{"id":3829,"date":"2021-12-01T16:40:00","date_gmt":"2021-12-01T15:40:00","guid":{"rendered":"https:\/\/labvet.cz\/blog\/?p=3829"},"modified":"2025-02-04T16:27:03","modified_gmt":"2025-02-04T15:27:03","slug":"lipemie-vzorku","status":"publish","type":"post","link":"https:\/\/labvet.cz\/blog\/lipemie-vzorku\/","title":{"rendered":"Lipemie vzorku"},"content":{"rendered":"\n

Stejn\u011b jako hemol\u00fdza<\/a> i lipemie, tedy p\u0159\u00edtomnost triglycerid\u016f, m\u016f\u017ee ovlivnit v\u00fdsledky vy\u0161et\u0159en\u00ed. Je to zp\u016fsobeno t\u00edm, \u017ee opacita plasmy nebo s\u00e9ra interferuje s fotometrickou anal\u00fdzou. Ovliv\u0148uje hlavn\u011b m\u011b\u0159en\u00ed protein\u016f, t.j. celkov\u00e9 b\u00edlkoviny, albuminu a hemoglobinu, d\u00e1le miner\u00e1l\u016f drasl\u00edku a v\u00e1pn\u00edku, enzym\u016f ALP a AMS a substr\u00e1tu kreatininu. Interference je i u hormon\u016f a u l\u00e9\u010div.<\/p>\n\n\n\n

\"\"<\/a><\/figure>\n\n\n\n

Na rozd\u00edl od hemol\u00fdzy, lipemie nen\u00ed zp\u016fsobena chybami na stran\u011b odeb\u00edraj\u00edc\u00edho, ale jedn\u00e1 se o probl\u00e9m pacienta. Bu\u010f nebyla dodr\u017eena hladovka p\u0159ed odb\u011brem a dojde k postprandi\u00e1ln\u00edmu zv\u00fd\u0161en\u00ed lipid\u016f v krvi, anebo se jedn\u00e1 o patologick\u00fd stav. T\u00edm m\u016f\u017ee b\u00fdt cukrovka, hypotyre\u00f3za nebo Cushing\u016fv syndrom. Lip\u00e9mie b\u00fdv\u00e1 pozorov\u00e1na i u ob\u00e9zn\u00edch zv\u00ed\u0159at nebo u zv\u00ed\u0159at, kter\u00e1 hladov\u011bj\u00ed del\u0161\u00ed dobu a doch\u00e1z\u00ed u nich k mobilizaci tukov\u00fdch z\u00e1sob.<\/p>\n\n\n\n

Zde je n\u011bkolik tip\u016f, co v takov\u00e9 situaci d\u011blat:<\/p>\n\n\n\n

1) V\u017edy prov\u00e9st separaci s\u00e9ra\/plasmy co nejrychleji. Lip\u00e9mie toti\u017e zp\u016fsobuje i v\u011bt\u0161\u00ed k\u0159ehkost erytrocyt\u016f, tak\u017ee z\u00e1hy dojde k hemol\u00fdze, co\u017e je je\u0161t\u011b v\u011bt\u0161\u00ed probl\u00e9m.<\/p>\n\n\n\n

2) Odebrat co nejv\u011bt\u0161\u00ed vzorek krve. Jsou-li triglyceridy ve form\u011b chylomikron\u016f (vytvo\u0159\u00ed vrstvu tuku na hladin\u011b), zbude u dna dostatek \u010dist\u00e9ho vzorku k anal\u00fdze (tzv. infranatant).<\/p>\n\n\n\n

3) Po separaci nechat plasmu je\u0161t\u011b p\u0159es noc odst\u00e1t v ledni\u010dce a pipetou opatrn\u011b odebrat \u010dist\u00fd vzorek ze dna zkumavky.<\/p>\n\n\n\n

\"\"<\/a><\/figure>\n\n\n\n\"Veterina<\/a>\n","protected":false},"excerpt":{"rendered":"

Stejn\u011b jako hemol\u00fdza i lipemie, tedy p\u0159\u00edtomnost triglycerid\u016f, m\u016f\u017ee ovlivnit v\u00fdsledky vy\u0161et\u0159en\u00ed. Je to zp\u016fsobeno t\u00edm, \u017ee opacita plasmy nebo s\u00e9ra interferuje s fotometrickou anal\u00fdzou. Ovliv\u0148uje hlavn\u011b m\u011b\u0159en\u00ed protein\u016f, t.j. celkov\u00e9 b\u00edlkoviny, albuminu a hemoglobinu, d\u00e1le miner\u00e1l\u016f drasl\u00edku a v\u00e1pn\u00edku, enzym\u016f ALP a AMS a substr\u00e1tu kreatininu. Interference je i u hormon\u016f a u l\u00e9\u010div. … <\/p>\n

Pokra\u010dovat ve \u010dten\u00ed „Lipemie vzorku“<\/span><\/a><\/p>\n","protected":false},"author":4,"featured_media":3831,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_seopress_robots_primary_cat":"none","_seopress_titles_title":"Lip\u00e9mie vzorku krve | Labvet.cz","_seopress_titles_desc":"Na rozd\u00edl od hemol\u00fdzy, lipemie nen\u00ed zp\u016fsobena chybami na stran\u011b odeb\u00edraj\u00edc\u00edho, ale jedn\u00e1 se o probl\u00e9m pacienta. ","_seopress_robots_index":"","footnotes":""},"categories":[6],"tags":[],"class_list":["post-3829","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-www-labvet-cz-blog-vetlaborator"],"yoast_head":"\nLipemie vzorku - Labvet blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/labvet.cz\/blog\/lipemie-vzorku\/\" \/>\n<meta property=\"og:locale\" content=\"cs_CZ\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Lipemie vzorku - Labvet blog\" \/>\n<meta property=\"og:description\" content=\"Stejn\u011b jako hemol\u00fdza i lipemie, tedy p\u0159\u00edtomnost triglycerid\u016f, m\u016f\u017ee ovlivnit v\u00fdsledky vy\u0161et\u0159en\u00ed. Je to zp\u016fsobeno t\u00edm, \u017ee opacita plasmy nebo s\u00e9ra interferuje s fotometrickou anal\u00fdzou. 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