Accrufer, Auryxia, Inyama, Icyuma n'Umuvinyu, Bifera, Elite Iron, Femiron, Feosol, Fergon, Ferrex 150, Hemocyte, FeraMAX 150, Fer-In-Sol, Palafer, Pms-Ferrous Sulfate
Iminyanganire ni ubutare umubiri ukeneye kugira ngo ukore uturemangingo tw'amaraso y'umutuku. Iyo umubiri utabonye iminyanganire ihagije, ntushobora gukora umubare w'uturemangingo tw'amaraso y'umutuku dukenewe kugira ngo ugumane ubuzima bwiza. Iyi ndwara yitwa kubura iminyanganire (ibura ry'iminyanganire) cyangwa anémie iterwa no kubura iminyanganire. Nubwo abantu benshi muri Amerika babona iminyanganire ihagije mu mirire yabo, bamwe bagomba gufata ingano nyinshi kugira ngo basohoze ibyo bakeneye. Urugero, rimwe na rimwe iminyanganire iba ihari igihe amaraso ava gake cyangwa make mu mubiri utamenya kandi bishobora kugaragara gusa na muganga wawe. Muganga wawe arashobora kumenya niba ufite ubuke bw'iminyanganire, icyateye ubu buke, niba inyongeramusaruro y'iminyanganire ari ngombwa. Kubura iminyanganire bishobora gutera umunaniro udaciriritse, guhumeka nabi, kugabanuka mu miterere y'umubiri, n'ibibazo byo kwiga mu bana no mu bakuru, kandi bishobora kongera amahirwe yo kwandura. Amwe muri ayo matsinda y'abantu ashobora kuba afite ibyago byinshi byo kubura iminyanganire harimo: Uretse ibyo, abana, cyane cyane abanywa amata ya nyina cyangwa amata adafite iminyanganire ihagije, bashobora kuba bakeneye iminyanganire yiyongereye. Ibyo bikenewe byiyongereye by'inyongeramusaruro y'iminyanganire bigomba kumenyeshwa n'umuhanga mu buvuzi. Iminyanganire iterwa inshinge itangwa gusa na muganga wawe cyangwa ayobowe na we. Izindi mpande z'iminyanganire ziboneka nta rupapuro rw'umuganga; ariko kandi, umuhanga mu buvuzi ashobora kugira amabwiriza yihariye ku ikoreshwa rikwiye n'umwanya w'uburwayi bwawe. Kugira ubuzima bwiza, ni ngombwa kurya indyo yuzuye kandi itandukanye. Kurikiza neza gahunda y'imirire muganga wawe ashobora kugutegurira. Ku byo ukeneye byihariye bya vitamine n'iminyanganire, saba muganga wawe urutonde rw'ibiribwa bikwiye. Niba utekereza ko utabona vitamine n'iminyanganire ihagije mu mirire yawe, ushobora guhitamo gufata inyongeramusaruro y'imirire. Iminyanganire iboneka mu mirire mu buryo bubiri-iminyanganire ya heme, ifatwa neza, n'iminyanganire idafite heme, ifatwa nabi. Isoko ryiza cyane ry'iminyanganire ifatwa (heme) ni inyama zitukura zoroheje. Inkoko, inkuku, n'amafi na byo ni isoko ry'iminyanganire, ariko bifite bike kurusha inyama zitukura. Ibinyamisogwe, ibishyimbo, na bimwe mu mboga birimo iminyanganire idafite heme ifatwa nabi. Ibiribwa bikungahaye kuri vitamine C (urugero, imbuto za citrus n'imboga mbisi), bifatwa hamwe n'ibiribwa bike birimo iminyanganire ya heme, nka inyama, bishobora kongera umubare w'iminyanganire idafite heme ifatwa mu binyamisogwe, ibishyimbo, n'izindi mboga. Bimwe mu biribwa (urugero, amata, amagi, ispinachi, ifite ibinyamisogwe, kawa, icyayi) bishobora kugabanya umubare w'iminyanganire idafite heme ifatwa mu biribwa. Iminyanganire yiyongereye ishobora kongerwa mu biribwa bitetse mu nkono z'iminyanganire. Ingano y'iminyanganire ikenewe buri munsi isobanurwa mu buryo butandukanye. Ingano zisanzwe zigenewe buri munsi muri miligramu (mg) y'iminyanganire zigaragara muri rusange nk'ibikurikira (Niba uzi ko RDA na RNI bivugwa nk'ingano nyayo y'iminyanganire, yitwa iminyanganire "y'ibanze". Ibicuruzwa [urugero, ferrous fumarate, ferrous gluconate, ferrous sulfate] bifite imbaraga zitandukanye): Iki nicuruzwa kiboneka mu buryo bukurikira bwo gutanga umuti:
