Methods of diagnosis of anemia and treatment guidelines

What research is needed to determine if anemia is an independent disease or a symptom of another disease.

anemia may be an independent disease of the blood system, or a symptom of other diseases of the body, so their diagnosis and treatment should be integrated.

Survey for anemia

anemia may be an independent disease of the blood system, or a symptom of other diseases of the body, so their diagnosis and treatment should be integrated.

Survey for anemia

  • p asshirennoe study of peripheral blood (red blood cells, reticulocytes, platelets, leukocytes formula, hemoglobin, hematocrit, color index, ESR);
  • urinalysis;
  • biochemical analysis of blood (bilirubin, blood proteins, urea, creatinine, electrolytes, iron, transferrin and other factors);
  • in severe anemia and to clarify the diagnosis carried out a study of the bone marrow (myelogram);
  • ultrasound of the abdomen, kidneys, pelvic organs;
  • endoscopic examination of the stomach and intestines;
  • ECG, chest x-ray, consultations with specialists
    (gastroenterologist, endocrinologist, etc.).

Basic principles of treatment of anemia

anemia treatment is performed after ascertaining the reasons for its development, which should be eliminated as much as possible.Treatment should be directed at all stages of disorders of hematopoiesis (blood formation - the formation of red blood cells).

choice of drugs should be purely individual, it depends on the type of anemia, the patient's age, the presence of comorbidity, etc.

In severe anemia of any nature is shown a blood transfusion and blood loss after - plasma substitutes, packed red blood cells and platelets.

In addition, anemia is prescribed:

  • iron supplements;
  • vitamins (vitamin B12, folic acid, vitamin C);
  • combined preparations containing trace elements and vitamins;
  • herbal medicine and diet, replenishes blood loss, iron deficiency, vitamins, trace elements;
  • symptomatic therapy;
  • drugs that stimulate hematopoiesis processes, and immunomodulators.

Surgical treatment is aimed at eliminating chronic blood loss (erosion, ulcers, polyps, hemorrhoids, veins of the esophagus, etc.) sources, as well as specific indications carried splenectomy (spleen removal), bone marrow transplantation.

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