Page 310 - Clinical Hematology_ Theory _ Procedures ( PDFDrive )
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294            PART 4  ■  Erythrocyte Disorders





               ■    C                                            mm                    G (I  G)
                        mm                    M (I  M)                                                                          BOX  16.1

                               mm       .


               ■    M           -                                                                      -
                                                                                                      -                       Complementary Regulatory Proteins

                                          .                                                                                   CD      (                                           )        x


               ■    A                                                                                                                                                              (GPI)               m  m-
                                                                      m     m          m           ,                                                              m              m             C             -

                    C  . T                                                        .                                                                    m             m                   m  m                  k


               ■    T   m                                           C                             C                                    m    x (MAC).
                                   .                                                                                          CD      [m  m                                         (MCP)]


               ■    P    m           k     k                                C                                                               m  m
                          m      .                                                                                                                C                    .



                    A                                                                     m C         -                       CD                     GPI-                m  m
                         . F   m               ,                     m     m          m                                                    k                         C          C                   m


                                              m                                 m                                                            MAC.
               m  m                  k     m     x (MAC)                q                   -                                 F         I                                   m     m                    . I


                          m        .                                                                                                                                    ,                                          C    .
                    T       m     m             m                        m                                                    F         H


               C                           m     . A  m                                m            -                                                                       . I                         C         -
                                                    m                                     m                                                   . I                  m                                         I.


                                                                                 . S               m     -                          m    m                                       I–m              C
               m                                                                                 m     -                                               .


               m             m;             m
                  f x   ,             C            C    .





               Activation of Complement                                                                                       m                                                   C                C  . T

                                                                                                                              q                     m                             —C  ,  C  ,  C  ,  C  ,  C  ,
               N   m     ,     m     m          m                                                 -                        C  , C  , C  ,        C  —                                x                m

                                                    m. C  m     m                                                                 .

                                                m  m         -                                  m     -                         C                                  m                        q             ;   x  -

               m                                    . C  m     m     -m                 m                                             C            m  j    q                                              m     -

                    m                    paroxysmal  nocturnal  hemoglobinuria                                             m                   .

                PNH                           m               m              m   (  HUS)                                        T                                           m  j             :

                              m                   /

                  m     m                                       m                                                           .  R

                                      m     m                                                                               .  Am                                           m     m

                      m     m     .  S                m     m                                                               .  M  m                  k     m     x (MAC)

               (      B  x     .  )                                                   k                m-

                   m                                 .                                                                          T    m  m                  k     m     x (MAC)            q            m

                    A                       m     m                                                                                                                     m     x            m  m               m

                m                                                                                                                            m               . W                     m

               C    ,                                             x m        m     m              .                                        , C  , C  , C    ,        C       m       MAC.

               B                      C                                       m          m                                      T    C    C  C  C        m     x         m    z     C             m

                   MAC                                                   m           m     m                                          (       ),                          m  m

                       .                                                                                                          k    ,

                    A          m     m                                     ,              z  m        -                                         x        . B       m     x             C  ,       osmotic

                                                                      m     m          m                                   cytolytic reaction                       . T                                     -

                     m     x. T                                                             C

                                  z  m                 . B                         z  m                                                 j              m       m  m        . A

               m           z  m                  ,                      m                         C                            m                   m                                                 f

                       ;               ,                        m     m         m                          .                                               x                                             m
                                                                                                                                          m  m         . I                  ,                m

                                                                                                                                     ,                                                       . T             q
               Classic Pathway
                                                                                                                                                                          x             m (N  )
                                                                                                                                                                                                             +
               T                  m     m                                        m  j                                      H O                                     m                    ,

               m            m                    -m              mm       . T                                                          .
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