Tib neeg cov kab mob rau kev kho mob zoo yuav tsum tau kuaj xyuas kom raug. Cov thev naus laus zis niaj hnub tso cai rau koj ua qhov no sai heev, thiab cov tswv yim kom tsis txhob nkim sijhawm thiab peev txheej. Piv txwv li, diff. Kev kuaj mob anemia siv txoj kev cais tawm kom paub qhov ua rau muaj qhov teeb meem, kom paub meej nws nrog kev pab ntawm kev ntsuas tshwj xeeb thiab kev tshawb fawb.
Qhov tseem ceeb tshaj "kev thauj mus los"
Txhua leej txhua tus kawm txog "hemoglobin-hlau" kev sib txuas hauv cov kev qhia ntawm lub cev hauv tsev kawm theem nrab. Nws yog nws, ib lub hauv paus ntawm erythrocytes, uas yog ib feem ntawm cov ntshav - cov kua connective ntaub so ntswg ntawm tib neeg lub cev. Cov ntshav ncig los ntawm lub kaw lus kaw ntawm cov hlab ntsha, xws li cov hlab ntsha loj thiab cov hlab ntsha mus rau cov hlab ntsha me tshaj plaws uas nkag mus yuav luag txhua lub cev thiab cov ntaub so ntswg. Cov qauv ntawm cov ntshav nws tus kheej tsis yog li nyuaj. Cov kua plasma muaj cov khoom raug tshem tawm:
- leukocytes;
- platelets;
- erythrocytes.
Nws yog nyob rau hauv erythrocytes uas hemoglobin nyob, uas ua rau cov ntshav liab vim yog cov ntsiab lus ntawm cov hlau atom hauv nws cov muaj pes tsawg leeg.
Kev tshuaj ntsuam xyuas - txawv. Kev kuaj mob ntawm cov hlau deficiency anemia - pab tus kws kho mob tshwj xeeb los tsim qhov laj thawj vim li cas qib hemoglobin txo qis. Qhov txaus ntawm kev kuaj mob thiab cov kev taw qhia ntawm kev kho mob yog nyob ntawm qhov kev tsom xam kom raug. Ib qho ntawm cov kab mob pathological ntawm cov ntshav muaj pes tsawg leeg yog anemia.
Cov mob - anemia
Anemia muaj lub npe nrov uas qhia meej txog lub ntsiab lus ntawm cov tsos mob ntawm ntau yam kab mob thiab mob - anemia. Tsis tas li ntawd, nws txhais tau tias tsis yog qhov ntsuas qhov ntsuas ntawm qhov ntim ntawm cov kua nws tus kheej, tab sis qib ntawm hemoglobin. Anemia tsis yog ib qho kab mob ywj pheej, vim nws yog ib qho tsos mob ntawm qee yam pathology. Tsis tas li ntawd, qhov teeb meem tuaj yeem yog ob qho tib si hauv kev kawm thiab kev thauj ntshav ntawm nws tus kheej, thiab hauv kev ua haujlwm ntawm, cia peb hais, peb lub cev. Ib qho teeb meem loj tshwm sim ntawm no: classical nosology rau ntshav ntshav yog ib txoj hauv kev tsis tsim nyog los txhais nws. Tab sis rau cov hom ntshav qab zib, ib qho tseem ceeb feature yog tus yam ntxwv - qhov txo qis ntawm hemoglobin, feem ntau cuam tshuam nrog kev txo qis ntawm cov qe ntshav liab. Ntawm no, qhov kev vam khom ntawm hemoglobin-hlau yog qhov tseeb, txij li qee qhov mob ntshav qab zib tau kuaj pom tseeb tias tsis muaj hlau. Hauv lwm qhov xwm txheej, hemoglobin poob qis tsis yog vim qhov txo qis ntawm cov hlau hauv cov ntshav, peb yuav tham txog qhov no hauv cov ntsiab lus hauv qab no.
Yog li: qhov sib txawv ntawm kev kuaj ntshav qab zib hauv cov menyuam yaus thiab cov neeg laus lub hom phiaj txhawm rau txheeb xyuas qhov ua rau muaj teeb meem kev noj qab haus huv xws li ntshav ntshav.
House method
Zaj dab neeg ua haujlwm paub cov neeg nyeem, saib, mloog nrog txhua yam ntawm tib neeg lub neej, qee zaum nyob deb heev thiab tsis pom tseeb. Piv txwv li, ib tug ntawm cov nrov series "Doctor House" nthuav thiab vividly piav qhia txog kev ua haujlwm ntawm tus kws kho mob. Ntxiv mus, cov txheej txheem ntawm kev kuaj mob sib txawv rau cov cim ntawm zaj duab xis yog lub hauv paus ntsiab lus ntawm kev ua haujlwm.
