Mchere wachitsulo ndi mtundu wa mchere wachitsulo.Anthu nthawi zambiri amawatenga ngati chowonjezera kuti athetse kusowa kwachitsulo.
Nkhaniyi ikufotokoza mwachidule za ferrous sulfate, ubwino wake ndi zotsatira zake, komanso momwe mungagwiritsire ntchito pochiza ndi kupewa chitsulo.
Mwachilengedwe, mchere wolimba umafanana ndi makristasi ang'onoang'ono.Makristasi nthawi zambiri amakhala achikasu, ofiirira, kapena obiriwira, kotero ferrous sulfate nthawi zina amatchedwa green sulfuric acid (1).
Opanga zowonjezera amagwiritsa ntchito mitundu yambiri yachitsulo mu zakudya zowonjezera zakudya.Kuphatikiza ndi ferrous sulfate, zofala kwambiri ndi ferrous gluconate, ferric citrate, ndi ferric sulfate.
Mitundu yambiri yachitsulo muzowonjezera imakhala imodzi mwa mitundu iwiri - ferric kapena ferrous.Zimadalira chikhalidwe cha maatomu achitsulo.
Thupi limatenga chitsulo mu mawonekedwe achitsulo bwino kuposa mawonekedwe achitsulo.Pachifukwa ichi, opereka chithandizo chamankhwala nthawi zambiri amawona mitundu ya ferrous, kuphatikizapo ferrous sulfate, kuti ikhale yabwino kwambiri pazitsulo zowonjezera (2, 3, 4, 5).
Phindu lalikulu lotenga ferrous sulfate supplements ndikukhalabe ndi chitsulo chokwanira m'thupi.
Kuchita zimenezi kungakutetezeni kuti musakhale ndi chitsulo chochepa komanso zovuta zina zomwe nthawi zambiri zimatsagana nazo.
Chitsulo ndi chimodzi mwa zinthu zofala kwambiri padziko lapansi komanso mchere wofunikira. Izi zikutanthauza kuti anthu ayenera kudya muzakudya zawo kuti akhale ndi thanzi labwino.
Thupi limagwiritsa ntchito chitsulo ngati gawo la mapuloteni ofiira a myoglobin ndi hemoglobin, omwe ndi ofunikira kuti ayendetse ndikusunga mpweya (6).
Iron imathandizanso pakupanga mahomoni, thanzi lamanjenje ndi chitukuko, komanso magwiridwe antchito am'manja (6).
Ngakhale kuti anthu ambiri amadya chitsulo monga chowonjezera pazakudya, mutha kupezanso chitsulo mwachibadwa muzakudya zambiri, kuphatikizapo nyemba, sipinachi, mbatata, tomato, makamaka nyama ndi nsomba, kuphatikizapo oyster, sardines, nkhuku, ndi ng'ombe (6 ).
Zakudya zina, monga chimanga cham'mawa, sizikhala ndi ayironi yambiri, koma opanga amawonjezera ayironi kuti ikhale gwero labwino la mcherewu (6).
Magwero apamwamba kwambiri a ayironi ambiri ndi zinthu zanyama. Chifukwa chake, omwe amadya zakudya zamasamba, osadya masamba, komanso omwe sadya zakudya zambiri zokhala ndi ayironi pazakudya zawo zanthawi zonse atha kupindula potenga ferrous sulfate supplements kuti athandizire kusunga masitolo achitsulo (7).
Kutenga ferrous sulfate supplement ndi njira yosavuta yochizira, kupewa kapena kusinthira kutsika kwa ayironi m'magazi.
Kupewa kuchepa kwachitsulo sikungotsimikizira kuti thupi lanu liri ndi zakudya zokwanira zokwanira kuti mupitirize kugwira ntchito bwino, kumathandizanso kuti musapewe zotsatira zambiri zosasangalatsa za kuchepa kwachitsulo.
Anemia ndi chikhalidwe chomwe chimachitika pamene magazi anu ali ndi maselo ofiira a magazi kapena hemoglobin (11).
Chifukwa chitsulo ndi gawo lofunika kwambiri la maselo ofiira a magazi omwe amayendetsa mpweya m'thupi lonse, kusowa kwachitsulo ndi chimodzi mwa zifukwa zomwe zimayambitsa kuchepa kwa magazi (9, 12, 13).
