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So in our lives, some people often mention that he has some anemia, so for anemia, we only know that some hemoglobin in the body is relatively small, so this will lead to an anemia state. So what are the types of anemia? In fact, we don't know, and we don't know, when diagnosing anemia, it is also divided into some types, so today we are going to talk about the question of what kind of anemia renal anemia is.
Types of anemia First of all, anemia is mainly due to the lack of some iron in your body, so when our body lacks this iron, it will not be able to produce hemoglobin. And then there is a risk that there will be some anemia in our body, and another is the anemia of our policy speed. Then this disease is often a disorder in our classmates, which is our common aplastic anemia.
In other words, there are not many hematopoietic stem cells, or there is a physiological disorder.
Renal dysfunction is mainly due to some impaired kidney function, or some patients with high blood pressure. They promote the production of red blood cells in the kidneys and reduce the resulting anemia, if you are particularly prone to kidney and heart anemia, you should go for some iron supplements. If you continue like this for a long time, then your renal anemia will improve a lot, so the renal anemia is because of a problem with your own kidney organs.
In this case, you should go to the hospital in time to ask for medical advice, and take some medicine for a **, so that it will improve a lot.
Take care of your body, so we should pay more attention to our physical condition in normal times, because sometimes we don't know that we are anemic. But we don't know that when there is something serious wrong with our body, we will be able to notice that it is too late. Therefore, when we find that we are not feeling well or are pale, we should seek help from a doctor in time, which can also save us a lot of time and money.
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It is a hereditary disease, and the consequences are very serious, and it is also very difficult, and in general, this situation may also lead to a continuous decrease in the production of red blood cells in the kidneys, so this situation is also very serious.
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Generally, renal anemia belongs to microcytic hypochromic anemia, and this kind of anemia is relatively harmful to the body, and may also lead to a decrease in hemoglobin concentration.
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Generally, it is microcytic hypochromic anemia, which is very bad for the body, and can easily lead to malnutrition, which is very bad for the body.
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Kidney failure. This disease is already very serious, so you should go to the doctor in time and go to surgery in time.
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The kidneys produce erythropoietin (EPO), which regulates erythropoiesis. Severe substantial destruction of both kidneys leads to the failure of more than 90% of EPO to be synthesized, and the EPO in plasma decreases sharply, which in turn leads to a severe decrease in erythropoiesis and renal anemia.
It is anemia caused by severe damage to both kidneys.
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a.Lack of iron.
b.Lack of vitamin B12
c.Lack of folic acid.
d.Erythropoietin is reduced and the pulsation is less.
e.Decreased nephronin.
Correct Silver Know Answer: d
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Anemia caused by insufficient production of renal slow-acting erythrocyte growth hormone (EPO) due to various factors or some toxic substances in uremia plasma interfering with the production and metabolism of red blood cells is called renal anemia. Anemia occurs in 97% of patients with chronic renal failure, and in general, the degree of anemia tends to be consistent with the degree of renal impairment. The mechanism of renal anemia is still being studied and explored, and it is believed that it is caused by a combination of factors.
1.Haemorrhage. Bleeding tendency and bleeding in patients with chronic renal failure caused by platelet dysfunction, especially gastrointestinal and ** bleeding, although not the direct cause of renal anemia, can aggravate and promote the occurrence of anemia.
Generate less. The production of EPO cells is involved due to destruction of the renal parenchyma, which gradually decreases as the disease progresses, thereby slowing the production of erythroid cells in the bone marrow. However, it has also been found that the blood EPO level in patients with kidney failure is normal or higher than normal, and it is speculated that there may be a relative lack of EPO. In recent years, satisfactory results have been obtained with recombinant human erythropoietin (RHEPO)** renal anemia.
3.Bone marrow hematopoietic inhibition.
There are substances that inhibit erythropoiesis in the plasma of patients with chronic renal failure or uremia, which can inhibit the maturation of erythroid progenitor cells in in vitro cell culture, and later proved that it can inhibit the proliferation of erythroid colony-forming units (CFU-E) and the synthesis of hemoglobin.
4.Shortened red blood cell lifespan.
The lifespan of red blood cell 673 in patients with kidney failure is only half that of normal people. Undoubtedly, hemolysis is one of the causes of the shortened lifespan of red blood cells, but hemolysis is generally mild. At present, it is believed that the main reason for the shortened red blood cell life of patients with renal failure is caused by extracellular factors, and the red blood cell life span of the patient is normal when the red blood cells of the patient are transfused into the normal recipient, and the red blood cell life span is normal after dialysis.
This phenomenon may be related to the presence of certain substances in the plasma of patients with renal failure that interfere with the function of the NA pump on the red blood cell membrane, resulting in increased red blood cell fragility. In addition, the dysfunction of erythrocyte pentose phosphate bypass metabolism reduces the production of NADPH and reduced glutathione, which cannot eliminate peroxide in the body, thereby increasing oxygen free radicals and causing lipid peroxidation of red blood cell membrane. Guanidines may be one of the causes of hemolysis, aluminum and silicon inhibit superoxide dismutase (SOD), and PTH can also increase the osmotic fragility of cells, leading to changes in cell membrane stability and integrity5
Iron and folate deficiency often occurs in patients with chronic renal failure. Platelet dysfunction leads to chronic bleeding of the gastric mucosa, resulting in iron loss; During hemodialysis, due to plasma residue in the dialysis membrane and blood leakage from the dialyzer; Frequent blood draws. Folate deficiency is also more common in hemodialysis patients.
Deficiencies in iron and folate affect hemoglobin synthesis.
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A low hematocrit in the blood routine indicates signs of anemia, but there are several causes of anemia that require further analysis and symptomatic treatment**.
1. Chronic blood loss: Severe hemorrhoids will continue to bleed, leading to anemia. Some women have irregular menstrual periods, heavy menstrual bleeding, and incomplete menstrual bleeding can lead to anemia in the body.
When the blood count is done, it will show a low blood cell critter. At this time, it is necessary to seek medical attention in time and use medication to stop the bleeding at the bleeding site. And the patient needs to rest in bed more, do not exert yourself, and the body will slowly recover.
2. Iron deficiency anemia: this cause is more common, most of them are caused by irregular diet, you should eat more foods with high iron content in time, such as spinach, animal liver and other foods, and if the anemia is serious, you should supplement iron drugs in time to let the body recover as soon as possible.
3. Inflammatory infectious anemia: When bacteria or viruses invade the body, such as fever and cold, the production of red blood cells will be destroyed, which will lead to the low hematocrit in the blood routine examination.
4. Leukemia causes anemia: acute leukemia will lead to a decrease in the production of red blood cells in the blood, and the blood routine hematocrit is low. 5. Thalassemia, mainly caused by genetic mutations, mainly occurs in southerners, mild generally does not need **, regular observation can be.
Severe disease is mainly performed by bone marrow transplantation**. Patients with thalassemia must do a good premarital test to avoid people who are both thalassemia from getting married and having children.
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