Ãëàâíàÿ

Ïîïóëÿðíàÿ ïóáëèêàöèÿ

Íàó÷íàÿ ïóáëèêàöèÿ

Ñëó÷àéíàÿ ïóáëèêàöèÿ

Îáðàòíàÿ ñâÿçü

ÒÎÐ 5 ñòàòåé:

Ìåòîäè÷åñêèå ïîäõîäû ê àíàëèçó ôèíàíñîâîãî ñîñòîÿíèÿ ïðåäïðèÿòèÿ

Ïðîáëåìà ïåðèîäèçàöèè ðóññêîé ëèòåðàòóðû ÕÕ âåêà. Êðàòêàÿ õàðàêòåðèñòèêà âòîðîé ïîëîâèíû ÕÕ âåêà

Öåíîâûå è íåöåíîâûå ôàêòîðû

Õàðàêòåðèñòèêà øëèôîâàëüíûõ êðóãîâ è åå ìàðêèðîâêà

Ñëóæåáíûå ÷àñòè ðå÷è. Ïðåäëîã. Ñîþç. ×àñòèöû

ÊÀÒÅÃÎÐÈÈ:






Òàқûðûï. Çåðòõàíàëûқ ãåìàòîëîãèÿ. Ãåìîïîýç. 17 òåñò




#66

*!Òåì³ð òàïøûëûқòû àíåìèÿғà êàíäàé çåðòõàíàëûқ áåëã³ëåð ìåéë³íøå ñәéêåñ êåëó³ ìүìê³í:

*Ðåòèêóëîöèòîç +ýðèòðîöèòòåðä³ң îñìîñòûқ òұðàқòûëûғû òөìåí

*Ïàíöèòîç + Æîëëè äåíåëåð³

*Ñàðûñóëûқ òåì³ðä³ң æîғàðëàóû + æàëïû ñàðûñóëûқ òåì³ðä³ң áàéëàíûñòûðóøû қàñèåò³í³ң òөìåíäåó³

* Ñàðûñóëûқ òåì³ðä³ң òөìåíäåó³ + æàëïû ñàðûñóëûқ òåì³ðä³ң áàéëàíûñòûðóøû қàñèåò³í³ң ұëғàþû

* Ñàðûñóëûқ òåì³ðä³ң æîғàðëàóû + æàëïû ñàðûñóëûқ òåì³ðä³ң áàéëàíûñòûðóøû қàñèåò³í³ң қàëûïòû äåңãåéäå

 

#67

Ìàçàñûçäûққà, áàñ àéíàëóғà, құëàғûíäàғû øóó, êөç àëäûíûң ø³ðêåé åëåñ³, òûðíàқòàðûíûң ñûíғûøòûғû, øàìàäàí òûñ øàøûíûң òүñó³, òåð³í³ң құðғàóû. Åòåê ê³ð³ êөï ìөëøåðäå, êөï ìөëøåðäå 13 æàñòàí 7 êүííåí êåëåä³. Æүêò³ë³ê æәíå áîñàíó-3, ñîңғû æүêò³ë³ê êåç³íäå – ãåìîãëîáèíí³ң äåңãåé³ –òөìåí áîëғàí. Қàðàï òåêñåðãåíäå – òåð³í³ң æәíå øûðûøòû қàáàòûíûң áîçàðóûíà òåð³í³ң құðғàқòûғûíà, øûðíàғûíûң ñûíғûøòûғû æәíå ìàéûñқûøòûғûíà, ñèíóñòûқ òàõèêàðäèÿ, æүðåê ұøûíäà ñèñòîëàëûқ øóûë àíûқòàëàäû.

RBC – 2,8õ10 12 / ë, HB - 60 ã/ë, MCH – 21pg, MCV – 71fl, RET – 2%, LEU – 5,2 õ109/ë PLT -180õ109.

