Doctor hmu turin i kal a, thisen test turin lehkha pakhat a pe che ang u. A chunga "ESR" tih thumal hi hawrawp lian taka ziah i hmuh chuan tlem chuan hlauthawng leh hriat duhna i nei mai thei. "Hei hi eng ang test nge ni? Natna khirh tak ka nei em?" Mahse, hlau suh. He ESR test hi thisen test awlsam tak a ni a, tih fo thin a ni a, thu pawimawh tak tak a pe bawk. Vawiin hian he ESR test chungchang hi awlsam takin kan sawi dawn a ni.
ESR test tih hi eng nge ni?
ESR hming kimchang chu Erythrocyte Sedimentation Rate tih a ni. Tunah chuan, heng thu lian tak tak zawng zawng hian hlauthawng suh. I ṭhen darh a, i hrethiam ang u.
- Erythrocyte (pronounced: erythrocyte) tih hi kan thisena thisen sen (red blood cells) te damdawi lam hming a ni.
- Sedimentation Rate chu thil pakhat chu tui chhunga a pil a, a hnuai lam a thlen theihna rate a ni.
Chuvangin, a awlsam zawngin, ESR test hian i thisen sample pakhat, a bik taka siam test tube-a dah, thisen sen (red blood cells) te chu tube hnuai lama an insiam chak dan a teh a ni.
Hetiang hian han ngaihtuah teh. Glass-ah tui tlem kan dah a, a chhungah hian sand tlem kan dah chuan, a hnah te chu glass hnuai lamah a pil zauh zauh ang. ESR test-ah pawh hetiang bawk hian a thleng thin. Mahse hetah hian sand ai chuan i thisen sen (red blood cells) kan nei ta a ni. Heng thisen sen te hi a hnuai lam thlenga an pil chak dan hi darkar khat chhungin an teh thin. Chu speed chu report-ah chuan i ESR value angin a inziak lut a ni.
Engvangin nge doctor hian he ESR test hi ti turin a tih che?
Tunah chuan, "Red blood cells te hnuai lam thlenga an pil chak dan tehna atang hian eng nge kan zir theih ang?" Dik tak chuan hei hian thil pawimawh tak tak chungchangah clue a pe thei che a ni. Chu chu i taksa hmun dangah inflammation a awm leh awm loh tihna a ni.
"Inflammation" tih hi eng nge ni? A awlsam zawngin i hrethiam ang u. I kutah hliam te tak te i nei niin han mitthla teh. Hliam chu a sen deuh a, a hring a, a lum hle tih a hriat. Chu chu inflammation chu a ni. Chu chu i taksa immune system, chu chu taksa "sipai" tihna a ni a, hliam atanga lut tur hrik te chu a do mek tihna a ni. He insualna hian a hmun chu a sen a, a ti hring bawk.
Chutiang bawkin taksa chhunga taksa peng hrang hrangah hian chhan hrang hrang avangin inflammation a awm thei bawk. Entirnan, bacteria infection vang emaw, virus infection vang emaw, damdawi lam thil dang vang emaw pawh a ni thei.
A pawimawh ber chu, ESR test hi in chhunga meikhu alarm ang mai a ni. In chhung khawi hmunah pawh meikhu a awm chuan a thim thin. Mahse, mei chu kitchen-ah emaw, living room-ah emaw, eng nge a kang tih emaw a sawi lo. Chu chu hmu tur chuan a hranin i en a ngai a ni. ESR pawh chutiang bawk chu a ni.Taksa chhung hmun dangah inflammation a awm tih ‘signal’ chauh a pe a ni. Natna chu eng nge a nih chiang takin a sawi lo.
I doctor chuan he ESR test hi i symptoms te nen a hmang dun a, chu chuan a lian zawkin a hmu thei a ni. A hnuaia condition hrang hrangte chungchangah clues a pe thei che a ni:
- Infection: Taksaah hian bacteria emaw virus emaw infection hrang hrang a awm.
- Autoimmune diseases: Hei hi taksa ngeia immune system-in taksa cell hrisel tak takte a beih hian a ni. Entirnan, natna hrik, ruh natna leh lupus ang chi te.
- Inflammatory arthritis: Ruhkawr natna leh ruh natna thlentu.
- Cancer chi thenkhat: Cancer zawng zawng ni lo mahse cancer chi thenkhat chuan ESR sang tak a thlen thei.
- Thisen lama harsatna nei
He test atan hian engtin nge ka inbuatsaih ang?
Hei hi a tha ber a ni. ESR test atan hian thil bik tih a ngai lo.
- Thisen test dang angin darkar tam tak chaw nghei a ngai lo.
- A pangngaiin i ei leh in thei.
- Nitin damdawi ei tur i neih chuan a hma ang bawkin i ei thei ang.
Mahse, i damdawi ei tur chungchang hi doctor hnenah hrilh a pawimawh hle a, damdawi thenkhat hian ESR value-ah nghawng tlem a nei thei a ni.
Test neih chhung hian eng nge thleng?
Hei hi thisen test dang i neih thin ang bawkin a ni.
Doctor, nurse emaw lab technician emaw chuan i kut chhunga vein atanga thisen tlemte chu syringe-ah a la lut ang. Pakhatnaah chuan zu ang chi thil hmangin a hmun chu an tifai ang. Tichuan, needle chu vein chhunga dah a nih chuan electric shock tlem i nei thei. Hei hi second tlemte chhungin a bo vek ang.
Mi thenkhat chuan needle leh thisen hmuh hi an hlau deuh thin. Zahpui tur leh thup tur a ni lo. Chutiang bawka hlauhna emaw, lungawi lohna emaw i neih chuan thisen latu hnenah hrilh rawh. Anni chuan rilru hahdam taka awm turin an pui ang che.
