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October 10, 2025
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Ubuthakathaka bokushona kwe-iron kwenzeka uma umzimba wakho ungenayo i-red blood cells eyanele ngenxa yokushoda kwe-iron. Cabanga nge-iron njengento ebalulekile esiza igazi lakho ukuthi lithwale i-oksijini kulo lonke umzimba wakho. Uma amazinga e-iron ehlala phansi kakhulu, amandla akho nezicubu azitholi i-oksijini eyanele ukuze asebenze kahle, okukushiya uzizwa udiniwe futhi ubuthakathaka.
Ubuthakathaka bokushona kwe-iron uhlobo oluvamile kakhulu lobuthakathaka emhlabeni jikelele. Umzimba wakho usebenzisa i-iron ukwenza i-hemoglobin, iprotheni ezikhathini ezipula i-oksijini emaphaphwini akho kuya kweminye imingcele yomzimba wakho.
Uma izitolo ze-iron ziqala ukuncipha, umzimba wakho awukwazi ukukhiqiza i-red blood cells eziningi ezempilo. I-red blood cells onayo iba mncinci futhi imhlophe kunokujwayelekile. Lokhu kusho ukuthi i-oksijini encane ifinyelela ezicutini zakho, okuchaza ukuthi kungani ungase uzizwe udiniwe ngisho nalapho ulele kahle ebusuku.
Lesi simo sithuthuka kancane kancane, ngokuvamile ezinyangeni noma eminyakeni eminingi. Abantu abaningi abazi ukuthi banalo kuze kube yilapho izimpawu ziqala ukubonakala noma kutholakala ngesikhathi sokwenza uvivinyo lwegazi olujwayelekile.
Izimpawu zivame ukuqala ngokuthambile futhi zibe zimbi njengoba amazinga e-iron eqhubeka ehla. Umzimba wakho ukhulu ekuguquleni ekuqaleni, kungakho izimpawu zokuqala zingase zibe lula ukuzidela njengokucindezeleka noma ukuba matasa.
Izimpawu ezivamile ongazihlangabezana nazo zihlanganisa:
Izimpawu ezingavamile kodwa eziqakathekile zihlanganisa i-restless leg syndrome nokulahleka kweenwele. Abanye abantu baphawula ukuthi ukubekezelela kwabo kokuzivocavoca kunciphile kakhulu. Lezi zimpawu zenzeka ngoba umzimba wakho usebenza nzima ukuze upompe igazi elincane elithwala i-oksijini onayo.
Ubuthakathaka bokushona kwe-iron buthuthuka uma umzimba wakho ulahlekelwa yi-iron ngokushesha kunokuba uyibuyisele. Le ngxube-xube ingase ibe khona ngezizathu eziningana ezahlukene, futhi ngezinye izikhathi izinto eziningi zisebenzisana.
Izimbangela ezivamile zihlanganisa:
Ngezinye izikhathi imbangela ayibonakali ngokushesha. Ukuphuma kwegazi kwangaphakathi kungase kube khona ngaphandle komsindo, futhi izinkinga zokugaya ukudla zingase zithinte ukungeniswa kwe-iron ngaphandle kokubangela izimpawu ezicacile. Ukusetshenziswa okuvamile kwamaqembu athile wemithi njenge-aspirin noma imithi yokulwa nokuvuvukala kungase futhi kuhlanganyele ekulahlekelweni kwegazi ngokuhamba kwesikhathi.
Kufanele uxhumane nodokotela wakho uma uhlangabezana nokuqeda amandla okuqhubekayo okungathuthuki ngokuphumula. Ungalindi kuze kube yilapho izimpawu ziqala ukuba zimbi, njengoba ukwelashwa okuqala kuphumelela kakhulu futhi kuvimbela ukuphazamiseka.
Funani ukunakekelwa kwezokwelapha ngokushesha uma uqaphela izimpawu zokulahlekelwa igazi okukhulu, njengokuphuma igazi okukhulu kakhulu, izisu ezimnyama noma ezigcwele igazi, noma ubuhlungu besisu obuqhubekayo. Lokhu kungase kubonise izimo ezingaphansi ezidinga ukunakekelwa ngokushesha.
Hlela i-aphoyintimenti uma unezimpawu eziningi ezinjengobunqunu obuqhubekayo, isikhumba esimhlophe, ukufisa okungavamile kokudla, noma ubunzima bokuhlanganyela. Udokotela wakho angenza uvivinyo lwegazi olucacile ukuze aqinisekise ukuthi ubuthakathaka yiyona imbangela futhi athole noma yiziphi izinkinga ezingaphansi ezidinga ukwelashwa.
Amaqembu athile abantu anamathuba aphezulu okukhula lesi simo. Ukuqonda izingozi zakho kungakusiza ukuthi uthathe izinyathelo zokuvimbela futhi uqaphele izimpawu ngokushesha.
