{"id":30,"date":"2024-01-07T21:59:16","date_gmt":"2024-01-07T21:59:16","guid":{"rendered":"https:\/\/www.hemoglobin.dk\/?page_id=30"},"modified":"2024-01-07T21:59:16","modified_gmt":"2024-01-07T21:59:16","slug":"rekvisition","status":"publish","type":"page","link":"https:\/\/www.hemoglobin.dk\/index.php\/rekvisition\/","title":{"rendered":"Rekvisition af h\u00e6moglobintype"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\">Bestilling<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">H\u00e6moglobinsygdomme diagnosticeres ved blodpr\u00f8ve (3-4 mL EDTA-blod):<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u201dH\u00e6moglobintype\u201d (NPU17703)<\/li>\n\n\n\n<li>I Region Midt rekvireres hos gravide i stedet: Hb(B)-H\u00e6moglobin, screen af gravide (AAA00305)<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Blodpr\u00f8ven kan bestilles via WebReq og fra hospitaler via den elektroniske patientjournal.&nbsp;Ved rekvisitionen biver man bedt om at oplyse<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Graviditet (Ja\/Nej)<\/li>\n\n\n\n<li>Oprindelsesland (angiv helst land og ikke region\/kontinent)<\/li>\n\n\n\n<li>Om der er givet blodtransfusion indenfor 3 m\u00e5neder (da dette giver anledning til ekstra analyser for at undg\u00e5 falsk normal svar)<\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\">Udfyldelse heraf er vigtigt for pr\u00e6cis bestemmelse af h\u00e6moglobintype.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Blodpr\u00f8ven tages i et 3-4 ml EDTA-glas. Pr\u00f8ven skal ikke centrifugeres. I privat praksis stilles pr\u00f8ven i klimaskab og afhentes sammen med de \u00f8vrige blodpr\u00f8ver samme dag.&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Svar p\u00e5 unders\u00f8gelse<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Svartiden er oftest &lt;1 uge efter modtagelse af pr\u00f8ve p\u00e5 laboratoriet. Ved behov kan svaret fremskyndes&nbsp;ved personlig kontakt til laboratoriet (se kontaktside).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Svaret sendes til rekvirenten og kan inkludere anbefaling om hurtig screening af partner.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ved fund af h\u00e6moglobinopati hos gravid, ringer laboratoriet til rekvirenten mhp hurtigt unders\u00f8gelse af partneren.&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Teknisk<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Teknisk er den klassiske h\u00e6moglobinelektroforese afl\u00f8st af high-performance liquid chromatography (HPLC), hvor h\u00e6moglobintyperne i blodet kvantificeres (f.eks. HbA, HbA<sub>2<\/sub>, HbF og varianter s\u00e5som HbS). Abnorme fund udredes n\u00e6rmere ved genetiske unders\u00f8gelser. &nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Normal h\u00e6moglobin, MCV, MCH m.v.&nbsp;<em>udelukker ikke b\u00e6rertilstand<\/em>&nbsp;af h\u00e6moglobinopati, f.eks. HbS, som i homozygot form giver seglcellean\u00e6mi.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Da der kan indg\u00e5 genetiske analyser, skal rekvirenten sikre sig patientens samtykke.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Bestilling H\u00e6moglobinsygdomme diagnosticeres ved blodpr\u00f8ve (3-4 mL EDTA-blod): Blodpr\u00f8ven kan bestilles via WebReq og fra hospitaler via den elektroniske patientjournal.&nbsp;Ved rekvisitionen biver man bedt om at oplyse Udfyldelse heraf er vigtigt for pr\u00e6cis bestemmelse af h\u00e6moglobintype.&nbsp; Blodpr\u00f8ven tages i et 3-4 ml EDTA-glas. Pr\u00f8ven skal ikke centrifugeres. I privat praksis stilles pr\u00f8ven i klimaskab og [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-30","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.hemoglobin.dk\/index.php\/wp-json\/wp\/v2\/pages\/30","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.hemoglobin.dk\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.hemoglobin.dk\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.hemoglobin.dk\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.hemoglobin.dk\/index.php\/wp-json\/wp\/v2\/comments?post=30"}],"version-history":[{"count":1,"href":"https:\/\/www.hemoglobin.dk\/index.php\/wp-json\/wp\/v2\/pages\/30\/revisions"}],"predecessor-version":[{"id":31,"href":"https:\/\/www.hemoglobin.dk\/index.php\/wp-json\/wp\/v2\/pages\/30\/revisions\/31"}],"wp:attachment":[{"href":"https:\/\/www.hemoglobin.dk\/index.php\/wp-json\/wp\/v2\/media?parent=30"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}