{"id":147152,"date":"2024-08-23T06:24:22","date_gmt":"2024-08-23T06:24:22","guid":{"rendered":"https:\/\/labinsights.com\/acf_article\/hieu-ve-hba1c-trong-phong-xet-nghiem-lam-sang-hoi-dap-voi-giao-su-aw-tar-choon-phan-2\/"},"modified":"2026-01-27T09:35:38","modified_gmt":"2026-01-27T09:35:38","slug":"understanding-hba1c-in-the-clinical-lab-qa-with-prof-aw-tar-choon-part-2","status":"publish","type":"acf_article","link":"https:\/\/labinsights.com\/vi\/operations\/immunoassay\/understanding-hba1c-in-the-clinical-lab-qa-with-prof-aw-tar-choon-part-2\/","title":{"rendered":"Hi\u1ec3u v\u1ec1 HbA1c trong ph\u00f2ng x\u00e9t nghi\u1ec7m l\u00e2m s\u00e0ng: H\u1ecfi & \u0110\u00e1p v\u1edbi Gi\u00e1o s\u01b0 Aw Tar Choon (Ph\u1ea7n 2)"},"content":{"rendered":"

Trong s\u1ed1 b\u00e1o n\u00e0y c\u1ee7a lo\u1ea1t b\u00e0i g\u1ed3m 2 ph\u1ea7n v\u1ec1 vi\u1ec7c tri\u1ec3n khai xe\u0301t nghi\u00ea\u0323m ch\u1ec9 s\u1ed1 sinh h\u1ecdc HbA1c, nh\u00f3m Lab Insights \u0111\u00e3 ph\u1ecfng v\u1ea5n Gi\u00e1o s\u01b0 Aw Tar Choon<\/a>, Tr\u01b0\u1edfng khoa B\u1ec7nh h\u1ecdc H\u00f3a h\u1ecdc t\u1ea1i B\u1ec7nh vi\u1ec7n \u0110a khoa Changi, Singapore. \u00d4ng l\u00e0 th\u00e0nh vi\u00ean ban bi\u00ean t\u1eadp c\u1ee7a m\u1ed9t s\u1ed1 t\u1ea1p ch\u00ed, bao g\u1ed3m K\u1ef7 y\u1ebfu Ch\u0103m s\u00f3c S\u1ee9c kh\u1ecfe Singapore, T\u1ea1p ch\u00ed Khoa h\u1ecdc Y khoa Malaysia v\u00e0 T\u1ea1p ch\u00ed v\u00ea\u0300 ca\u0301c r\u1ed1i lo\u1ea1n n\u1ed9i ti\u1ebft v\u00e0 nghi\u00ean c\u01b0\u0301u h\u00ea\u0323 n\u1ed9i ti\u1ebft. L\u0129nh v\u1ef1c quan t\u00e2m nghi\u00ean c\u1ee9u c\u1ee7a Gi\u00e1o s\u01b0 Aw bao g\u1ed3m c\u00e1c r\u1ed1i lo\u1ea1n n\u1ed9i ti\u1ebft (b\u1ec7nh tuy\u1ebfn gi\u00e1p, \u0111a\u0301i tha\u0301o \u0111\u01b0\u1eddng), ca\u0301c x\u00e9t nghi\u1ec7m mi\u1ec5n d\u1ecbch, ung th\u01b0 v\u00e0 ca\u0301c loa\u0323i men tim.<\/p>\n

\u0110\u1ed1i v\u1edbi ph\u1ea7n 1 – HbA1c trong Qu\u1ea3n l\u00fd b\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng b\u1edfi Gi\u00e1o s\u01b0 Aw Tar Choon<\/a> <\/p>\n

Trong ph\u1ea7n 2 c\u1ee7a ph\u1ea7n H\u1ecfi & \u0110\u00e1p n\u00e0y, ch\u00fang ta s\u1ebd xem HbA1c \u0111\u01b0\u1ee3c tri\u1ec3n khai xe\u0301t nghi\u00ea\u0323m nh\u01b0 th\u1ebf n\u00e0o trong ph\u00f2ng xe\u0301t nghi\u1ec7m.<\/p>\n

