There is something wrong with the child, but it makes parents worry badly. When the child has a bad face, doesn’t like to eat, and always crys, parents should not worry in a hurry. It may be that your child lacks something - iron element.
Iron deficiency anemia (IDA) in children is a type of nutritional deficiency disease. It is also a hemoglobin synthesis disorder caused by insufficient intake of iron and cannot meet daily needs. The content of red blood cells and hemoglobin will decrease, resulting in the symptoms of anemia .
The occurrence of iron deficiency anemia in children will not only affect the growth and development of the children, but also have a certain impact on their intelligence. The main reason for this disease is insufficient iron intake, which is closely related to children's nutritional and dietary imbalance such as partial eating and picky eating. It can be seen that it is very important to make nutritional intervention in the process of implementing iron deficiency anemia intervention in children.
1. Patients with mild IDA can consider routine drug treatment:
If it is only mild iron deficiency anemia , you can consider taking medication under the advice of a doctor, which has faster efficacy. For example, choose Kangchen dextran oral solution, 25 mg/time, 2 times/d, and continuously treated for 4 weeks.
Oral solution of iron dextran, the drug contains a large amount of soluble iron, which can quickly improve the level of iron in the child's body, and at the same time, it can quickly correct the physical phenomenon of the child in the short term. By increasing the iron content, it can ensure the smooth synthesis of hemoglobin in the child, thereby promoting the early recovery of various blood indicators.
At the same time, iron dextran oral liquid dextran has a relatively better taste than traditional iron agent products, which can make up for the rust smell of traditional oral iron agents. Therefore, it is easier to be accepted by the majority of children and can improve their compliance during treatment.
- However, it should be noted that children with the following conditions should not be treated with oral iron agents:
(1) Some gastrointestinal intolerances of certain oral iron agents;
(2) People who suffer from gastrointestinal absorption disorders due to duodenal inflammation, bowel resection, and active period of serious diseases; those who suffer from IBD deterioration due to primary inflammatory bowel disease (IBD) caused by oxidative stress of , neutrophil infiltration, increase of cytokine and NF-kappaB cell activation caused IBD to worsen IBD due to primary inflammatory bowel disease (IBD). ;
(3) Those who have difficulty in compensating for the loss of oral absorption alone when blood loss progresses rapidly. Therefore, intravenous iron supplementation is the first choice for treatment when severe anemia, oral iron intolerance or ineffective or active underlying diseases, need to be corrected quickly, or continuous blood loss exceeds the gastrointestinal absorption.
2. Children with moderate to severe iron deficiency anemia should add nutritional intervention based on drug treatment. The specific measures are as follows:
(1) Most parents of children lack awareness of children's IDA, and the children may become overly nervous or disregard after the onset of the disease. Therefore, it is necessary to strengthen health education for children's parents, introduce relevant knowledge about children's IDA, explain the causes, symptoms, preventive measures and possible harms, etc., so that children's parents have sufficient understanding of the disease.
(2) Provide a healthy lecture on nutritional intervention to parents of children, so that they can correct children's habit of partial eating, master foods rich in iron and easy to absorb in life, and let children eat more foods such as lean meat, animal liver, green leafy vegetables, fruits, egg yolks and kelp, ensure the diversity of children's diet, and meet the daily iron intake according to children's preferences.
(3) For children with poor nutritional absorption, parents can be guided to supplement iron-fortified foods such as vitamin C, vitamin B12 and probiotics to ensure the full supply and absorption of nutrients in children. As much as possible, soy milk, tea products, soda biscuits, and other foods containing oxalic acid, tannin and other substances that hinder the absorption of iron, and avoid affecting the absorption of iron.
3. The prevention and treatment method of iron deficiency anemia is "early examination, early treatment"
Experts recommend that if a child is 4 to 6 months old, hemoglobin can be used to check whether anemia is anemia. Under normal circumstances, the value range of hemoglobin is 110-160g/L. The test results show that the value of hemoglobin is mild anemia between 90-110g/L; 60-90g/L is moderate anemia, and if it is less than 60g/L, it will be very serious.
Once the test result is abnormal, parents must follow the doctor's instructions as soon as possible to avoid irreversible damage to the baby.
And after giving the baby a period of iron treatment, even if the blood test results show that the hemoglobin value has returned to normal, iron supplementation cannot be stopped, and iron supplementation must be continued for 6 to 8 weeks to restore the level of iron stored in the body.
Iron deficiency anemia is common in children. What parents need to do is nutritional intervention and prevention work. Iron supplement drugs can be used when necessary to pay close attention to the health status of the child. Through early intervention, the occurrence of anemia can be avoided to a certain extent.
Reference:
[1] Liu Baohong. Effects of nutritional intervention on iron deficiency anemia in children [J]. Urban and Rural Enterprise Health in China, 2022, 37(06):109-111.
[2] Gao Huiting, Hao Liangchun. Selection of iron agents for the treatment of nutritional iron deficiency anemia in children [J]. Chinese Journal of Practical Pediatrics, 2018, 33(02):148-151.
[3] Zhou Xiaoyan. Clinical effect of dextran oral solution for treating nutritional iron deficiency anemia in children and its effect on serum iron and ferritin [J]. Journal of Clinical Rational Drug Use, 2021, 14(14):99-101.
