Anemia in Cirrhosis
Patients with cirrhosis have frequently anemia
Production mechanisms are complex, so the treatment of anemia is not as common in anemia.
The most important causes of anemia in cirrhosis are:
- Destruction of red blood cells enlarged spleen (Mechanism common in cirrhosis, which sometimes may require spleen removal)
- Destruction of red blood cells due to viruses or alcohol
- Blood loss due to damage to the stomach or duodenum, or hemorrhoids, frequent in cirrhotic
- Rupture esophageal varicose (With removal of blood by vomiting = haematemesis) Or stool (melena = black seat, soft and shiny)
- Lack of production of red blood cells because of lack of substance (B12, Folic, iron, etc.) especially in alcoholics
- Decreased bone marrow production of red blood cells due to its lack of stimulation by erythropoietin
Treatment of Anemia
Treatment of anemia in patients with cirrhosis is difficult, anemia mechanisms must be countered.
The principle means of treatment are:
1. In the spleen due to severe anemia, can be spleen removal
2. The small blood loss anemia through the digestive tract mucosa or hemorrhoids is treated cases
3. Rupture of esophageal varices in ligation-is, or their operation sclerosis
4. All anemias, severe, for whatever reason, sometimes you may need blood transfusions.
WARNING: blood is a medicine, not manufactured.
If there are blood donors, transfusion patient needs will not do it, sometimes deadly risk.
Lack of blood to blame is not due transfusion doctor, but the lack of donors.
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