Capitolul 13

GHID DE INTERPRETARE A UNOR ANALIZE

DE SNGE
13.. DETERMINARI HEMATOLOGICE
xicatii

Analiza 1-3% 54-62% 3-5% ra leucemii Valori Debutul Scade bolilor 25-33% 4.500-1O-eXX)fmm3 normale intoxicatii, 0-0,75% TBC lacorticodebut, scarInfectii, virale tumori, si bacStari Carenta Creste Infectii intoxicatii, postcorticoterapie colagenoze, infectioase, teriene, alergice, de grave, parazitoze, proparaintodupa terapie bo~la Hodgkin, ofile cronica leucocit mie convul- de teine, tumori, leucemie unele mal arie forme si de Hodgkin, i, tii

288

Analiza 11,2-16,5 150-350 ,2millmm3 mil/mm3 Hemoconcentratii Iutiv, ca, Hepatita policitemic, TBC, epidl'1I1i infarct, Anemii apla~l jCl' 250-450 Insuficienti.l tica grava, mg% lellcell hepll III, Creste 16,5-19,5 12-16 13-18 g/dl roza, lupus, sarcina, septicemie, leptospiPoliglobulii stari alergicc, Infectii, disglobug/dl Coagulare intraV/lN

cardiaca 3-7% 3-10 mrn/l ora 42-52% Anemii Valori Reumatism cancer de arti35-49% 49-54% 37-48% Mononucleoza 6-12 mrn/l mii!mm3 oraprostII/il, 4,6-6,2 anumite fOrnll\ lil'Anemii 4,25normale 4,5-5,lmillmm3 Scade Hemodilulii, insuficienl.i1 talasemie, linemii, cancer evo- anemll 0,2-2% Anemii hemolitice,

E bine sa stii!

eticulocite a unei anemii cui ara cardita, bmcelm:n. infectioasa, leucemii, paludi~1I1 endo trombocitopclllrll de ec.I.D.) pancreas purplll'li faza dedisemilllllll, regenerare

Ghid de interpretare
nogenemie, C.I.D., 50 sec.-1min. 20crescuta de vitamina Valori hemosideroza 12-14 sau sec. utilizare 5-15 normale Scade min. Medicatie anticoHemofilie, hemolitice, K, icter mecanic, agulanta, deficiente Anemia anemii hepatite, si Biermer, ictere hipofibriafectare hepatica Creste hipofibrinogenemie, 50-150 Anemii f.lg/dl posthemoAport, absorbtie

289

Analiza tratamentul cu sau de C.I.D. tumori e a factoulburari rive,avi- anticoagulante larii

13.2. DETERMINARI BIOCHIMICE DIN SNGE

Analiza 5-35 Valori D/I miocardic, 7-40 normale Scade Creste infarct infarcte miocardic, Infarct infarcte Hepatite virale, ciroze, hepatite virale,pulcreas litiaza de coledoc, necroze musculare, carcinom monare pulmonare si de renale, si renale, pande pancreas

290

E bine sa stii!

Analiza Valori tumori testiculare Coma diabeticli 25-125 VI/ml VII sub Acidoza Alcaloze 10 metabolidin varsaturi le intense normale Scade zaharat Acidoze dezech din dilllwl iD, Il torie, metabolicl\, Pancreatita acuta, Guta, taminoza nemte, D, leucemii tellllll(\ Creste 3,5-5,5 4,5-19,8 0,3-1,1 22-26 11-35 190-420 mielom Cancer tom, Hipervitaminoza Glicogenoze, Hipoparatiroidic, hitism Alcaloza Insuficienta obezitate, mecanic mEq/1 J..ImolJl g/dl mg/dl multiplu, hepatic, mg/dl grav, respirahi[loyl glicoprin renlllK tugenoze, III Hepatite alcoolism, 0,1-0,4 0,2-0,7 mg/dl 2,3-8;5 4,5-5,5 8-25 mg/dl Diabet Icter mg/dl prin zaharat, mEq/l hemoliza: hiperacute ~i

acidoza sau renala tumori medicamentoase stres,uremica, sarcina cronice, boli sindrom infectioase, malnut:ritiu, nefrotic, nala hepatite, ciroza dillll'l\ tumori, alcoolism, intoxicatii cirozil brat, tiroidie, fistule insuficienlllll' pancrca feocromociIirI' ase calculi gastro-enteropal il,

