دراسة بعض المعايير الفسلجية والكيموحيوية لمرضى الهيموفيليا A وفون ويليبراند في محافظة واسط == Study of some physiological and biochemical Parameters of Hemophilia A and Von Willebrand patients in Wasit Province
Author name:
شهد قاسم محمد الحمداني
Supervisor name:
كاظم جهيد كاطع الطائي
General topic:
Biology
Specific topic:
Zoology
Degree:
Master
Language:
Arabic
First pages:
24T3490 - p.pdf
Abstract:
Hemophilia A and Von Willebrand are genetic diseases caused by deficiency or malfunction in one of coagulation factors. Hemophilia is caused by the absence of factor VIII (F.VIII),and Von Willebrand is caused by a deficiency or defect of Von Willebrand factor (VWF),Carried out at Department of Biology - College of Science/University of Wasit in cooperation with Al - Karama and Al - Zahra teaching Hospitals affiliated to Wasit Health Department and some private clinics. This study includes 50 patients of both diseases, (35) Hemophilia type A from males aged between (1 - 28) years and (15) Von Willebrand patients from both sexes, (6) males and (9) females aged between (1 - 17)years were compassion with the group of healthy people which includes 25 people (13) male and (12) female aged between 1 - 28 years. Samples were collected from November 2016 to April 2017. Five (ml) of vein blood were taken and divided into two groups : The first group 1 (ml) of blood is placed in EDTA K3 tube for hematological tests,which includes Hemoglobin (Hb),Packed Cell Volume (PCV),Red Blood Cell (RBCs), Platelets (PLT), Mean Corpuscular Volume (MCV), Mean Corpuscular Hemoglobin (MCH) and Mean Corpuscular Hemoglobin Concentration (MCHC). The second groups (4ml) of blood in the gel and clot activator tubes for biochemical tests, which includes liver enzymes Alanine Transaminase (ALT), Aspartate Transaminase (AST) and Alkaline Phosphatase (ALP) as well as measurement the Total Serum Bilirubin (TSB) and Albumin, kidney function standards that include both Blood Urea and Creatinine, electrolyte standards that includes Potassium (K), Sodium (Na) And Calcium (Ca) as well as hepatitis virus B and C diagnosis. The data were taken for both patients and healthy, and both is divided into two groups, Hemophilia type A depending on ages (1 - 14 and 15 - 28 years) and Von Willebrand depending on sex (males and females) for all the studied criteria, it has been found the following resultssummary Hemophilia Disease The Results show significant decrease in (P<0.05) in the values of Hemophilia type A in the first group (1 - 14 years) Comparison to the second category (15 - 28) years to each of Hb, PCV, RBCs, MCH. with a significant increase (P<0.05) in PLT to first group more than second group , while was not significant differences (P>0.05) between both groups to each of MCHC, MCV. The Results show significant decrease (P<0.05) to Hemophilia type A to first group compared with second group in the level of liver enzymes (ALT, AST, ALP and TSB).While a significant increase (P<0.05) value to patients with each of albumin, creatinine and blood urea in the first group and second group. The Results show a significant increase in (P<0.05) in the level of calcium and sodium ions in Hemophilia type A first group compared with second group while didn’t a significant difference in level of potassium between both groups. Von Willebrand Disease The Result showed significant differences (P<0.05) in Platelet to patients with von Willebrand increased in male and decrease in female while didn’t a significant differences between male and female in each of (Hb, PCV, RBCs, MCV, MCH, MCHC). The Results show significant differences (P<0.05) between male and female to each of AST, ALP and blood urea while didn’t a significant differences between both sexes to each of ALT, albumin ,creatinine, level of total bilirubin TSB in blood serum. The present study show he significant differed between the males and females to each of Na, Ca, K.summary Hemophilia and Von Willebrand The Results show significant difference (P<0.05) between patients with Hemophilia A and Von Willebrand in each of (Hb, PCV). The Result show significant (P<0.05) between Hemophilia A and Von Willebrand in the level of ALT. The Results show he significant difference (P<0.05) between Hemophilia A and von Willebrand to each of Ca, K and Na. Hemophilia and Von Willebrand With control. The Results show significant decrease (P<0.05) in the value of (Hb, PCV, MCH, MCHC) to each of Hemophilia A and Von Willebrand compared with control. The Results show significant increase (P<0.05) in the level of Platelet to each of Hemophilia and Von Willebrand with control. The results show significant increase (P<0.05) in value of (AST, ALP, ALT, TSB) in Von Willebrand compared with control. As well as appeared presence of increase (P<0.05) For all standards above in hemophilia except standard ALT The Result showed significant decreased (P<0.05) in the value blood urea in Hemophilia and von Willebrand with control. The Result show decrease (P<0.05) in the level of Ca in the blood serum to each of Hemophilia and Von Willebrand with control. HBV and HCV The result show increase the percentage infection of Hepatitis with C and B with Hemophilia, Von Willebrand, and the percentage infection of hemophilia which is infected by hepatitis in first group is (45.5%) while the second group (46.15%). The percentage infection of patient with Von Willebrand which is infected with hepatitis (60%) to males and females while the percentage infection to patient with hepatitis (45.71%, 60%) to each of Hemophilia and VonWillebrand respectively
