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Iron and Iron Deficiency General information for patients, families and carers Why is iron important? Our bodies need iron. Iron is used to make haemoglobin – the part of your red blood cells that carries oxygen around your body. It is also important for muscle strength, energy and good mental function. If your iron levels are low this may make you feel tired and not able to do normal everyday activities. Iron deficiency and iron deficiency anaemia Each day we normally lose a small amount of iron, which must be replaced from the food we eat to keep the body in balance. Larger amounts of iron are lost if there is bleeding (eg. from periods or silent bleeding from the bowel). If you lose more iron than you take in through food, your body will become low in iron. This is called iron deficiency. If the amount of iron in the body falls even lower, you are not able to make enough new red blood cells. The haemoglobin level then drops below normal. This is known as iron deficiency anaemia. Treating low body iron levels The treatment of low body iron levels will depend on the cause, how severe it is & how quickly it needs to be corrected. Once you are already low in iron it is difficult to get enough iron back into your body just by changing your diet. Iron tablets & iron liquid contain iron at higher levels than food & help to replace iron more quickly. They should only be taken when recommended by your doctor. Oral Iron – Iron tablets and iron liquid If you are able to take iron by mouth, this is generally the first option recommended. There are many brands of iron tablets or liquid that can be bought over-the-counter (without a prescription). Many of these do not contain enough iron to make a difference. It is important that you get advice from your doctor about which iron tablets are right for you, how to take them correctly and what the possible side effects are. Please ask your doctor for the ‘Guide to taking iron tablets’ brochure if this treatment is recommended for you. Intravenous (IV) Iron If oral iron is not suitable for you, your doctor may suggest intravenous (IV) iron. IV iron is given directly into a vein through a needle. This is usually given in a hospital, outpatient clinic or medical centre. Uncommon but important side effects include serious allergic reactions and skin staining which can be permanent. Your doctor will talk with you about the risks and benefits of IV iron in your case. Please ask your doctor for the ‘Intravenous (IV) iron infusions’ brochure if this treatment is recommended for you. Other Treatments Intramuscular iron – injection of iron into muscle is not recommended as it is painful and can cause permanent skin scarring and brown staining. Blood transfusion – this can be lifesaving when severe anaemia or bleeding is present. It carries greater risks than IV iron and should be avoided unless an increase in haemoglobin level is needed right away. For more information: Talk to your doctor, nurse, midwife or pharmacist Patient materials at: www.sahealth.sa.gov.au/bloodorgantissue © Department for Health & Ageing, Government of South Australia. All rights reserved. BloodSafe April 2017 TP-L5-801 v1.1 IDA

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  • Iron and Iron Deficiency General information for patients, families and carers

    Why is iron important? Our bodies need iron. Iron is used to make haemoglobin the part of your red blood cells that carries oxygen around your body. It is also important for muscle strength, energy and good mental function. If your iron levels are low this may make you feel tired and not able to do normal everyday activities.

    Iron deficiency and iron deficiency anaemia Each day we normally lose a small amount of iron, which must be replaced from the food we eat to keep the body in balance. Larger amounts of iron are lost if there is bleeding (eg. from periods or silent bleeding from the bowel). If you lose more iron than you take in through food, your body will become low in iron. This is called iron deficiency. If the amount of iron in the body falls even lower, you are not able to make enough new red blood cells. The haemoglobin level then drops below normal. This is known as iron deficiency anaemia.

    Treating low body iron levels The treatment of low body iron levels will depend on the cause, how severe it is & how quickly it needs to be corrected. Once you are already low in iron it is difficult to get enough iron back into your body just by changing your diet. Iron tablets & iron liquid contain iron at higher levels than food & help to replace iron more quickly. They should only be taken when recommended by your doctor.

    Oral Iron Iron tablets and iron liquid If you are able to take iron by mouth, this is generally the first option recommended. There are many brands of iron tablets or liquid that can be bought over-the-counter (without a prescription). Many of these do not contain enough iron to make a difference. It is important that you get advice from your doctor about which iron tablets are right for you, how to take them correctly and what the possible side effects are. Please ask your doctor for the Guide to taking iron tablets brochure if this treatment is recommended for you.

    Intravenous (IV) Iron If oral iron is not suitable for you, your doctor may suggest intravenous (IV) iron. IV iron is given directly into a vein through a needle. This is usually given in a hospital, outpatient clinic or medical centre. Uncommon but important side effects include serious allergic reactions and skin staining which can be permanent. Your doctor will talk with you about the risks and benefits of IV iron in your case. Please ask your doctor for the Intravenous (IV) iron infusions brochure if this treatment is recommended for you.

    Other Treatments Intramuscular iron injection of iron into muscle is not recommended as it is painful and can cause permanent skin scarring and brown staining.

    Blood transfusion this can be lifesaving when severe anaemia or bleeding is present. It carries greater risks than IV iron and should be avoided unless an increase in haemoglobin level is needed right away.

    For more information: Talk to your doctor, nurse, midwife or pharmacist Patient materials at: www.sahealth.sa.gov.au/bloodorgantissue

    Department for Health & Ageing, Government of South Australia. All rights reserved. BloodSafe April 2017 TP-L5-801 v1.1 IDA

  • Department for Health & Ageing, Government of South Australia. All rights reserved. BloodSafe April 2017 TP-L5-801 v1.1 IDA

    Iron and Iron Deficiency Arabic /

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  • Department for Health & Ageing, Government of South Australia. All rights reserved. BloodSafe April 2017 TP-L5-801 v1.1 IDA

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    Iron and Iron Deficiency Burmese/

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    Iron and Iron Deficiency Chinese Simplified /

    www.sahealth.sa.gov.au/bloodorgantissue

    Department for Health & Ageing, Government of South Australia. All rights reserved. BloodSafe April 2017 TP-L5-801 v1.1 IDA

    http://www.sahealth.sa.gov.au/bloodorgantissue

  • eljezo i nedostatak eljeza Ope informacije za pacijente, obitelji i njegovatelje

    Zato je eljezo vano?Naim tijelima je potrebno eljezo. eljezo je potrebno kako bi se proizveo hemoglobin dio vaih crvenih krvnih zrnaca koji nosi kisik irom vaeg tijela. eljezo je takoer vano za snagu miia, energiju i snanu mentalnu funkciju. Ukoliko su razine eljeza u vaem tijelu niske to vas moe uiniti umornima i dovesti do toga da niste u stanju obavljati svakodnevne normalne dnevne aktivnosti.

