Deciphering ka biochemical Ka Ikepili o ke koko i loko o nā mākua (nānā i ka papaʻaina). Biochemical Ka Ikepili o ke koko i loko o na keiki: hana, kōmi

Ua noa i makemake e ike ina he me ola. E hana i kēia, aia no he ano o ke keʻena hoʻokolohua e ho'āʻo ai, i mea ai i kekahiʻano nui o ka oiaio, hiki e aku la no ka maoli ana o ka hoʻomanawanui. Mawaena o ka loa e like me ka hiki ke kapaia he biochemical Ka Ikepili o ke koko. Ma nā mākua a me nā keiki, i kēia keʻena hoʻokolohua ho'āʻo e hōʻike i ke alo o ka i hūnāʻia mai, a me e i ka manawa e e hoʻomaopopo 'ia e pili ana i ka moku'āina o ke ola i loko o mau.

Kēiaʻano o ka noiʻi ka loa informative. UaʻAʻole wale kōkua e kuhikuhi i kekahi mai, akā, i hoakaka 'ike e pili ana i ka nā wikamina, nā minelala hao a me nā pōʻino' ona nele i loko o ka kanaka kino. Loa pinepine, i ka biochemical Ka Ikepili o ke koko (hana mau hae, ho omńkalakala i maʻa i na kahuna lapaau) ia e huai ae gastrointestinal maʻi, genitourinary nenoaiu, gynecological pilikia a me ka mahuʻi mua oncology.

Akā, mai manaʻo ua häʻawi mai i kēiaʻano o ke koko ho'āʻo wale nō ma lalo o kekahi mau hoopii. Oia hoi, ina o ka hoomanawanui Kahalaopuna kupono, koko biochemistry hoike mai i hūnāʻia ano a me na kahua o ka hoʻonaʻauao i kakahiaka nui o ka maʻi a me ka nele o ka nui 'ona.

Pehea e Ka Ikepili

Ka mea o ka haawi ana o ka mea no ka hoʻopaʻa i kona mau rula. Mua oe e hele i ka 'inikua Hoʻonaʻauao no keia hōʻike, i ka hoʻomanawanui e ai a inu,ʻaʻole i ka wai.

No ka nana technician i hoomanawanui 5 ml o ke koko mai ka cubital aa koko. Ka hāpana Ua malalo i ka hulina ikea ai, a ua komo i nā hualoaʻa ma ka kūikawā palapala. Deciphering ka biochemical Ka Ikepili o ke koko i loko o nā mākua (papa i hoikeia ma keia 'atikala) mea i kahi maikai o kaʻikepili no ke kauka. He hiki ke hoʻolako piha 'ike e pili ana i ke ano o ka hoʻomanawanui.

Ma o lakou iho, i nā kiʻi i iki 'ike ma ka palapala. I mea e oiaio mahalo i nā hualoaʻa, pono i ke kauka e lawe i ke kapakai a mau hae o ke keʻena hoʻokolohua ho'āʻo ma. Biochemistry o ke koko, e laila i maopopo.

Kēlā me kēia no nā ana hoʻohālike no ka Ikepili ka mea,ʻaʻohe pono ia i ho'ākāka 'hae. Aia mau palena iki, a i kā mākou allowable Hawaiʻi no nā ikamu i loko o ka anamanaʻo. Inā ka hopena ua me ia ma ka maʻamau huahelu, i ka hoʻomanawanui abnormalities i loaʻa. Ma ka hihia o ke poho o ka waiwai waiwai kali aiee haawiia i ke alo o pathological hou.

Deciphering ka biochemical Ka Ikepili o ke koko i loko o nā mākua - o ka papaʻaina a ua hōʻikeʻia hoʻi i ka helu 'ano nui o nā' ikamu. E nā ana hoʻohālikeʻano nui o kēia keʻena hoʻokolohua study mākou noʻonoʻo.

albumin

Albumin - he waiwai o ke kumuʻiʻo ano, a ua hua mai i loko o ke kanaka akepaʻa. He He nui ke koko nā polokina, a pee i loko o ka kaʻawale hui, o "kumuʻiʻo mahele". Loli ma ka lākiō o ia mau pūʻulu ka loa informative i ke kauka. Loa pinepine, i ka hopena o ka ana o ka albumin Lunakanawai hakuʻala ana, i ke alo o ka maʻi 'aʻai ole rumatika.

