Condition Of Membranes Of Erythrocytes Of Peripheral Blood Of Elderly People With Chronic Tiredness And Low Level Of Tolerance To Physical Load

Popel Serge L
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Abstract

The aim of the work is to study the osmotic stability and morpho-functional features of peripheral blood erythrocytes of patients with chronic fatigue syndrome depending on the level of tolerance to physical load (TPL) and associated risk factors. groups of factors that may be the cause, so the development of measures to eliminate them is an urgent problem today, which requires the development of effective ways to correct chronic fatigue syndrome. It is known that the peripheral part of erythron actively responds to changes that occur in the whole body after the action of various factors, including those factors that lead to chronic fatigue syndrome (CFS). Material and Methods of Research The examination was performed on the basis of the Department of Vascular Neurology of the Central Clinical Hospital of Ivano-Frankivsk. The study involved 30 patients aged 55-65 years (mean age 60.6 + 1.2 years), who were divided into 3 groups: 1 gr. included 10 patients with chronic fatigue syndrome and a high level of exercise tolerance. The 2nd group included 10 patients with chronic fatigue syndrome and the average level of exercise tolerance, the composition of 3 gr. included 10 patients with chronic fatigue syndrome associated cardiovascular pathology (angina pectoris, hypertension) and low exercise tolerance (3 gr.). Results It is established that chronic fatigue syndrome proceeds in 3 phases and has natural stages of development which are characterized by three groups of etiological factors and the corresponding levels of teletransitivity to physical activity, each of which corresponds to a certain erythrocyte profile and level of osmotic stability of erythrocytes which are offered to use as prognostic and diagnostic characteristics. chronic fatigue syndrome. Conclusions The study of the quantitative composition of peripheral blood erythrocytes and hemoglobin, as well as their ratio (color index) in patients with chronic fatigue syndrome on the background of low levels of exercise tolerance revealed a decrease in erythrocytes and hemoglobin by 42% and 25%, respectively, indicating the presence of anemic hypoxia. 2. In conditions of chronic fatigue there is a decrease in osmotic resistance of erythrocytes, as evidenced by a decrease in the number of osmotically stable erythrocytes with a gradual decrease in the concentration of NaCl solution (3.0%; 0.5%; 0.46%; 0.3%). 3. In chronic fatigue there is a deterioration of membranes in peripheral blood erythrocytes, as evidenced by a decrease in their osmotic stability and an increase in the number of irreversibly altered forms of РВЕ, as well as a decrease in peripheral blood erythrocytes, which is closely correlated with decreased tolerance to exercise.
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慢性疲劳和低负荷耐受性老年人外周血红细胞膜状况
本研究的目的是研究慢性疲劳综合征患者外周血红细胞的渗透稳定性和形态功能特征与身体负荷耐受水平(TPL)和相关危险因素的关系。各种因素可能是病因,因此制定消除措施是当今迫切需要解决的问题,这就需要制定有效的方法来纠正慢性疲劳综合征。众所周知,红细胞外周部分在各种因素的作用下对全身发生的变化做出积极反应,包括导致慢性疲劳综合征(CFS)的因素。研究材料和方法本研究在伊万诺-弗兰科夫斯克中心临床医院血管神经内科进行。本研究纳入30例年龄在55-65岁(平均年龄60.6 + 1.2岁)的患者,分为3组:1组包括10例慢性疲劳综合征和高水平运动耐受性患者。第二组包括10例慢性疲劳综合征患者和运动耐量平均水平的患者,组成3克,包括10例慢性疲劳综合征相关心血管病理(心绞痛、高血压)和低运动耐量患者(3克)。结果慢性疲劳综合征分3个阶段进行,具有自然发展阶段,以3组病因和相应的身体活动遥传递性水平为特征,每组病因和运动遥传递性水平对应一定的红细胞谱和红细胞渗透稳定性水平,可作为预后和诊断特征。慢性疲劳综合症。结论低运动耐量背景下慢性疲劳综合征患者外周血红细胞和血红蛋白定量组成及其比值(色指数)研究显示,红细胞和血红蛋白分别下降42%和25%,提示存在贫血性缺氧。2. 在慢性疲劳状态下,红细胞的渗透阻力降低,渗透稳定红细胞的数量随着NaCl溶液浓度的逐渐降低而减少(3.0%;0.5%;0.46%;0.3%)。3.在慢性疲劳中,外周血红细胞膜退化,其渗透性稳定性下降,不可逆改变形式РВЕ数量增加,以及外周血红细胞减少,这与运动耐受性下降密切相关。
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