Created at:1/13/2025
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Imiti ya iron ni imiti ifasha umubiri wawe kubona iron ukeneye kugira ngo ukore uturemangingo tw'amaraso twiza. Iyo umubiri wawe udafite iron ihagije, ushobora kumva unaniwe, ufite intege nke, cyangwa ufite umwuka muke kuko amaraso yawe adashobora gutwara umwuka neza nk'uko bikwiye.
Iyi miti iza mu buryo butandukanye - hari iyo ufata unywa (ku munwa), naho indi itangwa binyuze muri IV cyangwa inshinge (parenteral). Muganga wawe azahitamo ubwoko bwiza bujyanye n'ikibazo cyawe cyihariye hashingiwe ku buryo iron yawe yabaye mike ndetse n'uburyo umubiri wawe wunguka iron mu biryo no mu binini.
Imiti ya iron ni imiti itanga umubiri wawe iron yinyongera, imyunyu ngugu y'ingenzi ifasha gukora hemoglobin. Hemoglobin ni poroteyine iri mu turemangingo tw'amaraso yawe itwara umwuka uva mu bihaha byawe ukajya mu bindi bice by'umubiri wawe.
Tekereza iron nk'igicanwa cy'amaraso yawe gitwara umwuka. Iyo udafite iron ihagije, umubiri wawe ntushobora gukora uturemangingo tw'amaraso twiza, bigatuma ugira indwara yitwa iron deficiency anemia. Ibi bituma wumva unaniwe cyane kuko ingingo zawe n'imitsi yawe bidahabwa umwuka bakeneye kugira ngo bakore neza.
Imiti ya iron iza mu buryo bubiri bw'ingenzi: oral (ibinini, amazi, cyangwa ibinini bishobora kumizwa ufata ku munwa) na parenteral (inshinge cyangwa IV infusions zitangwa mu maraso yawe). Uburyo bwo ku munwa ni bwo busanzwe bukoreshwa kandi bworoshye, naho uburyo bwa parenteral busanzwe bubikirwa ibibazo bikomeye cyangwa iyo imiti yo ku munwa idakora neza.
Imiti ya iron ikoreshwa cyane cyane mu kuvura iron deficiency anemia, indwara umubiri wawe udashobora gukora uturemangingo tw'amaraso twiza. Ibi bibaho iyo urwego rwa iron rwawe rugabanutse cyane, bigatuma umubiri wawe udashobora gukora hemoglobin ihagije.
Muganga wawe ashobora kugusaba gufata imiti y'icyuma niba urimo kugira ibimenyetso nk'umunaniro udasanzwe, intege nke, uruhu rworoshye, guhumeka bigoranye, cyangwa ibiganza n'ibirenge bikonje. Ibi bimenyetso akenshi byerekana ko amaraso yawe atari gutwara umwuka uhagije wo guhaza ibyo umubiri wawe ukeneye.
Usibye kuvura anemia yagaragaye, imiti y'icyuma ikunze kwandikwa mu bihe byinshi byihariye. Abagore batwite akenshi bakeneye icyuma cyinshi kuko umubare w'amaraso yabo wiyongera cyane kugira ngo bashyigikire umwana ukura. Abantu bafite imihango ikomeye bashobora gutakaza icyuma cyinshi buri kwezi binyuze mu gutakaza amaraso.
Imiti y'icyuma ifasha kandi abantu bafite indwara zidakira zangiza imitsi y'icyuma, nk'indwara ya celiac, indwara ya Crohn, cyangwa abantu bagiye kubagwa mu gifu. Abantu barya imboga gusa n'abarya ibimera rimwe na rimwe bakeneye imiti y'inyongera kuko icyuma gishingiye ku bimera ntigishobora kwinjizwa byoroshye nk'icyuma gituruka mu nyama.
