Sunday, March 22, 2009

Anaemia, iron deficiency

Anaemia is a condition that occurs when there is a reduced number of red blood cells or concentration of haemoglobin.

There are several different types of anaemia, and each one has a different cause. The most common form of the condition is iron-deficiency anaemia. This is where your body lacks enough iron to keep the red blood cells functioning properly.

Iron is a key component of haemoglobin, the substance that helps to store and carry the oxygen in red blood cells. If there is a lack of iron in your blood, your organs and tissues will not get as much oxygen as they usually do.

Other forms of anaemia can be caused by a lack of vitamin B12 or folate in your body. This article concentrates on iron-deficiency anaemia.

Treatment for iron-deficiency anaemia is usually very effective, and the condition rarely causes any serious complications. Your blood may need to be monitored every few months after your diagnosis to check that you are responding to treatment and that your iron levels have returned to normal.

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About the blood

Blood contains a fluid called plasma, which includes three different types of cells:
· White blood cells are part of the body's immune system and defend it against infection.
· Red blood cells carry oxygen around the body in a substance called haemoglobin.
· Platelets help the blood to clot.
Red blood cells are produced in the bone marrow. Vast quantities (millions) of new cells are produced each day to replace old cells that break down. Nutrients from food, such as iron and certain vitamins, help ensure that your bone marrow remains healthy and is able to produce a constant supply of red blood cells.
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Signs and symptoms

Anemia goes undetected in many people, and symptoms can be small and vague. Most commonly, people with anemia report a feeling of weakness or fatigue in general or during exercise, general malaise and sometimes poor concentration. People with more severe anemia often report dyspnea (shortness of breath) on exertion. Very severe anemia prompts the body to compensate by increasing cardiac output, leading to palpitations and sweatiness, and to heart failure.

Pallor (pale skin, mucosal linings and nail beds) is often a useful diagnostic sign in moderate or severe anemia, but it is not always apparent. Other useful signs are cheilosis and koilonychia.

Pica, the consumption of non-food based items such as dirt, paper, wax, grass, ice, and hair, may be a symptom of iron deficiency, although it occurs often in those who have normal levels of hemoglobin.

Chronic anemia may result in behavioral disturbances in children as a direct result of impaired neurological development in infants, and reduced scholastic performance in children of school age.

Diagnosis

Generally, clinicians request complete blood counts in the first batch of blood tests in the diagnosis of an anemia. Apart from reporting the number of red blood cells and the hemoglobin level, the automatic counters also measure the size of the red blood cells by flow cytometry, which is an important tool in distinguishing between the causes of anemia. Examination of a stained blood smear using a microscope can also be helpful, and is sometimes a necessity in regions of the world where automated analysis is less accessible.

In modern counters, four parameters (RBC count, hemoglobin concentration, MCV and RDW) are measured, allowing others (hematocrit, MCH and MCHC) to be calculated, and compared to values adjusted for age and sex. Some counters estimate hematocrit from direct measurements. For adult men, a hemoglobin level less than 13.0 g/dl (grams per deciliter) is diagnostic of anemia, and for adult women, the diagnostic threshold is below 12.0 g/dl.

Reticulocyte counts, and the "kinetic" approach to anemia, have become more common than in the past in the large medical centers of the United States and some other wealthy nations, in part because some automatic counters now have the capacity to include reticulocyte counts. A reticulocyte count is a quantitative measure of the bone marrow's production of new red blood cells. The reticulocyte production index is a calculation of the ratio between the level of anemia and the extent to which the reticulocyte count has risen in response. If the degree of anemia is significant, even a "normal" reticulocyte count actually may reflect an inadequate response.

If an automated count is not available, a reticulocyte count can be done manually following special staining of the blood film. In manual examination, activity of the bone marrow can also be gauged qualitatively by subtle changes in the numbers and the morphology of young RBCs by examination under a microscope. Newly formed RBCs are usually slightly larger than older RBCs and show polychromasia. Even where the source of blood loss is obvious, evaluation of erythropoiesis can help assess whether the bone marrow will be able to compensate for the loss, and at what rate.

When the cause is not obvious, clinicians use other tests: ESR, ferritin, serum iron, transferrin, RBC folate level, serum vitamin B12, hemoglobin electrophoresis, renal function tests (e.g. serum creatinine).

When the diagnosis remains difficult, a bone marrow examination allows direct examination of the precursors to red cells.

Treatments for anemia using Tianshi Food Suplements and Health Care Equipments

Cleansing Internal cleanser-Any Fiber product

Do Start Cleansing & Balancing Products From Same day Onwards if need Best Results.Do Postpone Replenishing & Strengthening one week or two weeks or one month later generally.
Duration of Cleansing – One Month

Replenishing Tianshi Nutrient Calcium Powder/Chewable Calcium + Zinc Capsules

Streanthening Spirulina Capsules (very important)

Balancing Acupoint Treasure or Blood Circulatory Massager (BCM)

# This is general application, when patient has got more than one condition or particular symptoms, Combination slightly will be differed. If Patient is suffering from particular condition Chronically (Prolonged Period) Internal Cleanser is must.

IC - Not Suitable to Pregnancy Women, Lactating Mother, Stomach Ulcer in Acute Stage
Do not Stop Regular Allopathic Medication when taking the Food Supplements.
These supplements are additional to our food, not alternative one.
Do Keep Half an Hour gap in between Allopathic Medication & Food Supplements.
Between Two Supplements, Do Keep Half an hour gap generally.
This is not a Medicine. No Side Effects.
Sometimes According to Symptoms & Signs slightly combination will be differed.
Further Enquiry contact your country office Company Doctor.
Calcium, Zinc & Spirulina are Common for all kinds of Problem Generally. Do take Calcium after Food in a Chewable Form.




*** Wish you all a healthy life ***