Achiongorora zvaive zvakanyorwa pamapeji nokukanganisika kuongorora ropa vakuru (ona tafura). Nemakemikari Kuongororwa kweropa muvana: chaitwa, mwero

Munhu wese anoda kuziva kana ane utano. Kuti aite izvi, pane hurongwa pakati Murabhoritari nemiedzo, izvo kune hombe chaizvoizvo chingataurwa pamusoro chaiko ezvinhu omurwere. Pakati rakajairika anganzi nokukanganisika kuongorora ropa. In vakuru nevana, ichi murabhoritari bvunzo zvingaratidza kuvapo kwezvirwere zvakavanzika uye ichapa mukana kuziviswa pamusoro mamiriro utano zvavo.

mhando iyi kutsvakurudza chinodzidzisa chaizvo. It kwete chete kunobatsira kuziva chero chirwere, asi rinopawo mashoko pamusoro chii mavhitaminzi, zvicherwa nezvimwe zvinokosha zvinhu kushayikwa ari mumuviri womunhu. Kakawanda, mashoko nokukanganisika kuongorora ropa (mabasa mitemo, decoding yaizivikanwa chiremba ose) basa kuziva gastrointestinal zvirwere, genitourinary hurongwa, matambudziko gynecological uye vanofungidzirwa oncology.

Asi musafunga kuti ichi mhando yokuedzwa ropa riri basa chete pasi zvimwe zvichemo. Kunyange kana murwere anonzwa dzinogutsa, ropa nemakemikari omuviri kuzivisa zvakavanzika siyana uye tanga nehosha kana kushaya zvinokosha zvinhu.

Ko Analysis

Murayiro chokuendesa mashoko chidzidzo ine mitemo yayo. Usati waenda yezvokurapa nzvimbo nokuda bvunzo ichi, murwere haafaniri kudya kana kunwa, kwete kunyange mvura.

Rokuongorora mukoti kunoda kushivirira 5 ml ropa kubva cubital tsinga. Mharidzo iri pasi nzwisisika yokuedzwa, uye migumisiro vakapinda mune rinokosha. Achiongorora zvaive zvakanyorwa pamapeji nokukanganisika kuongorora ropa vakuru (tafura kuratidzwa munyaya ino) ndiko zvakanaka mashoko nokuda chiremba. It anokwanisa kupa ruzivo rwakakwana pamusoro ezvinhu omurwere.

By pachavo, nenhamba mashoko shoma pamusoro fomu. Kuti unzwisise zvabuda zvechokwadi, chiremba anofanira kutora kuenzanisa mitemo mumarabhoritari nemiedzo. Nemakemikari omuviri ropa anofanira kuva pachena.

Imwe neimwe nzira kuti ongororo haana tsika zvakajeka. Kune pasipasi uye kunonyanyisa zvinobvumidzwa netsika zvinhu zvose vari ongororo. Kana mugumisiro kunobatanidzwa inowanzotorwa siyana, murwere abnormalities zvakawanikwa. Kana nokurasikirwa ukoshi vaiva muganhu tsika raireva pamberi Kumwe kuchinja kunotanga.

Achiongorora zvaive zvakanyorwa pamapeji nokukanganisika kuongorora ropa vakuru - tafura riri achiratidzei kumbonyanya vakawanda zvinhu. Ngatikurukurei anokosha nzira iyi rabhoritari yokudzidza.

sealbumin

Sealbumin - a fuma mapuroteni hunhu, iyo anogadzirwa dzevanhu chiropa. Chinhu chikuru ropa mapuroteni uye secreted ari oga boka, kureva "mapuroteni hacho". Zvakachinja nhamba mapoka akadaro chinodzidzisa chaizvo chiremba. Kakawanda, migumisiro nokuyerwa sealbumin mutongi itsvo ezvinhu, kuvapo kenza kana rheumatism.

Sealbumin iri zvishoma wakaderedzwa vakadzi vane pamuviri uye lactating, uyewo vanosvuta. Izvi fuma proteinaceous angava ari pasi wevasungwa kana uchitsanya kwezvinoshandiswa mapuroteni zvokudya, mishonga hormone uye pamuviri. The zvakawedzera ukoshi yokuedzwa iri zvinogona kuratidza kuvapo:

• pathologies kuti chenjera uye chisingaperi hunhu chiropa (cirrhosis, hepatitis, mota);
• Kukuvara uye anopisira;
• sepsis, chirwere kana suppuration;
• rheumatism;
• fivha;
• mwoyo kutadza;
• kenza;
• mishonga ovhadhozi.

