Ingabe uhlala ukhathele? Mhlawumbe kungenxa ye-anemia yokuntuleka kwensimbi!

Ingabe uzizwa ukhathele, ukhathele, noma ukhathele nje usuku lonke? Ngezinye izikhathi uzizwa unesizungu, izandla nezinyawo zakho zizizwa zibanda, futhi ungase ube nobunzima bokuphefumula. Nakuba lokhu kungase kubonakale njengezinto ezivamile, ungase ube namazinga aphansi e-iron, okusho ukuthi ungase ube ne-anemia yokuntuleka kwe-iron . Ungakhathazeki, lesi yisimo esithinta abantu abaningi futhi singelapheka ngokwelashwa. Ake sithole okwengeziwe ngaso namuhla.

Kuyini i-anemia yokuntuleka kwensimbi?

Kalula nje, lesi yisimo esivame kakhulu esenzeka lapho inani lensimbi egazini lethu lehla. Lokhu kuthinta ngqo amangqamuzana ethu abomvu egazi. Uyazi, lawa maseli abomvu egazi enza umsebenzi obaluleke kakhulu wokuthwala umoya-mpilo emzimbeni wethu wonke. Ngakho-ke, lapho umzimba wethu ungenayo insimbi, umongo wethambo awukwazi ukukhiqiza "i-Hemoglobin" eyanele.

I-"Hemoglobin" iyiprotheni etholakala ngaphakathi kwamangqamuzana abomvu egazi esebenza njengesithuthi esibamba umoya-mpilo bese siwusabalalisa emzimbeni wonke.

Ngakho-ke, lapho amazinga ethu e-hemoglobin ehla, igazi lethu alikwazi ukuthwala umoya-mpilo odingwa yimizimba yethu ngendlela efanele. Yingakho siqala ukuzizwa sikhathele futhi sididekile.

Lesi simo sithuthuka kanjani? Yiziphi izigaba?

I-anemia yokuntuleka kwensimbi ayiveli ngokuzumayo. Ivela kancane kancane, ngezigaba. Ngokuvamile, imizimba yethu imunca insimbi ekudleni esikudlayo bese iyigcina ukuze isetshenziswe kamuva. Inkinga iqala lapho izinga lokusetshenziswa kwale nsimbi egciniwe lidlula izinga umzimba ongaligcwalisa ngalo.

Kunezigaba ezintathu eziyinhloko:

1. Isigaba sokuqala: Lesi yisikhathi lapho i-iron egcinwe khona emzimbeni wethu incipha kancane kancane. Kodwa-ke, kulesi sigaba, akukho mthelela omkhulu emangqamuzaneni abomvu egazi. Lokhu kusho ukuthi azikho izimpawu ezibonakala.

2. Isigaba 2: Njengoba izitolo zensimbi zincipha kakhulu, umzimba uqala ukwenza izinguquko ezincane endleleni owenza ngayo amangqamuzana abomvu egazi. Ngokukhethekile, amangqamuzana abomvu egazi enziwa emnkantsheni wethambo awaqukethe "i-Hemoglobin" eyanele.

3. Isigaba 3: Lesi yisigaba lapho izinga le-hemoglobin lehla khona kakhulu ngaphansi kwesilinganiso esijwayelekile. Yilapho izimpawu zokuntuleka kwensimbi ziqala ukubonakala khona.

Ziyini izimpawu zokuntuleka kwensimbi?

Lezi zimpawu kungenzeka zingabi zimbi ekuqaleni, kodwa zinganda kancane kancane ngokuhamba kwesikhathi. Hlola ukuthi unazo yini lezi zimpawu:

• Ukuzizwa ukhathele kakhulu futhi ukhathele: Ukuzizwa ukhathele kakhulu kangangokuthi awukwazi ukwenza lutho.
• Ikhanda elibuhlungu: Ikhanda elibuhlungu elihlala likhona.
• Ukucasuka, ukucasuka okusheshayo: Uthukuthela ngezinto ezincane, unenkinga yokugcina ingqondo yakho igxile.
• Ukuqaqamba kwemisipha: Ukuqaqamba kwemisipha emilenzeni nasezingalweni.
• Isikhumba esiphaphathekile (`Umbala okhanyayo`): Isikhumba somzimba, ikakhulukazi ubuso, izindebe, izintende zezandla, kanye nangaphansi kwezinzipho, siyaphaphathekile.
• I-Pica: Ukulangazelela izinto ezingadliwa njengezingcezu zeqhwa, uthuli, ubumba, iphepha, kanye nesitashi.
• Ubunzima bokuphefumula (i-Dyspnea): Uzizwa uphelelwa umoya ngisho nangemva kokwenza umsebenzi omncane.
• Ukuvuvukala kolimi noma ubuhlungu: Ulimi lungase lube buhlungu, lube bomvu, luvuvuke, futhi lube buhlungu.
• I-Koilonychia: Izinzipho ziba buthakathaka, zicwila ngaphakathi zisuka phakathi, bese zifana nesipuni.
• I-Tachycardia: Ukuzizwa sengathi inhliziyo yakho ishaya ngokushesha.

