There are many kinds of trace mineral elements in the human body, and their content usually only accounts for 0.01% of the body weight, but they are of great significance to the development and growth of the body and provide a solid guarantee for human health. Among them, iron is the trace element with the highest content in the human body, and exists in the human body in the form of heme. Therefore, the most direct impact of iron deficiency on the human body is to cause anemia.
In addition, the latest clinical studies at home and abroad have shown that iron deficiency can cause catecholamine metabolism disorders, causing cross leg syndrome, deafness, anorexia, etc. Children with children cannot get normal nutritional intake, which will lead to malnutrition Occurs, and then induces a variety of complications, causing serious harm to children’s physical and mental health.
First, parents should learn to pay attention Symptoms of the child
When the child has these symptoms, you need to pay attention to whether he (she) is iron-deficiency or iron-deficiency anemia:
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①Low activity, easy to get tired;
②Low appetite, slow height development, short stature;
③ Pale complexion and skin, especially lips and eyelids;
④ Indifferent expression;
⑤ Anti-armour occurs. Onychomycosis is a finger (toe) deck deformity, the deck surface is flattened, the edge is raised, the nail is thin, brittle and easy to crack, the surface is rough, crisp and streaked, and in severe cases, the center is sunken. Put a drop or two of water on the deck It will not shed, like a spoon, also known as spoon-shaped armor).
When these symptoms appear, parents should not panic, and do not self-diagnose and give their children iron supplements, because these are not specific symptoms of iron deficiency. The correct way is to take the child to the hospital for relevant examinations.
Second, through these checks, you can find out whether your child has iron deficiency anemia:
(1) Blood routine examination: Including hemoglobin, mean corpuscular volume, mean corpuscular hemoglobin content and mean corpuscular hemoglobin concentration.
(2) Inspection time:
Premature infants and low birth weight infants: 3-6 months of detection; general infants: 8-12 months of detection.
(3) Early diagnosis indicators of iron deficiency :Including serum ferritin, serum iron, total iron binding capacity and transferrin saturation. The above test indicators need to be combined with whether the child is prone to iron deficiency and clinical symptoms to comprehensively evaluate whether the child is iron deficient and the severity of iron deficiency. It is necessary to consult a professional doctor, and do not self-diagnose and take medicine.
Third, do babies really need iron supplementation? Babies of different ages and stages need different amounts of iron.
1. Newborn babies can take breast milk before they are 4-6 months old enough iron. But at this time, mothers should also pay attention to continue to take some pre-pregnancy vitamins. And babies who eat milk powder should pay attention to choosing some milk powder fortified with iron supplementation.
2. Babies aged 6-12 months need 11 mg of iron per day, so In addition to breast milk, babies before one year old should also add some supplements such as rice cereal or milk powder fortified with iron.
3. Children aged 1-12 need to take in 7-10 mg of iron every day.
It is convenient to supplement iron. It is recommended to choose Huataixie Rapid Iron Dextran Dispersible Tablets, which have no rust smell and are easier for children to drink. First, iron dextran is a complex of iron and dextran, which is soluble iron. After oral administration, it is inhaled into young red blood cells with the bone marrow. Combined with protoporphyrin in the mitochondria, heme is generated to promote the production of Hb, and then absorbed into the blood circulation through the jejunum or duodenum, thereby correcting the anemia of the body.
Compared with traditional iron supplements, iron dextran is The form of hemosiderin or SF accumulates in the liver, spleen and other tissues, which has a high absorption rate and less irritation to the gastrointestinal tract, which can reduce adverse reactions such as gastrointestinal discomfort; in addition, the oral liquid tastes slightly sweet and is suitable for infants and young children .
In addition, the dosage form of dispersible tablets can be dissolved in water or swallowed directly. Compared with oral liquid, it is more convenient to control the dosage, and it is also very convenient to carry. It is more worry-free for mothers to feed their children.
3. There are 3 iron supplements for children Parents need to pay attention to these matters:
①Strictly control the time of taking medicine: The main adverse reactions of oral iron are nausea and vomiting, abdominal pain and diarrhea and other gastrointestinal symptoms. Therefore, the medicine should be taken after meals, preferably between meals, which not only reduces the stimulation to the gastric mucosa but also facilitates absorption.
②Pay attention to diet and taboos:Vitamin C can promote the reduction of ferric iron to ferrous iron, making it easy to dissolve and absorb. Even though the pH in the small intestine is high, iron can still be absorbed in a dissolved state. Therefore, eat more fresh vegetables and fruits while taking iron supplements to increase the supply of dietary vitamin C. Vitamin C tablets can also be added to rice, and one tablet each time can increase the absorption of iron by 3 times.
However, you should avoid drinking a lot of milk when taking iron supplements, because milk contains high phosphorus, It can affect the absorption of iron, but also pay attention to taboo tea and fruits containing more tannin protein, such as persimmons and dates.
③Regular reexamination to observe the curative effect:After iron deficiency anemia patients take iron supplements, their subjective symptoms can be relieved quickly, and the reticulocytes gradually increase, reaching the peak in about 7 days; It should rise after 2 weeks and return to normal in 1 to 2 months. Therefore, routine examinations of red blood cells and hemoglobin should be carried out at the 1st, 3rd, 6th week and 2nd month during the medication period to find out whether iron supplementation is effective. If it is still ineffective after 3 weeks of oral administration, it should be considered whether the diagnosis is wrong or there are other influencing factors.
When the hemoglobin reaches normal levels, iron supplementation is still required. Stop taking the drug after about 2 months to supplement iron storage. However, parents should not be fooled by misleading advertisements. It is best to take the cause of disease and iron supplementation under the guidance of a doctor.
 Yin Jingwen. Scientific iron supplementation for infants is very Important[J]. Opening the book is beneficial-seeking medical advice, 2018(06):15-16.
 Wei Wen. Children’s iron supplementation four attentions[J] .Food and Health, 2004(12):25.
 Wang Pengguo. The effect of iron dextran and ferrous sulfate on children with iron deficiency anemia[ J].Medical Equipment,2021,34(01):106-107.