Normative sealbumin nenhamba vari:

murwere zera	Ratio, g / L
vana	37 - 53
makore 60	36 - 51
kukwegura makore 60 uye pamusoro	35 - 47

Total mapuroteni

Mapuroteni - a polymeric zvinhu rinoumbwa amino acids. In nemakemikari omuviri rokuti "zvachose mapuroteni" inosanganisira uwandu mapuroteni iri muropa serum uye chinosanganisira sealbumin uye globulins. chakarurama ichi chinodzidzisa kuti chirwere kuti chiropa zvirwere, nemudumbu, kenza uye hutsvi kukuvara. Quantitative chiyero kunopindirana mapuroteni kuchaita decoding nokukanganisika kuongorora ropa akura, unopirwa pazasi patafura.

Age murwere	Ratio, g / L
vachangozvarwa	48 - 73
kusvika 1 gore	45 - 71
makore 1-4	62 - 73
makore 5-7	51 - 77
Vana 8 kusvika 15 makore	59 - 75
vakuru	65 - 84

Kana Kuongororwa vakanga underreporting pamusoro nenhamba idzi, tinogona kutaura zvinotevera nezvematambudziko murwere:

• zvirwere;
• rheumatic zvirwere;
• kenza.

In vana, kukwidza zvinonyatsorehwa pamwero mapuroteni achabatsirwa intestinal mhingaidzo, manyoka uye kurutsa, korera uye yakanyanya kutsva.

Kana munhu uyu ropa kemisitiri bvunzo akaderedzwa, zvinogona kunzi dzinotevera zvirwere:

• pathological mananara ari chiropa iyo kutungamirira rutapudzo mapuroteni kurimwa pachishandiswa muviri ichi;
• glomerulonephritis;
• pfungwa nomuviri zvemwana asati;
• hadzina kufambiswa zvakanaka mune zvomudumbu turakiti.

Kazhinji, zvachose mapuroteni yakaderera varwere makuru nokurasikirwa neropa, yakanyanya kutsva, kukuvara uye siyana anogumbura urongwa, uyewo nokutsanya uye muviri kwazvo.

C-reactive mapuroteni

chikamu ichi chinoratidza kuzvimba, utachiona, kuvapo tupukanana. Sezvo mashandiro puroteni - ari kuunganidza vana kutapata, ayo wevasungwa anotanga kuwedzera zvikuru munguva kuratidzwa dzomuviri siyana. Kazhinji CRP wevasungwa kuti 0.5 MG / l.

Nokuti chiremba CRP kuongorora zvakakosha mune chirwere kwezvirwere zvinokonzerwa nemabhakitiriya kana mavhairasi. Uyewo, simba rinomutsa vana chinoratidza uyu kutongwa pamusoro kubudirira mishonga. Yakakwirira CRP wevasungwa pasika:

• rheumatism;
• zvirwere zvomudumbu hurongwa;
• tiibhii;
• myocardial infarction;
• kenza;
• yomumuzongoza;
• sepsis;
• matambudziko pashure pokuvhiyiwa.

CRP wevasungwa ichiwedzerwa panguva exacerbation echirwere zvirwere.

glycosylated Chizenga

Chizenga ndiye anokonzera chokufambisa reokisijeni mamorekuru rose muviri. Panguva Kuwedzera kwakadaro mapuroteni mamorekuru kuti shuga vakawana pfuma inonzi glycated hemoglobin. Kuwedzera zvayo wevasungwa muropa - chikonzero fungira cheshuga. Ndozvakajairwa of puroteni tigutsikane - 4,1-6,6%. Lower manhamba vari refu pakuzvinyima zvokudya uye muviri kwazvo.

myoglobin

mapuroteni Izvi zvakafanana basa kuti hemoglobin. It inopa okisijeni mwoyo uye skeletal tsandanyama. Standards myoglobin, ug / L:

• munhukadzi - 13-75;
• munhurume - 18-92,1.

Kuwedzera ropa myoglobin inoti:

• cheitsvo;
• myocardial infarction;
• kukuvara, Unopisa;
• convulsive mananara.

Myoglobin ari kuwedzera zvemitambo uye marapirwo pamwe elekroimpulsov.

ropa ichi puroteni zvinoderedza kana:

• polymyositis;
• myasthenia gravis;
• dzinonzi rheumatoid arthritis;
• autoimmune siyana.

Transferrin, ferritin, serum zhelezosvertyvayuschaya kugona

Transferrin - a puroteni mhosva chokufambisa resimbi. Norm mariri - 2,1-4,12 g / l. wevasungwa Its rakakwirira vakadzi vane pamuviri uye ipfupi mune vakwegura.