Quy tr\u00ecnh l\u1ea5y m\u1eabu HbA1c trong ph\u00f2ng xe\u0301t nghi\u1ec7m c\u1ee7a \u00f4ng di\u1ec5n ra nh\u01b0 th\u1ebf n\u00e0o?<\/strong><\/h2>\n

Ch\u00fang t\u00f4i x\u1eed l\u00fd kho\u1ea3ng 4000 m\u1eabu x\u00e9t nghi\u1ec7m HbA1c m\u1ed7i th\u00e1ng, v\u1edbi kho\u1ea3ng ba ph\u1ea7n t\u01b0 l\u01b0\u1ee3ng m\u00e2\u0303u c\u00e2\u0300n xe\u0301t nghi\u00ea\u0323m \u0111\u1ebfn t\u1eeb c\u00e1c ph\u00f2ng kh\u00e1m ngo\u1ea1i tr\u00fa. Trong ng\u00e0y, t\u1ea5t c\u1ea3 c\u00e1c m\u1eabu \u0111\u01b0\u1ee3c n\u1ea1p v\u00e0 ph\u00e2n t\u00edch th\u00f4ng qua m\u00e1y cobas c513 (m\u00e1y ph\u00e2n t\u00edch th\u00f4ng l\u01b0\u1ee3ng cao), ch\u00fa \u00fd \u0111\u1ebfn t\u1ed1c \u0111\u1ed9 v\u00e0 kh\u1ed1i l\u01b0\u1ee3ng m\u1eabu. Ng\u01b0\u1ee3c l\u1ea1i, khi s\u1ed1 l\u01b0\u1ee3ng x\u00e9t nghi\u1ec7m \u00edt h\u01a1n sau gi\u1edd l\u00e0m vi\u1ec7c b\u00ecnh th\u01b0\u1eddng ho\u1eb7c v\u00e0o cu\u1ed1i tu\u1ea7n, ch\u00fang t\u00f4i c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng m\u00e1y cobas c502 (m\u00e1y ph\u00e2n t\u00edch th\u00f4ng l\u01b0\u1ee3ng th\u1ea5p).<\/p>\n

M\u00e1y ph\u00e2n t\u00edch cobas c513 cho ch\u00fang t\u00f4i th\u1eddi gian x\u1eed l\u00fd nhanh (trung b\u00ecnh 17 ph\u00fat), ch\u00fang t\u00f4i c\u00f3 th\u1ec3 nhanh ch\u00f3ng chuy\u1ec3n ti\u1ebfp k\u1ebft qu\u1ea3 cho c\u00e1c \u0111\u1ed3ng nghi\u1ec7p t\u1ea1i khoa ngo\u1ea1i tr\u00fa (v\u00ed d\u1ee5: ph\u00f2ng kh\u00e1m n\u1ed9i ti\u1ebft ho\u1eb7c \u0111a\u0301i tha\u0301o \u0111\u01b0\u1eddng).<\/p>\n

Tuy nhi\u00ean, \u0111\u1ed1i v\u1edbi nh\u1eefng n\u01a1i c\u00f3 l\u01b0\u1ee3ng m\u1eabu xe\u0301t nghi\u00ea\u0323m th\u1ea5p h\u01a1n, thi\u1ebft b\u1ecb POCT (Point-of-Care Testing, x\u00e9t nghi\u1ec7m t\u1ea1i ch\u1ed7) m\u1ea5t kho\u1ea3ng 8-10 ph\u00fat \u0111\u1ec3 ph\u00e2n t\u00edch v\u00e0 m\u1eabu \u0111\u01b0\u1ee3c x\u1eed l\u00fd tu\u1ea7n t\u1ef1. Do v\u00e2\u0323y, m\u1ed7i gi\u1edd c\u00f3 kho\u1ea3ng 6-7 m\u1eabu xe\u0301t nghi\u00ea\u0323m cu\u0309a b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c x\u1eed l\u00fd. Hi\u1ec7n c\u00f3 m\u1ed9t s\u1ed1 thi\u1ebft b\u1ecb POCT (Point-of-Care Testing, x\u00e9t nghi\u1ec7m t\u1ea1i ch\u1ed7) \u0111\u01b0\u1ee3c ch\u1ee9ng nh\u1eadn NGSP (National Glycohemoglobin Standardization Program, Ch\u01b0\u01a1ng tr\u00ecnh Chu\u1ea9n h\u00f3a Qu\u1ed1c gia v\u1ec1 Glycohemoglobin ) tr\u00ean th\u1ecb tr\u01b0\u1eddng. Ngo\u00e0i ra, \u1ed1ng nghi\u1ec7m (EDTA) c\u0169ng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng t\u1ea1i khoa huy\u1ebft h\u1ecdc \u0111\u1ec3 \u0111\u1ebfm t\u1ebf b\u00e0o m\u00e1u.<\/p>\n

