Lɛ wi se yu go si dɔktɔ ɛn i gi yu wan pepa we de aks yu fɔ tek blɔd tɛst. We yu si di wɔd "ESR" rayt wit big lɛta pan am, yu kin fil smɔl fred ɛn want fɔ no mɔ. Yu kin tink se, "Us kayn tɛst dis? A gɛt sɔm siriɔs sik?" Bɔt nɔ fred atɔl. Dis ESR tɛst na rili simpul blɔd tɛst we dɛn kin du bɔku tɛm, ɛn i kin gi impɔtant infɔmeshɔn bak. Tide, wi go tɔk bɔt dis ESR tɛst insay wan rili simpul we.
Wetin na ESR tɛst simpul wan?
Di ful nem fɔ ESR na Ɛritrɔsayt Sɛdimɛnt Rɛt . Naw, nɔ mek yu fred wit ɔl dɛn big big wɔd ya. Mek wi brok am dɔŋ ɛn ɔndastand.
- Erythrocyte (dεn kin pronounce am: erythrocyte) na di mεdikal nem fכ di rεd bכdi sεl dεm na wi bכdi.
- Sedimentation Rate na di rit we sɔntin de sink insay likwid ɛn rich di bɔt.
So, fɔ tɔk am simpul wan, di ESR tɛst de mɛzhɔ aw di rɛd blɔd sɛl dɛn we de na wan sɛmpul fɔ yu blɔd we dɛn put insay wan tɛst tyub we dɛn mek spɛshal wan kin sɛtul kwik kwik wan na di bɔt ɔf di tiub.
Tink bɔt am dis we. If wi put sɔm wata insay wan glas ɛn ad sɔm san to am, di grens dɛn we gɛt san go sink smɔl smɔl te di glas in bɔt. Di sem tin kin apin na di ESR tɛst. Bɔt na ya, instead fɔ san, wi gɛt yu rɛd blɔd sɛl dɛn. Dɛn kin mɛzhɔ aw dɛn rɛd blɔd sɛl ya kin sink kwik kwik wan te dɛn rich dɔŋ fɔ wan awa. Dat spid de rayt insay di ripɔt as yu ESR valyu.
Wetin mek di dɔktɔ de aks yu fɔ du dis ESR tɛst?
Naw yu kin de tink se, "Wetin wi kin lan frɔm we wi mɛzhɔ di spid we di rɛd blɔd sɛl dɛn kin sink te go dɔŋ?" Fɔ tru, dis kin mek yu no bɔt sɔntin we rili impɔtant. Dat min se if inflamɛns de sɔmsay na yu bɔdi.
Wetin na "Inflammation"? Lɛ wi ɔndastand am simpul wan. Imajin se yu gɛt smɔl wund na yu an. Di wund kin rɛd smɔl, i kin swel, ɛn i kin fil lɛk se i wam. Na dat na inflamɛns. dat min se yu bכdi in imyun sistεm, dat na di bכdi in "ami", de fכt di jεm dεm we de tray fכ go insay tru di wund. Dis fɛt na in kin mek di eria rɛd ɛn swel.
Semweso, inflamɛns kin apin na di ɔgan dɛn we de insay di bɔdi fɔ difrɛn rizin dɛn. Fɔ ɛgzampul, i kin bi bikɔs ɔf baktriyal infɛkshɔn, vayral infɛkshɔn, ɔ ɔda mɛrɛsin.
Di impɔtant tin na dat, di ESR tɛst tan lɛk smok alam na os. I kin ɔf if smok de ɛnisay na di os. Bɔt i nɔ de tɛl yu if di faya de na di kichin, di living rum, ɔ wetin de bɔn. Yu fɔ luk apat fɔ fɛn dat. Di ESR na di sem tin.i de כnli gi ‘signal’ se inflameshn de sכmsay na di bכdi. I nɔ de tɛl yu ustɛm na di sik.
Yu dɔktɔ kin yuz dis ESR tɛst wit yu sik fɔ gɛt big pikchɔ. E kin gi yu clues bɔt kondishɔn lɛk dɛn wan ya:
- Infεkshכn: Difrεn baktri כ vayral infεkshכn dεm na di bכdi.
- כtoimyun sik dεm: Dis na we di bכdi in כwn imyun sistεm de atak di bכdi in כwn hεlty sεl dεm. Fɔ ɛgzampul, sik dɛn lɛk rεumatoid at at ɛn lupus.
