Анемия во время беременности

AnemiayАнемия

Что же такое Анемия? Анемия- это состояние, при котором из за недостатка железа в организме, значительно понижается концентрация гемоглобина в крови. В народе называвают малокровие.
Считается, что анемия во время беременности вызвана нехваткой железа в крови, так как во время беременности потребность в железе сильно повышается, ведь железо необходимо ни только будущей маме-для пополнения рядов красных кровяных клеток, но так же и плоду- для строительства собственных клеток крови. Недостаток железа может привести к снижению гемоглобина в крови.
Кроме того, во время беременности возрастает объем циркулирующей крови, а кровообращение становится более интенсивным.

Организм накапливает и удерживает жидкость в кровеносном русле и в тканях и количество гемоглобина как бы становится разбавленным из-за возросшего обьёма плазмы. Так что нужно определять не только количество гемоглобина в крови, но и количество эритроцитов и  подсчитывать кислородную ёмкость крови. На самом деле в крови может быть вполне достаточное содержание гемоглобина для обеспечения потребностей как мамы, так и плода.
Анемия, вызванная нехваткой железа и витаминов, как правило возникает в первой половине беременности и может указывать на обострение дефицита, существовавшего ещё до беременности. В таком случае, врач может назначить приём препаратов железа, а так же специальную диету, длительность применения, а так же дозировка обязательно контролируются врачом по анализу крови.
Анемия, которая возникает по причине «разбавления крови» возникает обычно во второй половине беременности, когда максимально накапливается жидкость.

К основным причинам анемии относятся:

  • Характер питания. При недостаточном употреблении железосодержащих продуктов питания может развиться железодефицитная анемия, это  более характерном для групп населения, где уже имеется высокий уровень алиментарной анемии. Анемию может вызвать питание, обедненное железом, витаминов В12, фолиевой кислотой или витамином С.
  • Нарушение продукции эритроцитов в костном мозге. Как правило, в данном случае развивается анемия, которой сопутствуют болезни почек, белковое истощение, эндокринная недостаточность, хронические инфекции и онкологические заболевания.
  • Гемолиз. Это разрушение или сокращение продолжительности жизни эритроцитов в крови. В норме эритроциты живут 4 месяца, однако при некоторых патологических процессах срок их жизни может быть существенно сокращен. Основная причина гемолиза – нарушение функций эритроцитов или их дефект. В ряде случаев причиной гемолиза выступают патологии селезенки.
  • Нарушение в работе ЖКТ (при нарушениях процесса всасывания).  Так как всасывание железа происходит  в желудке и верхнем отделе тонкой кишки, при нарушении процесса всасывания,  слизистой оболочкой пищеварительного тракта, развивается анемия.
  • Хроническая кровопотеря (желудочно-кишечных кровотечения, кровотечений из носа, кровохарканья, гематурия, маточные кровотечения). Принадлежит к одной из самых главных причин железодефицитных состояний.

ЛЕЧЕНИЕ АНЕМИИ

Тактика лечения определяется в зависимости от вида анемии и причин, которые ее вызвали.

При железодефицитной форме анемии, применяются железосодержащие препараты, а после определения причины, вызвавшей анемию, принимаются меры для ее устранения. При анемии с недостаточностью витамина В12, назначают инъекции витамина В12. При лечении анемии у детей, которая может быть вызвана паразитами или глистами, необходимо провести противопаразитарную терапию. При сильной кровопотере, может быть проведено переливание крови.

Беременным женщинам, в целях профилактики и лечения анемии, врач назначает препараты железа и фолиевую кислоту.

ПРОФИЛАКТИКА АНЕМИИ

В целях профилактики развития анемий следует включить в рацион питания продукты, богатые железом (цельнозерновой хлеб, бобы, зеленые овощи, салат, зелень, красное нежирное мясо).

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