Albumin ua kekahi hoemi i ka hapai keiki, a lactating wahine, e like me paka. Kēia proteinaceous waiwai paha ia i loko o ka haʻahaʻa lehulehu ka wā e hookeai ana au depleted kumuʻiʻoʻai, hormonal ai 'a me contraceptives. Ka māhuahua waiwai o keia ho'āʻo ke hōʻike i ke alo o ka:

• pathologies o ka huʻi a me ka maʻi ano akepaa (cirrhosis, hepatitis,ʻeho);
• nā palapū a me nā'ā;
• sepsis, maʻiʻaʻai paha suppuration;
• ka rumatika;
• na mai kuni;
• naau ole;
• Ka maʻi 'aʻai;
• laau overdose.

Normative albumin oeeo? I:

ke hoʻomanawanui i ka makahiki	Hiʻohiʻona, g. / K
keiki	37 - 53
i 60 makahiki	36 - 51
holomua makahiki o ka 60 makahiki, a ma luna	35 - 47

huina kumuʻiʻo

Nā polokina - he polymeric mea haku o'amino nāʻakika. In biochemistryʻia "huina kumuʻiʻo" nā i ka nui o ke kumuʻiʻo i loko o ke koko lāʻau lapaʻau a he o albumin a me globulins. Kēia anakahi He informative no kaʻike, o ke akepaa maʻi, gastrointestinal'āpana, Ka maʻi 'aʻai, a me ka loa kuni i ka mea nā palapū. Laupaʻi ana o ka nohona ma kumuʻiʻo, e ho omńkalakala i biochemical Ka Ikepili o ke koko ma makua, a ua hāʻawiʻia ma lalo o ka papaʻaina.

Makahiki o ka hoʻomanawanui	Hiʻohiʻona, g. / K
nā pēpē i	48 - 73
mai ai i 1 makahiki	45 - 71
1-4 makahiki	62 - 73
5-7 makahiki	51 - 77
Children mai 8 a hiki i 15 makahiki	59 - 75
makua	65 - 84

Inā ka Ikepili i underreporting o kēia mau huahelu, ua hiki ke olelo aku i ka hahai ana i ke ahonui o ka pilikia.

• infectious maʻi;
• rheumatic maʻi;
• Ka maʻi 'aʻai.

Ma na keiki, e hoohaunaele ana i ka pono nui o ka kumuʻiʻo ua pu ma intestinal iaʻi, diarrhea a me ka luaʻi, cholera a me ka loa'ā.

Inā he kanaka i keia koko kemika ho'āʻo hoemi, e hiki e mai la oia o ka mea kēia mau maʻi:

• pathologicalʻike manaʻo i loko o ke akepaʻa a alakai ai i ka ka ho'ēmiʻana o ke kumuʻiʻo? iecaianoaaiiuo ma keia kino;
• glomerulonephritis;
• pancreatitis;
• paewaewa ma ka digestive'āpana.

IeAUPIIe, IAa IO, huina o na kumuʻiʻo ua hoʻemi i loko o nā mea maʻi me ka nui o ke koko poho, loa'ā, nā palapū a me kela hoʻoʻino keʻano o ka hanaʻana, e like me ka pono me ka hooke ai ana a me ka hoounauna.

C-kū'ē kumuʻiʻo

Kēia ke keʻena i ka 'li nui, maʻiʻaʻai, i ke alo o parasites. Mai ka hana o ke kumuʻiʻo - ka mobilization o hoʻonele, kona lehulehu hoʻomaka e mahuahua ikaika ma ka hoike ana o ke kino o ka reactions. Maʻamau, ka CRP lehulehu o 0.5 mg / ho'āo ai.