Uma uqhubeka nokuba nesinye noma ngaphezulu salezi zimpawu, kubaluleke kakhulu ukubona udokotela ukuze akunike iseluleko.

Yiziphi izimbangela zokuntuleka kwensimbi?

Kunezizathu eziningana eziyinhloko zokuthi kungani lesi simo singase senzeke:

• Ukopha:
• Kwabesifazane, ukopha okukhulu ngesikhathi sokuya esikhathini kuyimbangela enkulu.
• Izifo zesistimu yokugaya ukudla, njengezilonda, i-gastritis, isifo se-reflux somqala, i-ulcerative colitis, noma isifo sikaCrohn, nazo zingabangela ukuphuma kwegazi. Ngezinye izikhathi, singase singakuqapheli.
• Ukungafakwa Kwensimbi: Ngisho noma sithola insimbi ekudleni, ngezinye izikhathi imizimba yethu ayimunci kahle. Lokhu kuvame kakhulu kubantu abanesifo se-celiac nalabo abaye bahlinzwa ukwehlisa isisindo.
• Ukuntuleka kwensimbi ekudleni: Ukudla kwabanye abantu kuqukethe insimbi encane kakhulu. Lokhu kubaluleke kakhulu kulabo abalandela ukudla kwemifino noma kwe-vegan.

Ubani osengozini enkulu yokuthola lesi simo?

Ngokwezibalo, laba bantu banamathuba amaningi okuthola i-anemia ngenxa yokuntuleka kwensimbi:

• Omama abakhulelwe noma abasanda kubeletha: Ngesikhathi sokukhulelwa, isidingo sensimbi sikamama siyanda ngoba ukukhula komntwana nakho kudinga insimbi.
• Omama abancelisayo.
• Abantu abanikela ngegazi njalo.
• Labo abaye bahlinzwa kakhulu (ikakhulukazi ukuhlinzwa kwesisu noma kwamathumbu, ukuhlinzwa kokunciphisa isisindo).
• Abesifazane abasesikhathini (ikakhulukazi uma kukhona ukopha okukhulu).
• Izingane ezincane nezingane ezisakhula: Izidingo zensimbi ziphezulu ngenxa yokukhula okusheshayo.

Yiziphi izinkinga ezingaba khona ngenxa yalesi simo?

Uma ukuntuleka kwensimbi kuqhubeka noma kungelashwa, kungase kube nezinkinga ezithile.

• Imiphumela ekusebenzeni kobuchopho (`Ubuchopho obunenkungu`): Inkumbulo iyawohloka, ubunzima bokugxilisa ingqondo.
• Ukukhula okulibazisekile kanye nentuthuko ezinganeni:Kungathinta kakhulu ukukhula ngokomzimba nangokwengqondo kwezingane ezincane.
• Isifo senhliziyo: Izimo ezifana nokukhula kwenhliziyo noma ukwehluleka kwenhliziyo kungenzeka ngoba inhliziyo kufanele isebenze kanzima ukuze ibuyisele ukuntuleka komoya-mpilo.
• I-restless legs syndrome: Kungase kube nokungakhululeki emilenzeni kanye nomuzwa wokufisa ukuhambisa imilenze.

Ungakuthola kanjani ukuntuleka kwensimbi?

Odokotela basebenzisa kakhulu ukuhlolwa kwegazi ukuthola lesi simo.

• Ukuhlolwa kwegazi okuvamile (`Inani Eligcwele Legazi` - FBC) kunganikeza umbono wezinga `le-Hemoglobin`` kanye namaseli egazi abomvu.
• Ngaphezu kwalokho, izinga le -``Ferritin`` liyahlolwa ukuze kutholakale inani lensimbi egcinwe emzimbeni.
• Ezinye izivivinyo ezikhethekile, njenge-Total Iron-Binding Capacity (TIBC), nazo zingenziwa.

Udokotela uzonquma ukuthi yiziphi izivivinyo ezidingekayo ngokusekelwe esimweni sakho.

Yiziphi izindlela zokwelapha lokhu?