Kana ropa nemakemikari omuviri akaratidza rakawedzera zviri transferrin, izvozvo zvingaratidza zvinotevera zvirwere:

• kuzvimba;
• Unopisa;
• kenza;
• cirrhosis;
• zvakawandisa simbi;
• hemochromatosis.

Inosimudzira transferrin chinoratidza simbi kushaikwa kupererwa neropa.

Ferritin - imwe puroteni kuti anowanika zvose muviri zvinwiwa uye masero dzemuviri. Kunoratidza kuvapo simbi muzvitoro. Normalized parameters pamusoro ferritin, kumar / L muropa kunobva pasi uye chinosanganisira:

• munhurume - 21-252;
• Vakadzi - 11-122;

At dzakakwirira prices zvinokwanisika kutaura zvinotevera pathologies:

• hemochromatosis nesimbi zadzisa;
• oncology, neleukemia;
• zvinotapukira uye anogumbura nezvirwere chirwere kana chakasimba;
• chiropa chirwere;

Low ferritin kunoratidza kuvapo kupererwa neropa.

CSH rinoratidza sei nokusungwa simbi transferrin. Kuti tizive kushandisa kupererwa neropa yokuti Isimba rakadini rinogona kubudiswa LSC. The zvazvingava ichi chokuratidza 22-61 mol / l. kuderera Its riri:

• chiropa;
• kupererwa neropa.

Rutapudzo of CSH iri dzakaona pasi zvinotevera ezvinhu:

• zvirwere;
• bundu;
• nephrosis;
• kuneta;
• cirrhosis;
• hemochromatosis uye thalassemia.

RA chinhu

Izvi zvinhu ndezvaJehovha immunoglobulin kirasi G-lgG. Zviri chizvarwa kumunhu mapuroteni muviri kuti mutated uye akaziva masero siyana nhengo sezvo dzimwe pasi pokudzora wanda. Normal nokukanganisika Kuongororwa kweropa iri mukuru kwemakore chakarurama ichi - 10.1 U / Rine mamiririta. Muzviitiko yakawedzera kuwanda puroteni totaura zvinotevera zvirwere:

• cirrhosis;
• kenza;
• polymyositis;
• dzinonzi rheumatoid arthritis;
• dermatomyositis;
• chirwere;
• chinonzi systemic lupus erythematosus.

makemikari

Achiongorora zvaive zviri nokukanganisika kuongorora ropa vakuru, tafura unopiwa murwere pamaoko, rinewo mashoko pamusoro quantitative zviri zvinotevera makemikari:

• Amylase. enzayemu iri asunungurwa pamwe mate (diastase) uye rwatata. Last kunzi pancreatic amylase. Diastase Paaiita mirayiro 29-101 U / L. Kwazvo ichi Nhamba dzinoratidza anomalies rwatata, cholecystitis, rikwanise peritonitis, mumps uye chirwere cheshuga. Pancreatic amylase romuzvarirwo, kana riri mukati 0-52 U / L. High wevasungwa uchitaura pathologies pakati rwatata.
• Lactate dehydrogenase - the enzayemu kuti anogona kuwanikwa zvinenge zvose nhengo uye munyama. With zera, wevasungwa rinokundwa. Kana achangoberekwa zviri LDH 2010 U / L, pashure pemakore 12, ndozvakajairwa ipfupi kusvika 252 U / L. Yakakwirira Kuwanda enzayemu ichi chinoratidza hypoxia, cardiac uye vascular zvirwere, chiropa, mapapu, uye zvingaratidza kenza.
• Creatine kinase - imwe enzayemu kuti anopa tsandanyama pamwe simba. Zviri izvi zvinhu zvinoratidza kuti nokukanganisika Kuongororwa kweropa. Mitemo maindex pamusoro enzayemu ichi zvinosiyana zvichienderana nezera uye kuti munhui. Kana uine achangoberekwa, paakati ichi chaiva 650 U / L, vakuru - vanenge 202 U / L.

Inosimudzira Kuwanda CK hurukuro pamusoro mwoyo zvirwere, tetenasi, hypothyroidism, nechepakati zvirwere tsinga uye kenza. Wevasungwa of enzayemu ipfupi panguva chinonzi muscular dystrophy nokusarovedza.

