Hematopoiesis & Anemia

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    Iron DefciencyAnaemia

    DEANNE SAZAIEKA PUTRI BINTISALLAHUDDIN

    082014100018

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    IDA

    !arac"eri#e$ %y microcy"ic&!y'oc!romicre$ ce(() *i"! +, - 80.an$ +H -2/'

    +or'!o(oic c!ane) a''ear a) "!eiron )"ore) e" $e'(e"e$ an$na$ea"e 3or !aem )yn"!e)i)

    5+ Hi! in c!i($ren& 'renan" *oman& an$

    e($er(y

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    Ba%ie) are %orn *i"! a%o" /00m o3

    iron To"a( %o$y iron in a$(" i) a%o" /m

    !i($ren nee$ "o a%)or% a%o" 1m iron

    'er $ay "o mee" ro*"! reiremen" 106 o3 $ie"ary iron i) a%)or%e$ $ai(y

    Brea)"73e$ in3an") !ae an a$an"ae

    %eca)e "!ey a%)or% iron 279 "ime)more e:cien"(y "!an in3an") 3e$ %oinemi(;

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    E"io(oy o3 Iron DefciencyAnaemia

    In In3an") =

    +o)" iron in neona"e) i) in circ(a"in!emo(o%in7?m o3(i3e

    Anaemia $e "o $ie"ary $efciency 're)en")%e"*een ?724m o3 (i3e

    In 're7"erm an$ LB@ in3an")& iron )"ore) are$e'(e"e$ ear(ier

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    E"io(oy o3 Iron Defciency

    Anaemia

    1

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    Dietary defciency o iron

    ommone)" ca)e o3 IDA

    +ore in )ocioeconomica((y (o*

    Impaired absorbtion o ironTo"a('ar"ia( a)"rec"omy (o)) o3a)"ric aci$i"y re)(") in im'aire$ e

    a%)or%"ionCIn "o"a( a)"rec"omy &a%)o%"ion i3 ironi) im'aire$

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    Increased blood loss

    ne o3 "!e common ca)e o3 IDA

    /m o3 iron i) (o)" 3or (o)) o3 a%o"10m( o3 %(oo$

    Any !aemorr!aic (e)ion in in"e)"ineI

    "rac"Some ca)e) =

    7!oo;*oom in3e)"a"ion

    7m("i'(e 'renancie)7a)"ric mco)a( !aemorr!ae)

    7!aema"ria

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    Increased iron demand

    T!ere i) increa)e$ '!y)io(oica($eman$ in

    7in3ancy

    7'renancy7(ac"a"ion

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    (inica( ea"re)

    Sym'"om)= 7@ea;ne))& 3a"ie& or (ac; o3 )"amina 7S!or"ne)) o3 %rea"! 7Hea$ac!e F 3ron"a(

    7Di:c("y concen"ra"in 7Irri"a%i(i"y& a'a"!y 7Di##ine))

    7Pa((or 7rain )%)"ance) "!a" are no" 3oo$ 'icaC

    7T!e $e)ire "o ine)" ice 'ao'!aiaC

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    Sin)= 7Ra'i$ !ear" %ea"

    7Bri""(e nai() a()o )'oon nai()7koilonychiaC

    7rac;e$ (i') an(ar )"oma"i"i)C 7Smoo"! )ore "one (o))i"i)C

    7Decrea)e$ a''e"i"e e)'ecia((y inc!i($renC

    7Decrea)e$ ra"e o3 ro*"! 7De(ay in );i(() (i;e *a(;in & "a(;in

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    Diano)i)

    1< Peri'!era( %(oo$ fn$in)

    2< Bone marro* mor'!o(oy an$ iron)"ore)

    9< Iron )"a")

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    Peri'!era( %(oo$ fn$in)

    H% Re$ce$C

    Hc" Re$ce$C

    A%)o("e a(e) +, - 80. an$ +H

    -2/'C+icrocy"ic !y'oc!romic re$ ce(() in 'eri'!era()mearani)o'oi;i(ocy"o)i)&microcy"ic&!y'oc!romicC

    Re"ic(ocy"e con" Norma( or )(i!"increa)e$C

    @!i"e ce(() Norma(C

    P(a"e(e") Increa)e$C

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    Bone marro* mor'!o(oy an$ iron )"ore)

    Hy'erce(((ar

    Ery"!roi$ !y'er'(a)ia

    +icronormo%(a)"ic reac"ion =Normo%(a)") are )ma((er

    +ye(o'oie)i) i) norma(

    +ea;aryo'oie)i) i) norma(

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    +icrocy"ic !y'oc!romic re$ ce(())ma((er "!an "!e (ym'!ocy"e)!o* a (are cen"ra( 'a((or)rron$e$ %y a rim o3!aemo(o%in a" "!e 'eri'!ery o3re$ ce((

    +icronormo%(a)"icery"!ro'oie)i) in iron $efciencyanaemia

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    A))e))men" o3 Iron )"a")

    Serm 3erri"in

    Serm Iron

    Serm "ran)3errin rece'"or a))ayRe$ ce(( 'ro"o'or'!yrin

    Re"ic(ocy"e !aemo(o%in

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    DiGeren"ia( $iano)i)

    T!a(a))emia maor

    Anaemia o3 c!ronic $i)or$er

    T!a(a))emia minor Lea$ 'oi)onin

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    Preen"ion

    Brea)"73ee$in )!o($ %e encorae$

    A$$i"ion o3 iron73or"ife$ cerea() a3"er 47> moo3 ae