#46
|
|||
|
|||
Ãäå-òî îïå÷àòêà
|
#47
|
||||
|
||||
Ãëèêîãåìîãëîáèí
Ïîðà ïîïîëíèòü êîëëåêöèþ.
Ðåçóëüòàò èçìåðåíèÿ HbA1c = 0. Ïîêà ÷òî íèêàêèõ äàííûõ î ïàöèåíòå íåò. Õðîìàòîãðàììà ïðèëàãàåòñÿ. Èäåè? Âîïðîñû? |
#48
|
||||
|
||||
Ïîäñêàçêà - ýòî ðåáåíîê.
|
#49
|
||||
|
||||
êåéñ â ïàáìåäå ãîâîðèò î òàêèõ âîçìîæíûõ ïðè÷èíàõ:
Any condition that shortens erythrocyte survival or decreases mean erythrocyte age (eg, haemolytic anaemia, recovery from acute blood loss) will falsely lower HbA1c.2 Falsely low HbA1c has been reported in cases of hereditary spherocytosis,3 autoimmune haemolytic anaemia4 and glucose-6-phosphate dehydrogenase deficiency.5 HbA1c has also been suggested as a screening test for haemolysis.6 To our knowledge, this is the first reported case of an immeasurable HbA1c due to severe haemolysis. [Ññûëêè äîñòóïíû òîëüêî çàðåãèñòðèðîâàííûì ïîëüçîâàòåëÿì ]
__________________
Èñêðåííå, Âàäèì Âàëåðüåâè÷. |
#50
|
||||
|
||||
ãåìîãëîáèíîïàòèÿ êàê ïðè÷èíà íåèçìåðÿåìîãî ãëèêîãåìîãëîáèíà:
...we report two unrelated South East Asian diabetic patients whose HbA 1c peaks were not detected using cation exchange high performance liquid chromatography (HPLC) Hemoglobin Variant HbE Found in Two South Asian Diabetic Patients [Ññûëêè äîñòóïíû òîëüêî çàðåãèñòðèðîâàííûì ïîëüçîâàòåëÿì ]
__________________
Èñêðåííå, Âàäèì Âàëåðüåâè÷. |
#51
|
||||
|
||||
Ðåáåíêó ìåñÿö îò ðîäó.
Íà ìîìåíò èññëåäîâàíèÿ íàõîäèëñÿ â ðåàíèìàöèè (ïðè÷èíà íå èçâåñòíà, òàêæå íåèçâåñòíà ïðè÷èíà íàçíà÷åíèÿ òàêîãî ýêçîòè÷åñêîãî äëÿ äàííîãî âîçðàñòà àíàëèçà). Ïîñêîëüêó ãëèêîãåìîãëáèí - ýòî ôðàêöèÿ HbA1c, à ó ðåáåíêà â òàêîì âîçðàñòå ïðåèìóùåñòâåííî ôåòàëüíûé ãåìîãëîáèí, ðåçóëüòàò îïðåäåëåíèÿ HbA1c =0. |
#52
|
||||
|
||||
Äà, ïîäñêàçêà "íîâîðîæäåííûé" áûëà áû áîëåå ïîäñêàçî÷íîé, ÿïîíöû ñðàâíèâàëè âñå 3 ìåòîäèêè "(HPLC) method, latex-immunoturbidimetry (LA) method and enzymatic method" ó íîâîðîæäåííûõ - âñå áûëè ìåíåå 3%, òîëüêî îäíà ìåòîäèêà áûëà îêîëî 3-4% [Ññûëêè äîñòóïíû òîëüêî çàðåãèñòðèðîâàííûì ïîëüçîâàòåëÿì ]
__________________
Èñêðåííå, Âàäèì Âàëåðüåâè÷. |
|
#53
|
||||
|
||||
Åùå Ãëèêîãåìîãëîáèí
Æåíùèíà 1966 ã.ð., ÑÄ 2-ãî òèïà, ìåòôîðìèí.
