Izizathu ESR anda egazini abesifazane, uphethwe, ukuphathwa

Nakuba ESR kuyinto kuyinkomba ebaluleke kakhulu, abantu abaningi bazi okuncane ngalo. Abanye bangase nakwazi ukuthi kuyinsakavukela kuyinto. Nokho, ake siqale sithole ukuthi hlobo luni sibalo.

Lisho ukuthini igama elithi ka ESR?

Empeleni akuyona eside, futhi abbriveatura. Okugcwele okulotshiweyo ESR - kuyinto le-erythrocyte sedimentation izinga.

Ukuze ukufunda le nkomba waqala ngo-1918, lapho usosayensi Swedish Robin Fareus wathola ukuthi emazingeni ahlukene futhi ngesikhathi sokukhulelwa, kanye ngesikhathi izifo ezihlukahlukene zamangqamuzana abomvu egazi iziphatha ngendlela ehlukile. Kamuva, abanye ososayensi, futhi Westergren Winthrop, waqala ukuklama ekutadisheni amasu abo ukuziphatha. Ngisho kwamanje, lokhu ipharamitha kukalwa ku count igazi. Nokho, lapho ESR siphakeme, kusho ukuthi bambalwa kakhulu abantu baqonde. Kodwa kusukela izindaba ezinjalo akufanele mindlessly netwetwe, izici eziningi kakhulu ukuthi kungakhuphula izinga kwamangqamuzana egazi abomvu. Futhi ngisho noma uthola uhlobo yisihlungu noma awe isifo, kungenzeka ukuthi manje ungakwazi abelaphe ngaphandle nobunzima. Into eyinhloko ukubona onguchwepheshe ngokushesha.

Kuyini izinga ESR?

Ngesilinganiso sedimentation kuthonywa izici ezifana yobudala nobulili.

Izizathu ESR anda egazini abesifazane nakho kungaba usanda kukhulelwa. Kodwa-ke, kukhona nezinye izinto eziningi. Ithebula ESR elandelayo kwabesifazane kuzosiza ukucacisa isilinganiso sakho (phawula ukuthi ngalinye lalawa zinombolo ungangemuki ukuthi izimo ezithile zomzimba, okuzoxoxwa kamuva).

Bonke abangabakho ngaphansi kweminyaka eyi-14, izinga iyona ESR efanayo. Okusemqoka kuphela ubudala, ngoba, uma izinga befuna amantombazane kuphela futhi ayikwazi ukutholwa, asikho isidingo sokukhathazeka.

Ubudala - akulona umbandela kuphela. Ingabe Zikhona Izimo Ezenza kungenzeka kakhulu ezingalindelekile, isibonelo, ukudla kwasekuseni okunomsoco kakhulu, kakhulu, futhi neze - isimila esibulalayo.

Uma ESR liphakeme, kusho ukuthini?

zande Izizathu azihlole. Kodwa izikhathi eziningi odokotela ukwabelana 6 sezizathu ezinkulu zokuthi kungani abantu besifazane ESR ngenhla kuyinsakavukela:

• Ukutheleleka. Amangqamuzana abomvu egazi ayadingeka ukuze uphendule ezihlukahlukene amagciwane, isikhunta namagciwane, ngoba kungabangela isifo. Ngenxa yokuhlola igazi ukuthi azozibona kuyoba lula.
• Ukuvuvukala. Khona-ke, yandisa hhayi kuphela kube inkomba yokuthi abomvu egazi, kodwa futhi izinga amangqamuzana amhlophe egazi.
• Suppuration. Njengomthetho, kulesi simo, izimpawu zingase zibe ezisobala, kodwa uma sehliselwe amasosha omzimba, kuba ESR sizobonisa ukuthi kwakwenzekani.
• izifo sokuhlasela kwamasosha omzimba. Ngokuvamile, le nqubo kungenxa yokuthi amasosha omzimba akhiwa yomzimba eqala ukubulala amangqamuzana enempilo futhi libe nempilo enhle, amangqamuzana abomvu egazi kuleli icala nendima ebalulekile.
• Umdlavuza. Noma yimuphi Oncology kubangela ukusabela egazini, ngakho-ke ukushintsha futhi izinga kwamangqamuzana egazi abomvu.
• izimo bokuphila. Ezimweni ezinjalo, izizathu ESR isigqugquzeli egazini abesifazane kungaba lokhu okulandelayo: sokukhulelwa, webele ingane, ukukhuluphala, ukuntuleka kwegazi emzimbeni, sokuwohloka, ezinqala kwesisindo, nabanye.
• Ukubhujiswa kwabantu umnkantsha amathambo egazi. Njengomthetho, lokhu isimo umzimba ESR kwandisa kakhulu.