    Nesdostatak eljeza i anemija uslijed nedostatka eljezaSvakoga dana mi normalno gubimo malu koliinu eljeza koja mora biti nadoknaena iz hrane kako bi se tijelo odralo u ravnotei. Vee koliine eljeza se gube ako doe do krvarenja (npr. uslijed menstruacije ili tihog krvarenja u crijevima). Ukoliko gubite vie eljeza nego to uzimate putem hrane/dijete, vae tijelo e imati nisku koliinu eljeza. To se zove nedostatak eljeza. Ukoliko koliina eljeza u tijelu padne jo nie, niste u stanju proizvesti dovoljno novih krvnih zrnaca. Razina hemoglobina onda pada ispod normale. To se zove anemija uslijed nedostatka eljeza.

    Tretman niskih razina eljeza u tijeluTretman niskih razina eljeza u tijelu e ovisiti o uzroniku, o njegovoj ozbiljnosti i kako brzo uzronik mora biti uklonjen. Jednom kada vam je razina eljeza ve niska teko je povratiti razinu eljeza natrag u tijelo samo promjenom prehrane (dijete). Tablete i tekuina sa eljezom sadri eljezo u viim koliinama nego to su u hrani i pomau bre povratiti razinu eljeza u vaem tijelu. Tablete i tekuinu biste samo trebali uzeti ako vam je to preporuio va lijenik.

    Uzimanje eljeza oralnim putem tablete i tekuina sa eljezomUkoliko ste u stanju uzeti eljezo oralnim putem, openito govorei to je prva mogunost koja se preporua. Postoji veliki broj tableta sa eljezom ili tekuina koje su dostupne u runoj prodaji (bez recepta). Mnoge od ovih ne sadre dovoljno eljeza kako bi se uinila razlika. Vano je za vas dobiti savjet lijenika o tome koje tablete sa eljezom su dobre za vas, kako ih tono uzeti i koje su mogue nuspojave. Molimo zatraite od lijenika brouru Vodi za uzimanje tableta sa eljezom ukoliko vam je ovaj tretman preporuen.

    Intravenozno (IV) eljezoUkoliko eljezo oralnim putem nije prikladno za vas, va lijenik moe preporuiti intravenozno (IV) eljezo. IV eljezo se daje izravno u venu putem igle. To se obino daje u bolnici, dnevnoj klinici ili medicinskom centru. Neuobiajene ali vane nuspojave ukljuuju vane alergijske reakcije i potamnjenje koe koje moe biti trajno. Va lijenik e razgovarati sa vama o rizicima i pogodnostima IV eljeza u vaem sluaju. Molimo zatraite od lijenika brouru Intravenozne (IV) infuzije eljeza ukoliko je ovaj tretman preporuen u vaem sluaju.

    Ostali tretmaniIntramuskularno eljezo (u mii) injekcija eljeza u mii nije preporuljiva jer je bolna i moe prouzroiti trajno oteenje koe i potamnjenje koe smee boje.

    Transfuzija krvi ovo moe spasiti ivot u sluaju teke anemije ili ako je rije o krvarenju. Transfuzija nosi vee rizike nego IV eljezo i trebala bi se izbjegavati osim ako je poveanje razine hemoglobina hitno potrebno.

    Iron and Iron Deficiency Croatian/Hrvatski

    Za vie informacija:Razgovarajte sa vaim lijenikom, medicinskom sestrom, primaljom ili farmaceutom

    Materijali za pacijente su dostupni na adresi: www.sahealth.sa.gov.au/bloodorgantissue

    Department for Health & Ageing, Government of South Australia. All rights reserved. BloodSafe April 2017 TP-L5-801 v1.1 IDA

    http://www.sahealth.sa.gov.au/bloodorgantissue

  • Department for Health & Ageing, Government of South Australia. All rights reserved. BloodSafe April 2017 TP-L5-801 v1.1 IDA

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  • Rimthith ku Kur Rimthith Gup Yic Lk amatnhom tn kc tuany, mc thook ku dumuuk Rimthith pth kad?Gup kua aa wc rimthith. Rimthith ee dhith rimaliir (haemoglobin) ku kn yen ee rimthith dhie aliir wi jt b tk gup yic. Aya, ee acuek gm ril, ku tuuc raan gup ku cl nhom a ic tak. Na c rimthith kur y gup, ka yn a lu ba ya rr y c gup thiai ku ye k y jr luy gut k thr dhie ye lu.

    Kur Rimthith ku Tuny Koor RimthithKl thok ebn rimthith thin nyt ee jl o gup, ku a yeku gua bn cool t mth ok rin b gup ic luui. Rimthith un thok jl raan gup t kur raan apy (cmn kur thk td ka kur loi rot yc ka kuc raan). Na jl rimthith wr rimthith ye mith cul gup yic, ka rimthith a b kur y gup. Kn a cl kur rimthith. Na jl rimthith dt tet y gup, ka gup du a b cin t yen rimthith yam bn looi. Keya ka rimaliir (haemoglobin) a b kur rk b br tuaany. Kn a cl tuny koor rimthith.

    Dny koor rimthith gup yicDny koor rimthith a ye luy t ct tn kn nyy rimthith, t c nyaai ku ye kaam ynd c d dhil rimthith juak yic. Na koor rimthith y gup, ka ril yic ba rimthith juak yic y gup mith rot. ubuub rimthith ku rimthith c lir aa le yiic rimthith dt tet ku keek aa le ril b kek rimthith lac juak yic gup yic. Wal k aa path b raan ke dek t c akm wt lueel al ka dhil dek.