Ðåçóëüòàò ãëèêèðîâàííîãî ãåìîãëîáèíà 2,4% [Ññûëêè äîñòóïíû òîëüêî çàðåãèñòðèðîâàííûì ïîëüçîâàòåëÿì ] |
#54
|
|||
|
|||
Ãåìîëèòè÷åñêàÿ àíåìèÿ?
|
#55
|
||||
|
||||
ó ìåíÿ ñêàí íå óâåëè÷èâàåòñÿ è íå ìîãó ïðî÷åñòü öèôðû
__________________
Èñêðåííå, Âàäèì Âàëåðüåâè÷. |
#56
|
||||
|
||||
áîëüøå íèêàêèõ ïîäñêàçîê? êðîìå ãåìîëèçà èëè äð. ïðè÷èí, óêàçàííûõ â ñîîá. 49, åøå ìîæåò áûòü ëåêàðñòâåííî-èíäóöèðîâàííîå ñíèæåíèå:
[Ññûëêè äîñòóïíû òîëüêî çàðåãèñòðèðîâàííûì ïîëüçîâàòåëÿì ] èëè ïðè öèððîçå [Ññûëêè äîñòóïíû òîëüêî çàðåãèñòðèðîâàííûì ïîëüçîâàòåëÿì ]
__________________
Èñêðåííå, Âàäèì Âàëåðüåâè÷. |
#57
|
||||
|
||||
|
#58
|
||||
|
||||
Ïîäñêàçêà.
Ñäåëàëè ÎÀÊ, áëàãî, èìåëñÿ áèîìàòåðèàë â çàïàñå. [Èçîáðàæåíèÿ äîñòóïíû òîëüêî çàðåãèñòðèðîâàííûì ïîëüçîâàòåëÿì] |
#59
|
||||
|
||||
äà, ïîõîæå êðîâîïîòåðÿ íàêàíóíå ïëþñ âûðàáîòêà íîâûõ ýðèòðîöèòîâ ðåòèêóëîöèòîâ â ÊÌ ñíèæàåò èõ % ãëèêèðîâàíèÿ èç-çà ìàëîãî ñðîêà â öèðêóëÿöèè, ïîõîæèé ñëó÷àé ëîæíî íîðìàëüíîãî ãëèêîãåìîãëîáèíà ó ïàöèåíòà ñ íåàäåêâàòíûì êîíòðîëåì ãëèêåìèè ïî âåíîçíîé ãëþêîçå áûë îïèñàí ïîñëå ïðîöåäóðû ôëåáîòîìèè èç-çà ãåìîõðîìàòîçà
__________________
Èñêðåííå, Âàäèì Âàëåðüåâè÷. |
#60
|
||||
|
||||
Çàäà÷êà
Èç â÷åðàøíåãî (áåç êàðòèíîê).
Ïàöèåíò èç ïðîåêòà êëèíè÷åñêèõ èñïûòàíèé, îíêîëîãè÷åñêèé. Êðîâü íàáèðàþò íà êëèíè÷åñêîé áàçå, íàì ïåðåäàþò âòîðè÷íûå ïðîáèðêè ñ ñûâîðîòêîé/ïëàçìîé. Âñå ðåçóëüòàòû ïðèâîäèòü íå áóäó, òîëüêî èìåþùèå îòíîøåíèå ê çàäà÷êå (è íåêîòîðûå íå èìåþùèå, ÷òîáû âîññîçäàòü ñèòóàöèþ "êàê â æèçíè"). Êàëèé > 10 Íàòðèé 140 Õëîð 96 Ìàãíèé ñûâ. < 0.3 Ñà îáù. 0.38 ÙÔ < 5 Ãëþêîçà 3.1 ÀËÒ, ÀÑÒ ñëåãêà ïîâûøåíû. Áèêàðáîíàòû ñëåãêà ïîâûøåíû. Àëüáóìèí è îáùèé áåëîê ñíèæåíû. Êðåàòèíèí è ìî÷åâèíà íà âåðõíåé ãðàíèöå íîðìû. ÏÑ. Ðàçóìååòñÿ, ÂÊÊ â äîïóñòèìûõ ïðåäåëàõ Âîïðîñû: ðåçóëüòàòû äîñòîâåðíû? ×òî äåëàòü? |