贫血三项正常但是贫血怎么回事，What to do

In general, even when the three indicators for anemia are normal, anemia may still occur due to acute massive blood loss, chronic long-term blood loss, hemolytic anemia, chronic kidney disease, hypothyroidism, or other causes. It is recommended to seek medical attention promptly, identify the underlying cause, and then improve the condition under a doctor's guidance through general treatments, medication, and other methods. Specific analyses are as follows:

1. Acute massive blood loss: Significant blood loss in a short period due to trauma, surgery, or similar events leads to a rapid decrease in red blood cell count, while the three anemia indicators have not yet shown obvious changes, resulting in anemia. Immediate treatment involves blood transfusion to replenish red blood cells and correct the blood loss.

2. Chronic long-term blood loss: Prolonged minor bleeding caused by conditions such as peptic ulcers or hemorrhoids results in iron loss through blood, but the level of deficiency has not yet reached that of iron-deficiency anemia. In such cases, anemia symptoms may appear despite normal anemia test results. Treatment should target the underlying disease. For example, patients with peptic ulcers should follow medical advice to take medications such as omeprazole enteric-coated capsules, rabeprazole sodium enteric-coated tablets, and aluminum magnesium carbonate chewable tablets to repair the gastric mucosa.

3. Hemolytic anemia: When the rate of red blood cell destruction exceeds the compensatory capacity of bone marrow hematopoiesis, anemia can occur despite normal anemia test results, often accompanied by jaundice and splenomegaly. Patients should follow medical advice to take medications such as prednisolone tablets, dexamethasone tablets, and azathioprine tablets to suppress hemolysis.

4. Chronic kidney disease: Reduced kidney function leads to decreased secretion of erythropoietin, causing insufficient red blood cell production. Anemia may develop even with normal anemia test results, accompanied by fatigue and edema. Patients should follow medical advice to use medications such as recombinant human erythropoietin injection, ferrous succinate tablets, and vitamin C tablets to promote red blood cell production.

5. Hypothyroidism: Insufficient thyroid hormone secretion slows metabolism and suppresses bone marrow hematopoietic function, leading to reduced red blood cell production. Anemia may occur despite normal anemia test results, accompanied by cold intolerance and excessive sleepiness. Patients should follow medical advice to take medications such as levothyroxine sodium tablets, thyroid tablets, and levothyroxine sodium enteric-coated tablets to supplement thyroid hormones.

In daily life, maintain regular作息 (sleep-wake cycles), avoid staying up late, and ensure adequate sleep; eat a balanced diet rich in high-quality protein, vitamins, and minerals; regularly recheck complete blood counts to monitor improvements in anemia, and adjust treatment plans according to disease progression.