\u00d4ng c\u00e2n nh\u1eafc nh\u1eefng y\u1ebfu t\u1ed1 n\u00e0o khi l\u1ef1a ch\u1ecdn x\u00e9t nghi\u1ec7m\/ky\u0303 thu\u00e2\u0323t \u0111a\u0301nh gia\u0301 HbA1c m\u1edbi?<\/strong>T\u1ed1c \u0111\u1ed9<\/h2>\n

<\/em> L\u00fd do l\u00e0 vi\u00ea\u0323c kh\u00f4ng ch\u1eafc ch\u1eafn v\u1ec1 t\u00ecnh tr\u1ea1ng c\u1ee7a b\u1ec7nh nh\u00e2n s\u1ebd gi\u1ea3m \u0111i n\u1ebfu xe\u0301t nghi\u00ea\u0323m na\u0300y c\u00f3 k\u1ebft qu\u1ea3 v\u00e0 quy\u1ebft \u0111\u1ecbnh c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111\u01b0a ra ch\u00ednh x\u00e1c h\u01a1n, v\u00ec v\u1eady ch\u00fang t\u00f4i c\u00e2n nh\u1eafc l\u01b0\u0323a cho\u0323n xe\u0301t nghi\u00ea\u0323m na\u0300yLo\u1ea1i x\u00e9t nghi\u1ec7m<\/p>\n

<\/em>Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y s\u1ebd \u0111\u01b0\u1ee3c ch\u1ee9ng nh\u1eadn b\u1edfi NGSP (National Glycohemoglobin Standardization Program, Ch\u01b0\u01a1ng tr\u00ecnh Chu\u1ea9n h\u00f3a Qu\u1ed1c gia v\u1ec1 Glycohemoglobin ). N\u1ebfu mu\u1ed1n s\u1eed d\u1ee5ng HPLC (High-performance liquid chromatography, S\u1eafc k\u00fd l\u1ecfng hi\u1ec7u n\u0103ng cao), b\u1ea1n ch\u1ec9 c\u00f3 th\u1ec3 ch\u1ea9n \u0111o\u00e1n b\u00ea\u0323nh v\u01a1\u0301i m\u00f4\u0323t bi\u1ebfn th\u1ec3 nh\u00e2\u0301t \u0111i\u0323nh S, C, D v\u00e0 E. N\u1ebfu c\u00f3 c\u00e1c bi\u1ebfn th\u1ec3 kh\u00e1c, s\u1eafc k\u00fd \u0111\u1ed3 c\u00f3 th\u1ec3 hi\u1ec3n th\u1ecb c\u00e1c \u0111\u1ec9nh b\u1ea5t th\u01b0\u1eddng ho\u1eb7c c\u00e1c \u0111\u1ec9nh A1 v\u00e0 H0 l\u1edbn n\u1ebfu ch\u00fang \u0111\u1ed3ng th\u01a1\u0300i \u0111\u01b0\u01a1\u0323c ly gia\u0309i ta\u0323i c\u00e1c v\u00f9ng \u0111\u00f3. Vi\u1ec7c r\u00fat ng\u1eafn th\u1eddi gian ch\u1ea1y HPLC (High-performance liquid chromatography, S\u1eafc k\u00fd l\u1ecfng hi\u1ec7u n\u0103ng cao) \u0111\u1ec3 c\u1ea3i thi\u1ec7n TAT (turnaround time, th\u01a1\u0300i gian x\u01b0\u0309 ly\u0301 xe\u0301t nghi\u00ea\u0323m) s\u1ebd ph\u1ea3n t\u00e1c d\u1ee5ng v\u00ec n\u00f3 l\u00e0m gi\u1ea3m kh\u1ea3 n\u0103ng t\u00e1ch c\u00e1c \u0111\u1ec9nh v\u00e0 ch\u1ea5t l\u01b0\u1ee3ng s\u1eafc k\u00fd \u0111\u1ed3.<\/p>\n

