dizziness, lack of appetite , apathy, pale skin with such symptoms, according to wax, a third of the siren of the whole world visits the doctor and very often experts say the reasons for this complex are malaise, maybe low hemoglobin, this protein was discovered back in 1851 by the german physiologist-tofunken after almost centuries in 1959 and its structure was described by an austrian molecular biologist. max perus. for which, after 3 years, he received the nobel prize on the air of the project team. my name is ekaterina beretskaya. hello. today we will study iron, without which our cells. just choke, don't switch for the next half hour and you'll find out. how do our

organs get oxygen? more and no less we learn the norms of hemoglobin content. and how to reveal the hidden deficiency of iron in the ether is coming soon. hemoglobin is actually a complex protein that a living organism produces in red blood cells, erythrocytes, what it consists of and is it possible to live without hemoglobin , my colleagues will tell the most complex hemoglobin consists of amino acid chains containing heme iron compound its feature is that it easily attaches oxygen in an environment saturated with it, this process occurs in the capillaries of the lungs, after inhalation, oxygen enters the bloodstream through thin walls, and then binds to the hemoglobin molecule. it is sent to all organs and tissues, where it is, as it were, detached from the protein , carbon dioxide can join in the avocado place to leave the body with exhaled air, by

the way, it is hemoglobin that gives red blood cells a round shape, and the pigment that found in protein. the red color of blood a person cannot live without hemoglobin, but the ice fish living in the antarctic have adapted to harsh conditions over thousands of years of evolution. they get oxygen from the water they swim in. it will not work to saturate the body with oxygen while walking in the park if the hemoglobin in the blood is lowered, because the main function of this protein is respiratory. the less hemoglobin, the less oxygen the organ cells receive, and the greater the likelihood of hypoxia of oxygen starvation complex, but such an important topic for everyone to understand. today, we will be with associate professor of the department of hematology and transfusiology of the belarusian medical academy after graduation ekaterina nikolaevna hello ekaterina nikolaevna kabaeva candidate

of medical sciences hematologist associate professor of the department of clinical hematology and transfusiology of the belarusian medical academy after graduation well , since school, from biology lessons, i’m sure that’s all remember that hemoglobin delivers oxygen to body tissues. but surely this iron protein has other equally important functions. this is its main function as oxygen carriers. that is, for this iron, ladies need absolutely right, although it would seem that iron has completely different associations, and here oxygen is good, hemoglobin is normal. i understand that for women, men and children, the norms are different. what is the norm for men from 130 g / l , a man came out in women, it is above 120 g. in children, it is also above 120 g / l, and in pregnant women it is produced above 150 g. per liter. this will be the norm. now let's talk about what's not

normal yes deviation. let's start with low hemoglobin from the symptoms, but again, everyone knows for sure that dizziness and fatigue are well. it can say that not everything is in order with hemoglobin, it is below normal. or maybe there are some other symptoms, about which not everyone knows. yes, quite interesting symptoms, in addition to the fact that you listed fatigue, fatigue, decrease in resistance to physical exertion, for example, if you used to climb to the second floor without shortness of breath, then you get shortness of breath palpitations then rather interesting symptoms - these can be taste perversions passion, for example, for cold food, or, uh, for chalk, for example, yes, and smell perversions , passion, for example, for such a pungent smell as gasoline kerosene. these can also be symptoms of iron deficiency. that is, this is due to the fact that there is not enough iron. and so