No ka mea kauka CRP Ka Ikepili ia mea nui i loko o kaʻike, o ka mai, kena ae la ia e koʻohune a me nā mea hoʻomaʻi. No hoi, ka mea, ua hookolokoloia mai nei i nāʻano o kēia anakahi ma ka laulā o ka Inc. Ke kiekie CRP lehulehu malamaia ma:

• ka rumatika;
• maʻi o ka digestive oihana;
• tuberculosis;
• myocardial infarction;
• Ka maʻi 'aʻai;
• meningitis;
• sepsis;
• complications ma hopeʻoki kino.

CRP lehulehu ua hoomahuahua ia i ka exacerbation o ka maʻi ka maʻi.

glycosylated hemoglobin

Hemoglobin mea kuleana no ka amo ana o oxygen nā lātoma ma ke kino. Iloko o ka hou i ka kumuʻiʻo nā lātoma o ka monakō koko loaa waiwai kapaia glycated hemoglobin. An mahuahua i loko o kona lehulehu i loko o ke koko - he kumu e manaʻo pü 'mimikō. Ke kūmau o ka kumuʻiʻo maʻiʻo - 4,1-6,6%. Lower oeeo? I ma ka lōʻihi-māpuna ole ana, alaila, mai ka ai a me ka hoounauna.

myoglobin

Kēia kumuʻiʻo mea like ma ka hana ana i ka hemoglobin. It pau ai oxygen e ka naʻau, a me skeletal nāʻiʻo. Standards myoglobin, ug / k:

• wahine - 13-75;
• kāne - 18-92,1.

Mahuahua ana i loko o ke koko myoglobin penei:

• hakuʻala maʻi;
• myocardial infarction;
• nā palapū,'ā;
• convulsiveʻike manaʻo.

Myoglobin no hoi ua ulu i loko o haʻuki a me ka Inc me ka elekroimpulsov.

Kēia koko kumuʻiʻo emi ka wā:

• polymyositis;
• myasthenia gravis;
• rheumatoid arthritis;
• autoimmune reactions.

Transferrin, ferritin, lāʻau lapaʻau zhelezosvertyvayuschaya hiki

Transferrin - He kumuʻiʻo kuleana no ka amo ana o ka hao. Kūmau kona Contents - 2,1-4,12 g. / Ho'āo ai. Kona lehulehu ua ae ke kiekie ma ka hapai na wahine, a ua hoemi i loko o ka kūpuna.

Inā koko biochemistry hōʻike loa ka maʻiʻo o ka transferrin, ka mea e hōʻike i ka i kēia maʻi.

• li nui;
• 'ā;
• Ka maʻi 'aʻai;
• cirrhosis;
• oi hao;
• hemochromatosis.

Mahuahua transferrin Hōʻike mea hao deficiency anaemia.

Ferritin - he kumuʻiʻo i ua loaʻa i loko o nā mea a pau kino fluids a me keena o ke kanaka kino. Ua hōʻike i ke alo o ka hao papa kāwiliʻai. Normalized kiko'î o ferritin, ng / L i loko o ke koko hilinaʻi nui ma luna o ka papahele, a he o:

• kāne - 21-252;
• wahine - 11-122;

I kiekie ae holo 'awelika ia mea hiki ke olelo aku i ka mea kēia mau pathologies:

• hemochromatosis me ka hao overload;
• oncology, leukemia;
• infectious a me ka hoʻoʻino maʻi i loko o ka maʻi a huʻi;
• ake maʻi;

Low ferritin Hōʻike i ke alo o ka anemia.

CSH paipai ana i ka paa o ka hao i ka transferrin. E hoʻoholo i ka hoʻohana 'ana o ka anaemia manaʻo o latent LSC. Ka uku no keia ana 22-61 Mol / ho'āo ai. Kona emi mea ma:

• hepatitis;
• anemia.

Ka ho'ēmiʻana o ka CSH ua ike ma lalo o ke ana ma lalo nei:

• infectious maʻi;
• haanou ana;
• nephrosis;
• exhaustion;
• cirrhosis;
• hemochromatosis a me ka thalassemia.

rheumatoid ololi

Mau waiwai no a hiki i ka immunoglobulin papa G-lgG. He kanaka maoli i ke kanaka kino nā polokina mea i mutated, a hoomaka ae la e hooiaio keena o ka likeʻole nā loko like haole ma lalo o ka aoao o nā mea hoʻomaʻi. Normal biochemical Ka Ikepili o ke koko ma ka makua no kēia anakahi - 10,1 U / ml. Ma na hihia o ka mahuahua nā hoʻohui like o ke kumuʻiʻo ka mea hele mai i ke kēia maʻi puʻuwai.

