Umunyu w'icyuma ni ubwoko bwa fer minerval.Abantu bakunze kubifata nk'inyongera yo kuvura ibura rya fer.
Iyi ngingo itanga incamake ya sulfate ferrous, inyungu zayo ningaruka zayo, nuburyo bwo kuyikoresha mukuvura no kwirinda kubura fer.
Muburyo bwabo busanzwe, imyunyu ngugu ikomeye isa na kristu ntoya. Kirisiti isanzwe iba umuhondo, umutuku, cyangwa ubururu-icyatsi, bityo sulfate ferrous rimwe na rimwe bita acide sulfurike (1).
Inganda ziyongera zikoresha ubwoko bwinshi bwicyuma mubyokurya byokurya. Usibye sulfate ferrous, ibisanzwe ni gluconate ferrous, citrate ferric, na sulfate ferric.
Ubwoko bwinshi bwibyuma mubyongeweho biri muburyo bubiri - ferric cyangwa ferrous.Biterwa nubumara bwa atome yicyuma.
Umubiri winjiza ibyuma muburyo bwa ferrous kurenza icyuma.Kubera iyo mpamvu, abashinzwe ubuvuzi muri rusange batekereza ko ferrous, harimo na sulfate ferrous, aribwo buryo bwiza bwo kongeramo ibyuma (2, 3, 4, 5).
Inyungu nyamukuru yo gufata ferrous sulfate ni ugukomeza urugero rwicyuma mumubiri.
Kubikora birashobora kukubuza kugira ikibazo cyo kubura fer hamwe nurwego rwingaruka zoroheje zikabije ziherekeza.
Icyuma nikimwe mubintu bikunze kugaragara kwisi nubutare bwingenzi.Ibi bivuze ko abantu bakeneye kubirya mumirire yabo kugirango bagire ubuzima bwiza.
Umubiri ukoresha cyane cyane icyuma nkigice cya proteine myoglobine na hemoglobine itukura, bikenewe mu gutwara no kubika ogisijeni (6).
Icyuma kandi kigira uruhare runini mugushinga imisemburo, sisitemu yubuzima niterambere, hamwe nibikorwa byibanze bya selile (6).
Nubwo abantu benshi barya ibyuma nkibiryo byokurya, urashobora kandi kubona ibyuma mubisanzwe mubiribwa byinshi, harimo ibishyimbo, epinari, ibirayi, inyanya, cyane cyane inyama nibiryo byo mu nyanja, harimo amashu, sardine, inkoko, ninka (6).
Ibiribwa bimwe na bimwe, nk'ibinyampeke bya mu gitondo, ntabwo bisanzwe biri mu byuma, ariko ababikora bongeramo ibyuma kugirango bibe isoko nziza y'iyi minerval (6).
Isoko ryinshi ryibyuma byinshi nibikomoka ku nyamaswa.Niyo mpamvu, ibikomoka ku bimera, ibikomoka ku bimera, hamwe n’abatarya ibiryo byinshi bikungahaye kuri fer mu mirire yabo isanzwe barashobora kungukirwa no gufata ferrous sulfate kugirango bafashe kubika ububiko bwibyuma (7).
Gufata sulfate ferrous nuburyo bworoshye bwo kuvura, gukumira cyangwa guhindura urugero rwicyuma cyamaraso.
Kwirinda kubura fer ntabwo byemeza gusa ko umubiri wawe ufite intungamubiri zingenzi kugirango ukomeze gukora neza, biranagufasha kwirinda ingaruka nyinshi zidashimishije ziterwa nicyuma gito.
Anemia ni indwara ibaho mugihe amaraso yawe afite selile nkeya yumutuku cyangwa hemoglobine (11).
Kubera ko icyuma ari kimwe mu bintu bigize ingirabuzimafatizo zitukura zishinzwe gutwara ogisijeni mu mubiri, kubura fer ni kimwe mu bitera amaraso make (9, 12, 13).