Imiti y'icyuma ikora itanga umubiri wawe ibikoresho bya mbere ukeneye kugira ngo ukore hemoglobin na selile zitukura z'amaraso. Iyo ufata icyuma, kinjizwa mu mara mato yawe hanyuma kigahita kijya mu mugongo wawe, aho selile zitukura z'amaraso nshya zikorwa.
Imbaraga z'imiti y'icyuma ziragendera ku bwoko n'ibyo ukeneye. Imiti y'icyuma yo kunywa muri rusange ifatwa nk'imiti ifite imbaraga ziringaniye ikora buhoro buhoro mu byumweru cyangwa amezi. Ni ingirakamaro ku bantu benshi bafite icyuma gike cyangwa giciriritse, ariko bikora buhoro kuko umubiri wawe ushobora gusa kwinjiza icyuma gito icyarimwe.
Imiti y'icyuma yo guterwa, itangwa binyuze muri IV cyangwa inshinge, ifite imbaraga nyinshi kandi ikora vuba. Ibi bica mu nzira y'igogora ryawe rwose, itanga icyuma mu maraso yawe. Muganga wawe akenshi abika ibi mu gihe bikomeye cyangwa iyo imiti yo kunywa itera ingaruka nyinshi cyangwa ntitinjizwe neza.
Umubiri wawe ubana ubwenge mu bijyanye no kugenzura icyuma. Ufite uburyo bwo kwirinda gukurura icyuma cyinshi igihe urugero rwawe ruhagije. Ibi nibyo bituma gufata icyuma kirenze uko byategetswe bitihutisha gukira kwawe kandi bishobora gutera ingaruka mbi.
Uburyo ufata imiti y'icyuma bushobora kugira uruhare runini mu buryo ikora neza ndetse n'uko wumva wifashe igihe uyifata. Ku miti ifatirwa mu kanwa, igihe n'ibyo urya cyangwa unywa hamwe na yo bigira uruhare runini mu kuyinjiza no kugira ingaruka.
Fata imiti y'icyuma ifatirwa mu kanwa igihe wicaye, byaba byiza isaha imwe mbere yo kurya cyangwa amasaha abiri nyuma yo kurya. Ibi bifasha umubiri wawe kwinjiza icyuma gishoboka cyose. Ariko, niba wumva umubiri utameze neza, isesemi, cyangwa kubabara mu nda, urashobora kuyifata hamwe n'ibiryo bike kugirango ugabanye ibi bimenyetso.
Fatanisha umuti wawe w'icyuma na vitamine C kugirango wongere kuyinjiza. Nywa ikirahure cy'umutobe w'amacunga cyangwa uyifate hamwe n'ibiryo bikungahaye kuri vitamine C nk'amapera, ibirungo, cyangwa inyanya. Vitamine C ifasha guhindura icyuma mu buryo umubiri wawe ushobora gukoresha byoroshye.
Dore amabwiriza akomeye ugomba gukurikiza igihe ufata imiti y'icyuma ifatirwa mu kanwa:
Niba wakira icyuma giterwa mu nshinge, umuganga wawe azakwitaho mu gihe cy'ubuvuzi. Ubu buvuzi busaba gukurikiranwa kubera ibimenyetso by'uburwayi kandi bikunze gutangwa mu byiciro bitandukanye mu byumweru cyangwa amezi.
Igihe cyo gufata imiti y'icyuma giterwa n'uko ubuke bw'icyuma bumeze kandi n'uko umubiri wawe witwara vuba ku miti. Abantu benshi bakeneye gufata imiti y'icyuma byibuze amezi atatu kugeza kuri atandatu kugira ngo bongere icyuma mu mubiri wabo.
Muganga wawe azasuzuma urugero rw'amaraso yawe nyuma y'ibyumweru bine kugeza kuri bitandatu uvura kugira ngo arebe uko imiti ikora neza. Niba urugero rwa hemogulobine yawe rurimo kuzamuka, birashoboka ko uzakomeza gufata icyuma mu mezi make kugira ngo wongere icyuma mu mubiri wawe, cyari cyaragabanutse mbere yo kurwara anemia.
