CHARACTERISTICS OF IRON- DEFICIENCY ANEMIA (IDA) AMONG FEMALE STUDENTS OF THE PRECARPATHIAN NATIONAL UNIVERSITY (PNU) AND ITS PROPHYLAXIS
Journal Title: Гірська школа Українських Карпат - Year 2016, Vol 0, Issue 15
Abstract
1. Chronic blood losses are the most frequently occurring ones. The most typical are lingering and insignificant blood losses not ever noticed by the patients. It is known that 1 ml of blood contains 0,5 mg of iron. A prolonged daily loss of 2 teaspoonfuls of blood can gradually lead to progress of asiderotic anemia. a) Uterine bleedings is the most frequent cause of asiderotic anemia among women. The patients of childbearing age have usually prolonged and abundant menstruations. The normal range of menstrual blood loss varies between 30 and 60 ml (15–30 mg of iron). The asiderotic anemia progresses if the level of the monthly blood loss exceeds the normal limits. The causes of hyperpolymenorrheas are various, but most frequently they are dysfunctional metrorrhagia detected among the examined patients. 2. The increased iron requirement leads also to progress of asiderotic anemia. a) Pregnancy, childbirth and lactation are the periods of woman’s life when a considerable amount of iron is consumed. The iron requirement within the first trimester of pregnancy is close to normal, in the second trimester it increases up to 3 mg/day, in the third to 3,5–4 mg/day. For one child the iron consumption amounts to 600 mg. It takes from 2,5 to 3 years to restore the iron stock. Therefore, the asiderotic anemia progresses easily among the women having intervals between childbriths shorter than 2,5 to 3 years. b) Pubertal and growth period is often accompanied by asiderotic anemia. The progress of asiderotic anemia is caused by increased iron requirement due to intensive development of organs and tissues, intensification of the longitudinal body growth. 3. Insufficient iron consupmtion with meals. The nutritive (alimentary) asiderotic anemia is caused by reduced inflow of iron with meals. This is usual for strict vegetarians, whose diet does not contain the heme iron at all, for girls abusing improper feeding to lose weight. In view of the above, the question of asiderotic anemia prevention becomes the more urgent. The primary prophylaxis is carried out among the persons not suffering from the asiderotic anemia yet but subject to the factors favouring the progress of the disease. 1. Prophylaxis of asiderotic anemia among girls and women having abundant and prolonged menstruations. It is necessary to prescribe 2 cycles of preventive medication with iron preparations during 6 weeks or after each menstruation for 7 to 10 days monthly for half a year. 2. Prophylaxis of asiderotic anemia within the period of intensive growth. 1 or 2 cycles of preventive medication with iron preparations during six weeks are advised. 3. Prophylaxis of asiderotic anemia among pregnant women. In the case if the pregnancy progresses favourably, the blood test results are within the norm, the iron preparations should be prescribed starting from the 31st week of gestation, for the period of 8 weeks. A secondary prophylaxis cycle is necessary to the persons having a curable form of asiderotic anemia, but subject to backset menace of asiderotic anemia (abundant menstruations etc.). Such student should get the prescription of two sixweek prophylactic cycles of medication with iron preparations twice a year and of a therapeutic diet including veal and beef. Outlook of further research. In the course of visits to the students’ outpatient clinic, the persons should be detected who do not suffer from the asiderotic anemia yet but are subjected to the factors favouring the progress of the disease or have latent iron deficiency. Such students should be enrolled on the list of specialized prophylactic observation to prevent possible progress of the asiderotic anemia.
Authors and Affiliations
Anisiya Vorobel’
Keywords
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- EP ID EP209507
- DOI 10.15330/msuc.2016.15.215-218
- Views 143
- Downloads 0
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