Kev ntsuam xyuas Dispensary yog ib qho kev xeem thiab kev tshawb fawb uas cov kws kho mob pom zoo nyob rau lub sijhawm sib txawv (tab sis tsawg kawg ib zaug txhua ob xyoos).
Thawj qhov koj yuav tsum tau ua yog nco ntsoov koj tsev neeg keeb kwm: koj cov pog yawg tau tuag los ntawm dab tsi, thiab yog tias lawv tseem muaj sia nyob, lawv raug mob dab tsi. Qhov tseeb yog tias, paub tias koj cov poj koob yawm txwv mob dab tsi thiab los ntawm qhov lawv tuag, nws yuav yooj yim dua rau tus kws kho mob los tsim ib qho kev npaj kho mob rau koj. Tab sis txawm hais tias peb muab pov tseg tus kheej tus yam ntxwv ntawm koj cov noob caj noob ces, txhua tus poj niam, tsis muaj kev zam, xav tau:
kuaj ntshav dav dav (los ntawm tus ntiv tes lossis los ntawm cov hlab ntsha),
xeem dhau ib qho kev kuaj zis,
xeem dhau kev kuaj ntshav biochemical rau ntau qhov ntsuas, txog qhov uas zaj dab neeg yuav yog me ntsis tom qab,
mus kuaj los ntawm gynecologist,
yuav tau kuaj los ntawm ib tug mammologist,
mus kuaj rau qhov chaw mos flora,
Kev kuaj mob ntawm cov qog mammary (ultrasound - yog tias koj tseem tsis tau muaj hnub nyoog 35-40 xyoo, mammography - yog tias koj muaj hnub nyoog 35 lossis 40 xyoo lawm; tus kws kho mob, tom qab mloog koj cov anamnesis, nyob rau hauv cov xwm txheej ciam teb, los ntawm hnub nyoog, yuav txiav txim siab seb qhov kev xeem twg yog qhov zoo tshaj rau koj),
ua ultrasound ntawm lub plab hnyuv siab raum (kom kuaj tau cov kab mob thiab neoplasms),
mus rau colposcopy (kev kuaj xyuas cov ntaub so ntswg ntawm lub ncauj tsev menyuam kom tshem tawm cov degeneration ntawm cov hlwb mus rau hauv malignant),
tshawb xyuas cov lipid profile (nws yuav qhia tias qhov kev pheej hmoo ntawm cov ntshav txhaws ntau npaum li cas),
ua ECG,
pub ntshav rau cov piam thaj (kom tsis txhob nco qhov pib ntawm kev txhim kho ntshav qab zib mellitus),
kuaj okomarkers (kuaj ntshav kom tsawg kawg peb lub cim qog: CA-125 - rau qog noj ntshav zes qe menyuam, CA-15-3 - rau mob qog noj ntshav mis, CA-19-19 - rau mob qog noj ntshav thiab lub qhov quav, uas yog nyob rau hauv thib peb los ntawm feem ntau ntawm cov poj niam tom qab mob qog noj ntshav mis thiab mob ntsws),
mus ntsib tus kws kho mob hlwb,
tsom xam rau cov tshuaj hormones (yuav tsum tau noj thaum pib thiab hnub 20 ntawm lub voj voog). Nws yuav qhia tias koj lub zes qe menyuam thiab cov thyroid caj pas ua haujlwm zoo npaum li cas.
Kev kuaj mob txhua xyoo
Cia peb mus rau deciphering cov ntsuas ntawm kev kuaj ntshav biochemical.
Alanine aminotransferase (AMT) qhia tau tias puas muaj daim siab puas (hepatitis, cirrhosis, lossis mob qog noj ntshav). Yog tias nws qib nce ntxiv, qhov no yog vim li cas cov kws kho mob xav tias muaj kab mob. Muaj tseeb tiag, nws nyuaj rau kev kuaj xyuas kom raug raws li qhov kev tshuaj ntsuam no, yog li kev tshawb fawb ntxiv yuav tsum tau.
Amylase tag nrho hauv cov ntshav - ib qho enzyme ntawm pancreas. Qhov kev sim yuav qhia rau koj yog tias koj muaj mob pancreatitis lossis lwm yam kev puas tsuaj rau koj lub plab. Ib zaug ntxiv, yog tias nws qib nce ntxiv, cov kws kho mob yuav suab lub tswb, tab sis lawv yuav tsis tuaj yeem hais kom paub tseeb tias qhov tsis zoo rau koj: xav tau kev tshawb fawb ntxiv.
