For the baby the anemia can cause, depending on the intensity, low weight and anticipation of the childbirth, beyond the retardation of the intrauterine growth Nati-mortality -Biggest incidence of fetais malformations, abortions, prematurity, daily pay-eclampsia, descolamento of placenta and retardation of intrauterine growth. 9. DIAGNOSIS For the initial detention of anmico picture is necessary to carry through a detailed analysis of the hemograma through the eritrocitria ancestry (red series of the blood) (PINE et al., 2008). Whereas the dosages of iron and srica ferritina guarantee the ferropriva etiology of the anemia. The hemograma (OLIVEIRA, 2007) is the basic examination for the diagnosis of the anemia. It is fact, currently, in electronic accountants of great transport who they count and they measure the eritrcitos and they generate curves of frequency with averages and coefficients of variation, defining the numerical parameters of the population eritride.
The best machines distinguish and count the eritrcitos youngest (reticulcitos), allowing thus an evaluation of the daily production and the regenerative reply to the anemia. Complementing the numbers of this fantastic technology with the comment to the microscope for an experienced patologista-physician, the great majority of the anemia cases can be characterized how much its mechanism of production (patognese), what it takes to the diagnosis of the illness or causal basic event (etiology). In this way, When patognese is the inadequate production of hemoglobina, either due to iron or for genetic defect in the synthesis, the hemograma will evidence the presence of lesser eritrcitos that the normal one (microcitose), for lacking content to them (HAMERSCHLAK, 2010). 10. TREATMENT an installed time the ferropriva anemia, must be corrected the deficit and be restituted the supplies of iron through the use of medicamentoso iron e, in case of kg day.
Introduction the reason of the use of complementary methods for inquiry of patients in medicine is to confirm the diagnosis of an illness, after to have been established a hypothesis based on clinical history and physical examination. These same complementary examinations, can assist the doctor in the choice of the best therapeutical one when the information are trustworthy and its results establish a direct relation of cause-effect in the illness in question. In other words, the indicative clinical signals of the presence of an illness are specific or at least more common for that illness and, when they are abolished by the implemented treatment, they indicate that the illness was cured or that its clinical repercussions had been brightened up. The complementary methods evidence the presence of occult, proper signals of the illness and that they are identified through inquiry methods special. Professor Roy Taylor takes a slightly different approach. In a similar way, the related clinical signals to an illness can be useful to evaluate its repercussion on the patient. These information, allied to the results of the complementary examinations, allow that if it establishes a prognostic. For example, after infarto of the myocardium, the state of the ventricular function can determine the signals and clinical symptoms of the patient. Moreover, the more compromised it will be the function most intense and complex they must be the mechanisms of hemodinmica compensation, data for example, for the influences of the independent nervous system or angiotensina renina system. Hear other arguments on the topic with Newcastle University.
In the first case, the taquicardia observed to the physical examination, 24-hour eletrocardiograma or Holter, indicate rise of the plasmticos levels of the catecolaminas, for example. The presence of complex arrhythmias in this population indicates great comprometimento of the function, presence or not of residual isquemia, influences of catecolaminas, etc. The inquiry methods must be capable to identify these fisiopatolgicas alterations and to assist the physician in reasoning and, from this, to trace the best therapeutical strategy. .