Gebelik ve Anemi - www.jinekolojivegebelik.com

Tanım ,[object Object],[object Object]

42 24 32 Kan volümü Plazma volümü 50 20 30 Gebelik Haftası 100 Artış yüzdesi

Gebelik ve Anemi ,[object Object],[object Object],CDC 1990

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],Anemi Prevalansı WHO 1992

Gebelikte Demir Metabolizması-1 ,[object Object],[object Object],[object Object]

Gebelikte Demir Metabolizması-2 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],= Artmış İhtiyaç

[object Object],[object Object],[object Object],[object Object],= Yetersiz Demir Deposu

[object Object],[object Object],[object Object],[object Object]

Anemiye Yaklaşım ,[object Object],[object Object],[object Object]

Anamnez ,[object Object],[object Object],[object Object],[object Object],[object Object]

Bulgular-1 ,[object Object],[object Object],[object Object],[object Object],[object Object]

Bulgular-2 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Laboratuar Tetkikleri ,[object Object],[object Object],[object Object]

Retikülosit artmış Retikülosit azalmış Anemi

Mikrositer Normositer Makrositer Fe,FeBK,Ferritin Fe azalmış, FeBK artmış, ferritin azalmış Normal Fe,FeBK,ferritin ,[object Object],[object Object],[object Object],Demir Eksikliği Anemisi Retikulosit azalmış

Normositer Normal Fe,FeBK Kemik iliği Hipoplazi Myelofitizis Aplastik Anemi ,[object Object],[object Object],[object Object],Azalmış Fe,FeBK Artmış serum ferritin Kronik hastalık anemisi

Normal VitB12 Folik Asit Düzeyi Azalmış VitB12 Azalmış folik asit Kemik iliği Makrositer Edinsel Kalıtsal Myelodisplazi Diseritropoetik Anemi

Retikulosit artmış Coombs Pozitif Negatif Splenomegali Splenomegali (-) ,[object Object],[object Object],[object Object],[object Object],[object Object],EDİNSEL KALITSAL Sıcak Antikor Soğuk Antikor ,[object Object],[object Object],[object Object],[object Object],[object Object],Retikulosit Azalmış ,[object Object],[object Object],[object Object]

Demir Eksikliği Anemisi ,[object Object]

Demir Metabolizması ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Laboratuvar Bulguları ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Tedavi-1 ,[object Object],[object Object],[object Object]

Tedavi Oral Parenteral Tablet Sıvı Fe+2 Fe+3 İm İv

Fe+2 Tedavi-2 ,[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],80 mg Fe +2

Ferroglisin Sülfat 80 mg 40 mg Fe +2

[object Object],[object Object],[object Object],[object Object],Fe +2

Ferröz Protein Süksinat 40 mg Fe+3

Ferro III Hidroksid polimaltoz 100 mg 100 mg Fe +3

Multivitamin preparatlar Ferrous *Materna (60mg) 60 mg

Yan Etkiler ,[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Tedavi ,[object Object],[object Object],[object Object],[object Object],[object Object]

Tedavi ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Parenteral Demir Tedavisi ,[object Object],[object Object],[object Object]

Parenteral Demir Tedavisi ,[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Kan Transfüzyonu Endikasyonları ,[object Object],[object Object]

Profilaksi ,[object Object],[object Object],Kjellharam ve Ark.2001 Milman ve Ark.1999

Profilaksi ,[object Object],[object Object],[object Object],Milman ve ark 1999 Haram ve Ark.2001

Perinatal Morbidite ve Mortalite Maternal Anemi Düşük doğum ağırlığı? Preterm eylem? IUGR? Operatif doğum? Fetal ölüm?

Düşük Doğum Ağırlığı ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Preterm Doğum ,[object Object],[object Object],[object Object],[object Object],[object Object]

Gebelik ve Megaloblastik Anemi ,[object Object],[object Object]

Folik Asit ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Laboratuar Bulguları ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Profilaksi ,[object Object],[object Object],CDC 1991

[object Object],[object Object],ACOG 1993

Vitamin B12 Eksikliği ,[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Otoimmun Hemolitik Anemi

Paroksismal Noktürnal Hemoglobinüri ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Herediter Sferositoz ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Aplastik Anemi ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Talasemi ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Orak Hücreli Anemi-1 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Orak Hücreli Anemi-2 ,[object Object],[object Object],[object Object],[object Object],[object Object]

Orak Hücreli Anemi-3 ,[object Object],[object Object],[object Object],[object Object],[object Object]

Gebelik ve Anemi - www.jinekolojivegebelik.com

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