[000:00:34;00] dizziness, lack of strength of appetite, apathy, pale skin with such symptoms , according to wax, a third of the world's population consults a doctor and very often experts say the cause of this complex is malaise, maybe low hemoglobin, this protein was discovered back in 1851 by a german physiologist. here are the tanks 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 bretskaya. 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. iron for life is how our organs get oxygen. no 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 whether life without hemoglobin is possible , my colleagues will tell. the most complex hemoglobin consists of amino acid chains containing iron hemocompounds, its feature is that it easily attaches oxygen,

a process saturated with it in the environment, 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 seems to be detached from the protein, and carbon dioxide can join the vacant place in order to leave the body with exhaled air, by the way, it is hemoglobin that gives the red blood cells a round shape, and the pigment that the red color of blood is contained in the protein, 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. the body will not be able to get 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 cells of the organs receive. and the greater the likelihood of

hypoxia, oxygen starvation is complex, but such an important topic for everyone to understand. today. we will be with the associate professor of the department of hematology of transfusiology of the belarusian medical academy after graduation ekaterina nikolaevna hello ekaterina nikolaevna kabaeva ph.d. 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 / l. in children, too, above 120 g / l, and in pregnant women, it is produced above 110 g per liter. this will be the norm. now let's talk about what is not normal yes deviation. let's start with the low hemoglobin symptom. well, again , everyone knows for sure that dizziness and fatigue are well. it can say that everything is in order with my 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 previously climbed to the second floor without shortness of breath, then you develop shortness of breath

palpitations then rather interesting symptoms - these can be taste perversions of passion, for example, uh, in cold food, or, uh, for melum, for example, yes, and perversions of smell, passion, for example, for such pungent odors 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 there may be a fallout. hair increased fragility of nails, dry skin, this is the so-called organic symptoms, that is, the decrease in this specific iron deficiency of iron 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, then there are also different degrees of severity, different rates of development. it's between therapists and surgeons. source of bleeding, important such a part. it is very close to emergency treatment or perhaps surgery, a legal method would be required, and it has 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 in opinion, say 1/3 of the population. but 1/3 of the world's population, and the causes of iron deficiency. this is also chronic post-hemorrhagic, these are adolescents, girls with iron deficiency anemia they are generally divided according to severity and severe anemia begins when hemoglobin is 70 below, and this figure is

an indicator of this and an indication for the doctor to transfuse the red blood cell mass, as donors of oxygen, so that the body does not suffer from hypoxia as such. and, of course, this procetate mass also carries a certain amount of iron, iron, deficiency anemia. even before entering the stage of such an analytical, as it were, secrecy, flowing in a mild degree, there is even a monograph , a difficult hospital, described by labor. these patients, who belong to the latent modification of years, when iron stores, this is an indicator ferritin ferritin is a protein that characterizes iron stores. in addition , there are transformations in the indicators of iron metabolism. these are the bridges of the nose, and

the percentage priest also transmits the next indicator. and so, when low hemoglobin ferritin is reduced, and even serum iron has its own norm, and 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 figures are all reduced we prove true iron deficiency state. and sometimes i’m from chronic inflammation diseases, that’s the direction to oncology, and then ferritin 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 that is important in hematopoiesis is b12 vitamins and folic acid, which also

belongs to the group, and it seems to me that then we are talking about vitamin b12 deficiency and b12 deficiency anemia. i want to call it not anemia. just a to 12-10 state, because that it is a deficiency, when a deficiency of up to 12 disrupts the synthesis, the middle of the synthesis. dna is already global for the organism. the most current event from the world of sports on the car continues to fight for play-in success, which yes, on the right to compete for the playoffs of the kharlamov cup. hard training and an interesting meeting.

perfect shooting is obtained when you don’t think about anything, when maybe five years ago i was running, i thought why i needed all this at all every time it was hard to show myself working harder, and it seems to me that this is only for the benefit of the victory and defeats work in their clubs. i think it's worse we definitely don't get that little excitement because yes, it's like saying we haven't played together for a long time. watch in sports projects on belarus 24 tv channel. first of all, we educate not a warrior. we educate a full-fledged citizen of our society, how to maintain a balance between the state and each individual. and to the parliament in order to defend the interests of their voters , the interests of the country. now, when, uh, they betray you, it's like having your hands cut off, and you like forgive. you can, but there is no hug. in my opinion, the more control, the better and better the law, and how not

to let go of the helm of fate, the complexity of the difficulty began. you try yourself in these situations. you become stronger. you already see things differently. this is probably the only thing for you and me that we must do to save our hearts once. and conscientiously go about your business , i will always pray for you for every child in our country and in the countries of all, probably all countries of the world, let's talk about values ​​of friendship, happiness, and plans for the future in the program say, do not be silent. watch new releases on belarus 24 tv channel . we continue to talk about hemoglobin, don't miss it further. dietary supplements against drugs how

