MEDICAL SERVICES

BIOCHEMICAL LABORATORY

Hematological status and anemia markers

  • Differential blood count – 5-part differential count
  • Manual differential blood count
  • Red blood cells sedimentation
  • Peripheral blood reticulocytes
  • Eosinophiles in the nose

  • Serum iron
  • Ferritin
  • Vitamin “B12”- active (Holotranscobalamin)
  • Transferrin

Hematological status and anemia markers

Urinary status

  • Urine – biochemical analyses and sedimentation
  • Urinary album / creatinine ratio (UACR)

Urinary status

Glucose and lipid level status

  • Glucose (serum, plasma)
  • Glucose (urine)
  • Glycohemoglobin (HbA1c)
  • ”C”- peptide

  • Insulin
  • Total cholesterol
  • HDL – Cholesterol
  • LDL – Cholesterol
  • Triglycerides
  • Oral glucose tolerance test (oGTT)
  • Oral glucose tolerance test with insulin

Glucose and lipid level status

Biochemical metabolites and proteins

  • Total protein
  • Albumin
  • Total globulin
  • Urinary proteins 24h

  • Total bilirubin
  • Conjugated (direct) bilirubin
  • Unconjugated (indirect) bilirubin

Biochemical metabolites and proteins

Electrolyte / ion status

  • Sodium (serum/urine)
  • Potassium (serum/urine)
  • Total calcium (serum/24-hour urine)
  • Ionized calcium

  • Chlorides (serum/urine)
  • Magnesium (serum/urine)
  • Lactates
  • pH of the blood

Electrolyte / ion status

Enzyme status

  • ALP (alkaline phosphatase)
  • Alpha amylase (serum)
  • Alpha amylase (urine)
  • Lipase

  • ASAT (sGOT)
  • ALAT (sGPT)
  • Gama GT
  • CPK
  • LDH

Enzyme status

Degradation products

  • Urea (serum)
  • Urea (urine)
  • Creatinine (serum)
  • Creatinine (urine)

  • Acidum uricum (serum)
  • Acidum uricum (urine)

Degradation products

Heart biomarkers

  • CK-MB
  • TROPONIN I
  • BNP

Heart biomarkers

Tumor markers

  • A F P
  • C E A
  • CA 19-9
  • CA 72-4

  • CA 125
  • CA 15-3
  • CYFRA 21-1
  • P S A
  • Free PSA
  • S-100

Adrenalin, pituitary, and reproductive hormones

  • ACTH
  • Cortisol
  • LH
  • FSH

  • Estradiol (E2)
  • Prolactin
  • Progesterone
  • Androstenedione
  • DHEA-SO4
  • Testosterone (total)
  • HCG (quantitatively)
  • SHBG (sex – hormone binding globulin)
  • AMH (Anti – Müllerian Hormone)
  • Metanephrines
  • VMA

Adrenalin, pituitary, and reproductive hormones

Thyroid function

  • TSH (third generation)
  • Free T4 (FT4)
  • Thyroid stimulating immunoglobulin – TSI

  • Free T3 (FT3)
  • THYROGLOBULIN (TG)
  • Anti TPO Ab
  • Anti TG Ab

Thyroid function

Noninvasive biochemical screening of chromosomal disorders – Prisca 5

  • PRISCA 1 (Free beta HCG + PAPP-A)
  • PRISCA 2 (AFP + Free beta HCG)
  • PRISCA 3 (Free Estriol + AFP + HCG)

 

 

Noninvasive biochemical screening of chromosomal disorders – Prisca 5

Bone metabolism

  • Intact PTH (Parat hormone)
  • Vitamin “D” (25,OH D2+D3)
  • Calcitonin
  • Beta-Cross Laps
  • Osteocalcin

Bone metabolism

Immunological status and specific proteins

  • IgA (Immunoglobulin ”А”)
  • IgG (Immunoglobulin”G”)
  • IgM (Immunoglobulin”М”)
  • C3 (“C3” complement)

  • C4 (“C4” complement)
  • CRP (”C”-reactive protein)
  • RF (Rheumatoid factor)
  • ASO (Antistreptolysin – O)
  • Procalcitonin ( PCT)
  • Homocysteine
  • A dS DNA
  • ANA (Antinuclear antibodies) ANA-14 Pro (Ro/SS-A 60, La/SS-B, Scl-70, PM/Scl 100, Sm, PCNA, dsDNA, Ribosomal Phosphoprotein Po, CENP – B, AMA M2, PR3, MPO, TPO, Thyroglobulin (TG)
  • Interleukin – 6 (IL – 6)
  • pANCA + cANCA

Immunological status and specific proteins

Detection of narcotic drugs in urine

  • Cannabinoids (THC)
  • Cocaine metabolites
  • Opiates (heroin, morphine)
  • Extasy (MDMA)

  • Amphetamine
  • Benzodiazepines
  • Methadone
  • Buprenorphine

Detection of narcotic drugs in urine

Other analyses

Allergies

  • Allergy panel 1 – combined (20 allergens)
  • Allergy panel 2 – inhalation (20 allergens)
  • Allergy panel 3 – nutritive (20 allergens)
  • Allergy panel 4 – pediatric (20 allergens)
  • Allergy panel 3TR – nutritive and adapted to the local environment (20 allergens)
  • Allergy panel 1 HVEN – combined and adapted to the local environment (20 allergens)
  • IgE total (immunoglobulin ”Е” )
  • Nutritive panel, 30 allergens
  • Inhalation panel, 30 allergens
  • Pediatric panel, 30 allergens
  • Allergy panel for milk and gluten

  • Concentration of therapeutic substances in the blood and bodily fluids
  • Carbamazepine (Tegretol)
  • Valproic acid
  • Vancomycin
  • Gentamicin
  • Digoxin
  • Lithium
  • Serological analyses
  • Helicobacter Pylori IgG (quantitatively)
  • HBsAg – quantitatively
  • Аnti HBc
  • Anti HBe
  • Anti HBs
  • HBeAg
  • Anti – HCV- quantitatively
  • HAV IgM
  • Anti – HIV 1/2 – quantitatively
  • IgG-SARS CoV-2 – COVID-19
  • IgM Ab (SARS CoV-2) – COVID-19.
  • Gaseous analyses
  • Fecal occult bleeding (FOB) – qualitatively
    (these are performed only in Bitola and Strumica)

Other doctor’s from this department

Olivera Zhikovska MD

Olivera Zhikovska MD

Medical biochemistry specialist

olivera.zhikovska@zmc.mk

View Profile
Marija Gjorgjievska MSc

Marija Gjorgjievska MSc

Molecular biologist

marija.gjorgjievska@zmc.mk

View Profile
Sanja Mehandziska MRs

Sanja Mehandziska MRs

Biolog molekular

sanja.mehandziska@zmc.mk

View Profile
Aleksandra Crvenpanova

Aleksandra Crvenpanova

Биохемичар

aleksandra.crvenpanova@zmc.mk

View Profile