1. Etiology treatment should remove the cause of iron deficiency as much as possible. Simple iron supplementation can only restore hemogram. If the primary disease is ignored, anemia cannot be completely treated.
2. It is advisable to take iron orally as a supplementary therapeutic agent, and elemental iron is 150 ~ 200 mg per day. Commonly used is ferrous preparation (ferrous succinate or ferrous fumarate). Take it with or after meals to reduce the irritation of drugs to gastrointestinal tract. Iron agent should not be taken with tea, otherwise it will easily combine with tannic acid in tea to form insoluble precipitate, which is not easy to be absorbed. Calcium and magnesium salts can also inhibit the absorption of iron and should be avoided at the same time. After taking iron, the patient's symptoms of consciousness can be recovered quickly. Reticulocyte generally rises in 3 ~ 4 days after taking it, and reaches the peak in about 7 days. Hemoglobin increased obviously after 2 weeks, and reached the normal level after 1 ~ 2 months. After hemoglobin returns to normal, we should continue to take iron therapy. When serum ferritin returns to 50 μ g/L, we should stop taking drugs. If serum ferritin cannot be monitored, we should continue to take iron therapy for 3 months after hemoglobin returns to normal to replenish iron reserves in the body.
If the patient can't tolerate oral iron, can't absorb it or needs to be replenished in time because of excessive blood loss, it can be changed to parenteral administration. Commonly used is intramuscular injection of iron dextran or iron sorbitol. The calculation method of the total therapeutic dose is as follows: the required supplementary iron (mg)=( 150- patient Hb g/L)×3.4 (iron content per 1000gHb) × body weight (kg)×0.065 (the blood volume per kg body weight of a normal person is about 65m1). The above formula can be simplified as follows: required supplementary iron (mg)=( 150- patient Hb g/L)× body weight (kg)×0.33. The initial dose should be 50 mg. If there is no adverse reaction, it can be increased to 100mg for the second time, and then injected 2 ~ 3 times a week until the total dose is used up. About 5% ~ 13% patients may have local muscle pain, lymphadenitis, headache, dizziness, fever, urticaria, joint pain, etc., mostly mild and temporary. Occasionally (about 2.6%) anaphylactic shock may occur, which may be life-threatening, so first aid equipment (adrenaline, oxygen and resuscitation equipment, etc. ) should be provided at the time of injection.
Fold and edit this diet health care
First, the diet of iron deficiency anemia is suitable for eating:
(1) High protein diet. Protein is the raw material for synthesizing hemoglobin, so we should pay attention to dietary supplement, and the daily amount should be about 80g. You can choose high-quality protein foods such as animal liver, lean meat, eggs, milk and bean products. ?
(4) Eat more foods rich in iron, including animal foods such as liver, kidney, tongue, duck gizzard, squid, jellyfish, shrimp skin and egg yolk, as well as sesame, kelp, black fungus, laver, Nostoc flagelliforme, mushroom, soybean, black bean, yuba, red fermented bean curd, celery and shepherd's purse. Advocate the use of iron pots. ?
(5) Foods rich in vitamins, especially B vitamins and vitamin C, should be included in the diet, which has a good effect on the prevention and treatment of anemia. ? ?
Second, iron deficiency anemia is not suitable for:
(1) Avoid drinking tea, especially strong tea, because tannic acid in tea will prevent the absorption of iron. ?
(6) Correct bad eating habits, such as partial eclipse and vegetarian diet.
(2) The suitable fat intake is about 50g per day. Don't eat too much fat, otherwise it will reduce digestion and absorption function and inhibit hematopoietic function.
Third, the treatment:
Deficiency of spleen-qi type
Clinical manifestations: sallow or pale complexion, listlessness, loss of appetite, thin stool, red tongue, thin greasy fur and thready pulse.
【 dietotherapy and medicated diet 】
1. Porphyra fried with pig blood: 300g of pig blood ink and 300g of laver (soaked), both of which are put into an iron pan for frying cooked food.
2. Huangqi Chicken Soup: Huangqi 30g, hen 1 hen (1000g) and japonica rice 100g. Slaughter the hen, remove the hair and viscera (cut into pieces), put it in a pot and add water to make a thick soup, and season it with this thick soup and japonica rice porridge.
3. Red ginseng round meat porridge: red ginseng 10g (sliced), round meat 15g, and japonica rice 100g, eaten together with porridge.
4, pig blood spinach soup
[Formula] 500g of fresh spinach, 250g of pig blood, salt and monosodium glutamate.
[Practice]: Wash the spinach, blanch it with boiling water and cut into sections. Wash pig's blood, cut it into small pieces, put it in a pot and an iron pot, add water to boil it, then add spinach to cook the soup together, and season it according to your personal taste after cooking. Take it once a day or every other day, 2-3 times.
【 Efficacy 】 Pig blood is cheap and good, and its iron content is as high as 45mg100g, so it is called "the king of nourishing blood". Chinese medicine believes that spinach is sweet and cool, which can nourish blood and stop bleeding, astringe yin and moisten dryness. So this soup has the effect of supplementing iron and nourishing blood.
Deficiency of both qi and blood
【 Clinical manifestations 】 Pale complexion, listlessness, dizziness, palpitation, shortness of breath, laziness in speaking, light and fat tongue, thin and white fur, and thready pulse.
【 dietotherapy and medicated diet 】
1. Danggui Lycium Pig Liver Decoction: Danggui 15g, Lycium barbarum 15g, and pig liver 60g. Cook soup to taste.
2. Black bean round meat jujube soup: 50 grams of black beans, 20 grams of round meat, 50 grams of jujube, boiled.
3. Auricularia auricula jujube soup: Auricularia auricula 10g, jujube 15g, 60g lean pork, boiled in soup. Twice a day.
4. Ejiao Jujube Ear Porridge [Formula] Ejiao 15g, Jujube 10, Auricularia auricula 10g, and Glutinous Rice 100g.
[Practice]: Mash Ejiao for later use. Soak Auricularia auricula in warm water and wash it. Jujube is pitted. After auricularia auricula, jujube and glutinous rice are cooked, add Ejiao and stir. Eat warm food for breakfast and dinner every day.
【 Efficacy 】 Auricularia auricula can replenish qi and blood. The iron content in Auricularia auricula is 98 mg per kloc-0/g, which is the highest among all kinds of foods. Ejiao can promote the hematopoietic function of bone marrow and obviously increase the contents of red blood cells and hemoglobin; Jujube nourishes blood and benefits qi. This porridge is suitable for blood deficiency, dizziness and iron deficiency anemia.
5, celery fried pork liver
[Formula]: 200g pork liver, 300g celery, 25g soy sauce, and proper amount of sugar and salt.
[Practice]: 1. Remove fascia from pig liver, wash and cut into thin slices, add appropriate amount of salt and mix well for later use.
2. Wash celery and cut into sections.
3. Heat the oil pan to 60% oil temperature, add pork liver, and pour it into a colander to drain the oil after discoloration.
4. Leave a little oil in the pot, stir-fry celery, add soy sauce, sugar and refined salt before it is cooked, then pour pork liver, stir-fry for a few times, and immediately take out the pot.
【 Efficacy 】 This recipe is rich in iron and folic acid, which is a good food supplement for women and babies with anemia tendency.