Biochemical ntshav tsom xam yog ib txoj kev kuaj ntshav, uas feem ntau siv rau txoj kev kho, rheumatology, gastroenterology thiab lwm yam kev kho cov tshuaj. Nws yog qhov kev kuaj no uas feem ntau yog qhov tseeb ntawm lub xeev cov kev ua haujlwm thiab cov kabmob.
Ntshav hauv ntshav biochemistry
Txog ib hnub tom qab tus me nyuam cov ntshav, koj yuav tau txais cov txiaj ntsim ntawm biochemistry. Lawv yuav qhia txog cov ntsiab lus ntawm ntau yam tshuaj. Nws yog ib qho nyuaj heev rau ib tug neeg tsis muaj kev kawm kho mob rau nws tus kheej nkag siab txog cov ntsiab lus ntawm kev ntsuam xyuas. Tab sis hnub no tus txhais lus ntawm kev tsom xam cov ntshav biochemistry yog ib txwm txuas nrog cov tsev kho mob.
Cov txheej txheem qab zib hauv cov ntshav yog qhov ntsuas ntawm cov kab mob carbohydrate. Nyob rau hauv lub cev ntawm cov piam thaj yuav tsum tsis muaj ntau tshaj 5.5 mmol / l thiab tsis tsawg tshaj li 3.5 mmol / l. Ib qho kev nce qib hauv qhov ntsuas no feem ntau pom thaum:
- Cushing's syndrome;
- ntshav qab zib mellitus;
- pliag ntev lub cev;
- thyrotoxicosis;
- pheochromocytoma;
- cov kab mob ntawm cov qog endocrine.
Yog tias koj muaj qis dua cov ntshav qab zib hauv tag nrho cov biochemistry ntawm cov ntshav, cov ntawv sau tshuaj yuav qhia tau tias koj muaj cov tshuaj insulin overdose, qhov kev ua qog endocrine los yog mob hnyav heev nrog rau daim siab puas.
Pigments nyob rau hauv biochemistry ntawm cov ntshav
Hauv kev ntsuas ntawm cov kev kuaj ntshav rau biochemistry, qhov pigments-bilirubin ntawm kev ncaj qha thiab bilirubin ntawm tag nrho yog ib txwm qhia. Tus naj npawb ntawm bilirubin yog 5-20 μmol / l. Ib qho kev hloov ntsej muag hauv qhov ntsuas no yog yam ntxwv rau ntau hom kab mob siab (piv txwv, kab mob siab thiab cirrhosis), cov neeg xiam hoob qhab, lom, mob cancer, cholelithiasis thiab tsis muaj vitamin B12.
Txoj cai ntawm kev ncaj qha bilirubin yog 0-3.4 μmol / l. Yog tias koj tau ua cov ntshav biochemistry thiab qhov ntsuas no muaj ntau dua, qhov cim seev suab yuav qhia tau tias koj muaj:
- syphilis;
- lom lossis mob hnyav kab mob siab;
- cholecystitis ;
- kis mob kab;
- jaundice
Sibhawm hauv biochemical ntshav tsom
Thaum cov roj metabolism hauv tawg, cov ntsiab lus ntawm lipids thiab / los yog lawv cov zauv (cov cholesterol esters thiab triglycerides) yeej ib txwm nce. Kev txhais cov ntsiab lus ntawm cov yeeb yam hauv cov txiaj ntsim ntawm ntshav biochemistry yog ib qho tseem ceeb heev, vim tias lawv tseem ceeb heev rau txoj kev ntsuam xyuas ntawm lub peev xwm ntawm lub raum thiab siab rau ntau hom kab mob. Feem ntau yuav tsum yog:
- tag nrho cov cholesterol - 3,0-6,0 mmol / l;
- triglycerides 0.40-2.70 mmol / l (nyob ntawm lub hnub nyoog).
Dej thiab pob zeb hauv cov ntsev hauv cov ntshav biochemistry
Nyob rau hauv tib neeg cov ntshav muaj ntau yam tshuaj inorganic: poov tshuaj, folic acid, hlau, calcium, magnesium, phosphorus, sodium, chlorine. Kev ua txhaum ntawm cov dej-minerals metabolism ntawm txhua yam yog feem ntau pom nyob rau hauv cov mob hnyav thiab mob me ntsis ntshav qab zib mellitus, daim siab mob siab thiab lub plawv.
Feem ntau, cov tshuaj qej yuav tsum yog nyob rau hauv ntau ntawm 3.5-5.5 mmol / l. Yog hais tias muaj kev nce hauv nws cov concentration, ces nyob rau hauv deciphering biochemistry ntawm cov ntshav rau cov poj niam thiab cov txiv neej nws yuav tsum tau qhia tias qhov no yog hyperkalemia. Tus mob no yog yam ntxwv ntawm kev ua kom lub cev, lub cev qhuav dej, lub plab tsis ua hauj lwm hauv lub cev, thiab lub cev tsis muaj dab tsi. Ib tug txo txo nyob rau hauv cov ntsiab lus ntawm poov tshuaj yog hu ua
Hauv kev ntsuam xyuas ntawm kev ntsuam xyuas ntshav biochemistry, sodium norm yog 136-145 mmol / l. Kev nce qib hauv qhov ntsuas no feem ntau qhia txog kev ua txhaum ntawm qhov kev ua ntawm adrenal cortex los yog pathology ntawm hypothalamus.
Txoj cai siv tshuaj chlorine hauv cov ntshav 98-107 mmol / l. Yog tias qhov ntsuas loj dua, tus neeg muaj peev xwm ua kom lub cev tsis muaj zog, salicylate lom lossis adrenocortical tsis ua haujlwm. Tab sis qhov txo cov chloride cov ntsiab lus yog pom nrog ntuav, ib qho tseem ceeb nce hauv qhov ntim ntawm cov kua dej thiab ntau tus tawm hws.