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Meraklilari icin; Internette, WHO sitesine girin--> Guidelines for the use of iron supplements to prevent and treat iron deficiency anemia yazin, oradaki kitabi--> Yukleyin ve okuyun.. Kisacasi;
"Severe anemia usually comprises a small proportion of the cases of iron deficiency in a population but may cause a large proportion of the severe morbidity and mortality related to iron deficiency. It is important that primary health care providers are able to recognize these cases and treat or refer individuals with severe anemia. The training and supervision of this activity in primary health care settings becomes a priority activity when the prevalence of severe anemia in population groups (e.g., pregnant women) exceeds 2%. Iron deficiency is not the only cause of severe anemia. Other possible causes include malaria, folate deficiency, hemoglobinopathies such as sickle cell anemia or thalassemias, and the anemia of chronic disorders such as HIV infection, tuberculosis, or cancer. In primary care settings, health care workers should know when to refer individuals who do not respond to oral iron therapy or who are at urgent risk of serious complications. Detection of Severe Anemia Severe anemia is defined clinically as a low hemoglobin concentration leading to cardiac decompensation, that is, to the point that the heart cannot maintain adequate circulation of the blood. A common complaint is that individuals feel breathless at rest. In practical settings, severe anemia may be defined by using a hemoglobin or hematocrit cutoff or by extreme pallor. If the hemoglobin or hematocrit can be determined, cutoffs of hemoglobin below 7.0 g/dL or hematocrit below 20% should be used to define severe anemia. If this is not feasible in the primary care setting, a method is available for evaluating the color of a drop of blood on a special filter paper. This method (formerly called the Talqvist method) requires standard blotting or filter paper and color comparison charts, which are available from the World Health Organization (Haemoglobin Colour Scale). The third choice for detection is assessment of pallor. Three sites should be examined: the inferior conjunctiva of the eye, the nail beds, and the palm. If any of these sites is abnormally pale, the individual should be considered to be severely anemic.
WHO'nun tavsiyesi, fakir Afrika ve Karayip adalari halki icin... Hani Turkiye; en gelismis 10 ulke arasinda idi??? Daha anemi seviyelerini bilmeyenler, ve cocuk HGB degeri ile eriskin degerlerini ayni sananlarin doktorluk yaptigi bir ulkeden ne bekliyorsunuzki!!!
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