Antibodies rau thyroperoxidase - qhov taw qhia ntawm autoimmune thyroid kab mob.
Antithrombin III muaj kev nyuaj siab rau cov ntshav txhaws. Kev txo qis hauv nws cov concentration qhia tau tias muaj kev pheej hmoo ntawm cov ntshav txhaws.
Tag nrho cov whey protein… Cov ntshav cov protein tau muab faib ua albumin (synthesized los ntawm cov protein uas muab cov zaub mov hauv lub siab) thiab globulins (txhawb kev tiv thaiv kab mob, thauj cov as-ham mus rau cov ntaub so ntswg, xyuas kom cov ntshav txhaws ib txwm, thiab kuj muaj cov enzymes thiab cov tshuaj hormones. Cov kws kho mob yuav txhawj txog qhov tseeb. tias tus nqi ntawm cov protein uas koj tau txo qis, thiab lawv txaus siab rau tus nqi tiag, thiab tsis yog tus txheeb ze, uas nyob ntawm qhov ncua sijhawm lossis, qhov sib txawv, qhov poob ntawm cov kua dej.Yog li, yog tias cov ntsiab lus ntawm cov protein nyob hauv cov ntshav txo qis. Yog li, qhov no yuav qhia tau tias muaj kev ua txhaum ntawm cov metabolism hauv cov protein, uas nyob rau hauv nws tus kheej tuaj yeem yog cov tsos mob ntawm daim siab ua haujlwm tsis zoo (raws li cov ntsiab lus ntawm albumin feem ntau txo qis), lub raum lossis endocrine system tsis zoo. Feem ntau, yog tias lawv pom tias qee yam tsis raug, ces lawv yuav muab kev ntsuam xyuas ntxiv.
Tag nrho bilirubin - bilirubin, cov khoom tawg ntawm hemoglobin muaj nyob rau hauv cov qe ntshav liab uas tuag lawm los yog ib yam dab tsi provokes lawv tuag. Feem ntau, 1% ntawm erythrocytes disintegrates nyob rau hauv ib tug neeg noj qab nyob zoo ib hnub twg; Raws li, kwv yees li 100-250 mg ntawm bilirubin nkag mus rau hauv cov hlab ntsha. Bilirubin tuaj yeem nce ntxiv vim muaj kev puas tsuaj ntau ntawm cov qe ntshav liab (uas yog ib qho ntawm qee hom ntshav qab zib) lossis daim siab puas (piv txwv li, nrog kab mob siab). Qhov tseeb yog tias kev ua haujlwm ntxiv ntawm bilirubin tshwm sim hauv daim siab txhawm rau tshem tawm ntawm lub cev, txawm li cas los xij, yog tias daim siab puas lawm, ces bilirubin raug tso tawm los ntawm cov hlwb puas, nkag mus rau hauv cov ntshav. Kev nce hauv bilirubin kuj tuaj yeem cuam tshuam nrog cov teeb meem ntawm cov kua tsib tawm (piv txwv li, yog tias cov kab mob hauv cov kua tsib yog compressed los ntawm ib yam dab tsi, piv txwv li, qog nqaij hlav, qog nqaij hlav loj, pob zeb lossis caws pliav), ces tus mob no yog. hu ua bile duct dyskinesia. Yuav kom paub seb koj puas muaj ib qho txawv txav ntawm lub cev ua haujlwm, qhov kev tshuaj xyuas no tau sau tseg.
Gamma-glutamyltranspeptidase (GGT) - ib qho enzyme uas pom nyob rau hauv cov hlwb ntawm lub siab thiab cov kua tsib ducts, raws li, qhov tshwm sim qhia dua li cas koj lub siab ua haujlwm. Cov txiaj ntsig kev ntsuas yuav pab xyuas seb koj puas muaj cov kab mob hauv lub cev (holistasis). Nyob rau tib lub sijhawm, kev tsim cov enzyme no kuj tshwm sim los ntawm cawv, yog li ntawd, nyob rau yav tsaus ntuj ntawm kev tshuaj ntsuam, koj yuav tsum tsis txhob haus dej haus lossis noj cov tshuaj paracetomol lossis phenobarbital (muaj nyob hauv Corvalol), uas tseem ua rau GGT Performance index.