, yes, it affects how the symptoms manifest themselves. yes , it just seemed to me that when you want to eat chalk, it's not enough calcium. no no. that 's iron. yes, and it can be observed dropping out. hair increased fragility of nails , dry skin, these are organic symptoms, that is, a decrease in tissue iron, iron deficiency in the body is called anemia. read more about this disease right now in our next article. this is a common name, and when hemoglobin decreases, it has a hemorrhagic way, that is, after bleeding, and we must clarify the source. here, too, different degrees of severity , different speed of development. it's between therapists and surgeons. the source of the bleeding is an important part. she is very approaching emergency therapy or perhaps surgery, a legal method

would require anemia as a result of a deficiency of some substances. well, first of all. it 's an iron deficiency, of course. and patients are iron deficient, say 1/3 of the population. but one third of the world's population, and the causes of iron deficiency. this is also chronic post-hemorrhagic, these are teenagers, girls with iron deficiency anemia they are generally divided according to severity and severe anemia begins when hemoglobin is 70 and below, and this figure is an indicator of this and an indication for the doctor to transfuse the erythrocyte mass, as donors of oxygen, so that the body does not suffer from hypoxia. as such, well, of course, this procetate mass also carries some amount of iron iron, deficiency

anemia. not yet entering the stage of such an analytical, as it were, secrecy, proceeding at a mild degree. and now there is even a monograph, a difficult hospital, in which labor is described. these patients, who belong to the latent modification of years, when iron stores, this is an indicator of ferritin, ferritin, this is a protein, characterizing the reserves of iron, in addition, indicators of iron metabolism, there are broadcast. this is a carrier, and broadcasts are also analyzed by the following indicator, the percentage priest. and now, when low hemoglobin ferritin is reduced, and even serum iron has its own norms. somewhere the upper limit of the norm is within thirty and serum iron. ferritin

i repeat once again, transport iron and the percentage of its saturation. if these indicators are all reduced, we prove the true iron deficiency state. and it happens that i diseases of chronic inflammation, this is the direction to oncology, and then before it rises, like an acute phase protein, and with an increase in cretin and anemia. we are talking about anemia of chronic disease, and the second deficiency, which is important satisfaction. these are vitamins b12 and folic acid, which also belongs to the group, and it seems to me that then we are talking about deficiency, vitamin b12 deficiency anemia. i want to call it not anemia. simply, a up to 12 is a deficient state, because it is a deficit, when

a deficit up to 12 disrupts the synthesis, the middle synthesis. dna is already global for the body. by their appearance on the site, they are able to put on a show. what city is called eternal rome rome rome is rome giving? you are sure of the correct answer and are sometimes a big test for our participants.

we continue to talk about hemoglobin, don't miss it further. dietary supplements against drugs how to treat iron deficiency balanced nutrition full sleepy, adequate exercise to prevent the development of anemia and much does not mean well the causes of elevated

hemoglobin levels. symptoms of ekaterina nikolaevna we dealt with you. now, let's take a look at the reasons. why does the level of hemoglobin suddenly drop? but, if today we are talking specifically about iron deficiency, the main reason, and in iron deficiency is the first or increased consumption of iron. that is it bleeding blood loss, for example, this is the monthly blood loss in women, if they are profuse they can be accompanied by anemia, so this may be an increased need for iron in pregnant women. this is an increased need, that is, the expenditure and absorption of iron for housing, that is, with a normal diet, that is, adequate intake in the stomach, and in particular iron in the splash intestine. if there are bowel diseases,

for example, the same ulcers to melon, giardiasis, they obstruct the absorption of iron and no matter how much you eat it, unfortunately, insufficient intake will still be in the body, therefore, precisely because of malabsorption. maybe something else can prevent the body from absorbing iron so that hemoglobin can keep eating. e, for example, such a so-called hypoxidine mechanism. but this is such a rather complex relationship in the body of iron, when, in inflammatory diseases, psiden is produced in biology, which prevents its absorption, therefore, sometimes inflammatory or oncological diseases are often accompanied by iron deficiency due to this protein, but it's a physiological mechanism. it prevents excess. uh, iron absorption. an excessive amount of iron can stimulate some such peroxidation and tissue damage, therefore, hypoxidine protects excessive absorption of iron. well, let's imagine, yes , i'm looking at a blood test, i have low

