Ịchọpụtacha ihe e dere na Biochemical analysis of ọbara okenye (lee table). Biochemical analysis of ọbara ụmụ: arụmọrụ, ọnụego

Onye ọ bụla chọrọ ịma ma ọ bụrụ na o nwere na ahụ ike. Iji mee nke a, e nwere a usoro nke laabu ule, nke ka ga-a nnukwu ogo n'aka nwere ike kwuru banyere kpọmkwem ọnọdụ nke onye ọrịa. Otu n'ime ihe ndị kasị nkịtị nwere ike na-akpọ a Biochemical analysis of ọbara. Na okenye na ụmụaka, a laabu ule nwere ike na-egosi na ọnụnọ nke na-ezo ọrịa na ga-enwe ohere na-asian banyere ọnọdụ ahụ ike nke n'ozuzu.

Nke a na ụdị nnyocha bụ nnọọ ihe ọmụma. Ọ bụghị nanị na-enyere aka ịmata ọ bụla ọrịa, ma na-enye ihe ọmụma banyere ihe vitamin, minerals ndị ọzọ dị mkpa bekee kọrọ ahụ mmadụ. Ọtụtụ mgbe, ndị Biochemical analysis of ọbara (arụmọrụ ụkpụrụ, nyopụta maara ọ bụla dibịa) kenyere ịchọpụta eriri afọ ọrịa, genitourinary usoro, gynecological nsogbu na a-enyo enyo na oncology.

Ma na-eche na nke a na ụdị ọbara ule na-kenyere naanị n'okpuru ụfọdụ mkpesa. Ọbụna ma ọ bụrụ na a ọrịa na-enwe na-eju afọ, ọbara n'ihi mmiri ọgwụ na-ekpughe zoro ezo forms na mmalite nkebi nke ọrịa ma ọ bụ enweghị mkpa bekee.

Olee otú ga Analysis

Iji nke nnyefe nke ihe maka ọmụmụ nwere ya iwu. Tupu ị gaa a ọgwụ eweta maka ule a, onye ọrịa ghara iri ma ọ bụ na-aṅụ, ọbụna mmiri.

N'ihi nnyocha ẹkesikpede ewe ndidi 5 ml ọbara si cubital akwara. The sample na-doro keukwu ule, na-arụpụta na-banye na a pụrụ iche. Ịchọpụtacha ihe e dere na Biochemical analysis of ọbara okenye (table gosiri n'isiokwu a) bụ a mma isi iyi nke data maka dọkịta. Ọ bụ ike inye zuru ezu ozi gbasara ọnọdụ nke onye ọrịa.

Onwe-ha, ọnụ ọgụgụ na-enye obere ihe ọmụma banyere ụdị. Iji ekele n'ezie maka ihe ndị results, dọkịta kwesịrị iwepụta maka atụnyere ụkpụrụ nke laabu ule. N'ihi mmiri ọgwụ ọbara ga-aghọ doro anya.

Onye ọ bụla nke ibiere maka analysis nwere dịghị doro anya na ụkpụrụ. E nwere kacha nta na kacha allowable ụkpụrụ maka ihe niile dị nnyocha e mere. Ọ bụrụ na n'ihi na-gụnyere na nkịtị nso, onye ọrịa abnormalities ahuru. N'ihe banyere ọnwụ nke bara uru ekesịpde ịgba ụkpụrụ kwuru na ọnụnọ nke enweghị nchịkwa mgbanwe.

Ịchọpụtacha ihe e dere na Biochemical analysis of ọbara okenye - a table nke a na-egosi site na a pụtara nnukwu ọnụ ọgụgụ nke ihe. Ka anyị tụlee ihe ndị kasị mkpa ibiere nke a laabu ọmụmụ.

albumin

Albumin - a umi nke protein agwa, nke a na-emepụta na ụmụ mmadụ imeju. Ọ bụ isi ọbara-edozi na secreted na a iche iche otu, ya bụ "protein nta". Mgbanwe ndị na-ruru nke ndị dị otú ahụ dị iche iche bụ nnọọ ihe ọmụma na dibịa. Ọtụtụ mgbe, ihe ndị na-amata ọtụtụ albumin ikpe akụrụ ọnọdụ, ọnụnọ nke cancer ma ọ bụ rheumatism.

Albumin na-dịtụ ebelata ke ime na lactating inyom, nakwa dị ka na-ese siga. Nke a proteinaceous umi nwere ike ịbụ na a ala ịta mgbe ebu ọnụ depleted protein nri, mmiri ọgwụ ọgwụ ọjọọ na gbochie afọ. The ụba uru nke a ule nwere ike na-egosi na ọnụnọ nke:

• pathologies nke nnukwu na-adịghị ala ala uwa imeju (imeju, ịba ọcha n'anya, akpụ);
• unan na Burns;
• sepsis, ọrịa ma ọ bụ suppuration;
• rheumatism;
• ahụ ọkụ;
• obi odida;
• cancer;
• ọgwụ ovadozu.

