ESR

ESR imayimira kuchuluka kwa sedimentation ya erythrocyte. Amakonda kutchedwa "sed rate."

Ndiyeso lomwe limayeza moyenera momwe kutupa kumakhalira mthupi.

Muyenera kuyesa magazi. Nthawi zambiri, magazi amatengedwa pamitsempha yomwe ili mkati mwa chigongono kapena kumbuyo kwa dzanja. Sampuli yamagazi imatumizidwa ku labu.

Kuyesaku kumayesa momwe maselo ofiira ofiira (otchedwa erythrocyte) amagwera pansi pa chubu lalitali, lowonda.

Palibe njira zapadera zofunika kukonzekera mayesowa.

Mutha kumva kupweteka pang'ono kapena mbola pamene singano imayikidwa. Muthanso kumva kupwetekedwa pamalowo magazi atatengedwa.

Zifukwa zomwe "sed rate" itha kuchitidwira ndi monga:

• Malungo osadziwika
• Mitundu ina ya ululu wophatikizana kapena nyamakazi
• Zizindikiro za minofu
• Zizindikiro zina zosamveka bwino zomwe sizingathe kufotokozedwa

Mayesowa angagwiritsidwenso ntchito kuwunika ngati matenda akumvera mankhwala.

Mayesowa atha kugwiritsidwa ntchito kuwunika matenda otupa kapena khansa. Siligwiritsidwe ntchito kuti mupeze vuto linalake.

Komabe, kuyesaku ndikothandiza pakuwunika ndikuwunika:

• Matenda osokoneza bongo
• Matenda a mafupa
• Mitundu ina ya nyamakazi
• Matenda otupa

Akuluakulu (njira ya Westergren):

• Amuna ochepera zaka 50: ochepera 15 mm / hr
• Amuna opitilira zaka 50: ochepera 20 mm / hr
• Amayi ochepera zaka 50: ochepera 20 mm / hr
• Amayi azaka zopitilira 50: ochepera 30 mm / hr

Kwa ana (njira ya Westergren):

• Wakhanda: 0 mpaka 2 mm / hr
• Abadwa kumene mpaka kutha msinkhu: 3 mpaka 13 mm / hr

Chidziwitso: mm / hr = millimeters pa ola limodzi

Mitengo yamtengo wapatali imatha kusiyanasiyana pakati pa ma labotore osiyanasiyana. Lankhulani ndi wothandizira zaumoyo wanu za tanthauzo la zotsatira zanu zoyeserera.

ESR yachilendo ikhoza kukuthandizani kupeza matenda, koma sizikutsimikizira kuti muli ndi vuto linalake. Mayesero ena nthawi zambiri amafunikira.

Kuchuluka kwa ESR kumatha kuchitika kwa anthu omwe ali ndi:

• Kuchepa kwa magazi m'thupi
• Khansa monga lymphoma kapena angapo myeloma
• Matenda a impso
• Mimba
• Matenda a chithokomiro

Chitetezo cha mthupi chimateteza thupi ku zinthu zoyipa. Vuto lokhala ndi chitetezo chamthupi ndimomwe chitetezo chamthupi chimalowerera molakwika ndikuwononga minyewa yathanzi. ESR nthawi zambiri imakhala yokwera kuposa yachibadwa mwa anthu omwe ali ndi vuto lodziyimira palokha.

Matenda omwe amadziwika kuti ali ndi autoimmune ndi awa:

• Lupus
• Polymyalgia rheumatica
• Matenda a nyamakazi kwa akulu kapena ana

Mulingo wokwera kwambiri wa ESR umachitika ndimavuto ocheperako kapena zovuta zina, kuphatikiza:

• Matenda a vasculitis
• Giant cell arteritis
• Hyperfibrinogenemia (kuchuluka kwama fibrinogen m'magazi)
• Macroglobulinemia - choyambirira
• Necrotizing vasculitis

Kuwonjezeka kwa ESR kungakhale chifukwa cha matenda ena, kuphatikizapo:

• Matenda a thupi lonse (systemic)
• Matenda a mafupa
• Matenda a mtima kapena mtima
• Rheumatic malungo
• Matenda owopsa pakhungu, monga erysipelas
• Matenda a chifuwa chachikulu

Magulu ochepera kuposa abwinobwino amapezeka ndi:

• Kulephera kwa mtima
• Kutengeka mtima
• Hypofibrinogenemia (kuchepa kwa milingo ya fibrinogen)
• Khansa ya m'magazi
• Mapuloteni otsika a plasma (chifukwa cha chiwindi kapena matenda a impso)
• Polycythemia
• Matenda a kuchepa kwa magazi

Mlingo wa sedimentation wa erythrocyte; Mlingo wokhazikika; Mlingo wamatsenga

Pisetsky DS. Kuyesa kwa Laborator mu rheumatic matenda. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. Wolemba 25. Philadelphia, PA: Elsevier Saunders; 2016: chap 257.

Vajpayee N, Graham SS, Bem S. Kuwunika koyambirira kwamagazi ndi mafupa. Mu: McPherson RA, Pincus MR, olemba., Eds. Henry's Clinical Diagnosis and Management by Laboratory Methods. Wachitatu. St Louis, MO: Elsevier; 2017: chap 30.