Iron bongo
Iron ndi mchere womwe umapezeka m'mapepala ambiri owonjezera. Kuchulukanso kwachitsulo kumachitika wina akatenga zochulukirapo kuposa zomwe zimafunikira kapena zomwe zimalimbikitsa mcherewu. Izi zitha kuchitika mwangozi kapena mwadala.
Iron bongo ndi owopsa kwa ana. Kuledzera kwakukulu kumatha kuchitika ngati mwana adya ma multivitamini akuluakulu, monga mavitamini obadwa nawo. Ngati mwanayo amadya mavitamini ambiri a ana, zotsatira zake nthawi zambiri zimakhala zazing'ono.
Nkhaniyi ndi yongodziwa zambiri. Musagwiritse ntchito pochiza kapena kuyendetsa bongo. Ngati inu kapena munthu amene muli naye wadwala mopitirira muyeso, itanani nambala yanu yadzidzidzi (monga 911), kapena malo omwe muli poizoni kwanuko atha kufikiridwa mwachindunji poyimbira foni ya nambala yaulere ya Poison Help (1-800-222-1222) kuchokera kulikonse ku United States.
Iron imatha kukhala yowononga yambiri.
Iron imathandizira mu michere yambiri yama vitamini ndi mavitamini. Zowonjezera zachitsulo zimagulitsidwanso zokha. Mitundu imaphatikizapo:
- Chitsulo sulphate (Feosol, Slow Fe)
- Chitsulo gluconate (Fergon)
- Zipangizo fumarate (Femiron, Feostat)
Zida zina zingakhalenso ndi chitsulo.
M'munsimu muli zizindikilo za bongo wachitsulo m'malo osiyanasiyana amthupi.
NDEGE NDI MAPIKO
- Kuchuluka kwa madzi m'mapapu
MIMBA NDI MITIMA
Izi ndizizindikiro zofala kwambiri m'maola 6 oyamba mutamwa.
- Mdima wakuda, ndipo mwina wamagazi
- Kutsekula m'mimba
- Kuwonongeka kwa chiwindi
- Kukoma kwachitsulo mkamwa
- Nseru
- Kusanza magazi
MTIMA NDI MWAZI
- Kutaya madzi m'thupi
- Kuthamanga kwa magazi
- Kutentha kofulumira komanso kofooka
- Kusokonezeka (kumatha kuchitika msanga kuchokera kutaya magazi m'mimba kapena m'matumbo, kapena pambuyo pake poizoni wachitsulo)
DZIKO LAPANSI
- Kuzizira
- Coma (kuchepa kwa chidziwitso komanso kusayankha bwino, kumatha kuchitika mkati mwa 1/2 ora mpaka ola limodzi mutamwa mankhwala osokoneza bongo)
- Kugwedezeka
- Chizungulire
- Kusinza
- Malungo
- Mutu
- Kusakhala ndi chidwi chochita chilichonse
Khungu
- Milomo yabuluu ndi zikhadabo
- Kuthamanga
- Mtundu wa khungu wotumbululuka
- Chikasu cha khungu (jaundice)
Chidziwitso: Zizindikiro zimatha kutha pakatha maola ochepa, kenako nkubwerera pambuyo pa tsiku limodzi kapena mtsogolo.
Dziwani izi:
- Msinkhu wa munthu, kulemera kwake, ndi momwe alili
- Dzina la malonda (zosakaniza ndi mphamvu, ngati zikudziwika)
- Nthawi yomwe idamezedwa
- Kuchuluka kumeza
- Ngati mankhwalawa amaperekedwa kwa munthuyo
Malo anu olamulirako poizoni amatha kufikiridwa mwachindunji poyimbira foni yaulere ya dziko lonse (1-800-222-1222) kuchokera kulikonse ku United States. Nambala yoyimbira foni yamtunduwu ikulolani kuti mulankhule ndi akatswiri pankhani yakupha. Akupatsani malangizo ena.
Uwu ndi ntchito yaulere komanso yachinsinsi. Malo onse oletsa poizoni ku United States amagwiritsa ntchito nambala iyi. Muyenera kuyimba ngati muli ndi mafunso aliwonse okhudzana ndi poyizoni kapena kupewa poyizoni. SIYENERA kukhala mwadzidzidzi. Mutha kuyimba pazifukwa zilizonse, maola 24 patsiku, masiku 7 pasabata.
Tengani chidebecho kuchipatala, ngati zingatheke.
Wothandizira zaumoyo amayesa ndikuwunika zizindikilo zofunika za munthuyo, kuphatikiza kutentha, kugunda, kupuma, komanso kuthamanga kwa magazi. Zizindikiro zidzachiritsidwa.
Mayeso omwe angachitike ndi awa:
- Kuyesedwa kwa magazi ndi mkodzo, kuphatikiza mayeso kuti muwone kuchuluka kwa ayironi
- ECG (electrocardiogram, kapena kutsata mtima)
- X-ray kuti azindikire ndikutsata mapiritsi azitsulo m'mimba ndi m'matumbo
Chithandizo chingaphatikizepo:
- Zamadzimadzi kudzera mumtsempha (mwa IV)
- Mankhwala othandizira kuchotsa chitsulo m'thupi ndikuchiza matenda
- Endoscopy - kamera ndi chubu zoyikidwa pakhosi kuti ziwone kholingo ndi m'mimba ndikuchotsa mapiritsi kapena kuletsa kutuluka magazi
- Kuthirira m'matumbo kwathunthu ndi yankho lapadera lothira chitsulo m'mimba ndi m'matumbo (otengedwa pakamwa kapena kudzera pa chubu kudzera mphuno m'mimba)
- Chithandizo chopumira, kuphatikiza chubu kudzera pakamwa kupita m'mapapu komanso cholumikizidwa ndi makina opumira (chopumira)
Pali mwayi wabwino wochira ngati zizindikiritso za munthuyo zapita patadutsa maola 48 chitsulo chitadutsa. Koma, kuwonongeka kwakukulu kwa chiwindi kumatha kuchitika masiku awiri kapena asanu pambuyo pa bongo. Anthu ena amwalira mpaka sabata atagwiritsidwa ntchito mopitirira muyeso. Munthu akamalandira chithandizo mwachangu, amakhala ndi mwayi wopulumuka.
Kuledzera kwachitsulo kumatha kukhala koopsa kwambiri kwa ana. Ana nthawi zina amatha kudya mapiritsi ambiri achitsulo chifukwa amawoneka ngati maswiti. Opanga ambiri asintha mapiritsi awo kotero samawoneka ngati maswiti.
Ferrous sulphate bongo; Ferrous gluconate bongo; Zipse fumarate bongo
Aronson JK. Mchere wachitsulo. Mu: Aronson JK, mkonzi. Zotsatira zoyipa za Meyler za Mankhwala Osokoneza bongo. Wolemba 16. Waltham, MA: Zotsalira; 2016: 323-333.
Theobald JL, Kostic MA. Poizoni. Mu: Kliegman RM, Stanton BF, St. Geme JW, Schor NF, olemba. Nelson Textbook of Pediatrics. Wolemba 21. Philadelphia, PA: Elsevier; 2020: chap 77.
Theobald JL, Mycyk MB. Iron ndi zitsulo zolemera. Mu: Makoma RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chap 151.