Kuyesa kwa VHS: ndi chiyani, ndi chiyani komanso mfundo zake

Zamkati

• Ndi chiyani
• 1. Mkulu VHS
• 2. ESR yotsika
• Zatheka bwanji
• Malingaliro owonetsera

Kuyezetsa kwa ESR, kapena kuchuluka kwa matope a erythrocyte kapena sedimentation erythrocyte, ndi kuyesa magazi komwe kumagwiritsidwa ntchito kwambiri kuti kuzindikire kutupa kapena matenda aliwonse mthupi, omwe amatha kuwonetsa kuchokera kuzizira kosavuta, matenda a bakiteriya, ku matenda otupa monga nyamakazi kapena pachimake kapamba, Mwachitsanzo.

Kuyesaku kumayeza kufulumira kwakulekanitsa pakati pa maselo ofiira ndi plasma, yomwe ndi gawo lamadzi m'magazi, ndi mphamvu yokoka. Chifukwa chake, pakakhala yotupa m'magazi, amapangidwa mapuloteni omwe amachepetsa mamasukidwe akayendedwe amwazi ndikufulumizitsa kuchepa kwa erythrocyte sedimentation, zomwe zimapangitsa kukhala ndi ESR yayikulu, yomwe nthawi zambiri imakhala pamwambapa. 15 mm mwa mamuna ndipo 20 mm mwa akazi.

Mwanjira imeneyi, ESR ndiyeso loyeserera kwambiri, chifukwa imatha kuzindikira kutupa, koma siyodziwika bwino, ndiye kuti, silingathe kufotokoza mtundu, malo kapena kuopsa kwa kutupa kapena matenda omwe amapezeka mthupi . Chifukwa chake, milingo ya ESR iyenera kuyesedwa ndi adotolo, omwe angazindikire chomwe chikuyenda molingana ndi kuwunika kwa zamankhwala komanso kuyesedwa kwina, monga CRP, yomwe imawonetsanso kutupa kapena kuchuluka kwa magazi, mwachitsanzo.

Ndi chiyani

Chiyeso cha VHS chimagwiritsidwa ntchito kuzindikira kapena kuyesa mtundu uliwonse wa kutupa kapena matenda mthupi. Zotsatira zanu zitha kuzindikira:

1. Mkulu VHS

Zomwe zimakulitsa ESR ndimatenda a virus kapena bakiteriya, monga chimfine, sinusitis, tonsillitis, chibayo, matenda am'mikodzo kapena kutsekula m'mimba, mwachitsanzo. Komabe, imagwiritsidwa ntchito pofufuza ndikuwongolera kusinthika kwa matenda ena omwe amasintha zotsatira zake m'njira yofunika kwambiri, monga:

• Polymyalgia rheumatica yomwe ndi matenda otupa aminyewa;
• Temporical arteritis yomwe ndi matenda otupa m'mitsempha yamagazi;
• Nyamakazi yomwe ndi matenda otupa am'magazi;
• Vasculitis, omwe ndi kutupa kwa khoma lamitsempha yamagazi;
• Osteomyelitis omwe ndi matenda am'mafupa;
• Chifuwa chachikulu, chomwe ndi matenda opatsirana;
• Khansa.

Kuphatikiza apo, ndikofunikira kukumbukira kuti chilichonse chomwe chingasinthe kuyeretsa kwa magazi kapena kapangidwe kake kangasinthe zotsatira zoyeserera. Zitsanzo zina ndi kutenga mimba, matenda ashuga, kunenepa kwambiri, mtima kulephera, impso kulephera, uchidakwa, matenda a chithokomiro kapena kuchepa kwa magazi.

2. ESR yotsika

Kuyesa kotsika kwa ESR nthawi zambiri sikuwonetsa kusintha. Komabe, ndikofunikira kukumbukira kuti pali zinthu zomwe zingapangitse ESR kukhala yotsika kwambiri, ndikusokoneza kuzindikira kwa kutupa kapena matenda. Zina mwa izi ndi izi:

• Polycythemia, yomwe ndi kuwonjezeka kwa maselo amwazi;
• Leukocytosis yoopsa, yomwe ndi kuwonjezeka kwa maselo oyera m'magazi;
• Kugwiritsa ntchito corticosteroids;
• Hypofibrinogenesis, komwe ndiko kusokonekera kwa magazi;
• Hereditary spherocytosis womwe ndi mtundu wa kuchepa kwa magazi m'thupi komwe kumachokera kwa makolo kupita kwa ana.

Chifukwa chake, adotolo amayenera kuwona kufunika kwa mayeso a ESR ndikuwunika mozama malinga ndi mbiri yazachipatala yamunthuyo, chifukwa zotsatira zake sizimagwirizana nthawi zonse ndi thanzi la munthu amene amamuyesa. Dokotala atha kugwiritsanso ntchito mayeso ena atsopano, monga PCR, omwe nthawi zambiri amawonetsa zinthu monga matenda mwanjira inayake. Dziwani kuti mayeso a PCR ndi chiyani komanso momwe amachitira.

Zatheka bwanji

Kuti ayesere ku VHS, labotale idzatolera magazi, omwe amaikidwa mu chidebe chatsekedwa, kenako ndikuwunika kuti zimatenga nthawi yayitali bwanji kuti maselo ofiira amasiyana ndi plasma ndikukhala pansi pa chidebecho .

Chifukwa chake, pambuyo pa ola limodzi kapena maola awiri, kusungaku kumayesedwa, mu milimita, chotsatira chimaperekedwa mm / h. Kuti muchite mayeso a VHS, palibe kukonzekera kofunikira, ndipo kusala sikofunikira.

Malingaliro owonetsera

Malingaliro owunika a mayeso a VHS ndi osiyana kwa amuna, akazi kapena ana.

• Mwa amuna:

  • mu 1h - mpaka 15 mm;
  • mu 2h - mpaka 20 mm.
• Mwa akazi:
  • mu 1h - mpaka 20 mm;
  • mu 2h - mpaka 25 mm.
• Kwa ana:
  • makhalidwe pakati pa 3 - 13 mm.

Pakadali pano, zoyenera za mayeso a VHS mu ola loyamba ndizofunikira kwambiri, chifukwa chake ndizogwiritsidwa ntchito kwambiri.

Kutupa kwambiri, kutha kwa ESR kumatha, ndipo matenda a rheumatological ndi khansa amatha kuyambitsa kutupa kwambiri kotero kuti imatha kukulitsa ESR pamwamba pa 100 mm / h.