    Rimthith dek ubuub rimthith ku rimthith c lirNa l ril bn rimthith dek, ka path ba dek. ubuuth rimthith wl rimthith c lir aa c ck rin juc ku aa lu ba ke c ayaada yic (ke kc akm gt yn). K juc kam ken aa cn yiic rimthith dt wn lu b rimthith cool y gup. Apath ba rot cl a wt akim du al ubuub rimthith b piath ke yn, dhl bn ke ic dek ku t wc ba yk t dek yn keek. Manha lk akim du b gm athr thiin Dhl ye ubuub rimthith dek t c wt yk ln pth yn ke dny rimthith.

    Rimthith (IV) Ye tum gup yicNa cin rot t dek wal rimthith ka akim du a b wt lueel ln pth yen b rimthith (IV) tum y gup. Rimthith IV a ye tum rl rim yic with. Tum kn ee panakm, pakm akl wl panakm un yen ee ye lac looi thin. Kk wc ku aa ce lac wc t toom raan aa le yiic mun b raan mun ke rimthith c tum ye gup ku wr b kn dl rot waar ku c ben dhuk t deen thr. Akim du a b jam ke yn al k b wc ku k pth rimthith IV tn yn. Manha lk akim du b gm athr thiin Rimthith (IV) Ye tum gup yic t c wt yk ln pth yn ke dny rimthith.

    Dc kkRimthith ye tum acuek yiic toom ye rimthith tum acuek yiic a rac rin yen tk ku a lu b raan ny gup pir ku looi gup raan b ya mathi.Toom ye rim tum gup yic kn a lu b wi raan dt t c raan gup la tuny koor rimthith gup yic wl t c raan kur apy. K wc tum kn aa juc rk k wr k wc rimthith IV yic ku apath b c loi t kc raan gup thk rimaliir (haemoglobin) ku a wc b lac juak yic.

    Iron and Iron Deficiency Dinka/Thuj

    Na wc lk kk:Jaam kek akim du, akunyakm, gm wl raan wal lui ayaada yicK c gt tn kc tuany aa tu: www.sahealth.sa.gov.au/bloodorgantissue

    Department for Health & Ageing, Government of South Australia. All rights reserved. BloodSafe April 2017 TP-L5-801 v1.1 IDA

    http://www.sahealth.sa.gov.au/bloodorgantissue

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  • Zat besi dan Kekurangan Zat Besi Keterangan umum untuk pasien, keluarga dan orang yang ikut merawat Mengapa zat besi penting?Tubuh kita membutuhkan zat besi. Zat besi digunakan untuk membuat hemoglobin bagian dari sel darah merah kita yang membawa oksigen ke seluruh tubuh. Zat besi juga penting untuk kekuatan otot, tenaga dan fungsi mental yang baik. Jika tingkat zat besi Anda rendah, Anda mungkin merasa lelah dan tidak dapat melakukan kegiatan normal sehari-hari.

    Kekurangan zat besi dan anemia kekurangan zat besiSetiap hari kita dengan wajar kehilangan sedikit jumlah zat besi, yang harus dipulihkan oleh makanan yang kita makan untuk menjaga keseimbangan tubuh. Kita akan kehilangan lebih banyak zat besi kalau ada pendarahan (misalnya waktu datang bulan atau pendarahan tak terlihat dari usus). Jika Anda kehilangan lebih banyak zat besi daripada zat besi yang Anda dapatkan dari makanan, zat besi dalam tubuh Anda akan menjadi rendah. Ini dikenal dengan istilah kekurangan zat besi. Jika jumlah zat besi dalam tubuh menurun lebih rendah lagi, Anda tidak dapat membuat cukup sel darah merah yang baru. Tingkat hemogoblin turun di bawah batas normal. Hal ini dikenal sebagai anemia kekurangan zat besi.

    Mengobati tingkat zat besi tubuh yang rendahMemulihkan tingkat zat besi tubuh yang rendah bergantung pada penyebabnya, berapa seriusnya & berapa cepat hal ini harus diperbaiki. Waktu zat besi Anda sudah rendah, sulit untuk mendapatkan cukup zat besi kembali ke dalam tubuh Anda hanya dengan merubah pola makan Anda. Tablet dan cairan zat besi berisi zat besi dalam tingkat yang lebih tinggi daripada makanan. Tablet atau cairan zat besi membantu mengembalikan zat besi secara lebih cepat. Tablet zat besi hanya boleh diminum jika dianjurkan dokter Anda.

    Zat besi yang diminum Tablet dan cairan zat besiJika Anda dapat minum zat besi, ini adalah pilihan pertama yang biasanya dianjurkan. Ada banyak merek tablet atau cairan zat besi yang dapat dibeli tanpa resep dokter. Banyak dari merek ini yang tidak mengandung cukup zat besi untuk memulihkan kekurangan zat besi. Adalah penting Anda minta nasehat dokter Anda tentang tablet zat besi mana yang sesuai untuk Anda, bagaimana cara meminumnya dengan benar dan apa kemungkinan efek sampingannya. Silakan minta pada dokter Anda brosur Petunjuk meminum tablet zat besi jika pengobatan ini dianjurkan untuk Anda.

    Zat besi Intravena (IV)Jika Anda tidak bisa minum zat besi, dokter Anda mungkin akan menyarankan zat besi intravena (IV). IV diberikan langsung melalui pembuluh darah dengan menggunakan jarum. IV biasanya diberikan di rumah sakit, klinik tidak menginap atau pusat kesehatan. Efek sampingan yang jarang terjadi tapi penting diketahui termasuk reaksi alergi dan penodaan kulit yang mengkin berbekas permanen. Dokter Anda akan mendiskusikan dengan Anda tentang resiko dan manfaat IV zat besi dalam kasus Anda. Silakan minta pada dokter Anda brosur Transfusi Intravena (IV) zat besi jika perawatan in dianjurkan untuk Anda.