Tsim kom muaj kev kuaj mob kom raug yog tus yuam sij rau kev kho kom zoo tshaj plaws hauv txhua qhov xwm txheej tshwj xeeb. Txhawm rau ua qhov no, cov kws tshaj lij siv ntau txoj hauv kev, cov txheej txheem thiab cov txheej txheem. Pathological tej yam kev mob, xws li, piv txwv li, hemoglobin deficiency, kuj yog ib qho tseem ceeb ntawm qhov tsim nyog etiology. Ib txoj hauv kev zoo hauv qhov no yog qhov sib txawv. kuaj mob ntshav qab zib. Cov kev xav uas tus kws tshaj lij tau muab los ntawm tus kws kho mob tshwj xeeb yog ntsuas rau qhov muaj txiaj ntsig, lees paub lossis tsis lees paub los ntawm kev soj ntsuam thiab tshuaj ntsuam xyuas, uas ua rau nws muaj peev xwm los ntsuas qhov ua tau zoo ntawm tus neeg mob tus mob pathological.
Cov txheej txheem kev sib cais nws tus kheej (kev sib txawv) yog qhov zoo rau kev kuaj mob ntau yam kab mob, thaum ib tus tsos mob lossis cov tsos mob nyuaj tuaj yeem ua pov thawj rau ntau tus neeg mob cov teeb meem kev noj qab haus huv. Piv txwv li, kev kuaj mob sib txawv ntawm cov hlau deficiency anemia ua rau nws tuaj yeem tshem tawm kom raug raws li qhov ua tau rau lwm hom hemoglobin deficiency, uas yuav pab tau lub sij hawm luv tshaj plaws los sau cov kev ntsuam xyuas tsim nyog los qhia tus kab mob thiab sau ntawv kho kom zoo.
Qhia tshuaj ntsuam qhov teeb meem
Dif. Kev kuaj mob ntshav qab zib tsis yog tib txoj hauv kev los nrhiav qhov ua rau pathology. Ib qhotus kab mob nyob rau hauv txoj kev tshawb no ntawm ib tug neeg mob mus rau ntau theem. Rau qhov tsis txaus ntawm cov ntshav hemoglobin, tus kws kho mob yuav tsum ua cov kauj ruam hauv qab no:
- kuaj mob ntawm tus mob, uas yuav txiav txim siab tus kab mob sib txawv;
- kev kuaj mob ntawm nosology ntawm pathology, tsim nyog los txheeb xyuas lub hauv paus ntawm qhov teeb meem hauv daim ntawv ntawm tus kab mob lossis cov txheej txheem pathological ntawm txhua lub cev lossis lub cev.
Nyob rau theem no, kev kuaj ntshav hauv tsev kho mob tau siv, uas ua haujlwm los txheeb xyuas qhov teeb meem anemia nws tus kheej thiab nws qib. Nyob rau tib theem, cov ntshav muaj pes tsawg leeg yog kawm los ntawm nws cov khoom - hlau, transferrins thiab ferritin. Yog tias tsim nyog, nrog kev pab los ntawm trepanobiopsy lossis sternal puncture - niaj hnub cov qauv ntawm cov khoom siv biomaterial - cov pob txha pob txha raug coj los tshuaj xyuas. Nrog kev pab los ntawm cov kev tshawb fawb no, kev sib txawv yog nqa tawm. Kev kuaj mob ntawm hlau deficiency anemia thiab B12 anemia, uas tso cai rau qhia qhov teeb meem rau kev tshawb fawb zoo rau nws txoj kev daws teeb meem.
Kev tshawb fawb txog ntshav qab zib hom
Cov kws tshaj lij tau tsim qee txoj hauv kev niaj hnub rau kev kuaj pom zoo ntawm cov teeb meem kev noj qab haus huv hauv txhua tus neeg mob. Lub ntsiab lus ntawm qhov kev kuaj mob sib txawv ntawm cov ntshav liab yog qhov kev cais tawm ntawm qhov tsis tsim nyog ntawm qhov teeb meem, yog li ua rau muaj kev daws teeb meem tshwj xeeb thiab raug, thiab, yog li ntawd, rau kev xaiv kev kho kom txaus rau rooj plaub.
