You brought a new baby to the world. You are shivering for him, crying a little too much, mu I wonder if he is very sick, endiş worried, a little fever, you call your doctor immediately. These are actually common problems in infancy. However, some symptoms should be closely monitored. Acıbadem Hospital Hematology Specialist Dr. Cengiz Canpolat Bazı Some problems that seem to be normal may herald a baby's iron-deficiency anemia, anemia. ”
: What symptoms are associated with iron deficiency?
Professor Dr. Cengiz Canpolat The iron deficient baby is restless, appetite, sometimes very sleepy and sometimes insomnia. Most of the time, growth and development shows a pause. If the hemoglobin falls too low, the skin color fades. This paleness can be understood most by looking into the eyelids, oral mucosa, palms and nail beds. The child with iron deficiency hears an appetite for strange things. Soil, sand, ice eating conditions are seen. There is a growing body of evidence that iron deficiency also leads to severe mental retardation and behavior disorder. Early diagnosis and treatment of iron deficiency improves the majority of these disorders.
: What is anemia?
Professor Dr. Cengiz Canpolat Anemia, whose medical name is anemia, is a clinical condition that occurs when the number of red blood cells, ie, red blood cells, falls together or separately below normal values for that age. As a result of this decrease, the oxygen carrying capacity of the blood and the amount of oxygen to the tissues decrease.
: What causes anemia?
Professor Dr. Cengiz Canpolat The causes of anemia in childhood can be grouped into three large groups. Anemia due to inadequate production of erythrocytes and hemoglobin; anemia due to excessive destruction of erythrocytes and blood loss anemia. Anemia in children often occurs as a result of one of the mechanisms mentioned above is missing or damaged, but in some cases more than one cause can be found.
: What causes iron deficiency?
Professor Dr. Cengiz Canpolat Iron deficiency anemia is the most common type of anemia in children. The first 6 months of iron deficiency is seen in infants fed with breast milk. The iron in the mother's milk is very easy to absorb and the growing milk is sufficient for the child. After six months, insufficient iron intake with additional foods is a candidate for infant iron deficiency. Iron is most commonly found in red meat, egg yolks, green vegetables and cereals. Iron in white meat is not as high as in red meat. In order not to develop iron deficiency, iron from meat and vegetables should be balanced.
: What is the importance of nutrition?
Professor Dr. Cengiz Canpolat The most important age groups for the diet are between 6 months and 2 years, and adolescence. In these two periods of rapid growth, iron deficiency anemia may occur as a result of feeding with iron-poor foods. Irregular and excessive menstruation in adolescent girls is a factor contributing to iron deficiency. Vitamin B12 deficiency, which plays an important role in blood production, is mostly seen in vegetarian diet and folic acid deficiency occurs in people who are fed a poor diet of green leafy vegetables. However, these two nutrient deficiency anemias are not as common in children as iron-deficient anemia.
: Do drugs have an effect on anemia?
Professor Dr. Cengiz Canpolat Drugs produce anemia either by contributing to the destruction of red blood cells or by suppressing the production of red blood cells by showing a direct toxic effect to the bone marrow. Some drugs are known to cause anemia by preventing the absorption of certain nutrients from the small intestine. Such drugs include some of the drugs used for epilepsy. Although its use is limited, aspirin, which is one of the most commonly used drugs, causes bleeding in the stomach and intestines and causes anemia.
: Is ethnicity and race important in anemia?
Professor Dr. Cengiz Canpolat Sickle cell anemia is common in the Black race and Arab countries, while thalassemia, known as the Mediterranean anemia, is seen in the forefront in the Mediterranean region. Thalassemia is a hemoglobin production disorder. Hb A1, which constitutes the most important part of adult hemoglobin, constitutes carrier if there is a partial deficiency in the production of any of the alpha or beta chains, and disease occurs if it cannot be done completely. No treatment is required in case of carriage. However, genetic counseling should be given to the patient and his family.
: What should be done to prevent anemia?
Professor Dr. Cengiz Canpolat In order to prevent anemia, babies should be fed with breast milk for six months, diet should be given importance and iron-rich supplementary foods should be started in a timely and appropriate manner. It is important to start protective iron preparations in early and low-weight babies. Because iron transfer from mother to baby increases in the end of pregnancy, these babies are born before the iron stores are full and most of the time they are in intensive care, they have to take more blood from the babies for the tests.
: How is the treatment performed?
Professor Dr. Cengiz Canpolat The treatment of iron deficiency is mostly done with oral iron preparations. The treatment continues for an average of 3 months. It is aimed to increase hemoglobin in the first 2 months and to fill iron stores in 3 months.