Yikuphi kungandisa ESR?

amaseli abomvu egazi - a izinhlayiya igazi, umsebenzi oyinhloko okuyinto ukuthwala umoya-mpilo egazini kwezitho ezihlukahlukene zomzimba womuntu. Lezi corpuscles yakhiwa elithwala umoya-mpilo, okuyinto has umbala obomvu. Wabuye ngesineke, futhi lalezi zinhlobo. Ukuze omunye izinkomba ebaluleke kakhulu uma nithatha ukuhlolwa kwegazi libhekisela erythrocyte sedimentation izinga (ESR noma esifushanisiwe). Ngezelela noma nciphisa izinga yawo lubonisa yikuphi ukuphulwa emzimbeni. Indlela ukwehlisa noma aphakamise ESR egazini?

Zinjani erythrocyte sedimentation izinga egazini, lokho kubonisa? Kulolu hlu kubonisa ngokushesha kangakanani igazi kuhlukaniswa, okuyinto ibekwe endaweni capillary ezikhethekile. Cleavage kwenzeka ngesikhathi izingqimba ezimbili: yasenhla nemithombo yasenzansi. Eyokuqala siqukethe erythrocyte elibomvu, kanti eyesibili - a plasma okusobala. Yokukala ESR lwenziwa amamilimitha angu ngehora. Izinga evamile isivinini kwabobulili esinamandla 1-10 mm / h, engxenyeni ababuthakathaka lwesintu - 2-15 mm / h.

Uma le nombolo ingaphansi kwe kuyinsakavukela, kubalulekile ukwandisa ESR. Izizathu-non-ukuhambisana izindinganiso ngokuvamile izifo ezifana leukocytosis, isifo sokusha kwesibindi, DIC, hyperproteinemia, hyperbilirubinemia. Kufanele kuqashelwe ukuthi sehliselwe ESR ivelakancane. Okuningi ezivamile umphumela ohlukile, okungukuthi amazinga ephakeme.

Nokho, uma leli nani liphindeke understated, kodwa akukho izimpawu zokwelashwa, ukhuluma ngalesi sifo, kubalulekile ukwandisa ESR. Indlela ukukwenza?

Ngaphambi kokuba uqale ukwelashwa, kutuswa ukuba kabusha sihlole ESR eyehlukile, uhlelo eziyinkimbinkimbi nezinzima ezijulile. Nokho, uma futhi emva yi futhi libonisa kwezinkambiso understated, kubalulekile nokuthatha ezinye izinyathelo okuhloswe ngazo ukuthuthukisa le nkomba. Kulokhu, ukwelashwa kufanele njalo udokotela.

Ngenxa ukuphambuka kusuka kuyinsakavukela nokuthi likhuphuke. Yikuphi kungandisa ESR, isizathu kungase kungabi yilokho? Endaweni yokuqala kuthiwa umzimba eba iyiphi ukuvuvukala. Ngaphezu kwalokho, kungaba sengathi umkhuhlane, umkhuhlane, futhi eziyinkimbinkimbi ukucinana kwemigudu yokuphefumula, inyumoniya, pyelonephritis, njll Kuyaphawuleka ukuthi ukuvuvukala ngaphezulu yomzimba, ESR ezakhe izindima ziphakeme kakhulu egazini siyenzeka.

Nokho, ngaso sonke isikhathi eliphakeme kubonisa iyiphi ukuvuvukala. Njengoba izizathu ukwanda wegazi sedimentation izinga izinhlayiya kungaba nezinye izinto: ukulahlekelwa amaprotheni ku umchamo, izinguquko inani abomvu egazi ashaye nokuningi. Phakathi iziyaluyalu kungenzeka kungenziwa izifo ezifana nesifo sokuntuleka kwegazi, komdlavuza, ukuhlaselwa isifo senhliziyo, njalo ezikhonjwe ukumpontshelwa igazi , njll

Ngo abesifazane, kwaphakanyiswa ESR egazini kungenzeka esesikhathini, ngesikhathi sokukhulelwa, kanye namanye izinqubo bokuphila.

Uma umuntu ithole ukwanda ijubane ukugaya kwamangqamuzana egazi abomvu, kufanele kwenziwe ngokushesha retested. Uma umphumela uyefana, isivele luhlolo ezidingekayo kanye nezeluleko zochwepheshe udokotela.