\u0110\u1ed1i v\u1edbi x\u00e9t nghi\u1ec7m mi\u1ec5n d\u1ecbch, kh\u00e1ng th\u1ec3 nh\u1eadn di\u1ec7n c\u00e1c axit amin t\u1eeb 4 \u0111\u1ebfn 10 tr\u00ean chu\u1ed7i beta v\u00e0 c\u00e1c bi\u1ebfn th\u1ec3 c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn 4\/5\/6 axit amin \u0111\u1ea7u ti\u00ean ta\u0323i v\u1ecb tr\u00ed \u0111\u1ea7u N c\u1ee7a chu\u1ed7i beta; \u01b0\u1edbc t\u00ednh t\u1ed1t nh\u1ea5t (v\u1ec1 c\u00e1c bi\u1ebfn th\u1ec3 kh\u00f4ng ph\u1ed5 bi\u1ebfn) m\u00e0 t\u00f4i nh\u1eadn \u0111\u01b0\u1ee3c t\u1eeb c\u00e1c chuy\u00ean gia l\u00e0 t\u1ef7 l\u1ec7 m\u1eafc b\u1ec7nh l\u00e0 m\u1ed9t tr\u00ean 50 ngh\u00ecn. C\u00e1c bi\u1ebfn th\u1ec3 S\/C\/D\/E ph\u1ed5 bi\u1ebfn h\u01a1n th\u1ebf n\u00e0y.<\/p>\n

Gi\u00e1 c\u1ea3.<\/em> Ngo\u1ea1i tr\u1eeb (Point-of-Care Testing, x\u00e9t nghi\u1ec7m t\u1ea1i ch\u1ed7), h\u1ea7u h\u1ebft c\u00e1c x\u00e9t nghi\u1ec7m mi\u1ec5n d\u1ecbch tr\u00ean th\u1ecb tr\u01b0\u1eddng \u0111\u1ec1u r\u1ebb h\u01a1n HPLC (High-performance liquid chromatography, S\u1eafc k\u00fd l\u1ecfng hi\u1ec7u n\u0103ng cao).<\/p>\n

C\u00e1c bi\u1ebfn th\u1ec3 Hb th\u01b0\u1eddng “\u00e2\u0309n” v\u00e0 vi\u1ec7c ch\u00fang xu\u00e2\u0301t hi\u00ea\u0323n trong s\u1eafc k\u00fd \u0111\u1ed3 HPLC (High-performance liquid chromatography, S\u1eafc k\u00fd l\u1ecfng hi\u1ec7u n\u0103ng cao) c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn vi\u1ec7c \u0111i\u1ec1u tr\u1ecb qu\u00e1 m\u1ee9c ho\u1eb7c kh\u00f4ng \u0111\u1ee7 li\u1ec1u l\u01b0\u1ee3ng cho b\u1ec7nh nh\u00e2n m\u1ed9t c\u00e1ch nguy hi\u1ec3m. \u00d4ng ngh\u0129 g\u00ec v\u1ec1 \u0111i\u1ec1u n\u00e0y?<\/strong><\/h2>\n

