ESR ukuhlaziywa wegazi

ESR ukuhlolwa igazi kwenteke lokungenani kanye umuntu ngamunye. Kungani kubalulekile lokhu ukuhlaziywa? ESR - isifinyezo okusho erythrocyte sedimentation isilinganiso, okuyinto kube inkomba yokuthi ijubane ukwahlukana igazi kwesibeletho nge anticoagulant wanezela nalokho. ngokuhlukana okunjalo kwenzeka izingqimba ezimbili: i-plasma esobala (ungqimba engenhla) kanye ixazululwe amangqamuzana abomvu (ungqimba phansi). ESR ukulungiswa esikalini plasma ungqimba kwakhiwa phezu 1 ihora, futhi ulinganiswa ngamamilimitha (mm). Erythrocyte abe mass athize ke kakhulu kunalokhu plasma mass echayeke e anticoagulant kwesibeletho (i-sodium citrate) ngaphansi kwethonya amandla adonsela phansi ukuze phansi erythrocyte ngoyisiwula kusinda wehlise umoya. Inqubo -erythrocyte sedimentation ahlukaniswe ngezigaba ezintathu, ukuthatha indawo, aphenduka ngejubane elingafani. Ngokuyinhloko erythrocyte kancane imali njengoba amaseli olulodwa. Khona-ke kukhona kumiswa lokubolekwa (rouleaux). Le nqubo isheshe kuka isigaba sokuqala. Phakathi Isigaba sesithathu, inani elikhulu amayunithi. Ukuthola nabo phezulu ingasheshi futhi ngokushesha kuphele ngokuphelele.

Ubude igazi ESR kubonisa ushintsho ESR njengoba umsebenzi izici ezihlukahlukene sokugembula bokuphila. Ngokuvamile ESR yamanani amadoda Kuthi aphansi lwabesifazane. Shintsha Ukwakheka amaprotheni nenqwaba igazi kwabesifazane abakhulelwe kuholela ekwandeni kule inkomba. Ukunciphisa inani kwamangqamuzana egazi abomvu (i-anemiya) kuholela ukusheshisa igazi ekunqandeni, nokukhuphula okuqukethwe kwabo, kunalokho, retards ngesilinganiso sedimentation. Lapho sokukhulelwa kungakapheli tinsuku letingema-ESR kwegazi kubonisa iyehla iyenyuka okuncane. Izinga esiphezulu sale inkomba siyenzeka ntambama.

Isici esiyinhloko ezinomthelela kumiswa lokubolekwa ngesikhathi erythrocyte sedimentation yikuphi, ingabe ukwakheka amaprotheni of plasma yegazi. Adsorbed ku erythrocyte, acute isigaba amaprotheni ukunciphisa ikhono lazo ukushaja dudula ngamunye buddies. Lokhu Akhuthaza ukwakheka kwe-lokubolekwa ngesivinini erythrocyte sedimentation. Ngo inflammations acute kanye nezifo ukwandisa amaprotheni esigabeni acute kuholela ekwandeni e igazi ekunqandeni. Lezi zinguquko izinga sokuxazulula waphawula amahora angu-24 emuva kokwandiswa izinga lokushisa komzimba nokugeleza ukwanda kwenani leukocyte. Phakathi ezingamahlalakhona ukuvuvukala kukhuphuke ESR okubangelwa ngokwandisa lokuhlushwa immunoglobulin, ayisiza futhi fibrinogen. Ukunqunywa coagulation wegazi Isivinini ngokuhamba kwesikhathi, kanye nolunye uvivinyo esetshenziswa ekunqumeni kusebenta a yokwelapha izifo ezihlukahlukene.

ESR ukuhlaziya igazi izimpawu I-: izifo, izimila, Izifo ukuvuvukala, ukuhlolwa ukuhlolwa at izivivinyo prophylactic. Lokhu kuhlaziya kusekelwe igazi emithambo yegazi ethathwe isiguli esiswini esingenalutho.

Ukuhlolwa kwegazi ESR kuyinto inkomba nonspecific ukuvuvukala. Ngosizo zawo zembula izinqubo ezimbi ezenzeka emzimbeni.

Ukuhlaziya izinga legazi ESR (mm / h):

- amadoda - kufika ku-12;

- Abesifazane - 15.

ESR ukusheshisa kungaba nosawoti: ukuguga, ukukhulelwa, puerperium futhi sokugembula: ubuthi, ukuvuvukala, ukutheleleka, oyingozi futhi ezingalapheki osteomyelitis, i-pneumonia, ugcunsula, isifo sofuba), i-collagen (isifo sokuhlasela kwamasosha omzimba), ithambo waphuka, ukuhlukumezeka, isilethikusebenza, ukuntuleka kwegazi emzimbeni, izifo yezinso (nephritis, nephritic syndrome), yokusebenza ukungenelela, ukushaqeka uthi, isimila esibulalayo esikhula, umthamo we imithi (glucocorticoids, estrogens) paraproteinemia, hyperfibrinogenemia.

Okwehlisa ESR kungadalwa indlala, encishisiwe yemisipha, 1-2 senyanga yokukhulelwa, ukudla imifino, ukusetshenziswa corticosteroids, midistrofiya, hyperhydration.