Usawoti wensimbi uwuhlobo lwe-iron yamaminerali.Abantu bavame ukuwathatha njengesengezo sokwelapha ukuntuleka kwe-iron.
Lesi sihloko sinikeza umbono we-ferrous sulfate, izinzuzo zayo kanye nemiphumela emibi, nokuthi ungayisebenzisa kanjani ukwelapha nokuvimbela ukuntuleka kwe-iron.
Ngokwesimo sawo semvelo, amaminerali aqinile afana namakristalu amancane.Amakristalu ngokuvamile aphuzi, ansundu, noma aluhlaza okwesibhakabhaka, ngakho i-ferrous sulfate ngezinye izikhathi ibizwa ngokuthi i-green sulfuric acid (1).
Abakhiqizi be-Supplement basebenzisa izinhlobo eziningi zensimbi ezithasiselweni zokudla.Ngaphezu kwe-ferrous sulfate, okuvame kakhulu i-ferrous gluconate, i-ferric citrate, ne-ferric sulfate.
Izinhlobo eziningi zensimbi ezithasiselweni zingezinhlobo ezimbili - i-ferric noma i-ferrous.Kuncike esimweni samakhemikhali se-athomu yensimbi.
Umzimba uthatha insimbi ngendlela eyinsimbi kangcono kunefomu lensimbi.Ngenxa yalesi sizathu, abahlinzeki bezempilo ngokuvamile bacabangela amafomu e-ferrous, kuhlanganise ne-ferrous sulfate, ukuze kube yisinqumo esingcono kakhulu sezithako zensimbi (2, 3, 4, 5).
Inzuzo enkulu yokuthatha izithako ze-ferrous sulfate ukugcina amazinga e-iron evamile emzimbeni.
Ukwenza kanjalo kungase kukuvimbele ekuthuthukiseni ukushoda kwe-iron kanye nohlu lwemiphumela engemihle emnene kuye emibi evame ukuhambisana nakho.
I-ayoni ingenye yezinto ezivame kakhulu emhlabeni kanye neminerali ebalulekile.Lokhu kusho ukuthi abantu kudingeka bayidle ekudleni kwabo ukuze babe nempilo enhle.
Umzimba usebenzisa i-iron ngokuyinhloko njengengxenye yamaphrotheni engqamuzana elibomvu legazi i-myoglobin ne-hemoglobin, ebalulekile ekuthuthweni nasekugcinweni komoyampilo (6).
I-ayoni nayo idlala indima ebalulekile ekwakhekeni kwama-hormone, impilo yesistimu yezinzwa nokuthuthuka, kanye nemisebenzi eyisisekelo yamaselula (6).
Nakuba abantu abaningi bedla okusansimbi njengesengezo sokudla, ungathola futhi okusansimbi ngokwemvelo ekudleni okuningi, okuhlanganisa ubhontshisi, isipinashi, amazambane, utamatisi, futhi ikakhulukazi inyama nezilwane zasolwandle, okuhlanganisa ama-oyster, amasardine, izinkukhu, nenyama yenkomo (6).
Okunye ukudla, okufana nokusanhlamvu kwasekuseni okuqinisiwe, akunayo insimbi ngokwemvelo, kodwa abakhiqizi bengeza okusansimbi ukuze kube umthombo omuhle wale mineral (6).
Imithombo ephakeme kakhulu yama-ayoni amaningi yimikhiqizo yezilwane.Ngakho-ke, abadla inyama, abadla imifino, nalabo abangakudli ukudla okune-iron okuningi ekudleni kwabo okuvamile bangase bazuze ngokuthatha izithako ezine-ferrous sulfate ukusiza ukugcina izitolo zensimbi (7).
Ukuthatha isithako se-ferrous sulfate kuyindlela elula yokwelapha, ukuvimbela noma ukuguqula amazinga aphansi e-iron egazini.
Ukuvimbela ukuntuleka kwensimbi akugcini nje ngokuqinisekisa ukuthi umzimba wakho unezakhi ezanele ezibalulekile ukuze uqhubeke usebenza kahle, futhi kukusiza ukuba ugweme imiphumela eminingi engathandeki yamazinga ensimbi aphansi.
I-anemia yisimo esenzeka lapho igazi lakho linamazinga aphansi amangqamuzana abomvu egazi noma i-hemoglobin (11).
Ngenxa yokuthi i-iron iyingxenye ebalulekile yamangqamuzana egazi abomvu anesibopho sokuthutha umoya-mpilo kuwo wonke umzimba, ukushoda kwensimbi kungenye yezimbangela ezivame kakhulu ze-anemia (9, 12, 13).