N'iyo imibare y'amaraso yawe isubiye mu buryo busanzwe, ushobora gukenera gukomeza gufata icyuma mu mezi atatu kugeza kuri atandatu. Iki gihe cyongereye gifasha kumenya neza ko icyuma cyose cyongerewe mu mubiri wawe kandi kigabanya ibyago byo gusubira kwa anemia vuba.
Abantu bamwe barwaye indwara zirambye zitera igihombo cy'icyuma gishobora gukenera gufata imiti igihe kirekire cyangwa rimwe na rimwe. Muganga wawe azakorana nawe kugira ngo ategure gahunda izagumisha urugero rwiza rw'icyuma mu gihe igabanya ingaruka mbi kandi ikagenzura ibibazo byose.
Imiti y'icyuma ishobora gutera ingaruka, cyane cyane iyo utangiye kuyifata cyangwa niba ufata doze nyinshi. Inkuru nziza ni uko ingaruka nyinshi zishobora gucungwa kandi zikagenda zikongera uko umubiri wawe wimenyereza imiti.
Ingaruka zisanzwe zikora ku igogora kandi muri rusange zoroheje kugeza ku gipimo cyo hagati. Ibi bikunda kubaho hamwe n'imiti y'icyuma yo kunywa kandi akenshi bishobora kugabanuka muguhindura uburyo ufata imiti.
Dore ingaruka zikunze kubaho ushobora guhura nazo:
Ibyo bimenyetso byo mu gifu mubisanzwe biragenda bikira nyuma y'iminsi mike cyangwa ibyumweru igihe umubiri wawe wimenyereza. Gufata icyuma hamwe n'ibiryo bicye bishobora gufasha kugabanya uburibwe bwo mu gifu, nubwo ibyo bishobora kugabanya gusa uko icyuma cyinjira mu mubiri.
Ingaruka zitagaragara cyane ariko zikomeye zirashobora kubaho, cyane cyane iyo hakoreshejwe imiti ifite icyuma kinini cyangwa icyuma giterwa mu nshinge. Nubwo ibyo bidakunze kubaho, ni ngombwa kubimenya kugirango ushobore kwitabaza muganga niba bibaye ngombwa.
Ingaruka zidakunze kubaho ariko zikomeye zirimo:
Niba ubonye ibimenyetso bikomeye cyangwa ibimenyetso byo kwibasirwa n'ibintu nk'uruhu rurya, kubyimba, cyangwa guhumeka bigoranye, hamagara umuganga wawe ako kanya.
Nubwo imiti y'icyuma muri rusange ifite umutekano ku bantu benshi, abantu bamwe bagomba kuyirinda cyangwa bakayikoresha gusa bayobowe n'abaganga. Muganga wawe azasuzuma uko umeze mbere yo kugusaba imiti y'icyuma.
Abantu bafite uburwayi bwo kwiyongera kw'icyuma nka hemochromatosis ntibagomba gufata imiti y'icyuma keretse babitegetswe n'abaganga babo. Ibyo bibazo bituma umubiri winjiza no kubika icyuma cyinshi, gishobora kwangiza inyama nk'umwijima, umutima, na pankereya.
Niba ufite uburwayi bw'amaraso, imiti y'icyuma ntishobora kuba ikwiriye kuri wewe. Ibyo bibazo nka thalassemia cyangwa indwara ya selile igenda ishobora gutera anemia, ariko ikibazo cyihishe ntabwo ari ukubura icyuma, bityo imiti y'icyuma ntizafasha kandi ishobora gutera ingaruka mbi.
Dore ibihe imiti y'icyuma isaba kwitonda cyane cyangwa ikwiriye kwirindwa:
Abagore batwite bakenera ibiyobyabwenge byongera icyuma kenshi, ariko urugero n'igihe bikoreshwa bigomba guhora bigenwa n'umuganga wabo. Abana bakeneye imiti yihariye ya pediyatrike n'urugero, kuko ibiyobyabwenge byongera icyuma by'abantu bakuru bishobora kubagirira nabi.
