Cov no yog cov laj thawj rau tuav Koom Tes WHO / Lub Chaw Tiv Thaiv Kab Mob thiab Tiv Thaiv (CDC) Kev Sib Tham Txog Kev Ntsuas ntawm Hlau Status ntawm Cov Pej Xeem.
Koj ntsuas qhov xwm txheej hlau li cas?
Ntau hom kev ntsuas hlau suav nrog:
- Serum iron test, uas ntsuas cov hlau hauv cov ntshav.
- Transferrin test, uas ntsuas cov hloov pauv, cov protein uas txav hlau thoob plaws lub cev.
- Tag nrho cov hlau-binding peev xwm (TIBC), uas ntsuas qhov zoo ntawm cov hlau txuas mus rau transferrin thiab lwm cov proteins hauv cov ntshav.
Qhov kev xeem zoo tshaj plaws rau kev ntsuas qhov xwm txheej hlau yog dab tsi?
Erythrocyte ZPP/H tuaj yeem siv tau zoo tshaj plaws los ua qhov kev ntsuam xyuas thawj zaug rau kev ntsuas hlau, tshwj xeeb tshaj yog cov neeg mob yuav muaj cov hlau tsis muaj zog. Ntxiv rau nws thawj daim ntawv thov, nws tuaj yeem pab tau hauv kev saib xyuas cov lus teb rau kev kho hlau.
Puas yog hlau tuaj yeem tshawb xyuas siv HB ntsuas?
Kev tshawb nrhiav. Ib theem ntawm Hb nyob rau hauv lub xub ntiag ntawm hlau deficiency yuav tsum tau soj ntsuam. Txhua tus neeg mob nrog IDA tus neeg mob yuav tsum muaj qhov tshuaj ntsuam celiac (prevalence yog 0.5-1%) thiab urinalysis kom tshem tawm haematuria, raws li 1% ntawm IDA yog vim lub raum mob malignancy. Ib feem peb ntawm cov neeg mob lub raum cell carcinoma muaj IDA.
Yuav ua li cas yog hlau?
Abstract. Kev lig kev cai, tus qauv biochemical markers ntawm hlau raws li txoj cai yog cov hlau serum,transferrin, transferrin saturation, ferritin thiab, tsis ntev los no, soluble transferrin receptor. Kev kuaj mob ntawm cov hlau tsis muaj peev xwm feem ntau cuam tshuam nrog cov ntshav ferritin concentration tsawg.
A/Prof. Ken Sikaris - 'Blood Tests for Iron Status'
