ESR ngu Westergren - kuyini?

Kuze kube manje, indlela yokulinganisa erythrocyte sedimentation ngesilinganiso Westergren kukhulunywe. Le nqubo yaqale esetshenziswa ngo-1926, futhi sisetshenziswa kabanzi kwezokwelapha zanamuhla kule izifo ezithile, ikakhulukazi ngenxa ukuthola ukuvuvukala kufihlwe.

Iyini i-erythrocyte sedimentation isilinganiso (ESR)?

Zokwelapha zanamuhla, indlela isivinini nesilinganiso ka-erythrocyte sedimentation in ngamapayipi mpo iyona ndlela elula kakhulu futhi kufinyeleleke zokuxilonga. Ucwaningo olufana nalolu kusiza igazi ukucacisa khona ukuvuvukala, kodwa ke, kufanele kuqashelwe ukuthi lesi sibalo non-ethize kanye ingase yehluke kuye ngesistimu umthelela izici ezihlukahlukene.

Ukuba kuxazululwe le abomvu egazi wenziwa ngezigaba ezintathu. Okokuqala, erythrocyte zehliswa phansi isivivinyo tube futhi kancane ukwehlukanisa kusuka komunye nomunye. In esigabeni sesibili amaseli abomvu egazi sesisonke futhi yakha okuthiwa "uhlamvu lwemali amakholomu" - manje ezinza ngokushesha. Ngesikhathi esigabeni sokugcina Kumiswa nge inani elikhulu amayunithi - sebethule yabo yokuqala siyehla, bese iyama nhlobo.

Ngakho, ngaphandle kwesibeletho kwakheka izingqimba ezimbili - ahlelwe ezansi le oluhlanganisiwe abomvu egazi, futhi engxenyeni engenhla plasma kuqoqwa leukocyte. Westergren ESR ku kungenziwa balinganisela ukulinganisa ukuphakama kwakhiwa esobala ungqimba phezulu plasma. Ikalwe izinga mm / h.

Injani ESR ngu Westergren?

Njengoba kushiwo, le nqubo iyatholakala futhi kulula ukubamba. Okokuqala sidinga ushayele cylindrical tube ekhethekile 0.5 ml sodium citrate (ke uba umenzeli anticoagulant) no 2 ml igazi emithambo yegazi. Manje tube egcwele ibekwe phezulu yokubeka futhi ushiye ihora. Ngemva ngesikhathi osinikiwe, udinga ukukala ukuphakama ungqimba ezakhiwe plasma.

ESR ngu Westergren: okuyinto izinkomba imizwa kubhekwa njengento evamile?

Eqinisweni, ijubane sedimentation kwamangqamuzana egazi abomvu incike yobudala kanye ocansini isiguli. Ngokwesibonelo, igazi osanda kuzalwa ongaphakeme e globulin amaprotheni, Nokho sedimentation velocity deceleration imayelana 2 mm ngehora. Kwaphela iminyaka emibili lokhu sibalo lakhuphuka lafika ku-4-17 mm.

Amadoda nabafana kuka-10 eminyakeni ESR kuhluka 2 kuya ku-10 mm. Abesifazane sibalo lingaphezulu - 2-15 mm ngehora. Uma sikhuluma imiphumela yegazi labantu asebekhulile, abesifazane ESR ivela 2 kuya 53 mm, futhi abameleli ubulili kunamandla - 2-38 mm / ihora.

Kungani isilinganiso ESR ngokuvumelana Westergren ethuthukisiwe?

Ukwenyusa izinga sedimentation kwamangqamuzana egazi abomvu, ngokujwayelekile ohambisana nesifanekiso ukwanda amangqamuzana amaprotheni igazi, e fibrinogen ethile, amaqembu athile futhi paraproteins globulin. Ngakho, noma iyiphi yisifo esibangela lolo shintsho igazi zingabangela nezinguquko kule ESR. Ngokuvamile lokhu kwenzeka ngenxa umsebenzi ukutheleleka noma ukuvuvukala. Izizathu ingase zihlanganisa ukwakhiwa izakhiwo abulalayo, ukuntuleka kwegazi emzimbeni, ubuthi amanye aveza. ESR kwandisa samakhaza, infarctions, izifo isibindi kanye nezinso, ukulimala kwamathambo, isifo sikashukela kanye namanye izifo kohlelo endocrine.

ESR ngu Westergren behliselwe phansi: Izimbangela

Ngokuvamile, ukunciphisa ijubane lihlotshaniswa ukuqina igazi, kanye nezinye izifo eziningana. Ikakhulukazi, lesi simanga ngokuvamile baphawula in iziguli spherocytosis, sickle cell isifo futhi polycythemia. Izizathu zihlanganisa okusheshayo eside, ukwehla elibukhali yemisipha, ukwehluleka kwegazi. Sokuxazulula izinga kungathinta reception izidakamizwa steroid.