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1 - Non Neoplastic Anemia
1 - Non Neoplastic Anemia
1 - Non Neoplastic Anemia
HEMATOLOGIC DISORDERS
ANEMIA
• is a condition in which you lack enough healthy red blood cells to carry adequate oxygen
to your body's tissues. Having anemia can make you feel tired and weak. There are many
forms of anemia, each with its own cause. Anemia can be temporary or long term, and it
can range from mild to severe.
• Goals of Treatment
• The goal of treatment is to increase the amount of oxygen that your blood can carry. This is done by
raising the red blood cell count and/or hemoglobin level. (Hemoglobin is the iron-rich protein in red
blood cells that carries oxygen to the body.)
• Another goal is to treat the underlying cause of the anemia.
• Vitamin B12
• Low levels of vitamin B12 can lead to pernicious anemia. This type of anemia often is treated
with vitamin B12 supplements.
• Good food sources of vitamin B12 include:
• Breakfast cereals with added vitamin B12
• Meats such as beef, liver, poultry, and fish
• Eggs and dairy products (such as milk, yogurt, and cheese)
• Foods fortified with vitamin B12, such as soy-based beverages and vegetarian burgers
ANEMIA
• Folic Acid
• Folic acid (folate) is a form of vitamin B that's found in foods. Your body needs folic acid to make and
maintain new cells. Folic acid also is very important for pregnant women. It helps them avoid anemia
and promotes healthy growth of the fetus.
• Good sources of folic acid include:
• Bread, pasta, and rice with added folic acid
• Spinach and other dark green leafy vegetables
• Black-eyed peas and dried beans
• Beef liver
• Eggs
• Bananas, oranges, orange juice, and some other fruits and juices
ANEMIA
• Vitamin C
• Vitamin C helps the body absorb iron. Good sources of vitamin C are vegetables and fruits, especially
citrus fruits. Citrus fruits include oranges, grapefruits, tangerines, and similar fruits. Fresh and frozen
fruits, vegetables, and juices usually have more vitamin C than canned ones.
• If you're taking medicines, ask your doctor or pharmacist whether you can eat grapefruit or drink
grapefruit juice. This fruit can affect the strength of a few medicines and how well they work.
• Other fruits rich in vitamin C include kiwi fruit, strawberries, and cantaloupes.
• Vegetables rich in vitamin C include broccoli, peppers, Brussels sprouts, tomatoes, cabbage, potatoes,
and leafy green vegetables like turnip greens and spinach.
ANEMIA
• Medication
• Physicians may prescribe medicines to help your body make more red blood cells or to treat an
underlying cause of anemia. Some of these medicines include:
• Antibiotics to treat infections.
• Hormones to treat heavy menstrual bleeding in teenaged and adult women.
• A man-made version of erythropoietin to stimulate your body to make more red blood cells. This
hormone has some risks. You and your doctor will decide whether the benefits of this treatment
outweigh the risks.
• Medicines to prevent the body's immune system from destroying its own red blood cells.
• Chelation therapy for lead poisoning. Chelation therapy is used mainly in children. This is because
children who have iron-deficiency anemia are at increased risk of lead poisoning.
ANEMIA
• Clinical/ Medical Procedures - If anemia is severe, the physician may recommend a medical
procedure. Procedures include blood transfusions and blood and marrow stem cell transplants.
• Blood Transfusion
• A blood transfusion is a safe, common procedure in which blood is given to you through an
intravenous (IV) line in one of your blood vessels. Transfusions require careful matching of donated
blood with the recipient's blood.
• Blood and Marrow Stem Cell Transplant
• A blood and marrow stem cell transplant replaces your faulty stem cells with healthy ones from another
person (a donor). Stem cells are made in the bone marrow. They develop into red and white blood cells
and platelets.
• During the transplant, which is like a blood transfusion, you get donated stem cells through a tube
placed in a vein in your chest. Once the stem cells are in your body, they travel to your bone marrow
and begin making new blood cells.
• Surgery
• If you have serious or life-threatening bleeding that's causing anemia, you may need surgery. For
example, you may need surgery to control ongoing bleeding due to a stomach ulcer or colon cancer.
ANEMIA
• If your body is destroying red blood cells at a high rate, you may need to have your spleen
removed (Splenectomy). The spleen is an organ that removes worn-out red blood cells from the
body. An enlarged or diseased spleen may remove more red blood cells than normal, causing
anemia.