ANEMIA IN ADOLESCENT WOMEN

     


        Anemia is a condition in which the level of hemoglobin in the blood is lower than it should be or under normal conditions. Hemoglobin (Hb) is a protein found in red blood cells. This protein is what makes blood red. In normal levels, hemoglobin has many functions for the body. Therefore, normal levels of hemoglobin need to be maintained at all times.

        Besides giving color, hemoglobin also functions to help red blood cells get their natural shape, which is round with a flatter center. With this shape, red blood cells can easily move and flow in the blood vessels.

        If the amount or form of hemoglobin is abnormal, red blood cells cannot function properly in transporting oxygen and carbon dioxide. This can trigger various health problems, including anemia. This is quoted from the alodokter.com page.

ANEMIA DIAGNOSIS

To find out the normal levels of hemoglobin needed by humans, it can be seen in the following table:


CAUSES OF ANEMIA:
  1. Production of cells in the blood is not optimal. This can happen because of the lack of iron needed for the manufacture of cells in the blood in the body;
  2. Excessive destruction or destruction of cells in the blood, for example in malaria;
  3. Excessive blood loss, for example due to bleeding and intestinal worms.
In developing countries, including Indonesia, the most common cause of anemia (63%) is iron deficiency or deficiency, which is the result of:
  • Diet low in iron.
  • Contains quite a lot of iron but very little is absorbed
  • Malaria in endemic areas, which causes destruction of red blood cells
  • Worms, which cause long-term blood loss
  • Hereditary factors / certain diseases
While the most vulnerable groups are children and women

IMPACT OF IRON DEFICIENCY AND ANEMIA IN ADULTS
  1. 5 L (Tired / Weak / Lethargic / Inattentive / Forgotten )
  2. Low immunity thereby increasing the risk of developing infectious diseases
  3. Permanent cognitive impairment if it occurs at an early age: less intelligent
  4. Productivity drops
  5. In severe anemia: Unable to maintain body temperature after exposure to cold temperatures / shortness of breath
ANEMIA SYMPTOMS
Be aware if your child has the following symptoms. Some of the symptoms of anemia in children that sometimes parents don't realize include:
1. Pay attention to the child's face and behavior
  • Pale face
  • Tired quickly
  • Lack of appetite
  • Lack of concentration
  • Likes to chew ice
2. Perform the following simple test:

IMPACT OF ANEMIA IN ADULT
  • The capacity of the blood to carry oxygen to all body tissues, including the brain and muscles, is also low in learning concentration and work productivity also decreases
  • Students/students: concentration on learning achievement in school is low or not optimal
  • Decreased work productivity
  • Lower immunity so more susceptible to infectious diseases
WHY TEENAGE WOMEN ARE VULNERABLE TO ANEMIA
  • Fast growth, needs increase
  • Menstruation: regular blood loss in sufficient quantities
  • Prospective mother:
    • Childbirth age period: blood loss at delivery; number of deliveries; distance between deliveries; childbearing age as a teenager;
    • If the mother is pregnant  :    "late" , especially for organ development that requires folic acid
  • Diet to keep the appearance: psychological effects
WHY YOUTH NEED ROUTINE SUPLEMENTATION
  • Diet at risk of iron deficiency lifestyle
  • Many causative factors: helminthiasis, and malaria in endemic areas
  • Long period of iron deficiency before anemia. iron deficiency is not known without laboratory tests

TEENAGE PRINCESS IS A PROSPECTIVE MOTHER
The need for iron increases sharply in the second trimester, especially in the third trimester, So:
  • Pre-pregnancy iron stores should be sufficient for mobilization if intake is inadequate, and 
  • Iron supplementation during pregnancy, to treat anemia/iron deficiency; and for needs during pregnancy

ADDITIONAL BLOOD TABLETS 
How to give tablets to young women are as follows:
  1. Take Blood Boost Tablets (containing 60 mg Elemental Iron and 400 ug Folic Acid)
  2. Each teenager gets 48 capsules for one year
  3. Every young woman is advised to take 1 (one) tablet per week for 1 year
Is it safe to take tablets to increase blood in the long term?
  • Toxic dosage for long term use? : Well below the toxicity threshold;
  • Iron autoregulation mechanism in the body
  • Need to be careful in those who have blood disorders (thalassemia; hemochromatosis)
  • Special Treatment in malaria endemic areas

HOW TO OVERCOME ANEMIA
  • Eat food sources of iron, such as eggs, fish, meat, chicken, green beans, spinach and other green vegetables.
  • Eat food sources of Vitamin C, such as Guava, Papaya, Orange, Mango, Berry, Strawberry or other fruit.
  • Avoid consuming iron absorption inhibitors, such as tea and coffee.
  • Blood transfusion: last resort

FOODS THAT INCREASE IRON ABSORPTION
To increase iron absorption, it is better to take blood-added tablets together with fruits that are a source of vitamin C, such as oranges, papaya, mango, guava etc.


FOODS THAT INTERFERE THE ABSORPTION OF IRON 

Avoid taking blood-boosting tablets along with: 

  • Animal milk because it generally contains high amounts of calcium so that it can reduce the absorption of iron in the gastric mucosa.
  • Tea and coffee contain phytate and tannins which can bind iron into complex compounds so that it cannot be absorbed.
  • High doses of calcium (calc) tablets can inhibit iron absorption.
  • Heartburn medicine that functions to coat the surface of the stomach so that iron absorption is inhibited.
  • For that, if you want to consume the food or drug, it is better 2 hours before or 2 hours after consuming the blood-added tablet

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