ESR - yintoni na? ESR parameter: yombhalo

ESR - yintoni na? na impendulo alupheli lo mbuzo uza kufumana kwi zokufunda kubonelelwe yi-nqaku. Siza bayakukuxelela ukuba izinga zesi salathisi egazini, leyo ke zimisele, oko izifo khona, njalo njalo.

ulwazi ngokubanzi malunga index kunye yombhalo

Ngokuqinisekileyo isigulane ngasinye ngamaqanda igazi iimvavanyo kubonakala phaya kwiziphumo zeemviwo le ungayiqondiyo ESR. Ziqonde indibaniso thaca loonobumba na ngolu hlobo lulandelayo: Izinga neentlenge erythrocyte.

Xa yezonyango, lo gama ekubhekiswe kulo kwilebhu nonspecific salathisi kwegazi, nto leyo ebonakalisa umlinganiselo amaqhekeza protini plasma.

indlela zophando ngezembali

ESR - yintoni na? le yesalkathisi elide njani isifundo izinto yomguli ingqalelo? Le meko iye kwaziwa ukususela Greece yamandulo, kodwa ayikhange isetyenziswe xa kusenziwa lwezonyango de kwinkulungwane yamashumi amabini.

Ngowe-1918, kwaye kwafunyaniswa ukuba erythrocyte izinga neentlenge yohluka kakhulu phakathi abasetyhini abakhulelweyo kunye nabantu abaqhelekileyo. Kamva, izazinzulu ziye zachongwa ukuba eli nani iphenjelelwa izifo ezithile. Ngenxa yoko, kwisithuba ukususela 1926 ukuya 1935 Kwathi iindlela zophando ezininzi, ezo nangoku esisetyenziswa ngokubanzi kwi practice clinical ukumisela ixabiso ESR.

Indlela Uphando siseko

ESR - ntoni na, yaye njani mzobo sizimisele? Ukuchonga ixabiso izinga neentlenge erythrocyte, isigulane sidinga uvavanyo lwegazi. Ngenxa yoko wabasebenzi ilebhu uphando ukuqinisekisa womxhuzulane oluthile iiseli ezibomvu zegazi. Ukuba ngaphezulu ubunzima elithile plasma, iiseli ezibomvu egazini ziqala kancinci ezantsi tube. Kuchazwa kakuhle rate kunye neqondo udibaniso (ukukwazi lihlale ndawonye) iiseli ezibomvu.

ezibangela lwemichiza ukwanda kunye nokuncipha ireyithi neentlenge erythrocyte

ESR parameter kuxhomekeke iqondo zegazi udibaniso. Ngaloo uyandiswa, xa ukwandisa uyondelelwano lwee- plasma etsolo iiprothini lesigaba kunye amakishayo arhabaxa. Ngokwahlukileyo koko, ixabiso ESR kunciphisa ukuba isixa albumin linyukile.

Uhlalutyo ESR: Isalathisi rate

Njengoko kukhankanyiwe ngasentla, ukuba ukujonga erythrocyte izinga neentlenge, isigulane kufuneka uvavanyo lwegazi. Emva kokuba umbandela kuya ilebhu, oko kusenziwa kokuqwalaselwa ngenyameko. Iingcali esweni inkqubo erythrocyte neentlenge phantsi womxhuzulane, bemkhanyela naziphi ubunakho igazi ekunqandeni.

Ngoko ke, kufuneka ukuba izinga eliqhelekileyo ESR? izinga Intlenge iiseli ezibomvu zegazi abafazi abaphile 2-15 mm ngeyure nganye. Njengoko kuba oyindoda womelele, ixabiso baye asezantsi noko kwaye ilingana no-110 mm ngeyure nganye.