Normative albumin onu ogugu enwere ugbua:

onye ọrịa ahụ afọ	Ruru, g / l
ụmụaka	37 - 53
60 afọ	36 - 51
nká nke afọ 60 na n'elu	35 - 47

Total protein

Ndi na-edozi - a polymeric ihe onwunwe esịnede amino asịd. Na n'ihi mmiri ọgwụ okwu "ngụkọta protein" na-agụnye ego nke protein na ọbara ọbara ma ndị mejupụtara albumin na globulins. Nke a na egosi bụ ihe ọmụma maka nchoputa nke imeju ọrịa, eriri afọ tract, cancer na n'oké ọkụ unan. Quantitative ọtụtụ nke n'ozuzu protein ga nyopụta Biochemical analysis of ọbara okenye, nke e nyere n'okpuru tebụl.

Age of ọrịa	Ruru, g / l
mụrụ ọhụrụ	48 - 73
ruo 1 afọ	45 - 71
1-4 afọ	62 - 73
5-7 afọ	51 - 77
Children si 8 na afọ 15	59 - 75
toro eto	65 - 84

Ọ bụrụ na ndị analysis na underreporting ndị a ọnụ ọgụgụ, anyị nwere ike ikwu na-esonụ banyere ọrịa nsogbu:

• na-efe efe ọrịa;
• rheumatic ọrịa;
• cancer.

Na ụmụaka, na-azụ n'ozuzu larịị nke protein na-esonyere nsia mgbochi, afọ ọsịsa na vomiting, ọrịa ọgbụgbọ na ọnyụnyụ na oké Burns.

Ọ bụrụ na mmadụ a na ọbara onwu ule belata, ọ nwere ike kwuru na-esonụ ọrịa:

• enweghị nchịkwa phenomena na imeju nke iduga a Mbelata protein mmepụta site idem emi;
• glomerulonephritis;
• pancreatitis;
• ụfọdụ n'ime ndị digestive tract.

Emekarị, ngụkọta protein belatara ọrịa na isi ọbara ọgbụgba, oké Burns, unan na dị iche iche na mkpali Filiks, nakwa dị ka na-ebu ọnụ na oké mmega.

C-reactive protein

Nke a akụrụngwa na-egosi mbufụt, ọrịa, ọnụnọ nke nje ndị ọzọ. Ebe ọ bụ na ọrụ nke protein - nchikota ndi mmadu di nke ọgụ, ya ịta-amalite na abawanye sharply n'oge ngosipụta nke ahụ Jeremaya mere. Nọmalị, na CRP ịta nke 0,5 mg / l.

N'ihi na dọkịta CRP analysis ọ dị mkpa na nchoputa nke ọrịa ndị bacteria ma ọ bụ nje. Ọzọkwa, Ọnọdụ nke a na-egosi na ọ na-ekpe ikpe na irè nke ọgwụ. Elu CRP ịta hụrụ na:

• rheumatism;
• ọrịa nke digestive usoro;
• ụkwara nta;
• myocardial infarction;
• cancer;
• meningitis;
• sepsis;
• nsogbu mgbe ịwa ahụ.

CRP ịta na-ụba n'oge exacerbation nke ala ala ọrịa.

glycosylated haemoglobin

Haemoglobin bụ maka na iga nke oxygen ụmụ irighiri ofụri idem. N'oge adianade dị otú ahụ protein ụmụ irighiri nke glucose nwetara umi akpọ glycated haemoglobin. Na-abawanye na ya ịta na ọbara - a mere na-enyo enyo arịa ọrịa shuga. The norm nke protein content - 4,1-6,6%. Lower onu ogugu enwere ugbua na ogologo oge abstinence nri na oké mmega.

myoglobin

Nke a protein bụ yiri na ọrụ na haemoglobin. Ọ na-enye oxygen ka obi na skeletal uru. Standards myoglobin, ug / l:

• nwanyi - 13-75;
• nwoke - 18-92,1.

Na-abawanye na ọbara myoglobin ekwu, sị:

• akụrụ ọrịa;
• myocardial infarction;
• unan, Burns;
• convulsive phenomena.

Myoglobin nwekwara-eto eto na egwuregwu na ọgwụ na elekroimpulsov.

Nke a ọbara protein mbelata mgbe:

• polymyositis;
• myasthenia gravis;
• ọrịa ogbu ogbu na nkwonkwo;
• autoimmune Jeremaya mere.

