Ukwandiswa erythrocyte sedimentation izinga ingane. Kusho ukuthini lokhu, yiziphi izimbangela, yini okufanele uyenze?

Funda isithombe eningiliziwe isimo impilo yengane kungaba ukuhlolwa kwegazi. Into ebalulekile ukuthi Inkomba ESR yayo (erythrocyte sedimentation izinga amaseli). Lokhu ipharamitha non athize has a sensitivity high ukucacisa pathologies bemvelo ezithathelwanayo kanye oncological. Kusukela mathiriyeli lo sihloko uzofunda ukuthi kungani ezinye izingane ESR ngenhla evamile kusho ukuthini, iziphi izinyathelo okufanele zithathwe abazali.

ulwazi olujwayelekile

ESR - omunye nemingcele oyinhloko ukuhlolwa igazi. Ngaphansi abomvu maseli eqonda corpuscles elibomvu, okuyinto ngaphansi kwethonya anticoagulation for ethile isikhathi ukuze kuxazululwe phansi tube wezokwelapha.

A inqubo efanayo kwenzeka kubantu. Sekuyisikhathi zamangqamuzana abomvu egazi sesimeni inqubo sintering futhi kancane kancane imali kwi izindonga imithambo yegazi. ESR wepharamitha awalinganiswa ezisondelene, okusho behlukile kwabanye. Zibonisa sensitivity high. Ushintsho lokhu ipharamitha kubonisa ukuthuthukiswa izifo ezithile emzimbeni kuze ezinzima isithombe emtholampilo.

Izindlela yokunquma ukubaluleka ESR

Namuhla ezimbili ongakhetha ukunquma inani sedimentation lamaseli lisetshenziswe zokwelapha: indlela futhi Panchenkova Westergren.

Eyokuqala ihilela ukuhlela zibeke uketshezi begazi phezu ingilazi, okuyinto igibele thwi. Eyesibili ubhekwa ngaphezulu ulwazi njengoba ngokufanele lokuphinda nemibandela inqubo efanayo kubantu. Ngokuvamile, imiphumela yokuhlolwa kumelwe kokubili ezifanayo.

indlela Westergren has ukuzwela enkulu, ngoba umhlangano kuyigazi deoxygenated kuphela. Lapho imiphumela yokuhlaziya ukukhombisa isigqugquzeli erythrocyte sedimentation izinga e ingane, ukulethwa okuphindaphindiwe ayidingekile.

amazinga Ukusebenza ezinganeni

Ngemva udokotela wathatha igazi womntwana, kumelwe basibeka tube ekhethekile. It ngaphansi kwethonya amandla adonsela phansi amaseli abomvu aqala kancane kancane abohle. Umsebenzi ingena laboratory Isivinini nesilinganiso, ngawo inqubo esebenzayo.

izinkomba Standard ESR ububanzi izingane kanye nabantu abadala, futhi kuhluke kuncike ucansi ingane. Nokho, kunemingcele ethile ezivumela ukuhlonza khona inqubo sokugembula emzimbeni.

Kuyinsakavukela ubhekwa izinkomba ezifana:

• Grudnichki: 2 kuya ku-4 mm / h.
• Izingane ukuba 6: 5 kuya 11 mm / h.
• Izingane Ezisathomba engaphansi kuka-14, kusukela 5 kuya 13 mm / h.
• Intsha engaphezu kuka-14: 1 kuya ku-10 mm / h.
• Abesifazane ngemva kweminyaka engu-14: 2 kuya ku-15 mm / h.

Ukwandiswa erythrocyte sedimentation izinga e ingane njalo kukhombisa khona ukuvuvukala emzimbeni. Ukuze uthole ukusazi ngokunembile isifo esikuphethe kudinga luhlolo enemininingwane ukuzimisela nemingcele ahlukahlukene egazini.

enanini eliphakeme sedimentation izinga ingane

Ngokuvamile abazali bati ukwephulwa ngesikhathi luhlolo isimiso ngu kudokotela wezingane. Uma uchwepheshe akaboni yiziphi izizathu ezingaholela ekubeni inkinga, ukuhlolwa kabusha kokuthuma inikezwa indlela ehlukile.

ESR High cishe njalo kusikisela umqondo ukuvuvukala emzimbeni. Nokho, umbono onjalo kufanele ngempela isekelwa imiphumela uphenyo. Ngokuvamile, i-high ukubala izinga kuwuphawu igciwane lohlobo lwe, futhi neutrophil ukwanda - obenesifo uhlamvu. Elingafaki idatha test elikulesi sihloko ukuhlonza izifo ingane akunakwenzeka.

Inani sedimentation amangqamuzana abomvu kungenzeka ngale kuyinsakavukela izingane ezincane, uma bengenayo amavithamini anele noma ngesikhathi ukulethwa cwaningo kwaba inqubo esebenzayo ye teething. umzimba iziguli esezikhulile iphendula ukwanda lokhu ipharamitha ku ukucindezeleka igazi noma imizwelo enamandla.

Yiziphi izici nomthelela izinkomba ESR ezinganeni?

Isici esiyinhloko ukuthi kwandisa ingxenye esebenzayo khona impendulo ukuvuvukala emzimbeni. Nokho, odokotela isehlane nezinye izizathu ukwehla / nokwenyuka yenqubo sedimentation amangqamuzana abomvu.

1. Ukushintsha asidi viscosity igazi.
2. Ukunciphisa inani amangqamuzana abomvu egazi.
3. Ukuba khona izikelemu.
4. Ukuntula amavithamini emzimbeni.
5. Ukucindezeleka.
6. ekudleni.