Ghid de interpretare
Analiza68-76% hepatite sub acute, Valori din total Cancerul de normale Boli Scade renale 30-170 U/i 20-90 U/I Diabet, obezi tate, Insolatie, varsaturi, 2,25-7,0 Nefroza, alcoolism, ciroza, Forme Ciroze, UliI de metastaze cancer boli mixeleucemie, infectide monie, endocardita Infarct miocardic,distrofii Creste 150-200 oase grave, mg/dl pneu70-155 Degenerescenta I1g/ml si trauma0,11-0,60 maligna, U/i hipertiroidie 96-106 mEq/1 0,6-1,2 Boli renale, mg/dl guta, Boala Paget, hiperparatiroidism, cronica cromce boli hepatice,miozite tomiozite, hemodiaree, insuficienta infectii tisme musculare, acute sau osteomalacie, colestaza, tumori osoase, rahitism, suprarenaliana hepatice, proteinelor alimentatie lipsa din ragii xicatii (boala cerebrale, cu Wilson), somnifere intopolimiozite, hepato-lenticulara dermaprostata hepatice

291

me abet ere

292
Analiza

E bine sa stii!

Diferite forme de depresive, normale Valori tulburari de tratament cu anti100-190 VII Scade 1-60 Ciroza Sindrom VII biliara, nefrotic, icter Ateroscleroza, naliana, tiroidian~, Hepatite Hepatita Acromegalie, crestere cronica, acute, giganCreste cortico-suprarehepatica dupa Insuficienta hipofizara, doze grava, mari Hiperparatiroidii, tumori, 70-115 hepatite toxice, 2,6-4,5 450-850 6-12 mg/dl mg/dl mg/dl infarct ciroza, pulmonar, pancreatita, 30-80 mg/dl ciroza biliara ebrale antidiabeticc infarct arterita miocardic mori, oxid de mecanic, nefrotic, acuta, mixedem, diabet sindrom zante unele anemii, i, itahipoparatiroidii tumori maligne harat, hipercolesterolemie icter diabet, mecanic, hiperlipemie, pancreatita ciroza hipercorticism, hepatica,

Ghid de interpretare

293

Analiza 9-15% Ciroze Infarct miocardic reumatism articular 7-14% Deshidratare, insu11-21% 2-5% cromce tetanie normale A Valori terosc1 eroza, tratament cu Nefroza Varsaturi, insuficienta lipoidica, diaree, cor- Clroze Stari de soc, arsuri, hepatite, Colagenoze, ciroze, Hipertiroidie, insuficiente Scade Hemoconcentratii, tico-suprarenala Diaree, varsaturi, Rahitism, mixedem, nefroza, renale, ciroza, 0,2-0,4 Creste g/dl 3,5-5 denutritie, stari g/dl de soc, boli hemoNefroza lipoidica, 0,5-0,9 0,6-1,1 0,7-1,7 3,5-5,0 boala g/dl g/dl mEq/1 Cushing, 60-180 1,5-2,5 mEq/ mg/dl ragii, intoxicatii 6-8 Hemodilutii, g/dl tumori suprarenale, 1,2-1,5 136-145 mEq/l bulina cortizon 2 Sodiu oze bet saturi, mielom dez- inflamatii nefrita infectii, ictere de ne, infarct, tite infectioase infarct miocardic, dian, rdiaca, acut, TBC, hepanala cor-

294
Analiza hepatice cancer BoIi renale acute unele forme de normale Valori Scade Afectiuni Infectii cronice, 21-43 mg/dl Sarcina, hipertiroidie, hiperCreste 40-150 mg/dl

E bine sa stii!

otic iala,

13.3. DETERMINARI HORMONALE DIN SNGE

Analiza 0-28 corticoterapie viriIism Tumori corticosunormale Valori Scade Boala Addison, Addisson, 0-20 3-10 ng/dl 5-30 pg/ml ng/dl 3-15 70-1700 0-140 0-30 6-76 neuroblastom insuficienta pg/ml pg/ml pg/ml pg/ml Cancer medular, Creste 6-23 prarenaIiene, mo-hipofizare, ficiente hipotalainsu 0-10 Jlg/dl Feocromocitom, Sindrom Conn, tumori bronsice, cardiaca, feocromocitom, ciroza, tumori carcinoide, hipofizara insuficienta Boala Cushing, boli Boala hepatice, Cushing, stres diuretice laxative a na bronsice cu imice, tratament

