Miscellaneous

Hemoglobin 113 in a woman. The norm or not, the reasons, what does it mean

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Content

  1. Normal values
  2. Why does it decrease to 113 g / l
  3. Diagnostic methods
  4. Therapeutic methods
  5. Iron deficiency anemia
  6. Vitamin B12 deficiency
  7. During pregnancy
  8. Medicinal plants
  9. Video about the norm of hemoglobin

Hemoglobin is a proteincontained in red blood cells, which is used to transport oxygen to all organs of the human body. It is a molecule responsible for the red color of blood. The erythrocyte cytoplasm is rich in the respiratory pigment hemoglobin.

Each hemoglobin protein can carry 4 oxygen molecules, which are distributed throughout the body by red blood cells. Every blood cell in the body needs oxygen to repair and maintain itself. A reduced protein level, for example, to a value of 113 g / l, most likely indicates the presence of anemia in a woman.

Normal values

Hemoglobin levels are measured during a blood test. Iron protein or Hb is expressed in grams per deciliter (g / dl) or blood liter (g / l). A low level of hemoglobin in the blood is directly related to a decrease in the level of oxygen saturation.

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The normal hemoglobin value in women is 120 - 160 g / l.

According to the WHO, anemia is diagnosed in women:

Hemoglobin content ‹130 g / l in postmenopausal women.
Hemoglobin content ‹120 g / l in women of childbearing age.
Hemoglobin content <110 g / l in pregnant women (in the first and third trimesters).
Hemoglobin content <105 g / l (in the second trimester).

Assessment of the degree of intensity takes into account the content of hemoglobin (Hb) in erythrocytes:

  • light (Hb more than 60%) from 120 to 95 g / l;
  • second degree or medium (Hb from 60 to 40%) 94 to 80 g / l;
  • third degree or intensive (Hb from 40 to 20%) 79 to 65 g / l;
  • fourth degree or severe (Hb less than 20%) <65 g / l.

Why does it decrease to 113 g / l

Hemoglobin 113 in a woman or below this indicator indicates anemia, but not the cause of the disease. To select the correct course of treatment, it is necessary to determine additional parameters of erythrocytes: their number, hematocrit, MCV and MCH.

There are many forms of anemia based on different causes:

  • lack of iron;
  • deficiency of vitamin B-12;
  • folic acid deficiency;
  • bleeding;
  • a type of cancer that affects the bone marrow, such as leukemia;
  • renal failure;
  • liver disease;
  • hypothyroidism,Hemoglobin 113 in a woman. The norm or not, the reasons, what does it mean
  • thalassemia, a genetic disorder that causes low levels of hemoglobin and red blood cells.

Diagnostic methods

Hemoglobin concentration is a standard part of every blood test. The level of iron-containing protein in the blood is of particular interest if anemia or an increase in red blood cells (polyglobulia) is suspected. The value of hemoglobin in the blood also provides indirect information about imbalances in water balance (dehydration, overhydration).

  • average volume of red blood cells (MCH);
  • the average content of hemoglobin in the erythrocyte (MCH);
  • the average concentration of hemoglobin in the erythrocyte (MCHC).
Hemoglobin 113 in a woman. The norm or not, the reasons, what does it mean
Hemoglobin 113 in a woman is slightly below normal

If certain medical conditions are suspected, as part of preventive examinations, the doctor may also use special testing procedures to check if there is hemoglobin in the urine or stool.

Therapeutic methods

A slight deviation from the normal Hb value in many cases does not pose a health hazard. However, changes in hemoglobin values ​​can occur in the context of various diseases that require further clarification.

In a woman, a decrease in hemoglobin is associated with a deficiency of iron or vitamins, so sometimes it is enough to take supplements of iron, folic acid. After the patient has completed the course of treatment, the doctor will check with a blood test whether the hemoglobin level has risen to normal (from 113 to 120 g / l). Blood transfusions may be required if Hb levels are very low.

Iron deficiency anemia

Elimination of iron deficiency is based on finding and treating the cause. Once it is found, such as chronic blood loss, it should be treated. All patients with symptoms of iron deficiency receive therapy with parenteral or oral iron replacement.

After 14 days, the Hb value and reticulocyte count are re-checked to determine if the therapy was successful. Thereafter, checks can be performed every 4-6 weeks, and then laboratory values ​​should be checked 3-6 months after normalization of the values ​​for the underlying disease.

Iron preparations:

Oral medications
Tardiferon (ferrous sulfate) The preparation of ferrous iron, should be taken 1 tablet twice a day, the doses are adjusted depending on the severity of the anemia.
Ferretab (organic fumaric acid salt) It is prescribed from 1 to 3 capsules per day. Supportive therapy is carried out for 1-2 months.Hemoglobin 113 in a woman. The norm or not, the reasons, what does it mean
Sorbifer (iron sulfate + ascorbic acid) The drug eliminates iron deficiency, it is prescribed 1 tablet 2 times a day, with pronounced anemia up to 4 tablets a day.
Fenuls (ferrous sulfate + ascorbic acid) Recommended 1 capsule 1 time per day, course - 1 month.

