Uyini ESR e ukuhlolwa igazi? Njengoba kuboniswa ukuphambuka kusuka kuyinsakavukela?

Igazi izona zonke izinhlaka futhi izinhlelo, ngakho kwasekuqaleni ibonisa anomalies ezenzeka emzimbeni. Qedela igazi count ukubala inani Kutholwe amaseli (erythrocyte, leukocyte, reticulocytes, izinhlayiya zegazi), ukwanda noma wehlise inombolo okhombisa zokugula ezithile.

Yileyo ESR ukuhlaziya igazi, singathanda ukwazi okuningi abantu ukuya kudokotela ngezifo ezahlukene. ESR (erythrocyte sedimentation izinga) kuncike Ukwakheka yezinhlayiya amaprotheni ku-plasma.

iyona ukuhlaziywa kanjani?

Ngo igazi kwesibeletho ne ukwengeza ejenti ekuvimbeleni ekunqandeni, ibekwe ngendlela tube emincane futhi okusezingeni eliphezulu. Ihora zamangqamuzana abomvu egazi uqale ziwela ngaphansi isisindo ayo ukuba phansi, kusale phezulu oketshezini olungenambala lwegazi - uketshezi aphuzi. Ukulinganisa ezingeni layo ukuthola izinga sedimentation mm / ihora.

Kungani lesi sibalo?

Yileyo ESR ukuhlaziya igazi futhi yini izici ezithonya ke, uyazi zonke udokotela owelapha Izifo ukuvuvukala. Sedimentation izinga kwamangqamuzana egazi abomvu ongama futhi bayasilela, okuzokwenza abonisa endleleni umzimba osabela ngayo. Amangqamuzana abomvu egazi ngokushesha ezihambayo phansi ukubonakala namanye amangqamuzana ezinkulu - amasosha omzimba noma fibrinogen. Lezi amaprotheni akhiqizwa phakathi nezinsuku zokuqala ezimbili ukutheleleka. Kusenjalo-ke iqala ukwandisa ESR ipharamitha, lafinyelela inani eliphakeme labamemezeli kuya 12-14 usuku th lesi sifo. Uma kulelizinga kwakukhona Ukwanda kwenani amangqamuzana amhlophe egazi, kusho ukuthi umzimba ngenkuthalo belwa amagciwane.

Ngezelela noma nciphisa e sedimentation izinga

Funda ngokuthi yini ukuhlaziya igazi ESR yokuthi kungani izinga zingandiswa, kungenzeka ngezinye yokwamukela udokotela ukuba khona. Izinga kwabesifazane ivela 2 kuya ku-15 mm / h, futhi amadoda - kusuka 1 kuya ku-10 mm / ihora. Lokhu kusho ukuthi ucansi buthaka ekuthanda khona ukuvuvukala. Ngokuvamile imbangela ukusheshisa ESR okungukuthi icubungula ezifana:

1. Ubovu ukuvuvukala (namathansela, isifo ithambo, lesizalo ezihlobene).
2. Izifo ezithathelwanayo.
3. izimila ebulalayo.
4. izifo sokuhlasela kwamasosha omzimba (rheumatoid arthritis, i-psoriasis, yi-multiple sclerosis).
5. Thromboses.
6. Isifo sokusha.
7. Isifo sokulahlekelwa yigazi futhi umdlavuza wegazi.
8. Endocrine iziyaluyalu (isifo sikashukela, goiter).

imbangela Ziyingozi erythrocyte okusezingeni eliphezulu sedimentation izinga kungaba sokukhulelwa.

Buza udokotela wakho ukuthi igazi ESR ukuhlaziywa, kungenzeka futhi lapho retardation ngemuva:

1. isilonda esiswini.
2. Ukusha Kwesibindi Kohlobo.
3. Erythrocytosis kweqiniso (wegazi ezingelapheki) futhi kubangelwa enganele umoya-mpilo umncane emangqamuzaneni (isifo senhliziyo, samaphaphu).
4. sokuwohloka kwemisipha.
5. Ukukhulelwa nendlala.

In iziguli ukuthatha imithi steroid ukuze nokwelashwa arthritis, isifuba somoya, futhi anda erythrocyte sedimentation izinga egazini.

Lapho udinga ukuya kudokotela futhi singase sivivinywe khona?

Kwenzeka ukuthi umphumela ukuhlolwa kwegazi ahlale ngaphandle incazelo. Khona-ke udinga ukubona udokotela ukuze umbuzo uyini ESR e ukuhlolwa igazi (ebibizwa nge-erythrocyte sedimentation rate).

Izinga-30 mm ngehora - siwukubonakaliswa sinusitis, abezindaba otitis, ukuvuvukala umthondo zesifazane, prostatitis, pyelonephritis. Cishe, lesi sifo singumbulali esigabeni okungamahlalakhona, kodwa kudinga kweso lwezokwelapha.

Izinga ingaphezu kwe-40 mm ngehora - ke kuba yisikhathi sokuhlangana ucwaningo emikhulu, njengoba ukubaluleka kubonisa igciwane sina, iziyaluyalu umzimba, igazi imisebenzi futhi amasosha omzimba, emaphaketheni purulent izilonda.