⒈ Cov kab mob ntshav liab muaj ntshav tsawg tsawg thiab cov ntshav ntshav tsawg, cov qog ua ntshav liab thiab cov ntshav liab tsis tu ncua tuaj yeem pom hauv cov ntshav. Thaum cov ntshav liab tsis tu ncua lossis tus kheej tsim txom lub zog, nws tuaj yeem qhia qhov ua rau muaj tus mob hemolysis.
Qhov tseem ceeb ntawm ntshav ntshav hemoglobin kev txiav txim siab Plasma tsis tshua muaj ntshav tsawg tsuas yog hemoglobin,> 40mg / L yog qhov ntsuas tseem ceeb ntawm hemolysis, tshwj xeeb tshaj yog intravascular hemolysis, xws li paroxysmal pw hemoglobinuria, ntshav tsis sib xws thiab hloov ntshav. Extravascular hemolysis, xws li mob txha caj qaum, feem ntau tsis nce ntxiv.
Qhov tseem ceeb ntawm kev txiav txim siab haptoglobin (Hp)
Qhov Txo ntawm cov ntshav haptoglobin yog pom hauv:
Ious Ntau yam kab mob hemolytic anemias, suav nrog rau kev mob ntshav txhawm rau ntshav lossis txhaws ntshav;
Mob siab ua paug cell, kis kab mob mononucleosis, mob ua paug rau lub cev los ntawm lub cev, thiab lwm yam.
B. Ua kom cov ntshav haptoglobin pom muaj ntau ntxiv, ua mob rau cov nqaij mos, ua mob tawv nqaij ntxiv, thiab mob qog.
⒋ Qhov tseem ceeb ntawm cov ntshav ntshav methemoglobin albumin test Qhov kev ntsuas no pab kom paub qhov txawv ntshav ntawm daim tawv nqaij lossis ntshav khov. Ib qho cim qhia pom tias muaj mob ntshav khov ntshav khov ntshav khov hemolysis. Xws li paroxysmal nocturnal hemoglobinuria, methemoglobin albumin tsam tshwm, thaum spherocytosis yog extravascular hemolysis tsis muaj thaj chaw no.
Kev kuaj mob cov ntshav
Exc Muaj kev nthuav tawm ntxiv ntawm urobilinogen;
Txoj kev kuaj ntshav occult yog qhov zoo, vim hais tias thaum lub plasma dawb hemoglobin muaj ntau ntxiv, ntau dhau ntawm tus nqi ntawm conjugated globin thiab lub raum tubular reabsorption muaj nuj nqi, hemoglobinuria tshwm sim;
Test Kuaj ntshav hemosiderin yog qhov zoo, xav txog qhov muaj tus mob hemolysis, tshwj xeeb yog kuaj ntshav ntawm daim tawv nqaij.
Measurement Kev ntsuas cov ntshav liab lub neej txoj sia yog qhov ntsuas kom pom tseeb rau kev kuaj pom cov ntshav hemolysis, feem ntau yog siv 51Cr, 3P-DFP lossis diisopropyl fluorophosphate sau cov ntshav liab rau txoj kev, tuaj yeem hloov qhov ntsuas ntawm cov ntshav liab lub neej. Qhov ntsuas no qhia tau hais tias lub neej txo qis ntawm cov ntshav liab qhia tias hemolysis.