What are the four items of anemia and what are the other three items of anemia refer to

ObjectiveTo observe the changes of mean corpuscular volume (MCV), erythrocyte volume distribution width (RDW), reticulocyte (RET) and immature reticulocyte index (IRF) in patients with anemia.

Question 1: Do you need to fasting to check the three items of anemia, and how long does it take to get the results Generally, it is best to fast, so that the results are closer to the physiological state and the results are accurate. The results are available in half a day, iron deficiency anemia is very common, and it is recommended to recommend the polysaccharide iron complex Hongyuanda, which is an ideal iron supplement drug. The consensus of clinical experts recommends that from 16 weeks of pregnancy to 3 months after giving birth, it is recommended to take polysaccharide iron complex Hongyuanda orally, 2 times a day, 1-2 capsules at a time. Safe to absorb well, *** small.

Eat fresh vegetables and fruits properly to promote iron absorption, lean meat, pig blood, duck blood, pig liver, etc. Avoid strong coffee and stay up late. Do more outdoor sports.

Question 2: What should I pay attention to when checking for anemia Hi: Anemia refers to serum iron egg white concentration, folic acid, and vitamin B12. It is used to detect what type of anemia it is. It is commonly used to distinguish between iron deficiency anemia and megaloblastic anemia.

Question 3: What does this blood routine mean when doing anemia three Hello.

It mostly refers to hemoglobin and red blood cell count. Hematocrit. It depends on your specific situation to further guide you. I don't know what your symptoms are.

The four items of anemia are: folic acid, vitamin B12, ferritin, and erythropoietin.

This combination is mainly for the convenience of clinicians and patients, so that doctors can understand the cause of the patient's anemia and carry out targeted treatment**.

Folic acid: Folic acid is a water-soluble B vitamin composed of compounds such as terenepine, para-aminobenzoic acid, and glutamic acid. The important nutritional effects of folic acid on the human body have been proven as early as 1948, and a deficiency of folic acid in humans (or other animals) can cause megaloblastic anemia and leukopenia, as well as weakness, irritability, loss of appetite and psychotic symptoms. In addition, studies have found that folic acid is especially important for pregnant women.

Vitamin B12:

Vitamin B12, also known as cobalamin, vitamin B12 in nature is synthesized by microorganisms, and higher animals and plants cannot make vitamin B12. Vitamin B12 is the only vitamin that needs the help of an intestinal secretion (endogenous factor) to be absorbed. Some people lack this endogenous factor due to gastrointestinal abnormalities, and even if the diet is sufficient, they will suffer from pernicious anemia.

Vitamin B12 is largely absent from plant foods. It stays in the intestine for a long time, taking about three hours (most water-soluble vitamins only take a few seconds) to be absorbed. The main physiological function of vitamin B12 is to participate in the production of bone marrow red blood cells, prevent pernicious anemia, and prevent the destruction of brain nerves.

Ferritin: A type of protein that stores iron widely found in plants and animals. It is most abundant in the liver and spleen of mammals. Its outer diameter is about 12 14 nm, the empty sac cavity diameter is about 6 nm long, and the outer shell (i.e., deferritin) consists of 24 subunits, each containing about 163 amino acid residues, and each molecule can bind up to 4500 iron atoms.

The molecular weight is about 450kd. Iron-bound ferritin is "soluble" in water, and the concentration of plasma ferritin is proportional to the iron stored in the body. Elevated serum ferritin is due to an increase in ferritin** or the presence of impaired clearance.

For example, when suffering from liver cancer, lung cancer, pancreatic cancer, leukemia, etc., the synthesis of ferritin by cancer cells increases, resulting in an increase in serum ferritin. In liver disease, hepatocytes are impaired and function decreases, resulting in an increase in serum ferritin.

Erythropoietin:

Erythropoietin is a humoral factor that enhances the production of red blood cells. It is a glycoprotein with a molecular weight of 6-70,000 and has a high sugar content, and it has been proven to be present in blood and urine. Undifferentiated stem cells differentiate into erythropoietin responsive cells, where erythropoietin acts to become preerythroblasts.

It has a promoting effect on further re-maturation into erythroblasts, reticulocytes, hemoglobin synthesis and inflow into peripheral blood vessels. In general, in anemia and hypoxia, the supply of erythropoietin will increase according to the oxygen needs of the body's tissues, but in renal anemia it is very low.

The four items include: mean corpuscular volume (MCV), RBC volume distribution width (RDW), reticulocyte (RET) and immature reticulocyte index (IRF).

There are also the first four items of blood transfusion, hepatitis B in two, hepatitis C, AIDS, syphilis.

Generally, anemia blood tests are routinely done. There is an item in the blood routine called: hemoglobin.

You see if the hemoglobin is within the normal range.

Based on the above information, it can be confirmed that it is spikelet anemia, and the cause should be further clarified.

Attention should also be paid to the presence of factors that affect anemia, such as picky eating, digestive tract diseases, hemorrhoidal bleeding, heavy menstrual bleeding, etc.

It is recommended to check serum iron calendar, total iron binding capacity, and serum iron chai changso.

If the above results are normal, it is necessary to be alert to marine anemia.

For microcytic hypochromia, iron deficiency is considered first, but attention should be paid to excluding thalassemia because of the reduced width of red blood cell distribution.

The main items to be checked for anemia are:

1. Routine blood examination.

2. Blood smear examination.

3. Reticulocyte count.

4. Bone marrow aspirate examination.

5. Other inspections according to different **.