Transferrin, ferritin, ọbara zhelezosvertyvayuschaya ike

Transferrin - a protein maka iga nke ígwè. Norm na ya na - 2,1-4,12 g / l. Ya ịta na-elu na ime ndị inyom na-ebelata n'ebe ndị agadi.

Ọ bụrụ na ọbara n'ihi mmiri ọgwụ gosiri ubara ọdịnaya nke transferrin, o nwere ike na-egosi ndị na-esonụ ọrịa:

• mbufụt;
• Burns;
• cancer;
• imeju;
• ngafe ígwè;
• hemochromatosis.

Mụbara transferrin egosi ígwè erughi anaemia.

Ferritin - a protein na-achọta niile mmiri ahụ na mkpụrụ ndụ nke ahụ mmadụ. Ọ na-egosi na ọnụnọ nke ígwè na-echekwa. Normalized kwa nke ferritin, and / L n'ime ọbara na-adabere na n'ala na mejupụtara:

• nwoke - 21-252;
• inyom - 11-122;

Na elu udu ọ bụ omume na-ekwu okwu ndị na-esonụ pathologies:

• hemochromatosis na ígwè bufee;
• oncology, leukemia;
• na-efe efe na mkpali oria na a-adịghị ala ala ma ọ bụ nnukwu;
• ọrịa imeju;

Low ferritin egosi ọnụnọ nke anaemia.

CSH-atụ aro otú nkịtị ígwè ka transferrin. Iji chọpụta ojiji nke anaemia echiche nke latent LSC. The ọnụego a criterion 22-61 mol / l. Ya ọnụ bụ na:

• ịba ọcha n'anya;
• anaemia.

Ibenata mmasi nke CSH a hụrụ n'okpuru ndị na-esonụ ọnọdụ:

• na-efe efe;
• ozizi;
• nephrosis;
• gwụrụ;
• imeju;
• hemochromatosis na thalassemia.

ọrịa ogbu na-akpata

Ndị bekee dịịrị immunoglobulin klas G-lgG. Ọ bụ nwa afọ ka ahụ mmadụ na-edozi ahụ na-mutated na wee mata na mkpụrụ ndụ dị iche iche na akụkụ dị ka mba ọzọ n'okpuru nduzi nke nje. Nkịtị Biochemical analysis of ọbara okenye a na-egosi - 10.1 U / ml. N'ọnọdụ nke mụbara kasịnụ nke protein ọ na-abịa na-esonụ ọrịa:

• imeju;
• cancer;
• polymyositis;
• ọrịa ogbu ogbu na nkwonkwo;
• dermatomyositis;
• ọrịa;
• systemic lupus erythematosus.

enzymes

Ịchọpụtacha ihe e dere na Biochemical analysis of ọbara okenye, na table e nyere onye ọrịa na aka, nakwa dere data na quantitative ọdịnaya nke ndị na-esonụ enzymes:

• Amylase. Nke a enzyme a tọhapụrụ na asu (diastase) na na pancreas. Ikpeazụ akpọ pancreatic amylase. Diastase ji ụkpụrụ 29-101 U / L. Uku a ọgụgụ show anomalies pancreas, cholecystitis, nnukwu peritonitis, mumps na-arịa ọrịa shuga. Pancreatic amylase nkịtị, ọ bụrụ na ọ na-emi odude n'ime 0-52 U / L. High ịta nke na-ekwu banyere pathologies nke pancreas.
• Lactate dehydrogenase - na enzyme na pụrụ ịchọta fọrọ nke nta niile na akụkụ na anụ ahụ. Na afọ, ịta dara. Ọ bụrụ na a mụrụ nwa ọhụrụ bụ ọdịnaya nke LDH 2010 U / L, mgbe afọ 12, na-ahụkarị na-ebelata ka 252 U / L. The akwa ịta nke enzyme egosi hypoxia, gbasara obi na vaskụla ọrịa, imeju, akpa ume, na ike na-egosi cancer.
• Creatine kinez - enzyme na-enye uru na ike. Ọdịnaya nke ihe a na-egosi na Biochemical analysis of ọbara. The iwu index dị iche iche nke a enzyme iche iche dabere na afọ na okike. Ọ bụrụ na ị nwere a mụrụ ọhụrụ, nke a na-egosi bụ 650 U / L, ndị toworo eto - banyere 202 U / L.

Mụbara ịta nke CK okwu banyere obi ọrịa, tetanus, hypothyroidism, Central ụjọ usoro ọrịa na cancer. The ịta nke enzyme na-ebelata n'oge muscular dystrophy na arụghị ọrụ.