    Perawatan lainZat besi Intramuskular suntikan zat besi ke dalam otot tidak dianjurkan karena menyakitkan dan dapat menyebabkan bekas luka permanen serta penodaan warna coklat pada kulit.Transfusi darah transfusi ini dapat menyelamatkan nyawa waktu terjadi anemia atau pendarahan berat. Resikonya lebih besar daripada IV zat besi dan harus dihindari kecuali peningkatan hemoglobin dibutuhkan saat itu juga.

    Iron and Iron Deficiency Indonesian/Bahasa Indonesia

    Untuk keterangan lebih lanjut:Bicaralah dengan dokter, perawat, bidan atau apoteker Anda

    Bahan untuk pasien: www.sahealth.sa.gov.au/bloodorgantissue

    Department for Health & Ageing, Government of South Australia. All rights reserved. BloodSafe April 2017 TP-L5-801 v1.1 IDA

    http://www.sahealth.sa.gov.au/bloodorgantissue

  • Il ferro e la carenza di ferro Informazioni generali per i pazienti, le famiglie e i badanti

    Perch il ferro importanteLorganismo umano ha bisogno di ferro, che serve a produrre emoglobina la sostanza nei globuli rossi che fa circolare lossigeno attraverso il corpo. E anche importante per la forza muscolare, per lenergia e per una buona funzione mentale. Livelli di ferro bassi possono causare stanchezza e difficolt a svolgere le normali attivit quotidiane.

    La carenza di ferro e lanemia da carenza di ferroOgni giorno normalmente perdiamo una piccola quantit di ferro, che deve essere reintegrata dal cibo per mantenere in equilibrio lorganismo. Si perde pi ferro se vi perdita di sangue, ad esempio dallintestino o da mestruazioni. Se si perde pi sangue di quanto si assorbe dal cibo, il livello di ferro nellorganismo scende. Questa si chiama carenza di ferro. Se il livello di ferro scende ancora di pi, il corpo non riesce a produrre abbastanza globuli rossi e i livelli di emoglobina scendono sotto il normale. Questa si chiama anemia da carenza di ferro.

    Trattamento dei bassi livelli di ferro Il trattamento da adottare per i bassi livelli di ferro dipende dalle cause, dalla gravit e dallurgenza di doverli ristabilire. Quando la persona ha gi livelli di ferro bassi, sar difficile assorbire abbastanza ferro solo cambiando la dieta. Il ferro in compresse o in forma liquida in concentrazione pi alta rispetto al cibo e aiuta a reintegrare pi rapidamente il livello di ferro nel corpo. Deve per essere preso in queste forme solo su prescrizione medica.

    Ferro per via orale Ferro in compresse o in forma liquidaSe puoi assumere il ferro per bocca, in genere la prima opzione raccomandata. Vi sono diversi tipi di ferro in compresse o in forma liquida che si posso acquistare senza ricetta medica. Molti non contengono abbastanza ferro da essere efficaci. E importante quindi farsi consigliare dal medico su quali compresse sono adatte al tuo caso, su come assumerle correttamente e sui possibili effetti collaterali. Chiedi al medico lopuscolo di guida alle compresse di ferro, detto Guide to taking iron tablets se questo il trattamento che ti viene raccomandato.

    Ferro per via endovenosaSe il ferro per via orale non adatto al tuo caso, il medico ti potr suggerire il ferro per via endovenosa, che viene somministrato direttamente per iniezione in una vena. Liniezione viene fatta di solito in ospedale, in ambulatorio o in un centro medico. Gli effetti collaterali, poco comuni ma importanti, includono forti reazioni allergiche e colorazione della pelle, che pu essere permanente. Chiedi al medico lopuscolo sullinfusione endovenosa di ferro, detto Intravenous (IV) iron infusions se questo il trattamento che ti viene raccomandato.

    Altri trattamentiFerro per via intramuscolare iniezione di ferro in un muscolo non un trattamento raccomandato perch liniezione dolorosa e pu causare sulla pelle cicatrici permanenti e una colorazione bruna. Trasfusione di sangue pu salvare la vita in casi di anemia grave o di perdita di sangue. Comporta pi rischi delliniezione endovenosa e dovrebbe essere evitata, se non necessario con urgenza un aumento del livello di emoglobina.

    Iron and Iron Deficiency Italian/Italiano

    Per maggiori informazioni:Parla con il tuo medico, un infermiere, una levatrice o un farmacista

    Materiale per i pazienti nel sito: www.sahealth.sa.gov.au/bloodorgantissue

    Department for Health & Ageing, Government of South Australia. All rights reserved. BloodSafe April 2017 TP-L5-801 v1.1 IDA

    http://www.sahealth.sa.gov.au/bloodorgantissue

  • Department for Health & Ageing, Government of South Australia. All rights reserved. BloodSafe April 2017 TP-L5-801 v1.1 IDA

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  • Department for Health & Ageing, Government of South Australia. All rights reserved. BloodSafe April 2017 TP-L5-801 v1.1 IDA

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    http://www.sahealth.sa.gov.au/bloodorgantissue

  • elazo i niedobr elaza Oglna informacja dla pacjentw, rodzin i opiekunw

    Dlaczego elazo jest wane?Nasz organizm potrzebuje elaza. elazo uywane jest do wytwarzania hemoglobiny, ktra stanowi cz czerwonych krwinek rozprowadzajcych po ciele tlen. Jest ono rwnie wane dla siy mini, energii i dobrego funkcjonowania umysu. Jeeli poziom elaza jest niski, wywouje to uczucie zmczenia i uniemoliwia normalne wykonywanie codziennych czynnoci.

