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284            PART 4  ■  Erythrocyte Disorders




                           m                                   z                                                                                   . M                                                m      x

                                              . L k   IF,   C II,                                        -                      -IF       /                                    . T        m

                                      m  ,                                                                                                                                                                        m

                              m                                               . R                     C                                    mm                   .

               II                                       m   m  m

                    .   C II                                                                         m                     Signs and Symptoms

                              ,              m                     m           k                           .

                    T   R                  m                                          -                                    A  q         m                          m                                              -

                                       m   -                                  . T    R                                                 ,           m     m         m

                                  m                                    m                    . T                                                                       m      . B

                                    k        ,                                                                                                   m        m            m, m                            m

                                    m                m              x                  m                                                                                m   .

                                                    m                                                                           I                            m                  m                   ,           -

                                                            .  R                                                                                                ,

                    k                                                     .  T                                                                ,                  mm                      m

                    m         C I          C III                             , m  k,                                                                 m                                                                m  -

                            .   C I                                               k                                                       m                   . T

                      m                                     m   . E                        m                                                                         m                        m

                           z                   m                                                                                         m     .

                        ,                                .                                                                      P           m                                        k                       m    -

                                                                                                                                                        . T                  ,  k               ,                 -

                                                                                                                                           m             m                 m                        m
               Pathophysiology                                                                                                            . A                       (       k


               P                     m                                                                                     m       ),                ,                                      . G

                                                           .                                                                                                 q                          .

                                                                                                                                E                                                        . P           m         m-

                                                                                                                                                    ,                     x         ,            ,                .
               Vitamin B  (Cobalamin)                                                                                      C                                     ,             ,                           m
                                      12


               I                                                                                                                   . N                                                 m          m

                         m    (B  x     .  ),                         C II                                                                m                    . P                ,                        ,

                    m                    .                                                                                             ,                 , m  m           ,     m        ,                      -

                    I                            m   ,                                                                                                                                        .  T

                             IF                                             . I         m  j                                                      m     m                       m

                                               m   ,       -IF                                -                                                              m   . I                                 ,               ,

                            (                         m                                                                                 ,                  m                                                        .

                         m      )                                . M                                                            V    m    B

                         m                                                                                                    m     m . I                 ,      m                                   m

                                               m                       mm                    .  T                                  .                                   B -

                                 IF-       k                                                      -                              x                        -                           m                            -

                            m   .                                                                                                                         m   .




               Gastric Pathological Findings                                                                               Laboratory Findings



               T                                                     m      :                                              T       m                                         m

                             ,                                                -                                                 m    B                                      ,                                  -

                                                              -                z  m                    ,                                                                          m                          m    .

                                    m,                                     -                         .                          H  m                                                                x    m

               A      mm                   ,                                                    m   ,                                            m   . H           ,       m          m           (      k

                                                                                  m             . T                                     m  ) m                                                              -

                                                                                   mm                -                                                                          z                          . T

                                                                                                       .                                                    z                                              MCV,

               A                                                                                α          β                         m                                        L.  T     m

                                           H /K -A  P     ,                                z                                  m             (MCH)                                                       %
                                                  +
                                                        +
                                                         .                                                                       . C                                                          MCV,

                    A      mm                 A                 x                             -                                         m                              , m                     MCV

                                                                          IF,                      ,                           m   . T    m                             m

                     m                                            ,                      m                                 (MCHC)                     m   . I               m   ,
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