to treat iron deficiency balanced nutrition full sleep and adequate physical activity prevent the development of anemia and does not mean much good causes of elevated hemoglobin levels. we have dealt with the symptoms of ekaterina nikolaevna. now, let's take a look at the reasons. why does the hemoglobin level suddenly drop ? there are several different reasons for a decrease in hemoglobin, iron loss, in particular, we are talking about deficiency today, because hemoglobin can decrease due to a deficiency in vitamin b12 folic acid. the so-called we 12 folic deficiency. but if today we are talking specifically about iron deficiency, the main cause of iron deficiency is the first or increased consumption of iron. that is, this bleeding is more bleeding, for example, this is the monthly blood loss in women, if they are abundant, they may be accompanied by anemia.

this may be, the increased need for iron in pregnant women is an increased need for spending and they lived in the reign of iron, that is, with a normal diet, that is, adequate intake in the stomach, and in particular the iron intestine. if there are bowel diseases, for example, the same ulcers dodenitis giardiasis. they are the same. obstacles to the absorption of iron and no matter how much you eat it, unfortunately, it will not be enough to enter the body anyway, therefore, it is precisely because of a violation of absorption. maybe something else prevent the body from absorbing iron so that hemoglobin keeps eating. e, for example, such a so-called diphthezin mechanism. but this is such a rather complex relationship in the body of iron, when dipsidine is produced in inflammatory diseases such a biology that prevents its absorption, therefore, sometimes inflammatory or oncological diseases are often accompanied by iron deficiency due to this protein, but this is a physiological mechanism. it prevents excess. uh, iron absorption. too much iron can

simulate some kind of peroxidation and tissue damage, so 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? with some preparations with iron, again with vitamins, of course, you need to go to the doctor , because first of all you need to find out the reason why you have either a loss or malabsorption, a competent therapist should prescribe first of all an additional examination. it will be uh, study stomach intestines for the presence or loss of blood. or a violation of the absorption of diseases of the stomach, intestines. you need to go to the gynecologist to understand, maybe it's a fibroid. among women. often myo diseases of the gynecological sphere can be accompanied by a anemia. well, here, these are the main ones, of course, in the first place. this appeal to the therapist will prescribe the appropriate treatment for you, but the main thing is not to miss the cause, because this

may be a formidable symptom. including, for example, oncological diseases, intestines. 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, or even three , depending on the degree of severity and, of course, the dose of iron, if you have this prevention iron deficiency, that is, let's say you have a late iron deficiency, a decrease in ferritin, for example, then if this is only a latent deficiency, 100 mg per day will be enough for you . one tablet. but if you have anemia, then you will already need to take 200 mg per day, and this is within 2-3 months of supplementation. it's a very small dose. iron should always be looked at. how much elemental iron is there, as a rule, does not exceed its amount of 20-30 mg, that is, in order to

treat you anonymously, you need 10, respectively capsule, so that the daily dose of 200 mg is easier, well, since we are talking about ferritin, right? let's take a closer look at what it is and why it is now very healthy for women to have ferritin . this 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 a vital protein for us. yes, and ferritin reflects reserves. sometimes you can have hemoglobin 110-120, but at the same time have two two tina , so it is ferritin that reflects. this most of our body's supply of iron. and when it is less than thirty depleted in us, then we must understand that we already need, perhaps, to supplement our lives. no problem. you can also take an analysis and check, yes, in any laboratory in the biochemical sense, 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. also. it partially binds carbon dioxide promotes its removal 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 examination, it is necessary to pass the animals, and once a year it necessarily includes prophylactic medical examination and these are 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 musculoskeletal problems . that is, there are subtle problems with the joints at least, well, once a year. clinical 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, or already support them, let's say, prescribe supportive 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 already hemoglobin increase, maybe, then we can roughly assume that the animal is experiencing hypoxia, because hemoglobin in the composition of red blood cells carries oxygen, then this may be associated with stressful conditions during some kind of hyperload, because the owners often get dogs. they say that they think that all you have to do is run like a dog. so he took a backpack, put on a sports uniform and ran dogs or sat on a bicycle. the dog

next runs, then he thinks that the dog needs a load. and because of these loads elevated. yes have dogs there have cats, too. can hemoglobin levels rise? it is also important to take into account the hemoglobin level of the sex of the animal age of the animal, it is necessary to 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, the higher it may be due to 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 losses, for example, as a result of an injury, some cats. this is often a fall from a height, especially in the spring summer autumn period, when we have an open balcony, the windows are open, cats are so interesting, a fly flew by there. there, the bird flew through the window and jumped, so there may be bleeding from internal severe injuries. it can also be some kind of edematous

