Kupererwa neropa - ropa chirwere

Kupererwa neropa - chirwere kuti kunoratidzwa dysfunction ropa, vasanyanye wevasungwa pamusoro Chizenga mapuroteni uye masero matsvuku por chikwata vhoriyamu ropa ropa. Sezvo chikuru kushanda erythrocytes ndiko kutakura pamwe okisijeni mumuviri, zvokurwara kwavo (pakuonekwa saibva masero matsvuku eropa, ungaderedza kuwanda masero matsvuku eropa ari muviri, kuvapo masero vane vaberekwe vakaremara) zvinotungamirira kukura hypoxia.

Kukura kupererwa neropa vangava chokuita zvakasiyana-siyana (zvakasiyana-siyana chirwere uye toxicity, mongo hypoplasia, hemolysis, ropa, uye zvakafanana). Kupererwa neropa - chirwere achiperekedzwa kutyora kufema mashandiro ropa. Kana mberi kupererwa neropa kunoitika kwazvo okisijeni dhefisiti zvingaita kuti rufu. Zvinofanira akati kuti hosha kunoratidzwa kwete chete vasanyanye wevasungwa pamusoro Chizenga uye masero matsvuku eropa, saizvozvovo kuchinja ropa kemisitiri profile.

Nhoroondo chirwere kupererwa neropa riri chokuita Middle Ages. Mumazuva iwayo, varwere semunhu zvipoko nekuti boednosti. Varwere vari akakumbira kunwa ropa remhuka, izvozvo akapa pfupi kunobatsirawo. VaGiriki vekare vakaona ruosteessa mvura kuti inobatsira iri nokurapa kupererwa neropa. Muzana remakore rechi16, Paracelsus kuti kurapwa kwezvirwere achishandisa simbi oxide. Nechekwokutanga kwezana remakore rechi20 kurapa varwere vane kupererwa neropa zvinobudirira kushandisa mbishi chiropa, sezvo masayendisiti akawana kuti zviri zvigadzirwa mhuka ane soro uwandu resimbi riwanikwe muviri.

kupatsanura pakati kupererwa neropa

The kupatsanura hunovakirwa pathogenetic musimboti. Wapiwa pathogenesis, posthemorrhagic kupererwa neropa iri Classified mu (kuitika nokuda kurasikirwa ropa), hypoplastic (akanyorwa pamwe murombo kuparadzirwa), hemolytic (aumba somugumisiro yakawedzera hemolysis kana krovorazrusheniya).

Etiology uye pathogenesis

Muviri kupererwa neropa - chirwere anovandudza kana dhefisiti mune zvinhu zvokudya kana somugumisiro kuitwa nemuviri zvinhu kuti pave zvinoitika kushanda hematopoiesis. Kwakadaro zvinhu zvinosanganisira mapuroteni, simbi, mhangura, cobalt, mavhitaminzi B1, B12, Sun, ascorbic acid. Sezvo vanhu upise inokosha mari zvibereko mhuka mavambo, mune tsika, muviri kupererwa neropa kwava kushoma. Sezvineiwo vangangova vane hunhu munhu kupererwa chesekondari, izvo anovandudza nokuda malabsorption zvicherwa kana mavhitaminzi. Zvichienderana sei yeimwe aya Wakanyura mumuviri, kuti kupererwa neropa iri Classified kupinda B12, folic acid nesimbi kukanganisika.

B12-kushaikwa kupererwa, uye folic asidhi - mumwe zvokurwara inoita kuti nokuda kusava cobalt zvokudya, vhitamini B12, Sun, C, gastritis, gastroenteritis, uye mafuta gepatoze. Secondary kutangawo kupererwa neropa mune chirwere zvirwere (tiibhii), yaingopambwa, hypo- uye beriberi.

With kuperevedza cobalt zvokudya hazvikwani intestinal microflora synthesizes cyanocobalamin, apo B12, Sun uye C zvinodiwa dzose Kusiyanisa pamusoro erythrocytes. Cyanocobalamin (Vitamin B12) yokuita zvinoitwa muviri chete kana interacts ane zvemukati antianemic chinhu - gastromukoproteinom, sinteziruyuyuschimsya dumbu. Somugumisiro nekuita kwakadaro achiumbwa munyika itsvo itsva antianemic fuma - erythropoietin, iyo anopinda muropa uye pamwe ascorbic asidhi inoda vhitamini bc mu basa muchimiro - tetrahydrofolic asidhi kuti ndiye anokonzera dzose erythropoiesis. Antianemic zvinhu kushaikwa anogona kuva somugumisiro zvirwere mudumbu, uko yakaputsika gastromukoproteina usage, In iyi, cyanocobalamin zvokudya harishandiswi nokuda kwetunhu erythropoietin. Kushomeka kwetunhu erythropoietin zvinogona kuva mugumisiro cheitsvo.

At kushayiwa vhitamini B12 uye Sun pane infringements ari chakaipa gadziriro kuibvisa masero ose mwongo.