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CHAPTER 6  ■  Erythrocytes: Hemoglobin                           129




                        G                       m                                 m                                            m      x                                   m           x        ,

                                              m           m             A   x                   addi-                                                                   m      x          m     m

                   tion                                                      m                                                                                                              x        .

                           . T                                m             A       %       %

                       m                         %         %                     -                                             Sulfhemoglobin

                               –          -                             .
                                                                                                                               T                       m                                   . I

                                                                                                                                                          x        ,     m

                     NOTE: This is a good time to complete Review Questions                                                                       m                                                      m            .

                     related to the preceding content.                                                                         T       m

                                                                                                                                                                                      m             m

                                                                                                                                     x                ,                                                                -


                   VARIAN   FORMS OF NORMAL                                                                                                                                     m                 Heinz bodies.

                   HEMOGLOBIN                                                                                                  S       m                                         x        ,                     m-
                                                                                                                                                         m    x              m          x          m           .


                   C       x      m            ,         m            ,        m       m                                       S       m                             m                                             x -

                        k                           m           m        m                      -                                z                                                             m                m  -

                      m             .  U    k             m        m                          m  -                                                                    m                     Clostridium welchii

                                                        m                     m             m            ,                                                                 . C                                  m  -

                                                                                   m      m        m  -                                                         m                       %                m   x

                                                    m                                       x        .  T                        %                   ’              m            . E

                                            m                                                    x        .                                                                                            m     m      .

                   T     m             m                x

                           x          ,          x                  m           ,       m                                      Methemoglobin

                                     m     ,             ,        x  m     ,             m      x     .                        Methemoglobin                           m            ,                             -

                   M                                  m          m                       q        ,                                       ,                                   m                    x        . I

                                             x  m                                         .                                        m    m                         (            “M       m             R


                                                                                                                               P         ”)     m                                                              m       -
                   Carboxyhemoglobin                                                                                                m                       m                                                             -



                   C          m      x                               m         mm                                                 m        m               . T                               m

                                                              U         S       . C          m      x     ,                            m                  m

                                         -                       m                                  m     -                                                    m             m

                         ,                            x      m             m                . C                                                             x

                   m      x                       x                                       . A                                      m     m       m                                   k         m            . V

                                                 m              ,               m      x                                           m                                                             m             M        -

                                                                                  m  m                                                                              m     m                   .

                                      m                                 m               (  .  ., m         -                        N   m     ,   % m       m                    m                   . A

                                            m    x        ). H  m                                                                                 ,                 m        m                              m

                           m                           m      x                   m                                                                                                                                    x  -

                           x        ,               f                      m             m                                                                 . H                                     m       m       -

                              m      x                 m              . T                     f   -

                                                                         m      x              m       -                              m . C                              m       m                         x

                               m          x      m                                                                               %;         x                                  x           %.

                              m      x         x   m          . T    m               m                                              I                                             ,                 m       m

                    x   m                 m          ,                             m                                                                                   m              m

                   m                               x                      . Carboxyhemoglobin                                       x                                             x               m      . O

                                   x                                           x   .                                                                          m        , m       m                                        .

                        A      m             x      m                           %       %                                           I                  m                               m       m                   -

                                                    m      x                                m              -                                                 m             F    m

                      m             -                     m                     m      x        x          .                   m       m            .  I                 ,

                   S                                     (                         %             k  m  k                                                         q                            z  m   . H

                        )                                           m  k  . C                                                  q                         ,         ,                                               m   -

                                                                                                                     .            m                                     .

                        L                 %         %          x      m                                  -

                              m    m         zz       ,            ,                 ,        m       -                        ABNORMAL HEMOGLOBIN MOLECULES

                              k      . A                        (                                       %

                     %)                  m                 %                                                                   A       m         m              m

                                                                            .         m                                            k                 m    (    k                      )              m m        ,
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