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Samenvatting V-lijn:urinesediment - les alle notities
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notities urinesediment
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Urinesediment 18/10 Correcte urine collectie 2e urinestroom van de dag
Brain to brain loop
Onbetrouwbaar
o Meeste fouten: pre analytische fase
o Patiënt goed informeren
Midstream urinestaal
Niet tijdens menstruatie
Urine test strip analyse
o Chemische reacties
o Drugs, oxiderende agentia, temperatuur, niet correct bewaren
o Eiwit in urine + diabetes
o Principe: kleurverandering calium jodide blauw calium jodaat groen jood
bruin
o Reflectance photometrie
kubelka en munk: licht OE met de concentratie
Semikwantitatief
Micro albuminerie en keton lichamen
o Nadelen
Eiwit vooral gevoelig aan albuminie bv kappa lambda niet opgepikt
Sterke ph variatie gevoelig
Geneesmiddelen kunnen ook interfereren
Sediment analyse
o 2-4 uur erna analyse
o Verlengen door bewaarstoffen nadelen
o Jodine na MRI
o Manuele microscopie: wat je zelf ziet betrouwbaarder maar hoge
variabiliteit en tijdsconsuming
o Automatisch
Storage beelden
Aantal getelde elementen laag
identificatie is niet altijd correct reclassificeren
o Fluorescentie flow cytometrie
, Urinesediment 18/10
Aantal elementen heel hoog
Kristallen en cilinders kunnen niet correct gemeten worden toch
manueel
Performantie beter
Hydrodynamische focus elk partikel beschenen
Voor elke straal unieke fingerprint
Sediment partikels
Isomorf = RBC met normale vorm
Microscopie voorbeelden
o RBC
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