{"id":2528,"date":"2018-08-17T09:48:26","date_gmt":"2018-08-17T09:48:26","guid":{"rendered":"https:\/\/4pal.net\/?p=2528"},"modified":"2018-08-24T07:23:05","modified_gmt":"2018-08-24T07:23:05","slug":"y-nghia-xet-nghiem-huyet-hoc","status":"publish","type":"post","link":"https:\/\/4pal.net\/y-nghia-xet-nghiem-huyet-hoc\/","title":{"rendered":"\u00dd ngh\u0129a x\u00e9t nghi\u1ec7m huy\u1ebft h\u1ecdc"},"content":{"rendered":"
X\u00e9t nghi\u1ec7m y h\u1ecdc l\u00e0 m\u1ed9t k\u1ef9 thu\u1eadt quan tr\u1ecdng trong vi\u1ec7c gi\u00fap b\u00e1c s\u0129 c\u00f3 c\u01a1 s\u1edf k\u1ebft lu\u1eadn b\u1ec7nh c\u1ee7a b\u1ec7nh nh\u00e2n.\u00a0Trong c\u00e1c x\u00e9t nghi\u1ec7m y h\u1ecdc, x\u00e9t nghi\u1ec7m huy\u1ebft h\u1ecdc th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng nhi\u1ec1u nh\u1ea5t v\u00e0 \u0111\u00f3ng vai tr\u00f2 quan tr\u1ecdng trong h\u1ec7 th\u1ed1ng ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe hi\u1ec7n \u0111\u1ea1i. V\u1eady\u00a0\u00fd ngh\u0129a x\u00e9t nghi\u1ec7m huy\u1ebft h\u1ecdc<\/em> quan tr\u1ecdng nh\u01b0 th\u1ebf n\u00e0o?<\/span><\/span><\/p>\n Xem th\u00eam:<\/span><\/p>\n <\/p>\n <\/p>\n V\u1edbi ng\u01b0\u1eddi b\u00ecnh th\u01b0\u1eddng th\u00ec s\u1ebd cho ra k\u1ebft qu\u1ea3 <\/span>3,0 \u2013 10,0 G\/L (G\/L: t\u1ec9 t\u1ebf b\u00e0o \/ l\u00edt). <\/span><\/span><\/p>\n N\u1ebfu x\u00e9t nghi\u1ec7m cho ra ch\u1ec9 s\u1ed1 40 \u2013 10 Giga\/L th\u00ec:<\/span><\/span><\/p>\n Tr\u1ea1ng th\u00e1i b\u00ecnh th\u01b0\u1eddng \u1edf nam l\u00e0 4,2 – 6,0 Tera\/L \u00a0v\u00e0 n\u1eef l\u00e0 3,8 – 5 Tera\/L. <\/span><\/p>\n N\u1ebfu k\u1ebft qu\u1ea3 t\u1eeb 3.8 \u2013 5.8 Tera\/L th\u00ec:<\/span><\/p>\n Ch\u1ec9 s\u1ed1 l\u00e0 b\u00ecnh th\u01b0\u1eddng n\u1ebfu nam l\u00e0 130 – 170 gram\/L v\u00e0 \u00a0n\u1eef: 120 – 150 gram\/L. <\/span><\/p>\n N\u1ebfu k\u1ebft qu\u1ea3 Hb l\u00e0 12-16,5 g \/ dL th\u00ec \u00fd ngh\u0129a ch\u1ec9 s\u1ed1 huy\u1ebft h\u1ecdc n\u00e0y l\u00e0:<\/span><\/p>\n Ch\u1ec9 s\u1ed1 b\u00ecnh th\u01b0\u1eddng \u1edf nam l\u00e0 38 – 49% v\u00e0 n\u1eef l\u00e0 34,9-44,5%. <\/span><\/p>\n N\u1ebfu ch\u1ec9 s\u1ed1 n\u00e0y \u1edf nam l\u00e0 39-49% v\u00e0 n\u1eef l\u00e0 33-43%, th\u00ec t\u00ecnh tr\u1ea1ng n\u00e0y b\u1ecb:<\/span><\/p>\n N\u1ebfu ch\u1ec9 s\u1ed1 x\u00e9t nghi\u1ec7m l\u00e0 85-95 fL (1 fL = 10<\/span>-15 <\/span>L) th\u00ec c\u00f3 \u00fd ngh\u0129a:<\/span><\/span><\/p>\n N\u1ebfu ch\u1ec9 s\u1ed1 MCH c\u1ee7a m\u00e1u l\u00e0 26-32 pg (1 pg = 10<\/span>-12<\/span> g) th\u00ec c\u00f3 ngh\u0129a:<\/span><\/span><\/p>\n N\u1ebfu ch\u1ec9 s\u1ed1 MCHC l\u00e0 32-36 g\/ dL th\u00ec:<\/span><\/p>\n <\/p>\n K\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m b\u00ecnh th\u01b0\u1eddng s\u1ebd cho gi\u00e1 tr\u1ecb t\u1eeb 20 \u2013 25%<\/span><\/p>\n Th\u00f4ng th\u01b0\u1eddng t\u1ec9 l\u1ec7 n\u00e0y dao \u0111\u1ed9ng t\u1eeb 4-8%.