Қàíäàé ïàòîëîãèÿëûқ æàғäàéғà, êөðñåò³ëãåí íәòèæåëåð ñәéêåñ êåëåä³:

*Ãåìîëèòèêàëûқ àíåìèÿ

*Òàëàññåìèÿ

* Òåì³ðòàïøûëûқòû àíåìèÿ

*Â12- æåò³ñïåóø³ë³êò³ àíåìèÿ

*Ìèåëîäèñïëàñòèêàëûқ ñèíäðîì

 

#68

*!Íàóқàñòûң æàëïû қàí òàëäàóûíäà æåäåë ïîñòãåìîððàãèÿëûқ àíåìèÿ áàéқàëғàí:

HGB - 98 g/L WBC – 9 õ 109 /L
RBC – 3, 1 õ 1012 /L LYM – 15%
ÌÑV - 90 fl MID – 5%
ÌÑÍ – 27 ðg GRA – 80%
MCHC – 320 g\L PLT - 500 õ 109 /L
Ret – 12 %  

Áұë өçãåð³ñòåð àóðóäûң қàíäàé ñàòûñûíäà áîëóû ìүìê³í:

*Қàí êåòóä³ң ðåôëåêòîðëûқ òàìûðëûқ êîìïåíñàöèÿëûқ ñàòûñû

*Ãèäðåìèÿëûқ ñàòûñû

* ñүéåêò³ң қûçûë êåì³ã³í³ң êîìïåíñàöèÿëûқ ñàòûñû

*Қàëïûíà êåëó³ ñàòûñû

*Øîê

 

#69

*!Íàóқàñ, 48 æàñòà әëñ³çä³êêå, қàòòû áàñ àéíàëóûíà, æүðåê ñîғóûíûң æè³ë³ã³íå æәíå ôèçèêàëûқ æүêòåìå êåç³íäå åíò³ãó³íå, àóðõàíàғà æàòïàé òұðûï 8 àé ³ø³íäå 3 àïòà áîéû íәæ³ñò³ң òүñ³ қàðà, äåãòåîòәð³çä³ áîëóûíà øàғûìäàíäû. Òåð³ñ³ áîçàðғàí. Òûíàғû ñûíғûø, қàáûðøûқòàíғàí. Ñèíóñòûқ òàõèêàðäèÿ, æүðåê ұøûíäà ñèñòîëàëûқ øóûë àíûқòàëàäû. Áàóûð қàáûðғà øåò³íåí 3ñì äåé³í øûққàí. ÔÃÄÑ æүðã³çãåíäå 12 –³ åë³ ³øåêòå îéûқ æàðà, өңåøò³ê êөê òàìûðäûң êåңåþ³ àíûқòàëғàí. Қàííûң òàëäàóûíäà:

HGB - 80 g/L WBC – 5,4 õ 109 /L
RBC – 2, 8 õ 1012 /L LYM – 15%
ÌÑV - 76 fl MID – 5%
ÌÑÍ – 27 ðg GRA – 80%
MCHC – 320 g\L PLT - 160 õ 109 /L
Ret – 12 %  

Қàíäàé ïàòîëîãèÿëûқ æàғäàéғà, êөðñåò³ëãåí íәòèæåëåð ñәéêåñ êåëåä³:

*Ãåìîëèòèêàëûқ àíåìèÿ

* Ñîçûëìàëû ïîñòãåìîððàãèÿëûқ àíåìèÿ

*Â12, ôîëü-қûøқûëû æåò³ñïåóø³ë³ê àíåìèÿ

*Æåäåë ïîñòãåìîððàãèÿëûқ àíåìèÿ

*Àïëàñòèêàëûқ àíåìèÿ

 

