Uvavanyo lwe-VHS: luyintoni, luyintoni kunye namaxabiso esalathiso

Umxholo

• Yenzelwe ntoni
• 1. VHS ephezulu
• 2. ESR esezantsi
• Kwenziwa njani
• Amaxabiso esalathiso

Uvavanyo lwe-ESR, okanye i-erythrocyte sedimentation rate okanye i-erythrocyte sedimentation rate, luvavanyo lwegazi olusetyenziswa ngokubanzi ekufumaneni nakuphi na ukudumba okanye usulelo emzimbeni, olunokubonisa ukusuka kubanda nje, usulelo lwebhaktiriya, kwizifo ezikruthayo ezifana nesifo samathambo okanye ukudumba kwentliziyo, umzekelo.

Olu vavanyo lilinganisela isantya sokwahlukana phakathi kweeseli ezibomvu zegazi kunye neplasma, eyinxalenye engamanzi yegazi, ngokwenza isenzo somxhuzulane. Ke, xa kukho inkqubo yokuvuvukala kwigazi, kwenziwa iiproteni ezinciphisa i-viscosity yegazi kunye nokukhawulezisa ireyithi ye-erythrocyte sedimentation, ekhokelela kwi-ESR ephezulu, edla ngaphezulu. I-15 mm emntwini kwaye 20 mm kwabasetyhini.

Ngale ndlela, i-ESR luvavanyo olubuthathaka kakhulu, njengoko inokubona ngokulula ukudumba, kodwa ayicacanga ncam, oko kukuthi, ayinakho ukubonisa uhlobo, indawo okanye ubungqongqo bokudumba okanye usulelo olwenzeka emzimbeni . Ke ngoko, amanqanaba e-ESR kufuneka ahlolwe ngugqirha, oza kuchonga unobangela ngokokuvavanywa kweklinikhi kunye nokusebenza kwezinye iimvavanyo, ezinje ngeCRP, ekwabonisa ukudumba okanye ukubala kwegazi, umzekelo.

Yenzelwe ntoni

Uvavanyo lwe-VHS lusetyenziselwa ukuchonga okanye ukuvavanya naluphi na uhlobo lokudumba okanye losulelo emzimbeni. Iziphumo zakho zinokuchonga:

1. VHS ephezulu

Iimeko eziqhelekileyo ezonyusa i-ESR zintsholongwane okanye usulelo lwebacteria, ezinje ngomkhuhlane, i-sinusitis, i-tonsillitis, inyumoniya, usulelo lomchamo womchamo okanye urhudo, umzekelo. Nangona kunjalo, isetyenziswa ngokubanzi ukuvavanya nokulawula ukuvela kwezinye izifo eziguqula iziphumo zazo ngendlela ebaluleke ngakumbi, enje:

• I-Polymyalgia rheumatica esisifo esidumbisayo kwezihlunu;
• I-arteritis yethutyana esisifo esidumbisayo kwimithambo yegazi;
• I-rheumatoid arthritis sisifo sokudumba kwamalungu;
• I-Vasculitis, kukudumba kodonga lwemithambo yegazi;
• I-Osteomyelitis esisifo samathambo;
• Isifo sephepha, esisifo esosulelayo;
• Umhlaza.

Ukongeza, kubalulekile ukuba ukhumbule ukuba nayiphi na imeko etshintsha ukuxutywa kwegazi okanye ukwakheka kunokutshintsha iziphumo zovavanyo. Eminye imizekelo kukukhulelwa, isifo seswekile, ukutyeba kakhulu, ukusilela kwentliziyo, ukungaphumeleli kwezintso, ukunxila, iingxaki ze-thyroid okanye i-anemia.

2. ESR esezantsi

Uvavanyo olusezantsi lwe-ESR alubonisi utshintsho. Nangona kunjalo, kubalulekile ukuba ukhumbule ukuba kukho iimeko ezinokuthi zigcine i-ESR isezantsi ngokungaqhelekanga, kwaye iphazamise ukufumanisa ukudumba okanye usulelo. Ezinye zeemeko zezi:

• Polycythemia, oko kukuthi ukwanda iiseli zegazi;
• Leukocytosis kakhulu, leyo ukwanda iiseli ezimhlophe egazini;
• Ukusetyenziswa kwee-corticosteroids;
• Hypofibrinogenesis, sisiphazamiso sokunqanda igazi;
• I-spherocytosis eyindlalifa eluhlobo lwe-anemia ephuma kubazali iye ebantwaneni.

Ke, ugqirha kufuneka asoloko elibona ixabiso lovavanyo lwe-ESR kwaye ayihlalutye ngokwembali yomntu yeklinikhi, kuba iziphumo zayo azisoloko zihambelana nemeko yezempilo yomntu ovavanyiweyo. Ugqirha unokusebenzisa iimvavanyo ezintsha nezichanekileyo, ezinje nge-PCR, edla ngokubonisa iimeko ezinjengosulelo ngendlela ethe ngqo. Fumanisa ukuba yintoni uvavanyo lwe-PCR kwaye lwenziwa njani.

Kwenziwa njani

Ukwenza uvavanyo lwe-VHS, elebhu iya kuqokelela isampulu yegazi, ebekwe kwisikhongozeli esivaliweyo, emva koko iya kuvavanywa ukuba kuthatha ixesha elingakanani ukuba iiseli ezibomvu zegazi zahlukane neplasma kwaye zihlale ezantsi kwesikhongozeli .

Ke, emva kweyure enye okanye iiyure ezi-2, oku kufakwa kuya kulinganiswa, ngeemilimitha, ngenxa yoko isiphumo sinikwa nge-mm / h. Ukwenza uvavanyo lwe-VHS, akukho lungiselelo luyimfuneko, kwaye ukuzila akukho mfuneko.

Amaxabiso esalathiso

Amaxabiso esalathiso kuvavanyo lweVHS ahlukile emadodeni, kubafazi okanye kubantwana.

• Emadodeni:

  • 1h - ukuya ku-15 mm;
  • ngo-2h - ukuya kuma-20 mm.
• Kwabafazi:
  • ngo-1h - ukuya kuma-20 mm;
  • ngo-2h - ukuya kuma-25 mm.
• Kubantwana:
  • amaxabiso aphakathi kwe-3 - 13 mm.

Okwangoku, amaxabiso ovavanyo lwe-VHS kwiyure yokuqala ngawona abaluleke kakhulu, ke zezona zisetyenziswa kakhulu.

Ngakumbi ukuvuvukala, ngakumbi i-ESR inokunyuka, kunye nezifo ze-rheumatological kunye nomhlaza kunokubangela ukuvuvukala okukhulu kangangokuba kuyakwazi ukwandisa i-ESR ngaphezu kwe-100 mm / h.