Iron Deficiency anemia (IDA) ndi mtundu wowopsa wa chitsulo womwe umakhudza kwambiri thupi ndipo ukhoza kuyambitsa zizindikiro zina zowopsa zomwe zimagwirizanitsidwa ndi kusowa kwachitsulo.
Njira imodzi yodziwika bwino komanso yothandiza pa IDA ndikumwa zitsulo zamkamwa, monga ferrous sulfate (14, 15).
Kafukufuku wambiri wasonyeza kuti kusowa kwachitsulo ndi chinthu chomwe chimayambitsa zovuta za postoperative komanso imfa.
Kafukufuku wina adawona zotsatira za anthu 730 omwe adachitidwa opaleshoni yamtima, kuphatikiza omwe ali ndi milingo ya ferritin pansi pa 100 micrograms pa lita - chizindikiro cha kusowa kwachitsulo (16).
Odwala omwe alibe chitsulo amatha kukumana ndi zovuta zazikulu, kuphatikizapo imfa, panthawi ya opaleshoni. Pafupipafupi, ankafunikanso kukhala m'chipatala nthawi yaitali atachitidwa opaleshoni (16).
Kuperewera kwachitsulo kumawoneka kuti kuli ndi zotsatira zofanana mu mitundu ina ya opaleshoni.Kafukufuku wina adasanthula njira zoposa 227,000 za opaleshoni ndipo adatsimikiza kuti ngakhale IDA yofatsa isanayambe opaleshoni imawonjezera chiopsezo cha zovuta za thanzi pambuyo pa opaleshoni ndi imfa (17).
Chifukwa ferrous sulfate supplements amathandizira komanso kupewa chitsulo, kuwatengera asanachite opaleshoni kumatha kusintha zotsatira ndikuchepetsa chiopsezo cha zovuta (18).
Pamene m`kamwa chitsulo zowonjezera mongaferrous sulphateNdi njira yabwino yowonjezerera masitolo achitsulo m'thupi, munthu angafunike kumwa zowonjezera tsiku lililonse kwa miyezi 2-5 kuti asinthe masitolo achitsulo (18, 19).
Chifukwa chake, odwala omwe alibe chitsulo omwe alibe miyezi ingapo asanachite opaleshoni kuyesa kuwonjezera masitolo awo achitsulo sangapindule ndi ferrous sulfate supplementation ndipo amafuna mtundu wina wa chithandizo chachitsulo (20, 21).
Kuonjezera apo, maphunziro a chithandizo chachitsulo kwa anthu omwe ali ndi vuto la kuchepa kwa magazi m'thupi asanachite opaleshoni ndi ochepa kukula kwake komanso kukula kwake.
Anthu amagwiritsa ntchito kwambiri ferrous sulfate supplements kuti ateteze kuperewera kwa chitsulo, kuchiza kuperewera kwa iron anemia, komanso kukhalabe ndi chitsulo chabwinobwino.
Magulu ena a anthu amafunikira ayironi nthawi zina pa moyo wawo. Chotsatira chake, amakhala pachiwopsezo chachikulu chokhala ndi chitsulo chochepa komanso kusowa kwa ayironi. Moyo wa anthu ena komanso kadyedwe kawo kangayambitse kuchepa kwa ayironi.
Anthu pazigawo zina za moyo amafunikira chitsulo chowonjezereka ndipo amatha kukhala ndi chitsulo.Ana, achinyamata achikazi, amayi apakati, ndi anthu omwe ali ndi matenda aakulu ndi ena mwa magulu omwe angapindule kwambiri ndi ferrous sulfate.
Ferrous sulfate supplements nthawi zambiri amabwera ngati mapiritsi apakamwa.Mungathenso kuwatenga ngati madontho.
Ngati mukufuna kumwa ferrous sulfate, onetsetsani kuti mwayang'ana mosamalitsa mawu oti "ferrous sulfate" pa lebulo m'malo mosankha chitsulo chilichonse chowonjezera.
Mavitamini ambiri a tsiku ndi tsiku amakhalanso ndi iron.Komabe, pokhapokha atatchulidwa pa chizindikiro, palibe chitsimikizo chakuti chitsulo chomwe chili ndi ferrous sulfate.
