Red blood. Erythrocytes.

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:



  1. 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.
  2. posthemorrhagic (due to acute and chronic blood loss)
    anemia. In fact, chronic hemorrhagic anemia is also scarce: when
    hemorrhage lost proteins, vitamins and iron.
  3. 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.
  4. 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):



  1. 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.
  2. Absolute erythrocytosis may be caused by abnormal blood -
    neoplastic diseases of the hematopoietic system - disease Vakeza .
  3. Relative erythrocytosis occurs when dehydration.


morphology of red blood cells:


change shape, size, color of red blood cells
underlies the classification of anemias.

  1. Reducing the diameter of red blood cells, microcytosis , is observed at
    iron deficiency and hemolytic anemia.
  2. 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.
  3. 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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