“Anemia is defined as a decrease in erythrocyte mass or blood hemoglobin and hematocrit levels,” said Assoc. Dr. Ömer Ekinci made statements about anemia, which is known as a public health problem.
Ekinci said: “Iron deficiency and associated iron deficiency anemia is one of the most common forms of anemia and is one of the major public health concerns.
In short, it is a picture characterized by the formation of less iron than it should be in the body, directly or indirectly affecting many systems. Iron has a systemic effect and affects the functions of many organs.
When iron-containing compounds, both in the cell and in the circulatory system, cannot adequately fulfill their functions, significant changes occur in cellular functions, growth, motor development, behavioral and cognitive functions, physical capacity and work force, immune system, skin and mucous membranes.
NUTRITION PLAYS AN IMPORTANT ROLE IN IRON DEFICIENCY
associate Dr Ekinci said: “The causes of iron deficiency can be highly variable. The main reasons; reduced dietary iron intake, reduced iron absorption and blood loss. Particularly in newborns, the use of cow’s milk causes dietary iron deficiency anemia due to insufficient iron levels .
Despite the growth and development rate in later childhood, dietary iron intake may be low. Many diseases related to the stomach and small intestine can be exemplified by anemia due to iron absorption.
MALE BLOODING CAN ALSO CAUSE BLOOD BLOOD
Assoc states that men’s bleeding in women is also a cause of anemia. Dr. Ekinci, “If the Causes of Bleeding; Loss of the gastrointestinal tract (esophagus, stomach, small and large intestine), loss of the genitourinary tract (human bleeding in women, inflammatory diseases of the kidneys, ureters and bladder, chronic blood loss due to stones and tumors), bleeding disorders such as bleeding disorders.Associated blood loss is the most common cause.
Since dietary intake is adequate in developed countries, the cause of iron deficiency is usually blood loss, while in developing countries, insufficient intake is the most common cause.
THE REQUEST TO EAT SOIL MAY CAUSE AN IRON DEFICIENCY
associate Dr Ekinci said: “Although the symptoms (complaints) are milder in the early stages of iron deficiency anemia, the symptoms become more pronounced as the severity of the anemia increases. The most common symptoms are pallor, weakness, fatigue, anorexia, palpitations , shortness of breath, headache, exercise intolerance, depression, restless feet syndrome, changes in nails, hair loss, cracks in the rim and tongue, difficulty swallowing, eating” defined as pica. craving”, eating ice cream and neurodevelopmental delay in children. Iron deficiency anemia can be easily diagnosed.
Complete blood count, peripheral blood smear, serum iron parameters) and biochemical tests are used in diagnosis. Iron parameters are leading in the diagnosis, differential diagnosis and showing the depth of the deficiency. Although easy to diagnose in some cases, there may be difficulties in differential diagnosis, especially in a small number of patients with elevated inflammatory parameters, and it may be possible to move from treatment to diagnosis.
ALUMINUM AND STAINLESS STEEL PAN REDUCES IRON ABSORPTION
Assoc states that cooking pots can affect anemia. Dr Ekinci said: “There are many factors that influence iron absorption. Aluminum and stainless steel pots reduce iron absorption. The absorption rate of iron-rich foods such as meat and green leafy vegetables cooked in such pots decreases. Therefore, attention should be paid to spent on the containers in which the food is cooked.Calcium is also an important molecule and as the amount of calcium in the diet increases, iron absorption decreases.In addition, tea, coffee and cocoa also reduce iron absorption due to the tannic acid they contain.It is healthier not to drink tea and coffee two hours before or after an iron-rich meal.
Compared to tea and coffee, tea can reduce iron absorption more. Finally; iron deficiency anemia affects about 12% of the world’s population. Women and children of childbearing age, especially in underdeveloped and developing countries, are the main affected population. Thanks to screening programs, pre- and post-pregnancy follow-ups and iron replacement strategies in early childhood, this picture has become less common in our country.