Niba urimo gufata indi miti, cyane cyane antibiotike, imiti ya tiroyide, cyangwa imiti imwe na imwe irwanya aside, muganga wawe ashobora gukenera guhindura igihe cyangwa urugero rwo gukumira imikoranire.
Ibiyobyabwenge byongera icyuma biboneka munsi y'amazina menshi y'ubwoko butandukanye, kandi ubwoko bw'icyuma gihuza burashobora gutandukana hagati y'ibicuruzwa. Kumva iyi mitandukanire birashobora kugufasha guhitamo icyongera icyuma gikwiriye kubyo ukeneye.
Ubwoko busanzwe bw'ibiyobyabwenge byongera icyuma birimo Feosol, Slow-Fe, na Ferro-Sequels. Ibi mubisanzwe bikubiyemo sulfate ya ferusi, gluconate ya ferusi, cyangwa fumarate ya ferusi, ayo akaba ari ubwoko butandukanye bw'icyuma umubiri wawe ushobora kwinjiza.
Sulfate ya ferusi nicyo kintu gikoreshwa cyane kuko kirimo icyuma kinini cyane ku rugero. Ubwoko bukunda gukoreshwa burimo Feosol na tableti ya ferusi sulfate. Izi mubisanzwe nicyo giciro gito kandi bikora neza kubantu benshi.
Ferrous gluconate, iboneka mubwoko nka Fergon, ikunda gutera ingaruka nke zo munda kurusha sulfate ya ferusi. Mugihe irimo icyuma gito ku rugero, birashobora kwihanganirwa neza niba wumva ubworoherwe kubiyobyabwenge byongera icyuma.
Kubijyanye n'icyuma cya parenterale, ubwoko busanzwe burimo Venofer (icyuma sucrose), Feraheme (ferumoxytol), na Injectafer (ferric carboxymaltose). Izi ni imiti yandikirwa itangwa gusa mumashami y'ubuzima kandi bisaba ubuhanga bwihariye kugirango itangwe neza.
Imiti imwe y'icyuma ivangwa na vitamine C (nka Vitron-C) kugira ngo yongere imitsi, mu gihe indi ikorwa nk'ibinini bigenda bigenda (nka Slow-Fe) kugira ngo bigabanye ibibazo byo mu gifu.
Niba imiti isanzwe y'icyuma itagukundiye cyangwa ikagutera ibibazo byinshi, hari ubundi buryo bushobora kugufasha kongera urwego rw'icyuma mu buryo bworoshye.
Impinduka mu mirire zirashobora kuzamura cyane icyuma ukoresha, cyane cyane iyo zivanzwe n'ibiryo byongera imitsi y'icyuma. Inyama zitukura, inkoko, n'amafi bitanga icyuma cya heme, umubiri wawe ukimira byoroshye kurusha ibikomoka ku bimera.
Ibiryo bishingiye ku bimera birimo ibishyimbo, imboga, epinari, quinoa, na seriyali zongerewe icyuma. Nubwo ibi bikubiyemo icyuma cya non-heme kigoye kumira, kubihuza n'ibiryo bikungahaye kuri vitamine C birashobora kunoza imitsi cyane.
Dore ubundi buryo bwiza bwo gusimbuza imiti isanzwe y'icyuma:
Abantu bamwe basanga imiti y'icyuma ifite amazi cyangwa ibinini bishobora kumirwa bitera ibibazo bike byo mu gifu kurusha ibinini bisanzwe. Abandi bungukirwa no gufata doze ntoya, zikunze gukoreshwa umunsi wose aho gufata doze nini imwe.
Niba imitsi ari yo kibazo nyamukuru, muganga wawe ashobora kugusaba gukemura ibibazo byateye nka indwara ya celiac cyangwa indwara yo mu mara ituma icyuma kidamirwa neza mu biryo no mu miti.
