Iityuwa zentsimbi luhlobo lwe-iron.Abantu bahlala bebathatha njengesongezelelo sokunyanga ukusilela kwentsimbi.
Eli nqaku linika inkcazo ye-ferrous sulfate, izibonelelo zayo kunye neziphumo ebezingalindelekanga, kunye nendlela yokuyisebenzisa ukunyanga nokuthintela ukusilela kwentsimbi.
Kwimeko yazo yendalo, iiminerali eziqinileyo zifana neekristale ezincinci.Iikristale zihlala zityheli, zimdaka, okanye ziluhlaza okwesibhakabhaka, ngoko ke i-sulfate ene-ferrous ngamanye amaxesha ibizwa ngokuba yi-green sulfuric acid (1).
Abavelisi bezongezelelo basebenzisa iintlobo ezininzi zentsimbi kwizongezelelo zokutya.Ngaphezu kwe-ferrous sulfate, eyona nto ixhaphakileyo yi-ferrous gluconate, i-citrate ye-ferric, kunye ne-ferric sulfate.
Uninzi lweentlobo zentsimbi kwizongezelelo zikolunye lweendlela ezimbini - i-ferrous okanye i-ferrous.Kuxhomekeke kwimeko yekhemikhali yee-athomu zentsimbi.
Umzimba uthatha isinyithi kwifom ye-ferrous engcono kune-iron form.Ngenxa yesi sizathu, ababoneleli bezempilo ngokubanzi baqwalasela iifom ze-ferrous, ezibandakanya i-sulfate ye-ferrous, ukuba ibe yinto ekhethiweyo yokuncedisa isinyithi (2, 3, 4, 5).
Inzuzo ephambili yokuthatha izongezo ze-ferrous sulfate kukugcina amanqanaba entsimbi eqhelekileyo emzimbeni.
Ukwenza oko kunokukuthintela ekuphuhliseni ukunqongophala kwentsimbi kunye noluhlu lweziphumo ebezingalindelekanga ezisezantsi ezihlala zihamba nazo.
Intsimbi yenye yezona zinto zixhaphakileyo emhlabeni kunye neminerali eyimfuneko. Oku kuthetha ukuba abantu kufuneka bayitye ekutyeni kwabo ukuze babe nempilo entle.
Umzimba ikakhulu usebenzisa i-iron njengenxalenye yeeproteni zeeseli ezibomvu zegazi i-myoglobin kunye ne-hemoglobin, eziyimfuneko ekuthuthweni nasekugcinweni kweoksijini (6).
Intsimbi nayo idlala indima ebalulekileyo ekubunjweni kwehomoni, impilo ye-nervous system kunye nophuhliso, kunye nemisebenzi eyisiseko yeselula (6).
Nangona abantu abaninzi besebenzisa i-iron njengesongezelelo sokutya, unokufumana isinyithi ngokwemvelo kukutya okuninzi, kubandakanywa iimbotyi, isipinatshi, iitapile, iitumato, ngakumbi inyama kunye nokutya kwaselwandle, kubandakanywa i-oyster, i-sardines, inkukhu kunye nenyama yenkomo (6).
Okunye ukutya, okufana nokutya okuziinkozo okuqinisiweyo kwasekuseni, akunantsimbi ngokwemvelo, kodwa abavelisi bongeza i-iron ukuze ibe ngumthombo olungileyo wale minerali (6).
Eyona mithombo iphakamileyo yee-ayini ezininzi ziimveliso zezilwanyana. Ke ngoko, imifuno, abatya imifuno, kunye nabo bangatyiyo ukutya okutyebileyo kwentsimbi kukutya kwabo okuqhelekileyo banokuzuza ngokuthatha izongezo ze-ferrous sulfate ukunceda ukugcina iivenkile zentsimbi (7).
Ukuthatha isongezelelo se-ferrous sulfate yindlela elula yokunyanga, ukukhusela okanye ukuguqula amanqanaba e-iron yegazi aphantsi.
Ukuthintela ukunqongophala kwesinyithi akuqinisekisi nje ukuba umzimba wakho unokwaneleyo kwezondlo ezifunekayo ukuze uqhubeke usebenza ngokufanelekileyo, kunokukunceda ukuba ugweme ezininzi iziphumo ezingathandekiyo zamanqanaba esinyithi aphantsi.
I-anemia yimeko eyenzeka xa igazi lakho linamazinga aphantsi eeseli ezibomvu zegazi okanye i-hemoglobin (11).
Ngenxa yokuba isinyithi siyinxalenye ebalulekileyo yeeseli ezibomvu zegazi ezinoxanduva lokuthutha i-oksijini kuwo wonke umzimba, ukungabikho kwentsimbi yenye yezona zinto zibangela i-anemia (9, 12, 13).