- Inflammatory arthritis: Na tin wae kin mek di joyn dεm swel εn pen.
- Sɔm kayn kansa: Nɔto ɔl kansa, bɔt sɔm kayn kansa kin mek ESR go ɔp.
- Blɔd dizayd
Aw a fɔ rɛdi fɔ dis tɛst?
Dis na di bɛst pat. Yu nɔ nid fɔ du ɛnitin we spɛshal fɔ di ESR tɛst.
- Yu nɔ nid fɔ fast fɔ lɔng tɛm lɛk ɔda blɔd tɛst.
- Yu kin it ɛn drink nɔmal wan.
- If yu gɛt ɛni mɛrɛsin we yu de tek ɛvride, yu kin tek am lɛk aw yu kin tek am.
Bɔt i rili impɔtant fɔ tɛl yu dɔktɔ bɔt di mɛrɛsin dɛn we yu de tek, bikɔs sɔm mɛrɛsin dɛn kin gɛt smɔl ifɛkt pan di ESR valyu.
Wetin kin apin we dɛn de du di tɛst?
Dis na jɔs lɛk ɛni ɔda blɔd tɛst we yu go du nɔmal wan.
Dɔktɔ, nɔs, ɔ lab tɛknishian go tek smɔl blɔd frɔm wan vein na yu an insay sirinj. Fɔs, dɛn go klin di say wit sɔntin lɛk rɔm. Dɔn, as dɛn de put di nidul insay di vein, yu kin fil smɔl ilɛktrik shɔk. Dis go go insay sɔm sɛkɔn dɛn.
Sɔm pipul dɛn kin fred smɔl fɔ nidul ɛn fɔ si blɔd. Na natin fɔ shem ɔ ayd. If yu gɛt di sem fred ɔ nɔ fil fayn, tɛl di pɔsin we de tek di blɔd. Dɛn go ɛp yu fɔ kɔntinyu fɔ gɛt kol at.
Afta dɛn dɔn pul di blɔd, dɛn go aks yu fɔ put smɔl plasta ɔ kɔtɔn oba di say we di nidul de ɛn ol am na in ples. Di say kin brus smɔl, blu, ɔ wund smɔl fɔ sɔm awa. Dis na nɔmal tin.
Aw fɔ ɛksplen di ESR ripɔt? (Wetin na nɔmal valyu dɛn?)
Di valyu na yu ESR ripɔt dɛn rayt am insay mm/hr . Dat min se "milimita pan awa." Jɔs lɛk aw dɛn kin mɛzhɔ di spid we motoka de spid insay "kilomita pan awa."
Nɔmal ESR valyu dɛn kin difrɛn difrɛn wan fɔ di pɔsin in ej ɛn man ɔ uman. Bɔt mɛmba se dɛn tin ya na jɔs avrej valyu dɛn. Smɔl difrɛns kin de bitwin di lɛbɔretri dɛn. So, na yu dɔktɔ nɔmɔ go ebul fɔ gi yu di bɛst ɛksplen fɔ yu ripɔt.
Na dis na tebul we gɛt valyu dɛn we ɔlman gri wit.
| Ej ɛn man ɔ uman | Nɔmal ESR valyu (mm/hr) . |
|---|---|
| Man dɛn we nɔ rich 50 ia yet | 0 - 15 mm/hr, di wan dɛn we de wok |
| Man dɛn we dɔn pas 50 ia | 0 - 20 mm/hr, di wan dɛn we de wok |
| Uman dɛn we nɔ rich 50 ia yet | 0 - 20 mm/hr, di wan dɛn we de wok |
| Uman dɛn we dɔn pas 50 ia | 0 - 30 mm/hr, di wan dɛn we de wok |
| Yɔŋ pikin dɛn | 0 - 10 mm/hr, di wan dɛn we de wok |
Wetin ‘ay’ ESR min? A fɔ wɔri?
If yu ESR pas aw i fɔ bi, dat min se inflamɛns de sɔmsay na yu bɔdi. We inflamɛns de na di bɔdi, sɔm prɔtin dɛn we de na di blɔd kin bɔku. Dɛn prɔtin ya kin mek di rɛd blɔd sɛl dɛn stik togɛda, mek smɔl smɔl grup dɛn, gɛt mɔ wet, ɛn sink kwik kwik wan na di bɔt ɔf di tɛst tyub. Dis na di rizin we mek di ESR de ay.
