la red blood cells.
- Relative reduction in the number of red blood cells can be observed when diluted
blood in people with kidney disease (elimination is complicated fluid from the body),
the introduction of large amounts of blood substitutes.
- absolute decline in the number of red blood cells - is the main criterion
anemia.
Anemia can be divided into the following types:
- Deficit - anemia in which the lack of any any "spare"
to build red blood cells (belkovodefitsitnye, vitaminodefitsitnye,
iron-). "Parts" may be an insufficient quantity of dietary
or incompletely absorbed from the intestine. Can be observed and their relative
deficiency during pregnancy and adolescence, when the need for
"building materials" exceed their intake into the body.
- posthemorrhagic (due to acute and chronic blood loss)
anemia. In fact, chronic hemorrhagic anemia is also scarce: when
hemorrhage lost proteins, vitamins and iron.
- hypo-and aplastic (congenital and acquired), anemia raises
for loss or disasption of the functioning of stem cells (progenitor
red blood cells) in bone marrow. Acquired deficiency anemia can develop after exposure to radiation
, congenital - the result of mutations.
- hemolytic (inherited and acquired) anemia. Acquired
anemia occur when the effects of various chemicals [their role can
some dasgs, antibodies, microbial toxins (for malaria)] or mechanical
factors (eg, red blood cells can ranitsya of artificial heart valve).
Hereditary anemia - the result of mutations, red blood cells of people with hereditary hemolytic anemia
have a defect in the membranes (shells) or abnormal hemoglobin
.
Increasing the number of red blood cells (polycythemia):
- Absolute erythrocytosis may be due to amplification of normal hematopoiesis
. It can occur in chronic lung disease, heart defects
, congenital hemoglobinopathies. In people with abnormal hemoglobin
compensatory increase of red blood cells in 1 ml of blood, because
hemoglobin can not carry oxygen in sufficient quantity. Not
quality, so many. In chronic renal ischemia can also occur
erythrocytosis, as they produced in larger quantities than normal,
erythropoietin, which stimulates hematopoiesis.
- Absolute erythrocytosis may be caused by abnormal blood -
neoplastic diseases of the hematopoietic system - disease Vakeza .
- Relative erythrocytosis occurs when dehydration.
morphology of red blood cells:
change shape, size, color of red blood cells
underlies the classification of anemias.
- Reducing the diameter of red blood cells, microcytosis , is observed at
iron deficiency and hemolytic anemia.
- increase the diameter of red blood cells, macrocytosis , is observed at
In 12 - and folievodefitsitnyh anemia (vitaminodefitsitnye anemia). When
hypoplastic anemia may also be observed macrocytosis.
- change in the shape of red blood cells ( poikilocytosis - red blood cells have different
form) can be observed in iron-deficiency anemia, some
hemoglobinopathies (sickle cell anemia, thalassemia) .
most
best shape for red blood cell - a form of biconcave disk. In this form
erythrocyte best to carry oxygen. The best size - 7 microns. If he
will be less worse is to carry oxygen, and ifmore- the red blood cells will
less to live. A substantial part of their lives, they will in the bone marrow, except
addition, such large cells are destroyed faster in
spleen.
References:
- The pathophysiology of organs and systems: Textbook / VA. Voinov, N. Losev,
AB Saltykov, AV Oatmeal; NovSU them. Yaroslav the Wise. - Novgorod, 1998. - 154
with.
- Danilova LA Blood and urine tests. - 2 ed., Revised and supplemented. - St., Inc.
"Salita - LLC Dean Publishing, 1999. - 128 pp.
Drayden AI
19.10.2000
Medicine for Dummies
Issue 12
Source: www.gradusnic.com
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