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What are the causes of anemia from the process of erythropoiesis, destruction and regulation?
Anemia occurs when the number of red blood cells in blood or the content of hemoglobin in blood is lower than the normal level. The number of red blood cells in normal people is 4 million to 5 million in males and 3.5 million to 4.5 million in females. The concentration of hemoglobin in normal blood is12 ~15g/100ml for males and10.5g ~13.5g/100ml for females. Anemia is a common syndrome. There are many factors leading to anemia, but we can summarize them. Second, the hematopoietic function of human body is reduced (that is, the hematopoietic function of bone marrow is reduced), and third, red blood cells have been destroyed or lost too much. Anemia can be divided into many types, such as iron deficiency anemia, megaloblastic anemia, aplastic anemia, hemolytic anemia and so on. Iron deficiency anemia refers to anemia caused by the exhaustion of stored iron that can be used to make hemoglobin in the body, which is manifested by the lack of dyeable iron in bone marrow, liver, spleen and other tissues. When serum ferritin concentration decreases, serum iron concentration and serum transferrin saturation also decrease, showing small cell hypopigmentation anemia. The causes of iron deficiency anemia can occur in the following situations; 1. The demand for iron is increased and the intake is insufficient: in fast-growing infants, children, women with menorrhagia, pregnancy or lactation, the demand for iron is increased, and if it is lacking in diet, it is easy to cause iron anemia. 2. Iron malabsorption: It is rare that iron deficiency anemia occurs due to iron malabsorption. 3. Blood loss: Blood loss, especially chronic blood loss, is the most common and important cause of iron deficiency anemia. Gastrointestinal bleeding, such as ulcer, cancer, hookworm disease, esophageal variceal bleeding, hemorrhoid bleeding, antritis after taking salicylate and other diseases that can cause chronic bleeding, and menorrhagia and hemolytic anemia in women with hematuria or hematuria can cause iron deficiency anemia. The occurrence of iron deficiency anemia is gradually formed after a long time. During the iron depletion period, the stored iron is exhausted and the serum ferritin is reduced. At this time, there is no anemia. If the iron deficiency is further aggravated, the stored iron will be exhausted, serum ferritin and serum iron will decrease, and the total iron binding force will increase, leading to iron deficiency anemia. ② Symptoms caused by anemia itself; ③ Symptoms of respiratory disorders in tissues and organs caused by decreased activity of iron-containing enzymes. 1. Symptoms caused by epithelial tissue injury: The decrease of intracellular iron-containing enzymes is the main reason for epithelial changes. (1) Keratitis and glossitis: About 10-70% patients have angular stomatitis, smooth tongue surface and atrophy of tongue papilla, especially in the elderly. (2) The esophagus is webbed. Nails are not only flat, but also resistant to nails and onychomycosis. 2. Symptoms of nervous system: About 15-30% patients have neuralgia (mainly headache) and paresthesia. In severe cases, intracranial pressure may increase and papillae edema may occur. 5-50% of patients have abnormal mental behavior, such as inattention, excitability, mental retardation, pica and so on. Reason. It can also lead to the decrease of mitochondrial monoamine oxidase activity related to behavior. 3. Spleen enlargement: The reason is related to the shortened life span of red blood cells. 1. Hemogram: Early or mild iron deficiency can be without anemia or only very mild anemia. Late or severe iron deficiency has typical small cell hypopigmentation anemia. The degree of decrease of red blood cell volume and hemoglobin concentration is decreased by red blood cell count. 2. Bone marrow image: bone marrow hyperplasia is active, and the proportion of granular red is reduced. The proliferation of red blood cell system is obviously active. The proportion of young and middle-aged red blood cells is increased, the volume is slightly smaller than that of ordinary young and middle-aged red blood cells, the edges are irregular, the cytoplasm is less, the staining is blue, and the nucleus is condensed like the late young red blood cells, indicating that the cytoplasm development lags behind the nucleus, and the number and morphology of granular cells and megakaryocytes are normal. 3. Bone marrow iron staining. 4. Serum ferritin. 