Cov kev kuaj mob dab tsi pab tsim kom muaj kev kuaj mob? Nws yuav tsum tau hais tam sim ntawd rau kev tsom xamCov cuab yeej siv niaj hnub no thiab cov txheej txheem tau siv, uas tso cai rau koj kom tau txais qhov tseeb tshaj plaws.
kuaj ntshav tuaj yeem txiav txim siab:
- hematocrit (H tc);
- hemoglobin (Hb);
- hom ntshav thiab Rh yam;
- leukocytes (Le);
- erythrocyte suav (Er);
- mean liab cell ntim (MCV);
- mean concentration ntawm hemoglobin (Hb) hauv erythrocytes (MCHC);
- nruab nrab hemoglobin (Hb) rau cov qe ntshav liab (MCH);
- reticulocytes (Rtc);
- erythrocyte sedimentation tus nqi (ESR);
- platelets (Tr);
- xim index (CPU).
Ntshav smears, saib hauv lub tshuab ntsuas, ua kom nws tuaj yeem txiav txim siab seb puas muaj cov qe ntshav txawv txav hauv cov qauv kuaj.
Thaum kuaj ntshav cov khoom xws li ntshav ntshav thiab ntshav, cov hauv qab no tau txiav txim siab:
- bilirubin;
- ntshav proteins;
- hlau concentration;
- Ycreatinine;
- lactate dehydrogenase;
- urea;
- Tag Nrho Cov Ntshav Hlau-Txuag Muaj Peev Xwm (TIBC);
- transaminases;
- ferritin;
- Yalkaline phosphatase.
Kuj, rau kev kuaj mob, tus neeg mob raug xaiv:
- urinalysis, uas txiav txim siab xim, acidity pH, pob tshab, lub ntiajteb txawj nqus, muaj protein ntau, urobilin, erythrocytes, sediment muaj pes tsawg leeg;
- tshuaj xyuas cov quav rau cov qe qe, xim, sib xws, occult los ntshav.
Kev kuaj pob txha pob txha tau ua ob txoj hauv kev:
- sternal puncturenqa tawm los txiav txim cytosis, qhov piv ntawm erythroid thiab myeloid hlwb, kev kawm morphological ntawm cov hlwb;
- trepanobiopsy qhia txog cellularity ntawm cov pob txha pob txha, cov qauv morphological ntawm cov hlwb.
Differential diagnosis of hypochromic anemia, txawm li cas los xij, nrog rau feem ntau ntawm lwm yam teeb meem cuam tshuam nrog cov ntshav muaj pes tsawg leeg, siv tsis tau tsuas yog cov saum toj no, tab sis kuj muaj lwm yam, ntau cov ncauj lus kom ntxaws thiab nqaim tsom xam.
Discrimination algorithm
Lub algorithm rau kev kuaj mob sib txawv ntawm cov ntshav liab yog tsim los rau kev kuaj mob zoo thiab ceev ceev ntawm hom ntshav pathology tam sim no hauv tus neeg mob. Hauv thawj theem, hom ntshav qab zib tau txiav txim siab raws li qib ntawm qhov nruab nrab ntim ntawm erythrocytes:
- microcytic (+\- hypochromic; MCV < 80 fl);
- normocytic (MCV 80-100 fl);
- macrocytic (MCV > 100 fl).
Cov ntawv luv fl stands rau femtoliter, sib npaug rau microns2. Qhov ntsuas no yog qhov tsis txaus ntseeg rau tus yam ntxwv ntawm tus kab mob ntshav qab zib thiab tsuas yog qhia tus kws tshuaj ntsuam xyuas uas yuav tsum mus tom ntej hauv kev tshawb nrhiav qhov chaw ntawm tus kabmob.
kauj ruam tom ntej yog cais cov yam ntxwv ntawm ib hom kab mob ntshav qab zib. Lawv yuav zoo li no.
Microcytic anemia yog tus cwj pwm los ntawm qhov tsis muaj hlau, vim yog qhov txo qis hauv nws cov peev txheej, lossis nce ntxiv ntawm cov khoom noj. Ntawm no, tus kws tshaj lij yuav twb nrhiav cov cim qhia ntawm cov xwm txheej xws li:
- mob chronic iron deficiency anemia;
- kab mob ntshav qab zib mob ntev;
- thalassemia -kab mob keeb kwm tshwm sim los ntawm kev txo qis hauv kev tsim tawm ntawm ib qho ntawm cov khoom ntawm hemoglobin - polypeptide chains;
- lwm microcytic hypochromic anemias.
