The cause of iron deficiency anemia is the lack of iron in the patient's body, so when treating patients, they need to supplement iron. There are many ways to supplement iron for patients. You can drink some iron supplement oral solution, or eat more fruits and vegetables with high iron content in your diet, which can effectively prevent anemia. So what diseases can iron supplements be used to treat? The general principles of treatment for iron deficiency anemia are: ① Eliminate the cause of the disease. That is, apart from the causes of iron deficiency, it should be noted that sometimes the causes of iron deficiency anemia may be multiple factors. ② Supplement with adequate iron. Adequate iron supplements must be used to restore storage iron to normal. Eliminating the cause and supplementing with adequate iron should be done at the same time. Otherwise, only supplementing with iron without finding and eliminating the cause will not only fail to completely cure the anemia but will also delay the diagnosis and treatment of the primary disease, causing serious consequences. ③ Observe the therapeutic effect of iron supplements. Patients with iron deficiency anemia will experience an increase in reticulocytes in their peripheral blood within 7 to 10 days of iron treatment; after 2 weeks of medication, hemoglobin will gradually increase and symptoms will improve. However, it takes about 2 months for the blood routine to return to normal. When using iron supplements to treat iron deficiency anemia, oral preparations are generally preferred (such as iron sulfate, iron dextrose, polysaccharide complex iron, ferrous ferrate, ferrous gluconate, ferrous fumarate, ferrous lactate, etc.). Injection of iron should only be considered when the patient cannot tolerate or has digestive disorders, or when anemia needs to be corrected quickly for some reason. When using iron, the following precautions should be taken: ① Regularly taking vitamin C tablets or acetic acid or dilute hydrochloric acid at the same time can promote the absorption of iron kernel. ② Avoid taking it with tea or milk as it will affect the absorption of iron. Due to its gastrointestinal irritation, it is best taken after meals. Do not use if you have bleeding ulcers. ③ People with bacterial infections should not use iron supplements to prevent the infection from worsening (because iron ion is an essential substance for the growth and reproduction of various microorganisms). ④ The indications for iron injection should be strictly followed and the medication should be started from a small dose. ⑤ Excessive iron supplementation may Hemochromatosis occurs. ⑥ If oral iron supplements are ineffective after 3 weeks, further investigation should be conducted to find out the cause (whether the diagnosis is wrong, the patient's compliance with treatment, whether the cause has been eliminated, whether there is iron absorption disorder, and whether there are factors that interfere with iron absorption and utilization), and timely treatment should be carried out. ⑦ After hemoglobin returns to normal, the medication needs to be continued for 2 to 3 months to replenish stored iron. The drug can be completely stopped only after serum iron and serum ferritin return to normal. |
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