A chang chuan Doctor i pan chuan thisen test a ziak thin a ni lawm ni? A chunga letter pathum 'ESR' tih kha i hmu ngei ang. Mi tam tak chuan, ‘He ESR hi eng nge ni?’ tiin an ngaihtuah thin. an hmuh hunah. A takah chuan kan taksaa harsatna engemaw zat chungchangah clue pawimawh tak a pe a ni. Chuvangin vawiinah hian he ESR hi eng nge a nih, engvangin nge tih a nih, report-in eng nge a sawi tih hi han sawi ila.
ESR chu eng nge ni mai?
ESR hi thumal sei tak ‘Erythrocyte Sedimentation Rate’ tih tawifelna a ni. Sinhala tawngin thisen sedimentation chakna tihna a ni. Mahse chu hming sei tak chu tumahin kan hmang lo, ESR kan ti mai mai thin.
Hei hi thisen test awlsam tak a ni. A bul berah chuan i taksa hmun dangah "inflammation" i neih leh neih loh a check thin. Inflammation, a awlsam zawngin, kan taksa hmun dangah natna hrik, hliam emaw, damdawi lam thil dang emaw avanga lo hring chhuak hi a ni.
Hetiang hian han ngaihtuah teh. I thisen tlemte i la a, thisen sen te chu glass tube (test tube) te tak te, sang takah i dah a, chutah chuan darkar khat vel i dah a ni. A tlangpuiin hun kal zelah heng thisen sen te hi tube hnuai lamah an awm ang. Mahse, i taksa hmun dangah inflammation a awm chuan thisena protein bikte hian heng thisen sen (red blood cells) te hi a inzawm khawm a, clump tlemte a siam thin. Heng clump te hi an rit zawk avangin single cell pangngai aiin tube hnuai lamah an pil rang zawk a ni.
ESR test hian thisen sen (red blood cells) hnuai lam thlenga a pil chak dan a teh a ni. Cell te chu a hnuai lam thlenga an pil chak poh leh taksaah inflammation a tam zawk thin.
Engtik laiin nge doctor hian ESR test a order?
A hnuaia symptoms pakhat emaw a aia tam emaw i neih chuan i doctor chuan a chhan hriat theihna turin he test hi a rawt thei ang.
- Lu na reng reng
- Joint swelling, stiffness, leh natna te a awm bawk
- Kawr, kekawrte, emaw pelvis emaw a na
- Chaw chakna
- Chhan bik nei lovin taksa rihna tihtlem
ESR test chauh hian natna a hriat theih loh nain, a hnuaia damdawi lam dinhmunte hi fimkhur turin clue pawimawh tak a pe a ni:
| Dinhmun | Hrilhfiahna awlsam tak |
|---|---|
| Taksa chhunga natna hrik awm | A bik takin ruh natna ang chi thil te. |
| Ngawt | Cancer chi thenkhat hian taksaah inflammation a tipung thei a. |
| Rheumatoid Arthritis natna a ni | Hetiang a nih chuan kan taksa hriselna (immune system) hian kan taksa ruh (joint) a rawn bei thin hi a ni. |
| Lupus a ni | Hei hi immune system-ah pawh harsatna a ni. Vun, ruh leh taksa peng dangte a tichhe thei a ni. |
| Inflammatory condition dangte pawh a awm bawk | Entirnan, thisen kalna kawng a inflammation (Systemic Vasculitis) emaw, taksa ruh na leh natna (Polymyalgia Rheumatica) ang chi dinhmun. |
Tin, hetiang dinhmun hi enkawlna i dawng tawh a nih chuan doctor-te chuan he ESR test hi hmangin enkawlna hian i tan engtiang chiahin nge a thawh that tih an en thin Enkawlna a hlawhtlin chuan ESR value hi a tlahniam zauh zauh tur a ni.
He thisen test tur hian engtin nge ka inbuatsaih ang?
