Qee zaum thaum koj mus ntsib kws kho mob, nws sau ib daim ntawv kuaj ntshav, puas yog? Koj yuav tsum tau pom peb tsab ntawv 'ESR' rau ntawm nws. Muaj ntau tus neeg xav tias, 'Qhov ESR no yog dab tsi?' thaum lawv pom nws. Nws yeej muab ib qho tseem ceeb txog qee qhov teeb meem hauv peb lub cev. Yog li hnub no, cia peb tham txog qhov ESR no yog dab tsi, vim li cas nws thiaj ua li ntawd, thiab daim ntawv qhia hais li cas.
ESR yog dab tsi yooj yim?
ESR yog ib lo lus luv rau cov lus ntev 'Erythrocyte Sedimentation Rate'. Hauv Sinhala, nws txhais tau tias qhov ceev ntawm cov ntshav ntws. Tab sis tsis muaj leej twg ntawm peb siv lub npe ntev ntawd, feem ntau peb tsuas yog hais tias ESR.
Qhov no yog ib qho kev kuaj ntshav yooj yim heev. Nws yeej kuaj seb koj puas muaj "mob o" nyob qhov twg hauv koj lub cev. Mob o, hais yooj yim xwb, yog qhov o ntawm qhov twg hauv peb lub cev uas tshwm sim los ntawm kev kis kab mob, kev raug mob, lossis lwm yam mob.
Xav txog nws li no. Koj muab me ntsis ntawm koj cov ntshav, muab cov qe ntshav liab tso rau hauv ib lub raj iav nyias, siab (lub raj kuaj) thiab cia lawv nyob ntawd li ib teev. Feem ntau, dhau sijhawm, cov qe ntshav liab no yuav nyob hauv qab ntawm lub raj. Txawm li cas los xij, yog tias muaj kev o ntawm qhov twg hauv koj lub cev, cov protein tshwj xeeb hauv cov ntshav ua rau cov qe ntshav liab no lo ua ke thiab ua cov pawg me me. Vim tias cov pawg no hnyav dua, lawv poob rau hauv qab ntawm lub raj sai dua li cov qe ntshav ib leeg.
Qhov kev kuaj ESR ntsuas qhov ceev uas cov qe ntshav liab poob mus rau hauv qab. Qhov ceev ntawm cov qe ntshav poob mus rau hauv qab, qhov ntau ntawm kev o hauv lub cev.
Thaum twg tus kws kho mob thiaj li yuav kom kuaj ESR?
Yog koj muaj ib lossis ntau yam tsos mob hauv qab no, koj tus kws kho mob yuav pom zoo kom kuaj qhov no los pab nrhiav qhov ua rau muaj qhov teeb meem no.
- Mob taub hau tas li
- Cov pob qij txha o, mob, thiab mob
- Mob hauv caj dab, xub pwg nyom, lossis lub duav
- Kev ntshaw noj mov
- Kev poob phaus yam tsis muaj laj thawj tshwj xeeb
Txawm hais tias qhov kev kuaj ESR ib leeg tsis tuaj yeem kuaj pom tus kab mob, nws muab cov lus qhia tseem ceeb los saib xyuas cov mob hauv qab no:
| Mob | Piav Qhia Yooj Yim |
|---|---|
| Cov kab mob hauv lub cev | Tshwj xeeb tshaj yog tej yam xws li kev kis kab mob ntawm pob txha. |
| Mob qog noj ntshav | Qee hom mob qog noj ntshav tuaj yeem ua rau lub cev o. |
| Mob Pob Qij Txha Rheumatoid | Qhov tshwm sim hauv qhov no yog tias peb lub cev tiv thaiv kab mob tawm tsam peb cov pob qij txha. |
| Lupus | Qhov no kuj yog ib qho teeb meem nrog lub cev tiv thaiv kab mob. Nws tuaj yeem ua rau daim tawv nqaij, pob qij txha, thiab lwm yam kabmob puas tsuaj. |
| Lwm yam mob o | Piv txwv li, tej yam mob xws li o ntawm cov hlab ntsha (Systemic Vasculitis) lossis cov leeg nqaij tawv thiab mob (Polymyalgia Rheumatica). |
Tsis tas li ntawd xwb, yog tias koj twb tau txais kev kho mob rau tus mob zoo li no lawm, cov kws kho mob siv qhov kev kuaj ESR no los saib seb kev kho mob ua haujlwm zoo li cas rau koj . Thaum kev kho mob ua tiav, tus nqi ESR yuav tsum maj mam txo qis.
Kuv yuav npaj li cas rau qhov kev kuaj ntshav no?
Tsis tas yuav ua dab tsi tshwj xeeb los npaj rau qhov no, xws li tsis txhob noj lossis haus dej. Txawm li cas los xij, muaj ob peb yam koj yuav tsum qhia rau koj tus kws kho mob ua ntej qhov kev kuaj mob.
