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CHAPTER 14  ■  Disorders of Iron Metabolism and Heme Synthesis                                      273




                                                               k           ,             ,                                     Disorders Related to Hemoglobin

                         x         .                                                                                           Biosynthesis: Hemochromatosis


                   ■           m                             ,               m                          -
                        m                             m  /  . H           ,                                                    ■   I

                                                                                  ,                   ,                                                         m                           ,                     ,

                                      .                                                                                                                                   m  ,                      m        m


                   ■   M                                                                      m                                                                    m            m                                       -
                        m                                                               .                                                                   (                                                        m   )


                   ■   I              m                      m,                             q                                       GI                            .
                        m                      f                           x m            m                                    ■   I                                                                 x                    -

                                                .                                                                                   m


                   ■   T                                                            . A       x m                                    x                                  ,                                        m
                          %                m                          m                                                                                        .

                                                       m         . T                 %                                         ■   H                                              mm                                -

                                         m         m         ,                               m                                          m   ,                x

                            m           m                    m                   m     .                                            m                     m   .


                   ■   A       m                                   m            x                                              ■   T                                      ,                        -                  -
                                      m                 m                                        .                                                             m


                   ■   S     m            (SF)                                                                                                               m         m        :     m         m
                                                                      . H           , SF,                   -                        : HFE-        –           ,     m         m                   : j

                                              ,        q                                                                               m        m        ,    m        m                  : m

                                       .                                                                                                                             (   R  )         ,            m         m


                   ■   A                        R. F                                                    ;                                     : m                                 -           .
                            R                                                  .                                               ■   A                      m                 m
                                                                                                                                                                                               m         m        ,

                                                                                                                                              m                                                         ,

                   Anemia of In  ammation or Anemia of                                                                                   ,

                   Chronic Disorders/ Diseases                                                                                                                    .



                   ■   A    m               mm         (AOI)                                (AOI/                              ■   A                             m                      .
                        ACD)                                   -            -    m        mm  -


                              ,                            , m               ,                        m                        Disorders Related to Hemoglobin
                                   .                                                                                           Biosynthesis: Heme (Porphyrin) Synthesis


                   ■   AOI/ACD                                                                  .                              ■   D                                                                      m   m   -
                        AOI/ACD                                                                                                           m                                           q        .


                        m                m                  m                                                                  ■   A  q                                                         ,
                               mm        .                                                                                             m                                        .


                   ■   A                 RBC                                   AOI/ACD,                                        ■   P                                                         m   m            m
                                    m  j                                     m                m   . T                                               m                m


                        m                                                  .                                                                       x                    m                     x                           -

                   ■   I              m        ,                               m                                                                                                                   /                     .

                                           P           B             .                                                         ■   P                                                                                         ,

                                                                                                                                                       z  m                   ,                   z  m


                   Disorders Related to Hemoglobin                                                                                                m                                   .

                   Biosynthesis: Sideroblastic Anemia                                                                          ■   W                                         m          ,       m
                                                                                                                                           m                                ,           m                   x


                   ■   S                         m                               m                                                                    . T             -
                                         m                                         (                    -                                                                                                                 ,

                               )                                              .                                                     P           B             . T                                                        .


                   ■   C                                       m                                                ,
                                q                 , m             m                     ,            -                         Disorders Related to Hemoglobin

                                         ,        x    .                                                                       Biosynthesis: Disorders of Globulin


                   ■   D                                           m                                                           Synthesis
                                                           m              ,                m        m-

                                                                                               m      ;                        ■   G

                                              m               SF;                                                                                .

                                               P                                                m                              ■   W                                                     ,                m

                                   .                                                                                                                   m                                             .
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