На кои стойности от кръвните изследвания трябва да обърнем най-голямо внимание

Когато си правите кръвни изследвания, трябва да следите дали показателите са в референтните граници. В резултатите от изследванията, които ще получите от Медико-диагностична лаборатория “Делпем”, след стойността за дадения показател при изследването ви, ще видите и съответните стойности, в границите на които трябва да бъде този показател.

Ще ви запознаем с на-важните стойности за референция, или граници, за показателите, за които най-често се назначават изследвания.

 

 

 

Референтни стойности на  показателите от кръвната картина

Границите за основните показатели са:

  • за еритроцити – различни при мъже и при жени: при първите границите са 4,6-6,0 х 1012/l, а при вторите – 4,2-5,4 х 1012/l
  • за хемоглобин – при мъжете границите са 140-180 g/l, а при жените – 120-160 g/l
  • за левкоцити – границите са 4,5-10,5 х 109/l
  • за тромбоцити – границите са 100-450 g/l
  • за хематокрит (Ht) – тук границите са различни при двата пола: при мъжете те са 0,4-0,54, а при жените 0,37-0,47
  • за СУЕ (Westergren) – тук границата е различна и според възрастта, и според пола:

– до 50 години за мъже е до 11 mm/h, а за жени до 12 mm/h

– над 50 години за мъже е до 15 mm/h, а за жени до 20 mm/h

  • за СУЕ (Панченко) границата е според възрастта: до 50 години е до 12 mm/h, а над 50 години – до 15 mm/h.

 

Референтни стойности за кръвосъсирване

При изследване за кръвосъсирване се изследват следните показатели и се прилагат следните референтни стойности:

  • времето на кървене – 2-5 минути
  • времето на съсирване – 5-10 минути
  • протромбиновото време – 11-14 секунди
  • тромбиновото време – 18-25 секунди
  • протромбиновият индекс – 70-110 %

 

Референтни стойности при изследвания на въглехидрати

При тези изследвания се вземат стойностите на кръвната захар на гладно, която трябва да е между 2,8 и 6,5 mmol/l, и на гликирания хемоглобин (който се означава с HbA1c) – той трябва да е до 7,0 %.

 

Референтни стойности при липиден профил

Тук се правят следните изследвания при следните референтни стойности:

  • общ холестерол – той трябва да е до 5,7 mmol/l
  • LDL (така нареченият „лош“ холестерол) – той трябва да е до 3,1 mmol/l
  • HDL (това е „добрият“ холестерол) – той трябва да е над 0,90 mmol/l
  • триглицериди – тук границата е до 2,0 mmol/l.

 

Референтни стойности при изследвания на хормони

Изследват се хормоните, които имат значение за функционирането на щитовидната жлеза: T3, T4, TSH. Освен това у жените се изследва пролактинът – хормон, отделян от хипофизата и стимулиращ отделянето на кърма. Ето границите за тези хормони:

  • за FT3 границите са 3,0-6,5pmol/l
  • за FT4 границите са 10,8-25,7 pmol/l
  • за TSH границите са 0,3-4,1 mU/l
  • за пролактин – границата е до 525 μU/l

Дори показателите да са извън референтните стойности, това не е непременно свързано със заболяване. Трябва да обсъдите с личния си лекар дали е необходим преглед при специалист.

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