Should I get iron supplements for thalassemia???

Thalassemia is a special anemia, hematopoietic genes are partially lacking, incomplete, heritable, and can live to adulthood are generally moderate or mild Mediterranean, most of them are mild asymptomatic Mediterranean, because severe Mediterranean itself organ hematopoietic disorders are very serious, will die young, Mediterranean is heritable, and general iron deficiency anemia is very different.

In addition to the lack of hematopoietic genes, the cause of thalassemia is caused by various reasons, many patients have high blood iron content, and iron must not be supplemented at this time, but there are also some iron deficiency anemia, and iron must not be supplemented casually without blood tests.

Be sure to go to the hospital for a haematology test to see the specific cause of your thalassemia and then prescribe the right medicine. Remember that moderate or mild Mediterranean does not need to go through surgery**, the gains outweigh the losses, the Mediterranean is more common, moderate and mild can be reversed by drugs, the patient's diet is best to have a variety of meals, such as several kinds of greens on the table, supplement various vitamins, for physical energy, patients should keep optimistic and positive.

Light thalassemia does not require special**.

Intermediate and severe thalassemia should be given in one or more of the following ways**.

1.General** Pay attention to rest and nutrition, and actively prevent infection. Appropriate supplementation of folic acid and vitamin E.

2.Blood transfusion and iron removal** This method is still one of the most important methods**.

Red blood cell transfusion The small amount of transfusion method is only suitable for intermediate and thalassemia and is not advocated for severe thalassemia. For severe thalassemia, moderate and high blood transfusions should be given at an early stage to keep the child's growth and development close to normal and prevent bone lesions. The method of this is:

Repeated transfusions of packed red blood cells were given to give the child a hemoglobin content of 120 150 g L. Then 10 15 ml kg of packed red blood cells are transfused every 2 to 4 weeks to maintain the hemoglobin content above 90 105 g l. However, this method can easily lead to hemosiderosis and should be given at the same time**.

3 Iron chelating agents Deferoxamine is commonly used to increase the excretion of iron from urine and stool, but it does not prevent the absorption of iron from the gastrointestinal tract. Iron load is usually assessed after regular red blood cell transfusions for 1 year or 10 20 units, and iron chelating agents are initiated if iron overload (e.g., SF > 1000 g L) is present. Deferoxamine 25 50 mg kg per day, 1 continuous subcutaneous injection once a night for 12 hours, or add human isotonic glucose solution intravenously for 8 to 12 hours; 5-7 days a week, long-term application.

or add to the red blood cell suspension for a slow infusion. Deferoxamine *** is not large, occasional allergic reactions, long-term horn puppet can cause cataract and long bone development disorder, too large a dose can cause vision and hearing loss. Vitamin C in combination with chelating agents enhances the excretion of iron from urine at a dose of 200 RNG day.

4.Splenectomy Splenectomy has a good effect on hemo-red Ch-white H disease and thalassemia intermediate, but has a poor effect on severe thalassemia. Splenectomy can lead to weakened immune function and should be performed after the age of 5 to 6 years with strict indications.

5 Hematopoietic stem cell transplantation Allogeneic hematopoietic stem cell transplantation is currently the most severe thalassemia method. If there is an HLA-matched hematopoietic stem cell donor; It should be used as the preferred method for severe thalassemia.

6 Gene activation** The application of chemical drugs can increase or decrease gene expression to improve the condition of thalassemia, and the drugs that have been used in clinical practice include transylurea, 5-azacytidine (5 AZc), cytarabine, maryl, isoniazid, etc., which are currently being explored.

Diet Same as for severe patients. Do not take iron-containing drugs to replenish blood.

Blood transfusion is not necessary in most cases, but when the clinical symptoms are like those of severe patients, blood transfusions should be regularized as those of severe patients; In some medium-sized patients, heme is temporarily low due to infection, at which point transfusions can be restored. However, medium-sized pregnant patients require regular blood transfusions during pregnancy, and if possible, freezing blood cells to reduce the risk of infection, and iron removal should be suspended during pregnancy.

