ANAEMIA

ANEMIA

FERRUM MET

 When the patient has the appearance of full bloodedness or plethora, which is followed by a paleness and earthiness of the face and puffiness of the extremities.
Children need to consume an amount of fibre,  in grams, equal to their age plus five. So a 9 year old needs 14 grams of fibre a day. Breads, cereals, legumes, nuts and seeds can be added to a child’s diet.

CINCHONA

 When caused by loss of fluids, as from long-continued diarrhoea or hemorrhage, a condition when the quantity and quality of the blood is changed.

CALCAREA PHOSPHORICA

 In chlorosis or the " green sickness."

The face is white, pale or sallow, or waxy and greenish, and the menses are apt to be too early.

 PULSATILLA

 After abuse of iron and quinine the system is relaxed and the patient feels worn out, is constantly chilly and she suffers from uterine and menstrual derangements.

It will often be the first remedy to use if the case comes from allopathic hands.

FERRUM ACETICUM

In stubborn anaemia and debility.

In children who grow tall rapidly and are so active that they become easily exhausted ; they keep thin, weak and pale.

FERRUM PHOSPHORICUM

 It is useful to improve the quality of the red blood corpuscles and follows Calcarea phosphorica well, but should be indicated by general symptoms.

NATRUM MUR

Anaemia from loss of fluids.

Especially in women who suffer from menstrual disorders ; blood is impoverished.

ALUMINA

 When they-occur at puberty, and there is an abnormal craving for indigestible substances, as slate pencils, chalk, etc.

GRAPHITES

Mucus membranes pale.

Throbbing on lying down at night; tendency to a rush of blood to head.

 

Anemia is a condition in which the number of red blood cells (RBCs) or the amount of hemoglobin (Hb) is below normal for age and sex of the individual.

It is usually discovered and quantified by measurement of the RBC count, hemoglobin (Hb) concentration, and hematocrit (Hct).

 Anemia is suggested in pregnant women with Hb levels less than 11.5 g/dl.

The most common cause of anemia in pregnancy is deficiency of iron (~85% cases) and folic acid.

Even if a woman is not anemic at the time of pregnancy, she may still develop anemia as the pregnancy progresses due to several reasons.

 The fluid content of the blood (blood volume) increases upto 50% while the red cells increase by only about 20-30% resulting in haemodilution i.e. relatively fewer red cells (& Hb) present in an increased volume of blood.

There is also increased demand of the developing baby which depletes the mother’s iron stores.

There are certain risk factors for women being anemic and these include: poor nutrition, inadequate gap between pregnancies, persistent nausea or vomiting in early pregnancy and twin pregnancy.

The loss of iron (elemental) with each normal menses is around 12-15 mg.

 A normal diet must include 1.5-2 mg/day of elemental iron to compensate for menstrual losses alone.

 In pregnancy, 500 mg of additional iron is needed by the mother (to expand her red cell mass) while another 500 mg is needed for the baby and placental tissues.

Thus, on an average, an additional 3 mg/day of elemental iron must be absorbed from dietary sources.

The amount of iron absorbed by the body is only 10% of the total amount consumed, thus 30 mg/day needs to be consumed to meet the requirement.

The developing baby needs iron, folic acid and vitamin B12 from the mother for its growth.

Women thus need to take supplemental iron and folic acid to meet the needs of the baby and hence iron deficiency is very common.

If supplemental iron is not added to the diet, iron deficiency anemia will result.

Maternal requirements can reach 5-6mg/day in the latter half of pregnancy.

If iron is not easily available, the baby uses iron from maternal stores.

Thus, the production of fetal hemoglobin is usually adequate even if the mother is severely iron deficient.

This maternal iron deficiency may cause preterm labour and late spontaneous abortion.

Deficiency of folic acid and vitamin B12 may also be seen in individuals on purely vegetarian diet.

An iron deficient mother can have premature labour, intrauterine growth retardation (poor development of baby), severe anemia due to normal blood loss during delivery and increased susceptibility to infection.

The likelihood of postpartum transfusion may be reduced if a woman enters the birth with a higher hemoglobin level.

 

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