Ch\u00fang ta kh\u00f4ng n\u00ean qu\u00e1 lo l\u1eafng v\u1ec1 c\u00e1c bi\u1ebfn th\u1ec3 v\u00ec ch\u00fang ch\u1ec9 \u0111\u00e1ng lo ng\u1ea1i khi \u01a1\u0309 th\u00ea\u0309 \u0111\u1ed3ng h\u1ee3p t\u1eed. \u0110\u1ed3ng h\u1ee3p t\u1eed c\u0169ng kh\u00f4ng ph\u1ed5 bi\u1ebfn, v\u00e0 nh\u01b0 \u0111\u00e3 th\u1ea5y trong nghi\u00ean c\u1ee9u c\u1ee7a NUH (National University of Health, \u0110a\u0323i ho\u0323c S\u01b0\u0301c kho\u0309e Qu\u00f4c gia) (v\u1edbi t\u01b0 c\u00e1ch l\u00e0 m\u1ed9t trung t\u00e2m chuy\u1ec3n tuy\u1ebfn), t\u1ef7 l\u1ec7 hi\u1ec7n m\u1eafc ch\u1ec9 kho\u1ea3ng <1%. Khi n\u00e0o ch\u00fang ta nghi ng\u1edd s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a c\u00e1c bi\u1ebfn th\u1ec3? M\u1ed9t nguy\u00ean t\u1eafc chung m\u00e0 t\u00f4i tu\u00e2n theo l\u00e0 khi A1c <4-4,5% v\u00e0 >14%. Vi\u1ec7c c\u00f3 bi\u1ebfn th\u1ec3 kh\u00f4ng nh\u1ea5t thi\u1ebft c\u00f3 ngh\u0129a l\u00e0 s\u1ebd d\u00e2\u0303n \u0111\u00ea\u0301n kha\u0309 n\u0103ng \u0111i\u1ec1u tr\u1ecb qu\u00e1 m\u1ee9c ho\u1eb7c kh\u00f4ng \u0111\u1ee7. B\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 t\u1ef1 ki\u1ec3m so\u00e1t – chi\u0309 s\u00f4\u0301 A1c \u0111ang \u01a1\u0309 m\u01b0\u0301c cao h\u01a1n hay th\u1ea5p h\u01a1n – ph\u1ea3n \u00e1nh kha\u0309 n\u0103ng ki\u1ec3m so\u00e1t \u0111\u01b0\u1eddng huy\u1ebft ke\u0301m ho\u1eb7c t\u1ed1t h\u01a1n.<\/p>\n

M\u1ed9t s\u1ed1 tr\u01b0\u1eddng ph\u00e1i c\u00f3 th\u1ec3 y\u00eau c\u1ea7u x\u00e9t nghi\u1ec7m b\u1ed5 sung khi c\u00f3 bi\u1ebfn th\u1ec3, v\u00ed d\u1ee5 nh\u01b0 s\u1eed d\u1ee5ng albumin glycat. Tuy nhi\u00ean, nh\u1eefng x\u00e9t nghi\u1ec7m n\u00e0y hi\u1ec7n ch\u01b0a c\u00f3 b\u1eb1ng ch\u1ee9ng r\u00f5 r\u00e0ng trong s\u00f4\u0301 ta\u0300i li\u00ea\u0323u v\u1ec1 HbA1c v\u00ec thi\u1ebfu c\u00e1c nghi\u00ean c\u1ee9u theo chi\u1ec1u d\u1ecdc quy m\u00f4 l\u1edbn nh\u01b0 DCCT (Th\u1eed nghi\u1ec7m Bi\u1ebfn ch\u1ee9ng v\u00e0 Ki\u1ec3m so\u00e1t B\u1ec7nh Ti\u1ec3u \u0111\u01b0\u1eddng, Diabetes Control and Complications Trial) ho\u1eb7c UKPDS (United Kingdom Prospective Diabetes Study, Nghi\u00ean c\u1ee9u v\u00ea\u0300 d\u01b0\u0323 pho\u0300ng \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng c\u1ee7a V\u01b0\u01a1ng qu\u1ed1c Anh) v\u00e0 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p ch\u01b0a \u0111\u01b0\u1ee3c chu\u1ea9n h\u00f3a.<\/p>\n