Thisen lak chhuah hnuah chuan needle awmna chungah plaster te tak te emaw, cotton chi khat emaw dah la, a hmunah vawn tlat turin an ti ang che. A hmun chu darkar engemaw zat chhung chu a hring deuh emaw, a sen deuh emaw, a na deuh emaw pawh a ni thei. Hei hi thil pangngai a ni.
ESR report hi engtin nge kan hrilhfiah ang? (Value pangngai chu eng nge ni?)
I ESR report-a value chu mm/hr -ah record a ni. Chu chu "darkar khatah millimeter" tihna a ni. Lirthei tlan chak zawng chu "darkar khata kilometer"-a teh a nih ang bawkin.
Normal ESR value hi mi kum leh mipa leh hmeichhia a zirin a inang lo. Mahse, hengte hi average value chauh a ni tih hre reng ang che. Laboratory hrang hrangah hian danglamna tlem a awm thei. Chuvangin, i report chungchangah hian i doctor chauhvin a sawifiahna tha ber a pe thei che a ni.
Hetah hian generally accepted values table kan rawn tarlang e.
| Kum leh mipa leh hmeichhia | ESR hlutna pangngai (mm/hr) 1.1. |
|---|---|
| Mipa kum 50 hnuai lam | 0 - 15 mm/hr vel a ni |
| Mipa kum 50 chunglam | 0 - 20 mm/hr vel a ni |
| Hmeichhia kum 50 hnuai lam | 0 - 20 mm/hr vel a ni |
| Hmeichhia kum 50 chunglam | 0 - 30 mm/hr vel a ni |
| Naupang tê tê | 0 - 10 mm/hr vel a ni |
ESR ‘sang’ tih awmzia chu eng nge ni? Ka lungngai tur em ni?
I ESR chu a tlangpui aia sang a nih chuan i taksa hmun khatah inflammation a awm tihna a ni. Taksaah inflammation a awm chuan thisenah protein thenkhat a pung thin. Heng protein te hian thisen sen te chu a inzawm khawm a, clump te te a siam a, a rihna a tipung a, test tube hnuai lamah a pil nghal vat bawk. Hei vang hian ESR hi a sang hle a ni.
ESR sang chuan natna khirh tak i nei tihna a ni hauh lo. A thlen thei thil awlsam tak tak a awm a, chubakah ngaihven ngai thil a awm bawk.
ESR sang chhoh chhan tlangpui:
- Infection: Taksa khawi hmunah pawh natna hrik awm, pneumonia, appendicitis, leh tuberculosis te.
- Autoimmune natna: Rheumatoid arthritis leh lupus ang chi natna.
- Tissue injury: Hliam lian tak emaw, operation emaw hnuah.
- Cancer chi thenkhat: lymphoma emaw multiple myeloma emaw ang chi. (Hetah pawh hian ESR sang chuan cancer tihna a ni hauh lo.)
- Thil dang: naupai, thisen tlakchham (thisen tlakchham), tar, thyroid natna, kal natna.
Doctor chuan i ESR value chu i symptoms (khawsik, taksa na, taksa rihna tlahniam), taksa enfiahna, leh a tul chuan test dang (CRP, Full Blood Count ang chi) te nen khaikhin in thutlukna a siam ang.
ESR value chu ‘Low’ a nih chuan engtin nge ni ang?
ESR pangngai aia hniam hi a tlangpuiin harsatna a awm lo. Mi hriselte hian ESR an nei tlem tlangpui. Chuvangin ESR hniam lam ngaihtuah tur a awm lo.
Mahse, a tlem hle a, damdawi lam dinhmun bik thenkhat chuan ESR hniam tak a thlen thei a ni. Entirnan, polycythemia, thisen sen siam tam lutuk natna emaw, sickle cell anemia emaw ang chi dinhmun. Mahse hengte hi a tlem hle. I doctor-in hei hi a rinhlelh chuan a tul angin test a ti ang.
Westergren method leh method dangte hi eng nge an danglamna?
I report-ah chuan "Westergren method" tih hi a sawi mai thei. Hei hi khawvel puma ESR test tihna atana standard method hman lar ber a ni. Test tube bik-a thisen dah a, darkar khat chhung dah a, thisen sen (red blood cells) awmna hlat zawng tehna a ni.
Tin, "Modified Westergren methods" tih pawh a awm bawk. Ṭhenkhatin thisen an mamawh tlem a, ṭhenkhat chuan machine (centrifuges) an hmang a, result an pe rang zawk. Mahse a hmaa kan sawi tawh Westergren method hi rintlak leh hman ber a la ni reng. I laboratory-in eng method nge a hman tih hi i ngaihtuah lo. A pawimawh ber chu result i hmuh leh doctor-in a hrilhfiah dan hi a ni.
Take-Home Thuchah a ni
- ESR hi thisen test awlsam tak a ni a, taksaa inflammation awm leh awm loh enfiahna a ni.
- Hei hian natna engmah a chiang thei lo. Meikhu alarm ang mai a ni a, harsatna a awm tih hriattirna chauh a pe a ni.
- ESR value a san theihna chhan tam tak a awm a, chu chu natna hrik, ruh natna, leh naupai te hi a ni. Chuvangin, i ESR value a san vang mai maia natna khirh tak chu hlau suh.
- ESR value hniam hi a tlangpuiin harsatna a awm lo.
- I report-a hlutna awmte leh a awmzia sawifiahna kimchang dawng thei tur chuan i doctor hi mi tha ber a ni. Internet-a thu hriatte hmanga thutlukna siam suh. I doctor nen inbia fo ang che.
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