4. Haematinics:
General term for those nutrients, including iron, folic
acid, and vitamin B 12, required for the formation and
development of blood cells in bone marrow (the
process of haematopoiesis), deficiency of which may
result in anaemia
6. Iron As Haematinic Agent
Hematopoiesis
The production of circulating erythrocytes, leukocytes
and platelets from undifferentiated stem cells, is called
hematopoiesis.
It requires:
Iron –for Hb formation
7. Anemia:
Decreased capacity of RBCs to carry oxygen to
tissues.
Causes:
Blood loss
Impaired RBC functions, due to deficiency of
8. Iron deficiency occurs
Iron deficiency occurs due to:
Malnutrition
Loss
Congenital atransferrinemia (inability to release iron
from transferrin)
9. Iron storage
Iron is the integral component of haeme. In our body:
66-67% of iron is present in hemoglobin.
3% occurs in myoglobin
1% in enzymes -cytochrome, catalase, peroxidase
25% is stored in form of ferritin and hemosiderin
10. Source of Iron
Heme iron (present in meat)
Inorganic iron
Free inorganic iron is very toxic, thus there are
regulatory mechanisms for:
a. Absorption
b. Transport
c. Storage of iron
11. Factors facilitating Iron Absorption
Acid
Acid enhances dissolution and reduction of ferric iron.
Reducing Substances
Ascorbic acid reduces ferric iron and forms absorbable
complexes
Meat
Meat also facilitates iron absorption by increasing HCl
secretion
Pregnancy/ Menstruation
Due to increased iron requirement
12. Vitamin B12
A vitamin important for the normal formation of red
blood cells and the health of the nerve tissues.
Undetected and untreated vitamin B12 deficiency can
lead to anemia and permanent nerve and brain
damage.
13. Causes of vit B12 deficiency
1.Decrease intake in diet
2. Increase demand during growing peroid pregnancy
3. Fish tape worm infestation
15. Folic acid
A yellow crystalline water-
soluble vitamin essential for cell growth and reproduct
ion. It functions as a coenzyme with
vitamins B12 in the metabolism and use of proteins an
d in the formation of nucleic acids and heme for
hemoglobin
16. Indication of folic acid
1.To treat megaloblastic anemia due to folate deficiency
2. Liver desease
3.Chronic disease
4. Renal dialysis
5. pregnancy