    Niedobr elaza i anemia wywoana niedoborem elazaKadego dnia normalnie tracimy niewielk ilo elaza, ktr trzeba zastpowa przy pomocy jedzenia, po to, by utrzyma organizm w rwnowadze. Wiksze iloci elaza traci si w przypadku krwawienia, (np. przy okresie lub w czasie niewiadomego krwawienia z jelita). Jeeli si traci wicej elaza ni si go pobiera z jedzenia, moe nastpi niedostatek elaza w organizmie. Okrela si to, jako niedobr elaza. Jeli poziom, elaza spadnie jeszcze bardziej, wytwarzanie wystarczajcej iloci czerwonych krwinek si staje niemoliwe. Poziom hemoglobiny spada wtedy poniej normy. Nazywa si to anemi wywoan niedoborem elaza.

    Leczenie niskiego poziomu elaza w organizmieLeczenie niskiego poziomu elaza w organizmie zaley od jego przyczyny, oraz, na ile przypadek jest ciki i jak szybko trzeba to skorygowa. Kiedy wystpi ju niski poziom elaza, trudno jest go przywrci do normy jedynie zmieniajc diet. Tabletki elaza i elazo w pynie zawieraj wicej elaza ni jedzenie i pomagaj uzupeni elazo szybciej. Naley je bra jedynie wtedy, gdy zaleci to lekarz.

    elazo pobierane doustnie tabletki elaza i elazo w pynieJeeli jeste w stanie pobiera elazo doustnie, jest to na og zalecane, jako pierwsza opcja. Istnieje wiele marek tabletek elaza lub elaza w pynie, ktre mona kupi bez recepty. Wiele z nich nie zawiera wystarczajcej iloci elaza, by zrobio to rnic. Wane jest poradzi si swojego lekarza, ktre tabletki s w twoim przypadku najwaciwsze, jak je naley bra i jakie s moliwe ich skutki uboczne. Popro swojego lekarza o broszur zatytuowan Poradnik brania tabletek elaza jeeli ten rodzaj leczenia zosta ci zalecony.

    elazo podawane doylnie (IV)Jeeli pobieranie elaza ustnie nie jest dla ciebie odpowiednie, twj lekarz moe zasugerowa doylne (IV) zastrzyki elaza. W takim przypadku elazo wstrzykiwane jest przez ig bezporednio do yy. Robi si to na og w szpitalu, w ambulatorium lub w centrum medycznym. Do rzadkich, ale wanych skutkw ubocznych nale powane reakcje alergiczne i zabarwienie skry, ktre moe by nieusuwalne. Twj lekarz poinformuje ci o ryzykach i korzyciach doylnego podawania elaza w twoim przypadku. Popro swojego lekarza o broszur zatytuowan Doylne (IV) wlewy elaza jeeli ten rodzaj leczenia zosta ci zalecony.

    Inne rodzaje leczeniaPodawanie elaza dominiowo zastrzyk z elaza do minia nie jest zalecane, poniewa to bolesne i moe spowodowa stae blizny i brzowe zabarwienia skry.

    Transfuzja krwi metoda ta moe uratowa ycie w przypadku powanej anemii lub krwawienia. czy si ona z wikszym ryzykiem ni zastrzyki doylne i dlatego naley jej unika z wyjtkiem przypadkw, gdy zwikszenie poziomu hemoglobiny jest natychmiastowo konieczne.

    Iron and Iron Deficiency Polish/Polski

    Po wicej informacji:Porozmawiaj ze swoim lekarzem, pielgniark, poon lub aptekarzem

    Materiay dla pacjentw na stronie: www.sahealth.sa.gov.au/bloodorgantissue

    Department for Health & Ageing, Government of South Australia. All rights reserved. BloodSafe April 2017 TP-L5-801 v1.1 IDA

    http://www.sahealth.sa.gov.au/bloodorgantissue

  • Department for Health & Ageing, Government of South Australia. All rights reserved. BloodSafe April 2017 TP-L5-801 v1.1 IDA

    Iron and Iron Deficiency Punjabi / pMjwbI

    Awiern Aqy Awiern dI GwtmrIzW, mrIzW dy prIvwr vwilAW jW dyKBwl krn vwilAW dy leI sDwrx jwxkwrIAwiern ikauN zrUrI hY?swfy SrIr nuM Awiern dI loV huMdI hY[ Awiern hImogloibn dy bnx ivc shwiek huMdw hY[ hImogloibn rY`f bl`f sY`l (rkqwxU) dy aus ih`sy nuM kihMdy hn jo AwksIjn nuM quhwfy SrIr dy v`K ih`isAW ivc phucwauNdy hn[ ieh mWspyiSAW dI qwkq, aUrjw Aqy cMgy mwnisk kMm kwj dy leI vI zrUrI huMdw hY[ jy quhwfy AMdr Awiern dy q~q dI kmI hY qW ieh quhwnuM Q`ikAw hoieAw Aqy roz dy AwmqOr qy kIqy jw skx vwly kMm krx ivc AsmrQ mihsUs krvw skdw hY[

    Awiern dI Gwt Aqy Awiern dI Gwt sbMiDq AnImIAwhr roz Awm qOr qy swfy AMdroN QoVw ijhw Awiern nSt ho jWdw hY, ijs dI BrpweI, ieh SrIr dw sMquln bxwey r`Kx dy leI, swfy Bojn Kwx dy duAwrw hoxI zrUrI hY[ ^Un inklx dI sUrq ivc bhuq izAwdw Awiern nSt huMdw hY (ijvyN ik mwhvwrI dy dOrwn jW AWqVW dy AMdroN ^Un inklx qy ijs bwry swnUM pqw nw l`gy)[ jy qusIN Bojn rwhIN il`qy jw rhy Awiern nwloN v~D Awiern guAw rhy ho, qW quhwfy SrIr dy ivc Awiern dI mwqrw Gt jWdI hY[ ies nuM Awiern fY&ISYNsI kihNdy hn[ jy SrIr dy AMdroN Awiern dI mwqrw hor vI Gt jwvy, qW quhwfI rY`f bl`f sY`l (rkqwxU) bxwaux dI smr~Qw kw&I nhIN rihNdI[ hImogloibn dI mwqrw auic~q mwqrw qoN vI Gt jWdI hY[ ies nuM Awiern fYi&SYNsI AnImIAw kihNdy hn[

