Âîîáùåì ñäàë ÿ èììóíîãðàìó ñâåæóþ, íå ñêàçàòü ÷òî áû õóæå íî è íå ëó÷øå, è êóäà èìóíîãðàììà ïëûâåò íà óëó÷øåíèå èëè óõóäøåíèå - îäíîçíà÷íî íå ñêàçàòü.
Íî â ýòîò ðàç â ïëþñå âûëåçëè ÀÍÀ è HLA-B27 , äî êó÷è, õì..
Âîîáùåì âîò îíî:
Êëèíè÷åñêèå.èññëåäîâàíèÿ
.......Êëèíè÷åñêèé.àíàëèç.êðîâè.(ïîëíûé+òðîìáîöèòû )
Ýðèòðîöèòû................:.5.49........10^12/ë...(4.00-5.50)
Ãåìîãëîáèí................:.160.........ã/ë.......(130-170)
Ãåìàòîêðèò................:.47.2........%......... (40.0-48.0)
Ñðåä.îáúåì.ýðèòðîöèòà.....:.85.9........ôë........ (80.0-99.0)
Ñð.ñîäåðæ.Hb.â.ýðèòðîöèòå.:.29.2........ïã........ (27.0-33.3)
Ñð.êîíö.Hb.â.ýðèòðîöèòå...:.340.0.......ã/ë.......(310.0-380.0)
Èíäåêñ.ðàñï.ïî.îáúåìó.ýð..:.14.5........%......... (12.0-15.0)
Òðîìáîöèòû................:.409.*.......10^9/ë....(180-320)
Ëåéêîöèòû.................:.9.10.*......10^9/ë....(4.00-9.00)
ÑÎÝ.......................:.6...........ìì/÷àñ....(1-10)
........................îòíîñèòåëüíûå............. ...àáñîëþòíûå
Ï/ÿ.íåéòðîôèëû........:.1.0.....%.(1.0-5.0).........0.09....10^9/ë..(0.04-0.30)
Ñ/ÿ.íåéòðîôèëû........:.54.0....%.(47.0-72.0).......4.91....10^9/ë..(2.00-5.50)
Ëèìôîöèòû.............:.34.0....%.(19.0-37.0).......3.1.*...10^9/ë..(1.2-3.0)
Ìîíîöèòû..............:.7.0.....%.(3.0-11.0)........0.64.*..10^9/ë..(0.09-0.60)
Ýîçèíîôèëû............:.3.0.....%.(0.5-5.0).........0.273...10^9/ë..(0.020-0.300)
Áàçîôèëû..............:.1.0.....%.(0.0-1.0).........0.091.*.10^9/ë..(0.000-0.065)
Òèï.îáðàçöà...........:.Âåíîçíàÿ.êðîâü
Èììóíîëîãè÷åñêèå.èññëåäîâàíèÿ
Êîëè÷åñòâî.ëèìôîöèòîâ.è.èõ.ñóáïîïóëÿöèé.â.ïåðèôåðè ÷åñêîé.êðîâè
........................êîëè÷åñòâî.îòíîñèòåëüíîå.. .......àáñîëþòíîå
Ëåéêîöèòû......................................... .......9.10.*..10^9/ë.(4.00-9.00)
Ëèìôîöèòû............................34.0.%.(19.0-37.0)..3094.*.........(1200-2500)
CD3+CD16-.(Ò-ëèìôîöèòû)..............85.*...(52-76)......2630.*.........(950-1800)
CD3+CD16+CD56+.(ÒNK-êëåòêè)..........0.4....(0.1-0.4)....12.............(5-60)
CD4+(Ò-õåëïåðû)......................58.*...(31-46)......1795.*.........(570-1100)
CD3+CD8+.(Ò-êèëëåðû).................22.*...(23-40)......681............(450-850)
CD4+CD8+.(äóáëü-ïîçèòèâíûå.Ò-êëåòêè).0.4....(0.1-1.5)....12.............(5-18)
CD3-CD8+.(àêòèâèðîâàííûå.NK-êëåòêè)..4.0....(1.5-6.0)....124............(18-150)
Ñîîòíîøåíèå.CD4/CD8..................2.64.*.(1.00-1.70)....
