ESR kwabesilisa: kuyinsakavukela kanye nokusuka

Isikhathi esining impela e imiphumela cwaningo zabantu ukubona lokhu isifinyezo njengoba ESR. Lesi sibalo kungase kubonise khona izifo ezihlukahlukene. Made azihlole kunoma iyiphi laboratory ezibhedlela zikahulumeni nezizimele, wayifeza kalula kakhulu, futhi ngenxa yalokho yini ethandwa kakhulu ekuhlonzeni izifo ezithile. Namuhla sifunda ukuthi lokhu ESR, ezingabantu izinga zazo isethiwe, kanye ukuthi ukhuluma ukwehla noma ukwanda kwalesi inkomba.

Kanjani ukufunda isifinyezo?

ESR imele "erythrocyte sedimentation izinga". Kuthiwa lena kuyinkomba ebaluleke kakhulu impilo umuntu. Uhlaziyo kwenziwa ukuze kutholakale ukuthi isidumbu izinqubo isifo noma cha. Ukukala ESR Yiqiniso, ingahluka, ingasetshenziswa ngezinhloso zokuxilonga, kanye-ke kunikeza ithuba okuhlola ukusebenza yokwelapha ngokukhethekile. Kodwa ukuphambuka kusuka amagugu kuyinsakavukela uzokhuluma ukuvuvukala oyingozi noma ezingamahlalakhona, khona isimila noma ezinye izifo emzimbeni.

Izizathu enanini

Kunezikhathi lapho izinga igazi sedimentation izinga ezingabantu anda, lokhu kungase kubonise okuvela inqubo eziyingozi emzimbeni. Lesi sibalo zingaxwayisa ngisho odokotela ngesifo phambi okuvela izimpawu zokuqala ke. Ngakho-ke, uma izinga amadoda egazini erythrocyte sedimentation izinga luyanda, kubalulekile ukuba ahlolwe enemininingwane.

Lokhu kuhlola kungaba ngesisekelo ukusungulwa ukuxilongwa ethize. Kuyoba usizo uma ithola inani elikhulu izifo:

1. Isifo sofuba.
2. I-Arthritis, rheumatism.
3. Skin izifo.
4. Izifo indlala yegilo.
5. ubovu izinqubo ezihlukahlukene ukuvuvukala.
6. Ukufa ihlule.
7. Ukutheleleka inhliziyo valve yayo.
8. Sezinso, isibindi kanye pheshana biliary.
9. ukutheleleka okuqhubekayo (khona ukuvuvukala emzimbeni Lokudabuka ongaziwa).
10. Komdlavuza.

Izimbangela ukwehla

Ngezinye izikhathi odokotela abenza kunezimo lapho amagugu ESR ngezansi evamile. In amadoda, lokhu kwenzeka ngaphansi kwezimo kanye lezi zifo ezilandelayo:

1. Polycythemia - okwahlonzwa isimila inqubo e isimiso sokujikeleza kwegazi.
2. Ukuzila kanye nalemvelaphi ukuthi ukwehla yemisipha.
3. ukuhluleka kwegazi.
4. Spherocytosis - anomaly lapho amangqamuzana amhlophe egazi atholakala egazini ifomu okungalungile.
5. Isikela cell anemia.
6. Ukusetshenziswa corticosteroids.
7. Sezinso futhi isibindi.
8. Vegetarianism.

Izakhiwo ejwayelekile

Manje siyathola yiziphi amagugu ejwayelekile ka ESR ezingabantu. Kuyinsakavukela kwalesi sibalo iyahlukahluka kuye ngokuthi yobudala lomuntu. Okungukuthi, amagugu ingahluka, kodwa ngesikhathi esifanayo ngo kohlaka ejwayelekile. Ngakho, evamile ESR komngcele amadoda yilezi:

• Kusukela engu-18 kuya ku-20 - 12 mm / ihora.
• Kusukela eminyakeni engu-20 kuya 55 ubudala - 14 mm / ihora.
• Ngemva 55 - 19-32 mm / h.

degree of ukuphambuka

Ukungafani ka eyamukelekayo imingcele ESR zihlukaniswe izigaba ezifana:

1. ngeziphambeko abangelutho kukhona ngaphakathi eyamukelekayo ukuthi.
2. ESR kwabesilisa, okuyinto kudlulwe ngo-15-30 amaphuzu ukuhlukumeza emzimbeni wesilisa - kukhona khona ukutheleleka ezinzima kancane.
3. Ukuphambuka kusuka amagugu elivamile amayunithi 30-60. Lokhu kusikisela ukuba khona ngo abantu ukuvuvukala sina.
4. Norma ESR egazini amadoda kudlulwe ngo-amayunithi engaphezu kwengu-60. Yisikhathi se-ukuvakashelwa ngokushesha kudokotela.