    SrIr ivc Gty hoey Awiern dy p~Dr dw ielwjSrIr ivc Gty hoey Awiern dy p~Dr dw ielwj ies cIz au`qy inrBr krdw hY ik ausdy ip~Cy kI kwrx hY, ieh ikMnW gMBIr hY Aqy ies nuM ikMnI jld qoN jld TIk krx dI loV hY[ jy quhwfy AMdr pihlW qoN hI Awiern dI kmI Aw cukI hY, qW isr& ^urwk bdl ky SrIr ivc auicq mwqrw dw Awiern vwps ilAwxw muSikl huMdw hY[ Awiern dI golIAW jW qrl Awiern ivc Awiern dI mwqrw Bojn ivc pwey jwx vwly Awiern nwloN v`D huMdI hY Aqy iehnW nwl Awiern nuM vwps vDwaux dy ivc qyzI dy nwl mdd imldI hY[ iehnW dw iesqymwl isr& fwktr dI is&wirS qy hI krnw cwhIdw hY[

    Awiern mUMh rwhIN Awiern dIAW golIAW Aqy qrl Awiernjy qusIN mUMh rwhIN Awiern lY pw rhy ho, qW Awm qOr qy ies dI pihly ivklp dy qOr qy is&wirS kIqI jWdI hY[ Awi-ern dIAW golIAW jW qrl Awiern dy keI bRYNf hn jo ik kwauNtr au`qy Awm (fwktrI is&wirS qoN ibnw) KrIdIAW jw skdIAW hn[ iehnW ivcoN bhuq swrIAW hn ijnHW ivc aus mwqrw dw Awiern nhIN huMdw ijs nwl &rk nzr Awvy[ ieh zrUrI hY ik qusIN Awpxy fwktr koloN slwh lE ik quhwfy leI ikhVIAW Awiern dIAW golIAW shI hn, iehnW nuM Kwx dw shI qrIkw kI hY Aqy iehnW dy kI kI bury pRBwv ho skdy hn[jy quhwfy leI ieh ielwj dI is&wirS kIqI jWdI hY qW Awpxy fwktr nuM kho ik quhwnuM Awiern dIAW golIAW lYx sbMDI mwrgdrSk pYN&lyt dyx [

    tIky rwhIN nwV ivc Awiern pwauxw (IV Awiern)jy muMh rwhIN Awiern lYxw quhwfy leI auicq nhI hY, qW quhwfw fwktr tIky rwhIN nwV ivc Awiern pwaux dw suJwA dy skdw hY[ IV Awiern tIky dI sueI rwhIN is~Dw nwV ivc pwieAw jWdw hY[ ieh Awm qOr qy hspqwl, Awautpy-SYNt klInIk jW mYfIkl sYNtr ivc kIqw jWdw hY[ AsDwrn pr mhq`vpUrx bury pRBwvW ivc gMBIr AYlrjI hoxw Aqy cmVI au`qy D`by pY jwxw Swml hn Aqy ieh D`by p`ky vI ho skdy hn[ quhwfy mwmly ivc IV Awiern nuM lYx dy lwB Aqy KqirAW dy bwry quhwfw fwktr quhwfy nwl g`l krygw[ jy quhwfy leI ies ielwj dI is&wirS kIqI jWdI hY qW Awpxy fwktr nuM AwKo ik quhwnuM tIky rwhIN nwV ivc Awiern pwaux sbMDI tIky rwhIN nwV ivc Awiern pwauxw nwm dw pYN&lyt dyvy[

    hor ielwjmwspySI ivc id~qw jwx vwlw Awiern tIky rwhIN Awiern nuM mwspySI ivc pwaux dI is&wirS nhI kIqI jWdI ikauNkI ieh drdnwk huMdw hY Aqy ies nwl cmVI a`uqy p~ky D`by jW Bury D`by pY skdy hn[

    ^Un sMcwrn gMBIr AnImIAw jW bhuq izAwdw ^Un inklx dI sUrq ivc ieh jwx bcw skdw hY[ IV Awiern dI qulnw ivc ies ivc izAwdw ^qrw huMdw hY Aqy jy qurMq hImogloibn dI mwqrw vDwaux dI loV nw hovy, ies qoN bcxw hI cwhIdw hY [

    vDyrI jwxkwrI dy leI:Awpxy fwktr, nrs, im`fvweI& jW dvwKwnw AiDkwrI nwl g`l kromrIzI q`Q ieQy pwau: www.sahealth.sa.gov.au/bloodorgantissue

  • Chuma na Upungufu wa Chuma Habari ya jumla kwa wagonjwa, familia na walezi Kwa nini chuma ni muhimu?Miili yetu inahitaji chuma. Chuma hutumiwa kutengeneza hemoglobini - sehemu ya seli nyekundu za damu ambayo hubeba oksijeni mwilini wako. Pia ni muhimu kwa nguvu ya misuli, nishati na akili kufanya kazi vizuri. Kama viwango vya chuma vyako viko chini hii inaweza kufanya kujisikia uchovu na kutokuwa na uwezo wa kufanya shughuli za kawaida za kila siku.

    Upungufu wa chuma na upungufu wa chuma wa anemiaKila siku kwa kawaida huwa tunapoteza kiasi kidogo cha chuma, ambacho lazima kirudishwa kutokana na chakula tunachokula kuweka mwili katika hali nzuri. Kiasi kikubwa cha chuma hupotea ikiwa unavuja damu (mfano. kutoka vipindi au damu kutoka kwenye kujisaidia). Kama ukipoteza chuma zaidi kuliko unayokula kwenye chakula, mwili wako utakuwa na chuma ya chuma. Hii inaitwa ukosefu wa chuma. Kama kiasi cha chuma katika mwili kikishuka zaidi chini, wewe una uwezo wa kufanya upya seli nyekundu za damu. Ndipo kiwango cha hemoglobini hukishuka chini ya kawaida. Hii inajulikana kama ukosefu wa chuma ya anemia.