Parenteral (solutions for intramuscular or intravenous administration) drugs are used if patients cannot use tablets.

  • Ferrlecite.
  • Venofer.
  • Cosmofer.

Vitamin B12 deficiency

More and more young people adhere to a vegan, vegetarian diet, which means a low intake of vitamin D, B12, B2, zinc, iodine, calcium, iron, fatty acids. Lack of vitamin B12 found in animal products has a negative impact on the body, as a result, vegetarians develop cobalamin deficiency in the form of pernicious anemia.

Hemoglobin 113 in a woman, especially a pregnant woman following a vegetarian diet, manifests itself quite often. In this case, the deficiency is primarily detected in the child. For this reason, pregnant women should take vitamin B12 supplements up to 250 mcg per day during pregnancy and lactation to be able to cover adequate intake.

Deficiency due to malnutrition should be treated with Cyanocobalamin. Hydroxycobalamin is prescribed for metabolic disorders. Elderly patients represent an additional risk group for vitamin B12 deficiency, as the prevalence of deficiency increases with age.

Parenterally first appoint 1000 mcg of hydroxycobalamin 1 time per week or 3000 mcg of cyanocobalamin twice a week, after which 100 mcg of Hydroxycobalamin or Cyanocobalamin is recommended once a week.

Hemoglobin 113 in a woman. The norm or not, the reasons, what does it mean

Vitamin B12 is usually given intramuscularly or subcutaneously. In some cases, intravenous injections are given

If the vitamin B12 deficiency is due to impaired absorption, lifelong replacement therapy is recommended as a maintenance dose

Scheme of parenteral replacement with hydroxycobalamin:

Doses Duration of use
1000 mcg daily for a week.
1000 mcg weekly for over a month.
1000 mcg every 3 months ("once a quarter").

After the start of therapy, a week later, a complete blood count and the number of reticulocytes should be determined. Due to increased erythropoiesis, the need for potassium, folic acid and iron increases, so their replacement is recommended.

During pregnancy

The increased need for iron during pregnancy rises to about 1000 mg, which cannot be met by either diet or existing iron stores. In the case of mild anemia with hemoglobin values ​​from 95 to 120 g / l, oral replacement of iron with 100-200 mg per day is performed before meals together with vitamin C for better absorption of iron.

If oral therapy is poorly tolerated, especially in gastrointestinal diseases, intravenous administration of iron carboxymaltose is performed from the second trimester.

Medicinal plants

As additional means of treating anemia, regardless of the pathogenesis, herbal preparations are recommended. origin, and preference is given to plants that contain a significant amount of trace elements iron, copper and cobalt. People with anemia are advised to consume certain types of herbs and drinks made from them.

Hemoglobin 113 in a woman can be increased with the help of plants: anise, mint, cumin, licorice. They are all rich in iron and can help increase hemoglobin. Drinks made from black cumin and thyme are very useful.

A number of herbs are traditionally used by herbalists to treat anemia and increase red blood cell count:

  • Dandelion - one of the most effective plants for increasing hemoglobin. It is recommended to take 10-15 drops of the tincture diluted in ¼ glass of water 3 times a day before meals. The plant contains more iron, potassium, folate, carotene, and vitamin B12 than any other herb. It also aids in the absorption of iron from other foods.
  • Stinging nettle Is another herb often recommended for people with anemia. In addition to iron and vitamin C, the chlorophyll is useful in preventing iron deficiency anemia. To prepare a drink, 5 tbsp is taken. l. dried green nettle (50 g) +1 l of water. Boil everything, stand for 5 minutes, add the juice of 1 lemon. The drink can be sweetened with honey. The remedy is taken during the day with meals. It is undesirable to take the solution before bedtime.
    Hemoglobin 113 in a woman. The norm or not, the reasons, what does it mean
    A folk remedy for dandruff based on nettle should be cooked for 30 minutes.
  • Alfalfa Is an excellent blood purifier. Dried herb, 5 g, is brewed like tea and drunk throughout the day.
  • Spirulina is a rich source of iron, can be a good remedy for anemia. It is believed to improve bone marrow function.

Patients with anemia are advised to include in the diet berries containing a large amount of polyphenolic compounds and ascorbic acid: chokeberry, black currant, grapes, gooseberries, blueberries, bird cherry, cherry.

Many clinical studies show that a decrease in hemoglobin in women to 113 g / l is more often a sign of iron deficiency and this problem is common throughout the world. But in any case, you should not neglect the symptoms, because the disease can lead to serious disorders.

Video about the norm of hemoglobin

Hemoglobin norm for women and men:

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