- Txhua yam tshuaj uas koj noj (xws li cov vitamins lossis cov tshuaj ntxiv).
- Yog tias koj cev xeeb tub.
- Ntawd yog, thaum hnub uas koj muaj koj lub sijhawm.
Vim tias tej yam no tuaj yeem cuam tshuam rau tus nqi ESR. Ntawm chav kuaj mob, tus kws tu mob yuav coj cov ntshav me me los ntawm cov leeg ntshav hauv koj txhais caj npab. Koj yuav hnov mob me ntsis thaum koj ntxig koob, tab sis nws yuav ploj mus hauv ob peb feeb. Tom qab ntawd yuav muab ib daim plaster me me rau thaj chaw ntawd.
Daim ntawv qhia ESR txhais li cas?
Feem ntau koj tuaj yeem tau txais daim ntawv qhia hauv ib lossis ob teev. Tus nqi ntawm daim ntawv qhia yog hauv millimeters ib teev (mm/teev). Qhov no txhais tau tias cov qe ntshav liab tau poob mus rau hauv qab ntawm lub raj ntev npaum li cas hauv ib teev.
Cov nqi ESR ib txwm muaj sib txawv ntawm ib tus neeg mus rau ib tus neeg, nyob ntawm hnub nyoog thiab poj niam txiv neej.
| Pawg | Tus nqi ESR ib txwm muaj hauv mm / teev |
|---|---|
| Cov txiv neej hnub nyoog qis dua 50 xyoo | 0 - 15 |
| Cov txiv neej hnub nyoog tshaj 50 xyoo | 0 - 20 |
| Cov poj niam hnub nyoog qis dua 50 xyoo | 0 - 20 |
| Cov poj niam hnub nyoog tshaj 50 xyoo | 0 - 30 |
| Cov menyuam yaus | 0 - 10 |
Lwm yam ua rau ESR nce siab:
Qhov ESR siab tsis yog ib txwm yog ib qho cim qhia txog kev mob hnyav. Cov laj thawj hauv qab no kuj tuaj yeem ua rau ESR siab:
- Kab mob ntshav tsis txaus
- Kev laus zuj zus
- Teeb meem raum
- Cov kab mob thyroid
- Cev xeeb tub los yog muaj hli
- Rog ntau dhau ntawm lub cev
- Qee cov tshuaj, xws li cov tshuaj tswj kev yug me nyuam thiab vitamin A
Puas yog ESR ib leeg txaus rau kev kuaj mob?
Qhov no yog qhov tseem ceeb tshaj plaws. Tsis yog, tus nqi ESR ib leeg tsis txaus los kuaj mob.
Nco ntsoov, qhov kev kuaj ESR tsuas qhia rau koj seb puas muaj kev o hauv lub cev xwb. Nws tsis tuaj yeem qhia koj tias nws nyob qhov twg lossis yog dab tsi ua rau nws. Nws zoo li pom pa luam yeeb tab sis tsis tuaj yeem qhia meej tias hluav taws nyob qhov twg.
Yog li ntawd, koj tus kws kho mob yuav xaj ntau yam kev kuaj ntxiv rau tus nqi ESR.
- Kev kuaj CRP (C-reactive protein): Qhov no yog lwm qhov kev kuaj ntshav tseem ceeb uas nrhiav kev o.
- Lwm cov kev kuaj ntshav: Lwm cov kev kuaj tshwj xeeb nyob ntawm cov tsos mob.
- Kev Ntsuas Duab: Kev ntsuam xyuas xws li X-rays thiab scans.
- Kev kuaj mob:Qee zaum, yuav muab ib daim nqaij me me uas raug mob coj mus kuaj.
Yog li ntawd, nws yog ib qho tseem ceeb uas yuav tsum tau tham txog koj daim ntawv qhia ESR thiab lwm yam kev kuaj mob uas yuav tsum tau ua nrog koj tus kws kho mob. Nws yuav yog tus uas yuav coj tag nrho cov no ua ke, txiav txim siab koj tus mob tseeb, thiab sau ntawv kho mob tsim nyog.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- ESR yog ib qho kev kuaj ntshav yooj yim uas kuaj xyuas seb puas muaj kev o ntawm lub cev.
- ESR siab yog ib qho cim ceeb toom ntawm tus mob, tab sis nws tsis yog kev kuaj mob nws tus kheej.
- Cov nqi ESR kuj tseem tuaj yeem hloov pauv vim yog cov laj thawj tsis yog kev kho mob xws li cev xeeb tub, laus, thiab tshuaj.
- Nco ntsoov nrog koj tus kws kho mob tham kom nkag siab txog lub ntsiab lus ntawm koj daim ntawv qhia ESR thiab cov kauj ruam yuav ua tom ntej.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus