{"id":205,"date":"2016-12-06T11:16:30","date_gmt":"2016-12-06T10:16:30","guid":{"rendered":"http:\/\/elearning.uia.no\/ml205\/?page_id=205"},"modified":"2023-03-04T14:10:21","modified_gmt":"2023-03-04T13:10:21","slug":"feilkilder","status":"publish","type":"page","link":"https:\/\/elearning.uia.no\/ml205\/automatisert-celletelling\/feilkilder\/","title":{"rendered":"Feilkilder"},"content":{"rendered":"

Generelle feilkilder. Spesifikke feilkilder knyttet opp mot hvert parameter er omtalt i “Tolkning av resultater”.<\/p>\n\n\n\n\n\n\n\n\n\n\n\n\n\n
Tilstand<\/b><\/td>\nAffisert parameter<\/b><\/td>\n\u00c5rsak<\/b><\/td>\nIndikator<\/b><\/td>\nKorrigerende<\/b><\/td>\n<\/tr>\n
Kuldeagglutininer<\/b><\/td>\nRBC \u2193 MCV \u2191 MCHC \u2191 granul\u00e6r utseende<\/td>\nAgglutinerte RBC<\/td>\nDobb.RBC populasj<\/td>\nOppvarming av  <\/p>\n

pr\u00f8ve 37\u00b0 <\/td>\n<\/tr>\n

Lipemia, ikterus, chylomikroner<\/b><\/td>\nHB \u2191 MCH \u2191<\/td>\n\u2191 turbiditet interfererer spektrofotometriske m\u00e5linger<\/td>\nHb x 3 \u2260 HCT<\/td>\nSentrifuger pr\u00f8ven,  <\/p>\n

erstatt plasma med<\/p>\n

\u201dfrisk\u201d<\/td>\n<\/tr>\n

Hemolyse<\/b><\/td>\nRBC \u2193 HCT \u2193<\/td>\nLyserte RBC (\u00f7 talte)<\/td>\nHb x 3 \u2260 HCT<\/td>\nNy pr\u00f8ve!<\/td>\n<\/tr>\n
Lyseresistente RBC abnorm HB<\/b><\/td>\nWBC \u2191 Hb \u2191<\/td>\nRBC med pat. Hb blir ikke lysert og telles som WBC<\/td>\nInterfersens NOISE p\u00e5 histogram?<\/td>\n\u00d8kt inkubering for  <\/p>\n

bedre lyse, manuell<\/p>\n

dil.<\/td>\n<\/tr>\n

Mikrocytose eller schisocytose<\/b><\/td>\nRBC \u2193<\/td>\nRBC eller fragmneter< RBC terskelen<\/td>\nMCV flagg<\/td>\nMikroskop  <\/p>\n

observasjon<\/td>\n<\/tr>\n

NRBC <\/b>(nucleated red blod cells)<\/td>\nWBC \u2191<\/td>\nNRBC telles som WBC<\/td>\nLL flagg?<\/td>\nMikroskop  <\/p>\n

observasjon<\/td>\n<\/tr>\n

Plateaggregater<\/b><\/td>\nPlt \u2193 WBC \u2191<\/td>\nStore aggr. talt som WBC<\/td>\nPlate aggr flagg\/ noise lymph<\/td>\nReanalyser i  <\/p>\n

Na-citrat, res. X<\/p>\n

med 1,1<\/td>\n<\/tr>\n

WBC >100.000\/\u00b5l<\/b><\/td>\nHB\u2191 RBC \u2191 inkorrekt HCT, feil indekser<\/td>\n\u2191 turbiditet Hb, WBC talte som RBC<\/td>\nHb x 3 \u2260 HCT\u00b13, WBC over line\u00e6ritetsomr<\/td>\nFortynn pr\u00f8ven for riktig  <\/p>\n

WBC tall, manuell HCT, indekser m\u00e5 regnes om<\/td>\n<\/tr>\n

Gammel pr\u00f8ve<\/b><\/td>\nMCV \u2191   MPV \u2191 Trc \u2193 diff telling kan v\u00e6re feil<\/td>\nRBC svulmer opp, trc g\u00e5r til grunne, WBC deformeres pga eksponering for EDTA<\/td>\nUnormal WBC histogram<\/td>\nEtablere holdbarhetskriteria, evt be om ny pr\u00f8ve<\/td>\n<\/tr>\n
Leukemier (etter kjemoterapi)<\/b><\/td>\n\u00d8delagte WBC og trombocytter<\/td>\nSkj\u00f8re WBC telles som trombocytter<\/td>\nDelta test <\/u>avsl\u00f8rer feil?<\/td>\nUtstryk, manuell trombocytt- telling<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

Kilde: Avdeling for medisinsk biokjemi, SSK.<\/p>\n","protected":false},"excerpt":{"rendered":"

Generelle feilkilder. Spesifikke feilkilder knyttet opp mot hvert parameter er omtalt i “Tolkning av resultater”. Tilstand Affisert parameter \u00c5rsak Indikator Korrigerende Kuldeagglutininer RBC \u2193 MCV \u2191 MCHC \u2191 granul\u00e6r utseende Agglutinerte RBC Dobb.RBC populasj Oppvarming av   pr\u00f8ve 37\u00b0  Lipemia, ikterus,…<\/span><\/p>\n

Read more Feilkilder<\/span> ›<\/span><\/a><\/div>\n

<\/p>\n","protected":false},"author":13,"featured_media":0,"parent":177,"menu_order":4,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-205","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/elearning.uia.no\/ml205\/wp-json\/wp\/v2\/pages\/205","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/elearning.uia.no\/ml205\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/elearning.uia.no\/ml205\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/elearning.uia.no\/ml205\/wp-json\/wp\/v2\/users\/13"}],"replies":[{"embeddable":true,"href":"https:\/\/elearning.uia.no\/ml205\/wp-json\/wp\/v2\/comments?post=205"}],"version-history":[{"count":6,"href":"https:\/\/elearning.uia.no\/ml205\/wp-json\/wp\/v2\/pages\/205\/revisions"}],"predecessor-version":[{"id":1805,"href":"https:\/\/elearning.uia.no\/ml205\/wp-json\/wp\/v2\/pages\/205\/revisions\/1805"}],"up":[{"embeddable":true,"href":"https:\/\/elearning.uia.no\/ml205\/wp-json\/wp\/v2\/pages\/177"}],"wp:attachment":[{"href":"https:\/\/elearning.uia.no\/ml205\/wp-json\/wp\/v2\/media?parent=205"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}