Ukulungiselela i-ukuhlaziywa

Iphuzu elibalulekile okumelwe okufanele banake, iyona nokulungiselela efanele luhlolo. Ngaphambi udokotela imithi indoda, ahambise uhlu oluphelele kakhulu segazi, kufanele Ungamlayela ukukhuluma mayelana ukulungiswa iziqondiso. Doctor Ekhomba nomthelela ukuthola eqonde kakhulu futhi incazelo enembile wabo.

Ngakho, kudingeka ukuba ukhumbule ukuthi le mithetho elandelayo:

• Inqubo okufanele kwenziwe esiswini esingenalutho ekuseni.
• Ngosuku olwandulela umcimbi, musa udla kakhulu, udle ukudla okunamafutha noshukela okubabayo, kanye iziphuzo ahlukahlukene oludakayo.
• Kufanele uyeke ukubhema okungenani ihora elingu-1 ngaphambi igazi izibonelo zalokho.
• Ngo-laboratory, lapho cwaningo ungakhathazeki sizoqhutshwa. Kungcono ukuphumula kwamaminithi ezimbalwa ezama ukubohlisa intukuthelo, kungcono nje shot emunweni.

Uma kwenziwe ngendlela efanele, kuphela silinde umphumela ukuhlaziya - ngabe irekhodi eyanelisayo, kudlulwe noma kwanciphisa ngesilinganiso sedimentation izinga umuntu ezinikelwe igazi. Odokotela batusa ukuba nginikele 1 ngonyaka ukuvimbela ukuvela izinkinga zezempilo esicashile.

Njengoba kunqunywa ESR?

Ngemva onguchwepheshe kuzothatha umuntu sihlaziye izinto, uyakuvumela isiguli, futhi unikeza reagent ukuze kuhlonzwe. In the test laboratory tube kunezelwa ukuze coagulate igazi hhayi curled, it is ke ibekwe 1 ihora in a beaker emincane. Amangqamuzana abomvu egazi kukhona ngoyisiwula kusinda kunakho plasma, ngakho maduze aqala ukucwila kuze kufike phansi. Futhi kuvela ukuthi igazi kwasakazwa ku 2 izingxenye: phansi futhi phezulu. Futhi kwaba ngesikhathi ibambene ungqimba plasma, izazi zisanda kuhlola ESR ngamamilimitha ngehora.

Uma umuntu enempilo ke izinga lapho amaseli ivinjelwe, kuyoba ezincane kakhulu. Uma umzimba elikhona ukuvuvukala, ezingeni anda ESR. Sivamile abesifazane namadoda alesi inkomba lihlukile. Lokhu kungenxa ezahlukene amakhemikhali yokwakheka igazi. Uma izinga besilisa wamanani amagugu 12, 14 no-32 mm / h, abesifazane izinombolo eyamukelekayo: 4-15 mm / ihora (20 ubudala kuya ku-30 iminyaka), 8-25 mm / h (30 kuya ku-60 s) kanye 12-50 mm / h (ngemva kweminyaka engu-60).

Izizathu baphendukezele Imiphumela

Kunezici okuyizinto ngenxa kwenziwe ukuhlaziya imiphumela ingase ibe eyiphutha. Lokhu kungaba:

• Uma ukhetha anticoagulant okungalungile.
• Uma omunye akawufaneli ukuhlaziywa.
• Uma lab ngasekupheleni igazi ithunyelwa elabhorethri.
• Uma uchwepheshe uye wasebenzisa inaliti kakhulu mncane.
• Uma ekamelweni lapho ukuhlaziya, hhayi nemibandela lokushisa. Ukwamukela Imiphumela olunembile cwaningo kumele kwenziwe igumbi cool (18-25 degrees). Ngezinye lokushisa ayanda ESR inyuka, kuyilapho ngesikhathi ephansi - sinciphile.

Uma okungenani eyodwa isici engakaze wahlangana, ukuhlaziya kumele inikelwe ezandleni futhi ukuze uthole umphumela efanele cwaningo.

Manje uyazi, lokho kusho omunye yi ukuhlolwa, futhi njengoba esithi imele erythrocyte sedimentation izinga. In amadoda, izinga le Inkomba iyahlukahluka kuye ngokuthi yobudala: omdala umuntu, ayanda amagugu kuvunyelwe. Uma ukuphambuka itholiwe kusuka ukubaluleka evamile, kubonisa khona isifo. Ukuze sihlaziye Imiphumela bekuyiqiniso, omunye kumelwe kahle ukulungiselela inqubo ukuhlolwa laboratory.