פענוח בדיקות דם חריגות

גיל 25 , גובה 1.70 , משקל 88 , מעשן , לא עושה התעמלות . MY_SUBTITLE WBC K/uL 7.79 4 (.....*...) 10 BD1 RBC M/uL 5.10 5 (*........) 7 BD1 HGB g/dL 16.5 13 (.......*.) 17 BD1 HCT % 49.7 40 (........*) 50 BD1 MCV fL 97.5 83 (......*..) 101 BD1 MCH pg 32.4 27 (.........)* 32 BD1 MCHC g/dL 33.2 31.5 (....*....) 34.5 BD1 PLT K/uL 218 150 (.*.......) 450 BD1 RDW-SD fL 47.6 39 (.........)* 46 BD1 RDW-CV % 13.4 11.6 (......*..) 14 BD1 PDW fL 13.3 9 (....*....) 17 BD1 MPV fL 11.0 7.8 (......*..) 12 BD1 P-LCR % 32.8 Neutrophils % % 47.0 40.3 (.*.......) 74.8 BD1 Lymphocytes % % 41.6 12.2 (.......*.) 47.1 BD1 Monocytes % % 7.4 4.4 (..*......) 12.3 BD1 Eosinophils % % 3.5 1 (....*....) 6 BD1 Basophils % % 0.5 0 (.*.......) 2 BD1 Neutrophils K/uL 3.66 1.82 (..*......) 7.42 BD1 Lymphocytes K/uL 3.24 0.85 (.........)* 3 BD1 Monocytes K/uL 0.58 0.19 (.....*...) 0.77 BD1 Eosinophils K/uL 0.27 0.02 (....*....) 0.5 BD1 Basophils K/uL 0.04 0.02 (.*.......) 0.1 הערותMY_SUBTITLE Hemolysis Index 16 No hemolysis Semi-quantitative Linear up to 1000 mg/dL Hgb BD1 Sodium mmol/L 144.0 133 (.......*.) 145 BD1 Potassium mmol/L 4.6 3.7 (....*....) 5.5 BD1 Chloride mmol/L 102.9 96 (....*....) 108 BD1 Glucose mg/dL 92.9 55 (.......*.) 100 BD1 Calcium mg/dL 10.0 8.2 (.....*...) 10.7 BD1 Phosphorus mg/dL 4.2 2.7 (.......*.) 4.5 BD1 Urea mg/dL 49.5 0 (.....*...) 71 BD1 Creatinine mg/dL 0.9 0.7 (...*.....) 1.2 BD1 Uric Acid mg/dL 6.98 0 (........*) 7 BD1 LDH U/L 190 0 (...*.....) 480 BD1 Creatine Kinase U/L 62 38 (.*.......) 174 ערכי ייחוס מתאימים למבוגרים בלבד BD1 AST(GOT) U/L 18 15 (*........) 40 BD1 ALT(GPT) U/L 33 4 (......*..) 41 BD1 Alkaline Phosph. U/L 53 40 (*........) 129 BD1 Bilirubin, Total mg/dL 0.63 0.1 (....*....) 1 BD1 Total Protein g/dL 7.36 6.6 (..*......) 8.7 BD1 Albumin g/dL 4.9 3.4 (.........)* 4.8 BD1 Globulin g/dL 2.49 BD1 Cholesterol,Total mg/dL 220.9 107 (.........)* 200 BD1 Triglycerides mg/dL 208.5 3 (.........)* 200 BD1 HDL Cholesterol mg/dL 44 35 (...*.....) 55 BD1 LDL Cholesterol mg/dL 135 Optimal: <100 mg/dL Borderline high: 130-159 mg/dL Near optimal: 100-129 mg/dL High: >160 mg/dL Expected values BD1 Non-HDL Cholesterol mg/dL 177 An appropriate reference range for Non-HDLC can be derived by adding 30mg/dL to the reference values of LDL-C BD1 EndocrinologyBH1 MY_SUBTITLE TSH mIU/L 3.19 0.35 (.....*...) 4.94 Urine analysisBH1 שם בדיקה יחידות ערך תצוגה ערך תחתון ערך עליון הערותMY_SUBTITLE Glucose mg/dL Normal BD1 Ketones mg/dL NEG BD1 Protein mg/dL NEG BD1 Blood mg/dL NEG BD1 Leukocytes Leu/uL Negative BD1 Nitrite NEG BD1 pH 5.5 BD1 Urobilinogen mg/dL Normal BD1 Bilirubin mg/dL NEG האם אפשר לקבל המלצות ?

1. להפסיק לעשן. 2. להפסיק לעשן 3. להפסיק לעשן 4. לרדת במשקל. 5. לעסוק בפעילות גופנית אירובית יום יומית.