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Test Code (รหัสการทดสอบ):
090-80-1090

Order Name (ชื่อการทดสอบ):
Mercury, Blood

 
Specimen / Container (สิ่งส่งตรวจ/ภาชนะ):
Blood/ K2EDTA (Royal blue-top) 6 mL, 1 tube
 
Turnaround Time (ระยะเวลารอผล):
Result reporting within Tuesday, Thursday and Saturday,  12.00 p.m.
 
Useful For (ประโยชน์การทดสอบ):
  • Detection of acute or very recent Mercury exposure
  • Monitoring the effectiveness of therapy
 
Methodology (วิธีการทดสอบ):
Inductively Coupled Plasma-Mass Spectrometry (ICP-MS)
 
AliasesName (ชื่อเรียกอื่นๆ) :
Hg (Mercury), Blood
 
 
 
Test Code (รหัสการทดสอบ):
090-80-1090

Order Name (ชื่อการทดสอบ):
Mercury, Blood

 
Collection Specimen Or Container (สิ่งส่งตรวจ/ภาชนะ):
Blood/ K2EDTA (Royal blue-top) 6 mL, 1 tube
 
Specimen Testing Type (สิ่งส่งตรวจที่ใช้ในการทดสอบ):
K2EDTA Whole blood, minimun 5 mL 
 
Sub Mission Container (ภาชนะส่งตรวจ):
Plastic vial (PP Grade)
 
Rejection Criteria (เกณฑ์ปฏิเสธสิ่งส่งตรวจ):
Hemolysis: 1+ reject
 
Specimen Stabillity (ความคงตัวของสิ่งส่งตรวจ):
Specimen Type Temperature Time
K2EDTA blood (keep in original tube) Refrigerated, 2oC to 8oC 14 days
 
 
 
Test Code (รหัสการทดสอบ):
090-80-1090

Order Name (ชื่อการทดสอบ):
Mercury, Blood

 
Method detail (วิธีการทดสอบ):
Inductively Coupled Plasma-Mass Spectrometry (ICP-MS)
 
Schedule (ตารางการทดสอบ):
Tested every Monday, Wednesday and Friday at 7.00 a.m.
 
Turnaround Time (ระยะเวลารอผล):
Result reporting within Tuesday, Thursday and Saturday,  12.00 p.m.
 
Performing Location (หน่วยงานที่ทำการทดสอบ):
Chemistry and Toxicology, Laboratory Department Tel. 14141
 
Specimen Retention Time (ระยะเวลาเก็บสิ่งส่งตรวจ):
14 days
 
 
 
Test Code (รหัสการทดสอบ):
090-80-1090

Order Name (ชื่อการทดสอบ):
Mercury, Blood

 
 
Clinical Information (ข้อมูลทางคลินิก):
Mercury is a very toxic element. It can enter the body through an open wound or by inhaling or ingesting it. It can then cause damage to nerves, the liver and the kidney, as well as a number of other symptoms. . People get exposed to methylmercury mainly through eating contaminated fish and seafood that pick up the toxic compound from the ocean. Elemental mercury, the same form of mercury that can be found in thermometers, gets converted into methylmercury by ocean bacteria.
 
Reference Value (ค่าอ้างอิง):
Non exposed: < 10 µg/L
 
Interpretation (การแปลผล):
Toxic effects include damage to the brain, kidneys and lungs. Mercury poisoning can result in several diseases, including acrodynia (pink disease), Hunter-Russell syndrome, and Minamata disease.

Symptoms typically include sensory impairment (vision, hearing, speech), disturbed sensation and a lack of coordination. The type and degree of symptoms exhibited depend upon the individual toxin, the dose, and the method and duration of exposure. Case–control studies have shown effects such as tremors, impaired cognitive skills, and sleep disturbance in workers with chronic exposure to mercury vapor even at low concentrations in the range 0.7–42 μg/m3.  Acute exposure to mercury vapor has been shown to result in profound central nervous system effects, including psychotic reactions characterized by delirium, hallucinations, and suicidal tendency. Occupational exposure has resulted in broad-ranging functional disturbance, including erethism, irritability, excitability, excessive shyness, and insomnia. With continuing exposure, a fine tremor develops and may escalate to violent muscular spasms. Tremor initially involves the hands and later spreads to the eyelids, lips, and tongue. Long-term, low-level exposure has been associated with more subtle symptoms of erethism, including fatigue, irritability, loss of memory, vivid dreams and depression.
 
Clinical Reference (เอกสารอ้างอิง):
  1. แสงโฉม เกิดคล้าย, บรรณาธิการ. แนวทางการวินิจฉัยเพื่อการรายงานโรคจากการประกอบอาชีพและ สิ่งแวดล้อม. พิมพ์ครั้งที่1. สำนักระบาดวิทยา กรมควบคุมโรค กระทรวงสาธารณสุข. สิงหาคม 2547:หน้า 22-33
  2. NCCLS document C38-A, Control of Pre analytical Variation in trace Element Determinations; Approved Guideline, 1997
  3. Biomarker Testing of Industrial Chemicals; Version 2018
  4. www.Thaitox.com
  5. The handbook of Environmental Chemistry Volume 3 Part A, Handbook on the toxicology of metals. Volume I., Ärztlicher Befundbericht, IMD Institut für Medizinische Diagnostik Berlin-Potsdam GbR, Nicolaistraße 22 - 12247 Berlin (Steglitz).
  6. http://www.mayomedicallaboratories.com (Retrieved: 01 Jan 2019)
  7. K. Jomova, M. Valko, Advances in metal-induced oxidative stress and human disease, Toxicology 283 (2011) 65–87