Uvavanyo lwegazi lwe-ESR

Uhlalutyo lwegazi lwe-ESR ubuncinane kanye kuphela umntu. Yintoni ebaluleke kangaka kuhlalutyo? I-ESR isishwankathelo somlinganiselo we-sedimentation ye-erythrocyte, esibonakalisa izinga lokuhlukana kwi-tube test yegazi kunye ne-anticoagulant eyongeziweyo kuyo. Eli qhekeko lwenzeka kwiingqimba ezimbini: i-plasma ebonakalayo (ungqongqo ophezulu) kunye neeseli ezibomvu zegazi (umgca ophantsi). I-ESR ihlolwa ngophakamileyo lwendawo ye-plasma eyenziwe ngeyure eli-1 kwaye lilinganiselwa kuma-millimeters (mm). I-Erythrocytes inebunzima obuthile obuphezulu kunokuba buninzi be-plasma, yingakho phantsi kwefuthe le-anticoagulant kwi tube tube (i-citrate ye-sodium) i-erythrocytes enzima kakhulu ihlala phantsi phantsi kwefuthe lobunzima . Inkqubo ye-sedimentation ye-erythrocyte ihlukaniswe zibe zigaba ezintathu, ezenzeka kumaxabiso ahlukeneyo. Okokuqala, iiselom zegazi ezibomvu zihlala zihamba ngendlela yeeseli ezihlukeneyo. Emva koko, amaqumrhu (inkqutyana zeemali) zenziwe. Le nkqubo inokukhawuleza ngaphezu kwesigaba sokuqala. Ngethuba lesithathu kwisigaba, kubalwa inani elikhulu lamaqela. Ukuzibeka ngokukhawuleza kuthoba, kwaye kungekudala kuphelile.

Uhlalutyo olubanzi lwe- ESR yegazi lubonisa utshintsho kwi-index ye-ESR, kuxhomekeka kwizinto ezahlukeneyo zezilwanyana kunye nezifo. Ngokuqhelekileyo, ixabiso le-ESR kumadoda lincinane kunabesifazane. Ukutshintshwa kwento yokwenziwa kweprotheyini yobuninzi begazi kwabasetyhini abakhulelweyo kubangela ukwanda kwoluphawu. Ukunciphisa inani le-erythrocytes (xa kwenzeka i-anemia) kukhokelela ekukhawulezeni kwegazi coagulability, kunye nokwanda kwimixholo yabo, ngokuchaseneyo, kunciphisa izinga lembandezelo. Xa ukhulelwe phakathi nosuku ukuhlaziywa kwegazi le-ESR kubonisa ukuguqulwa kwamanani. Inqanaba eliphezulu lale nqondiso liyabonwa ngemini.

Into ebalulekileyo echaphazela ukubunjwa kwama-aggregates ngexesha lokudityaniswa kwe-erythrocytes kukubunjwa kweprotheni ye-plasma yegazi. I-adsorbed kwi-erythrocyte, iiprotheni eziphambili ze-proteins zinciphisa ixabiso kunye nekhono lokuphandana. Oku kuququzelela ukubunjwa kwamaqela kunye nokukhawulezisa ukuqokelela kweeseli ezibomvu zegazi. Ngezibilini ezinzulu kunye nezifo, ukwanda kwiprotheni kwisigaba esiqatha kukhokelela ekunyuseni kwi-coagulation yegazi. Olu tshintsho kwisantya se-sedimentation lubonwe kwiiyure ezingama-24 emva kokunyuka kwamaqondo okushisa komzimba kunye nokwanda kwenani lama-leukocytes. Ngexesha lokuvuvukala okungapheliyo, ukwanda kwe-ESR kubangelwa ukwanda kwe-immunoglobulins kunye ne-fibrinogen. Ukunqunywa kwesantya segazi kwi-dynamics, kunye nezinye iimvavanyo, zisetyenziselwa ekuqaliseni ukusebenza kwonyango lwezifo ezahlukahlukeneyo.

Uhlalutyo lwegazi lwe-ESR lunezibonakaliso ezinjalo ngenjongo: izifo, izibilini, izifo ezivuthayo, izifundo zokuhlola iimeko zonyango. Olu hlalutyo lwenziwe ngesiseko segazi eliphuma emlonyeni wesigulane kwisisu esingenanto.

Uhlalutyo lwegazi lwe-ESR luphawu olungabonakaliyo lokuvuvukala. Ngoncedo lwakhe, iinkqubo ezimbi ezenzeka emzimbeni zityhilwa.

Uvavanyo lwegazi lwe-ESR ngokuqhelekileyo (ngo-mm / h):

- Amadoda - ukuya kuma-12;

- Abasetyhini - ukuya kwi-15.

Ukukhawuleza kwe-ESR kunokuba ngumzimba: ukuguga, ukukhulelwa, ixesha lokuhamba emva kwentsuku kunye nokugula: ukuxhatshazwa, ukuvuvukala, izifo ezibangelwa yintsholongwane kunye nesifo esingapheliyo, isifo sesifo sofuba), i-collagenoses (izifo ezizimelayo), i-bone fracture, i-trauma, i-myocardial infarction, i-anemia, Izifo zeengso (i-nephritis, i- nephrotic syndrome), ukungenelela kokuphaphaza, izimo eziphazamisayo, izicubu ezimbi, amayeza (glucocorticoids, estrogens), paraproteinemia, hyperfibrinogenemia.

Ukuncitshiswa kwe-ESR kungabangelwa yindlala, ukuhla kwe-mass mass, i-1-2 trimesters yokukhulelwa, ukutya kokutya kwemifuno, i-corticosteroids, i-midsystrophy, ukunyanzelisa umzimba.