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New Tests Available

Oncology Assays

 HbA1c -Glycosylated Hemoglobin 
Glycosylated hemoglobin (also called Glycated hemoglobin, hemoglobin A1c or HbA1c) is formed when a part of the blood glucose combines with hemoglobin. HbA1c values are expressed in percentage and they reflect the average blood glucose over the past 2 to 3 months. 

Is your laboratory method of performing HbA1c "NGSP" certified? 
National Glycohemoglobin Standardization Program (NGSP) is an international body which helps to harmonize hemoglobin A1c testing for better diabetes care. It certifies the methods and instruments by which HbA1c is tested for better and reliable patient results. 

Can HbA1c be used to diagnose diabetes? 
The ADA Clinical Practice Recommendations now recommend using HbA1c to diagnose diabetes using a NGSP- certified method and a cutoff of HbA1c ≥6.5%. Point of care assay methods are not recommended for diagnosis. 

What method is your laboratory using to test your HbA1c value? 
There are several methods of performing HbA1c test, but you should be aware that the method and instrument should be NGSP certified. 

Are your patients in safe hands with Samyak Diagnostic? 
YES, they certainly are. Our method of performing HbA1c by Architect 1000i is NGSP certified.

 Anti Mullerian Hormone

A test to Determine fertility. 
What is Anti Mullerian Hormone (AMH)?
AMH is a protein produced directly by the ovarian follicles. AMH levels correlate with the number of antral follicles of the ovary. As the number of these primary follicles falls over time, the level of AMH may also decrease. 

Why is AMH measured? 
AMH is measured to assess the ovarian reserve which describes the number of good quality eggs a women has in her ovaries. It is also very useful for young women who want to postpone childbearing and want to check their fertility. Many women these days are postponing having a baby in order to pursue a career. The good news is that while usually fertility dose not decline too much until the age of 32, for some women the decision to postpone childbearing can prove to be one that bitterly regret later on. Fertility does decline with age and the problem is that it is not possible to predict the rate of decline for an individual women.


Fertility/ Pregnancy tests available at Samyak:
DHEAS (Dehydroepiandrosterone)
2nd Gen Testosterone
Total –hCG
TORCH panel (both IgG and IgM), with CMV IgG Avidity and Toxo IgG Avidity
Gynacological Cancer markers available at Samyak: HE4
CA 125
CA 15-3

Allergic disorders are very common in Nepal with approximately 15-20% of the population suffering from it. There are many different types of allergies, presenting with a variety of symptoms.

What are the signs and symptoms?
Nose: allergic rhinitis, congestion, itching, sneezing, postnasal drip
Eyes: redness, itching, swelling, tearing, watery eyes
Airways: sneezing, coughing, wheezing, shortness of breath, asthma, tightness in the chest
Ears: feeling of fullness, possibly pain and impaired hearing
Skin: rashes, itching and hives.
Abdominal: pain, bloating, vomiting, diarrhea after eating certain food.

What is serum allergy testing?
Serum allergy testing is a simple blood test which can screen for 80 common allergens present in our environment, including dust mites, pollen, animal dander, foods we eat, and medicines we use. This is the first step to know what causes your allergy and may help you keep in under control.
Common panel testing for allergens are also available which test 20 allergens each, such as
Panel 1: is a mixture of inhalative and food allergens for an efficient screening of a possible sensitization.
Panel 2: includes the most important inhalative allergens which covers the most important inhalative sensitizations.
Panel 3: contains only food allergens, which are characterized as most common allergens.
Panel 4: contains a selection of 20 inhalative and food allergens taking special consideration of children and their food.
All allergens in the panels stated above are reported quantatively in IU/ml and in RAST classes (0-6) hence aiding in future treatment monitoring.

What are the advantages of Blood test for allergen specific IgE over other methods of testing?
Wide range of allergens can be tested.
Can be done even in presence of any acute skin conditions, such as severe eczema and urticaria
Comfortable for patients and avoidance of procedural complications
No interference with test procedure on patients taking antihistamines
Complications of allergy skin testing (puncture or scratch test, intradermal test, patch test) such as itching, hives, pain and an uncommon, but severe and fatal anaphylaxis reaction are avoided by this serum allergen test.

What are the possible treatment options for allergy?
Allergen avoidance
Allergen immunotherapy (desensitization)