Zviri izvi uye zvimwe makemikari vachapa pfungwa nokukanganisika kuongorora ropa. Nemakemikari omuviri ropa vanogona kukuudza pamusoro wevasungwa inotevera makemikari: alanine aminotransferase, wegamma - GT, AST, esterase, phosphatase alkaline uye lipase.

lipids

Huru zviratidzi vari ropa nokukanganisika kuongorora uye lipids mmol / L:

• zvachose remafuta akawandisa, ndozvakajairwa pamusoro 3,2-6,12;
• LDL, ndozvakajairwa vanhu - 2,26-4,81, vakadzi - 1,9-4,51;
• HDL remafuta akawandisa, ndozvakajairwa vanhu 0,73-1,74 vakadzi - 0,87-2,27.

Inflated inofananidza izvi zvinodiwa taura pamusoro zvirwere zvomwoyo uye ropa midziyo, itsvo, gout, pancreatic abnormalities, kufutisa, neanorexia uye chidhakwa. Kwakaderedza lipid uchapupu kupererwa, mwoyo kukundikana, utachiona, cirrhosis uye chiropa kenza, zvirwere mumapapu.

makabhohaidhiretsi

Table nokukanganisika Kuongororwa kweropa, decoding izvo zviri kuda varwere vose, rinewo ruzivo pamusoro zviri makabhohaidhiretsi:

• Shuga. Zviri mutsindo chakaita nechirwere nechirwere cheshuga. Dzemunharaunda kuti shuga muropa, mol / L vari: Vana uye kuyaruka - 3,34-5,6; vakuru - 3,95-5,82; pashure pemakore 60 - 6.4. Yakakwirira carbohydrate zviri ichi anotaura nezvokushanda kwemakemikari anobudiswa zvirwere, chirwere cheshuga, mwoyo kurwisa uye sitiroko, zvirwere rwatata uye itsvo. Kwakaderedza shuga anoratidza zvirwere nemudumbu, nomuchetura uye hypothyroidism.
• Fructosamine chinhu chokuratidza iri nechirwere chirwere cheshuga mellitus uye kunyatsoongorora unhu kurapwa kwayo. Its wevasungwa mitemo - 203-282 mmol / l. Kana mukuru tsika iri itsvo abnormalities, chirwere cheshuga kana hypothyroidism. Yakaderera kuwanda fructosamine nyaya hyperthyroidism uye itsvo zvirwere.

pigments

Pakati zvimwe zviratidzo zviri kuongorora "ropa nemakemikari omuviri," unogona kuwana chiratidzo "bilirubin". It unotaurwa mmol / L uye ane mhando dzakawanda:

• Direct. Norma 0-3,32;
• Uchitikurudzira. Norm 3,38-17,23.

Inosimudzira bilirubin anoratidza abnormalities chiropa uye pakurera vhitamini _B12.

Other zvinoumba ropa kemisitiri

chiremba ose ane pfungwa sei decipher mashoko nokukanganisika kuongorora ropa: vakakwana (Table: vakuru nevana) nechimwe chazvo chinodiwa kuongorora mamiriro murwere. Kuwedzera zvinoriumba awa mazita migumisiro pakutsvakurudza rabhoritari zvinosanganisira:

chakarurama	zviumbu yakayerwa	wokuyera
creatinine	mmol / L	kusvikira gore rimwe - 17-36 makore kubvira gore rimwe 14 - 28-61 female - 52-98 munhurume - 61-116
uric asidhi		Makore anosvika 14 - 1,83-6,42 munhurume - 210-420 Vakadzi - 151-352
urea	mmol l	Makore anosvika 14 - 1,83-6,42 Makore vakuru 14-60 - 2,51-6,42 pashure pemakore 60 - 2,91-7,52
potassium		kusvikira rimwe gore - 4,12-5,31 makore 1-14 - 3,42-4,72 vakuru - 3,51-5,54
karusiyamu		2,23-2,52
yavaibvisa		136-145
kuiisa chlorine		98-107
magnesium		0,63-1,12
phosphorus		kusvika 2 years - 1,46-2,15 makore 2-12 - 1,45-1,77 Makore vakuru 12-60 - 0,88-1,46 vakadzi pashure pemakore 60 - 0,9-1,33 murume pashure pemakore 60 - 0,73-1,22
simbi	mmol / L	kusvikira rimwe gore - 7,22-17,92 makore 1-14 - 9,03-21,52 female - 9,0-30,4 munhurume - 11,63-30,42
Witham B12	pg / Rine mamiririta	180-900
folic asidhi	kumar / Rine mamiririta	3,1-18

In dzinoongorora zvaidiwa Data vakawana kubva mukudzidza ropa kemisitiri, hazvo kufungawo zvinodiwa murabhoritari apo kuongorora kwakaitwa. Kuitira kuti kuongororwa zvakarurama, chiremba kunodiwa kugadza zvokuwedzera.