Anemia yo kubura fer (IDA) nuburyo bukomeye bwo kubura fer bigira ingaruka kumubiri cyane kandi bishobora gutera bimwe mubimenyetso bikaze bifitanye isano no kubura fer.
Bumwe mu buryo bukoreshwa kandi bufatika kuri IDA ni gufata ibyuma byo mu kanwa, nka sulfate ferrous (14, 15).
Ubushakashatsi bwinshi bwerekanye ko kubura fer ari ibintu bishobora gutera ibibazo nyuma yo kubagwa no gupfa.
Ubushakashatsi bumwe bwarebye ibyavuye mu bantu 730 babazwe umutima, harimo n'abafite ferritine iri munsi ya microgramo 100 kuri litiro - ikimenyetso cyo kubura fer (16).
Abitabiriye kubura fer wasangaga bahura nibibazo bikomeye, harimo n'urupfu, mugihe cyo kubagwa. Ugereranije, basabye kandi ibitaro igihe kirekire nyuma yo kubagwa (16).
Kubura fer bisa nkaho bigira ingaruka nkubundi bwoko bwo kubaga.Ubushakashatsi bumwe bwasesenguye uburyo bwo kubaga abantu barenga 227.000 kandi bwemeza ko na IDA yoroheje mbere yo kubagwa byongera ibyago byo guhura n’ubuzima ndetse no gupfa (17).
Kuberako inyongeramusaruro ya ferrous ivura kandi ikarinda kubura fer, kuyifata mbere yo kubagwa bishobora kunoza umusaruro no kugabanya ingaruka ziterwa (18).
Mugihe ibyuma byo munwa byongera nkasulfate ferrousnuburyo bwiza bwo kongera ububiko bwibyuma mumubiri, umuntu arashobora gukenera gufata inyongera buri munsi mumezi 2-5 kugirango asanzwe abike ibyuma (18, 19).
Kubwibyo, abarwayi babuze fer badafite amezi make mbere yo kubagwa kugirango bagerageze kongera ububiko bwabo bwicyuma ntibashobora kungukirwa no kongera ferrous sulfate kandi bisaba ubundi buryo bwo kuvura ibyuma (20, 21).
Byongeye kandi, ubushakashatsi bwubuvuzi bwa fer kubantu bafite ikibazo cyo kubura amaraso mbere yo kubagwa bugarukira mubunini no mubunini.Abahanga baracyakeneye gukora ubushakashatsi bwujuje ubuziranenge kuburyo bwiza bwokwongera abantu ibyuma mbere yo kubagwa (21).
Abantu cyane cyane bakoresha ferrous sulfate kugirango birinde icyuma, kuvura anemia yo kubura fer, no kugumana urugero rwicyuma gisanzwe. Inyongera zirashobora gukumira ingaruka mbi ziterwa no kubura fer.
Amatsinda amwe yabantu akenera ibyuma mubyiciro bimwe byubuzima.Nkigisubizo, bafite ibyago byinshi byo kugabanuka kwicyuma no kubura fer.Ubundi buryo bwimibereho yabantu nimirire yabo bishobora gutuma fer iba muke.
Abantu mubyiciro bimwe byubuzima bakeneye cyane ibyuma kandi bakunze kubura fer.Abana, ingimbi zabakobwa, abagore batwite, nabantu bafite uburwayi budakira ni amwe mumatsinda ashobora kugirira akamaro kanini sulfate ferrous.
Ferrous sulfate yinyongera mubisanzwe biza muburyo bwibinini byo munwa.Ushobora kandi kubifata nkibitonyanga.
Niba ushaka gufata sulfate ferrous, menya neza witonze amagambo "ferrous sulfate" kuri label aho guhitamo icyuma icyo aricyo cyose.
Multivitamine nyinshi za buri munsi nazo zirimo ibyuma.Nyamara, keretse iyo bivuzwe kuri label, nta cyemeza ko icyuma kirimo sulfate ferrous.
