פענוח בדיקות דם -LAMBDA

שלום רב, אני בת 43 לפני כשנה התגלתה אצלי דלקת פרקים ואני מטופלת ע"י כדורים. במקביל בבדיקות דם שביצעתי התגלו מספר ערכים מוזרים- אשמח לקבל את דעתכם בנושא והדרכה כיצד עלי לפעול. בתודה, רוני 83513572 LIPEMIC INDEX NORMAL NORMAL NORMAL NORMAL HEMOLYTIC IND. NORMAL NORMAL NORMAL NORMAL ICTERIC INDEX NORMAL NORMAL NORMAL NORMAL GLUCOSE MG/DL 99.00 96.00 ALK.PHOSPHAT. U/L 80.00 85.00 67.00 63.00 ALT(GPT) U/L 11.00 9.00 9.00 11.00 AST(GOT) U/L 15.00 14.00 14.00 15.00 BILIRUB.TOTAL MG/DL 0.55 0.71 0.47 0.48 BUN MG/DL 8.00 9.00 11.00 10.00 CALCIUM SERUM MG/DL 9.51 9.54 9.36 9.34 FREE KAPPA MG/L 10.94 9.84 CHOLESTEROL MG/DL 208.00 242.00 238.00 FREE LAMBDA MG/L 3.25 3.48 CREATININE SER. MG/DL 0.87 0.85 0.86 0.83 SODIUM SERUM MMOL/L 139.00 140.00 139.00 137.00 POTASSIUM SERUM MMOL/L 5.60 5.60 4.70 5.00 HDL-CHOLEST. MG/DL 73.00 61.00 66.00 HB A1 C % 5.30 LDL-CHOLEST. MG/DL 108.20 145.00 146.80 IRON UG/DL 205.00 VLDL LEP(%) % 21.40 28.80 20.20 PHOSPHORUS MG/DL 3.80 3.60 4.40 3.90 TOTAL PROTEIN G/DL 7.97 7.51 IMMUNOPHORESIS ראה הערה TRIGLYCERIDES MG/DL 134.00 180.00 126.00 URIC ACID MG/DL 3.60 3.40 3.70 3.60 GFR(ESTIMATED) > 60 > 60 > 60 > 60 KAP/LAMBD RATIO RATIO 3.36 2.82 ESR MM/HOU 18.00 19.00 INR RATIO 1.05 PTT SEC 30.20 PT(%) % 97.00 PT(SECONDS) SEC 11.00 VITAMIN B12 PG/ML 313.00 293.00 WBC K/UL 6.00 6.70 6.10 6.10 NEUTROPHILS K/UL 3.10 3.60 3.10 3.30 NEUTROPHILS % % 51.70 54.00 51.70 53.40 LYMPHOCYTES K/UL 2.10 2.40 2.20 2.10 LYMPHOCYTES % % 34.80 35.50 36.20 34.60 MONOCYTES K/UL 0.70 0.50 0.60 0.60 MONOCYTES % % 11.30 7.40 9.10 9.10 EOSINOPHILS K/UL 0.10 0.20 0.10 0.10 EOSINOPHILS % % 1.70 2.30 1.40 2.10 BASOPHILS ערך אפס BASOPHILS (שינוי ביחידת מידה) K/UL 0.10* 0.10* 0.10* BASOPHILS % % 0.50 0.80 1.60 0.80 RBC M/UL 4.05 3.88 4.11 3.75 HEMOGLOBIN G/DL 13.60 13.50 13.60 13.50 HEMATOCRIT % 39.90 39.00 39.70 37.10 MCV FL 98.50 100.40 96.60 98.80 MCH PG 33.50 34.70 33.10 35.90 MCHC G/DL 34.00 34.50 34.30 36.30 PLATELETS K/UL 228.00 252.00 241.00 201.00 MPV FL 10.10 9.90 9.80 10.00 RDW % 15.60 15.50 16.70 17.90 NOSE-BACT NORMAL FL CRP MG/L 1.50 0.70 HAV-IGG NEGATIVE HBS ANTIGEN NEGATIVE ANTI HBS NONIMMUNE IGG MG/DL 942.00 851.00 IGA MG/DL 178.00 165.50 IGM MG/DL 681.00 705.60 RF IU/ML 17.10 ALBUMIN PEP(%) % 59.00 59.10 ALPHA1 PEP(%) % 4.00 3.90 ALPHA2 PEP(%) % 8.00 8.10 BETA1 PEP(%) % 6.80 6.10 BETA2 PEP(%) % 4.60 4.70 GAMA PEP(%) % 17.60 18.10 ANA NEGATIVE ANTI DS DNA NEGATIVE LIPEMIC INDEX NORMAL HEMOLYTIC IND. NORMAL ICTERIC INDEX NORMAL GLUCOSE 99.00 MG/DL ( 65.00- 100.00) (........*) ALK.PHOSPHAT. 