I-Iron Deficiency anemia (IDA) luhlobo olunzima lwe-iron yokunqongophala okuchaphazela kakhulu umzimba kwaye kunokukhokelela kwezinye iimpawu ezinzima ezinxulumene nokunqongophala kwentsimbi.
Olunye unyango oluqhelekileyo kunye olusebenzayo lwe-IDA luthatha izongezo zentsimbi yomlomo, njenge-ferrous sulfate (14, 15).
Izifundo ezininzi zibonise ukuba ukunqongophala kwentsimbi kungumngcipheko wokwanda kweengxaki ze-postoperative kunye nokufa.
Olunye uphando lujonge iziphumo zabantu abangama-730 abafumana utyando lwentliziyo, kubandakanywa namanqanaba e-ferritin angaphantsi kwe-100 micrograms ilitha-uphawu lokusilela kwentsimbi (16).
Abathathi-nxaxheba abanqongopheleyo be-iron banokuthi bafumane iziganeko ezimbi kakhulu, kuquka ukufa, ngexesha lotyando.Ngomndilili, nabo bafuna ukuhlala ixesha elide esibhedlele emva kokuhlinzwa (16).
Ukusilela kwentsimbi kubonakala kunempembelelo efanayo kwezinye iintlobo zotyando.Olunye uphando luhlalutye ngaphezu kwe-227,000 iinkqubo zotyando kwaye lwafumanisa ukuba i-IDA epholileyo ngaphambi kokuhlinzwa kwandisa umngcipheko weengxaki zempilo emva kokuhlinzwa kunye nokufa (17).
Ngenxa yokuba izongezelelo ze-ferrous sulfate zinyanga kwaye zikhusela ukusilela kwentsimbi, ukuzithatha ngaphambi kokuhlinzwa kunokuphucula iziphumo kunye nokunciphisa umngcipheko weengxaki (18).
Ngelixa i-iron yomlomo izongeza njengei-ferrous sulfateziyindlela esebenzayo yokwandisa iivenkile zentsimbi emzimbeni, umntu unokufuna ukuthatha izongezelelo mihla le kwiinyanga ezi-2-5 ukwenza iivenkile zentsimbi ziqheleke (18, 19).
Ngoko ke, izigulane ezingenayo isinyithi ezingenayo iinyanga ezimbalwa ngaphambi kokuhlinzwa ukuze zizame ukwandisa izitolo zabo zentsimbi zingenakuzuza kwi-ferrous sulfate supplementation kwaye zifuna olunye uhlobo lwe-iron therapy (20, 21).
Ukongezelela, izifundo zonyango lwentsimbi kubantu abane-anemia ngaphambi kokuhlinzwa zilinganiselwe ngobukhulu kunye nobubanzi.Iingcali zenzululwazi zisafuna ukuqhuba uphando oluphezulu oluphezulu ngendlela engcono kakhulu yokuba abantu banyuse amanqanaba esinyithi ngaphambi kokuhlinzwa (21).
Abantu ikakhulu basebenzisa izongezo ze-iron sulfate ukuthintela ukunqongophala kwe-iron, ukunyanga ukunqongophala kwe-iron anemia, kunye nokugcina amanqanaba e-iron eqhelekileyo.
Amaqela athile abantu anesidingo esongeziweyo se-iron kumanqanaba athile obomi. Ngenxa yoko, basemngciphekweni omkhulu wamanqanaba e-iron asezantsi kunye nokunqongophala kwe-iron. Indlela yokuphila yabanye abantu kunye nokutya kunokukhokelela kumazinga e-iron asezantsi.
Abantu abakumanqanaba athile obomi banesidingo esongeziweyo se-iron kwaye basengozini yokunqongophala kwesinyithi.Abantwana, abafikisayo ababhinqileyo, abafazi abakhulelweyo, kunye nabantu abaneemeko zempilo ezingapheliyo ngamanye amaqela anokuthi axhamle kakhulu kwi-ferrous sulfate.
Izongezelelo ze-Ferrous sulfate zivame ukuza ngendlela yeepilisi zomlomo.Unokuzithatha njengamaconsi.
Ukuba ufuna ukuthatha i-ferrous sulfate, qiniseka ukujonga ngononophelo amagama athi "i-ferrous sulfate" kwileyibhile kunokuba ukhethe nasiphi na isongezelelo sentsimbi.
Ii-multivitamines ezininzi zemihla ngemihla nazo ziqulethe i-iron.Noko ke, ngaphandle kokuba kuchazwe kwileyibhile, akukho siqinisekiso sokuba i-iron equlethwe yi-ferrous sulfate.