C\u00e1c ph\u00f2ng x\u00e9t nghi\u1ec7m x\u1eed l\u00fd v\u00e0 qu\u1ea3n l\u00fd m\u1eabu c\u00f3 c\u00e1c bi\u1ebfn th\u1ec3 Hb (Hemoglobin, Huy\u00ea\u0301t s\u0103\u0301c t\u00f4\u0301) nh\u01b0 th\u1ebf n\u00e0o?<\/strong><\/h2>\n

Chuy\u1ec7n n\u00e0y r\u1ea5t r\u00f5 r\u00e0ng. Nghi ng\u1edd ph\u1ea3i \u0111\u01b0\u1ee3c x\u00e1c nh\u1eadn b\u1eb1ng x\u00e9t nghi\u1ec7m t\u1ed5ng h\u1ee3p chu\u1ed7i globin v\u00e0 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p chuy\u00ean s\u00e2u, n\u1ebfu c\u1ea7n. C\u00e1c bi\u1ebfn th\u1ec3 \u0111\u1ed3ng h\u1ee3p t\u1eed ch\u1ec9 quan tr\u1ecdng \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n l\u00e0 ph\u1ee5 n\u1eef trong \u0111\u1ed9 tu\u1ed5i sinh s\u1ea3n, v\u00ec khi h\u1ecd mang thai, em b\u00e9 c\u00f3 th\u1ec3 b\u1ecb thalassemia. Ngo\u00e0i ra, c\u00e1c bi\u1ebfn th\u1ec3 \u0111\u1ed3ng h\u1ee3p t\u1eed kh\u00e1 hi\u1ebfm.<\/p>\n

\u0110\u1ed1i v\u1edbi c\u00e1c bi\u1ebfn th\u1ec3 d\u1ecb h\u1ee3p t\u1eed, t\u00e1c \u0111\u1ed9ng l\u00e0 t\u1ed1i thi\u1ec3u v\u00e0 ch\u00fang t\u00f4i c\u00f3 th\u1ec3 nghi ng\u1edd n\u1ebfu A1c <4-4,5%\/>14%, nh\u01b0 \u0111\u00e3 n\u00eau tr\u01b0\u1edbc \u0111\u00f3. Ch\u00fang t\u00f4i s\u1ebd th\u00eam ch\u00fa th\u00edch \u0111\u01b0\u1ee3c m\u00e3 h\u00f3a v\u00e0o b\u00e1o c\u00e1o x\u00e9t nghi\u1ec7m v\u00e0 \u0111\u1ec1 xu\u1ea5t x\u00e9t nghi\u1ec7m b\u1ed5 sung n\u1ebfu c\u1ea7n.<\/p>\n

Khuy\u1ebfn ca\u0301o cu\u0309a \u00f4ng d\u00e0nh cho c\u00e1c ph\u00f2ng x\u00e9t nghi\u1ec7m, t\u01b0\u01a1ng t\u1ef1 nh\u01b0 ph\u00f2ng x\u00e9t nghi\u1ec7m c\u1ee7a \u00f4ng \u0111ang c\u00e2n nh\u1eafc ky\u0303 thu\u00e2\u0323t xe\u0301t nghi\u00ea\u0323m HbA1c m\u1edbi l\u00e0 g\u00ec?<\/strong><\/h2>\n