    Kutibu kiasi cha chini cha chuma katika mwiliMatibabu ya kiwango cha chini cha chuma katika mwili hutegemeana na chanzo, jinsi ukali ulivyo & jinsi ya haraka unaotakiwa ili kusahihisha. Mara baada ya kuwa na chuma ya chini tayari ni vigumu kupata chuma ya kutosha tena kwenye mwili wako kwa kubadilisha mlo wako tu. Chuma ya vidonge & chuma ya majimaji ina chuma katika ngazi ya juu kuliko chakula & inasaidia kurudisha chuma kwa haraka zaidi. Inapaswa tu kuchukuliwa wakati ikipendekeza na daktari wako.

    Chuma ya kunywa - Chuma ya vidonge na chuma majimajiKama una uwezo wa kumeza chuma kwa kinywa, hii kwa ujumla ni chaguo la kwanza linalopendekezwa. Kuna aina nyingi za vidonge vya chuma au majimaji ambazo zinanaweza kununuliwa kaunta (bila dawa). Nyingi ya hizo huwa hazina chuma ya kutosha ili kufanya tofauti. Ni muhimu kupata ushauri kutoka kwa daktari wako juu ya vidonge vya chuma vinavyokufaa, jinsi ya kuvimeza ipasavyo na athari zinazoweza kutokea. Tafadhali uliza daktari wako kuhusu Mwongozo wa kutumia vidonge chuma kama matibabu haya yanastahili kwako.

    Chuma ya Mishipani Kama chuma ya kunywa haifai kwa ajili yako, daktari wako anaweza kupendekeza chuma ya mishipa (IV). Chuma ya IV hutolewa moja kwa moja kwenye mshipa kupitia sindano. Hii kwa kawaida hutolewa hospitalini, Kliniki ya nje au kituo cha matibabu. Madhara yasiyo ya kawaida lakini muhimu ni pamoja na athari kubwa na madoa ya ngozi ambayo yanaweza kuwa ya kudumu. Daktari wako atazungumza na wewe juu ya hatari na faida ya chuma kupitia IV kulingana na kesi yako. Tafadhali uliza daktarin wako kwa mwongozo Chuma ya kwenye mishipa (IV) kama matibabu haya yanastahili kwako.

    Matibabu mengineNdani ya misuli ya chuma - kudunga sindano ya chuma ndani ya misuli haishauriwi kwa sababu inaleta uchungu na inaweza kusababisha makovu ya ngozi ya kudumu na mabaka ya kahawia.Kupeana damu - hii inaweza kuokoa uhai wakati anemia kali au kutokwa damu kumetokea. Hubeba hatari kubwa zaidi kuliko chuma ya IV na inatakiwa kukwepa labda kuongezeka kwa kiwango cha hemoglobin kunahitajika mara moja.

    Iron and Iron Deficiency Swahili/IKiswahili

    Kwa habari zaidi:Ongea na daktari wako, muuguzi, mkunga au mfamasia

    Vifaa vya mgojwa kwa : www.sahealth.sa.gov.au/bloodorgantissue

    Department for Health & Ageing, Government of South Australia. All rights reserved. BloodSafe April 2017 TP-L5-801 v1.1 IDA

    http://www.sahealth.sa.gov.au/bloodorgantissue

  • Department for Health & Ageing, Government of South Australia. All rights reserved. BloodSafe April 2017 TP-L5-801 v1.1 IDA

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    Iron and Iron Deficiency Tamil /

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    : www.sahealth.sa.gov.au/bloodorgantissue

  • Demir ve Demir eksiklii Hastalar, aileler ve bakm salayanlar iin genel bilgi

    Demir neden nemlidir?Vcudumuzun demire ihtiyac vardr. Demir hemoglobin retmek iin kullanlr hemoglobin alyuvarlarnzn bir parasdr, vcudunuzda oksijen tar. Demir ayni zamanda kas gc, enerji ve salkl zihin fonksiyonlar iin de nemlidir. Eer vcudunuzdaki demir seviyesi az ise, kendinizi yorgun hissedebilir ve gnlk aktivitelerinizi yerine getiremeyebilirsiniz.

    Demir eksiklii ve demir eksiklii anemisiNormalde hergn az bir miktar demir kaybederiz vcudumuzun dengesini korumas iin bu kayp yediklerimizle giderilmelidir. Eer vcudunuzda herhangi bir kanama varsa (adet kanamas yada barsaktan gizli kan szma) byk miktarda demir kaybedebilirsiniz. Eer yediklerinizle aldnz demirden daha fazla demir kaybederseniz, vcudunuzda demir eksiklii oluur. Buna demir eksiklii denir. Eer vcudunuzdaki demir seviyesi daha da azalacak olursa, hemoglobin seviyesi normalin altna der. Bu durum demir eksiklii anemisi olarak bilinir.

    Vcutta dk demir seviyesini tedavi etmekDemir eksikliinin tedavisi tedavinin sebebine, eksikliin derecesine ve eksikliin ne kadar zaman ierisinde giderilmesi gerektiine baldr. Eer demir seviyeniz bir kere azalrsa sadece yemek alkanlklarn deitirmekle yeterli demiri geri kazanmak zordur. Demir haplar ve sv demir yiyeceklerden daha yksek seviyede demir ierir ve kannzdaki demiri daha abuk yeniler. Demir hap ve sv demir sadece doktorunuz tarafndan tavsiye edildiinde alnmaldr.

    Azdan alma Demir haplar ve sv demirHangi demir hapnn sizin iin doru olduunu, bu hap doru olarak nasl alacanz ve olas yan etkileri renmek iin doktorunuzdan tavsiye almanz nemlidir. Eer size tavsiye edildi ise, ltfen doktorunuza Demir haplarn alma rehberi brorn sorun.

