klinikuri praqtikis erovnuli rekomendacia (gaidlaini)
klinikuri praqtikis erovnuli rekomendacia (gaidlaini)
klinikuri praqtikis erovnuli rekomendacia (gaidlaini)
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3. etiopaTogenezi<br />
rkina adamianis organizmisTvis umniSvnelovanes mikroelements warmoadgens.<br />
is monawileobs Jangbadis transportirebaSi, nivTierebaTa cvlis<br />
regulaciaSi, ganapirobebs imunologiur rezistentobas. organizmSi rkina<br />
aris 2 saxiT: heminuri da araheminuri. heminuri rkina Sedis hemoglobinis,<br />
mioglobinis da sxva fermentebis SemadgenlobaSi, araheminuri saxiT ki<br />
feritinis, hemosiderinis, transferinis da sxvadasxva fermentis<br />
SemadgenlobaSi.<br />
adamianis organizmi saSualod 4,5_5g rkinas Seicavs. (qalebi 3-4g, mamakacebis<br />
3-5g). organizmSi rkinis ganawileba Semdegia: hemoglobini - 64%, depoorganoebi<br />
– 30%, mioglobini – 4%, qsovilovani fermentebi – 1%, transferini<br />
– 1%).<br />
adamiani sakvebis saxiT yoveldRiurad Rebulobs 15-20mg rkinas. Tormetgoja<br />
nawlavisa da wvrili nawlavis proqsimalur nawilSi iwoveba miRebuli<br />
rkinis 10-20% – 1-1,5mg. gazrdili moTxovnilebisa da misi deficitisas ki<br />
iwoveba 2-3mg dRe-RameSi.<br />
sakvebi Seicavs rkinas 2 saxiT: heminuri Fe 2+ rkina, romelsac ZiriTadad<br />
cxoveluri produqtebi Seicaven da araheminuri Fe 3+ , romelic mcenareuli<br />
produqtebis SemadgenlobaSi Sedis. cxoveluri produqtebidan adamianis<br />
organizmi Seiwovs rkinis 10-20%-s. mcenareulidan ki mxolod 1-5%-s. heminuri<br />
Fe 2+ kargad ixsneba wvrili nawlavis tute areSi da advilad Seiwoveba.<br />
araheminuri Fe 3+ ki ar ixsneba wvrili nawlavis tute areSi. wvril nawlavSi<br />
is iwoveba mxolod marilmJavas moqmedebis Sedegad Fe 2+ gadasvlis Semdeg.<br />
Sewovis intensioba sxvadasxvagvaria. rkinaze moTxovnilebis gazrdis<br />
SemTxvevaSi Sewovis intensioba SeiZleba 5-6-jer gaizardos. moTxovnilebis<br />
Semcirebis SemTxvevaSi Sewovis intesioba mcirdeba da amave dros izrdeba<br />
misi depo organoebSi Calageba. Sewovaze aseve did gavlenas axdens<br />
sxvadasxva sakvebi produqtebi da samkurnalo preparatebi. sakvebidan Sewovas<br />
amcireben rkinis helatorebi: fosfatebi, oqsalatebi, karbonatebi, tanini,<br />
antacidebi, tetraciklini. aZlierebs askorbinis mJava, fruqtoza da sxva (7).<br />
rkinaze moTxovnileba da misaRebad rekomendirebuli odenobebi jamuradaa<br />
mocemuli #1 cxrilSi, xolo maTze gavlenis mqone faqtorebi ganxilulia<br />
Semdgom (8).<br />
4
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