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
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)*
3
Q
Sferocitoza minkowski choffarard ereditara deficit de membrana
A
N.n:paloare Ister sclero tegum Urini scaune hipercrome Splenomeg+-hepatomegalie Reticulocitaza>10%
4
Q
Paraclinic
A
Amenie moderata VEM scazut Reticulocitoza 3-15% Microsferocite Rc combs neg Viata hematiilor7...15 zile FE+++crescut Hiperbilirubinemie indirecta
5
Q
Tratam
A
Acid folic1mg/zi
Transfuzii in crizele hemolitice
Splenectomie duoa 5 ani dupa vaccinare pneumococ si H influenzae