#70

*!Ãåìîãðàììàäà êåëåñ³ өçãåð³ñòåð àíûқòàëғàí: ãåìîãëîáèí 100ã/ë; ýðèòðîöèòòåð 3,4 ìëí. ëèòð; ëåéêîöèòòåð 36 ìûң; áëàñò æàñóøàëàðû 42%; ìèåëîöèòòåð 5%; ìåòàìèåëîöèòòåð 1%; òàÿқøàòәð³çä³ 2%; ñåãìåíòòәð³çä³ 20%; ëèìôîöèòòåð 12%; ìîíîöèòòåð 8%. Қàíäàé ñîçûëìàëû ìèåëîëåéêîçäûң ñàòûñûíà, êөðñåò³ëãåí өçãåð³ñòåð ñәéêåñ êåëåä³:

*Áàñòàïқû

*Æàçûëìàëû

*Àñқûíó

* Áëàñòòû êðèç

*Ðåìèññèÿ

 

#71

*!Ãåìîãðàììàäà: ãåìîãëîáèí 120ã/ë; ýðèòðîöèòòåð 3,7 ìëí. ëèòð; ëåéêîöèòòåð 40 ìûң ëèòð; ìèåëîáëàñòòàð 2%; ìèåëîöèòòåð 15%; ìåòàìèåëîöèòòåð 4%; òàÿқøàòәð³çä³ 17%; ñåãìåíòòәð³çä³ 11%; ýîçèíîôèëäåð 7%; áàçîôèëäåð 36%; ëèìôîöèòòåð 6%; ìîíîöèòòåð 2%. Қàíäàé ñîçûëìàëû ìèåëîëåéêîçäûң ñàòûñûíà, êөðñåò³ëãåí өçãåð³ñòåð ñәéêåñ êåëåä³:

*Áàñòàïқû

*Æàçûëìàëû

* Àêñåðåàöèÿ

*Áëàñòòû êðèç

*Ðåìèññèÿ

 

#72

Ãåìîãðàììàäà: áëàñòòàðäûң ïàéäà áîëóûíà áàéëàíûñòû ëåéêîöèòîç, àéқûíäàëғàí íîðìîõðîìäû àíåìèÿ, øåòê³ қàíäà òðîìáîöèòîïåíèÿ æәíå ãèïåðæàñóøàëûқ ñүé³êò³ң қûçûë êåì³ã³íäå êөï ìөëøåðäå áëàñòòàð (60%) äåé³í.

Қàíäàé ïàòîëîãèÿëûқ æàғäàéғà, êөðñåò³ëãåí íәòèæåëåð ñәéêåñ êåëåä³:

* Æåäåë ëåéêîç

*Ñîçûëìàëû ìèåëîëåéêîç

*Ñîçûëìàëû ëèìôîëåéêîç

*Ëèìôîãðàíóëåìàòîç

*Ìèåëîìäû àóðó

 

#73

Íàóқàñқà íåéðîëåéêîçäûң êëèíèêàëûқ áåëã³ëåð³ áàð áîëғàíäûқòàí, ëèêâîðғà çåðòòåóëåð æүðã³ç³ëä³. Қàíäàé êөðñåò³ëãåí íәòèæåëåð ñәéêåñ êåëåä³

*Ëèêâîðëûқ ãèïîòåíçèÿ, ïëåîöèòîç, áåëîê ìөëøåð³í³ң үíåì³ æîғàðû áîëóû.

* Ëèêâîðëûқ ãèïåðòåíçèÿ, ïëåîöèòîç, áåëîê ìөëøåð³í³ң òұðàқñûç áîëóû

*Ëèêâîðëûқ ãèïîòåíçèÿ, ãëþêîçà ìөëøåð³í³ң æîғàðëàóû, áåëîê ìөëøåð³í³ң òұðàқòû áîëóû.

