klinikuri praqtikis erovnuli rekomendacia (gaidlaini)
klinikuri praqtikis erovnuli rekomendacia (gaidlaini)
klinikuri praqtikis erovnuli rekomendacia (gaidlaini)
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− rkiniT gajerebiTi anemiebi (sideroaqrestiuli) Tandayolili da<br />
SeZenili;<br />
− hemis sinTezis darRveviT gamowveuli anemiebi (Talasemia);<br />
hipoqromul anemiebTan diferencialuri diagnostikis kriteriumebi<br />
mocemulia cxrilSi #3-Si.<br />
III etapi _ rkinis deficitis mizezis dadgena. rkinadeficituri anemia aris<br />
mxolod sindromi, romliTac rTuldeba sxvadasxva paTologia. maTgan didi<br />
nawili gankurnebadia. amdenad rda mizezis dadgena umniSvnelovanesi<br />
sakiTxia. reproduqciuli asakis qalebSi rda-s yvelaze xSiri mizezia<br />
menoragiebi, orsuloba da laqtacia, mamakacebSi kuWnawlavidan sisxldena,<br />
bavSvebSi alimenturi deficiti zrdis procesSi (17).<br />
cxrili 3<br />
hipoqromuli anemiis ZiriTadi diferencialur-diagnostikuri kriteriumebi<br />
niSnebi rda sideroaqtresta Talasemia rkinis<br />
gadanawilebiTi<br />
retikulocitebi N N an N an N<br />
mikrocitozisa (m)<br />
da hipoqromiis (h)<br />
urTierTdamokidebuleba<br />
Sratis rkina<br />
rkinis SekavSirebis<br />
unari<br />
transferinis gajereba<br />
rkiniT<br />
Sratis feritini<br />
(N30-300 ng/ml )<br />
arapirdapiri<br />
bilirubini<br />
rkinis preparatebiT<br />
mkurnalobis Sedegi<br />
m > h m > h<br />
N<br />
m > h<br />
N<br />
anemia<br />
m > h<br />
50% >50% >10%<br />
400 >400 30-400<br />
N NN<br />
+ _ _<br />
aucilebelia rda gamomwvevi mizezebis dadgena, romelTac miekuTvneba<br />
sisxldena:<br />
− sisxldena SeiZleba iyos saSvilosnodan; kuW-nawlavis traqtidan;<br />
Tirkmelebidan (glomerulonefriti, pielonefriti, kenWovani daavadeba,<br />
NN<br />
-<br />
12
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