{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T01:18:47Z","timestamp":1785460727352,"version":"3.56.0"},"reference-count":84,"publisher":"Akademiai Kiado Zrt.","issue":"27","license":[{"start":{"date-parts":[[2024,7,7]],"date-time":"2024-07-07T00:00:00Z","timestamp":1720310400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2024,7,7]]},"abstract":"A vashi\u00e1ny a leggyakoribb nyomelemhi\u00e1ny a vil\u00e1gon, ez\u00e1ltal jelent\u0151s glob\u00e1lis\n eg\u00e9szs\u00e9gi probl\u00e9m\u00e1t okoz mind a feln\u0151ttek, mind a gyermekek eg\u00e9szs\u00e9g\u00fcgyi\n ell\u00e1t\u00e1s\u00e1ban. A vashi\u00e1ny sz\u00e1mos t\u00e1rsbetegs\u00e9ggel j\u00e1r egy\u00fctt, \u00e9s jelent\u0151sen\n befoly\u00e1solja az \u00e9letmin\u0151s\u00e9get. Az anaemia kialakul\u00e1sa el\u0151tti felismer\u00e9s\u00e9vel a\n t\u00fcnetek \u00e9s az \u00e9letmin\u0151s\u00e9g jav\u00edthat\u00f3 m\u00e1r korai st\u00e1diumban. Diagnosztiz\u00e1l\u00e1s\u00e1ban \u00e9s\n kezel\u00e9s\u00e9ben sz\u00e1mos orvosi ter\u00fclet \u00e9rintett, ennek ellen\u00e9re egyik diszcipl\u00edna sem\n v\u00e1llalja igaz\u00e1n mag\u00e1ra a feladatot. A jelen konszenzusdokumentum c\u00e9lja egy\n egys\u00e9ges, diagnosztikus \u00e9s ter\u00e1pi\u00e1s \u00fatmutat\u00f3 l\u00e9trehoz\u00e1sa a vashi\u00e1ny miatt\n legink\u00e1bb \u00e9rintett orvosi ter\u00fcleteken. A konszenzusos dokumentumot hematol\u00f3giai,\n gasztroenterol\u00f3giai, sz\u00fcl\u00e9szet-n\u0151gy\u00f3gy\u00e1szati, kardiol\u00f3giai, gyermekgy\u00f3gy\u00e1szati\n \u00e9s sportorvostani szakter\u00fcleten j\u00e1rtas orvosok dolgozt\u00e1k ki, akik a Semmelweis\n Egyetem Iron Board tagjai. A konszenzusdokumentum szakter\u00fcletenk\u00e9nt tartalmazza\n a legfrissebb szakmai aj\u00e1nl\u00e1st. A vashi\u00e1nybetegs\u00e9g k\u00fcl\u00f6nb\u00f6z\u0151 st\u00e1diumainak\n diagnosztik\u00e1j\u00e1hoz a v\u00e9rk\u00e9pnek \u00e9s a vasanyagcser\u00e9t mutat\u00f3 param\u00e9tereknek\n (sz\u00e9rumvas, transzferrin, transzferrinszatur\u00e1ci\u00f3, ferritin) a vizsg\u00e1lata\n sz\u00fcks\u00e9ges. Az anaemia diagn\u00f3zis\u00e1hoz sz\u00fcks\u00e9ges hemoglobinszint egy\u00e9rtelm\u0171en\n meghat\u00e1rozott, mely minden feln\u0151tt betegcsoportra egyar\u00e1nt \u00e9rv\u00e9nyes: f\u00e9rfiakn\u00e1l\n <130 g\/l, n\u0151kn\u00e9l <120 g\/l, m\u00edg gyermekekn\u00e9l \u00e9letkort\u00f3l f\u00fcgg\u0151en v\u00e1ltozik.\n Az els\u0151dleges c\u00e9l a vashi\u00e1nybetegs\u00e9g ok\u00e1nak meg\u00e1llap\u00edt\u00e1sa \u00e9s annak c\u00e9lzott\n kezel\u00e9se. Az or\u00e1lis vaskezel\u00e9s az els\u0151 vonalbeli ter\u00e1pia a legt\u00f6bb esetben, mely\n biztons\u00e1gos \u00e9s hat\u00e9kony a t\u00fcnetes vagy anaemia kialakul\u00e1s\u00e1ra nagy kock\u00e1zat\u00fa\n betegek eset\u00e9n. Vas(II)-s\u00f3k alkalmaz\u00e1sakor a k\u00e9sz\u00edtm\u00e9ny m\u00e1snaponk\u00e9nti adagol\u00e1sa\n jav\u00edtja az egy\u00fcttm\u0171k\u00f6d\u00e9st, a toler\u00e1lhat\u00f3s\u00e1got \u00e9s a felsz\u00edv\u00f3d\u00e1st. A\n vas(III)-hidroxid-polimalt\u00f3z el\u0151nye, hogy nem sz\u00fcks\u00e9ges \u00e9hgyomorra bevenni,\n emellett m\u00e1r kora terhess\u00e9gben \u00e9s gyerekekn\u00e9l is biztons\u00e1gosan alkalmazhat\u00f3. A\n C-vitamin haszn\u00e1lata a felsz\u00edv\u00f3d\u00e1s n\u00f6vel\u00e9se \u00e9rdek\u00e9ben a leg\u00fajabb klinikai\n vizsg\u00e1latok szerint nem j\u00e1r el\u0151nnyel. Intrav\u00e9n\u00e1s vasp\u00f3tl\u00e1s javasolt, ha a\n vash\u00e1ztart\u00e1s gyors rendez\u00e9se sz\u00fcks\u00e9ges, ha az or\u00e1lis kezel\u00e9s nem toler\u00e1lhat\u00f3\n vagy nagy val\u00f3sz\u00edn\u0171s\u00e9ggel hat\u00e1stalan lesz, tov\u00e1bb\u00e1 els\u0151sorban pang\u00e1sos\n sz\u00edvel\u00e9gtelens\u00e9g, v\u00e1rand\u00f3ss\u00e1g, gyullad\u00e1sos b\u00e9lbetegs\u00e9g, felsz\u00edv\u00f3d\u00e1si zavar \u00e9s\n preoperat\u00edv \u00e1llapot eset\u00e9n. Orv Hetil. 