hemoglobin there. what to do? should i go to the doctor or the pharmacy? of course, you need to go to the doctor with some preparations with iron, again with vitamins, because first of all you need to find out the reason why you are either losing, either malabsorption competent therapy should prescribe in the first place before the examination. this will be, uh, examination of the stomach and intestines for the presence of either blood loss or malabsorption of diseases of the stomach and intestines. you need to go to the gynecologist to understand, maybe it's a fibroid. among women. often mio diseases of the gynecological sphere may be accompanied by anemia. well, these are the main ones, of course, in the first place - this is an appeal to the therapist, he will prescribe the appropriate treatment for you, but the main thing is not to miss the reason, because it can be a formidable symptom. including, for example, oncological diseases of the intestine. is there a medicine that helps to increase hemoglobin , or is it more of a vitamin complexes and some biologically active additives

? of course, this is a medicine, because first of all we must remember the effect. the treatment of iron deficiency depends primarily on the daily dose of iron that we consume per day and here is the duration of therapy. the duration of therapy should be at least 2 months, otherwise and three depending on the degree of severity and, of course, the dose of iron, if you have this prevention of iron deficiency, that is, let's say you have a latent iron deficiency, a decrease in fertitin, for example, then if this is only a latent deficiency, it will be enough for you 100 mg per day, one tablet. but if you don't have anna, you will need to take 200mg per day, and this is for 2-3 months of supplementation. there is a very small dose, iron should always be looked at. how much elemental iron is there, as a rule, not exceeds its amount of 20-30 mg, that is, in order for you to be treated on it, you need 10, respectively, a capsule for supplements, so that a daily dose of 200 mhz is easier. well, since we started talking about ferritin, right? let's take a closer look at what it is and why? by the way,

now, for women on a healthy lifestyle, ferritin is a protein that is produced in food and reflects the supply of iron in the body. you can have normal hemoglobin, by the way, hemoglobin drops in the very last place, because it is vitally important for us protein. yes, and ferritin reflects reserves. sometimes you can have hemoglobin 110-120, but at the same time have two two in the front, so it is ferritin that reflects. uh, that is our stock of iron in the body. and when we have it depleted less than thirty, then we must understand that we already need, perhaps, to fill our idea with this iron. no problem. you can also take an analysis and check, yes, in any laboratory there is a biochemical value, do you know that an animal, just like people, can suffer from anemia about this is our next story. hemoglobin in animals is, like in humans,

a special protein and, accordingly, hemoglobin. it performs such a function that it carries oxygen to organs and tissues. same. it partially binds carbon dioxide and helps to remove it from the body. basically, uh, hemoglobin itself. it is very important in the body, that is, the level of hemoglobin is a normal level, because various diseases can increase the level of hemoglobin. can lower the level of hemoglobin prophylactic medical examination, it is necessary for animals to undergo, and once a year it obligatory clinical examination itself includes this blood tests general biochemical ultrasound of the abdominal cavity ultrasound of the heart. if there are any, there are chronic comorbidities, for example, asthma in cats, or some problems of the musculoskeletal system. that is, there are problems with the joints, at least well. in a year, medical examination is definitely needed once a year, both for humans and animals. this is in order to identify some problems in the early

stages, so that we could then at least treat them. well, either already support there, let's say so to prescribe to support therapy, in particular about hemoglobin - this is a general blood test, it is necessary to take the norms of already water hemoglobin. somewhere it ranges from 90 there to 155. well, within these limits, if hemoglobin is already rising, maybe we can roughly assume that the animal is undergoing hypoxia, because hemoglobin in the composition of red blood cells carries oxygen, then this may be due there with stressful conditions with some kind of hyperload, because the owners often give birth to dogs. they say that they think that everything should be run by a dog. so he took a backpack, put on a sports uniform and ran dogs or sat on a bicycle. the dog runs nearby, then he thinks that the dogs need a load, and due to these increased loads, yes in dogs. cats, too, again, can increase the level of hemoglobin. it is also important to take into account the level of hemoglobin. the gender

of the animal age of the animal must take into account the conditions of detention, that is, feeding, and even such a factor for us, for example, that an animal or person lives above sea level. the higher the hemoglobin, maybe higher it is associated with hypoxia, because oxygen is at altitudes. it discharged a drop in hemoglobin levels. it may be associated with some kind of anemia, that is, in addition to loss, for example, as a result of some kind of injury in cats. it is often a fall from a height, especially, and spring-summer-autumn, when we have balconies open windows open cats. they are so interesting, a fly flew over there. there, the bird flew through the window and jumped, so there may be bleeding inside and severe injury. it may also be some kind of edematous state of the inflammatory process, but the fluid is completely drained. in our chest cavity, this indicates anemia, that is, it is a low hemoglobin content. also