5. Serum iron. The treatment and treatment principles of iron deficiency anemia are as follows: ① Etiology treatment: as far as possible. (2) Supplementing enough iron for the body to synthesize hemoglobin, and replenishing the iron storage in the body to a normal level. (1) Etiology treatment: It is of great significance to correct the effect and speed of anemia and prevent its recurrence. (2) Iron therapy: (1) Oral iron: The most commonly used preparations are ferrous sulfate and iron fumarate (blood-rich acid). Avoid drinking tea when taking medicine to avoid iron being precipitated by tannic acid and not being absorbed. (2) Oral iron can aggravate gastrointestinal diseases, such as peptic ulcer, ulcerative colitis, segmental colitis, gastrointestinal dysfunction after gastrectomy and persistent vomiting during pregnancy. ③ Although the dosage of oral iron was reduced, there were still serious gastrointestinal reactions. Commonly used iron injections include iron dextran and iron sorbitol citrate. (3) Adjuvant therapy: Strengthen nutrition and increase iron-rich foods. Stir-fried pork liver with celery, a good tonic for anemia patients, is a dish rich in iron and folic acid. It is a good food supplement for women and babies with anemia tendency. We know that folic acid is not only an indispensable auxiliary enzyme in human fat and amino acid metabolism. Its main function is to assist the production of red blood cells and prevent degeneration of red blood cells. Iron is the basic trace element to produce hemoglobin. There are certain folic acid and iron in green leafy vegetables and animal livers, especially celery and spinach, which are the most abundant. Ingredients: 200g of pork liver, 300g of celery (or 200g of spinach), 25g of soy sauce, 20g of sugar, and 0/0g of yellow rice wine/kloc. 30g of wet starch. Output: 1. Remove fascia from pig liver, cut into thin slices with a sharp knife, and mix well with starch, yellow wine and refined salt for later use. 2. Remove the leaves from celery, take 6 clean stems, wash them with clear water and cut them into 3 cm long sections. 3. Heat the oil pan on a large fire, pour in cold lard, heat it to 60% oil temperature, and add the pig. Add soy sauce, sugar and refined salt before cooking, thicken with wet starch, then pour in pork liver, stir fry a few times, and pour a little balsamic vinegar on the side of the pot, and serve. Features: pork liver is fresh and refreshing, celery is fragrant, sour and delicious. Function: Pig liver contains 25 mg of iron per 100 grams, and celery contains 8.2 mg of iron per serving. According to the age distribution, about 20% women suffer from anemia between 2 10 and 2 104, and 30% women suffer from anemia between 2 105 and 2 109. The reason why women are more prone to anemia than men can be attributed to the fact that men have more circulating blood, and women need iron more than men, especially during physiological period and pregnancy. Anemia is characterized by pale skin, dull complexion, fatigue, fatigue, dizziness, tinnitus, memory loss and inattention. Anemia is mostly a "deficiency disease" in the treatment of traditional Chinese medicine, and its food supplement is mainly based on the principle of nourishing the heart, strengthening the spleen and enriching the blood. In the tonic method of traditional Chinese medicine, we often use flesh-and-blood products to recuperate, which can achieve good results. In addition, people with anemia should take more vitamin C. Because vitamin c helps the absorption of iron. Method of porridge with blood glutinous rice and red dates: 565,438+00g of blood glutinous rice and 65,438+00g of red dates are cooked into porridge with appropriate amount of rock sugar. Function: enriching blood. Longan lotus seed soup practice: 265,438+00 longan and 565,438+00 lotus seeds with appropriate amount of water. Boil the lotus seeds until they are soft and mature. Functions: invigorating spleen, calming nerves and nourishing blood. Longan porridge method: longan meat 105g, red dates 10g, japonica rice 5 10g, so as to cook porridge. Function: Nourishing the heart and strengthening the spleen is most suitable for anemia, insomnia and forgetfulness. Practice of pork liver soup: dried pork washed and sliced. Season with salt and serve. Function: enriching blood. Practice of sheep bone porridge: first, mash fresh sheep bone, add water to fry it into soup, discard the bone and cook porridge with soup instead of water. Add onion, ginger and salt to the porridge and you can eat it. Function: It has a good effect on people with anemia and chills. Practice of Ejiao Sesame Walnut Soup: First, melt Ejiao 25 10g and Sesame 2500. Add 5 10g longan pulp and appropriate amount of rock sugar, and steam together for 2 hours. Eat 2 spoonfuls each time. Function: This product has