Iki kibazo gikunze kuvuka kuko sulfate ya feri ni yo bwoko bwa mbere bwongerwamo icyuma, bityo kugereranya "icyongerwamo icyuma" na "sulfate ya feri" ni nko kugereranya icyiciro n'ubwoko bumwe bwihariye muri icyo cyiciro.
Sulfate ya feri ifatwa nk'urugero rwiza rwo kongerwamo icyuma kuko ikubiyemo icyuma cyinshi cyane ku gipimo kandi gikunze kwakirwa neza na benshi. Ni na yo yigwa cyane kandi ihendutse.
Ariko, sulfate ya feri ntigomba kuba ari yo nziza kuri buri wese. Abantu bamwe bagira ibibazo bikomeye byo mu nda, isesemi, cyangwa guhagarara k'umwanya bitewe na sulfate ya feri, bituma ubundi bwoko bw'icyuma bukwiye kurushaho ibyo bakeneye.
Ibindi binyuranyo by'icyuma nka gluconate ya feri cyangwa fumarate ya feri bishobora kwakirwa neza, nubwo bikubiyemo icyuma gito ku gipimo. Icyo bisaba ni uko ushobora kubikoresha kenshi cyangwa igihe kirekire kugira ngo ugereranye ibisubizo.
Ubwoko bushya nka feri ya chelated cyangwa ibyongerwamo icyuma cya heme bishobora gutanga imitsi myiza hamwe n'ingaruka nke, ariko akenshi bihenze kurusha sulfate ya feri. Muganga wawe ashobora kugufasha gupima inyungu n'ibiciro by'uburyo butandukanye bushingiye ku miterere yawe n'ubushobozi bwawe.
Ibyongerwamo icyuma bishobora kuba byiza ku bantu barwaye indwara z'umutima iyo bikoreshejwe neza munsi y'ubuyobozi bwa muganga. Mubyukuri, kubura icyuma mu maraso bishobora gutuma ibibazo by'umutima birushaho kuba bibi bituma umutima wawe ukora cyane kugira ngo utere amaraso adafite umwuka wa oxygen mu mubiri wawe.
Ariko, abantu bafite ibibazo by'umutima bakeneye gukurikiranwa neza kuko kubura icyuma no kuremererwa n'icyuma bishobora kugira ingaruka ku mikorere y'umutima. Umuganga w'umutima wawe n'umuganga w'ibanze bagomba gukorana kugira ngo bamenye uburyo bukwiye bw'imikorere y'imibereho yawe.
Niba urwaye indwara y'umutima, muganga wawe ashobora gutangira n'imiti mike kandi akagenzura neza uko ubigenza. Bashobora kandi gukunda ubwoko bumwe bw'imiti y'icyuma cyangwa uburyo bwo kuyitanga butagira ingaruka nyinshi ku mubiri wawe.
Niba unyweye icyuma kinini kuruta uko byategetswe, ntugahagarike umutima, ariko ubifate nk'ibintu bikomeye. Kunywa icyuma kirenze urugero birashobora guteza akaga, cyane cyane ku bana, bityo ni ngombwa gukora vuba kandi neza.
Ku bantu bakuru bafashe icyuma kinini kuruta uko byategetswe, wigenzure niba ugaragaza ibimenyetso nk'isuka, kuruka, guhitwa, kuribwa mu nda, cyangwa isereri. Nywa amazi menshi kandi wirinde gufata indi miti y'icyuma kugeza igihe uvuganye n'umuganga wawe.
Niba wowe cyangwa undi muntu yanyweye icyuma kinini (kirenze kabiri urugero rwategetswe), hamagara ako kanya abashinzwe gukumira uburozi kuri 1-800-222-1222 cyangwa ushake ubufasha bw'ubuvuzi bwihutirwa. Ibi ni ngombwa cyane cyane ku bana, kuko guhumwa n'icyuma bishobora guteza akaga gakomeye.