Ghid de interpretare

295

Analiza luteale 5-22 VI/l 40-250 UliI de 3 Tetanie ori bazal testiculara Cicluri anterioara 4-25 4-30 sub Insulinom Diabet Pubertate anovulatorii fizara: mintala cicluri 15-20 nanism UliI zaharat anovulantrnormale Valori 6-18 UI/l Scade peste 30 VI/l torii, administrare ziata, infantilism Sarcina, tumori sub 0,45 ree, anoreXle !lg/l insuficienta 10-60 Adenom pg/ml paratiroinsuficienta 0-10 Adenom Insuficienta nglml hipofizar: gonaficienta de estrogeni ovariana, 0,9-3,04 0,02-0,8 0,2-1,8 8-18 5-25 Hiperplazie hipofizar, si talamo-hipofizara, !lg/dl !lU/ml hipofizara !lg/l !lg/l amenocorticosuprarenaliana, Creste polichistic hipofizara, ovar Hiperfunctie ovariana dica hipotalamoprimara hipohipoMenopauza, acromegalie, insugicorticosuprarenaiiana onadidezechilibrat emuonul uteal olicular ntral, opauza minale m pulmonar, nefropatii si lehing, ul

296

E bine sa stii!

Analiza 275-875 normale amenoree, de bromergocrip0-7 mU/I Valori Scade 38-190 Insuficienta precoce ng/dl intoxicatii sindrom Turner Cancer testicular, supraalimentatie tiroidiana primara, galactoree, virilism, tina, hormoni pubertate unele Adenom hipofizar, 1,0-2,1 Hipertiroidism, insuficienta alcoolism, ng/dl tiroidieni, B6 Hipotiroidism, Creste 23-75 1-20 ng/ml ng/dl ng/dl hipotalamohipofizara J..lg/dl Hipertiroidism, Cancer prostatic, 1-25 4,4-9,9 150-250 ng/ml ng/dl Dupa administrare

atice ale prin onul

13.4. DETERMINARIIMUNOLOGICE

DIN SNGE

hemolitice, Antigenul medul Sindroame are Boli autoimune: Hepatita acuta, neoplazice, hepatita Cuma Ciroza diseminat, lupus alcoolica,glohepatica, eritematos acuta aplazii glomc83-177 15-45 mg/dl mg/dl 45-145 60-333 550-1.900 mg/dl Infectii acute, boli sub 5 ng/ml mg/dl I nefrotice, upus rionar lo-nefrita autoimuna rulonefrita, anemii ciroza biliara, necroielom mielom, pielonefrite, boli pielonefrita, glomerulupus, Complement hepatite cronice

Bibliografie selectiva
1. *** Guide to Alternative Medicine, Brockampton Press, 1996. 2. *** Diabetes: Microsoft Encarta Online Encyclopedia 3. *** Revista Viata + Sanatate, colectia 2001-2002. 4. *** Stroke, Microsoft Encarta Online Encyclopedia 2001. 5. *** The Heartburn, WebMD Corporation, Oct. 2001. 6. *** The National Cancer Institute of The National Institutes of Health. What You Need to Know about Cancer Series: Melanoma. October 21, 1998. 7. *** What is hepatitis? National Institute of Diabetes and Digestive and Kidney Diseases, 2001. 8. Allen lG., Coping with Trauma: A Guide to Self Understanding, American Psychiatric Press, 1995. 9. Andersson G.B., (1999), Epidemiologicalfeatures ofchronic low-back pain, Lancet, 354: 581585. 10. Annas G., Killing machines, Hastings Cent Rep 33,1991.
11. Anonymous, Its AU Over, Debbie, JAMA 259:272,1998.

12. Azamfirei L., Valori de referinta n explorarile de laborator, n Medicina Intensiva (editor M. Chiorean), Ed. Prisma, Tg. Mures, 1999, 382-397.

300

E bine sa stii!

41. Vogin G.D., Heartburn Basics, Cleveland Clinic Procedures, 2002. 42. Vogin G.D., A Guide to Diabetes Warning Signs, WebMed, 2001. 43. Wanzer S.H., Federman D.D., Edelstein SJ. et alI, The physicians responsability toward hopelessly il! patients: A second look, N Engl J Med 320: 844,1984. 44. Watts c., Fat-modified diet for tretament of cardiovascular diseases, Heart Center, April 2002. 45. Watts G., "Effects on coronary artery disease of lipid-Iowering diet, or diet plus cholestyramine", in the St. Thomas' Artherosclerosis Regression Study (STARS), Lancet 339:563-569, 1992.