    Intravenz (IV) DemirEer azdan alma sizin iin uygun deilse, doktorunuz size intravenous (IV) demir tavsiye edebilir. IV demir ineyle dorudan damarnza verilir. Bu ilem genellikle, hastanede, ayakta tedavi kliniinde veya tip merkezlerinde yaplr. Bu ilemin, ciddi alerjik reaksiyonlar ve cilt lekeleri gibi kalc olabilen, az rastlanan fakat nemli yan etkileri olabilir. Doktorunuz size IV demir riskleri ve faydalar hakknda bilgi verecektir. Eer size bu yntem tavsiye edildi ise, ltfen doktorunuza Intravenz (IV) demir enfzyon brorn sorun.

    Dier tedavilerIntramskler demir demirin kaslara enjekte edilmesi tavsiye edilen bir yntem deildir nk bu yntem ac verir ve deride kalc yara izlerine ve kahverengi lekelere sebep olur.

    Kan nakli eer ar anemi ve kanama sz konusu ise hayat kurtarabilir. Bu yntem IV demirden daha yksek risk ierir ve hemoglobin seviyelerinde acil bir arta ihtiya duyulmadka bu yntemden uzak durulmaldr.

    Iron and Iron Deficiency Turkish/Trke

    Daha fazla bilgi iin:Doktorunuza, hemireye, ebeye veya eczacya konuunuz

    Hastalar iin kaynaklar: www.sahealth.sa.gov.au/bloodorgantissue

    Department for Health & Ageing, Government of South Australia. All rights reserved. BloodSafe April 2017 TP-L5-801 v1.1 IDA

    http://www.sahealth.sa.gov.au/bloodorgantissue

  • Cht St v chng Thiu St Thng tin tng qut dnh cho bnh nhn, gia nh v ngi chm sc Ti sao cht st quan trng?C th chng ta cn c st. St dng to huyt sc t (haemogobin) l mt phn trong t bo hng cu c nhim v vn chuyn oxy i khp c th. St cng rt cn thit cho sc mnh c bp, hot ng th lc v gip tinh thn hot ng tt. Lng st thp s gy mi mt v lm chng ta khng th hon thnh nhng cng vic thng thng hng ngy.

    Chng Thiu st v bnh thiu mu do thiu stMi ngy chng ta thng mt i mt lng nh cht st v lng st mt i phi c b p li t nhng thc phm chng ta n c th c cn bng. Mt lng ln cht st c th b mt i nu c s xut huyt (v d trong nhng ngy hnh kinh hoc b xut huyt kn trong rut). Nu lng st mt i nhiu hn lng st c cung cp qua ng n ung, mc st trong c th chng ta s xung thp. Hin tng ny c gi l chng thiu st. Nu lng st trong c th xung thp hn na, cc t bo hng cu s khng c ti to . Mc huyt sc t heamoglobin v vy s tt xung di mc bnh thng. Hin tng ny c gi l bnh thiu mu do thiu st.

    iu tr khi st trong c th b xung thpVic iu tr khi st trong c th b xung thp ty thuc vo nguyn nhn, mc nghim trng v tnh cp bch ca vic cha tr. Mt khi mc st b thp, rt kh ly li mc st cn thit cho c th nu ch thay i ch n ung. Cc loi thuc st dng vin v dng nc c hm lng cht st cao hn trong thc phm v gip b p cht st nhanh hn. Tuy nhin ch c s dng thuc khi c ch nh ca bc s.

    Thuc st s dng qua ng ung dng vin v dng ncThng thng s dng thuc st qua ng ung l la chn u tin c khuyn nn dng, nu quy v c th ung. C nhiu nhn hiu thuc st vin v thuc st nc khc nhau c th c mua khng cn toa bc s. Nhiu loi trong s ny hm lng st khng cao gip ci thin mc st trong c th quy v. Quy v cn phi xin y kin ca bc s v loi thuc st vin ph hp vi quy v, cch s dng v nhng phn ng ph c th c. Vui lng hi bc s bn Hng dn s dng thuc st vin nu quy v c ch nh iu tr bng cch ny.

    St truyn qua tnh mch (IV)Nu thuc st qua ng ung khng ph hp vi quy v, bc s c th ngh truyn st qua tnh mch. St truyn tnh mch c a trc tip vo tnh mch thng qua kim tim. Vic ny thng c thc hin ti bnh vin, phng khm bnh nhn ngoi tr hoc trung tm y t. t khi thy phn ng ph nhng nu c s nghim trng bao gm d ng nng v da c th b thm vnh vin. Bc s s cho quy v bit v nhng ri ro v li ch ca vic truyn st qua tnh mch i vi trng hp ca quy v. Vui lng hi bc s bn hng dn Truyn st qua tnh mch (IV) nu quy v c ch nh iu tr theo cch ny.

    Cc cch iu tr khcSt tim c bp vic tim cht st vo c bp khng c khuyn khch v gy au n v c th gy tho hoc vt thm vnh vin cho da.

    Truyn mu cch cha tr ny c th cu sng bnh nhn nu c xut huyt hoc thiu mu nghim trng. Cch cha tr ny nhiu ri ro hn cch truyn st qua tnh mch v nn trnh tr khi cn thit phi nng mc huyt sc t haemoglobin ln ngay lp tc.

    Iron and Iron Deficiency Vietnamese/Vit Ng

    bit thm thng tin:Hy ni chuyn vi bc s, y t, nhn vin hoc dc s

    Ti liu dnh cho bnh nhn c ng ti: www.sahealth.sa.gov.au/bloodorgantissue

    Department for Health & Ageing, Government of South Australia. All rights reserved. BloodSafe April 2017 TP-L5-801 v1.1 IDA

    http://www.sahealth.sa.gov.au/bloodorgantissue