\u0110\u1ed1i v\u1edbi c\u00e1c ph\u00f2ng x\u00e9t nghi\u1ec7m \u0111\u01b0\u1ee3c thi\u1ebft l\u1eadp t\u01b0\u01a1ng t\u1ef1 nh\u01b0 ch\u00fang t\u00f4i, t\u00f4i \u0111\u1eb7c bi\u1ec7t khuy\u1ebfn ngh\u1ecb n\u00ean s\u1eed d\u1ee5ng m\u00e1y ph\u00e2n t\u00edch nhanh v\u00e0 c\u00f3 \u0111\u1ed9 ch\u00ednh x\u00e1c cao, c\u00f3 th\u1ec3 \u0111\u00e1p \u1ee9ng kh\u1ed1i l\u01b0\u1ee3ng m\u1eabu l\u1edbn v\u00e0 th\u1eddi gian x\u1eed l\u00fd nhanh ch\u00f3ng. Vi\u00ea\u0323c kho\u0301 kh\u0103n (th\u0103\u0301t c\u1ed5 chai) th\u1ef1c s\u1ef1 kh\u00f4ng ph\u1ea3i l\u00e0 ph\u1ea7n ph\u00e2n t\u00edch, m\u00e0 l\u00e0 l\u00e2\u0301y m\u00e1u t\u0129nh m\u1ea1ch. N\u1ebfu b\u1ea1n t\u00f4\u0309 ch\u01b0\u0301c t\u1ed1t c\u00e1c tr\u1ea1m l\u1ea5y m\u00e1u t\u1ea1i m\u1ed9t ph\u00f2ng kh\u00e1m ngo\u1ea1i tr\u00fa, quy tr\u00ecnh n\u00e0y c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111\u01a1n gi\u1ea3n h\u00f3a. M\u1ed9t khi \u0111\u00e3 gi\u1ea3i quy\u1ebft \u0111\u01b0\u1ee3c v\u1ea5n \u0111\u1ec1 n\u00e0y, c\u00e2\u0300n thi\u00ea\u0301t pha\u0309i l\u1eafp \u0111\u1eb7t m\u1ed9t h\u1ec7 th\u1ed1ng v\u1eadn chuy\u1ec3n m\u1eabu nhanh t\u1eeb ph\u00f2ng kh\u00e1m \u0111\u1ebfn ph\u00f2ng x\u00e9t nghi\u1ec7m, ch\u1eb3ng h\u1ea1n nh\u01b0 \u1ed1ng kh\u00ed n\u00e9n, \u0111\u1ec3 ho\u00e0n th\u00e0nh to\u00e0n b\u1ed9 quy tr\u00ecnh th\u01b0\u0323c hi\u00ea\u0323n t\u1eeb lu\u0301c b\u1ec7nh nh\u00e2n \u0111\u1ebfn ph\u00e2n t\u00edch m\u1eabu.<\/p>\n

\n

\u0110\u1ec3 t\u00ecm hi\u1ec3u th\u00eam v\u1ec1 c\u00e1ch ph\u00f2ng th\u00ed nghi\u1ec7m c\u1ee7a b\u1ea1n c\u00f3 th\u1ec3 h\u01b0\u1edfng l\u1ee3i t\u1eeb x\u00e9t nghi\u1ec7m HbA1c v\u00e0 c\u00e1ch tri\u1ec3n khai x\u00e9t nghi\u1ec7m n\u00e0y, vui l\u00f2ng li\u00ean h\u1ec7 v\u1edbi Yingli Huang, Gi\u00e1m \u0111\u1ed1c kinh doanh (Ph\u00f2ng th\u00ed nghi\u1ec7m c\u1ed1t l\u00f5i) t\u1ea1i Roche Diagnostics Ch\u00e2u \u00c1 Th\u00e1i B\u00ecnh D\u01b0\u01a1ng. (yingli.huang@roche.com).\u00a0<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

Trong s\u1ed1 b\u00e1o n\u00e0y c\u1ee7a lo\u1ea1t b\u00e0i g\u1ed3m 2 ph\u1ea7n v\u1ec1 vi\u1ec7c tri\u1ec3n khai xe\u0301t nghi\u00ea\u0323m ch\u1ec9 s\u1ed1 sinh h\u1ecdc HbA1c, nh\u00f3m Lab Insights \u0111\u00e3 ph\u1ecfng v\u1ea5n Gi\u00e1o s\u01b0 Aw Tar Choon, Tr\u01b0\u1edfng khoa B\u1ec7nh h\u1ecdc H\u00f3a h\u1ecdc t\u1ea1i B\u1ec7nh vi\u1ec7n \u0110a khoa Changi, Singapore. \u00d4ng l\u00e0 th\u00e0nh vi\u00ean ban bi\u00ean t\u1eadp c\u1ee7a m\u1ed9t s\u1ed1 […]<\/p>\n","protected":false},"author":1,"featured_media":85979,"parent":0,"menu_order":0,"template":"","meta":{"_acf_changed":false,"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center 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