Normocytic anemia yog sib txawv ntxiv los ntawm kev ua ntawm erythropoiesis - nws nce lossis txo. Raws li qhov tshwm sim tau, lawv txawv:
- nrog txo erythropoiesis - hemolysis, uas qhia tau hais tias ib hom hemolytic ntawm anemia, thiab ntshav poob, yuav tsum tau tshawb nrhiav qhov los ntshav;
- nce erythropoiesis yog pov thawj ntawm cov kab mob ntawm cov pob txha pob txha nws tus kheej lossis ib tus kab mob ntawm ib qho khoom nruab nrog hauv lub cev - lub siab, lub raum, kab mob endocrine.
Thaum tsim kom muaj macrocytic anemia, cov kauj ruam tom ntej yog kev sib txawv los ntawm megaloblasts:
- qhov muaj cov qauv no txhais tau hais tias megaloblastic anemia, uas tuaj yeem ua haujlwm los ntawm qhov tsis muaj folic acid lossis vitamin B12, nrog rau kev ua ntawm toxins, tshuaj uas cuam tshuam rau DNA synthesis;
- Yog tias tsis pom megaloblasts hauv kev tshuaj ntsuam, peb tab tom tham txog cov tsis-megaloblastic anemia, uas tuaj yeem tshwm sim los ntawm kev haus dej cawv, kab mob siab, hypothyroidism, kab mob ntsws ntev (COPD) lossis myelodysplastic syndrome.
Dif. Kev kuaj mob ntshav qab zib hauv lub rooj yuav zoo li no:
Kev tsis txaus ntawm lub ntsiab
Dif. Kev kuaj mob ntshav qab zib hauv cov menyuam yaus thiab cov neeg laus pib nrog kev txiav txim siab nws muaj xws li. Tom qab tag nrho, insufficiencyhemoglobin yog cov tsos mob ntawm ntau yam pathological ntawm lub cev thiab tuaj yeem tshwm sim los ntawm cov teeb meem nyuaj. Ib qho ntawm feem ntau hom ntshav pathologies yog qhov tsis muaj hlau. Dif. Kev kuaj mob ntawm cov hlau deficiency anemia tso cai rau koj kom paub tias yog vim li cas vim li cas cov synthesis ntawm heme, ib qho xim muaj hlau, yog qhov tsis zoo hauv cov qe ntshav liab. Tej zaum lawv yuav yog:
- mob ntshav tsis txaus - plab hnyuv, plab los ntshav, qog nqaij hlav ntawm plab hnyuv thiab tso zis, hemosiderosis ntawm lub ntsws, hemorrhagic diathesis ntawm ntau yam etiologies, paroxysmal nocturnal hemoglobinuria;
- xav tau hlau ntxiv thaum cev xeeb tub, lactation, me nyuam mos, thiab menyuam yaus chlorosis;
- tsis muaj kev noj zaub mov hlau, uas tshwm sim nrog gastroduodenitis, gastrectomy, plab hnyuv, thiab tseem tuaj yeem pom nrog qee yam khoom noj khoom haus - neeg tsis noj nqaij, tshaib plab;
- kev thauj khoom hlau tsis zoo, tus cwj pwm los ntawm qhov me me lossis kev ua haujlwm tsis zoo ntawm kev hloov pauv.
Rau qhov kev kuaj mob zoo, txoj kev sib txawv yog ib qho zoo tshaj plaws thiab ua tau zoo. Thaum ua kev kuaj mob hais txog cov hlau tsis muaj peev xwm anemia, tus kws tshaj lij ua ntej txhua yam yuav tsum xav txog tias nws yog hom kab mob ntshav qab zib uas yog hypochromic nyob rau hauv txhua rooj plaub, tab sis tib lub sijhawm, thawj zaug txheeb xyuas hypochromic anemia yuav tsis muaj hlau tsis txaus. Thiab yog li ntawd, nws yog rau kev kuaj mob xws li hyperchromic anemia,Kev kuaj mob yuav tsum tau ua tib zoo saib xyuas, uas yog, kev sib txawv. Rau cov hom phiaj no, cov ntshav smear yog siv, uas yog kuaj nyob rau hauv lub tshuab kuaj kab mob, thiab kev txiav txim siab dawb erythrocyte protoporphyrin (ib txwm 2.7-9.0 µmol / l). Cov ntshav smear ntawm iav tso cai rau koj los soj ntsuam basophilic puncture hauv erythrocytes. Nrog rau qhov tsis muaj hlau tsis muaj ntshav qab zib, cov nplej yuav zoo li mos, tab sis nrog cov tshuaj lom tshuaj txhuas, piv txwv li, nws loj dua thiab sib txawv.