*Ëèêâîðëûқ ãèïåðòåíçèþ, ãëþêîçà ìөëøåð³í³ң òөìåíäåó³, áåëîê ìөëøåð³í³ң òұðàқòû áîëóû

*Ëèêâîðëûқ ãèïîòåíçèÿ, ãëþêîçà ìөëøåð³í³ң òөìåíäåó³, ãëþêîçà ìөëøåð³í³ң ұëғàþû

#74

*!Àòàëғàíäàðäûң ³ø³íåí íàóқàñòûң қàíûíäàғû ëåéêîìîéäòû óàқûòøà æîғàëòóûí àòàңûç:

*«Æåäåë ëåéêîç»äèàãíîçûí íàқòûëàó

*«Ñîçûëìàëû ëåéêîç» äèàãíîçûí íàқòûëàó

*Æåäåë ëåéêîçäû âàðèàíòûí ñәéêåñò³ðó

* Ëåéêåìîéäòû ðåàêöèÿñûìåí ñàëûñòûðìàëû äèàãíîñòèêà æүðã³çó êåðåê.

*Àïëàñòèêàëûқ àíåìèÿìåí ñàëûñòûðìàëû äèàãíîñòèêà æүðã³çó êåðåê.

#75

*!Êåëåñ³ ò³çáåêò³ң қàéñûñû ëåéêîçäûң æàғûìñûç áîëæàìûíà òәí:

* Ëåéêîöèòòåðä³ң áàñòàïқû æàëïû ìөëøåð³ 50000 ìûңíàí æîғàðû

*Ëåéêîöèòòåðä³ң áàñòàïқû æàëïû ìөëøåð³ 5000 ìûңíàí æîғàðû

*Ëåéêîöèòòåðä³ң áàñòàïқû æàëïû ìөëøåð³ 500 ìûңíàí æîғàðû

*Ëåéêîìîéäòû óàқûòøà æîғàëòóûí áîëóû

* Ëåéêîìîéäòû óàқûòøà áîëìàóû ìүìê³í

#76

*!Êåëåñ³ қàé ò³çáåê æåäåë ëåéêîçғà êөá³ðåê òәí:

*Ïåðèôåðèÿëûқ қàí: áëàñòòû æàñóøàëàð, òðîìáîöèòîç; «ëåéêåìèÿëûқ үңã³ð» àíûқòàëàäû, ìèåëîãðàììàäà - áëàñòòàð 20% òөìåí

*Ïåðèôåðèÿëûқ қàí: àíåìèÿ, ãèïåðëåéêîöèòîç òðîìáîöèòîç; «ëåéêåìèÿëûқ үңã³ð» àíûқòàëìàéäû, ìèåëîãðàììàäà - áëàñòòàð 10% òөìåí

* Ïåðèôåðèÿëûқ қàí: áëàñòòû æàñóøàëàð, àíåìèÿ, òðîìáîöèòîïåíèÿ; «ëåéêåìèÿëûқ үңã³ð» àíûқòàëàäû, ìèåëîãðàììàäà - áëàñòòàð 30% òөìåí

*Ïåðèôåðèÿëûқ қàí: àíåìèÿ, ëåéêîöèòîç ñîëғà æûëæûғàí; ìèåëîãðàììàäà - áëàñòòàð 5% òөìåí

*Ïåðèôåðèÿëûқ қàíäà: àíèçîöèòîç, ïîéêèëîöèòîç, ìèåëîãðàììàäà – áëàñòòàð – 1-2 %

#77

Íàóқàñ 42 æàñòà, òåðàïåâòêå әëñ³çä³êêå, ìàçàñûçäûққà, áàñ àéíàëóғà, òûðíàқòàðäûң ñûíғûøòûғûíà, øàøòûң òүñó³íå, òåð³í³ң құðғàқòàíóûíà øàғûìäàíàäû. Åòåêê³ð³ êөï ìөëøåðäå 13 æàñòàí 7 êүííåí êåëåä³. Æүêò³ë³ã³, 3 ðåò áîñàíғàí, ñîңғû æүêò³ë³ê êåç³íäå ãåìîãëîáèí құðàìû òөìåíäåãåí. Қàðàï òåêñåðãåíäå – òåð³í³ң æәíå øûðûøòû қàáàòûíûң áîçàðóûíà òåð³í³ң құðғàқòûғûíà, ÑÆÆ – 105, æүðåê ұøûíäà ñèñòîëàëûқ øóûë àíûқòàëàäû.