, a low hemoglobin content may be associated with some kind of oncological diseases, for example, it can also be damage to the liver of the kidneys, it can be damage to the bone marrow, everything is like in humans, if hemoglobin, the hemoglobin level rises, if we see it in a blood test, then we can at least assume that this is happening hypoxia, that is insufficient supply of oxygen to organs and tissues. it could be stressful. it can be dehydration, dehydration associated with work with diarrhea, or it can be a blood disease, for example, there is the destruction of red blood cells. as a result of any infectious diseases, or parasitic blood parasitic diseases, in principle, even sometimes we notice such a connection against the background of hypoxia in animals, namely in cats, if we see an increase in the blood level. uh, hemoglobin, this is due to the fact that the owners can smoke at home, that is the body is not fully saturated with oxygen

due to smoking, and in cats and dogs, maybe exactly the same, some people think that yeah, if we don’t have enough iron there, i read it on the internet. i read and begins to intensively feed the liver there, now the liver, in principle, it contains vitamin a vitamin a can cause big ones, when there is a lot of it in the body, cause big problems, so you should not self-medicate. in any case, it is necessary to turn to professionals in order to put on the correct diagnosis and prescribe this adequate treatment. if you haven’t come up with your dream trip yet, then we always have a couple of great options. this is the highest mountainous settlement

in belarus, which, moreover, became famous, we recall the lessons of history, as the first capital of the grand duchy of lithuania, the guides and the leader of our country in 1519, thanks to the zealot of orthodoxy konstantin ostrovsky , the temple acquired the shape of a ship. this photo was taken in 1914. this is how the temple was also killed by christ and preserved; interesting tourist routes of the territory will be laid the complex has a mini zoo, so i suggest talking to its residents, who are not afraid of winter and share their first impressions, they immediately become a little happy, because they are warmer. travel with us to belarus 24. a native minsker goes to the

village to find out from its inhabitants, what is it better than the city, smorgon apartment house was next to it. well, there was a nuance that a plant was built nearby. we look like we went to some historical place than with factories. how did the locals react? here's to such your zeal. i think they are happy that the village will die in the village is being reborn and even surprised by my perseverance, a lot of people want to return to nature, to the origins, to those memories that have remained since childhood, grandmother. yes, you are ready to work, no, we are turning our idea of ​​village life together with the heroes of the project. i am from the village. well, it’s definitely not from one here that several unplanned holes turned out , because the wood is crooked.

before the plot, the proferentin started talking, and tell me what to do. if it is low again , i understand correctly, you must first go to the doctor with this problem. yes, you need to go to the doctor, first of all you need to analyze yourself. uh, how much i eat right. i have a sufficient amount of meat, for example, that is, we must understand that the chicken is almost iron. no one who is on a diet. here is the low head. yes, very

often fish and chicken, but they do not have iron glands found primarily in red meat beef, turkey. she needs to think about how often we eat these foods. and, of course, understand that you still need to go to the doctor, and then you can already initially adjust your diet and see how your body responds to the addition of iron. if after one and a half to two months fertitin rises, then perhaps you do not have any blood loss. additional examination. i do not need. it's just that you're a little bit wrong to eat absolutely meat. what other products contain iron that our body will accept and problems will not, of course, eat a little more of it, than let's say flour - this is buckwheat, but still, to cover the daily need for iron. you must eat, uh, a kilogram of buckwheat, probably in a day, we must understand that iron deficiency is the least treated only by nutrition. first of all, this is meat, as i said, it can be blood sausage, some such options, well, in the rest, of course, they are poorer. yes, yes, the same vegetables

