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Produse de sange
Definitii
Imunizare-raspunsul organismului la un
antigen strain
Definitii
pe membrana celulara
Definitii
In functie de repartitie:
Sistemul ABO
Sistemul ABO
Anticorpii sistemului ABO:
A anti B
B anti A
O anti A si B
Sistemul ABO
Determinarea se face obligatoriu prin 2 metode,
concomitent
1.identificarea Ag de pe eritrocite (metoda BethVincent)
2.identificarea ac serici (naturali) (metoda Simonin).
Determinarea
Forward
grouping:
Identificare anticorpi
Sistemul Rhesus
Sistemul Rhesus
Testare pretransfuzionala
- grupajul
- anticorpi antieritrocitari
- compatibilitatea
Compatibilitatea pretransfuzionala
In urgenta:
Rh
negativ!!!
Alte Ag eritrocitare
Immunologic
- Alloimmunization to:
Red cell antigens
HLA antigens
Platelet-specific antigens
Neutrophil-specific antigens
- Hemolytic transfusion reactions
Acute
Delayed
- Febrile nonhemolytic transfusion reactions
- Transfusion-related acute lung injury
- Allergic transfusion reactions
- Posttransfusion purpura
- Immunomodulatory effects
- Graft-versus-host disease
Nonimmunologic
- Volume overload
- Massive transfusion
Metabolic
Hypothermia
Dilutional
Pulmonary microembolization
- Miscellaneous
Plasticizers
Transfusion hemosiderosis
Infectious
Hepatitis: A, B, C, delta, other
Human immunodeficiency virus-1/-2
Human T-lymphotropic virus-I/-II
Syphilis
Cytomegalovirus
Epstein-Barr virus
West-Nile virus
Parasites: malaria, Babesia, trypanosomes
Variant Creutzfeldt-Jakob disease
Bacterial contamination
Other organisms
Donarea de sange
Donatorii:
Donarea:
Registru donatori
Hb>12.5g/dl.
Teste virale:
Ag HBs
Ac anti HCV
Plus anticoagulant
450-500ml
Separare centrifugare
pierderii acute
prin cresterea AV si a rezistentei vasculare
Acelasi proces, insa realizat automat.
F rar lipotimie, sincopa
Utilizand separarea automata colectare tintita de
cantitate mai mare din produsul dorit (plachete,
Astenie, greata
eritrocite, plasma, etc), returnand celelalte
elemente/plasma, +/- SF
Deficit fier donare cronica cu frecventa prea mare
Evitarea alloimunizarii