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Trattamento della carenza di ferro
Carenza di ferro

Trattamento della carenza di ferro con o senza anemia

Poiché i sintomi spesso sono aspecifici, la carenza di ferro non è sempre percepita come condizione medica richiedente un trattamento. Dato il ruolo importante svolto dal ferro per la normale funzionalità cellulare, compresi il trasporto di ossigeno, eritropoiesi, produzione di energia, sintesi del DNA e proliferazione cellulare, è fondamentale che la carenza di ferro venga diagnosticata e trattata tempestivamente. In altre parole, l’organismo necessita di un’adeguata quantità di ferro depositato per far fronte alle sue esigenze.37

Garantire un sufficiente apporto di ferro nella dieta è la chiave per ottenerne la quantità necessaria. A seconda delle circostanze e delle condizioni mediche del paziente, un trattamento può rendersi necessario per rifornire velocemente le scorte di ferro e correggere l’anemia in pazienti con carenza di ferro (± anemia) di varie eziologie, compresi pazienti con insufficienza cardiaca cronica, patologie renali croniche, disturbi intestinali infiammatori e in donne con carenza di ferro durante gravidanza, postparto o associata a forte emorragia uterina. Poiché l’organismo non dispone di un meccanismo per l’escrezione attiva di ferro, i livelli di quest’ultimo sono controllati nel punto di assorbimento nell’intestino tenue.

Il fabbisogno di ferro dipende dal livello di emoglobina e viene calcolato tramite concentrazione di Hb e quantità di ferro depositato come segue:

Carenza totale di ferro [mg] = dose totale cumulativa [mg] =

peso corporeo [kg] × (Hb target – Hb reale) [g/dl] × 2,4 + ferro depositato [mg].

Le riserve di ferro sono di 500 mg per pazienti > 35 kg, oppure di 15 mg/kg di peso corporeo per pazienti <35 kg.38

iron deficiency


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Trattamento della carenza di ferro | Ferinject CH​
Dato il ruolo essenziale del ferro per la normale funzione cellulare, compreso il trasporto di ossigeno, è fondamentale che la carenza di ferro sia diagnosticata è trattata in modo tempestivo.​