Izindlela Test

Ukuphambuka kusuka evamile amangqamuzana abomvu egazi kungaba sokukhuphula noma ukwehla. Ngokuyisisekelo ihlangabezana anda erythrocyte sedimentation izinga, kodwa amacala ngokwanele ke phansi. Ingabe Zikhona Izimo Ezenza kungaba eziningi: ezifana ubuthi, ukushisa kwesibindi, kahle kwegazi, futhi isifo igazi. Njengomthetho, lona wamuva kuvele lapho usukhulile. Futhi, ngaphansi kwezimo ezithile, kubangele ushintsho ezingeni kwamangqamuzana egazi abomvu kungaba imifino.

Kukhona izindlela ezintathu ngokuvamile ukuqapha lesi ipharamitha: Westergren, Padchenkova, Vintroba.

Kakhulu indlela jikelele, okuyinto emhlabeni wonke ukucacisa ESR, - inqubo Westergren. Igazi kusukela emithanjeni axutshwa nezinkolelo-sodium citrate, washiya ngokokuqala (mayelana ihora elilodwa) ngaphandle kwesibeletho. Imiphumela etholwe le ndlela ubhekwa esinembile.

Pachenkov indlela ihlukile sangaphambilini kuphela iqiniso lokuthi igazi ethathwa capillary futhi isetshenziswa kuphela kumazwe ezwe elaliyi-USSR. Ezenye zitholakala ziyefana e indlela yokuqala, kodwa ngokuvamile ngaphezulu omethembayo Westergren.

, Vintroba izindlela Kugcine, ikakhulukazi iqiniso lokuthi igazi akusekelwe buhlanjululwe, bese yengezwa ke i anticoagulant nokuhlaziwa e ngamapayipi ekhethekile. Le ndlela has nemiphumela ethile engathandeki, njengoba ngaleso eliphezulu kakhulu erythrocyte sedimentation izinga (ngaphezu kuka-60 mm / h) ukuhlaziywa kungenziwa.

Kusukela lokho kuncike yi yokuhlaziya?

Ziningi izinto kungathinta umsebenzi abomvu egazi, ngoba ukuzimisela imiphumela kanye indlela zivumelana kuyinsakavukela, imininingwane eminingi ziyabhekelelwa. Izizathu ESR anda egazini abesifazane kungaba ngesikhathi inqubo, ubudala, yokuphila, impilo kanye nezinye umehluko wemisindo nemiqondo yamagama.

Ngokuyinhloko ukukala umthelela:

• phansi;
• ukwamukela izinto zokuvimbela inzalo ngomlomo;
• anaemia;
• nesikhathi inqubo;
• immunoglobulin, ayisiza emzimbeni;
• komzimba;
• ukuya esikhathini;
• kwasekuseni okumnandi kakhulu;
• ukuvuvukala.

Amangqamuzana abomvu egazi axazulule ngenxa amandla adonsela phansi, njengoba bahlaziya plasma ngaphezulu. Ngu uqobo, ESR ngeke ibonise, iyini inkinga, kodwa kanye neminye imingcele sizokwazi lokwenza ukuxilongwa. Futhi, ukuhlaziya kungasiza ukuthola izifo ezifihliwe pathology, ngenxa okuyinto sizokwazi ngesikhathi ukuqala imithi yabo. Noma yimuphi owelapha uzokwazi ukucacisa uphethwe kungenzeka ezinye izimpawu ezisobala, kodwa kwezinye izimo ezithile, kuyodingeka uphethwe olunemininingwane ethe xaxa.

Kanjani ukubuyela ESR evamile?

Uma kukhona into awanakufundwa isimo sezempilo, noma yimuphi umuntu banesifiso esingokwemvelo ukubuyela konke kokuvamile.