Kubalulekile ukuqaphela ukuthi izinkomba erythrocyte sedimentation baphakathi nemingcele ukuthi kancane kakhulu ukubuyela evamile. Ngemva kokubhekana acute izifo zokuphefumula egazini ingane ESR okusezingeni eliphezulu isikhashana kungabonakala nasemkhakheni. Ngemva kwezinyanga cishe 1.5, lezi amapharamitha kwesejwayelekile.

Isizathu esiyinhloko salokhu ukwanda ESR

Njengoba sekushiwo ngaphambili esihlokweni, iningi izizathu lokhu kuguqulwa igazi imingcele kuthiwa ecasha khona ukuvuvukala emzimbeni. Futhi, izenzakalo ezinjalo kungaba kuvuse ukusabela nomzimba, ubuthi, ukutheleleka foci insufficiently ngayo.

Izifo esemqoka, okhombisa nokwanda kokungabi ESR ezinganeni zihlanganisa lokhu okulandelayo:

1. izinqubo sokuhlasela kwamasosha omzimba (lupus erythematosus, scleroderma).
2. izifo Igazi (anaemia, ene-leukemia).
3. izifo ze-endocrine (isifo sikashukela, i-hyperthyroidism).
4. Oncology.

Ngo izinsana anda ESR ukuhlaziywa ngokuvamile teething noma ngenxa yokuqukethwe amafutha eliphezulu ubisi lwebele. Ngezinye izikhathi lesi sifo kungokwemvelo ke kukhona kuyinsakavukela ngabanye umzimba. Ezimweni ezinjalo, nodokotela bezingane ukuncoma ibhekane sokuhlolwa njalo.

Kwenzeka ukuze wonke zinkomba evamile ngaphandle ukubaluleka erythrocyte sedimentation. Amanga ukusheshisa omuhle kungadalwa ukukhuluphala wengane, ukuthatha ezinye izakhiwo multivitamin noma wokugoma ukusha kwesibindi kohlobo B.

Monocytes futhi ESR kunyuke ngo ingane

Monocytes kukhona egazi abonisa ukungavuthwa. amazinga abo kungabuye kunqunywa ukuhlaziya jikelele. Lapho kudingeka ukwaziswa okuningiliziwe ukusebenza umzimba wengane, hlola ifomula leukocyte. Uphakamisa uphinde wehlise izinga kwamangqamuzana egazi kusikisela izindawo ezibhodloziwe. ucingo imingcele Ukwandiswa monocytosis. Ngokuvamile, inani lamaseli beya kumele singeqi 11% isibalo leukocyte.

Ukwehlisa ezingeni monocytes kubonisa ukwephulwa emsebenzini izivikeli mzimba. ngokuvamile Lokhu kwenzeka ezimeni kwegazi, wegazi nokugula ngemisebe.

Yandisa ka monocytes is ebonwe nesifo sofuba, umalaleveva lymph uhlelo. Ngakho-ke ukukhula inani lamaseli angavuthiwe, kanye lenyuka erythrocyte sedimentation izinga ingane kufanele wazise abazali wezingane.

Yini ukwelashwa iyadingeka?

Lapho izinga sedimentation obomvu cell Inkomba ethe xaxa kunokujwayelekile, isimo somntwana uqinile, asikho isizathu sokukhathazeka. Induduzo yakho siqu phakathi nenkathi elincane isikhathi, ungakwazi bahlolelwe futhi ukuqinisekisa ukuthi ingane akuyona asengozini.

Uma nemingcele ESR idlule uphawu elingu of 15 mm / h, cishe ngaso sonke isikhathi kusho khona i focus ezithathelwanayo emzimbeni. Lapho lesi sibalo kuziwa mayelana 30-40 mm / h, uphawu olucacile of isifo esiyingozi, umzabalazo okungase kuthathe izinyanga eziningana.

Ukwandiswa erythrocyte sedimentation izinga ingane njalo kusho ukwehlukana emzimbeni. Udokotela wezingane esinyathelweni sokuqala ukuze kutholakale imbangela impande, okuyinto kwabangela ushintsho olunjalo. Lokhu kungathatha luhlolo eyingozi. Ngemva udokotela kufanele ubeke ekwelapheni isifo esithile. It ngokuvamile kuhilela antibiotic ejenti elwa namagciwane.

Encishisiwe erythrocyte sedimentation izinga ingane

Ukwehla erythrocyte sedimentation amazinga ngokuvamile ibonisa kahle kwegazi, ekunqandeni abampofu noma igazi thinners. Inombolo amangqamuzana abomvu egazi kwandisa, kodwa nihlanganyele ngempumelelo.

Lesi senzakalo ebonwe izingane ezisanda wahlupheka ubuthi noma ukuphelelwa amanzi emzimbeni izinkinga isihlalo. Kwezinye izimo, izibalo ongaphakeme ibonisani ukusha kwesibindi kohlobo ezibangelwa amagciwane.

wezingane kuphela kungacacisa ukuthi imbangela yalesi sifo kweqiniso futhi bancome yokwelapha ezifanele.

isiphetho

Isikhathi esining impela abazali sifune iseluleko isazi sezifo zezingane lapho ingane ngenhla ESR evamile. Yini lokhu kusho ukuthi izimbangela yalezi zinkinga emzimbeni, ongamtshela kuphela onguchwepheshe ngesisekelo a zokuxilonga ephelele inhlolovo encane nesineke. Erythrocyte sedimentation izinga - lena inkomba sina, ngakho inani layo is hhayi Kunconywa ukuba indiva. Endabeni ka ukuphambuka kusuka kuyinsakavukela kungadinga ukwelashwa eside. I ngaphambili yokwelapha isiqalo, aba maningi amathuba ukululama ngokushesha.