Iron excretion Patients should have an annual blood test for iron quality, and if the blood iron (feritin) is greater than 2000 mg ml, iron removal should be done 1-2 days a week.

Vitamin supplementation for patients with severe illnesses.

Health check-up for patients with severe illness.

Diet Same as for severe patients. Do not take iron-containing drugs to replenish blood.

Exercise with severe patients. Pay special attention to injuries caused by bone lesions.

Splenectomy When the spleen is enlarged and hyperfunctional, it should be resected after being identified by a hematologist, and the precautions should be the same as for severe patients, and the surgeon should pay attention to whether there are gallstones at the same time as splenectomy.

Psychological construction with severe patients.

Prenatal testing Prenatal testing may be waived if the spouse is completely normal, but fetal specimen may be taken if the spouse is completely normal, and fetal specimens may be taken if the patient is medium-sized or has a cause, such as severe fetal BART'Abortion should be performed to reduce the risk to the mother.

It's best to ask your doctor.

Thalassemia prevention and conditioning.

1) Prevention Extensive and effective genetic counseling and prenatal diagnosis are the most effective means of prevention, especially in areas where there are many occurrences. China's prenatal diagnosis methods have reached the international level, and efforts should be made to promote their application. Patients with HBH should avoid oxidant drugs such as sulfonamides and phenacetines.

For patients with hypersplenism and leukopenia, air pollution and cross-infection should be prevented.

2) Conditioning 1 Life conditioning Thalassemia patients are often weak and unstable in external health, so they should live cautiously, adapt to cold and temperature, and pay attention to the prevention of external sensations; Spend more time outdoors; Breathe fresh air; Proper physical exercise, qigong exercises, tai chi, etc. can help to enhance physical fitness and disease resistance.

2. Dietary conditioningPay attention to dietary conditioning, it is advisable to eat nutritious food, and fasting or eating less when it is spicy and thick, too greasy, cold and unclean. Due to the physiological characteristics of children's spleen and kidney insufficiency, feeding should be reasonable, so as to avoid hunger and satiety, partial eating, and unclean diet to damage the children's spleen and stomach. To strengthen the spleen and nourish the blood, you can choose the following dietary remedies:

3. Mental conditioningPay attention to mental conditioning, which is of great significance for the prevention of fatigue and blood deficiency. The excesses of the seven emotions can easily cause the yin and blood to be consumed, which is not only the cause of the disease, but also can exacerbate the process. Therefore, patients with this disease should maintain a comfortable mood and be optimistic.

Anemia is a deficiency of iron in the body due to insufficient storage, insufficient intake, impaired absorption and utilization, loss or excessive consumption, and decreased hemoglobin synthesis leading to the occurrence of diseases.

You can eat more of the following foods on a regular basis:

Qi-replenishing foods include water chestnut, chestnut, glutinous rice, loach, carrot, fragrant ru, tofu, potato, beef, chicken, shark, yellow croaker, etc., all of which can strengthen the spleen and invigorate qi.

In addition, remember to drink (Xueying tea) for conditioning in life, which can play a role in replenishing qi and blood, strengthening the spleen and helping digestion, replenishing and not stagnating, and achieving the purpose of comprehensively regulating anemia.

1 Thalassemia is also known as marine anemia because when the disease was discovered, the population was mainly concentrated in the Mediterranean region, so it was named. Thalassemia is also known as globulin-dysphoritic anemia, which occurs mainly because of genetic mutations in the body. The gene here refers to the globin peptide chain, because its deletion leads to insufficient or impaired synthesis of globin in the body, which causes the body's red blood cells to be severely destroyed, and eventually leads to the production of thalassemia.

2First of all, thalassemia is divided into mild, intermediate and severe, and their common principle is not to consume too much iron, otherwise it is easy to lead to excessive iron in the body, which will cause harm to the body.