I-iron deficiency anemia (IDA) iwuhlobo olunzima lokuntuleka kwe-iron oluthinta umzimba kakhulu futhi lungaholela kwezinye zezimpawu ezinzima kakhulu ezihlobene nokushoda kwensimbi.
Enye yezindlela zokwelapha ezivame kakhulu nezisebenzayo ze-IDA ukuthatha izithasiselo zensimbi yomlomo, njenge-ferrous sulfate (14, 15).
Ucwaningo oluningana lubonise ukuthi ukuntuleka kwe-iron kuyisici esiyingozi sokwanda kwezinkinga zangemuva kokuhlinzwa nokufa.
Olunye ucwaningo lwabheka imiphumela yabantu abangu-730 abahlinzwa inhliziyo, kuhlanganise nalabo abanamazinga e-ferritin angaphansi kwama-microgram angu-100 ilitha-uphawu lokuntuleka kwensimbi (16).
Abahlanganyeli abaswele i-ayoni maningi amathuba okuba bahlangabezane nezenzakalo ezimbi kakhulu, ezihlanganisa ukufa, ngesikhathi sokuhlinzwa. Ngokwesilinganiso, baphinde badinga ukuhlala isikhathi eside esibhedlela ngemva kokuhlinzwa (16).
Ukuntuleka kwe-iron kubonakala kunomphumela ofanayo kwezinye izinhlobo zokuhlinzwa.Olunye ucwaningo lwahlaziya izinqubo zokuhlinzwa ezingaphezu kuka-227,000 futhi lwanquma ukuthi ngisho ne-IDA emnene ngaphambi kokuhlinzwa kwandisa ingozi yezinkinga zempilo yangemva kokuhlinzwa nokufa (17).
Ngoba izithako ze-ferrous sulfate ziphatha futhi zivikele ukuntula kwensimbi, ukuzithatha ngaphambi kokuhlinzwa kungathuthukisa imiphumela futhi kunciphise ubungozi bezinkinga (18).
Ngenkathi izithasiselo zensimbi yomlomo ezifanai-ferrous sulfatekuyindlela ephumelelayo yokwandisa izitolo zensimbi emzimbeni, umuntu angase adinge ukuthatha izithasiselo nsuku zonke izinyanga ezingu-2-5 ukuze ajwayele izitolo zensimbi (18, 19).
Ngakho-ke, iziguli ezintula i-iron ezingenazo izinyanga ezimbalwa ngaphambi kokuhlinzwa ukuze zizame ukukhulisa izitolo zazo zensimbi zingase zingazuzi ekufakeni i-ferrous sulfate futhi zidinga olunye uhlobo lwe-iron therapy (20, 21).
Ngaphezu kwalokho, izifundo zokwelashwa kwe-iron kubantu abane-anemia ngaphambi kokuhlinzwa zilinganiselwe ngobukhulu kanye nobubanzi.Ososayensi basadinga ukwenza ucwaningo lwekhwalithi ephezulu ngendlela engcono kakhulu yabantu yokwandisa amazinga abo ensimbi ngaphambi kokuhlinzwa (21).
Abantu ikakhulukazi basebenzisa izithasiselo ze-ferrous sulfate ukuvimbela ukushoda kwe-iron, ukwelapha ukuntuleka kwe-iron anemia, nokugcina amazinga e-iron evamile.
Amaqembu athile abantu anesidingo esandayo sokusansimbi ezigabeni ezithile zokuphila. Ngenxa yalokho, asengozini enkulu yokuthola amazinga e-ayoni aphansi kanye nokuntuleka kwe-ayoni.Indlela yokuphila yabanye abantu kanye nokudla okudlayo kungaholela emazingeni okusansimbi aphansi.
Abantu abasezigabeni ezithile zokuphila banesidingo esengeziwe se-ayoni futhi bathambekele kakhulu ekubeni nokuntuleka kwe-iron.Izingane, intsha yabesifazane, abesifazane abakhulelwe, kanye nabantu abanezifo ezingelapheki bangamanye amaqembu okungenzeka ahlomule kakhulu nge-ferrous sulfate.
Izithako ze-ferrous sulfate zivame ukuza ngendlela yamaphilisi omlomo.Ungawathatha futhi njengamaconsi.
Uma ufuna ukuthatha i-ferrous sulfate, qiniseka ukuthi ubheka ngokucophelela amagama athi “ferrous sulfate” kule ilebula kunokukhetha noma yisiphi isithasiselo sensimbi.
Amavithamini amaningi ansuku zonke nawo aqukethe i-iron.Nokho, ngaphandle kwalapho kushiwo kulebula, asikho isiqiniseko sokuthi insimbi equkethe i-ferrous sulfate.