Thalassemia, ua los ntawm noob neej, kuj yog hais txog hypochromic hemolytic anemia, nws tshwm sim los ntawm kev ua txhaum ntawm hemoglobin synthesis. Hauv qhov no, tsev neeg keeb kwm, kev txiav txim siab ntawm hemoglobin feem, thiab cov cim qhia ntawm hemolysis pab sib txawv. Txhawm rau cais cov thalassemia los ntawm kev tsis muaj hlau tsis txaus, qhov kev txiav txim siab ntawm RDW qhov taw qhia (ib qho qhia txog erythrocyte anisocytosis) kuj pab. Yog tias tus neeg mob muaj thalassemia, ces nws yuav zoo li qub, yog tias ib tus neeg raug mob los ntawm qhov tsis muaj hlau tsis txaus ntawm cov ntshav ntshav, qib no yuav nce siab.
Kev kuaj mob sib txawv ntawm qee qhov tsis txaus ntshav qab zib siv qhov kev ntsuam xyuas los txiav txim siab cov ntshav hloov pauv receptor qib thiab qib ferritin. Yog tias nws yog ib txwm tawm tsam keeb kwm yav dhau los ntawm qhov tsis muaj heme, ces peb tab tom tham txog kev mob ntshav qab zib ntawm cov kab mob ntev.
Cobalamin deficiency
Lwm hom ntshav qab zib yog qhov hu ua B12 deficiency anemia. Hom teeb meem no suav nrog hauv pab pawg megaloblastic anemias raws li kev cuam tshuam DNA thiab RNA synthesis. Lub hauv paus rau kev loj hlob ntawm tus kab mob no yog qhov tsis txaus ntawm cobalamin (vitamin B12). Nws txhais tau tiasdiagnostics ntawm anemia. Cov laj thawj ntawm qhov teeb meem no yog raws li hauv qab no:
- atrophic gastritis yam tsis muaj qhov cuam tshuam thiab B12 malabsorption;
- neeg tsis noj nqaij nrog B12 tsis txaus los ntawm zaub mov;
- gastrectomy lossis resection ntawm txoj hnyuv;
- helminthiases (broad tapeworm);
- malignant qog ntawm lub plab plab;
- ntau diverticulosis nrog kev loj hlob ntawm plab hnyuv microflora;
- malabsorption enteritis.
Nyob rau hauv rooj plaub no, kev kuaj mob sib txawv ntawm cov ntshav liab, lub hom phiaj tseem ceeb yog cais tawm ntawm cov kab mob uas cov kab mob megaloblastic ntawm hematopoiesis yog tus yam ntxwv, nrog rau los ntawm ntshav qab zib nrog pancytopenia thiab hemolysis syndromes. Nws tau ua tiav los ntawm kev kuaj mob hauv qab no:
- kuaj ntshav dav dav txhawm rau txiav txim siab tus lej ntawm erythrocytes, lawv txoj kab uas hla thiab ntim, xim Performance index, qib hemoglobin, tus lej ntawm leukocytes, reticulocytes, platelets, leukocyte formula, thiab erythrocyte sedimentation tus nqi;
- urinalysis general;
- kev kuaj ntshav biochemical uas txiav txim siab cov ntsiab lus ntawm tag nrho cov protein thiab cov protein feem ntau, aminotransferases thiab bilirubin;
- ntshav qib ntawm vitamin B12 thiab folic acid;
- kuaj mob ultrasound ntawm cov kabmob hauv nruab nrog cev - daim siab, raum, txiav txiav, spleen, gallbladder, raum;
- YFibrogastroduodenoscopy;
- Fibrocolonoscopy.
Yuav kom paub meej qhov kev kuaj mob ntawm B12 deficiency anemia, tus neeg mob tau muab tshuaj rau sternal puncture.
