How to treat anemia in patients with functional uterine bleeding?

How to treat anemia in patients with functional uterine bleeding?

Yuanyuan was about to get married, but she suddenly had menstrual disorders and heavy bleeding for a long time, which led to severe anemia and extreme physical exhaustion. Her mother was afraid that her daughter would have a serious problem and rushed her to the hospital. After examination, it was found that Yuanyuan had functional uterine bleeding and needed to be given blood supplements immediately to treat anemia. So what are the ways to correct anemia?

Supplement vitamin K, vitamin C and calcium to correct anemia; blood transfusion should be given if necessary for severe anemia. The main advantage of blood transfusion is that it can quickly reduce or correct anemia, but the indications for blood transfusion must be correctly mastered. If a large amount of blood transfusion is required, concentrated red blood cells can be transfused to avoid excessive load on the cardiovascular system and reduce transfusion reactions; if hemoglobin is <70g/L and vaginal bleeding has basically stopped, fresh whole blood can be transfused, 200ml each time, once a week, for 2-3 weeks. Since chronic blood loss often leads to microcytic hypochromic anemia, iron supplementation should be used for treatment. Oral ferrous sulfate 0.1-0.2g each time, vitamin C 0.lg can be given orally at the same time, 3 times a day, to help better absorption of iron; if taking ferrous sulfate sustained-release tablets, 1 tablet per day, ferrous fumarate 0.2g each time, 3 times a day. Injection treatment can be used for those with severe oral iron reactions or severe anemia. It is worth noting that after hemoglobin rises to normal, since the body is still in a state of iron deficiency, the medication should not be stopped immediately, but the dosage should be reduced slowly and maintained at the minimum dose for 2-3 months.

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