If ESR bɔku, dat nɔ min se yu gɛt siriɔs sik. Simpul tin dɛn de we kin mek pɔsin gɛt am, ɛn tin dɛn de bak we pɔsin fɔ pe atɛnshɔn to.
Di kɔmɔn tin dɛn we kin mek di ESR bɔku:
- Infεkshכn: Infεkshכn dεm we kin apin εnisay na di bכdi, lεk nyumonia, apendikshכn, εn TB.
- Ɔtoimyun sik dɛm: Kɔndishɔn dɛm lɛk rεumatoid atraytis ɛn lupus.
- Tisu injury: Afta big injuri ɔ ɔpreshɔn.
- Sɔm kayn kansa: lɛk lymphoma ɔ multiple myeloma. (Agen, if ESR go ɔp nɔ min se yu gɛt kansa.)
- Ɔda tin dɛn we kin apin: uman we gɛt bɛlɛ, we nɔ gɛt bɛtɛ blɔd (blɔd nɔ de wok fayn), we pɔsin de ol, we gɛt tayroyd sik, we gɛt sik na in kidni.
Di dɔktɔ go kam to wan kɔnklushɔn bay we i kɔmpia yu ESR valyu wit yu simptom dɛm (lɛk fiva, bɔdi pen, we yu de lɔs), fɔ chɛk yu bɔdi, ɛn ɔda tɛst dɛm if nid de (lɛk CRP, Ful Blɔd Kɔnt).
Wetin if di ESR valyu na ‘Lɔw’?
ESR we smɔl pas aw i kin bi nɔto prɔblɛm. Pipul wae gɛt wɛl bɔdi kin gɛt low ESR. So no rizin nɔ de fɔ wɔri bɔt ESR we smɔl.
Bɔt, na smɔl tɛm nɔmɔ, sɔm patikyula mɛdikal kɔndishɔn dɛn kin mek di ESR nɔ bɔku. Fɔ ɛgzampul, tin dɛn lɛk polycythemia, we na sik we de mek rɛd blɔd sɛl dɛn bɔku pasmak, ɔ siklɛt anemia. Bɔt dɛn tin ya nɔ kin apin so ɔltɛm. If yu dɔktɔ sɔprayz dis, i go du di tɛst dɛn we i nid.
Wetin na di difrɛns bitwin di we aw dɛn de du tin we dɛn kɔl Westergren ɛn ɔda we dɛn?
Yu ripɔt kin tɔk bɔt di "Westergren method." Dis na di standad we we dɛn kin yuz mɔ fɔ du di ESR tɛst ɔlsay na di wɔl. I min fɔ put blɔd insay spɛshal tɛst tyub, lɛf am fɔ wan awa, ɛn mɛzhɔ di distans we di rɛd blɔd sɛl dɛn de sidɔm.
Apat frɔm dat, sɔm we dɛn de we dɛn kɔl "Modified Westergren methods". Sɔm nɔ nid smɔl blɔd, sɔm kin yuz mashin (sɛntrifuj) ɛn gi rizɔlt kwik. Bɔt di we aw Wɛstagrɛn we wi bin dɔn tɔk bɔt stil na di wan we dɛn kin abop pan ɛn we dɛn kin yuz pas ɔl. I nɔ mata to yu us we yu lɛbɔtri de yuz. Wetin impɔtant na di rizɔlt we yu gɛt ɛn aw di dɔktɔ de ɛksplen am.
Mɛsej we dɛn kin kɛr go na os
- ESR na simpul blɔd tɛst we de chɛk fɔ si if di bɔdi gɛt inflamɛns.
- Dis nɔ kin rili no ɛni sik. I tan lɛk smok alarm, i jɔs de sho se prɔblɛm de.
- Bɔku rizin dɛn de we mek di ESR lɛvɛl kin go ɔp, lɛk infɛkshɔn, jɔyn sik, ɛn bɛlɛ. So, nɔr frayd fɔ siriɔs sik jɔs bikɔs yu ESR lɛvɛl ay.
- Wan lɔw ESR valyu nɔ kin bi prɔblɛm.
- Yu dɔktɔ na di bɛst pɔsin fɔ gɛt kɔmplit ɛksplen bɔt di valyu dɛn we de na yu ripɔt ɛn wetin dɛn min. Nɔ disayd bay di infɔmeshɔn we de na di intanɛt. Tɔk to yu dɔktɔ ɔltɛm.
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