80.00 U/L ( 30.00- 140.00) (...*.....) ALT(GPT) 11.00 U/L ( 5.00- 40.00) (.*.......) AST(GOT) 15.00 U/L ( 5.00- 40.00) (..*......) BILIRUB.TOTAL 0.55 MG/DL ( 0.30- 1.20) (..*......) BUN 8.00 MG/DL ( 4.60- 21.00) (.*.......) CALCIUM SERUM 9.51 MG/DL ( 8.40- 10.40) (....*....) CHOLESTEROL 208.00 MG/DL ( 120.00- 200.00) (.........)* CREATININE SER. 0.87 MG/DL ( 0.50- 1.20) (....*....) SODIUM SERUM 139.00 MMOL/L ( 134.00- 148.00) (..*......) POTASSIUM SERUM 5.60 MMOL/L ( 3.50- 5.30) (.........)* HDL-CHOLEST. 73.00 MG/DL ( 40.00- 85.00) (......*..) LDL-CHOLEST. 108.20 MG/DL ( 60.00- 130.00) (.....*...) VLDL LEP(%) 21.40 % PHOSPHORUS 3.80 MG/DL ( 2.50- 4.60) (.....*...) TOTAL PROTEIN 7.97 G/DL ( 6.20- 8.50) (......*..) TRIGLYCERIDES 134.00 MG/DL ( 35.00- 170.00) (......*..) URIC ACID 3.60 MG/DL ( 2.30- 6.30) (..*......) GFR(ESTIMATED) > 60 (ML/MIN/1.73M2:יחידות) 18 עבור נבדקים מעל גיל MDRD חושב לפי נוסחת לא מתאים לנשים הרות IGG 942.00 MG/DL ( 600.00- 1600.00) (..*......) IGA 178.00 MG/DL ( 70.00- 400.00) (..*......) IGM 681.00 MG/DL ( 30.00- 230.00) (.........)* IMMUNOPHORESIS ראה הערה ALBUMIN PEP(%) 59.00 % ( 55.80- 66.10) (..*......) ALPHA1 PEP(%) 4.00 % ( 2.90- 4.90) (....*....) ALPHA2 PEP(%) 8.00 % ( 7.10- 11.80) (.*.......) BETA1 PEP(%) 6.80 % ( 4.70- 7.20) (.......*.) BETA2 PEP(%) 4.60 % ( 3.20- 6.50) (...*.....) GAMA PEP(%) 17.60 % ( 11.10- 18.80) (.......*.) IMMUNO EXTERNAL : הערה למחלקה IMMUNOTYPING TEST: IGM LAMBDA נוכחות WBC 6.00 K/UL ( 4.00- 10.00) (..*......) NEUTROPHILS 3.10 K/UL ( 1.80- 6.60) (.*.......) NEUTROPHILS % 51.70 % ( 46.00- 68.00) (.*.......) LYMPHOCYTES 2.10 K/UL ( 1.10- 3.50) (...*.....) LYMPHOCYTES % 34.80 % ( 15.00- 45.00) (.....*...) MONOCYTES 0.70 K/UL ( 0.08- 0.90) (......*..) MONOCYTES % 11.30 % ( 2.00- 9.00) (.........)* EOSINOPHILS 0.10 K/UL ( 0.00- 0.60) (.*.......) EOSINOPHILS % 1.70 % ( 0.00- 6.00) (..*......) BASOPHILS 0.00 K/UL ( 0.00- 0.15) BASOPHILS % 0.50 % ( 0.00- 1.50) (..*......) RBC 4.05 M/UL ( 3.90- 5.40) (*........) HEMOGLOBIN 13.60 G/DL ( 12.00- 16.00) (...*.....) HEMATOCRIT 39.90 % ( 35.00- 45.00) (...*.....) MCV 98.50 FL ( 80.00- 98.00) (.........)* MCH 33.50 PG ( 27.00- 33.00) (.........)* MCHC 34.00 G/DL ( 32.00- 35.50) (....*....) PLATELETS 228.00 K/UL ( 150.00- 400.00) (..*......) MPV 10.10 FL ( 6.50- 11.50) (.....*...) RDW 15.60 % ( 11.00- 16.50) (.......*.) FREE KAPPA 10.94 MG/L ( 3.30- 19.40) (...*.....) FREE LAMBDA 3.25 MG/L ( 5.71- 26.30)*(.........) KAP/LAMBD RATIO 3.36 RATIO ( 0.26- 1.65) (.........)* HB A1 C 5.30 % ( 3.80- 6.10) (.....*...)