5 PENYEBAB UTAMA HB RENDAH, YANG HARUS KAMU KETAHUI

Halo ners, apakah kamu pernaha merasa lesu meski istirahatmu cukup? Nah.. hal ini mungkin jadi tanda bahwa kamu tidak memiliki cukup hemoglobin (Hb). Hb rendah dapat memiliki berbagai penyebab, dan setiap penyebab harus memiliki rencana perawatan yang berbeda.

APA ITU HEMOGLOBIN?

Hemoglobin merupakan komponen sel darah merah yang bertanggung jawab untuk mengangkut karbon dioksida dan oksigen melalui darah. Tes darah dapat digunakan untuk melihat kadar hemoglobin kamu ya ners…

Secara umum, pria dewasa memiliki kadar hemoglobin antara 13 dan 16,5 g/dL dan wanita dewasa antara 12 dan 16 g/dL, sedangkan pada wanita hamil antara 11 dan 16 g/dL. Jika kadar hemoglobin darah seseorang berada dibawah kisaran tersebut, mereka dikatakan memiliki hemoglobin rendah.

NAH.. BERIKUT INI ADALAH 5 HAL YANG DAPAT MENYEBABKAN KADAR HEMOGLOBIN RENDAH

1. Kekurangan Gizi

Hb rendah dapat disebabkan oleh berbagai macam penyebab, salah satunya adalah kekurangan vitamin dan mineral tertentu. Zat besi merupakan salah satu nutrisi yang sangat penting untuk perkembangan Hb dan sel darah merah. Produksi sel darah merah akan sulit jika tubuh kamu kekurangan zat besi, yang akan menurunkan kadar hemoglobin (Hb) pada tubuh kamu.

Kurang Gizi

Kadar Hb dalam tubuh juga bisa rendah jika kamu kekurangan asam folat dan vitamin B12. Hal Ini karena kedua nutrisi ini diperlukan oleh tubuh membentuk sel-sel baru, termasuk sel darah merah.

2. Kehamilan

Nah.. Kadar Hb yang rendah juga dapat disebabkan oleh kehamilan. Meski kondisi ini sering dialami oleh ibu hamil, namun tidak boleh dianggap enteng.

Kekurangan Hb atau anemia yang tergolong berat pada saat kehamilan juga dapat menyebabkan janin lahir prematur, lahir dengan berat badan rendah, mengalami anemia, atau dengan masalah pertumbuhan dan perkembangan setelah lahir. Selain itu, anemia pada ibu hamil juga dapat meningkatkan risiko perdarahan postpartum dan komplikasi kehamilan.

Kehamilan
Kehamilan

Untuk meningkatkan kadar Hb dan sel darah merah pada pasien hamil dengan Hb rendah, dokter dapat merekomendasikan suplemen zat besi, asam folat, dan vitamin B12.

Selain mengonsumsi suplemen, ibu hamil disarankan untuk mengonsumsi makanan yang tinggi zat besi, asam folat, dan vitamin B12. Seperti daging, telur, ikan, kacang-kacangan, dan susu serta atau dapat mengkonsumsi produk olahan seperti keju dan yogurt.

3. Kehilangan Darah

Berikut ini adalah penyebab orang yang kehilangan banyak darah karena kondisi tertentu yang dapat mengalami anemia atau Hb rendah seperti berikut ini:

Cedera
Kehilangan Darah
  • Luka atau cedera serius
  • Perdarahan saat operasi
  • Pendarahan saluran pencernaan, seperti yang disebabkan oleh kanker usus, wasir, atau sakit maag
  • Menorrhagia, atau perdarahan menstruasi yang lebih banyak dari normal

4. Kelainan Darah

Talasemia merupakan salah satu kelainan darah yang dapat di indikasikan dengan kadar Hb yang rendah. Penyakit ini biasanya diturunkan dalam keluarga, gejalanya meliputi:

Kelainan Darah
  • Perubahan bentuk tulang wajah
  • Sering merasa lelah atau kekurangan energi
  • Urin berwarna gelap
  • Gangguan pertumbuhan dan perkembangan, serta kulit pucat atau kuning

Selain thalassemia, kanker darah (leukemia) dan limfoma juga bisa mengakibatkan rendahnya kadar hemoglobin darah.

5. Penyakit Kronis

Selain beberapa factor diatas. Beberapa penyakit kronis ini juga bisa menyebabkan kadar Hb rendah loh, di antaranya adalah gagal ginjal kronis, sirosis, hipotiroidisme, dan gangguan sumsum tulang.

Penyakit Kronis

Penyebab Hb rendah atau anemia terbilang sangat beragam dan tidak selalu menimbulkan gejala. Namun, orang yang mengalami kekurangan Hb atau anemia terkadang mengalami gejala umum seperti:

  • Kelelahan
  • Lemah
  • Pusing
  • Kulit dan gusi yang pucat
  • Sesak napas
  • Jantung berdebar atau tidak beraturan
  • Pandangan berkunang-kunang

Kadar Hb bisa diketahui melalui pemeriksaan darah. Oleh karena itu, jika kamu mengalami gejala atau mengalami kondisi yang telah kita bahas, sebaiknya kamu segera memeriksakan diri ke dokter untuk memastikan kondisi kamu.

Setelah menentukan diagnosis Hb rendah atau anemia, dokter juga akan mencari tahu penyebab Hb rendah yang kamu alami dan memberikan pengobatan yang sesuai dengan penyebab tersebut.

Nah… sekarang kita sudah paham ya ners… apa saja yang dapat menyebabkan kondisi Hb rendah atau anemia. Nah jika ada yang perlu kita diskusikan lagi dan kita bahas, silakan tuliskan pada kolom komentar ya ners.. terimakasih

DAFTAR PUSTAKA

Chaparro, C. M. & Suchdev, P. S. (2019). Anemia epidemiology, pathophysiology, and etiology in low- and middle-income countries. Annals of the New York Academy of Sciences, 1450 (1), pp. 15–31.
Girault, et al. (2018). Undiagnosed Abnormal Postpartum Blood Loss: Incidence And Risk Factors. PLoS One, 13(1), pp. e0190845.
American Pregnancy Association. Anemia During Pregnancy.
National Health Service UK (2019). Health A to Z. Vitamin B12 or Folate Deficiency Anaemia.
Cleveland Clinic (2022). Low Hemoglobin.
Mayo Clinic (2022). Symptoms. Low hemoglobin count.
Mayo Clinic (2022). Tests & Procedures. Hemoglobin Test.
KidsHealth, Nemours (2019). For Parents. Iron-Deficiency Anemia.
Holm, G. & Amin, S. Healthline (2019). Everything You Need to Know About Thalassemia.
Jewell, T. & Fisher, J. K. Healthline (2019). Hemoglobin (Hgb) Test Results.
Braunstein, E.M. Merck Manual Consumer Version (2021). Anemia Due to Excessive Bleeding.
Tidy, C. & Knott, L. Patient (2021). Folic Acid Deficiency Anaemia.
Uscher, J. & Johnson, T. C. WebMD (2020). Anemia in Pregnancy.

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