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Alterrile cantitative i calitative ale hematiilor:
-oligocitemie; -policitemie.
TULBURRILE FUNCIEI RESPIRATORII ASNGELUI PRIN AFECTAREA
CANTITATI !I CALITATI A"E#ATIILOR
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Policitemia
Policitemia = creterea numrului de hematii / mm3snge.
Policitemia poate f:
-$%&ol't(;
-)el$ti*(.
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Policitemi$ $%&ol't( Policitemi$ $%&ol't( + ,). em$tii c)e&c't *ol'm /e pl$&m( co,&t$,t.
Policitemi$ $%&ol't( 0-policitemia absolut primar (policitemia vera),(tulburri mieloprolierativeidiopatice la cine! pisic i vac"#
$policitemia absolut secundar! indus de:
$rspuns compensator la condi%iile hipo&ice (tulburri cardiace! pulmonare sau
hemoglobinopatii "#$hipereritropoietinemiei (carcinomul renal! hidronero'".
NOR#AL
POLICITE#IE
112.
312.
31
2.
112.
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Policitemi$ )el$ti*(
Policitemi$ )el$ti*( + ,). em$tii co,&t$,t *ol'm /e pl$&m(c)e&c't.
Policitemi$ )el$ti*( e&te o co,&eci,4( $ emoco,ce,t)$4iei5/e&i/)$t()i6 poli')ie6 *om( i,coe)ci%il(6 t)$,&pi)$4ie $%',/e,t(
etc.7
NOR#AL POLICITE
#IERELATI
112.
312.
312.
112.
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Oligocitemi$ 5A,emi$7
Oligocitemi$ + ,). em$tii &c(8't mm9&:,ge.
Oligocitemi$ po$te i,/'ce 0$varia%ia dimensiunilor hematiilor#$aectarea ncrcrii acestora cu hemoglobin#$apari%ia n circula%ie a unor eritrocite modifcate.
A,emiile &e m$,ie&t( p)i,0$tegumente i mucoase aparente palide#$tahicardie#$hipo&ie de tip anemic#$alcalo' metabolic.
Oligocitemiile6 &e cl$&i
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Oligocitemi$po&temo)$gic( Oligocitemi$ po&temo)$gic( e&te i,/'&( /e emo)$gii
=,&em,$te.
"emo)$gi$ implic( )e$c4ii /e0
$mobili'areasngelui
de depo'it.
-)e$ce)e $ *ol'm'l'i&$,g'i,;
-compe,&$)e $ /eige,'l'i.
$amplifcareadrena)ului
ichidului intersti%ial.
P:,( =,?@2.
Pe&te?@2.
OLIGOCITE
#IE
Retic'locite ?612
$crestereeritropoie'a .
ep(i)e',c4io,$l(
E# ,o)m$l 5@9-D1
m9
7
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Oligocitemi$ emolitic(
OLIGOCITE#IA "E#OLITIC
-To>ice emolitice 5&$po,i,e6 %e,8e,6*e,i,')i $,im$le etc.7;-P$)$8i4i i,t)$glo%'l$)i 5B$%e&i$6"$emo%$)to,ell$6 A,$pl$&m$ etc.7;-#$l$/ii %$cte)ie,e 5lepto&pi)o8$7-#$l$/ii $'toim',e 5$,emi$ $'toim',(emolitic(7;
-A,om$lii e)e/it$)e 5/ece&i*( /e $p( )ece6 ')emi$ etc.7.
Fig. 3.Hematiii parazitate de
Babesia.
Fig. 4. Hematii parazitate de
Haemobartonella.
Si/e)ocite Co)p'&c'li
"ei,8
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Oligocitemi$ c$)e,4i$l(
OLIGOCITE#IACARENIAL
C$)e,4e =,0$fer! (aport diminuat! pierdere de fer prin hemoragii"#
$cupru(induce defcien% unc%ional a ferului"#$vitamina *#$vitamina +,#
$aminoaci'ii esen%iali#$vitamina -! implicat n biosinte'a hemoglobinei#$vitamina +
(necesar sinte'ei A01$ului"#
$acid olic (necesar sinte'ei A01$ului"#$cobalt (component al vitaminei +".
$implic$)e =, %io&i,te8$
em'l'i.$$,emie ipoc)om(mic)ocit$)(5"E# ?@-@ pg7.
Fig. 9.Normocromie.
Fig. 7. Anemie microcitar.
Fig. 10. Anemie hipocrom.
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Oligocitemi$ c$)e,4i$l(
OLIGOCITE#IACARENIAL
C$)e,4e =,0$fer! (aport diminuat! pierdere de fer prin hemoragii"#
$cupru(induce defcien% unc%ional a ferului"#$vitamina *#$vitamina +,#
$aminoaci'ii esen%iali#$vitamina -! implicat n biosinte'a hemoglobinei#$vitamina +
(necesar sinte'ei A01$ului"#
$acid olic (necesar sinte'ei A01$ului"#$cobalt (component al vitaminei +".
$implic$)e =, %io&i,te8$emoglo%i,ei.
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Oligocitemi$ c$)e,4i$l(
OLIGOCITE#IACARENIAL
C$)e,4e =,0$fer! (aport diminuat! pierdere de fer prin hemoragii"#
$cupru(induce defcien% unc%ional a ferului"#$vitamina *#$vitamina +,#
$aminoaci'ii esen%iali#$vitamina -! implicat n biosinte'a hemoglobinei#$vitamina +
(necesar sinte'ei A01$ului"#
$acid olic (necesar sinte'ei A01$ului"#$cobalt (component al vitaminei +".
$implic$)e =, mito8$e)it)o%l$tilo).$$,emie m$c)ocit$)e,o)moc)ome.5E# @9-D1 mm97
Fig. . Anemie macrocitar. Fig. 9.Normocromie.
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Oligocitemi$ c$)e,4i$l(
OLIGOCITE#IACARENIAL
C$)e,4e =,0$fer! (aport diminuat! pierdere de fer prin hemoragii"#
$cupru(induce defcien% unc%ional a ferului"#$vitamina *#$vitamina +,#
$aminoaci'ii esen%iali#$vitamina -! implicat n biosinte'a hemoglobinei#$vitamina +
(necesar sinte'ei A01$ului"#
$acid olic (necesar sinte'ei A01$ului"#$cobalt (component al vitaminei +".
i&p$) Si/e)ocitelei&p$))etic'locitele
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Oligocitemi$ ipopl$&tic( &$'$pl$&tic(
OLIGOCITE#IA "IPOPLASTIC SAUAPLASTIC
#(/'*( o&o$&( em$toge,( i,compete,t( ',c4io,$l0$apla'ie (atrofe"#
$hipola'ie (de'voltare incomplet".E&te i,/'&( p)i, mec$,i&me0$to&ice! (cloramenicolul! hidrocarburile ciclice! to&ice din erigetc."#$f'ice (radia%ii ioni'ante"#$inec%ioase de tip viral (anemia inec%ioas ecvin!
panleucopenia elin! parvoviro'a canin! 20A etc."#$imune (tiroidita autoimun".
A,emie,o)mocit$)( i&p$))etic'locitele
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