Ukwazi ubungakanani be-ferrous sulfate ekufuneka uyithathe kunokuba luqilima kwezinye iimeko.Soloko thetha nomboneleli wakho wezempilo ukuze amisele idosi ekulungeleyo.
Akukho sincomo esisemthethweni malunga nesixa se-ferrous sulfate kufuneka uthathe usuku ngalunye.I-Dosage iya kuhluka ngokusekelwe kwizinto ezifana nobudala, ubulili, impilo, kunye nesizathu sokuthatha isongezelelo.
Uninzi lwee-multivitamini ezine-iron zibonelela malunga ne-18 mg okanye i-100% ye-iron yemihla ngemihla (i-DV) .Nangona kunjalo, i-tablet enye ye-ferrous sulfate inika ngokuqhelekileyo i-65 mg yesinyithi, okanye i-360% ye-DV (6).
Isincomo esiqhelekileyo sokunyanga ukunqongophala kwentsimbi okanye i-anemia kukuthatha enye ukuya kwezintathu iipilisi ze-65 mg ngosuku.
Olunye uphando lwangaphambili lucebisa ukuba ukuthatha izongezo zentsimbi yonke imihla (kunokuba yonke imihla) inokusebenza njengezongezo zemihla ngemihla, okanye isebenze ngakumbi (22, 23).
Umboneleli wakho wezempilo uya kuba nakho ukunika iingcebiso ezithe ngqo kunye nezomntu ngamnye malunga nokuba uthatha kangakanani kwaye kangaphii-ferrous sulfate, ngokusekelwe kumanqanaba e-iron yegazi kunye neemeko zomntu ngamnye.
Ukutya okuthile kunye nezondlo, ezifana ne-calcium, i-zinc, okanye i-magnesium, inokuphazamisa ukuxutywa kwesinyithi, kunye ne-vice versa.Ngoko ke, abanye abantu bazama ukuthatha izongezo ze-ferrous sulfate kwisisu esingenalutho ukuze kufakwe ubuninzi (14, 24, 25).
Nangona kunjalo, ukuthathai-ferrous sulfateizongezo okanye naziphi na izongezo zentsimbi kwisisu esingenalutho zinokubangela intlungu yesisu kunye noxinzelelo.
Zama ukuthatha izongezelelo ze-ferrous sulfate kunye nokutya okuphantsi kwe-calcium kwaye ungabandakanyi iziphuzo eziphezulu kwi-phytate, ezifana nekhofi kunye netiyi (14, 26).
Kwelinye icala, ivithamin C inokunyusa ubungakanani bentsimbi efunxa kwi-ferrous sulfate supplements.Ukuthatha i-ferrous sulfate nge-vitamin C-rich juice okanye ukutya kunokunceda umzimba wakho ufunxe i-iron engakumbi (14, 27, 28).
Kukho iindlela ezininzi ezahlukeneyo zezongezelelo ze-ferrous sulfate kwimarike.Uninzi lwamacwecwe omlomo, kodwa amaconsi angasetyenziswa.Qinisekisa ukuba udibane nomboneleli wakho wezempilo ngaphambi kokuba uthathe isigqibo sokuba ingakanani i-ferrous sulfate onokuyithatha.
Ezona ziphumo zixhaphakileyo zichazwe ngokuqhelekileyo ziindidi ezahlukeneyo zoxinzelelo lwesisu, kubandakanya isicaphucaphu, urhudo, ukuhlanza, iintlungu zesisu, ukuqunjelwa, kunye nezitulo ezimnyama okanye ezinemibala (14, 29).
Ngaphambi kokuba uqalise ukuthatha izongezo ze-ferrous sulfate, qiniseka ukuba wazisa umboneleli wakho wezempilo ukuba uthatha nawaphi na amayeza alandelayo (6, 14):
Abantu abathatha i-ferrous sulfate bahlala bechaza iziphumo ebezingalindelekanga ezifana nesicaphucaphu, isitshisa, kunye nentlungu yesisu.Kwakhona, izongezelelo zentsimbi zinokusebenzisana namayeza athile, kubandakanywa i-antacids kunye neproton pump inhibitors.
I-Ferrous sulfate ikhuselekile ukuba uyithatha njengoko ichazwe ngumboneleli wezempilo oqeqeshiweyo.Nangona kunjalo, le ngqungquthela - kunye naziphi na ezinye izongezo zentsimbi - ingaba yingozi kwixabiso elikhulu, ngakumbi kubantwana (6, 30).
Ezinye zeempawu ezinokubakho zokuthatha i-ferrous sulfate eninzi kukuqaqanjelwa, ukuxhuzula, ukusilela kwelungu, kunye nokufa (6).
Ixesha lokuposa: Mar-14-2022