Plasma qabzib… Qhov no tsis yog txhua yam hais txog tus neeg hu nkauj nrov ntawm lub vijtsam, tab sis hais txog qhov tshwm sim uas yuav pab koj paub seb koj puas muaj ntshav qab zib. Qhov no yog qhov tseem ceeb vim tias ntshav qab zib pib nrog cov tsos mob me uas tuaj yeem pom tau yooj yim. Kev tsom xam yog qhov tsim nyog tshwj xeeb rau cov neeg uas muaj cov kab mob genetic predisposition rau ntshav qab zib (tus txheeb ze ze tshaj plaws yog ntshav qab zib), rog dhau, lossis koj muaj hnub nyoog tshaj 45 xyoo.
Homocysteine … Sib sau ua ke hauv lub cev, homocysteine pib tua cov phab ntsa sab hauv ntawm cov hlab ntsha, intima, lined nrog endothelium. Thiab lub cev nrhiav kev kho qhov khoob uas tshwm sim. Rau qhov no, lub cev muaj cov roj cholesterol thiab calcium, uas tsim cov atherosclerotic plaques ntawm phab ntsa ntawm cov hlab ntsha puas. Thiab txhua yam yuav zoo yog tias cov plaques tsis kawg ua rau cov hlab ntsha raug kho! Homocysteine yuav tsum tau kuaj xyuas yog tias koj cov neeg hauv tsev neeg tam sim no muaj cov ntshav txhaws, kab mob plawv, lossis mob stroke nrog lub plawv nres. Nws yog ib qho tsim nyog los saib xyuas nws qib yog tias cov kab mob no tshwm sim hauv tsev neeg ua ntej hnub nyoog 50 xyoo.
Hlau hauv cov ntshav… Koj tsis nyob rau hauv qhov txaus ntshai ntawm kev ua ib tug neeg txiav ntoo yog tias koj qhov kev soj ntsuam zoo li qub. Yog tias koj muaj ntshav qab zib, qhov ntsuas no yuav pab kom paub seb nws puas cuam tshuam nrog cov ntsiab lus hlau tsawg hauv lub cev lossis, tej zaum, nws tsim, piv txwv li, vim tsis muaj vitamin B12. Yog tias koj cov ntsiab lus hlau, ntawm qhov tsis sib xws, nce ntxiv, ces qhov no yuav yog vim muaj kab mob hemochromatosis (ib kab mob cuam tshuam nrog kev nqus thiab tsub zuj zuj ntawm cov hlau) lossis kev noj ntau dhau ntawm kev npaj hlau.
Cov tshuaj calcium… Calcium yog cov khoom siv tseem ceeb hauv lub cev, tsis tas li ntawd, nws koom nrog hauv kev sib cog lus ntawm cov leeg thiab lub plawv. Cov ntxhia no yog nyob rau hauv qhov sib npaug nrog phosphorus. Ntawd yog, yog tias cov calcium hauv cov ntshav txo qis, cov ntsiab lus ntawm phosphorus nce, thiab rov ua dua. Yog li ntawd, lawv tham txog phosphorus-calcium metabolism. Cov ntsiab lus ntawm calcium nyob rau hauv cov ntshav yog tswj los ntawm parathyroid thiab thyroid caj pas. Qhov kev ntsuam xyuas no qhia tau hais tias calcium metabolism hauv lub cev, uas yog ib qho tseem ceeb rau kev ntsuam xyuas lub raum kev ua haujlwm (lawv tso calcium), tsis ncaj qha soj ntsuam seb puas muaj mob qog noj ntshav mis, ntsws, hlwb lossis caj pas, seb puas muaj myeloma (hom mob qog noj ntshav), thiab indirectly. qhia tias hyperthyroidism (yog tias calcium qib siab). Txawm li cas los xij, qhov kev tshuaj ntsuam no yuav tsis qhia rau kws kho mob dab tsi txog cov ntsiab lus calcium hauv cov pob txha ntawm pob txha! Txhawm rau ntsuas qhov ntsuas no, muaj cov txheej txheem cais - densiometry.
Coagulogram (prothrombin raws li Quick thiab INR) - qhov tshwm sim qhia tias cov ntshav txhaws zoo npaum li cas.
Leukocyte formula (leukogram) qhia, thawj zaug, ntau npaum li cas lub cev tuaj yeem tiv thaiv kab mob, thiab qhov thib ob, nws tuaj yeem pom, thaum hloov mus rau sab laug (uas yog, nce hauv cov leukocytes tsis paub qab hau), mob qog noj ntshav ntawm qee lub cev, suav nrog lub mis.