Kumenya ingano ya sulfate ferrous yo gufata birashobora kugorana mubihe bimwe na bimwe. Buri gihe ujye uvugana nabashinzwe ubuzima kugirango umenye dosiye ikubereye.
Nta byifuzo byemewe kumubare wa sulfate ferrous ugomba gufata burimunsi.Imikoreshereze iratandukanye bitewe nimyaka, igitsina, ubuzima, nimpamvu yo gufata inyongera.
Multivitamine nyinshi zirimo fer zitanga hafi 18 mg cyangwa 100% byibyuma bya buri munsi (DV) .Nyamara, ibinini bya sulfate ferrous bitanga mg hafi 65 mg, cyangwa 360% bya DV (6).
Icyifuzo rusange cyo kuvura kubura fer cyangwa kubura amaraso ni ugufata ibinini bya mg kugeza kuri bitatu 65 kumunsi.
Ubushakashatsi bwibanze bwerekana ko gufata ibyuma buri munsi (kuruta buri munsi) bishobora kuba byiza nkibyongeweho buri munsi, cyangwa bikagira ingaruka nziza (22, 23).
Abatanga ubuvuzi bazashobora gutanga inama zihariye kandi zihariye kubijyanye ninshuro ugomba gufatasulfate ferrous, ukurikije amaraso yawe ya fer hamwe nibihe byihariye.
Ibiryo bimwe nintungamubiri, nka calcium, zinc, cyangwa magnesium, birashobora kubangamira kwinjiza fer, naho ubundi. Kubwibyo rero, abantu bamwe bagerageza gufata inyongera ya sulfate ferrous ku gifu cyuzuye kugirango binjire cyane (14, 24, 25).
Ariko, gufatasulfate ferrousinyongera cyangwa ikindi kintu cyose cyongera ibyuma kumara yubusa birashobora gutera uburibwe nigifu.
Gerageza gufata inyongera ya sulfate ferrous hamwe nifunguro rike rya calcium kandi ukuyemo ibinyobwa byinshi muri phytate, nka kawa nicyayi (14, 26).
Ku rundi ruhande, vitamine C irashobora kongera urugero rwa fer yakuwe mu nyongeramusaruro ya ferrous sulfate. Gufata sulfate ferrous hamwe n'umutobe ukungahaye kuri vitamine C cyangwa ibiryo bishobora gufasha umubiri wawe gukuramo fer nyinshi (14, 27, 28).
Hariho uburyo bwinshi butandukanye bwinyongera bwa sulfate sulfate kumasoko.Benshi ni ibinini byo munwa, ariko ibitonyanga birashobora no gukoreshwa. Witondere kubaza abashinzwe ubuzima mbere yo guhitamo umubare wa sulfate ferrous ugomba gufata.
Ingaruka zikunze kuvugwa cyane ni ubwoko butandukanye bwumubabaro wigifu, harimo isesemi, impiswi, kuruka, kubabara munda, kuribwa mu nda, hamwe nintebe zijimye cyangwa zifite ibara (14, 29).
Mbere yuko utangira gufata ferrous sulfate, menyesha abashinzwe ubuzima niba ufata imiti ikurikira (6, 14):
Abantu bafata sulfate ferrous bakunze kuvuga ingaruka mbi nko kugira isesemi, gutwika umutima, no kubabara munda.Ikindi kandi, ibyuma byongera ibyuma bishobora gukorana nimiti imwe n'imwe, harimo antacide na inhibitori ya proton.
Sulfate ya ferrous ifite umutekano iyo uyifashe nkuko byateganijwe nubuvuzi bwujuje ibyangombwa.Nyamara, iyi nteruro - nibindi byongeweho ibyuma - irashobora kuba uburozi kubwinshi, cyane cyane kubana (6, 30).
Bimwe mu bimenyetso bishoboka byo gufata sulfate ferrous nyinshi ni koma, guhungabana, kunanirwa kw'ingingo, ndetse no gupfa (6).
Igihe cyo kohereza: Werurwe-14-2022