有沒有醫生朋友可以幫我看看這個檢查結果

來源: 米粒媽媽於 2022-04-19 19:02:44 [檔案] [舊帖] [給我悄悄話] 本文已被閱讀：次 (21658 bytes)

家裏76歲的老人（女），最近血檢時發現貧血，醫生要她做了一係列的檢查（全身X光，24小時尿樣，血檢，bone marrow biopsy), 最後得出的結論是，她有多發性骨髓瘤（Multiple myeloma not having achieved remission (HCC) ）。據說這個病有三個階段，她屬於第二階段. 老人目前什麽症狀都沒有。

我在網上查了下，好像這是種很罕見的疾病，十萬人中才有1-2例。我把檢查結果中不正常的指標都存在一個文件中，想請懂行的醫生朋友幫我看看，這個情況嚴不嚴重？全家人都很擔心。萬分感謝！

IMMUNOGLOBULINS IGG IGA IGM - Details

Component	Your Value	Standard Range	Flag
Total IgG	391.0 mg/dL	700 - 1,600 mg/dL	A
IgA	4,061.2 mg/dL	70 - 400 mg/dL	A
IgM	<20.0 mg/dL	40 - 230 mg/dL	A

CBC WITH DIFFERENTIAL – Details March 25, 2022

Component	Your Value	Standard Range	Flag
WBC	4.2 K/uL	4.0 - 10.5 K/uL
RBC	3.03 M/uL	3.86 - 5.17 M/uL	A
HGB	10.4 g/dL	12.1 - 15.8 g/dL	A
HCT	31.4 %	35.8 - 46.5 %	A
MCV	103.5 fl	85.0 - 99.0 fl	A
MCH	34.3 pg	28.4 - 33.4 pg	A
MCHC	33.2 g/dL	31.1 - 37.0 g/dL
RDW	15.3 %	11.7 - 15.2 %	A
Platelet count	128 K/uL	154 - 393 K/uL	A

CBC WITH DIFFERENTIAL – Details April 4, 2022

Component	Your Value	Standard Range	Flag
WBC	2.9 K/uL	4.0 - 10.5 K/uL	A
RBC	3.15 M/uL	3.86 - 5.17 M/uL	A
HGB	10.6 g/dL	12.1 - 15.8 g/dL	A
HCT	32.3 %	35.8 - 46.5 %	A
MCV	102.7 fl	85.0 - 99.0 fl	A
MCH	33.8 pg	28.4 - 33.4 pg	A
MCHC	32.9 g/dL	31.1 - 37.0 g/dL
RDW	14.7 %	11.7 - 15.2 %
Platelet count	136 K/uL	154 - 393 K/uL	A
Neutrophils %	40.5 %	%
Lymphocytes %	49.5 %	%
Monocytes %	7.6 %	%
Eosinophils %	1.5 %	%
Basophils %	0.9 %	%
Neutrophils Absolute	1.2 K/uL	2.0 - 7.3 K/uL	A
Lymphocytes Absolute	1.4 K/uL	0.8 - 3.6 K/uL
Monocytes Absolute	0.2 K/uL	0.3 - 0.9 K/uL	A

IMMUNOGLOBULIN FREE LT CHAINS BLOOD – Details

Component	Your Value	Standard Range	Flag
Free Kappa Light	6.0 mg/L	3.3 - 19.4 mg/L
Free Lambda Light	188.6 mg/L	5.7 - 26.3 mg/L	H
Kappa/Lambda Ratio, S	0.03	0.26 - 1.65	L

PROTEIN ELECTROPHORESIS SERUM – Details

Component	Your Value	Standard Range	Flag
Alpha 1	0.20 g/dL	0.10 - 0.40 g/dL
Alpha 2	0.47 g/dL	0.40 - 1.00 g/dL
Beta	3.69 g/dL	0.40 - 1.00 g/dL	A
Gamma	0.42 g/dL	0.40 - 1.50 g/dL
Albumin, Electrophoresis	3.7 g/dL	3.4-5.0 g/dL g/dL
Protein, Electrophoresis Serum	8.5 g/dL	6.4 - 8.2 g/dL	A

HAPTOGLOBIN – Details

Component	Your Value	Standard Range	Flag
Haptoglobin	36 mg/dL	44 - 215 mg/dL	A

IRON STUDIES (TIBC) – Details

Component	Your Value	Standard Range	Flag
Iron	68 ug/dL	50 - 170 ug/dL
Iron Saturation	27 %	20 - 40 %
UIBC	181 ug/dL	155 - 355 ug/dL
TIBC	249 ug/dL	250 - 450 ug/dL	A

ERYTHROPOIETIN (EPO) – Details

Component	Your Value	Standard Range	Flag
Erythropoietin	96.3 mIU/mL	2.6 - 18.5 mIU/mL	H

B12, FOLATE – Details

Component	Your Value	Standard Range	Flag
Vitamin B-12	396 pg/mL	180 - 914 pg/mL
Folate	40.00 ng/mL	5.90 - 24.80 ng/mL	A

BETA 2 MICROGLOBULIN SERUM – Details, March 31, 2022

Component	Your Value	Standard Range	Flag
Beta-2 Microglobulin	2.7 mg/L	0.6 - 2.4 mg/L	H

BETA 2 MICROGLOBULIN SERUM – Details, April 18, 2022

Component	Your Value	Standard Range	Flag
Beta-2 Microglobulin	2.5 mg/L	0.6 - 2.4 mg/L	H

PROTIME-INR – Details

Study Result

Narrative

PLEASE NOTE: NEW REFERENCE RANGE EFFECTIVE 2/25/2022.
Condition and INR Therapeutic Range:
Deep venous thrombosis 2.0-3.0
Pulmonary embolism 2.0-3.0
Acute myocardial infarction 2.0-3.0
Atrial fibrillation 2.0-3.0
Antiphospholipid syndrome (no other risk factors) 2.0-3.0
Antiphospholipid syndrome with recurrent thromboembolism 2.5-3.0
Bioprosthetic (tissue) valve 2.0-3.0
Mechanical prosthetic valves 2.0-3.0 or 2.5-3.5 depending on valve type and location

Component Results

Component	Your Value	Standard Range	Flag
Protime	12.9 Seconds	10.0 - 12.8 Seconds	A
INR	1.1	0.9 - 1.1

FREE KAPPA AND LAMBDA LIGHT CHAINS PLUS RATIO, QUANTITATIVE, URINE – Details

Component	Your Value	Standard Range	Flag
Free Kappa Lt Chains,Ur	10.90 mg/L	1.17 - 86.46 mg/L
Free Lambda Lt Chains,Ur	7.06 mg/L	0.27 - 15.21 mg/L
Kappa/Lambda Ratio,U	1.54	1.83 - 14.26	L