dinh luong hemoglobin 2015
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7/17/2019 Dinh Luong Hemoglobin 2015
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A.acetic -Keto glutaric Pyrole Proto-
porphyrin
Protoporphyrin III + Fe2+ Heme
4 Heme + Globin Hemoglobin
Krebs
Glycin
Sự thành lập Hemoglobin
4.66% 0.34%
5% 94%
7/17/2019 Dinh Luong Hemoglobin 2015
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Globin chain synthesis
Wee ! "onth 3 # $b Goer
& 'ξ'()
$b Po*lan+ & 'ε'(
"onth 3 "onth 6 # $b, & 'γ'(
"onth 6 nant # $b,↓
) $bA↑
A+ult # $bA & ' '( /95% $bA'
&
'δ
'( 3%
7/17/2019 Dinh Luong Hemoglobin 2015
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Ý nghĩa xét nghiệm
Một trong 3 xét nghiệm căn bản nhằm đánh giátình trng thi!" má" # Hct$ %&'$ Hb (
MCV !"l#
MCH !pg#
MCHC !g$%#
H&t
'(C
Hb'(C
H&tHb
7/17/2019 Dinh Luong Hemoglobin 2015
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PH)*G PH,P -. H/M.G%.(I
0ahli1Hellige Cyanmethemoglobin
PP 0o m3 PP -o 3ang
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-5nh l67ng hemoglobin
b8ng ph69ng ph:p ;o m3
!0ahli1Hellige#
7/17/2019 Dinh Luong Hemoglobin 2015
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<1 g3y=n t>&
Hb !m:3 ton ph?n#
HCl @A< <@B
&iD Hematine
/E Pha long
0o m3 aAHematine $ ;>& J
-K& Jt 3L tr& tiJp tr=n Nng nghiệm !g$Dl#
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21 EOng &O
(
;o m30ahli
Hellige
-Qa thRy tinh ;>& J
Sng nghiệm 0ahli !gT#
Pipette 0ahli
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U1 Ho: &ht
ChlohyDri&a&iD @A<
6W&Ct
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41 (ệnh phXm
MaY mao 3Ln Z ho[& m:3 tĩnh m\&h
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h] HCl @A< ^o Nngnghiệm 0ahli _Jn ^\&h
2gT
`im tra t=n ( l>& _c3 Nng m:3
(6W&& <d Ch3Xn b5
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(6W& 2d iJn hnh phLn ng
Eng pipette 0ahli hYt2@f% m:3%a3 ;\&h m:3 Dnhngoi pipetteA
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Phn phNi m:3 ^oNng nghiệm & ;jn
HCl @A<
Eng _Qa thRy tinhtrn _c3 m:3 HCl
@A<
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%63 kdHYt D3ng D5&h trong Nng nghiệm tr:ng
;\&h m:3 trong pipette 21U l?n
rong 3: trnh phn phNi m:3 trn
_c3 tr:nh hng &ho ni bKt trong Nng
nghiệmA
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S)" *+,$ -./ Hb bi!nthành )0Hem)tine mà"
n1" 2m
45 67n trong *+ph8t
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<A9h) lo:ng bằng
n;<c c=t
2A>rộn đ?"
UASo mà" @<i thA6
tinh m"
>i!p tBc ph)
lo:ng n!"
mà" phản
Cng ch;)
trDng @<i mà"
thA6 tinh m"
<A
2A
UA
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(6W& Ud -K& Jt 3L
-K& Jt 3L tr& tiJp
tr=n thn Nng nghiệm
!&on ;N n8m ngang ^Wim[t _:y &ong &Ra D3ng
D5&h trong Nng nghiệm#
-9n ^5 tnhd gT g$<@@ml(
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q1 (iện l3n
r5 ;N bnh th3sngd
E r emd
E + 09 ;inh _R th:ngd <UAu v 2 g$Dl
E + r U th:ng t3i d wAu v 2 g$DlE + r em < t3i d <2A@ v 2 g$Dl
E g6si lWnd
E + am d <4 1 < g$Dl !<q v 2#
E + d <2 1 <q g$Dl !<4 v 2#
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q1 (iezn l3azn
Hemoglobin giLmd thiJ3 m:3
Hemoglonin t{ngd
E + -a h|ng &?3A
E + Hb t{ng giLd hi th& hiện b8ng pp 0ahli ^Wi m}3
m:3 & ~(C •<@@A@@@$mmU `€ Hb t{ng u1<@T ;o
^Wi gi: tr5 th&A
%63 kd HbF &3L bo thai Met1Hb ^ mt ;N D}n x3t
&Ra Hb hng biJn thnh a&iD HematineA
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1 g3y=n nhn ;ai l?m
Eo DOng &Od thRy tinh m}3 hng &h3XnA
Eo ha &htd HCl 3: thsi h\n hng _Yng n|ng _A
Eo ‚ th3td
Sng nghiệm & bKtA
-K& Jt 3L ^i ^A
0o m3 hng _R _ic3 iện :nh ;:ngA