Treatment Of Iron-deficient Anemia

Generally it is impossible to eliminate the deficiency of Fe just by the diet. Within twenty-four hours maximum 2 mg of iron can be absorbed from food but the need for it for the patient with iron-deficient anemia is far above.

One of the effective methods of treatment is blood transfusion. But it is undesirable because of infections danger. More than 20% of donors are hepatitis carriers, and other dangerous viruses are widespread. A transfusion can be carried out only to patients with acute anemia if hemoglobin content is less than 70 g/l.

Most often iron-deficient anemia is treated with Fe-containing drugs. It is preferable to ingest them. Drugs should be taken till normalization of hemoglobin content; then within two months for replenishment of F- reserves. If treatment with iron is inefficient it is possible to assume the deficiency of folic acid. Then in addition this vitamin should be prescribed.

Maintenance doses of iron drugs are prescribed to a long time if action of factor, which calls anemia; for example, profuse menstruations for women, are not eliminated. It is necessary to treat the basic disease which led to anemia.

The most effective are drugs containing divalent iron. For patients with an iron-deficient anemia the iron absorption from iron containing medicines is 20 times higher in comparison with healthy people. At alkaline environment in stomach iron forms insoluble combination, in such cases the scheme of treatment should include an ascorbic or hydrochloric acid.

Usually fast release drugs should be taken after meals. These are: Fe- sulfate, Fe-gluconate, Fe-fumarate. It is necessary to start with a half of daily dose of 180 mg of pure Fe.

Patients with an iron-deficient anemia should include meat, liver, buckwheat, apricots, and apples into their diet.

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