#11 anemii yanev dm 2013

57
Кръвна система Кръвна система Доц. И. Янев, дм Катедра по патофизиология, Медицински университет, Пловдив

Upload: nadia-hristova

Post on 12-Sep-2015

32 views

Category:

Documents


2 download

DESCRIPTION

#11 Anemii Yanev DM 2013

TRANSCRIPT

  • . . , , ,

  • - *

  • - ,

  • **

  • 1

  • (7 - 8 ; 5.1012/L). , ( ). ~ 120 .

  • 5.2 0.3.1012/L 4.7 0.3.1012/L - 160 20 g/L 140 20 g/L 0,40 0,54 0,36 0,47

  • - , / , .

  • (, -) (. 12)

  • .

  • - - - - ()- - - -

  • ( )

    ( )

    ( )

  • - - ( + ) () , , (, , )

  • Hb , Ers , Hct

  • , - ( ) , B12 Fe

  • *(, , , ) .

  • -

  • : Adisson Biermer ( ) ( )

  • HLA-A3, HLA-B7 : 12

    - Addison-Biermer

  • ( ) (, , )

  • , , , . , , () Ers ( ) -

  • Er (M. Minkowski-Chauffard)

  • Ers-6- - - - -

  • Icterus gravis Rh Rh- Rh+ 1 2

  • Rh -

  • - (-thalassemia mayor) - (-thalassemia minor) - -

  • Thalassemia mayor (M. Cooley) HbF HbA2 - - - Ers

  • OXY-DEOXY- - , S

  • I

    II

  • . : , ()

  • , . .

  • :

    :

  • . 3 :

    ( VIII) B ( IX) C ( XI)

    X , , .

  • , :

    , ( ) ( )

  • . :

    ( )

  • . :

  • Thrs ( 150-450109/L) Thrs 150109/L.

    :

    ,, ( )

    .

  • () Thrs 450109/L: : ( ) -

  • Thrs ()

    , -

  • ()

    . :

  • - ( )

    . , ( )

  • () () () () ( )

  • C P - ( )

  • , :

  • , , , .

  • , , , , . , . .

  • , , . . ( ),

  • : () () :

  • : :

  • * O2 CO2.RBC contain a large quantity of carbonic anhydrase: a large amount of CO2 is transported from the tissues to the lungs under the form of bicarbonate.

    *Deoxygenation of SS erythrocytes leads to intracellular hemoglobin polymerization, loss of deformability and changes in cell morphology.