Niba uri gukoresha indyo yongerwa idafite inzira y'ubuvuzi, soma neza kandi ukurikire ibyo witegura kuri etiketi. Kuri izo ndyo zongerwa, ibi bikurikira bigomba kuzirikanwa: Bwira umuganga wawe niba wigeze ufite icyangirizo cyangwa icyangirizo cya alerigi kuri imiti muri iki gatsindo cyangwa imiti y'ubwoko bwose. Nanone bwira umuganga wawe niba ufite ibindi bintu bya alerigi, nka amavara y'ibiryo, ibyitonderwa, cyangwa inyamaswa. Kuri ibicuruzwa bidafite inzira y'ubuvuzi, soma neza etiketi cyangwa ibintu bya paketi. Nta bibazo mu bana byagaragaye mu gihe bakoresha ibyo bantu benshi bakurikirana. Indyo yongerwa y'ubutare, iyo umuganga wawe yayitegetse, ntibiteganyijwe gutuma abana bafite ibyago bitandukanye n'iby'abakuru. Icyakora, ni ngombwa gukurikira amabwiriza neza, kuko indyo y'ubutare yarenze urugero mu bana iraremba cyane. Ubushakashatsi ku sodium ferric gluconate bwagaragaje ko iyi ndyo yongerwa irashobora gukoreshwa mu bana bafite imyaka 6 kugeza 15. Ubutungane bwa sodium ferric gluconate ntibushoboye kumenyeshwa mu bantu bafite imyaka nke kuruta 6. Nta bibazo mu bantu bakuru byagaragaye mu gihe bakoresha ibyo bantu benshi bakurikirana. Abantu bakuru rimwe na rimwe ntibashobora kwinjiza ubutare nk'uko abakuru bakora kandi bashobora kuba bakeneye umugambi munini. Niba ufata ko ukeneye gukoresha indyo yongerwa y'ubutare, banza usuzume numuganga wawe. Ni umuganga wawe gusa ushobora kumenya niba ukeneye indyo yongerwa y'ubutare kandi uko ukeneye kuyikoresha. Ni ngombwa cyane ko ubona vitamini n'ibimera bihagije mugihe utwite kandi ko ukomeza kubona vitamini n'ibimera bihagije mu gihe cyose utwite. Imikurire n'imikurire myiza y'umwana iteganya ku mafunguro azenguruka kuva kuri nyina kugeza kuri umwana. Mu mezi 3 yambere y'ubwite, indyo yuzuye irangwa neza irashobora gutanga ubutare bihagije. Icyakora, mu mezi 6 yanyuma, kugirango uhuze ibyifuzo byinshi by'umwana ukiri mu nda, indyo yongerwa y'ubutare ishobora kugerwaho numuganga wawe. Icyakora, gukoresha indyo yongerwa yinshi mugihe utwite bishobora kuba bibi kuri nyina cyangwa umwana kandi bigomba kwirindwa. Ni ngombwa cyane ko ubona vitamini n'ibimera bihagije kugirango umwana wawe nawe abone vitamini n'ibimera bihagije kugirango akure neza. Ubutare bukaba buriho mu mazi y'amaherezo mu buhinja. Iyo umuganga wawe yayitegetse, indyo y'ubutare ntibizwi ko ituma habaho ibibazo mugihe cyo kwita. Icyakora, ababyeyi bari mu kwita barakangwa gusuzuma numuganga wawe mbere yo gukoresha indyo yongerwa y'ubutare cyangwa imiti y'ubwoko bwose. Gukoresha indyo yongerwa yinshi mugihe cyo kwita bishobora kuba bibi kuri