Abantu abasezingozini ezikhulayo bahlanganisa:
Ukuba nezingozi akusho ukuthi uzokhula ngokuqinisekile ubuthakathaka, kodwa ukwazi kuzokusiza wenze izinqumo ezifanele mayelana nokudla, izithasiselo, nokuthi nini kufanele ufune ukunakekelwa kwezokwelapha. Ukuhlola okujwayelekile kungabamba izinkinga ngokushesha lapho kulula ukuzilwelapha.
Izimo eziningi zokushona kwe-iron ziphendula kahle ekwelapheni futhi azibangeli izinkinga ezihlala njalo. Noma kunjalo, uma zishiywa zingalashwa isikhathi eside, ukuphazamiseka okuningi kungase kuqale okunethelela impilo yakho jikelele nekhwalithi yokuphila.
Ukuphazamiseka okungenzeka kuhlanganisa:
Ubuthakathaka obukhulu bungase futhi buhole ekuphazamisekeni ngesikhathi sokuhlinzwa noma izinqubo zezokwelapha. Izindaba ezinhle ukuthi lokhu kuphazamiseka kuvimbwe ngokwelashwa okufanele. Abantu abaningi babona ukuthuthuka okukhulu phakathi nezinsuku ezimbalwa zokuqala ukwelashwa okufanele.
Ukuvimbela kugxile ekutholeni amazinga e-iron afanele ngokudla nokubhekana nezimbangela ezingaphansi. Ukushintsha okuncane, okuqhubekayo emikhweni yakho yokudla kungenza umehluko omkhulu esimweni sakho se-iron ngokuhamba kwesikhathi.
Izindlela zokuvimbela ezisebenzayo zihlanganisa ukudla ukudla okunama-iron njalo. Inyama ebomvu, inyama yenkukhu, nezinhlanzi zinikeza i-heme iron, umzimba wakho uyithola kalula. Imithombo yemifino njengebhinsi, i-lentils, i-spinach, ne-cereals eziqinisiwe zina-non-heme iron eseyigugu empilweni yakho.
Thuthukisa ukungeniswa kwe-iron ngokudibanisa ukudla okunama-iron nemithombo ye-vitamin C njengemithi yemifino, utamatisi, noma ama-bell peppers. Gwema ukuphuza itiye noma ikhofi ngokudla okunama-iron, njengoba lokhu kungase kunciphise ukungeniswa. Uma ungeyona inyama, hlela ukudla kwakho ngokucophelela ukuze kuhlanganise imithombo ehlukahlukene ye-iron kanye nezithuthukisi zokungeniswa.
Bhekana nanoma yiziphi izimo ezingaphansi ezingase zibangele ukulahleka kwegazi, njengokuphuma igazi okukhulu noma izinkinga zokugaya ukudla. Ukuhlola okujwayelekile kwezokwelapha kungasiza ukuthola nokwelapha lezi zinkinga ngaphambi kokuba ziholele ebuthakathakeni.
Ukutholakala kuqala ngokuhlolwa kwegazi okulula okuthiwa yi-complete blood count (CBC). Lolu hlolo luqapha inani le-red blood cell yakho, amazinga e-hemoglobin, kanye namanye amamaki abalulekile angase abonise ubuthakathaka.
Udokotela wakho cishe uzokwenza ukuhlolwa okwengeziwe ukuze aqinisekise ukushoda kwe-iron futhi athole imbangela. Lokhu kuhlanganisa i-serum ferritin (iqapha izitolo ze-iron), i-transferrin saturation (ibonisa ukuthi i-iron engakanani etholakalayo), futhi ngezinye izikhathi i-total iron-binding capacity.
Uma kukhona ukungabaza ukulahleka kwegazi, udokotela wakho angase ancome ukuhlolwa ukuze uthole umthombo. Lokhu kungase kuhlanganise ukuhlolwa kwezisu ngegazi elifihliwe, i-endoscopy ukuhlola isisu sakho, noma ukuhlolwa kwezithombe. Kwabesifazane, ukubheka izindlela zokuphaphama igazi nezizathu ze-gynecological kungase kudingeke.
Inkqubo yokutholakala ikusiza ukwenza uhlelo lokwelapha oluqondiswe. Ukuqonda imbangela eyingaphansi kubaluleke kakhulu njengokwelapha ubuthakathaka uqobo, njengoba lokhu kuvimbela ukubuyela futhi kubhekana nanoma yiziphi izimo ezingaphansi ezinkulu.
