Low hemoglobin does not necessarily indicate leukemia, but may be caused by iron deficiency anemia, chronic inflammation, malnutrition, physiological changes during pregnancy, or abnormal bone marrow hematopoietic function. Leukemia is a rare cause that requires comprehensive judgment based on blood routine, bone marrow puncture, and other examinations.
1. Iron deficiency anemia:
Long term insufficient iron intake or absorption disorders can lead to reduced hemoglobin synthesis, manifested as fatigue and pale complexion. It can be improved by supplementing iron rich foods such as animal liver and spinach. In severe cases, medication such as iron dextran and ferrous sulfate should be used under the guidance of a doctor.
2. Impact of chronic diseases:
Chronic inflammation such as rheumatoid arthritis and tuberculosis will inhibit the hematopoietic function of bone marrow and cause anemia of chronic diseases. Usually accompanied by primary symptoms, priority should be given to controlling underlying diseases, and erythropoietin should be used if necessary.
3. Nutritional deficiency:
Vitamin B12 or folate deficiency can lead to megaloblastic anemia, which is common in long-term vegetarians or gastrointestinal surgery patients. It can be supplemented by fortified foods such as grains, eggs, and milk. In severe cases of deficiency, intramuscular injections of vitamin B12 or oral folic acid tablets are necessary.
4. Anemia during pregnancy:
Increased blood volume in pregnant women leads to relative dilution of hemoglobin, which is a physiological change. It is recommended to increase the intake of red meat and dark vegetables, and regularly supplement iron supplements in the middle and late stages of pregnancy to prevent the aggravation of anemia. 5. Bone marrow disorders: Leukemia, myelodysplastic syndrome, and other diseases can directly affect hematopoietic function, often accompanied by fever and bleeding tendencies. Confirmed through bone marrow biopsy, acute leukemia requires timely chemotherapy or hematopoietic stem cell transplantation.
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