the effects of tonifying kidney, calming nerves and nourishing blood. Shen Zao Soup Ingredients: 5 red dates, ginseng slices 1 0g, rock sugar1. Function: 65,438+0 Jujube: sweet in taste, warm in nature, nourishing the middle warmer, treating deficiency, moistening the heart and lungs, promoting fluid production and nourishing blood. If you are full of energy, you will be natural. Practice: 1. Wash the red dates, put them in a small pot with ginseng slices and add a glass of water. Simmer on low heat 1 hour. 2. Add rock sugar until it dissolves. Lycium barbarum and jujube egg materials: 20g Lycium barbarum, 0/0 jujube/kloc, 2 eggs. Practice: 1. Put Lycium barbarum, jujube and eggs into a pot and add appropriate amount of water. 2. After the eggs are cooked, shell the eggs and cook them together. 2 pieces of ginger, jujube 10, carp 1 0, a small piece of dried tangerine peel, and appropriate amount of pepper. Practice: 1. Clean the scales, gills, fins and internal organs of carp, put less oil in the pot and fry until golden brown. 2. Wash the black pulp and don't put it in the pot. Add black beans, red dates, dried tangerine peel and ginger, cook for 10 minute, then simmer for one and a half hours, and finally add carp. Cook for 30 minutes. Efficacy: nourishing yin and blood, benefiting liver and kidney, improving eyesight and tranquilizing mind, invigorating spleen and qi, promoting diuresis and reducing swelling. Glutinous rice porridge material of red dates and sheep bones: 65438+ 0~2 sheep tibia (pig bones are also acceptable), 30 red dates and glutinous rice 1 cup. Practice: 1. Break sheep tibia (or pig bone). 2. Remove the core of red dates. Reinforce the kidney and strengthen the bones. Anemia is a classic treatment prescription for female anemia, which refers to the lack of hemoglobin, the main component of red blood cells or red blood cells. Among several therapies for anemia, the main causes of anemia are excessive destruction of red blood cells, poor hematopoietic function and excessive blood loss. Anemia belongs to the category of "deficiency syndrome" in traditional Chinese medicine, which often includes blood deficiency, qi deficiency, yin deficiency and yang deficiency. Select the appropriate dietotherapy methods: 1, 15g longan pulp, 3-5g jujube, 100g japonica rice. Cook porridge together and take it warm. Efficacy: nourishing the heart and strengthening the spleen, nourishing and strengthening. 2. 2 kg of fresh sheep bone (1000g). China is one of the countries with high incidence of iron deficiency anemia in the world, with an incidence rate of 15% ~ 20%, among which the anemia rate of women and children is as high as 20%, which seriously threatens women's health. >> read 3 in detail. 0/00g of glutinous rice/kloc-0, 50g of coix seed and 0/5g of red dates/kloc-0 are boiled together to make porridge. Add the right amount of sugar when eating. Efficacy: nourishing yin and enriching blood. How to make up female anemia? 4. 60 grams of Polygonum multiflorum Thunb. 3-5g of red dates and 0/00g of japonica rice/kloc. First, decoct Polygonum multiflorum Thunb. Use thick juice to remove residue, add red dates and japonica rice to cook porridge, add appropriate amount of brown sugar, and cook 1-2 times. Heat it up and get warm. Polygonum multiflorum Thunb. Avoid using iron, and use less pots or enamel pots when cooking porridge. Efficacy: tonify liver and kidney, nourish blood and regulate deficiency. Suitable for iron deficiency anemia. Beware of children's iron deficiency anemia-when slimming has become the theme of urban life, another nutritional deficiency has captured the youngest member of modern families at an incredible speed, which is iron deficiency anemia. >> read 6 in detail. Pig liver 150g, and spinach. Wash and slice pork liver, mix with starch, salt, soy sauce and monosodium glutamate, stir-fry with blanched spinach in an oil pan, or wash and slice 50g pork liver, cook in boiling water until nearly cooked, add spinach, add rice to the pan, eat liver, vegetables and soup. Efficacy: iron supplement.

Anemia can be supplemented by Tiezhiyuan tablets containing donkey-hide gelatin, which is safe and has no side effects, good taste and high absorption and utilization rate. It can quickly supplement iron, protein and other elements lacking in human body, improve human blood activity and improve anemia symptoms. Anemia should pay attention to diet aftercare, high-protein diet, such as lean meat, fish and shrimp, eggs, and jujube, pig liver and fungus with high iron content, which is conducive to iron supplementation for iron deficiency. I wish you a speedy recovery from anemia.

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