ÆҚÀ:

HGB - 100 g/L WBC – 4,60 õ 109 /L
RBC – 3, 0 õ 1012 /L LYM – 20%
ÌÑV - 90 fl MID – 9%
ÌÑÍ – 23 ðg GRA – 71%
MCHC – 320 g\L PLT - 300 õ 109 /L
Ret – 2 %  

Áèîõèìèÿëûқ қàí àíàëèç³:

Æàëïû áåëîê – 66 ã/ë Òåì³ð - 7,0 ìêìîëü/ë
Ìî÷åâèíà – 6,0 ììîëü/ë Õîëåñòåðèí – 4,0 ììîëü/ë
Êðåàòèíèí – 65 ìêìîëü/ë ÀËÒ – 38 U/L
Ãëþêîçà – 5,1 ììîëü/ë ÀÑÒ - 41 U/L
Êàëèé – 4,2 ììîëü/ë Æàëïû áèëèðóáèí – 12 ìêìîëü/ë
Íàòðèé – 138 ììîëü/ë  
Ôåððèòèí – 5 íã/ìîëü  
Òðàíñôåððèí – 6,5 ã/ë  

Қàíäàé ïàòîëîãèÿëûқ æàғäàéғà, êөðñåò³ëãåí íәòèæåëåð ñәéêåñ êåëåä³:

*Â12- òàøûëûқòû àíåìèÿ

*Ôîëü қûøқûëû òàïøûëûқòû àíåìèÿ

* Òåì³ð òàïøûëûқòû àíåìèÿ

*Àïëàñòèêàëûқ àíåìèÿ

*Ãåìîëèòèêàëûқ àíåìèÿ

#78

*!Íàóқàñ Ê. 16 æàñòà ñêëåðàíûң æәíå òåð³ қàáàòûíûң ñàðғûøòûғûíà øàғûìäàíûï òүñåä³. Çәðìåí íәæ³ñ áîÿëғàí. Àëғàø ðåò ñêëåðàíûң ñàðғûøòûғûíà 6 æàñòà áàññүéåêò³ң òóà ïàéäà áîëғàí àқàóû áîéûíøà (òàңäàé æûðûғû, қîÿí æûðûғû) îïåðàöèÿ æàñàëғàííàí êåé³í áàéқàëғàí. Êåé³íã³ æûëû ïåäèàòðғà қàðàëғàí. Òåð³ қàáàòû, ñêëåðàñû, øûðûøòû èêòåðèÿëûқ. ²ø³ æұìñàқ, үëêåéãåí, қàòòû êөêáàóûð ïàëüïàöèÿëàíàäû.Қàííûң æàëïûêëèíèêàëûқ çåðòòåó íәòèæåëåð³: RBC – 1,7õ10 12 / ë, HB - 60 ã/ë, MCH – 31pg, MCV – 106fl, RET – 30%, LEU – 5,2 õ109/ë, PLT -180õ109/ë. Áèîõèìèÿëûқ êàí àíàëèç³:

Æàëïû áåëîê – 68 ã/ë  
Ìî÷åâèíà – 6,0 ììîëü/ë Õîëåñòåðèí – 4,0 ììîëü/ë
Êðåàòèíèí – 65 ìêìîëü/ë ÀËÒ – 35 U/L
Ãëþêîçà – 5,1 ììîëü/ë ÀÑÒ – 31U/L
Êàëèé – 4,2 ììîëü/ë Æàëïû áèëèðóáèí – 112 ìêìîëü/ë
Íàòðèé – 138 ììîëü/ë Áîñ (ò³êåëåé åìåñ) - 81 ìêìîëü/ë
Ôåððèòèí – 15 íã/ìîëü ѳëò³ë³ ôîñôàòàçà – 110 U/L
  Ãàììàãëþòàìèëòðàíñïåïòèäàçà – 93 U/L