<\/span><\/p>\n N\u1ebfu cho k\u1ebft qu\u1ea3 0,6-3,4 Giga\/ L th\u00ec c\u00f3 \u00fd ngh\u0129a x\u00e9t nghi\u1ec7m huy\u1ebft h\u1ecdc l\u00e0<\/em>:<\/span><\/p>\n Gi\u00e1 tr\u1ecb chu\u1ea9n t\u1eeb 0,1 \u2013 0,4. K\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m huy\u1ebft h\u1ecdc l\u00e0 0,0-0,9 Giga\/ L c\u00f3 \u00fd ngh\u0129a:<\/span><\/p>\n K\u1ebft qu\u1ea3 0,0-0,7 Giga\/ L c\u00f3 \u00fd ngh\u0129a:<\/span><\/p>\n K\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m 0,0-0,2 Giga\/ L c\u00f3 \u00fd ngh\u0129a:<\/span><\/p>\n X\u00e9t nghi\u1ec7m huy\u1ebft h\u1ecdc l\u00e0 lo\u1ea1i x\u00e9t nghi\u1ec7m m\u00e0 g\u1ea7n nh\u01b0 m\u1ed7i khi \u0111i kh\u00e1m s\u1ee9c kh\u1ecfe ch\u00fang ta \u0111\u1ec1u th\u1ef1c hi\u1ec7n. Tuy nhi\u00ean, kh\u00f4ng ph\u1ea3i ai c\u0169ng hi\u1ec3u r\u00f5 v\u1ec1 \u00fd ngh\u0129a x\u00e9t nghi\u1ec7m huy\u1ebft h\u1ecdc<\/em> c\u0169ng nh\u01b0 c\u00e1ch \u0111\u1ecdc ch\u1ec9 s\u1ed1 x\u00e9t nghi\u1ec7m huy\u1ebft h\u1ecdc. Nh\u1eefng hi\u1ec3u bi\u1ebft v\u1ec1 x\u00e9t nghi\u1ec7m huy\u1ebft h\u1ecdc tr\u00ean hi v\u1ecdng gi\u00fap m\u1ecdi ng\u01b0\u1eddi kh\u00f4ng c\u00f2n m\u01a1 h\u1ed3, l\u00fang t\u00fang khi c\u1ea7m k\u1ebft qu\u1ea3 tr\u00ean tay khi \u0111i x\u00e9t nghi\u1ec7m huy\u1ebft h\u1ecdc.<\/span><\/p>\n\n
1. X\u00e9t nghi\u1ec7m huy\u1ebft h\u1ecdc l\u00e0 g\u00ec ?<\/span><\/h2>\n
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2. \u00dd ngh\u0129a c\u00e1c ch\u1ec9 s\u1ed1 x\u00e9t nghi\u1ec7m huy\u1ebft h\u1ecdc<\/span><\/h2>\n
2.1. \u00dd ngh\u0129a s\u1ed1 l\u01b0\u1ee3ng b\u1ea1ch c\u1ea7u (WBC)<\/span><\/h3>\n
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2.2. \u00dd ngh\u0129a x\u00e9t nghi\u1ec7m huy\u1ebft h\u1ecdc – S\u1ed1 l\u01b0\u1ee3ng h\u1ed3ng c\u1ea7u (RBC)<\/span><\/h3>\n
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2.3. \u00dd ngh\u0129a l\u01b0\u1ee3ng huy\u1ebft s\u1eafc t\u1ed1 (Hb)<\/span><\/h3>\n
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2.4. \u00dd ngh\u0129a v\u1ec1 kh\u1ed1i h\u1ed3ng c\u1ea7u (HCT)<\/span><\/h3>\n
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2.5. Th\u1ec3 t\u00edch trung b\u00ecnh c\u1ee7a h\u1ed3ng c\u1ea7u (MCV)<\/span><\/h3>\n
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2.6. L\u01b0\u1ee3ng Hb trung b\u00ecnh h\u1ed3ng c\u1ea7u (MCH)<\/span><\/h3>\n
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2.7. N\u1ed3ng \u0111\u1ed9 Hb trung b\u00ecnh h\u1ed3ng c\u1ea7u (MCHC)<\/span><\/h3>\n
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2.8. T\u1ef7 l\u1ec7 ph\u1ea7n tr\u0103m b\u1ea1ch c\u1ea7u lympho (LYM%)<\/span><\/h3>\n
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2.9. T\u1ef7 l\u1ec7 ph\u1ea7n tr\u0103m b\u1ea1ch c\u1ea7u mono (MON%)<\/span><\/h3>\n
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2.10. S\u1ed1 l\u01b0\u1ee3ng b\u1ea1ch c\u1ea7u lympho (LYM)<\/span><\/h3>\n
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2.11. S\u1ed1 l\u01b0\u1ee3ng b\u1ea1ch c\u1ea7u mono (MON)<\/span><\/h3>\n
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2.12. S\u1ed1 l\u01b0\u1ee3ng b\u1ea1ch c\u1ea7u \u00e1i toan (EOS#)<\/span><\/h3>\n
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2.13. S\u1ed1 l\u01b0\u1ee3ng b\u1ea1ch c\u1ea7u \u01b0a base (BASO)<\/span><\/h3>\n
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