HAEMOGLOBIN NORMAL LEVEL:
MEN= 14 – 17.7
WOMEN= 12 – 16
This disease is present when the level of haemoglobin and red cells in the blood are decreased below the reference range for the sex and age of the individual.
Clinical symptoms depend on the speed of onset of blood loss.
Haemoglobin slowly falling level will be compensated by the organism. Young patients can tolerate anaemia more than elders.
Anaemia can cause angina pectoralis – fatigue – breathlessness – intermittent claudication – cardiac failure in elderly people.
CLASSIFICATION OF ANAEMIA:
Iron deficiency: In the duodenum and jejunum where iron is absorbed and transported in the plasma and bound with transferring. The main thing can cause microcytic anaemia is iron deficiency.
1mg of iron every day is lost in urine-sweat and faeces. Women lose iron during premenopausal and menses.
In general, the main cause of iron deficiency is blood loss from the gastrointestinal tract and the uterus in females during growth and pregnancy.
Other reasons for iron deficiency:
Small bowel disease.
Dysphagia – angular stomatitis – hair lose-spoon shaped nails.
Blood account: Low haemoglobin Hb and MCV.
Blood film: Microcytic and hypochromic.
Blood serum: Iron is low – iron-binding capacity is high.
Ferritin is low, which reflects iron stores in an organism.
Treat the main cause.
Oral iron tablets for six months.
Par-enteral iron used for intolerant patient or poor response oral iron.
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