Male friends generally do not suffer from anemia. If it occurs, it may be due to physical problems, or too much work and study every day, and not paying attention to eating and sleeping well. This may cause a condition in the long run. In fact, there are many treatments for anemia, but the main method is to improve anemia through substances such as vitamin B and folic acid, which can relieve the symptoms to a certain extent. In an emergency, patients with severe anemia, the elderly, or anemia with cardiopulmonary insufficiency should receive red blood cell transfusions to correct anemia and improve the body's hypoxia. However, blood transfusions are only a temporary treatment measure. Multiple blood transfusions may cause hemochromatosis, which requires iron removal treatment. Therefore, it is most important to find the cause and provide targeted treatment. Normally, anemia is just a symptom, not a single disease. Therefore, the underlying cause must be identified before effective treatment can be carried out. Patients with acute massive blood loss should actively stop bleeding, while quickly restoring blood volume and transfusing red blood cells to correct anemia. Nutritional anemia can be treated by supplementing the deficient nutrients, such as iron deficiency anemia by supplementing iron and treating the primary disease that causes iron deficiency; megaloblastic anemia by supplementing folic acid or vitamin B12. The treatment of non-nutritional anemia is more complicated. Autoimmune hemolytic anemia is mainly treated with immunosuppressants such as glucocorticoids. Chronic aplastic anemia is mainly treated with cyclosporine combined with androgens. Genetic anemia such as Fanconi anemia can be treated with hematopoietic stem cell transplantation. By comprehensively analyzing the medical history, physical examination and laboratory test results of anemic patients, the cause or pathogenesis of anemia can be determined, thereby making a diagnosis of anemia. The patient should be asked in detail about the current medical history, past medical history, family history, nutritional history, menstrual and reproductive history, and exposure history to risk factors. Attention should be paid to understanding the time, speed, degree, complications, possible causes, and response to interventional treatment of anemia. Patiently look for clues to the primary disease of anemia or the genetic background of anemia. Nutritional history and menstrual and reproductive history have auxiliary diagnostic value for anemia caused by deficiency of hematopoietic raw materials such as iron, folic acid, or vitamin B12. Exposure history to radiation, chemical toxins, drugs, pathogenic microorganisms, etc. is crucial for the diagnosis of hematopoietic tissue damage and infection-related anemia. During the examination, special attention should be paid to: ① fever, heart rate, respiratory rate; ② malnutrition, special facial features, sitting breathing, unsteady gait, etc.; ③ skin and mucous membranes with pallor, jaundice, ulcers and petechiae, purpura or ecchymosis; dry hair, atrophy of tongue papillae, spoon-shaped nails, pitting edema of lower limbs, etc.; ④ lymph node enlargement; ⑤ cardiac enlargement, murmurs, etc.; ⑥ hepatomegaly, splenomegaly or cholecystitis; ⑦ neuropathic reflexes and deep sensory disorders, etc. |
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