ANAEMIA
Anemia
is a condition in which the number of red blood cells or their oxygen-carrying
capacity is insufficient to meet physiologic needs, which vary by age, sex,
altitude, smoking, and pregnancy status.
In
adults, the lower extreme of the normal hemoglobin is taken as 13.0 g/dl for
males and 11.5 g/dl for females. Newborn infants have higher hemoglobin level
and, therefore, 15 g/dl is taken as the lower limit at birth, whereas at 3
months the normal lower level is 9.5 g/dl.
Clinical
features of anemia reflect diminished oxygen supply to the tissue. A rapid
onset of anemia (e.g. due to blood loss) causes more profound symptoms than a
gradually developing anemia.
IRON
DEFICIENCY ANEMIA
Iron deficiency is the most common and widespread nutritional disorder in the world.
A few salient facts
- In developing
countries every second pregnant woman and about 40% of preschool children are
estimated to be anemic.
- In many
developing countries, iron deficiency anemia is aggravated by worm infections,
malaria and other infectious diseases such as HIV and tuberculosis.
- The major health
consequences include poor pregnancy outcome, impaired physical and cognitive
development, and increased risk of morbidity in children and reduced work
productivity in adults. Anemia contributes to 20% of all maternal deaths.
Causes
1)
Increased blood loss
- Uterine - excessive menstruation &
repeated miscarriages
- Gastrointestinal e.g. peptic ulcer,
hookworm infestation, hemorrhoids, cancer of stomach and large bowel, chronic
aspirin ingestion.
- Renal tract e.g. hematuria (presence
of blood in urine), hemoglobinuria (presence of hemoglobin in urine).
- Nose e.g. repeated epistaxis.
- Lungs e.g. hemoptysis (coughing up of
blood).
2)
Increased requirements
- Spurts of growth in childhood, infancy
and adolescence.
- Prematurity.
- Pregnancy and lactation.
3)
Inadequate dietary intake
- Poor economic status.
- Anorexia (lack/loss of appetite) e.g. in pregnancy.
- Elderly individuals due to poor dentition, apathy and financial constraints.
4)
Decreased absorption
Symptoms
In symptomatic cases of anemia, the presenting
features are:
- ·
Tiredness , Lethargy, Easy fatigability
- ·
Generalized muscular weakness
- ·
Headache
- ·
Pallor
- ·
Tachycardia, dyspnoea on exertion.
- ·
Anorexia, flatulence, nausea, constipation
and weight loss
- ·
Reproductive system- Menstrual
disturbances such as amenorrhea and menorrhagia and loss of libido.
- ·
Renal system- Mild proteinuria and
impaired concentrating capacity of the kidney may occur in severe anemia.
Investigations
- Complete blood counts (CBC) with reticulocyte count is the basic test.
- Biochemical findings: The following
biochemical tests are of value:
- The serum iron level
- Total iron binding capacity (TIBC)
- Serum ferritin
- Red cell protoporphyrin
- Serum transferrin receptor protein
Diet plan
Good sources of iron include:
- Liver and other meat.
- Seafood.
- Dried fruits like apricots, prunes and raisins.
- Nuts.
- Beans, especially lima beans.
- Green leafy vegetables, such as spinach and broccoli.
- Blackstrap molasses.
- Whole grains.
- Iron-fortified breads and cereals (check the label).
- Eating iron rich foods with vegetables or vitamin C pills or foods rich in vitamin C will aid iron absorption.
- Some foods block the absorption of iron. These include coffee, tea, egg whites, milk, fiber, and soy protein. Try to avoid these when you’re eating food high in iron.
HOMOEOPATHIC APPROACH:
It is important to find out the exact cause of anemia and correct the
dietary deficiency. In many cases it is digestive and assimilative potential of
the patient that is the culprit. Homeopathic medicines are good at correcting
such states of the body. Anemia can be treated with homeopathic system along
with proper dietary management. There is no specific homeopathic remedy for
anemia. Medicines are selected in the basis of individual symptoms. Visit Our website any Buy Homeopathy Products Online .
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