Ibimenyetso byo kunywa icyuma kirenze urugero birimo kuribwa cyane mu nda, kuruka amaraso, umutima utera cyane, no guhumeka bigoranye. Ntukategereza ko ibimenyetso bigaragara niba uzi ko icyuma kinini cyanyowe.
Niba utanyweye umuti w'icyuma, unywe ako kanya wibuka, keretse igihe kigeze cyo gufata undi muti. Muri icyo gihe, reka uwo muti wibagiwe ukomeze gahunda yawe isanzwe.
Ntuzigere ufata imiti ibiri icyarimwe kugira ngo usubizeho uwo wibagiwe. Ibi birashobora kongera ibyago byo kugira ingaruka ziterwa n'umuti kandi ntibizagufasha gukira kubura icyuma vuba.
Kutanywa imiti rimwe na rimwe ntizagira ingaruka zikomeye ku kuvurwa kwawe, ariko gerageza kugira ubwizerane kugira ngo ubashe kubona ibisubizo byiza. Tekereza gushyiraho umwibutso wa buri munsi kuri terefone yawe cyangwa gufata umuti wawe w'icyuma mu gihe kimwe buri munsi kugira ngo bifashe gushyiraho gahunda.
Niba ukunda kwibagirwa imiti, ganira na muganga wawe ku buryo bwo kunoza imikoreshereze y'imiti cyangwa niba gahunda yo kuyifata itandukanye yakugirira akamaro.
Ugomba kureka gufata imiti y'icyuma gusa igihe muganga wawe akubwiye ko ari byiza kubikora, hashingiwe ku ngaruka z'ibizamini by'amaraso yawe n'ubuzima bwawe muri rusange. Abantu benshi barumva barushijeho kumera neza nyuma y'ibyumweru bike batangira gufata imiti y'icyuma, ariko ibyo ntibisobanura ko icyuma cyabo cyuzuye.
Muganga wawe akunda gutuma hakorwa ibizamini by'amaraso kugirango barebe urugero rwa hemoglobin na icyuma nyuma y'ibyumweru byinshi cyangwa amezi yo kuvurwa. N'iyo urwo rugero rugarutse mu buryo busanzwe, ushobora gukenera gukomeza gufata imiti mu mezi make kugirango wongere icyuma mu mubiri wawe.
Kureka gufata imiti y'icyuma kare cyane bishobora gutuma anemia yo kubura icyuma igaruka, cyane cyane niba impamvu y'ibanze yo gutakaza icyuma cyawe itarakemurwa. Muganga wawe azagufasha kumenya igihe cyiza cyo kureka hashingiwe ku miterere yawe bwite.
Abantu bamwe bafite indwara zidakira zituma batakaza icyuma gikomeza bashobora gukenera kongererwa icyuma igihe kirekire cyangwa gihembwe kugirango bagumane urugero rwiza rw'icyuma.
Ushobora gufata imiti y'icyuma hamwe na vitamine zimwe, ariko igihe n'imvange bifite akamaro haba mu mutekano no mu gukora neza. Vitamine zimwe zongera imikorere y'icyuma, mu gihe izindi zishobora kubangamira imikorere yacyo.
Vitamine C ituma imikorere y'icyuma irushaho kuba myiza, bityo kubifatira rimwe bifite akamaro. Imiti myinshi y'icyuma ubu irimo vitamine C kubera iyi mpamvu. Vitamine B-complex muri rusange ni byiza gufatana n'icyuma kandi ntibangamira imikorere yacyo.
Ariko, kalisiyumu n'icyuma birushanwa kugirango bikore, bityo ni byiza gutandukanya iyi miti nibura amasaha abiri. Kimwe gihabwa imiti ya magnesium na zinc, ishobora kugabanya imikorere y'icyuma iyo ifatiwe icyarimwe.
Niba ufata imiti yongera intungamubiri nyinshi, ganira na muganga wawe ku gihe cyo kuyifata. Ushobora gukenera gufata imiti yongera icyuma itandukanye n'imiti yongera intungamubiri nyinshi kugira ngo byorohere umubiri kuyifata neza.