I-ESR

I-ESR imele i-erythrocyte sedimentation rate. Ihlala ibizwa ngokuba yi "sed rate."

Luvavanyo olulinganisa ngokungathanga ngqo ukuba kungakanani ukudumba emzimbeni.

Isampulu yegazi iyafuneka. Uninzi lwexesha, igazi litsalwa kumthambo ngaphakathi kwengqiniba okanye ngasemva kwesandla. Isampulu yegazi ithunyelwa elebhu.

Uvavanyo luthathela amanyathelo ukuba iiseli ezibomvu ngokukhawuleza (ezibizwa ngokuba zii-erythrocyte) ziwela ezantsi kwebhubhu ende, ebhityileyo.

Akukho manyathelo akhethekileyo afunekayo ukulungiselela olu vavanyo.

Unokuziva iintlungu okanye ulwamvila xa kufakwa inaliti. Unokuziva ubethwa sisiza emva kokuba kuthathwe igazi.

Izizathu zokuba kwenziwe "isreyithi" kubandakanya:

• Iifiva ezingachazwanga
• Iindidi ezithile zentlungu edibeneyo okanye isifo samathambo
• Iimpawu zemisipha
• Ezinye iimpawu ezingacacanga ezingenakuchazwa

Olu vavanyo lunokusetyenziselwa ukubeka esweni ukuba ngaba isigulo siyaphendula na kunyango.

Olu vavanyo lunokusetyenziselwa ukubeka esweni izifo ezivuthayo okanye umhlaza. Ayisetyenziselwa ukufumanisa isifo esithile.

Nangona kunjalo, uvavanyo luluncedo ekufumaneni nasekubekeni esweni:

• Ukuphazamiseka ngokuzenzekelayo
• Usulelo lwamathambo
• Iindlela ezithile zearthritis
• Izifo ezivuthayo

Kubantu abadala (indlela yeWestergren):

• Amadoda angaphantsi kweminyaka engama-50 ubudala: ngaphantsi kwe-15 mm / hr
• Amadoda ngaphezulu kweminyaka engama-50 ubudala: ngaphantsi kwe-20 mm / hr
• Abafazi abangaphantsi kweminyaka engama-50 ubudala: ngaphantsi kwe-20 mm / hr
• Abafazi abangaphezu kweminyaka engama-50 ubudala: ngaphantsi kwe-30 mm / hr

Kubantwana (indlela yeWestergren):

• Usana olusanda kuzalwa: 0 ukuya ku-2 mm / hr
• Usana olusandul 'ukuzalwa ukufikisa: 3 ukuya kwi-13 mm / hr

Qaphela: mm / hr = iimilimitha ngeyure

Amaxabiso esiqhelo ahluka kancinci phakathi kweelebhu ezahlukeneyo. Thetha nomboneleli wakho wezempilo malunga nentsingiselo yeziphumo zakho zovavanyo.

I-ESR engaqhelekanga inokunceda ukuxilongwa, kodwa ayibonisi ukuba unemeko ethile. Ezinye iimvavanyo zihlala zifuneka.

Ukunyuka kwenqanaba le-ESR kunokwenzeka kubantu abane:

• Ukunqongophala kwegazi
• Umhlaza onje nge-lymphoma okanye i-myeloma emininzi
• Isifo sezintso
• Ukukhulelwa
• Isifo se-thyroid

Amajoni omzimba anceda ukukhusela umzimba kwizinto ezinobungozi. Ingxaki yokuzimela komzimba xa amajoni omzimba ehlasela ngempazamo kwaye etshabalalisa izicwili zomzimba ezisempilweni. I-ESR ihlala iphakame kuneqhelekileyo kubantu abane-autoimmune disorder.

Iingxaki eziqhelekileyo zokuzibulala zibandakanya:

• ILupus
• IPolymyalgia rheumatica
• Isifo samathambo kubantu abadala okanye ebantwaneni

Amanqanaba aphezulu e-ESR ayenzeka ngokungaqhelekanga okuzimela okanye ezinye iingxaki, kubandakanya:

• I-vasculitis engavumiyo
• Iseli enkulu yegazi
• Hyperfibrinogenemia (ukunyuka kwamanqanaba e-fibrinogen egazini)
• IMacroglobulinemia - ephambili
• Ukutsala i-vasculitis

Ukunyuka kwe-ESR kunokubangelwa zizifo ezithile, kubandakanya:

• Ukusasazeka komzimba (systemic)
• Usulelo lwamathambo
• Usulelo lwentliziyo okanye lwevalve zentliziyo
• Umkhuhlane wamathambo
• Ukosuleleka kakhulu kolusu, njenge-erysipelas
• Isifo sephepha

Amanqanaba asezantsi kunesiqhelo ayenzeka nge:

• Ukusilela kwentliziyo
• Hyperviscosity
• Hypofibrinogenemia (ukunciphisa amanqanaba e-fibrinogen)
• Ileukemia
• Iiprotheni ezisezantsi zeplasma (ngenxa yesibindi okanye isifo sezintso)
• IPolycythemia
• Isifo seanemia

Izinga le-sedimentation ye-erythrocyte; Umgangatho weSed; Inqanaba lentlenga

IPisetsky DS. Uvavanyo lweLabhoratri kwizifo ze-rheumatic. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Umhla wama-25. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 257.

I-Vajpayee N, Graham SS, Bem S. Uvavanyo olusisiseko lwegazi kunye nomongo wethambo. Ku: McPherson RA, Pincus MR, ii-eds. Ukuchongwa kweKlinikhi kaHenry kunye noLawulo ngeendlela zeLebhu. Umhla we-23. ISt Louis, MO: Elsevier; I-2017: isahluko 30.