Folic acid deficiency
Kev kuaj mob sib txawv ntawm cov hlau tsis muaj peev xwm anemia tso cai rau kev txiav txim siab ntxaws txog lub xeev kev noj qab haus huv ntawm tib neeg lub cev tag nrho. Feem ntau, ntxiv rau qhov tsis muaj hlau tsis txaus hauv tib neeg cov ntshav, lwm hom ntshav qab zib kuj raug kuaj pom. Piv txwv li, folic acid deficiency anemia, ib tug yam ntxwv feature ntawm uas yog folate deficiency. Tus kab mob no belongs rau pab pawg ntawm megaloblastic anemias, thiab nws cuam tshuam rau cov neeg hluas thiab nruab nrab hnub nyoog. Raws li qhov tseeb ntawm lub npe ntawm qhov teeb meem, qhov tsis muaj folic acid nyob rau hauv cov zaub mov, tsis txaus ntawm cov khoom no nyob rau hauv tib neeg lub cev nws tus kheej, yog lub hauv paus ntawm xws li ib tug teeb meem loj. Cov kws tshaj lij tau sau tseg tias qhov sib txawv. Kev kuaj mob ntshav qab zib los ntawm vitamin B12 thiab folic acid deficiency muaj tib algorithms. Tam sim no tsis muaj txoj hauv kev los txiav txim siab tus nqi folate hauv cov ntshav, uas tso cai rau kev kuaj mob kom raug. Tab sis ob hom ntshav no feem ntau mus ua ke. Qhov no yog qhov hu ua ua ke anemia, uas muaj ntau yam tshwm sim thiab kev kho mob.
Pathology ntawm erythrocytes
Hauv pab pawg tshwj xeeb, cov kws kho mob paub qhov txawv cov kab mob uas cuam tshuam nrog lub cev los yog kis kab mob ntawm cov ntshav, qhia los ntawm kev ua kom cov qe ntshav liab nce ntxiv, nrog rau lawv lub neej luv. Dif. Kev kuaj mob ntshav qab zib pib qhov kev tsom xam nrog cov xwm txheej ntawm tus neeg mob, txij li nws txoj kev noj qab haus huv ncaj qha nyob ntawm qhov txo qis hauv cov pa oxygen-binding peev xwm ntawm cov ntshav, nrog rau muaj cov khoom lwj hauv lub cev.erythrocytes. Yog li ntawd, ib tug neeg tas li tsis muaj zog, kiv taub hau, palpitations, chills, kub taub hau. Vim qhov tseeb tias cov ntshav plasma tuaj yeem muaj cov hemoglobin dawb ntau heev, cov zis tuaj yeem hloov xim liab - los ntawm lub teeb liab mus rau yuav luag dub - raws li hemoglobinuria tsim.
Qhov qhia meej ntawm hom kab mob ntshav qab zib no hauv kev kuaj mob sib txawv yog lub neej luv luv ntawm erythrocytes, txiav txim siab los ntawm kev tshawb fawb radioisotope. Hmoov tsis, cov txheej txheem no kim heev thiab tsis tshua siv. Kev kuaj mob sib txawv siv cov txheej txheem nkag tau yooj yim dua ntawm cov kev soj ntsuam thiab kev tshawb fawb hauv qab no:
- haptoglobin hauv cov ntshav ntshav muaj nyob rau hauv cov khoom tsis txaus vim yog khi rau dawb hemoglobin;
- hemosiderinuria - ua pov thawj ntawm tshaj qhov pib ntawm kev pom los ntawm lub raum glomeruli ntawm cov ntshav ntshav dawb hemoglobin;
- hemoglobinuria;
- jaundice, raws li qhov tshwm sim ntawm qhov nce ntxiv ntawm cov dawb lossis "tsis ncaj" bilirubin hauv cov ntshav ntshav;
- muaj cov tshuaj tiv thaiv erythrocyte los ntawm kev kuaj mob serological - ua ib kauj ruam tseem ceeb hauv kev tsim kev kuaj mob nosological (qhov kev tshuaj ntsuam no kuj yog lub hauv paus rau kev kuaj mob sib txawv ntawm qhov tau txais autoimmune hemolytic anemias (AIHA);
- nce qib ntawm erythrokaryocytes hauv cov pob txha pob txha (ntau dua 20-24%) - erythroid pob txha pob txha hyperplasia;
- Reticulum (tsis paub tab erythrocytes) tau kuaj pom ntau dua 2%;
- Clinically tsim cov qib qis hemoglobin.
Anemia yog ib qho mob hnyav ntawm kev ua haujlwm ntawm qee yam kabmob lossis lub cev ntawm tib neeg lub cev. Thiab txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhim kho, nws yog ib qho tsim nyog yuav tsum tau kuaj xyuas kom zoo. Cov txheej txheem ntawm kev kuaj mob sib txawv tso cai rau koj kom sai, tab sis tib lub sijhawm kom raug tsim qhov ua rau ntawm qhov teeb meem no. Qhov no tso cai rau koj tau txais kev kho mob txaus rau qhov xwm txheej.