• cirrhosis;
• Ka maʻi 'aʻai;
• polymyositis;
• rheumatoid arthritis;
• dermatomyositis;
• maʻiʻaʻai;
• systemic lupus erythematosus.

nā'ūhū

Deciphering ka biochemical Ka Ikepili o ke koko i loko o nā mākua, ua haawiia mai i ka hoʻomanawanui ma ka lima o ka papaʻaina, a me heʻikepili ma o ka laupaʻi ka maʻiʻo o ka kēia nā'ūhū:

• Amylase. Kēia'ūhū Ua hoʻokuʻuʻia me ka tuha (diastase) a ma ka pancreas. Hope kapa pancreatic amylase. Diastase wehewehe aku rula 29-101 U / L. Nui loa keia huahelu hōʻike anomalies pancreas, cholecystitis, huʻi peritonitis, mumps a me mimikō. Pancreatic amylase mea maʻamau, ina ua aia i loko o 0-52 U / L. High lehulehu o ka laua kamailio ana pathologies o ka pancreas.
• Lactate dehydrogenase - ka'ūhū e e loaʻa i loko o aneane pau nā loko a me nā'aʻaʻa hiki. Me ka makahiki, i ka lehulehu, e hina ia. Inā ke keiki o ka maʻiʻo o ka LDH 2010 U / L, ma hope o 12 makahiki, ua hoemiia ka kūmau no 252 U / L. Ka lehulehu kiʻekiʻe o keia'ūhū Hōʻike hypoxia, cardiac a me ka vascular maʻi, ke akepaa, maʻiʻaʻai, a i hoike maʻi 'aʻai.
• Creatine kinase - he'ūhū e hoʻolako i nā nāʻiʻo me ka ikehu. Ka maʻiʻo o kēia mea hōʻike i ka biochemical Ka Ikepili o ke koko. Nā lula indexes o keia'ūhū oko ma luna o kona mau makahiki a me ka ka wahine. Inā 'oe i ke keiki, keia anakahi ua 650 U / L, na nā mākua - ma kahi o 202 U / L.

Hoonuiia lehulehu o CK nā kūkākūkā e pili ana i ka naau maʻi puʻuwai, tetanus, hypothyroidism, Central ko mākou hopohopo'ōnaehana maʻi a me ka maʻi 'aʻai. Ua hoemiia ka lehulehu o ka'ūhū ma muscular dystrophy a me ka inactivity.

Ka maʻiʻo o kēia a me ka 'ē aʻe nā'ūhū e haawi aku i ka manaʻo biochemical Ka Ikepili o ke koko. Biochemistry o ke koko hiki no hoi e hai aku ana i ka lehulehu o na kēia nā'ūhū: alanine aminotransferase, gamma - gt, AST, esterase, phosphatase kona'ākilikai a me ka lipase.

lipids

I ka papa kuhikuhiE nā hoailona i ke koko biochemical Ka Ikepili a me lipids mmol / L:

• huina naʻokoko, ke kūmau o 3,2-6,12;
• LDL, ke kūmau no na kanaka - 2,26-4,81, no ka wahine - 1,9-4,51;
• HDL naʻokoko, ke kūmau no na kanaka 0,73-1,74 no na wahine - 0,87-2,27.