Ukuphathwa kugxile ekutholeni izitolo ze-iron nokubhekana nembangela eyingaphansi. Abantu abaningi baqala ukuzizwa bephilile phakathi nezinsuku ezimbalwa, nakuba kungase kudingeke izinyanga eziningi ukuze babuyisele ngokuphelele amazinga e-iron.
Izithasiselo ze-iron yilona ukwelashwa okuvamile kokuqala. Udokotela wakho uzokunika amaphilisi e-iron, ngokuvamile athathwe esiswini esingenalutho ukuze athole ukungeniswa kangcono. Ukuwathwala ne-vitamin C kungase kuthuthukise ukungeniswa, kuyilapho i-calcium, itiye, nekhofi kungase kuphazamise.
Ukushintsha kokudla kusekela ukwelashwa kwezithasiselo kodwa ngokuvamile akwanele ukwelapha ubuthakathaka obuqalile. Gxila ekudleni okunama-iron njengenyama ehlanzekile, izinhlanzi, amabhinsi, ne-cereals eziqinisiwe. Umhlinzeki wakho wezokunakekelwa kwezempilo angase akudlulisele kudokotela wokudla ukuze uhlele ukudla okuqondene nawe.
Uma izithasiselo zomlomo zibangela ukuphazamiseka kwesisu noma azitholi ukungeniswa kahle, ukufakwa kwe-iron nge-intravenous kungase kunconywe. Lokhu kuthumela i-iron ngqo egazini lakho futhi kusebenza ngokushesha kunokwelashwa komlomo. Le ndlela iyasiza ikakhulu kubantu abanezifo zokugaya ukudla noma ubuthakathaka obukhulu.
Ukwelapha izimbangela ezingaphansi kubaluleke kakhulu. Lokhu kungase kuhlanganise ukuphatha isikhathi esinzima sokuphuma igazi, ukwelapha izimo zokugaya ukudla, noma ukubhekana nemithombo yokuphuma kwegazi. Udokotela wakho uzosebenza nawe ukuze enze uhlelo lokwelapha oluphelele.
Ukuphathwa ekhaya kugxile ekusekeleni ukwelashwa kwakho kwezokwelapha nokusiza umzimba wakho ukuthi uphulukise. Ukulungiswa kokuphila okulula kungathuthukisa kakhulu indlela ozizwa ngayo ngenkathi amazinga e-iron akho ebuyela.
Thatha izithasiselo zakho ze-iron ngokunembile njengoba kunconywe, ngisho noma ungazizwa ukhulu ngokushesha. Ngokuvamile kuthatha amasonto ama-2-3 ukuqaphela ukuthuthuka kwamandla kanye nezinyanga ezingu-2-3 ukuze ubuyisele izitolo ze-iron. Ungayeki ukuthatha izithasiselo uma uzizwa ukhulu ngaphandle kokuthi udokotela wakho akucele.
Phatha imiphumela emibi yesithasiselo ngokuthatha i-iron ngokudla okuncane uma kwenzeka ukuphazamiseka kwesisu. Yandisa ukudla okunamafutha futhi uhlale uthambile ukuvimbela ukuvimbela. Uma imiphumela emibi ibibi kakhulu, xoxa nodokotela wakho mayelana nokulungisa umthamo noma ukuzama uhlobo oluhlukile.
Thola ukuphumula okwanele futhi uhambe kancane ngemisebenzi yakho ngenkathi uphulukisa. Umzimba wakho usebenza nzima ukuze ubuyisele izitolo ze-iron futhi ukhiqize i-red blood cells ezempilo. Ukuzivocavoca okulula njengokuhamba kungasiza, kodwa gwema ukuzivocavoca okunzima kuze kube yilapho amandla akho ebuya.
Qapha izimpawu zakho futhi ugcine ulandelela ukuthuthuka. Qaphela ukushintsha kwamandla, ukubekezelela kokuzivocavoca, kanye nezinye izimpawu ukuze uzixoxe nodokotela wakho ngesikhathi se-aphoyintimenti yokulandelela.
Ukulungiselela kukusiza ukwenza okuningi ngesikhathi sakho se-aphoyintimenti futhi kuqinisekise ukuthi udokotela wakho unemininingwane edingekayo yokutholakala nokwelapha okuqondile. Ukuqoqa ulwazi olufanele ngaphambi kwesikhathi kungasheshisa inkqubo yokutholakala.
Bhala zonke izimpawu zakho, kuhlanganise nokuthi zaqala nini nokuthi zishintshe kanjani ngokuhamba kwesikhathi. Qaphela ukuthi yimiphi imisebenzi ekwenza uzizwe udiniwe kakhulu nanoma yiziphi izindlela ozibonile. Faka izimpawu ezingabonakali ukuba zihlobene, njengoba zingase zinikeze izinkomba ezibalulekile.