Kudziwa kuchuluka kwa ferrous sulfate yoti mutenge kungakhale kovuta nthawi zina. Nthawi zonse lankhulani ndi wothandizira zaumoyo wanu kuti mudziwe mlingo woyenera kwa inu.
Palibe ndondomeko yovomerezeka ya kuchuluka kwa ferrous sulfate yomwe muyenera kumwa tsiku lililonse.Mlingo udzasiyana malinga ndi zaka, jenda, thanzi, ndi chifukwa chotengera chowonjezera.
Mavitamini ambiri okhala ndi iron amapereka pafupifupi 18 mg kapena 100% ya iron ya tsiku ndi tsiku (DV). Komabe, piritsi limodzi la ferrous sulfate limapereka pafupifupi 65 mg ya iron, kapena 360% ya DV (6).
Malingaliro ambiri ochizira kuchepa kwachitsulo kapena kuchepa kwa magazi m'thupi ndikumwa piritsi limodzi kapena atatu a 65 mg patsiku.
Kafukufuku wina woyambirira akuwonetsa kuti kumwa chitsulo chowonjezera tsiku lililonse (m'malo mwa tsiku lililonse) kumatha kukhala kothandiza ngati zowonjezera tsiku lililonse, kapenanso zogwira mtima kwambiri (22, 23).
Wothandizira zaumoyo wanu azitha kukupatsani upangiri wachindunji komanso wamunthu wanu momwe mungatengere komanso kangatiferrous sulphate, kutengera kuchuluka kwa ayironi m'magazi anu komanso momwe zinthu ziliri.
Zakudya zina ndi zakudya, monga calcium, zinki, kapena magnesium, zingasokoneze kuyamwa kwachitsulo, komanso mosiyana. Choncho, anthu ena amayesa kutenga ferrous sulfate supplements pamimba yopanda kanthu kuti azitha kuyamwa kwambiri (14, 24, 25).
Komabe, kutengaferrous sulphatezowonjezera kapena zowonjezera ayironi pamimba yopanda kanthu zingayambitse kupweteka kwa m'mimba komanso kupsinjika.
Yesani kumwa ferrous sulfate supplements ndi zakudya zopanda calcium komanso zakumwa zoledzeretsa za phytate, monga khofi ndi tiyi (14, 26).
Komano, vitamini C ikhoza kuonjezera kuchuluka kwa chitsulo chomwe chimatengedwa kuchokera ku ferrous sulfate supplements.Kutenga ferrous sulfate ndi madzi a vitamini C olemera kapena chakudya kungathandize thupi lanu kuyamwa chitsulo chochuluka (14, 27, 28).
Pali mitundu yosiyanasiyana ya ferrous sulfate supplements pamsika.Ambiri ndi mapiritsi apakamwa, koma madontho amatha kugwiritsidwanso ntchito. Onetsetsani kuti mufunsane ndi wothandizira zaumoyo wanu musanasankhe kuchuluka kwa ferrous sulfate kuti mutenge.
Zotsatira zoyipa zomwe zidanenedwapo zinali mitundu yosiyanasiyana yamavuto am'mimba, kuphatikiza nseru, kutsekula m'mimba, kusanza, kupweteka m'mimba, kudzimbidwa, ndi chimbudzi chakuda kapena chosawoneka bwino (14, 29).
Musanayambe kumwa mankhwala owonjezera a ferrous sulfate, onetsetsani kuti mwadziwitsa dokotala ngati mukumwa mankhwala awa (6, 14):
Anthu omwe amamwa ferrous sulfate nthawi zambiri amafotokoza zotsatira zake monga nseru, kutentha kwa mtima, ndi kupweteka kwa m'mimba.Komanso, zowonjezera zachitsulo zimatha kugwirizana ndi mankhwala ena, kuphatikizapo antacids ndi proton pump inhibitors.
Ferrous sulfate ndi otetezeka ngati mutenga monga momwe adalangizidwira ndi wothandizira zaumoyo woyenerera.Komabe, mankhwalawa - ndi zina zowonjezera zitsulo - zikhoza kukhala poizoni wambiri, makamaka ana (6, 30).
Zina mwazizindikiro zotengera ferrous sulfate wambiri ndi chikomokere, kukomoka, kulephera kwa chiwalo, ngakhale kufa (6).
Nthawi yotumiza: Mar-14-2022