Kev kuaj hemoglobin tsis yog tsuas yog ib qho cuab yeej tseem ceeb rau kev kuaj mob ntawm anemia thiab cov tsos mob ntshav, tab sis cov tsos ntawm cov qauv kuj tseem tuaj yeem muab cov ntsiab lus tseem ceeb rau kev kuaj mob thawj zaug. Los ntawm kev hloov pauv hauv cov xim, pob tshab, morphology ntawm cov tub rog hauv ntshav, tso cov kws kho mob tuaj yeem txheeb xyuas qhov muaj peev xwm ua haujlwm tsis txaus ntseeg, tso lub hauv paus rau kev kuaj sim hauv kev ntsuas.
Cov kev pom zoo ntawm cov qauv hemoglobin kuaj
Hauv cov tib neeg noj qab nyob zoo, cov ntshav cov ntshav feem ntau tshwm sim ib yam tsis zoo sib sib zog nqus liab, nrog xim xim ncaj qha ntsig txog hemoglobin siab. Cov ntshav ntawm cov ntshav, vim nws qib oxygenation qib siab, muaj cov xim ci dua (Cherry liab); Ntshav qab zib, vim nws lub siab concentration ntawm deoxyhemoglobin, zoo nkaus li tsaus liab. Tom qab centrifugation, tej ntshav qab zib los yog ntshav yuav tsum yog lub teeb daj daj, ntshiab, tsis muaj flocculent cov khoom lossis cov av. Cov qe ntshav liab txheej ("hematocrit" feem yuav tsum tau ntim kom nruj, nrog ib thaj tsam ntawm nws thiab ntshav.
Cov chaw kho mob qhia txog qhov txawv txav
1. Cov xim hloov
• Pale lossis xim liab: Tej zaum yuav qhia quav dev (xws li hlau tsis muaj mob anemia lossis anemia ntawm cov kab mob ntev). Txo hemoglobin cov ntsiab lus nyob rau hauv cov ntshav liab ua rau cov ntshav los ua kom cov ntshav los ua kom muaj kev tag nrho cov ntshav.
• Cov xim av tsaus nti lossis muaj cov xim tsis huv:
• Milky Cov ntshav turvion Nws yuav tsum sau npe "Lipemic qauv" kom tsis txhob txhaum cai los ntawm qhov ntsuas.
2. Tsis Txaus Ntseeg
• Kev ua kom nruj lossis dej nag lossis cov dej nag lossis cov nplaim taws hauv lub ntshav me me, tso cov hemollobin tom qab cov mevid metabolism (xws li kev ua haujlwm lipid
• Ua piv txwv rbc yog xoob (piv txwv li cov ntshav liab qab)
3. Kev pom ntawm hemolysis
• Vetibly liab ntshav: ib txwm ntshav yuav tsum daj ntseg daj. Yog hais tias lub plasma tshwm sim liab lossis liab qab tom qab centrifugation, qhov no qhia tau hemolysis (RBC Rupolysis (RBC Rupolysis (RBC Rupture, tso hemoglobin rau hauv ntshav). Hemolyzed cov qauv ncaj qha cuam tshuam rau qhov tseeb ntawm hemoglobin kuaj thiab xav tau kev nco.
• Siv lub tawb tsim: Yog tias cov ntshav tawm sai sai tom qab kev sau khoom (piv txwv li cov lus tsis muaj kev sib cais ntawm lub raj), cov lus tsis zoo yuav muaj ib qho kev sib cais dawb paug vim tias rov qab RBC tawg. Txawm li cas los xij, cov leeg uas pom tseeb yuav tabkaum cov txheej txheem ntsuas.
Qhov tseem ceeb ntawm pre -} Ntsuas Kev Ntsuas Kev Ntsuas
Ua ntej qhov kev sim siab tiag tiag, cov kws tshaj lij feem ntau ua rau "pom kev ntsuas" ntawm cov qauv: Seb puas muaj ntshav / ntshav / ntshav yog tseeb. Piv txwv li, cov qauv los ntawm cov neeg mob uas muaj cov txiv kab ntxwv -}}}}}}} yuav tsum tau txawv ntawm cov xim liab tshwm sim los ntawm hemolysis. Cov ntshav los ntawm cov neeg mob uas muaj qee yam kev puas tsuaj ntawm porphyria) tuaj yeem nthuav tawm cov xim fluorescent fluorescent nyob rau hauv lub teeb, uas tsis tshua muaj, yog ua rau muaj kev txhawj xeeb.
Thaum cov yam ntxwv pom kev no tsis tuaj yeem hloov kho cov kws tshawb fawb kom nrawm nrawm rau qhov ua rau muaj kev tshawb fawb sai sai (piv txwv li, kev kuaj mob lipemia) thiab rov xeem dua).
Hauv ntej, pom kev pom ntawm hemoglobin thaum kuaj yog thawj kauj ruam ntawm kev hloov kho cov xim, lossis hloov kho morphology, lossis morphology yuav yog cov cim tseem ceeb los ntawm lub cev.