Isalathisi level ESR

Xa yezonyango, ukutenxa kwisiqhelo ukwahlula phakathi degree of:

• Bejonga 1 zizalathisi ukuba iiyunithi ezimbalwa zahlukile kwezo lusekiwe. Emva zokucazulula Uhlalutyo wagqiba ukuba corpuscles ebomvu egazini zikwinqanaba kwinqanaba elamkelekileyo.
• Ludidi 2 abo izigulane zabo rate ngaphezu iiyunithi 15-30 neentlenge erythrocyte. Le nto ibonisa ukudumba emzimbeni (umzekelo, ngokuba njengomkhuhlane okanye izifo, ungafumana azisusi ngaphantsi kweentsuku ezingama-30 ukusuka apho). Ngalo lonke eli xesha, kucetyiswa ukuba esweni ixabiso ESR.
• Bejonga wesithathu zizalathisi ngaphezu eqhelekileyo ngamacandelo 30-60. Kulo mzekelo, kufuneka ukucinga nzulu ngempilo yabo. Ngapha koko, le milinganiselo ibonakalisa ubukho reactions ukudumba okanye ukunxila, ezithi zivele ngenxa yomhlaza phambili okanye sokonakalisa kwithishyu.
• Bejonga 4 ziquka ukwandisa izinga erythrocyte neentlenge kweeyunithi ezingaphezulu kwama-60. Loo ukuphambuka nga ha endleka ngokupheleleyo. Ngokuqhelekileyo, isigulana uyaziqonda phambi sifo, njengoko emzimbeni wakhe, kukho icacile-pyo basabela yokubolisa.

Izizathu ezinokwenzeka of ukutenxa kwisiqhelo

Ngoku uyazi ulwazi malunga erythrocyte rate neentlenge - yintoni na. Kwiimeko ezininzi, ukunyuka kule yesalkathisi esidityaniswe ezinganyangekiyo okanye etsolo usuleleko, nezibilini infarct, kunye nezifo ngumzimba.

Ngaphandle kwento yokuba impendulo yokukrala emzimbeni zezona nobangela uqhelekileyo ukukhawulezisa ireyithi neentlenge erythrocyte, noku kutenxa kokumiselweyo kusenokuba ngenxa kwezinye kwaye akusoloko izenzakalo zophendlo lwezifo.

Ukwanda kakhulu ESR iqatshelwe yamathumba yingozi, ukunciphisa inani elipheleleyo iiseli ezibomvu negazi ngexa lokukhulelwa, kwaye ngexesha unyango kunye nayiphi na amayeza (umzekelo, salicylates).

Ukunyuka oluphakathi kwezinga ESR ezingakhona hypoproteinemia (malunga 20-30 mm ngeyure nganye), ianemia, ukukhulelwa, kwaye abafazi esexesheni.

Izifo ngokukhulisa okanye ihliswe ESR

A ezibukhali kakhulu ukunyuka kwezinga neentlenge of iiseli ezibomvu (ngaphezu kwe-60 mm ngeyure) lukhatshwa iimeko ezifana izifo samathambo, nokudumba kunye nangezilonda yingozi, luphawulwa sokonakalisa emzimbeni.

Ixabiso elingaphantsi zesi salathisi kungenzeka na utshintsho kwimilo iiseli ezibomvu, hyperproteinemia, leukocytosis, erythrocytosis, kwakunye kwesibindi DIC.

Kutheni kubalulekile ukuba aqhube uphando rate neentlenge igazi?

Nangona nokuzimisela ESR non-ngqo, isifundo nangoku uvavanyo ithandwa kakhulu nebalulekileyo elebhu. Enkosi kuye, iingcali nga umhle ngokukhawuleza ukuseka ubukho kunye okhaliswa inkqubo arhabaxa.

Kanye igazi uphando nomonde idla luveza a neoplasm onobungozi, nto leyo evumela ixesha lokuhla- ukubusiphula usindise ubomi yesigulane. Kungenxa yoko le nto kwenkcazelo ESR yindlela ebalulekileyo kakhulu uphando, nto leyo ubethwa igazi phantse wonke umntu, cela uncedo kwindawo yonyango.