Hemi atana inbuatsaih nan hian thil danglam bik tih a ngai lo, ei leh in loh ang chi hi. Mahse, test hmaa doctor hnena i hrilh tur tlemte a awm.
- Damdawi i ei apiang (vitamin emaw supplement emaw pawh tel).
- Chu chu naupai i nih chuan a ni.
- Chu chu i period i neih ni-ah a ni.
A chhan chu heng thilte hian ESR value a nghawng thei a ni. Lab-ah chuan nurse pakhat chuan i kut chhunga vein pakhat atanga thisen sample te tak te a la ang. Needle i dah dawnin a na deuh mai thei a, mahse minute tlemte hnuah a reh mai ang. Tichuan plaster te tak te chu a hmunah an hnawih ang.
ESR report hian eng nge a awmzia?
Darkar khat emaw darkar hnih emaw chhungin report i dawng thei tlangpui. Report-a value chu darkar khata millimeter (mm/hour)-a chhut a ni. Chumi awmzia chu darkar khat chhunga thisen sen (red blood cells) te chu tube hnuai lamah eng chen nge an tlak tawh tihna a ni.
ESR value pangngai hi mi hrang hrangah a inang lo a, kum leh mipa leh hmeichhia a zirin a inang lo.
| Pawl | ESR Value pangngai chu mm/hour-ah a ni |
|---|---|
| Mipa kum 50 hnuai lam | 0 - 15 a ni |
| Mipa kum 50 chunglam | 0 - 20 a ni |
| Hmeichhia kum 50 hnuai lam | 0 - 20 a ni |
| Hmeichhia kum 50 chunglam | 0 - 30 inkar a ni |
| Naupang | 0 - 10 a ni |
ESR value sang chhan dangte chu:
ESR sang hi natna khirh tak chhinchhiahna a ni ngai lo. A hnuaia chhante hian ESR sang a thlen thei bawk:
- Thisen tlakchhamna (Anaemia).
- Kum upa lam
- Kidney lama harsatna nei
- Thyroid natna te
- Naupai emaw, thlasik lai emaw
- Taksa thau lutuk
- Damdawi thenkhat, birth control pill leh vitamin A te
ESR chauh hi diagnosis atan a tawk em?
Hei hi a pawimawh ber a ni. Ni lo, ESR value chauh hi natna hriat theihna atan a tawk lo.
ESR test hian taksaah inflammation a awm leh awm loh chauh a hrilh che tih hre reng ang che. Khawiah nge a awm tih leh eng thil nge a thlen tih chiang takin a hrilh thei lo. Meikhu hmu mahse kangmei awmna hmun dik tak hriat theih loh ang mai a ni.
Chuvangin, i doctor chuan ESR value bakah hian test dang engemaw zat a order thei bawk.
- CRP (C-reactive protein) test: Hei hi thisen test pawimawh dang, inflammation zawngtu a ni.
- Thisen test dang: A natna lan chhuah dan azirin test bik dang.
- Imaging Test: X-ray leh scan ang chi test.
- Biopsy atanga lak chhuah:A châng chuan, a nghawng tissue te tak te chu la in test a ni.
Chuvangin, i ESR report leh test dang tih tur awm apiang chu doctor nen sawiho a pawimawh hle. Chung zawng zawng chu a la khawm ang a, i dinhmun dik tak chu a ruat ang a, a tul anga enkawlna a pe ang.
Take-Home Thuchah a ni
- ESR hi thisen test awlsam tak a ni a, taksaa inflammation awm leh awm loh enfiahna a ni.
- ESR sang hi damdawi lam dinhmun hriattirna a ni a, mahse a takah chuan diagnosis a ni lo.
- ESR value hi damdawi lam thil ni lo, naupai, tar, leh damdawi ei vang te pawh a danglam thei bawk.
- I ESR report awmzia leh a hnua i tih tur te hriatthiam nan i doctor nen inrawn fo thin ang che.
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