Ọdịnaya nke ndị a na ndị ọzọ na enzymes ga-enye echiche Biochemical analysis of ọbara. N'ihi mmiri ọgwụ ọbara nwekwara ike gwa banyere ịta nke ndị na-esonụ enzymes: alanine aminotransferase, gamma - GT, AST, esterase, phosphatase alkaline na lipase.

lipids

Isi egosi bụ ọbara Biochemical analysis na lipids mmol / l:

• ngụkọta cholesterol, na-ahụkarị nke 3,2-6,12;
• LDL, na-ahụkarị maka ndị ikom - 2,26-4,81, n'ihi na ndị inyom - 1,9-4,51;
• HDL cholesterol, na-ahụkarị maka ndị ikom 0,73-1,74 n'ihi na ndị inyom - 0,87-2,27.

Ebu ọnụ ọgụgụ nke ndị a ibiere na-ekwu banyere ọrịa obi na ọbara arịa, akụrụ, gout, pancreatic abnormalities, ibu oké ibu, anorexia na aṅụrụma. Belata lipid àmà nke anaemia, obi ọdịda, na-efe efe, imeju na imeju na cancer, ọrịa nke ngụgụ.

carbohydrates

Isiokwu Biochemical analysis ọbara, nyopụta nke bụ nke mmasị niile ọrịa, na-e dere ozi banyere ọdịnaya nke carbohydrates:

• Glucose. Ọ bụ a bụrụkwa ihe na nchoputa nke arịa ọrịa shuga. Norms nke glucose dị n'ọbara, mol / L bụ: na ụmụaka na-eto eto - 3,34-5,6; ndị okenye - 3,95-5,82; mgbe afọ 60 - 6.4. The elu carbohydrate ọdịnaya nke a na-ekwu okwu nke endocrine ọrịa, ọrịa shuga, nkụchi obi na ọrịa strok, ọrịa nke pancreas na akụrụ. Belata glucose indicative nke ọrịa na nke eriri afọ tract, na nsi na hypothyroidism.
• Fructosamine bụ a criterion na nchoputa nke-arịa ọrịa shuga mellitus na nwale nke àgwà ya ọgwụgwọ. Ya ịta ókè - 203-282 mmol / l. N'ihe banyere nke elu ụkpụrụ na ọ bụ a akụrụ abnormalities, ọrịa shuga ma ọ bụ hypothyroidism. Na ala kasịnụ nke fructosamine bụrụ na nke hyperthyroidism na akụrụ ọrịa.

pigments

Tinyere ihe ndị ọzọ na-egosi na analysis of "ọbara n'ihi mmiri ọgwụ," i nwere ike ịhụ akara "bilirubin". Ọ tụrụ na mmol / l na bụ nke ọtụtụ ụdị:

• Direct. Norma 0-3,32;
• N'ozuzu. Norm 3,38-17,23.

Mụbara bilirubin egosi abnormalities nke na imeju na-eru ma vitamin _B12.

Ọzọ mmiri ọbara onwu

Dọkịta nile nwere echiche otú ịghọta Biochemical analysis of ọbara: nkịtị (Isiokwu: okenye na ụmụaka) nke ọ bụla akụrụngwa dị mkpa na-amata ọnọdụ nke onye ọrịa. Tụkwasị na nke a mmiri na ndepụta nke ihe ndị laabu research na-agụnye:

egosi	nkeji ịtụ	norm
creatinine	mmol / l	ruo otu afọ - 17-36 si otu afọ afọ 14 - 28-61 nwanyi - 52-98 nwoke - 61-116
uric acid		ruo afọ 14 - 1,83-6,42 nwoke - 210-420 inyom - 151-352
urea	mmol l	ruo afọ 14 - 1,83-6,42 toro eto 14-60 afọ - 2,51-6,42 mgbe afọ 60 - 2,91-7,52
potassium		ruo otu afọ - 4,12-5,31 1-14 afọ - 3,42-4,72 ndị okenye - 3,51-5,54
calcium		2,23-2,52
sodium		136-145
chlorine		98-107
magnesium		0,63-1,12
site		ruo afọ 2 - 1,46-2,15 2-12 afọ - 1,45-1,77 toro eto 12-60 afọ - 0,88-1,46 inyom mgbe afọ 60 - 0,9-1,33 nwoke afọ 60 - 0,73-1,22
ígwè	mmol / l	ruo otu afọ - 7,22-17,92 1-14 afọ - 9,03-21,52 nwanyi - 9,0-30,4 nwoke - 11,63-30,42
Witham B12	Ntuziaka Nne na Nna / ml	180-900
folic acid	and / ml	3,1-18

Na atụle nnabata ya na data nwetara site na ihe ọmụmụ banyere ọbara onwu, bụchaghị n'ime akaụntụ ụkpụrụ nke laabu ebe analysis e rụrụ. Iji mee ka ezi nchoputa, dọkịta a chọrọ ndimek nchọnchọ ndị ọzọ.