidwe angapo kuphatikizapo ana okhala ndi vuto lachitsulo.
Mawu Ochokera
Kuperewera kwa iron ndikofala chifukwa cha kuchepa kwa magazi ku United States ndi padziko lonse lapansi. Ngakhale chitsulo chamalonda chikhoza kukhala mankhwala osavuta, otsika mtengo kwa anthu ambiri, mwina sizingakhale zabwino kwa aliyense. Kambiranani ndi dokotala wanu njira zonse zomwe mungasankhire, kuphatikizapo ngozi ndi mapindu, musanayambe mankhwala atsopano.
> Zotsatira:
> Schrier SL ndi Auerbach. Kuchiza kwa kusowa kwachitsulo kwa akuluakulu. Mu: UpToDate, Post TW (ed), UpToDate, Waltham, MA.
> Mahoney DH. Kulephera kwa iron mu ana ndi ana: Kuchiza. Mu: UpToDate, Post TW (ed), UpToDate, Waltham, MA.