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HbA2 (2%)
HbF (1%)
HbA1c (6%)
Abnormal
Carboxy Hb
Met Hb
Sulf Hb
• Hemoglobin A (HbA)
– Major Hb in adults.
pCO2
Po2
pH of the (partial Availabilit
(Partial
environme carbon y of 2,3-
oxygen
nt dioxide BPG
pressure)
pressure)
• Oxygen dissociation curve :
–The curve is sigmoidal in shape
–Heme-heme interaction
Factors affecting oxygen binding :
Higher affinity for O2 than Constitutes ~2% of total Hb HbA undergoes non-
HBA enzymatic glycosylation
Glycosylation depends on
plasma glucose levels
Important because the Because they have higher
maternal O2 which is mainly amount of glucose
HbA has to be delivered to the *life span of RBCs =120
fetal hemoglobin across the day so if the glucose
placenta which is HbF so it has bound to HbA1c level
because it stays for 120
tohave higher
Transfers affinity
O2 from to O2
maternal
to fetal circulation across days so until the patient
placenta maintain his blood glucose
level over a period of 3
months
*fasten glucose test will
show drop in glucose
because the patient didn’t
Summary
Hb functions : Carries oxygen from the lungs to tissues .Carries carbon dioxide from
tissues back to the lungs
Normal levels : Males: 14-16, Females: 13-15
A.High affinity → slow unloading of O₂ (low P50 value)
B. Low affinity → fast unloading of O₂ (high P50 value)
pO₂ - Lung pO₂ is 100 mm → Hb saturation 100%
- Tissue pO₂ is 40 mm → Hb saturation reduces
Acidosis :Decreased O₂ affinity
pH
Alkalosis: increased O₂ affinity