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Patients can take some iron tablets. Iron tablets can provide some raw material for producing red blood cells. It can relieve anemia to some extent. However, iron supplement alone is not enough to treat anemia effectively at all.
The transition from epoetin alfa to darbepoetin alfa therapy is usually uncomplicated. The approximate conversion is 200 IU of epoetin alfa to 1 mcg of darbepoetin alfa.In a single--center study, 401 patients with anemia and CKD were converted from epoetin alfa to once-monthly darbepoetin alfa, with the intent of increasing the percentage of patients who maintained a stable hemoglobin level. Initially, patients were converted using the ratio of 1 mcg of darbepoetin to 200 IU of epoetin. New patients were administered darbepoetin 60 mcg every 2 weeks. Patients with stable hemoglobin ≥ 11.0 were extended to monthly injections of darbepoetin alfa, with the appropriate dose adjustment. The proportion of patients who were successfully treated after the conversion more than doubled with the monthly dose of darbepoetin alfa.
Blood tests should be performed to measure the level of iron in the blood, and also two vitamins important in the production of red blood cells (vitamin B12 and folic acid). If there is a deficiency of any of these, supplements can be given.
Infections may also cause anaemia; this may be temporary if the infection resolves, but some infections which do not go away rapidly may need further treatment (for example recurrent urine infections, or infections around a dialysis catheter). It is also important to detect any blood loss from the bowel, and any indigestion should be reported to the doctor, as well as any change in the stools, either with blood being seen, or blackening of the stool (which can be caused by blood from the stomach, which turns black as it passes through the bowel).
Immediate treatment of anaemia requires blood transfusions. Adding red blood cells to the body’s low stocks gives a better oxygen-carrying capacity and hence improves the anaemia. However the disadvantages of transfusion limit its usefulness. Usually, patients with renal anemia are suggested to inject EPO. Of course, there are also many traditonal Chinese treatments can treat renal anemia effectively. If you want to know more, you can contact with us.