Izindaba ezinhle ukuthi kunezindlela zokwelapha eziphumelelayo zokuntuleka kwensimbi. Odokotela bagxila kakhulu ekugcwaliseni insimbi elahlekile emzimbeni. Lokhu kungenziwa ngezindlela ezimbili:

1. Izithasiselo zensimbi zomlomo: Lezi yizona ezisetshenziswa kakhulu. Thatha iphilisi elilodwa noma amabili ngosuku njengoba udokotela wakho ekuyalile.

2. Ukufakwa kwensimbi: Le ndlela isetshenziswa kubantu abanamazinga aphansi kakhulu ensimbi, noma labo abanemiphumela emibi evela kumaphilisi ensimbi aphuzwa ngomlomo, noma labo abangamunci kahle amaphilisi. Kule ndlela, insimbi inikezwa ngqo emzimbeni njengoketshezi ngemithambo yegazi (njengesixazululo sikasawoti).

Udokotela wakho uzonquma ukuthi yikuphi ukwelashwa okukulungele nokuthi kufanele ukuthathe isikhathi esingakanani. Into ebaluleke kakhulu ukuthola imbangela yokuntuleka kwensimbi yakho bese uyelapha. Ukuthatha nje amaphilisi ensimbi bese ungelaphi imbangela eyisisekelo kungabangela ukuthi lesi simo siphinde sibuye.

Ingabe ikhona imiphumela emibi yokwelashwa?

Abanye abantu bangase babe nemiphumela emibi emincane lapho bethatha amaphilisi ensimbi. Akukho okufanele bakhathazeke ngakho, lokhu ngokuvamile akukubi kangako.

• Ukuzwa ukunambitheka kwensimbi emlonyeni.
• Ukungakhululeki esiswini: ukuzizwa ugcwele, ukuba nokunyakaza okuncane kwamathumbu (ukuqunjelwa), noma mhlawumbe ukunyakaza kwamathumbu njalo (uhudo).
• Indle emnyama (lokhu kuvamile, ungakhathazeki).
• Isicanucanu, ukuhlanza.

Uma uhlangabezana nale miphumela emibi, tshela udokotela wakho. Angase akwazi ukulungisa umthamo wakho wensimbi noma akunike uhlobo oluhlukile lwephilisi lensimbi.

Ngizozizwa ngingcono ngokushesha kangakanani ngemva kokwelashwa?

Kuya ngokwelashwa okunikezwayo nokuthi amazinga akho ensimbi aphansi kangakanani. Uma uthatha amaphilisi ensimbi, ngokuvamile uzoqala ukuzizwa ungcono ngemva kwamasonto amabili kuya kwamathathu . Uma uthatha imijovo yensimbi, ungase uzizwe ungcono ngokushesha. Kodwa-ke, kungathatha izinyanga eziningana ukuthi amazinga akho ensimbi abuyele esimweni esijwayelekile ngokugcwele.

Ingabe ukuntuleka kwensimbi kungavinjelwa?

Yebo, kungavinjelwa ngezinga elithile. Into ebaluleke kakhulu ukudla ukudla okune-iron eningi . Futhi, uma kunezici eziyingozi (isib. ukuya esikhathini kakhulu), kungcono ukufuna iseluleko sezokwelapha kusenesikhathi futhi uhlolwe amazinga akho e-iron uma kudingeka. Ngemuva kwalokho ungayithola uma iqala ukwehla.

Iyini imbono yabantu abanalesi simo?

Lesi simo singelapheka ngokwelashwa. Kodwa-ke, kubalulekile ukwelapha isimo esiyisisekelo esibangele ukuntuleka kwensimbi. Ngisho noma uphuza amaphilisi ensimbi ukuze uthuthukise amazinga akho ensimbi, uma imbangela yokuqala ingelashwa, inkinga ingase ibuye.

Cabanga nje, uma ngokuzumayo uthola ukuthi unezinga eliphansi le-iron, kungaba ngenxa yento efana nezilonda zesisu noma ama-polyp e-colon. Akuvamile kakhulu, kungaba uphawu lomdlavuza we-colon. Yingakho kubaluleke kangaka ukuthola imbangela.

Yini okufanele ngiyenze ukuze ngigcine amazinga ami ensimbi ephezulu?

• Uma unezimpawu, khuluma nodokotela mayelana nokuhlolwa kwamazinga akho e-iron.
• Faka ukudla okune-iron eningi ekudleni kwakho kwansuku zonke (sizoxoxa ngalokhu kamuva).
• Uma udokotela wakho ekunikezile, thola ukuhlolwa kwegazi njalo.
• Uma unesifo sokopha kakhulu esikhathini noma ezinye izinkinga zamathumbu, khuluma nodokotela wakho ngakho bese uthola ukwelashwa okudingekayo.