Қàíäàé ïàòîëîãèÿëûқ æàғäàé íàóқàñòà àíûқòàëàäû:

*Æèëüáåð àóðóû

*Ñîçûëìàëû ãåïàòèò

* Òóà ïàéäà áîëғàí ãåìîëèòèêàëûқ ñàðғûøòàíó

*Өò-òàñ àóðóû

* Áàóûð öèððîçû

#79

*!Íàóқàñ 22 æàñòà, òåðàïåâòêå әëñ³çä³êêå, ìàçàñûçäûққà, áàñ àéíàëóғà, òûðíàқòàðäûң ñûíғûøòûғûíà, øàøòûң òүñó³íå, òåð³í³ң құðғàқòàíóûíà øàғûìäàíàäû. Åòåêê³ð³ êөï ìөëøåðäå 13 æàñòàí 7 êүííåí êåëåä³. Òåêñåðãåíäå - òåð³ қàáàòûíûң áîçғûëòòûғûíà, òåð³í³ң құðғàқòûғûíà, è³ëãåí æәíå қàòïàðëàíғàí òûðíàқòû êөðåì³ç. RBC – 2,8õ10 12 / ë, HB - 60 ã/ë, MCH – 21pg, MCV – 71fl, RET – 2%, LEU – 5,2 õ109/ë PLT -180õ109. Çåðòòåóëåðäåí RET êөðñåòê³ø³í қàëàé áàғàëàóғà áîëàäû:

*Òåì³ðòàïøûëûқòû àíåìèÿ äèàãíîçûí íàқòûëàó

*Òåì³ð æәíå Â12 òàïøûëûқòû àíåìèÿíûң äèôôåðåíöèàëüäû äèàãíîç æàñàó

*Ãåìîëèòèêàëûқ àíåìèÿ äèàãíîçûí íàқòûëàó

* Қûçûë ñүéåê êåì³ã³í³ң êîìïåíñàòðîëû қûçìåò³í áàғàëàó

*Â12 òàïøûëûқòû àíåìèÿíû íàқòûëàó

 

#80

*!Íàóқàñòûң қàíûíûң æàëïû êëèíèêàëûқ çåðòòåó³íäå MCV 120 fl құðàäû. Қàíäàé æîëìåí ãåìîãðàììàíûң áàñқà êөðñåòê³øòåð³ өçãåðó³ ìүìê³í:

*ÌÑÍ – N, ÌÑÍÑ – N, RBC – ãèñòîãðàììà îңғà æûëæûғàí

*ÌÑÍ – N, ÌÑÍÑ – N, RBC – ãèñòîãðàììà қàëûïòû çîíàäà îðíàëàñқàí

*ÌÑÍ - ¯, ÌÑÍÑ - ¯, RBC – ãèñòîãðàììà ñîëғà æûëæûғàí

* ÌÑÍ - ­, ÌÑÍÑ – N, RBC – ãèñòîãðàììà қàëûңäàғàí æәíå îңғà æûëæûғàí

*ÌÑÍ - N, ÌÑÍÑ – N, RBC – ãèñòîãðàììà қàëûңäàғàí æәíå ñîëғà æûëæûғàí

 

#81

*!Қàííûң æàëïû êëèíèêàëûқ çåðòòåó³íåí êåé³í ìûíàäàé íәòèæåëåð àëûíäû. RBC – 5,5*10 12/ë, HB - 130 ã/ë, MCH -80 pg, RET – 1%, MCV -90fl, ÌÑÍÑ - 420 ã/ë. Àëûíғàí íәòèæåëåðä³ң åң ìүìê³í áîëàòûí ñåáåá³:

*ýðèòðîöèòòåã³ ãåìîãëîáèí ñèíòåç³í³ң òåæåëó³






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