Inflated na kii o kēia mau ana hoʻohālike olelo e pili ana i na maʻi o na ipu naau a me ke koko, puupaa, gout, pancreatic abnormalities, obesity, anorexia a me ka alcoholism. Hoemiia lipid maopopo o ka anaemia, naau e hemahema, nā mea palahēhē, cirrhosis a me akepaa Ka maʻi 'aʻai, maʻi o na ia maʻiʻaʻai.

carbohydrates

Table biochemical Ka Ikepili o ke koko, ho omńkalakala i ka i mea o ka hoihoi i loko o nā mea a pau nā mea maʻi, a he 'ike e pili ana i ka maʻiʻo o carbohydrates:

• Monakō koko. He He kuleana ololi i loko o kaʻike, o ka mimikō. Kūmau o ka monakō koko i loko o ke koko, Mol / L i: i loko o nā keiki a me nā adolescents - 3,34-5,6; nā mākua - 3,95-5,82; ma hope o 60 makahiki - 6,4. Ke kiʻekiʻe carbohydrate maʻiʻo o kēia'ōlelo o ka endocrine maʻi puʻuwai, mimikō, naau pepehi a me ka hahau ana, maʻi o ka pancreas a me ka hakuʻala. Hoemiia monakō koko hōʻike o nā maʻi o ka gastrointestinal'āpana,ʻapu kōheoheoʻana a me ka hypothyroidism.
• Fructosamine mea he ana i loko o kaʻike, o mimikō mellitus a me ka loiloi 'ana i ka pono o kona nohoʻana. Kona lehulehu palena - 203-282 mmol / ho'āo ai. Ma ka hihia o ke kiʻekiʻe Hawaiʻi ia mea he hakuʻala abnormalities, mimikō paha hypothyroidism. Ma haʻahaʻa nā hoʻohui like o ka fructosamine hihia o ka hyperthyroidism a me nā konāhua illnesses.

pigments

I waena o nā nā hoailona ma ka Ikepili o "ke koko biochemistry," e hiki ke 'imi i ka hoailona "bilirubin". Ua Ua ana i loko o mmol / k, a mea o kekahi mau ano:

• Direct. Norma 0-3,32;
• Nohona ma. Kūmau 3,38-17,23.

Mahuahua bilirubin Hōʻike abnormalities o i kou ake a nele maila in vitamin _B12.

Other eiiiiiaiou o ke koko kemika

Kela kauka i ka manao ana e decipher i ka biochemical Ka Ikepili o ke koko: maʻamau (Table: nā mākua a me nā keiki) a kela a me keia ke keʻena ua pono e Loiloi i ka ano o ka hoʻomanawanui. Ma waho aʻeo kēia mau eiiiiiaiou i loko o ka papa inoa o ka hopena o ke keʻena hoʻokolohua noiʻi kikowaena:

anakahi	naehana ana	kūmau
creatinine	mmol / L	mai i ka hoʻokahi makahiki - 17-36 mai kekahi makahiki a hiki i 14 makahiki - 28-61 ka wahine - 52-98 kāne - 61-116
uricʻakika		i ka 14 makahiki - 1,83-6,42 kāne - 210-420 wahine - 151-352
urea	mmol H	i ka 14 makahiki - 1,83-6,42 nā mākua 14-60 makahiki - 2,51-6,42 ma hope o 60 makahiki - 2,91-7,52
potasiuma		mai a hiki i ka makahiki - 4,12-5,31 1-14 makahiki - 3,42-4,72 makua - 3,51-5,54
kalipuna		2,23-2,52
paʻakai		136-145
chlorine		98-107
makanekiuma		0,63-1,12
phosphorus		i ka 2 makahiki - 1,46-2,15 2-12 makahiki - 1,45-1,77 nā mākua 12-60 makahiki - 0,88-1,46 na wahine ma hope o 60 makahiki - 0,9-1,33 ke kanaka ma hope o 60 makahiki - 0,73-1,22
me ka hao	mmol / L	mai a hiki i ka makahiki - 7,22-17,92 1-14 makahiki - 9,03-21,52 ka wahine - 9,0-30,4 kāne - 11,63-30,42
Witham B12	pg / ml	180-900
folicʻakika	ng / ml	3,1-18

Ma ke kālailaiʻana kaʻaeʻana i nā 'ikepili i loaa mai i ke ao ana o ke koko kemika, pono lawe i loko no nā ana hoʻohālike o o ke keʻena hoʻokolohua ma ka Ikepili i hanaia. I mea e hana i ka pololeiʻike, ke kauka ua koi 'ia e hoonoho hou noiʻi.