{"id":15142,"date":"2022-05-10T08:15:20","date_gmt":"2022-05-10T06:15:20","guid":{"rendered":"https:\/\/dev.93-93-113-41.plesk.page\/ca\/?p=15142"},"modified":"2024-04-02T08:56:33","modified_gmt":"2024-04-02T06:56:33","slug":"que-es-lanemia","status":"publish","type":"post","link":"https:\/\/dev.93-93-113-41.plesk.page\/ca\/que-es-lanemia\/","title":{"rendered":"Qu\u00e8 \u00e9s l’an\u00e8mia?"},"content":{"rendered":"

L’an\u00e8mia es defineix com una reducci\u00f3 del nombre de gl\u00f2buls vermells circulants. Pot ser conseq\u00fc\u00e8ncia d’un descens en la fabricaci\u00f3 d’algun dels seus components o b\u00e9 per la seva p\u00e8rdua o destrucci\u00f3.<\/p>\n

Els gl\u00f2buls vermells (hematies) contenen una prote\u00efna rica en ferro anomenada hemoglobina, que \u00e9s l’encarregada de transportar l’oxigen des dels pulmons a la resta de l’organisme.<\/p>\n

Qu\u00e8 sentir\u00e9 si tinc an\u00e8mia?<\/span><\/h4>\n

Quan hi an\u00e8mia, el cos no obt\u00e9 tot l’oxigen que necessita. Per aix\u00f2, el s\u00edmptoma m\u00e9s freq\u00fcent \u00e9s el cansament o la debilitat. A m\u00e9s, els pacients amb an\u00e8mia poden presentar marejos, mals de cap, palpitacions o pal\u00b7lidesa cut\u00e0nia.<\/p>\n

Com es diagnostica l’an\u00e8mia?<\/span><\/h4>\n

Per al diagn\u00f2stic d’an\u00e8mia necessitem una anal\u00edtica sangu\u00ednia que inclogui hemoglobina, hemat\u00f2crit o hematies. Si l’hemoglobina es troba per sota de 12 g \/ dl en dones o 13,5 en homes, i \/ o l’hemat\u00f2crit \u00e9s inferior al 36 o 41% respectivament, parlem d’an\u00e8mia. Aquests valors de refer\u00e8ncia no s\u00f3n v\u00e0lids en algunes poblacions, com atletes o persones que viuen en zones d’elevada altitud.<\/p>\n

Altres par\u00e0metres anal\u00edtics d’utilitat s\u00f3n el VCM (volum corpuscular mitj\u00e0), que ens indica la mida dels hematies; la HCM (hemoglobina corpuscular mitjana), que \u00e9s la mitjana d’hemoglobina que cont\u00e9 cada un d’ells; i el RDW (red cell distribution width) que ens permet saber si hi ha variabilitat en la mida dels gl\u00f2buls vermells.<\/p>\n

Quines s\u00f3n les causes d’an\u00e8mia?<\/span><\/h4>\n

Com ja hem dit abans, l’an\u00e8mia \u00e9s deguda a tres situacions: descens de fabricaci\u00f3, p\u00e8rdua o destrucci\u00f3 d’hematies.<\/p>\n

La causa m\u00e9s freq\u00fcent d’an\u00e8mia \u00e9s la p\u00e8rdua de gl\u00f2buls vermells, que sol oc\u00f3rrer durant la menstruaci\u00f3, o b\u00e9 en context de sagnats digestius, cirurgia, c\u00e0ncer o traumatisme.<\/p>\n

Diverses malalties, tant adquirides com heredit\u00e0ries, poden donar lloc a un descens en la fabricaci\u00f3 dels hematies. El d\u00e8ficit o la mala absorci\u00f3 de ferro, \u00e0cid f\u00f2lic o vitamina B12 disminueixen la producci\u00f3 de gl\u00f2buls vermells a nivell de la medul\u00b7la \u00f2ssia. Hi ha altres micronutrients, com la vitamina C o el coure, que tamb\u00e9 intervenen en la formaci\u00f3 d’hematies. A m\u00e9s, es requereix d’eritropoetina (Epo), una hormona d’origen renal, per estimular aquesta fabricaci\u00f3, de manera que els pacients amb insufici\u00e8ncia renal poden tenir an\u00e8mia secund\u00e0ria a aquesta. Existeixen tamb\u00e9 altres malalties, com el c\u00e0ncer o algunes infeccions, o f\u00e0rmacs que poden disminuir la producci\u00f3 de gl\u00f2buls vermells.<\/p>\n

Finalment, altres situacions com un creixement excessiu de la melsa (esplenomeg\u00e0lia), malalties autoimmunes o infeccioses, o condicions heredit\u00e0ries com la talass\u00e8mia, poden donar lloc a an\u00e8mia per destrucci\u00f3 dels hematies.<\/p>\n

Qu\u00e8 he de fer si tinc an\u00e8mia?<\/span><\/h4>\n

En cas d’an\u00e8mia de recent diagn\u00f2stic o de causa desconeguda es recomana valoraci\u00f3 per un metge especialista per al seu estudi, valoraci\u00f3 i tractament en funci\u00f3 dels resultats obtinguts.<\/p>\n

En el servei d’aparell digestiu de Cl\u00ednica ServiDigest, podem completar el seu estudi d’an\u00e8mia mitjan\u00e7ant t\u00e8cniques endosc\u00f2piques (Fibrogastrosc\u00f2pia<\/a>, Colonosc\u00f2pia<\/a> i C\u00e0psula endosc\u00f2pica<\/a>) que permeten descartar p\u00e8rdues de sang a nivell digestiu. A m\u00e9s, si presenta una an\u00e8mia per d\u00e8ficit de ferro, folat o vitamina B12, el servei d’Endocrinologia i Nutrici\u00f3 li proporcionar\u00e0 una dieta adaptada i rica en aquests micronutrients i valorar\u00e0 la necessitat de suplementaci\u00f3 farmacol\u00f2gica.<\/p>\n

Servei d\u2019Endocrinologia i Nutrici\u00f3 de Cl\u00ednica ServiDigest<\/p>\n","protected":false},"excerpt":{"rendered":"

L’an\u00e8mia es defineix com una reducci\u00f3 del nombre de gl\u00f2buls vermells circulants. Pot ser conseq\u00fc\u00e8ncia d’un descens en la fabricaci\u00f3 d’algun dels seus components o b\u00e9 per la seva p\u00e8rdua o destrucci\u00f3. […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":15136,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[828],"tags":[555,764],"class_list":{"0":"post-15142","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-articles-medics","8":"tag-anemia-ca","9":"tag-prevencio-2"},"yoast_head":"\nQu\u00e8 \u00e9s l'an\u00e8mia? - Servidigest<\/title>\n<meta name=\"description\" content=\"L'an\u00e8mia es defineix com una reducci\u00f3 del nombre de gl\u00f2buls vermells circulants.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/dev.93-93-113-41.plesk.page\/ca\/que-es-lanemia\/\" \/>\n<meta property=\"og:locale\" content=\"ca_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Qu\u00e8 \u00e9s l'an\u00e8mia? 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