Folic acid at low hemoglobin: increases or not

The role of vitamin B₉ and the daily rate

Red blood cells contain hemoglobin, through which oxygen is transported to the tissues of the embryo (pregnancy), brain and internal organs of human. Red blood cells must be updated every 3-4 months. Their education involved folic acid.

Lack of vitamin B₉ It reduces the production of full erythrocytes, hemoglobin and this lowers. When anemia starts oxygen deprivation (hypoxia) in the brain cells and other structures in the body. This is complicated by infertility, child developmental delays, depletion person.

During pregnancy, women need folic acid twice. It involved not only in the formation of high-grade red blood cells, but also in the formation of the embryo. Timely replacement of vitamin B₉ prevents a decrease of hemoglobin in the expectant mother, as well as defects in utero hypoxia and development of the child, fetal death, premature delivery.

Folic acid norm of hemoglobin and red blood cells:

vitamin B reference values9 serum	hemoglobin level	the number of red blood cells
marginally	maximally	marginally	maximally
men	3-25 ng / ml	130 g / l	165 g / l	4.0*1012	5.1*1012
Women	5.4-18 ng / ml	115 g / l	145 g / l	3.7*1012	4.7*1012
Pregnant women	0.8-24 ng / ml	100 g / l	160 g / l	3.5*1012	5.6*1012
Children up to 15 years	3.1-17.5 ng / ml	110 g / l	175 g / l	3.5*1012	5.6*1012

To maintain normal hemoglobin levels in children's daily folic acid requirement for Depending on the age of 25-200 micrograms and for adolescents over 13 years of age and adults - 300-400 micrograms. Lactating / pregnant women, doctors recommend folic acid consume daily 300-600 mg per day.

It is impossible in the absence of B₉anemia-scarce exceed the daily requirement of vitamin B intake₉. folic acid overdose complicated neurological disorder, the deterioration of the digestive system, skin diseases.

Causes of Vitamin B deficiency₉

The first reason for the reduction of hemoglobin due to folic acid deficiency is considered a meager diet, malnutrition.

A frequent cause of declining hemoglobin due to the loss of vitamin B₉ is an:

• pregnancy (folic acid linked to the lack of rapid formation of embryo cells);
• strict diet;
• food poisoning, harmful substances;
• alcohol abuse;
• chemotherapy and other cancer treatments;
• Gastrointestinal diseases, liver, kidney;
• bone marrow tumors;
• NSAID and / or corticosteroids;
• hemodialysis;
• breakdown processes of regulation of hematopoiesis;
• profuse bleeding (due to loss of erythrocyte hemoglobin drops);
• absorbability of infringement of nutrients in the gastrointestinal tract, or synthesis of DNA, porphins, globins;
• Disorder Education heme molecule;
• hemolysis (mass untimely destruction of erythrocytes).

Lack of protein, iron, cobalamin (B₁₂) May also reduce the number of full blood cell count and hemoglobin. Therefore, the patient is sent to a biochemical blood test to find out what triggered the lack of red blood cells. After evaluating the indicators used replacement therapy: prescribe the best medications whose action raises hemoglobin.

Methods of increasing hemoglobin at deficiency of vitamin B₉

vitamin B₉ It refers to stimulators of hematopoiesis and applied at B₉-scarce anemia, as well as its prevention during preconception, pregnancy, lactation. It is indicated for the prevention of developmental defects in the embryo structures.

Doctors recommend a comprehensive survey to find out what triggered the shortage of hemoglobin, then remove the causes of anemia. If this is caused by disease, the patient is conducted in parallel with the etiologic treatment assignment folate drugs. In the case of malnutrition person recommend a diet with the use folievosoderzhaschih products and dietary supplements. Pregnant women gynecologists, obstetricians prescribe B₉ complex with iron tools for the prevention of anemia, and fetal malformations.

Medical nutrition in deficiency of vitamin B₉

With a low hemoglobin in adults or children, doctors recommend replacement therapy combined with diet number 11 or number 15 on Pevzner. They feed on the therapeutic table for at least 3 months. The diet need to include foods rich in B vitamins and trace elements.

