A Hemolitice Flashcards

1
Q

Prin ce se caracterizeaza

A

Congenitale
Reducerea duratei d viata a hematiilor sub <120zile
Gematii distruse prin hemoliza
Anemii regeneralive maduca compenseaza prin hiperproductie
Scade Hb

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2
Q

Clasif

A

Dobandite mostenite:
defect intrisec mostenite
Def extrinsec dobandite
Exceptii deficit G6PD mostenita dat manifestata dupa act unui fact extrinsec(glucoza 6 fosfat dehidrogenaza)*

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3
Q

Sferocitoza minkowski choffarard ereditara deficit de membrana

A
N.n:paloare 
Ister sclero tegum 
Urini scaune hipercrome
Splenomeg+-hepatomegalie
Reticulocitaza>10%
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4
Q

Paraclinic

A
Amenie moderata
VEM scazut
Reticulocitoza 3-15%
Microsferocite
Rc combs neg
Viata hematiilor7...15 zile
FE+++crescut
Hiperbilirubinemie indirecta
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5
Q

Tratam

A

Acid folic1mg/zi
Transfuzii in crizele hemolitice
Splenectomie duoa 5 ani dupa vaccinare pneumococ si H influenzae

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