Yini okufanele umuntu onesifo sokushoda kwensimbi ayidle?

Ukudla ukudla okucebile nge-iron kungasiza ekwandiseni izitolo ze-iron emzimbeni wakho. Nazi ezinye izibonelo:

• Amaprotheni ezilwane: inyama ebomvu (inyama yenkomo, imbuzi), inkukhu (ikakhulukazi isibindi), inhlanzi, amaqanda.
• Okusanhlamvu nesinkwa: isinkwa se-bran, isinkwa esimhlophe esicebile, isinkwa se-rye, okusanhlamvu kwe-bran, okusanhlamvu okunokolweni.
• Izithelo: amakhiwane, amadethi, omisiwe.
• Imifino: Ubhontshisi, ubhontshisi, ubhontshisi oluhlaza, ubhontshisi, ubhontshisi (`Tofu`, `Tempeh`).
• Imifino: Imifino eluhlaza okotshani njengespinashi, i-kale, imifino eluhlaza okotshani, i-broccoli, ubhontshisi, amazambane, iklabishi, utamatisi.

Okubalulekile: Ukudla ukudla okune-iron eningi nokudla okunothe nge-vitamin C (amawolintshi, ama-tangerines, ulamula, ama-guava) kusiza umzimba ukuthi umunce i-iron. Futhi, ukuphuza izinto ezifana netiye nekhofi ngesikhathi sokudla kungaphazamisa ukumuncwa kwe-iron. Ngakho-ke kungcono ukuzithatha ihora noma amabili ngaphambi noma ngemva kokudla.

Ngingumuntu odla imifino/ongadli inyama. Yini engingayenza ukuze ngithole insimbi eyengeziwe?

Uma ungumuntu odla imifino noma odla imifino kuphela, udinga ukuqaphela kakhulu insimbi.

• Khetha izinkwa eziqiniswe ngensimbi kanye nokudla kwasekuseni okusanhlamvu.
• Engeza ubhontshisi owengeziwe (ubhontshisi, ubhontshisi, isoya), i-tofu, izithelo ezomisiwe (amadethi, omisiwe), kanye nemifino eluhlaza okotshani (isipinashi, i-kale) ekudleni kwakho.
• Ungathatha futhi izithasiselo zensimbi ngeseluleko sikadokotela. Kodwa-ke,Ungalokothi uqale ukuthatha izithasiselo ngaphandle kweseluleko sikadokotela.

Kufanele ngimbone nini udokotela?

Uma usola ukuthi unezimpawu zokuntuleka kwensimbi, qiniseka ukuthi ubona udokotela. Futhi, uma usuvele welashwa ngenxa yokuntuleka kwensimbi, kufanele uqhubeke nokubona udokotela wakho (isib. njalo ezinyangeni ezintathu) ukuze ahlole amazinga akho ensimbi kanye nempilo yakho iyonke. Ungathunyelwa futhi kudokotela wezifo zabesifazane noma kudokotela wezifo zamathumbu, kuye ngokuthi imbangela yokopha kwakho ikuphi.

Yimiphi imibuzo okufanele uyibuze udokotela?

Uma kutholakale ukuthi unesifo sokushoda kwensimbi, kungaba usizo ukubuza udokotela wakho le mibuzo:

• Yini ongangitshela yona ngezinga lensimbi egazini lami?
• Isimo sami sibi kangakanani?
• Ingabe ngidinga ukubona omunye uchwepheshe?
• Hlobo luni lokwelashwa engiludingayo?
• Kuzodingeka ngithathe izithasiselo zensimbi isikhathi esingakanani?
• Yimiphi imiphumela emibi engalindelwa ekwelashweni?
• Ngizoqala nini ukuzizwa ngingcono?

Umlayezo Wokuya Nawe Ekhaya

Sonke sinezinsuku lapho sizizwa sengathi asinawo amandla anele okusingatha imithwalo yethu yemfanelo. Kodwa uma une-anemia yokuntuleka kwe-iron, lokho kukhathala kungase kungapheli nje. Uma uhlala uzizwa ukhathele, ungakushayi indiva. Bona udokotela ukuze uthole imbangela, wenze izivivinyo ezidingekayo. Ngemuva kwalokho, ungathola ukwelashwa okufanele futhi ube nempilo futhi ube namandla futhi. Khumbula, lesi yisimo esingalapheka kaningi, ngakho ungesabi, futhi wenze into efanele.

Ukuntuleka kwensimbi , i-anemia, i-hemoglobin, amaseli abomvu egazi, ukukhathala, amaphilisi ensimbi, ukudla okunomsoco