Monday, August 18, 2014

Anaemia.

Tajuk ni maybe will give clearer picture kat korang tentang beza anaemia & thalassemia. Hehe..jangan kompius ye.

Aku up entry ni sebab:
1. Nak relate kan dengan tajuk ni ~ Apa itu thalassemia? dan Thalassemia screening.
2. Sebab ramai patient aku tanya apa beza dua menatang ni xD

Apa itu anaemia (secara ringkas)? :
- Is defined as low Hb (hemoglobin) concentration.
- Bagi man if kurang dari 13.5 g/dL
- Bagi woman if less than 11.5 g/dL

Nak tau jenis2 anaemia?
(klasifikasi berdasarkan MCV)

1. Low MCV
- IDA (iron deficiency anaemia) - most common cause
- Thalassemia
- Dll

2. Normal MCV
- Pregnancy
- Renal failure (patient yang dah on dialisis biasa dapat)
- Dll

3. High MCV
- B12 or folate deficiency
- Alcohol
- Dll

Apakah simptom (gejala) anaemia?
- Mudah penat
- Sesak nafas
- Sakit dada
- Jantung berdegup laju
- Pening
- Pitam

Apakah sign (tanda) anaemia?
- Pallor (pucat)
- Tachycardia (nadi laju)
- Dll (takyah cerita nanti tambah pening).

Bila perlukan blood transfusion?
- Selalu kita jarang decide untuk transfuse unless Hb is dangerously low.
- Decision will depends on severity & cause.
Cth:
~Haemorrhage (bleeding) in active PUD (peptic ulcer disease).
~In severe anaemia with heart failure. 

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And please come again next time.
~ Dr. Shikin @ Nazeck ~