Deficit of vitamin C

Description:

Insufficiency of ascorbic acid (a hypovitaminosis C) it is caused by its deficit in an organism. Heavy deficit leads it to development of a scurvy.

Hypovitaminosis With remains the most frequent and significant form of a vitamin deficiency for adults. It can develop at reception of acetylsalicylic acid, estrogen, oral contraceptives, and also at alcoholism, a hyperthyroidism, carrying out a hemodialysis.

Symptoms of Deficit of vitamin C:

Carry the cases which are characterized by moderate weakness, the onychalgia raised by bleeding, a scorbutic purpura, an unsharp ulitis to the I stage of a scurvy; working capacity is reduced moderately. In the II stage of a hemorrhage gain widespread character. The hemorrhagic exudate in joints, a pleura is noted. The ulitis and stomatitis are sharply expressed; at patients temperature increases. They need hospitalization. The stage of III is characterized by a serious general condition of patients, sharp emaciation, further increase of bleeding, anemization, developing of long not healing ulcers of extremities, development of infectious complications (pneumonia, tuberculosis, dysentery, sepsis dontogenous, etc.).

Hypovitaminosis symptoms With are poor: moderate weakness, bystry fatigue, deterioration in appetite, an ache in muscles of legs, bent to odontorrhagias. Gingivas tsianotichna are also loosened. Sometimes reveal a xeroderma, not numerous dot hemorrhages in the field of hair follicles on hands and legs.

Reasons of Deficit of vitamin C:

Hypovitaminosis With arises owing to considerable:
- decrease in receipt in an organism of vegetable products (a dogrose, blackcurrant, a sea-buckthorn, strawberry, blackberry, a wild strawberry and other berries; apples, plums, cherry, tangerines, oranges, lemons and other fruits; carrots, beet, green onions, cabbage, spinach and other vegetables), and also meat products (a liver, meat, a brain, etc.), especially at their long thermal treatment in untight ware;
- disorders of its absorption in a mucous membrane of a digestive tract, especially at an achlorhydria and diarrhea;
- increases in need for vitamin (at pregnancy, a lactation, a thyrotoxicosis, chronic inflammatory diseases, malignant tumors, a traumatic, including burn disease, a chronic stress);
- accelerations of removal of vitamin from an organism.

Treatment of Deficit of vitamin C:

The good balanced nutrition, vitamin-rich, and drugs of ascorbic acid are shown. For the purpose of prevention apply ascorbic acid in tablets and a dragee on 0,05-0,1 g/days; dogrose infusion, lemons. Widely use polyvitaminic drugs.

Treatment of patients with a scurvy can be carried out to the I stages on an outpatient basis. Appoint ascorbic acid on 0,1 g of 3-5 times a day. At the worsened absorption of vitamin C it is entered intramusculary on 1-2 ml of 5% of solution. At the same time appoint vitamin P (Rutinum, meletin, etc.) 100-150 mg/days.
Patients with II and III stages of a scurvy have to be treated in a hospital. The diet, protein-rich is shown them (to 120-150 g/days). At a scurvy of the II stage the daily dose of ascorbic acid has to be not less than 500 mg, at the III stage - 1000 mg, at the same time not less than 1/3 doses should be entered parenterally.

Introduction to a vein of 1-2 ml of 5% of solution of ascorbas of sodium together with glucose is effective. Appoint also vitamins P (150-300 mg), B1 (20 mg), Riboflavinum (10 mg). Active vitamin therapy spend not less than a month, then doses gradually reduce.