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Symptoms of anemia 1. Acute type is mostly children under 10 years old, and most of them have a history of viral infection before the disease, and most of them are upper respiratory tract infections, rubella, measles, and chickenpox; Also after vaccination. The incubation period between infection and purpura is usually within 1 to 3 weeks. Mainly **, mucosal bleeding, often more severe, **bleeding is petechiae of different sizes, unevenly distributed, mostly in the limbs.
Mucosal bleeding includes epistaxis, bleeding gums, and blood blisters on the mucosa of the oral tongue. Gastrointestinal and urinary tract bleeding, subconjunctival hemorrhage, and a few retinal hemorrhages are common. Spinal cord or intracranial hemorrhage is common and can cause paralysis of the lower extremities or manifestations of intracranial hypertension, which can be life-threatening.
Second, the chronic type is mostly 20-50 years old, and women are 3-4 times that of men. Onset insidious. Patients may have persistent bleeding or recurrent bleeding, and some may present with a local bleeding tendency, such as recurrent epistaxis or menorrhagia.
Petechiae and ecchymosis can occur in any part of the ** and mucous membranes, but are more common in the distal extremities. There may be gastrointestinal and urinary tract bleeding. Deep hematomas may also occur after trauma.
Examination 1. Blood count. Acute platelets are markedly reduced, mostly below 20 10 to the ninth power. Bleeding may be severe with anemia and elevated white blood cells.
Occasionally, eosinophilia is present. In chronic cases, platelets are mostly between 30 and 80 to the ninth power of 10 l, and large deformed platelets are common. 2. Bone marrow image.
In the acute type, the number of megakaryocytes is normal or increased, and most of them are naïve, with smooth cell margins, no protrusions, few cytoplasms, and large granules. In the chronic type, megakaryocytes are generally significantly increased, and granular megakaryocytes are increased, but there are fewer granules in the cytoplasm and the basophilia is stronger. 3. Immunological examination.
4. Miscellaneous. The bleeding time is prolonged, the bundle arm test is positive, the blood clot shrinkage is poor, the platelet adhesion and aggregation function is weakened, and the lifespan of 51cr or 111in labeled platelet measurement is shortened.
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Clinical manifestations: (1) General manifestations: fatigue, drowsiness and weakness are the earliest symptoms of anemia (2) Cardiovascular system manifestations:
Palpitations and shortness of breath are the most common after activity, and some people have heart failure (3) Central nervous system: headache, dizziness, tinnitus, inattention, drowsiness (4) Digestive system manifestations: loss of appetite, abdominal distension and nausea are common (5) Genitourinary system manifestations:
Severe anemia, mild proteinuria, increased nocturia (6) Others: **Dry fur, dry fur, etc.
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Mild anemia can have no obvious symptoms, only dizziness, fatigue, palpitation, etc. when the amount of activity is high, moderate and severe anemia, the above symptoms will appear after a little activity. Eyelid inspection can provide a preliminary diagnosis of hemoglobin levels, and an experienced physician can make a preliminary diagnosis of the patient's anemia status from the eyelids. Of course, the most scientific method is to check the finger blood routine.
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Anemia is a very common metabolic disease in life, which will cause many adverse effects on health, and needs to be adjusted and recovered in time to avoid greater harm to health, so what are the symptoms of anemia? How can I tell if I am anemic? There are many symptoms of anemia, so let's learn more about the symptoms of anemia and how to prevent it.
1. What are the symptoms of anemia?
1.Fatigue easily.
Friends with anemia cannot get timely oxygen supply from the heart and brain. It will cause a lack of oxygen to the brain, or a condition in which the body functions are undernourished, so it is easy to get tired, and if you do a little thing, you will feel tired. I often feel weak. There is no strength.
2.Hold your breath and your heart beats faster.
Anemia directly causes the heart to beat to weaken, so you often feel tightness in your chest and feel like you can't breathe. And when symptoms occur, you will feel that your heart beats faster. Digging.
3.Heavy headhead, dizziness, and difficulty getting out of bed in the morning.
The symptoms of anemia are most noticeable in patients who wake up in the morning. For example, when you wake up suddenly, you will feel dizzy. The head is heavy, so I don't want to get up. I often fall asleep when I fall down, so it becomes commonplace to eat.
4.Pale face.
The face can reflect a person's physical condition, and I, our normal person's ** is slightly yellow with red. But people with anemia will be pale, and will give people a weak and unhealthy feeling. And when it is not a symptom, the face is even more pale and bloodless.
5.Whitening of the eyelids.
Whitening of eyelids is also a characteristic of anemia patients, you can pay attention to it, because normal people's eyelids are normal skin color.
6.Fingernails are easy to break.
Nails can become thin and brittle due to iron deficiency, which is an important manifestation of anemia. Once you feel that your nails are not as strong as they used to be, you need to consider whether you are anemic.
7.Loss of appetite.
Patients with anemia will feel uncomfortable when they see food, so they will have symptoms of loss of appetite and eat a relatively small amount, so that the nutritional intake method is replenished, which will cause malnutrition and form a vicious circle.
8.Nausea and constipation.
Feeling nausea and nausea is not a good omen, and people with anemia will have nausea symptoms due to insufficient brain nutrition. And there will be a habit of long-term constipation.
Precautions: If you have the above symptoms, then you must not take medicine casually, but should go to the hospital for a detailed examination.
2. How to prevent anemia
1) First of all, the prevention and treatment of anemia should be emphasized, and the cause of bleeding should be corrected for anemia caused by chronic blood loss.
2) Actively prevent and control parasitic diseases, especially hookworm disease, and use iron-fortified foods or iron supplements for menstrual or multiparous women and pregnant women.
3) Fortified foods should be added to infants and premature infants in time and fed reasonably.
4) Labor protection should be strengthened among production workers who are exposed to hazardous substances.
5) Do not abuse drugs in daily life, and strictly grasp the indications.
All kinds of anemia have their clinical manifestations, mainly due to the decrease in the amount of hemoglobin, the decrease in the amount of oxygen in the blood, and the corresponding changes caused by systemic organs and ischemia. **Pale mucosa is the most prominent manifestation of anemia, mainly on the lips, nails, palpebral conjunctiva, palms; Symptoms such as fatigue and weakness, headache, dizziness, tinnitus, syncope, insomnia, chills, memory loss, and inattention due to ischemia and hypoxia occur, and coma can occur with severe anemia; Palpitations and shortness of breath may occur after physical activity in patients with mild anemia, and breathing difficulties may occur in patients with severe anemia with slight activity or at rest; Disorders of the digestive system, loss of appetite, fear of food, nausea, gas, constipation, stomatitis; Urinary disorders, polyuria, renal failure, male sexual function, menstrual irregularities, etc.
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