妊娠期缺铁性贫血:综述

Mehrukh Zehravi, Mudasir Maqbool, I. Ara
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摘要

世界上最常见也是最容易被忽视的饮食缺乏症是缺铁性贫血。这不仅是发展中国家或资源匮乏国家的问题,也是工业化国家的问题。本文的主要目的是提高人们对妊娠贫血患病率的认识,妊娠贫血的病因(不仅在妊娠期间,而且在整个青春期)以及通过将视力扩展到青少年年龄组来预防妊娠贫血,以减少妊娠期间营养缺乏性贫血的风险。由于快速生长和月经失血对铁的需求增加,青春期女孩对这种疾病特别敏感。营养不良是贫血最常见的原因,这不仅是由社会经济原因造成的,而且也是由文化和其他条件因素造成的,如病毒感染,这些因素助长了青少年的营养不良。疟疾、肠寄生虫、腹泻和肺结核都是导致营养不良的疾病。贫血的严重程度和持续时间在怀孕期间至关重要,因为它会增加早产、低出生体重、孕产妇死亡率和其他并发症的风险。贫血是一个全球性的健康问题,影响着世界上约三分之一的人口,是导致残疾的主要原因之一。妊娠期贫血与高发病率和死亡率有关,因为妇女无法对产后失血作出反应,这可能会危及生命。缺铁性贫血与饥饿有直接联系;据世界卫生组织称,缺铁性贫血发生在50-80%的慢性营养不良地区。然而,铁缺乏在富裕国家变得越来越普遍,增加了20%。铁缺乏在育龄妇女中很常见,大约30%的人患有这种疾病。
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Iron Deficiency Anemia in Pregnancy: An Overview
The most common and also the most overlooked dietary deficiency in the world is iron deficiency anaemia. It is not only a problem in developing countries or in countries with few resources, but it is also a problem in industrialised ones. The main goal of this article is to raise awareness about the prevalence of anaemia in pregnancy, the aetiology of anaemia in pregnancy (not just during pregnancy but throughout adolescence) and the prevention of anaemia in pregnancy by extending the vision to the adolescent age group in order to reduce the risk of nutritional deficiency anaemia during pregnancy. Because of their increased iron requirements for rapid growth and menstrual blood loss, adolescent girls are particularly sensitive to this illness. Poor nutrition is the most common cause of anaemia, which is caused not only by socioeconomic reasons but also by cultural and other conditioning factors such as viral infections, which promote malnutrition in teenagers. Malaria, intestinal parasites, diarrhoea, and tuberculosis are among diseases that cause malnutrition. Anemia’s severity and length are crucial during pregnancy since it increases the risk of preterm delivery, low birth weight, maternal mortality, and other complications. Anemia is a worldwide health issue that affects about one-third of the world’s population and is one of the primary causes of disability. Anemia in pregnancy is associated with a high rate of morbidity and death due to a woman’s inability to respond to postpartum blood loss, which can have life-threatening effects. Iron deficiency anaemia has a direct link to hunger; according to the WHO, iron deficiency anaemia occurs in 50-80% of areas with chronic malnutrition. However, iron insufficiency is becoming more widespread in wealthy countries, with an increase of 20%. Iron insufficiency is quite common in women of reproductive age, with roughly 30% of them suffering from it.
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