Enumeration of folic acid products with an indication of its amount in mg / 100g:

• Bread - 30;
• lettuce - 48;
• leek - 32;
• Beans - 90;
• lentils - 180;
• Brussels sprouts - 37.5;
• pasta in / s - 20;
• yeast - 550;
• pomegranate seeds - 18;
• porcini mushrooms - 40;
• peanuts - 240;
• beet - 80;
• raw eggs - 8;
• ; 80 - spinach leaves
• asparagus - 43;
• liver (chicken, beef, pork) - 220-240;
• buckwheat - 42;
• Figure - 17;
• nuts (hazelnuts, walnuts) - 68-77;
• Sunflower seeds are not roasted - 220;
• Grapefruit - 10;
• Mandarin - 270;
• orange juice - 122.

When cooked ready meals decreases in proportion by weight of folic acid. Therapeutic table Pevzner developed for the nutrition of patients in hospitals or nursing homes, that is, who are in conditions of minimal physical exertion. Therefore, working people with low levels of hemoglobin is necessary "under a" correct calorie dishes.

Medical methods improve vitamin B₉

Medications Folic acid under reduced hemoglobin administered in injections, tablets, droppers. Nutritionists may also prescribe folievosoderzhaschih intake of dietary supplements in powder, capsules or other forms of money.

Begin to increase folic acid hemoglobin only after confirmation of vitamin B deficiency₉ Biochemical analysis of blood. If a person has revealed a lack of iron or cobalamin, these substances can not replace drugs B₉: It increases the level of red blood cells, and tachycardia, fatigue and other symptoms of folic acid deficiency anemia remain.

Physicians regimen complement ascorbic acid, cobalamin (C, B₁₂) And / or iron to accelerate the therapeutic effect of vitamin B₉. Instead, a complex of means can assign a combination of drugs: Foliber, Doppelgerts assets with B₉, Maltofer, Gemoferon and other medicines with a similar structure. In emergency cases, to improve the patient make hemoglobin blood transfusions, and after normalization of the patient being prescribed folic acid and / or other means.

Schemes of vitamin B₉ to increase hemoglobin

In the case of B₉-scarce anemia in adults with low hemoglobin assigned folic acid dosage is 5 mg three times a day (15 mg / day). Under this scheme, vitamin B₉ take a week. After the "shock" doses reduce the amount of drug and 5 mg / day. The total duration of therapy is 7-30 days, the rate of administration depends on the severity of the disease.

Assign B₉ for the rapid increase in hemoglobin in doses according to patient's age:

• Every day: / m injection folic acid, iron and cyanocobalamin for 3 days;
• Once / day: intravenous iron preparations, vitamin C, B₉ and B₁₂ for 2-3 days;
• After intravenous injection or take folic acid tablets.

Babies at strongly reduced hemoglobin anemias due folievodefitsitnoy administered 3 times / day of age norm triple dose of vitamin B₉. The course of treatment is 3-5 days, and the treatment is prolonged for 1-3 weeks if necessary.

Patients with cancer or receiving steroids and NSAIDs for the prevention of B₉-scarce anemia and hemoglobin of incidence being prescribed folic acid, once a day at a dose of 5 mg. Maintenance therapy is not more than 30 days.

During pregnancy, gynecologists recommend taking folic acid at least 400 mg / day. If a woman bears two or more children, or she came anemia, the dosage is increased in the range of 600 mg-5 mg / day.

Lactating women is recommended to use of folic acid daily to 50 mg / day for the prevention of anemia in infants. If the mother dropped hemoglobin due to a lack of vitamin B₉, The preparation of this substance is administered in a dose of 300-500 micrograms / day.

If desired, the pregnant woman should "do reserve" of folic acid in the body. The physician can designate 200-800 mcg / day of vitamin B₉ for 14-30 days.

conclusion

Folate increases hemoglobin because it is involved in the process of hematopoiesis and production of erythrocytes containing a sufficient amount of molecules hemoproteina. Compliance with the regimen, smoking cessation, alcohol and good nutrition normalizes the level of Hb, increases the concentration of vitamin B₉.

sources:

Vidal: https://www.vidal.ru/drugs/folic_acid__33566
GRLS: https://grls.rosminzdrav.ru/Grls_View_v2.aspx? routingGuid = 41e55b8d-98b2-40bf-8a79-92c1ecc3a912 & t =

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