are fruits, they are not so strong gland, that is, the risk of anemia increases in vegetarians. they don't eat meat, of course. absolutely therefore, whoever lists himself as a vegetarian must understand that they must take an iron supplement in the form of at least 100 mg of elemental iron per day then they will not have. let's dispel some more myths. is it true. somewhere on the internet i found that anemia provokes or increases the risk of strokes. is this really so? no, this is absolutely not the case, but i know, what are you talking about, there were such works of the fourteenth year, the british studied the development of the cause of the development of a stroke in a group of patients with e, vascular malformations, but these patients have anemia. she was present in parallel with this disease, therefore, to draw conclusions that anemia provokes a stroke.

we cannot find such data anywhere, and iron does not affect platelet aggregation. i can only say that what provokes in relation to hemoglobin. this is his high content. that's when hemorrhoids, and that's uh, practically reflects the number of red blood cells in red blood cells. it will be higher than 54 and you will have a significantly increased risk of strokes. it's just the opposite state of affairs. anemia is called erythrocytosis when hemoglobin is more than 170. men are more than 160 in women and therefore blood viscosity increases and the risk of traumatic strokes, respectively, also increases. what other risks, if, uh, iron is too much, because much does not mean good in our topic absolutely , there is, firstly, such a disease, it is quite common in the european population, as hereditary hemochromatosis. this is a violation of iron metabolism, that is, its utilization, that is, the state here completely different. that is, is it iron or lies in ferritin? so if,

for example, your ferritin is above the norm, or, uh, such an indicator as total iron, the ability of serum is above 45%, then you need to contact a gastroenterologist. it is they who deal with the treatment and make genetics for hereditary hemochromatus. this is an unaccompanied disease. here is a sharp violation of the quality of life. it gradually increases, most often the number of men is manifested, because women have blood loss. they are as if they remove this iron a little, and in men this is accompanied by an increase in the liver. sometimes diabetes of the second type, that is, it is a very diverse disease that often people may not know about it, but the symptoms of secondary liver enlargement increased glucose dysfunction of the endocrine organs of many and if this is accompanied by high ferritin and elevated serum iron, then you need go exclude. uh, inherited, but i understand that, mm, symptoms of elevated hemoglobin. and too much iron. she doesn't

as bright as symptoms if the hemoglobin level is lower quite right, because iron is deposited gradually. uh, it can be deposited in the liver in the spleen on other endocrine organs, and therefore, no matter how it interferes with anything, especially the functioning of these organs, and the symptoms are now, it is always bright, because it is associated with a decrease in oxygen delivery with hypoxia hypoxia mo and the taxi of the heart, that is, metabolic disorders such that you can not help but notice i can not help but ask this question. is it true that there is a lot of coffee you can’t drink at the same time, the level of hemoglobin affects and interferes with the absorption of iron in the body of a coffee lover, i can say this if you drink at different times without drinking coffee. so the break between taking iron and coffee should be at least two hours, then everything will be fine with you, that is, you can’t drink iron alone with milk, because it is very

light salt, the forming precipitates and is poorly absorbed, and so on. this positive note. let me thank you for this interesting conversation. thank you for finding time has come to us. we will be glad to see you again in our studio. thank you airtime. we also have practically no left, but if you were snow-addicted and all half an hour, now you know for sure what the level of himaglobin is. it is necessary to check, at least once a year, eat more meat, and drink less coffee. health to you and your families, well, see you soon on the air. every

week, the heroes go in search of adventure from minsk for 25 km. and you will have an unforgettable time in this place, skin man. i wanted to waste our city rut, the show write here the fish was with him to bring the stone. well, i was able to pick it up. who we have here here we have a zaporozhets yes, well, here is one of the first they must complete all the tasks and complete the quest. from which word the name of the city of lida comes from is somehow connected with culture and folk art.