Studies have found that every 1% increase in serum ferritin levels in the body increases the risk of heart attack4. People who have too much iron in their blood have a greater risk of cancer.

In addition, excessive iron supplementation may also induce diabetes, pigmentation and other diseases, and in severe cases, it can lead to death.

3. These patients often have to undergo repeated blood transfusions**, and regular blood transfusions can easily lead to excessive iron content in the body, and a large amount of iron is deposited in important organs such as the heart, liver, kidney, and brain, which will affect the function of organs and cause damage to the body.

Therefore, thalassemia patients with repeated blood transfusions must strictly control the amount of iron in their diet, do not overbalance the amount of old and clear, generally maintain a normal diet, or appropriately limit iron-rich foods, please refer to the doctor**.

4. In life, thalassemia major patients are a minority, and the common patients are mild. They often have no obvious symptoms and do not require blood transfusions**. Patients with mild thalassemia can only maintain a normal intake of iron, and do not deliberately go for iron supplementation, please follow the guidance of a doctor**.

<> <> "Hello! Thalassemia is a common inherited blood disorder that manifests as an abnormality in the number and quality of red blood cells, leading to anemia and other serious health problems. When a patient with thalassemia needs blood supplementation, it should be done according to the doctor's advice and personal deficiency**.

Here are some commonly used methods and precautions for blood supplementation: Blood transfusion**: People with thalassemia have a low number and quality of red blood cells, so they need a blood transfusion** to replace normal red blood cells.

Blood transfusion** needs to be done in the blood transfusion department of the hospital and should be done according to the doctor's recommendation. Medications**: People with thalassemia can also take some medications by mouth or inject them to increase the number and quality of red blood cells, such as erythropoietin.

However, the drug** needs to be carried out under the guidance of a doctor to avoid the impact of improper use. Dietary conditioning: Thalassemia patients can increase their nutrient intake through dietary conditioning, such as eating more iron-rich foods, such as red meat, tofu, egg yolks, etc., and intaking more vitamin C and folic acid to help iron absorption.

However, dietary conditioning needs to be careful to avoid excessive intake, and do not over-intake of certain nutrients, such as too much iron will also have an adverse effect on the body. Scientific exercise: Moderate exercise helps to promote blood circulation and increase the amount of oxygen.

However, excessive exercise and strenuous exercise need to be avoided to avoid aggravating anemia symptoms. In summary, thalassemia blood supplementation** needs to be carried out according to individual circumstances and doctor's recommendations, and patients should pay attention to lifestyle such as diet and exercise, while regular monitoring and ** to maintain good health. Dear, <>

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1 Ingredients: 1000 grams of mulberry, 25 grams of honey.

Method: Wash the mulberries and grind the juice, boil them into a thin paste over low heat, add honey and boil them to thicken, cool and store them for later use. Consume 2 times a day, take 10-15 grams at a time and take it with hot water.

Efficacy: Nourish liver and kidney, nourish qi and blood.

2 Ingredients: 30 grams of cordyceps, 30 grams of coix seeds, 10 grams of angelica, 1 black chicken.

Efficacy: Strengthen the spleen and kidney, nourish blood.

3 Ingredients: 50 grams of glutinous rice, 10 grams of ejiao, 8 jujubes, appropriate amount of white sugar.

Method: Ejiao mashed; Cook the washed glutinous rice and jujube together, add ejiao and white sugar when it is almost cooked, and cook for a while.

Efficacy: It is beneficial to qi and solid intake, nourishing blood and stopping bleeding.

4 Ingredients: 30 grams of lotus seeds and longan meat, 20 grams of red dates, and an appropriate amount of rock sugar.

Method: First soak the lotus seeds in water, peel and wash them, put them in a casserole with the washed longan meat and red dates, add an appropriate amount of water, decoction until the lotus seeds are crispy, and finally add rock sugar to taste.

Efficacy: It has the effect of tonifying the heart and blood, strengthening the spleen and stomach, and is suitable for thalassemia and other diseases.