Ukwazi inani le-ferrous sulfate okufanele uyithathe kungaba yinto ekhohlisayo kwezinye izimo. Khuluma njalo nomhlinzeki wakho wezempilo ukuze uthole umthamo ofanele wena.
Asikho isincomo esisemthethweni senani le-ferrous sulfate okufanele ulithathe usuku ngalunye.Umthamo uzohluka ngokuya ngezinto ezinjengobudala, ubulili, impilo, kanye nesizathu sokuthatha isithasiselo.
Amavithamini amaningi ane-ayoni ahlinzeka cishe ngo-18 mg noma u-100% we-iron yansuku zonke (DV). Nokho, ithebhulethi eyodwa ye-ferrous sulfate ngokuvamile inikeza cishe u-65 mg wensimbi, noma u-360% we-DV (6).
Isincomo esijwayelekile ekwelapheni ukushoda kwe-iron noma i-anemia ukuthatha iphilisi elilodwa kuya kwamathathu angama-65 mg ngosuku.
Olunye ucwaningo lokuqala luphakamisa ukuthi ukuthatha izithasiselo zensimbi zonke izinsuku (kunosuku ngalunye) kungase kusebenze njengezithako zansuku zonke, noma kuphumelele nakakhulu (22, 23).
Umhlinzeki wakho wokunakekelwa kwezempilo uzokwazi ukukunikeza izeluleko eziqondile neziqondene nomuntu siqu zokuthi uthathe malini futhi kangakii-ferrous sulfate, ngokusekelwe emazingeni okusansimbi egazini lakho nezimo ngazinye.
Ukudla okuthile nezakhi, ezifana ne-calcium, i-zinc, noma i-magnesium, kungase kuphazamise ukumuncwa kwensimbi, futhi ngokuphambene nalokho.Ngakho-ke, abanye abantu bazama ukuthatha izithako ze-ferrous sulfate esiswini esingenalutho ukuze bangene kakhulu (14, 24, 25).
Nokho, ukuthathai-ferrous sulfateizithasiselo noma ezinye izithasiselo zensimbi esiswini esingenalutho zingabangela ubuhlungu besisu nokucindezeleka.
Zama ukuthatha izithako ze-ferrous sulfate ngokudla okune-calcium ephansi futhi ungafaki iziphuzo eziphezulu ku-phytate, njengekhofi netiye (14, 26).
Ngakolunye uhlangothi, i-vitamin C ingase ikhulise inani le-iron elimuncwa ezithanjeni ze-ferrous sulfate.Ukuthatha i-ferrous sulfate ngejusi ecebile nge-vitamin C noma ukudla kungase kusize umzimba wakho ukumunca insimbi eyengeziwe (14, 27, 28).
Kunezinhlobo eziningi ezahlukene zezithasiselo ze-ferrous sulfate emakethe.Iningi ngamaphilisi omlomo, kodwa amaconsi angasetshenziswa.Qiniseka ukuthi uthintana nomhlinzeki wakho wezempilo ngaphambi kokunquma ukuthi ingakanani i-ferrous sulfate ozoyithatha.
Imiphumela evame ukubikwa kakhulu kwakuyizinhlobo ezahlukene zokucindezeleka kwamathumbu, okuhlanganisa isicanucanu, isifo sohudo, ukuhlanza, ubuhlungu besisu, ukuqunjelwa, kanye nendle emnyama noma eguqukile (14, 29).
Ngaphambi kokuba uqale ukuthatha izithako ze-ferrous sulfate, qiniseka ukuthi wazisa umhlinzeki wakho wezempilo uma uthatha noma yimiphi imithi elandelayo (6, 14):
Abantu abathatha i-ferrous sulfate bavame ukubika imiphumela engemihle efana nokucanuzela kwenhliziyo, isilungulela, nobuhlungu besisu.Futhi, izithako zensimbi zingase zihlanganyele nemithi ethile, okuhlanganisa ama-antacid nama-proton pump inhibitors.
I-Ferrous sulfate iphephile uma uyithatha njengoba kunqunywe umhlinzeki wezempilo oqeqeshiwe.Nokho, le nhlanganisela - nanoma yiziphi ezinye izithako zensimbi - ingaba yingozi ngamanani amakhulu, ikakhulukazi ezinganeni (6, 30).
Ezinye zezimpawu ezingaba khona zokuthatha i-ferrous sulfate eningi ukoma, ukudlikizeka, ukwehluleka kwezitho, ngisho nokufa (6).
Isikhathi sokuthumela: Mar-14-2022