klinikuri praqtikis erovnuli rekomendacia (gaidlaini)
klinikuri praqtikis erovnuli rekomendacia (gaidlaini)
klinikuri praqtikis erovnuli rekomendacia (gaidlaini)
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mcirdeba feritinis raodenobac, romelic organizmSi rkinis saerTo maragis<br />
maCvenebelia. organizmSi sarezervo rkinis raodenobis Semcireba iwvevs<br />
Sratis rkinis koncentraciis daqveiTebas da Sratis mier rkinis SekavSirebis<br />
unaris momatebas. irRveva hemoglobinis sinTezi, viTardeba anemia da<br />
Semdgomi qsovilovani darRvevebi.<br />
rkinis deficiti umetesad viTardeba nel-nela da Tanmimdevrulad gamoyofen<br />
rkinis deficitis 3 etaps: I rkinis prelatenturi deficiti _ Semcirebulia<br />
rkinis maragi depo organoebSi; II rkinis latenturi deficiti _ xasiaTdeba<br />
rkinis maragisa da SesaZloa qsovilovani rkinis deficitiT; III<br />
rkinadeficituri<br />
SemcirebiT.<br />
anemia _ xasiaTdeba rkinis yvela metaboluri fondis<br />
rkinadeficituri mdgomareobis gamomwvevi ZiriTadi faqtorebia:<br />
1. qronikuli sisxldenebi: ginekologiuri, onkologiuri paTologiebi, kuWis<br />
wylulidan, Tormetgoja nawlavidan, hemoroiduli kvanZebidan,<br />
salicilatebis miRebis Sedegad da sxva;<br />
2. sakvebiT miRebuli rkinis arasakmarisi raodenoba;<br />
3. rkinis gazrdili xarjva: zrdisa da momwifebis periodSi, orsulobisas,<br />
sportiT da fizikuri SromiT didi datvirTvisas;<br />
4. dabadebisas rkinis arasakmarisi maragi an laqtaciisas misi arasakmarisi<br />
raodenobiT miReba;<br />
5. rkinis rezorbciuli ukmarisoba _ postgastrorezeqciuli da agastruli,<br />
anenteraluri da enterogenuli, kronis daavadeba;<br />
6. rkinis transportis darRveva hipo da atransferinemia;<br />
7. zemoT moyvanili faqtorebis kombinacia.<br />
orsuloba da laqtacia _ orsulobis dros placentasa da nayofSi didi<br />
raodenobiT rkina deponirdeba. amitom mTeli orsulobis ganmavlobaSi<br />
gazrdilia rkinaze moTxovnileba da igi aRwevs daaxloebiT 700-800mg-s.<br />
miuxedavad imisa, rom menstruaciis Sewyvetis gamo rkinis danakargi mcirdeba,<br />
orsuli qali ver iRebs damatebiTi rkinis sakmaris raodenobas da imatebs<br />
rkinis deficiti.<br />
laqtacia iwvevs rkinis kargvas rZesTan erTad. amis Sedegad, zogierT<br />
qalebSi orsulobis dros ganviTarebuli deficiti SeiZleba mudmivad<br />
SenarCundes laqtaciis dros.<br />
7
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