Overcoming Low Hemoglobin Levels But High Blood Pressure?

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Asalamualaikum dr. I want to ask, my mother was treated for a fast heartbeat, when the blood pressure check was high, the laboratory check was low, the suggestion was for a transfusion, when she wanted a transfusion, she said that my mother’s blood had positive minor abnormalities and a major positive, if the transfusion would have side effects such as fever, shortness of breath and death, of course our family does not agree to a transfusion according to dr, what is actually the disease and is there a problem other than transfusions to increase HB, then what does the positive major and minor positive mean

1 Answer:

Hi Kurnia Sari .. Thank you for the question given.


Anemia is a condition in which the number of blood cells that contain hemoglobin is low. Hemoglobin serves to deliver oxygen throughout the body. If a little oxygen is delivered throughout the body, it will certainly interfere with the body's work. Symptoms experienced by anemia sufferers include: fatigue, palpitations, pale appearance, shortness of breath, dizziness, chest pain, difficulty concentrating, insomnia. There are several causes of anemia, some are caused due to: lack of iron, deficiency of folic acid or vitamin B12, due to bleeding, disorders of the spinal cord, or due to the faster destruction of blood cells. For the treatment of severe anemia, blood transfusions are necessary. Before the blood transfusion is carried out, there are several things that need to be done, one of which is important is crossmatching. Crossmatch is useful for matching whether the recipient's blood matches the donor's blood.


Major crossmatch is done by testing the recipient's serum with donor blood cells, while the minor crossmatch is by testing recipient plasma and donor blood cells. In the blood plasma contains antibodies so that it can be assessed whether there is a reaction between antibodies in the plasma and natural blood antigens. If the reaction of the two crossmatches is positive, it can be followed by a DCT (Direct Coombs Test) and ensure that there are no errors in the blood of the donor or the recipient's blood being checked. The result of positive major and minor crossmatch results is that there can be hemolysis / rupture of blood cells due to incompatibility of blood cells.


Consult with the doctor who treated your mother about this condition and other treatment options for your mother's condition. You can search for other donors that match your mother's blood.


May be useful


dr. Iriyanti

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