Futhi indlela yokukwenza? Kuphela ukwelapha imbangela ke kukhona isifo, labo ababebanga ukuba ukwanda ESR. Yiqiniso, zokuzelapha okuhle ngeke. Esikhundleni sokuzifunela antibiotic oludingekayo kanye nezinye izidakamizwa bebodwa kwi-inthanethi, kungcono ngokushesha ubone onguchwepheshe. Ingabe uwukuthi ngeke linqume ukwelashwa ezidingekayo ngemva kokutshelwa ngokukhubazeka kwengane. Ngemva yokwelashwa okuphumelelayo lesi sifo erythrocyte sedimentation izinga ubuyela evamile ngemva kwesikhathi esithile (amasonto 2-4 e abadala amasonto 6 ezinganeni).

Ngo kwegazi, ukubuyisela Inkomba kuzosiza imikhiqizo yensimbi, amaprotheni ezinye izindlela ezivamile, kodwa kulokhu kakhulu kungcono uye kudokotela uyofuna icebiso.

Uma nje uhlale ukudla, ukuzila ukudla noma ukudlula isimo bokuphila ekhethekile (sokukhulelwa, lactation, ukuya esikhathini), inkomba bayobuyela ezingeni oyifunayo, njengoba wasungulwa isimo sakho evamile ngokomzimba. Kulokhu, akukho okumele ukhathazeke ngakho.

Ukwandiswa erythrocyte sedimentation izinga ezinganeni

Uma ukhathazekile ingane yakho, kufanele wazi ukuthi okwandisa lesi sibalo ngokuvamile e izifo ezithathelwanayo nokuvuvukala, ikakhulukazi ngokuhlanganyela kokunikezwa kwe-nemithetho nezinye izinkomba test igazi futhi ukuwohloka jikelele isimo somzimba, kanye ne izimpawu ejwayelekile lesi sifo. Esinye isici zingaba ukudla imithi ethile.

Ngezansi uhlu izifo ukuthi zinezikhathi ukwanda ESR ngesikhathi luhlolo: izifo (acute nezifo zokuphefumula, ukucinana kwemigudu yokuphefumula, sinusitis, inyumoniya, cystitis, isifo sokusha kwesibindi, ukhunta, cystitis, njll), isifo sesibindi, isifo sezinso, ipheshana biliary, ukuntuleka kwegazi emzimbeni, isifo sofuba zegazi ezibangelwa, gastro ipheshana -kishechnogo, esimiso senhliziyo nemithambo yegazi, iziyaluyalu umzimba, endocrine ukungasebenzi (isifo sikashukela), umdlavuza, ukopha, ukuhlukumezeka.

Ezinganeni, iningi izifo lemikhuhlane kangcono ibekezelelwe kunangesikhathi bayazi noma ukuguga ngaphezulu, kodwa kuphela uma isikhathi bawathole. Ngoba kubalulekile ukubonisa njalo udokotela wengane.

isiphetho

Sakwazi ukubhekana neqiniso ukuthi esebenzisa ESR, yini kuyinsakavukela yayo, ngenxa yalokho kungenzeka ukuhlukumeza, nokuthi akufanele ehlaselwe kubo. Khumbula ukuthi bafinyelele eziphethweni ezinembile mayelana imiphumela ukuhlolwa kungenziwa kuphela ngudokotela.

Uma ngemuva kokuthola isivivinyo igazi imiphumela ufuna ukwazi izizathu zaleso ESR anda egazini abesifazane, okokuqala yenza isiqiniseko sokuthi isimo sakho bokuphila kuyinto evamile. Uma umzimba wakho alithintwa yinoma yimuphi izici ekhethekile efakwe ohlwini ngenhla (ukudla, ukukhulelwa nokunye. D.), Kuyadingeka zidlule luhlolo olunemininingwane ethe xaxa ngudokotela. Kuphela onguchwepheshe angakwazi, ikhumbula izici ngamunye we umzimba, ukubala ukuthi yini engalungile kuwe, ngemva kokutshelwa ngokukhubazeka kwengane enemininingwane. Kungenxa yokuthi kubalulekile ukuthi njalo ube isheke-up nawo wonke umndeni, ngoba isifiso ukuze uhlale unempilo kuyisihluthulelo. Nakuba lokhu isici uvulekele isikhathi eside, wayesalokhu uyaqhubeka esiza odokotela ukwenza Hippocratic isifungo, abafayo - ukujabulela ukuphila okunempilo.