Qoqa uhlu oluphelele lwemithi, izithasiselo, kanye nemithi yemifino oyithathayo. Faka imithamo nokuthi ubuthatha isikhathi esingakanani. Ezinye izidakamizwa zingase zithinte ukungeniswa kwe-iron noma zihlanganyele ekopha.
Lungiselela ulwazi mayelana nomlando wakho wokuphuma igazi, imikhuba yokudla, nanoma yimuphi umlando womndeni wokuphuma igazi noma izifo zegazi. Udokotela wakho uzofuna futhi ukwazi ngokuhlinzwa kwamuva, ukulimala, noma ukushintsha okukhulu kokuphila.
Bhala imibuzo ofuna ukuyibuza, njengokwelapha, isikhathi esilindelekile sokuthuthuka, izincomo zokudla, nokuthi nini kufanele ulandele. Ukuba nemibuzo ebhaliwe kuqinisekisa ukuthi awulibali izindikimba ezibalulekile ngesikhathi se-aphoyintimenti.
Ubuthakathaka bokushona kwe-iron yisimo esivamile kodwa esilashwa kalula esithinta izigidi zabantu emhlabeni jikelele. Into ebaluleke kakhulu okumele uyikhumbule ukuthi ukuqeda amandla nobuthakathaka akuyona into okufanele uhlale nayo.
Ukuqaphela nokwelapha okuqala kwenza umehluko omkhulu kokubili ukuthi uphulukisa ngokushesha kangakanani nokuvimbela ukuphazamiseka. Abantu abaningi babona ukuthuthuka okukhulu kwamandla nawokuphazamiseka kwabo phakathi nezinsuku ezimbalwa zokuqala ukwelashwa okufanele.
Ukusebenzisana eduze nodokotela wakho kuqinisekisa ukuthi uthola ukwelashwa okufanele isimo sakho esithile. Ngokutholakala okuqondile, ukwelashwa, nokubhekana nezimbangela ezingaphansi, ungalindela ukubuyela emazingeni amandla ajwayelekile nempilo jikelele.
Unganqikazi ukufuna ukunakekelwa kwezokwelapha uma uhlangabezana nezimpawu. Ubuthakathaka bokushona kwe-iron bulashwa kakhulu, futhi ufanele uzizwe ukhulu. Ukuthatha isinyathelo manje kungavimbela isimo ukuba sibe sibi futhi kukusize ubuyisele amandla akho ngokushesha.
Abantu abaningi baqala ukuzizwa benamandla ngaphakathi kwamasonto ama-2-3 okuqala izithasiselo ze-iron. Noma kunjalo, ngokuvamile kuthatha izinyanga ezingu-2-3 ukuze ubuyisele ngokuphelele izitolo ze-iron zomzimba wakho. Udokotela wakho uzolandelela intuthuko yakho ngokuhlolwa kwegazi okulandelayo ukuze uqinisekise ukuthi ukwelashwa kusebenza kahle.
Nakuba ukudla okunama-iron kubalulekile ekutholeni amazinga e-iron ampilo, ngokuvamile akwanele ukwelapha ubuthakathaka bokushona kwe-iron obuqalile. Imithombo yokudla isebenza kahle ekuvimbeleni nasekusekeleni ukwelashwa kwezithasiselo, kodwa izithasiselo ngokuvamile zidingeka ukuze ubuyisele izitolo ze-iron ezinciphile ngokushesha nangokuphumelelayo.
Izithasiselo ze-iron zingase ziqinisise isisu sakho, okuholela ekubeni nomdlavuza, ukuvimbela, noma ubuhlungu besisu. Ukuwathwala ngokudla okuncane kungasiza ukunciphisa le miphumela. Udokotela wakho angase ancome uhlobo oluhlukile noma alungise umthamo uma imiphumela emibi ibibi kakhulu.
Ubuthakathaka bokushona kwe-iron ngesikhathi sokukhulelwa kukhuphula izingozi kokubili umama nengane, kuhlanganise nokuzalwa kwangaphambi kwesikhathi nezingane ezincane. Noma kunjalo, ngokunakekelwa okufanele kokukhulelwa nokwelashwa, lezi zingozi zingase zinciphisiwe kakhulu. Abesifazane abakhulelwe badinga i-iron engaphezulu, ngakho izithasiselo ngokuvamile zinconywa ngisho noma ubuthakathaka bungekho.
Yebo, ubuthakathaka bokushona kwe-iron bungabuya uma imbangela eyingaphansi ingalungiswanga noma uma ungagcini nokungeniswa kwe-iron okwanele. Kungakho udokotela wakho azohlola ukuthi yini ebangelwe ubuthakathaka bakho ekuqaleni futhi angase ancome ukushintsha kokudla okuqhubekayo noma ukuqapha okujwayelekile ukuvimbela ukubuyela.
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