condition, an inflammatory process, and a protruding fluid from the abdominal cavity into the chest. this indicates anemia for us, that is, it is a low hemoglobin content. also, low hemoglobin levels 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, like in humans, if hemoglobin, the hemoglobin level rises, if we see this in a blood test, then we can at least assume that this hypoxia occurs, that is, insufficient oxygen supply to organs and tissues. it could be stressful. this may be dehydration, dehydration associated with vomiting with diarrhea. it can also be a blood disease, for example, there is destruction erythrocytes due to any infectious diseases, or parasitic blood parasitic diseases, in principle , even e, sometimes we notice such a connection against

the background of hypoxia in animals, namely in cats, if we see an increase in hemoglobin levels in a blood test. this is due to the fact that the owners can smoke at home, that is, the body is not completely saturated with oxygen due to smoking, and in cats and dogs, maybe some people think exactly the same, that yeah, if we have little iron there, i read it on the internet . i revered and begins to intensively feed animal liver there with liver. in principle, it contains vitamin a vitamin a can cause big problems when there is a lot of it in the body, 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 adequate

treatment. the information struggle and the clash of ideology on journalists is a huge layer of responsibility; they fix the reality of a new format of international relations, where every step has diplomatic significance. exits should not make us weaker, but stronger. everyone should know this so that people of different points of view can hear each other, if we do not want to hear each other, why it is important to meet not to receive super profits from the sale of natural resources. there's something else enrichment of some units. yes , and simply put, you did for the motherland how you develop your native country club editor,

watch on belarus 24 tv channel. 0 we will go to venice, i will be a successful businessman. lord, hello my sinful soul, he will not accept oh won't accept why won't he? because love is small here, you have to learn to love. grandpa, dear, my dear, i'm leaving, i don't know where for a long time, i want to find myself, or

then i can return. dont clear. before the plot, we started talking about ferritin, but 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 do i eat right, do i eat enough meat, for example, that is, we must understand that in chicken almost iron. no, the one who is on a diet is low. yes, very often fish and chicken, but they do not have iron glands are found primarily in red meat. beef, turkey, rabbit, 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 you don't need an examination. it's just that you're eating the wrong kind of meat completely. in what else. who contains iron, which our body will accept and there will be no problems, of course, you eat a little more of it . than let's say in 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 less cured 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, the poorer ones. 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, those who list themselves as vegetarians 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 that somewhere on the internet i found that anemia? provokes or increases the risk of strokes, is it true? no it is absolutely not so, 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 stroke in a group of patients with 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 dima is so red and this is uh, practically reflects the number of red blood cells in erythrocytes. it will be higher than 54 and you will have a significantly increased risk of stroke. this is exactly the opposite condition of anemia called erythrocytosis, when hemoglobin is more than 170 in men, more than 160 is already in women, and therefore blood viscosity increases and the risk of injury. and the advice, respectively, is also increasing. what other risks, if there is too much iron, because much does not mean good in our topic quite right, there is, firstly, such a disease, it occurs quite often in the european population, as hereditary hemochromatosis. this is a violation of iron metabolism, that is, its utilization, that is, the state here is 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. that's sharp violation of the quality of life. it gradually increases, most often the number of men is manifested, because women have blood loss. they seem to pull out a little. this gland in a man is accompanied by an increase in the liver sometimes. type 2 diabetes, that is, it is a very diverse disease that often people may not know about it, but the symptoms of secondary liver enlargement are increased glucose, dysfunction of the endocrine organs of many and if this is accompanied by high ferritin and elevated serum iron, then you need to go and exclude. uh, inherited hemorrhomatosis, but i understand that, mm, symptoms of elevated hemoglobin. and too much iron. it is not as bright as the 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 this is associated with a decrease in oxygen delivery from hypoxia hypoxia of the brain hypoxia of the heart, that is, metabolic disorders such that you can not help but 10 can not help but ask this question. is it true that you can’t drink a lot of coffee, it also affects the level of hemoglobin and interferes with the absorption of iron in the body. well , a coffee lover 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, one cannot drink milk with iron, because it is oh, very easily salt-forming precipitates and is poorly absorbed then on this positive note. let me thank you for this interesting conversation. thank you for taking the time

to visit us. we will be glad to see you again in our studio. thank you airtime. we don't have much left either. but if you have been snow-addicted for half an hour, otherwise you now know for sure what the level of hemaglobin is. you need to check, at least once a year, eat more meat, and drink coffee less health for you and your families, and see you soon on the air. yana for malt you improve your history kind of edge, of course, this village is old-old. it, of course, is famous for its old