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Frequent questions | |
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He asks the doctor | |
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Beginning | |
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HEMOCROMATOSIS | |
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 DEFINITION YOU CAUSE SYMPTOMS DIAGNOSTIC TREATMENT PROGNOSIS TO SEE TO CONSULT |
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The hemocromatosis is an illness of the metabolism of the iron that determines the accumulation of this metal in the organs of the body. The primary hemocromatosis is caused by a genetic or hereditary problem that alters the metabolism of the iron and allows his accumulation in different organs being able to affect 1 of every 250 persons. The iron accumulation for lack of a correct metabolización affects especially to an inadequately high deposit at level of the liver and for it the same one increases of size. The accumulation in the pancreas generates a diabetes, in the skin increase of the coloration. In the heart it produces a surcharge for red blood corpuscles excess in the blood (thick and heavy blood). The secondary hemocromatosis is secondary to other illnesses of the blood, like the talasemia, anemias the chronic alcoholism etc... The hemocromatosis already usually begins giving symptoms in the adult of more than 40 years of age and more in the men. Principally it can give:
The general examination can detect an increase of the size of the abdominal organs (Liver, spleen, etc...) and especially the bronze-colored color of the skin without apparent cause. He can verify by means of the analytical one in the one that will be observed:
It was possible to verify, although it is not usually necessary, by means of a hepatic biopsy. It is possible to realize a genetic study to detect patients with hemocromatosis without symptoms, in the relatives of affected symptomatic patients. To verify the extension of the problem at organic level and possible complications they usually realize studies of Electrocardiogram, TAC (abdominal scanner), I study of blood with alfafetoproteina and other tumor scoreboards, glycemia, serología of hepatitis. The treatment is realized extracting by means of periodic bloodletting the remaining iron so that it does not accumulate in the organs and textiles. To the beginning bloodletting of half a liter can be every week and according to the evolution the rule is less frequent depending on the symptoms and of the hemoglobin levels and ferritina in whey. It is necessary to control the presence of a diabetes, an arthritis, and hepatic and cardiac problems. It is recommended not to drink alcohol, and to avoid medicines or food with high place contained in iron (raw fish cooked in kitchen tools cash, food enriched with iron, etc...) If the diagnosis is precocious without hepatic injuries, of pancreas or cardiac the prognosis is very good. By it the genetic studies of precocious detection are encouraged in the families of the affected ones. |
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