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К последним относятся костный мозг, селезёнка и лимфатические узлы [1](https://Megapteka.ru/specials/chto-lechit-gematolog-6239). Специалист занимается диагностикой, лечением и профилактикой патологий крови, а также наблюдает за пациентами с хроническими состояниями крови, чтобы контролировать их состояние и предотвращать осложнения [1](https://Megapteka.ru/specials/chto-lechit-gematolog-6239)[6](https://simplehealth.clinic/stati/kogda-sleduet-obratitsya-k-gematologu/).\n\n\n\n## Заболевания\nНекоторые заболевания, которые лечит гематолог: \n* **Анемии** — состояния, при которых в крови снижено количество эритроцитов или гемоглобина [1](https://Megapteka.ru/specials/chto-lechit-gematolog-6239)[4](https://fomin-clinic.ru/blog/kto-takoy-gematolog/). Например, железодефицитная, В12-дефицитная, апластическая (когда костный мозг снижает выработку клеток крови) [1](https://Megapteka.ru/specials/chto-lechit-gematolog-6239). \n* **Нарушения свёртываемости крови** — состояния, связанные с повышенной кровоточивостью (гемофилия, болезнь Виллебранда, тромбоцитопении) или, наоборот, с повышенным тромбообразованием [1](https://Megapteka.ru/specials/chto-lechit-gematolog-6239). \n* **Онкогематологические заболевания** — злокачественные болезни системы крови: лейкозы, лимфомы (ходжкинские и неходжкинские), миеломная болезнь [1](https://Megapteka.ru/specials/chto-lechit-gematolog-6239). \n* **Другие заболевания** — наследственные и приобретённые нарушения формы и функции клеток крови (например, серповидно-клеточная анемия), стойкие изменения в анализах крови неясного происхождения (например, лейкоцитоз или тромбоцитоз) [1](https://Megapteka.ru/specials/chto-lechit-gematolog-6239).\n\n## Диагностика\nДля постановки диагноза гематолог может назначить: \n* **Лабораторные анализы крови** — общий анализ крови, биохимический анализ крови, коагулограмму (анализ на свёртываемость крови) [7](https://nordin.by/news/zabolevaniya-krovi-kak-ih-vyyavlyaet-i-lechit-doktor-intervyu-s-gematologom-leonidom-kolbasko.html). \n* **Инструментальные методы** — УЗИ органов брюшной полости и лимфоузлов, МРТ и КТ, ПЭТ-КТ (используется для диагностики злокачественных заболеваний крови) [7](https://nordin.by/news/zabolevaniya-krovi-kak-ih-vyyavlyaet-i-lechit-doktor-intervyu-s-gematologom-leonidom-kolbasko.html).\n\n## Лечение\nЛечение гематолог выбирает в зависимости от состояния пациента, типа патологии, наличия сопутствующих заболеваний [5](https://clinic-family.ru/services/hematology/). Некоторые подходы: \n* **Медикаментозная терапия** — препараты для лечения анемий, лекарства для гемофилии (факторы свёртывания), противоопухолевые препараты [7](https://nordin.by/news/zabolevaniya-krovi-kak-ih-vyyavlyaet-i-lechit-doktor-intervyu-s-gematologom-leonidom-kolbasko.html). \n* **Трансфузии** — переливание эритроцитов, тромбоцитов и плазмы при анемии, тромбоцитопении и нарушениях свёртываемости [7](https://nordin.by/news/zabolevaniya-krovi-kak-ih-vyyavlyaet-i-lechit-doktor-intervyu-s-gematologom-leonidom-kolbasko.html). \n* **Плазмаферез** — метод, при котором из организма удаляется часть плазмы для удаления токсинов, аутоантител или лишних клеток (например, при аутоиммунных заболеваниях, некоторых видах лейкозов) [7](https://nordin.by/news/zabolevaniya-krovi-kak-ih-vyyavlyaet-i-lechit-doktor-intervyu-s-gematologom-leonidom-kolbasko.html). \n* **Хирургия** — например, операции при тромбозах [7](https://nordin.by/news/zabolevaniya-krovi-kak-ih-vyyavlyaet-i-lechit-doktor-intervyu-s-gematologom-leonidom-kolbasko.html).\n\n## Рекомендации\nГематолог может предоставлять консультации по вопросам питания, образа жизни и управления стрессом, которые важны для поддержания здоровья крови [6](https://simplehealth.clinic/stati/kogda-sleduet-obratitsya-k-gematologu/). 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