nyina cyangwa umwana kandi bigomba kwirindwa. Nubwo imiti yamwe ntigomba gukoreshwa hamwe, mu bundi buryo imiti ibiri itandukanye ishobora gukoreshwa hamwe nubwo habaho ingaruka. Mu bihe nk'ibi, umuganga wawe ashobora kugerageza guhindura umugambi, cyangwa ibindi bintu by'itegura bishobora kuba ngombwa. Iyo uri gukoresha izi ndyo zongerwa, ni ngombwa cyane ko umuganga wawe amenye niba uri gukoresha imiti iri munsi y'iyi listi. Izi ngaruka zatoranijwe kubera ingaruka zazo zikomeye kandi ntizizwi ko zuzuye. Gukoresha indyo zongerwa muri iki gatsindo hamwe n'imiti iri munsi y'iyi listi ntibikunze kugerwaho, ariko bishobora kuba ngombwa mu bihe bimwe. Niba imiti ibiri yategetswe hamwe, umuganga wawe ashobora guhindura umugambi cyangwa uburyo ukoresha imwe cyangwa zombi. Iyo imiti yamwe itagomba gukoreshwa mugihe cyo kurya cyangwa kurya ibiryo byamwe kuko ingaruka zishobora kubaho. Gukoresha inzoga cyangwa itabi hamwe n'imiti yamwe bishobora no gutuma habaho ingaruka. Kuganira numuganga wawe uburyo bwo gukoresha imiti yawe hamwe n'ibiryo, inzoga, cyangwa itabi. Kubaho kw'ibindi bibazo by'ubuvuzi bishobora kugira ingaruka ku gukoresha indyo zongerwa muri iki gatsindo. Menya neza ko ubwira umuganga wawe niba ufite ibindi bibazo by'ubuvuzi, cyane cyane:
Nyuma yo gutangira gukoresha iyi mpuzandengo y'ibiryo, komeza kugaruka kwa muganga wawe kugira ngo urebe niba uhawe akamaro n'umunyungugu wa fer. Ibisubizo by'amaraso bishobora kuba bikenewe kuri ibi. Fer imenyerewe neza iyo ifashwe ku gifu cyuzuye, hamwe n'amazi cyangwa umutobe w'imbuto (abakuze: ikirahure cyuzuye cyangwa garama 240; abana: ½ ikirahure cyangwa garama 120), hafi isaha imwe mbere cyangwa amasaha abiri nyuma y'ifunguro. Ariko kandi, kugira ngo tugabanye ibyago byo guhindagurika mu gifu, fer ishobora gufatwa hamwe n'ibiribwa cyangwa nyuma gato y'ifunguro. Kugira ngo ikoreshwa ry'impuzandengo ya fer rize rikanakora neza: Ubwoko bwa fer bwa liquide bushobora gukora ibara ku menyo. Kugira ngo tubikumire, tubigabanye, cyangwa tubikureho: Ibinini by'imiti muri iyi bwoko bizaba bitandukanye ku barwayi batandukanye. Kurikiza amabwiriza y'umuganga wawe cyangwa amabwiriza ari ku gipfunsi. Amakuru akurikira arimo gusa umubare w'ibinyobwa by'iyi miti. Niba umubare wawe utandukanye, ntugawuhindura keretse muganga wawe akubwiye kubikora. Ubwinshi bw'imiti ufasha biterwa n'imbaraga z'imiti. Nanone, umubare w'ibinyobwa ufata buri munsi, igihe cyemererwa hagati y'ibinyobwa, n'igihe ufata imiti biterwa n'ikibazo cy'ubuzima urimo gukoresha imiti. Niba wibagiwe kunywa imiti, siyanika icyo kinyobwa ucike ugaruke ku buryo bwawe busanzwe bwo kunywa imiti. Ntukarebe inshuro ebyiri. Kwirinda abana. Kubika imiti mu kibindi gifunze ku bushyuhe bw'icyumba, kure y'ubushyuhe, ubushuhe, n'izuba ry'izuba. Kwirinda gukonjesha. Ntukubike imiti ishaje cyangwa imiti idakenewe ukundi.
Umuhakana: Kanama ni urubuga rw'amakuru y'ubuzima kandi ibisubizo byayo ntibigize inama z'ubuvuzi. Jya ubona umuganga ufite uruhushya rwo gukorera hafi yawe mbere yo gukora impinduka izo ari zo zose.