CD3-CD16+.(NK-êëåòêè)................8.*....(9-19).......248............(180-420)
CD19+.(B-ëèìôîöèòû)..................7......(6-18).......217............(150-450)
CD25+.(Ðåöåïòîð.ÈË-2)................10.5...(2.0-11.0)...325.*..........(90-300)
HLA.DR+..............................14.....(6-22).......433............(150-550)
Ïîëèôåðàòèâíàÿ.àêòèâíîñòü.ëèìôîöèòîâ.ñ.ìèòîãåíàìè
Ñïîíòàííàÿ.ïðîëèôåðàöèÿ.........:....0.8....%.(0.5-1.5)
ÔÃÀ..(15.ìêã/ìë)................:....11.2.*...(13.0-60.0)
PWM..(5.ìêã/ìë).................:....3.9......(3.0-10.0)
Ïðîäóêöèÿ......ñïîíòàííàÿ.........èíäóöèðîâàííàÿ.. ......ñîäåðæàíèå.â.ñûâîðîòêå
ÔÍÎ-à..........1914.*..(0-70).....1983.*...(500-1500)...50......(0-70)
ÈË-8.â.ñûâ..êðîâè.è.êóëüòóðå.ëèìôîöèòîâ
Ïðîäóêöèÿ......ñïîíòàííàÿ.........èíäóöèðîâàííàÿ.. ......ñîäåðæàíèå.â.ñûâîðîòêå
ÈË-8.(ïã/ìë)...242.*..(0-100).....247.*....(1000-5000)..20......(0-70)
Èíòåðôåðîí-à.â.ñûâîðîòêå.êðîâè.è.êóëüòóðå.ëèìôîöèòîâ
Ïðîäóêöèÿ......ñïîíòàííàÿ.........èíäóöèðîâàííàÿ.. ......ñîäåðæàíèå.â.ñûâîðîòêå
ÈÔÍ-à.(ïã/ìë)..50....(0-50).......134......(100-500)....50......(0-50)
Èíòåðôåðîí-g.â.ñûâîðîòêå.êðîâè.è.êóëüòóðå.ëèìôîöèòîâ
Ïðîäóêöèÿ......ñïîíòàííàÿ.........èíäóöèðîâàííàÿ.. ......ñîäåðæàíèå.â.ñûâîðîòêå
ÈÔÍ-g.(ïã/ìë)..50....(30-50)......888.*....(100-500)....20......(0-50)
Áàêòåðèöèäíîñòü.íåéòðîôèëîâ
Áàêòåðèöèäíîñòü...ñïîíòàííàÿ...........èíäóöèðîâàí íàÿ.............èíäåêñ.ñòèìóëÿöèè.(ÍÑÒ-òåñò)......75.Åä/ìëí.êë..(70-120).225.*Åä/ìëí.êë..(150-200)..3.0.*(1.2-2.0)
Ôàãîöèòîç.íåéòðîôèëîâ
Ôàãîöèòîç.íåéòðîôèëîâ......75..%...(65-88)
Èíäåêñ.ôàãîöèòîçà......75..%...(65-88)
Çàâåðøåííîñòü.ôàãîöèòîçà......75..%...(65-88)
Îïðåäåëåíèå.èììóíîãëîáóëèíîâ.ìåòîäîì.òóðáîäèìåòðèè
IgA.........................:.4.79.*....ã/ë..(0.99-4.50)
IgM.........................:.0.88......ã/ë..(0.60-2.50)
IgG.........................:.27.23.*...ã/ë..(8.00-18.00)
IgE.........................:.14.00.*...KE/ë.(20.00-100.00)
s IgA.......................:.2.90......ìêã/ìë..(1.50-3.00)
Öèðêóëèðóþùèå.èìì..êîìïëåêñû
ÖÈÊ
âûñîêîìîëåêóëÿðíûå...............7........ó.å..... ....(0-50)
ñðåäíåìîëåêóëÿðíûå...............32.......ó.å..... ....(0-60)
íèçêîìîëåêóëÿðíûå................186.*....ó.å.........(0-130)
Ñóáêëàññû.IgG
Ñóáêëàññû.IgG1............2.70.*.....ìã/ìë..(3.20-10.20)
Ñóáêëàññû.IgG2............1.00.*.....ìã/ìë..(1.20-6.60)
Ñóáêëàññû.IgG3............0.30.......ìã/ìë..(0.20-1.90)
Ñóáêëàññû.IgG4............0.10.......ìã/ìë..(0.10-1.30)
Àíòèíóêëåíàðíûå.àíòèòåëà.(èíäåêñ).....4.2....<1.îòðèöàòåëüíûé
.............................................1.0-1.2.ñîìíèòåëüíûé
.............................................>1.2. ïîëîæèòåëüíûé
HLA.B-27/B-7.ïðîò..öèòîì........Ïðè òèïèðîâàíèè âûÿâëåí àíòèãåí B27