2024; 165(27): 1027\u20131038.<\/jats:p>","DOI":"10.1556\/650.2024.33078","type":"journal-article","created":{"date-parts":[[2024,7,13]],"date-time":"2024-07-13T09:46:46Z","timestamp":1720864006000},"page":"1027-1038","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":2,"title":["Semmelweis Egyetem Iron Board \u2013 Vasp\u00f3tl\u00e1s-konszenzusdokumentum"],"prefix":"10.1556","volume":"165","author":[{"given":"Emese","family":"Csulak","sequence":"first","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, V\u00e1rosmajori Sz\u00edv- \u00e9s \u00c9rgy\u00f3gy\u00e1szati Klinika Budapest, V\u00e1rosmajor u. 68.,1122 Magyarorsz\u00e1g"},{"name":"Semmelweis Egyetem, Sportorvostan Tansz\u00e9k Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B\u00e1lint","family":"Gell\u00e9rt","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Seb\u00e9szeti, Transzplant\u00e1ci\u00f3s \u00e9s Gasztroenterol\u00f3giai Klinika Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Istv\u00e1n","family":"Hritz","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Seb\u00e9szeti, Transzplant\u00e1ci\u00f3s \u00e9s Gasztroenterol\u00f3giai Klinika Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P\u00e1l","family":"Miheller","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Seb\u00e9szeti, Transzplant\u00e1ci\u00f3s \u00e9s Gasztroenterol\u00f3giai Klinika Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P\u00e9ter","family":"Farkas","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Belgy\u00f3gy\u00e1szati \u00e9s Hematol\u00f3giai Klinika Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G\u00e1bor","family":"Kov\u00e1cs","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Gyermekgy\u00f3gy\u00e1szati Klinika Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Attila","family":"Szab\u00f3","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Gyermekgy\u00f3gy\u00e1szati Klinika Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N\u00e1ndor","family":"\u00c1cs","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Sz\u00fcl\u00e9szeti \u00e9s N\u0151gy\u00f3gy\u00e1szati Klinika Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D\u00e1vid","family":"Becker","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, V\u00e1rosmajori Sz\u00edv- \u00e9s \u00c9rgy\u00f3gy\u00e1szati Klinika Budapest, V\u00e1rosmajor u. 68.,1122 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N\u00f3ra","family":"Syd\u00f3","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, V\u00e1rosmajori Sz\u00edv- \u00e9s \u00c9rgy\u00f3gy\u00e1szati Klinika Budapest, V\u00e1rosmajor u. 68.,1122 Magyarorsz\u00e1g"},{"name":"Semmelweis Egyetem, Sportorvostan Tansz\u00e9k Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B\u00e9la","family":"Merkely","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, V\u00e1rosmajori Sz\u00edv- \u00e9s \u00c9rgy\u00f3gy\u00e1szati Klinika Budapest, V\u00e1rosmajor u. 68.,1122 Magyarorsz\u00e1g"},{"name":"Semmelweis Egyetem, Sportorvostan Tansz\u00e9k Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"425","reference":[{"key":"R1","unstructured":"World Health Organization. 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