Nthawi zina mukapita kwa dokotala, amalemba mayeso a magazi, sichoncho? Muyenera kuti mwawona zilembo zitatu 'ESR' pamenepo. Anthu ambiri amaganiza kuti, 'Kodi ESR iyi ndi chiyani?' akaiwona. Kwenikweni imapereka chidziwitso chofunikira chokhudza vuto linalake m'thupi lathu. Chifukwa chake lero, tiyeni tikambirane za ESR iyi, chifukwa chake imachitika, komanso zomwe lipotilo likunena.
Kodi ESR ndi chiyani kwenikweni?
ESR ndi chidule cha mawu ataliatali akuti 'Erythrocyte Sedimentation Rate'. Mu Chisinhala, limatanthauza liwiro la sedimentation ya magazi. Koma palibe aliyense wa ife amene amagwiritsa ntchito dzina lalitali limenelo, nthawi zambiri timangoti ESR.
Uku ndi kuyesa magazi kosavuta kwambiri. Kumafufuza ngati muli ndi "kutupa" kulikonse m'thupi lanu. Kutupa, mwachidule, ndi kutupa kwinakwake m'thupi mwathu komwe kumachitika chifukwa cha matenda, kuvulala, kapena matenda ena.
Taganizirani izi motere. Mumatenga magazi anu pang'ono, kuyika maselo ofiira m'chubu chopyapyala komanso chachitali chagalasi (chubu choyesera) ndikusiya pamenepo kwa ola limodzi. Nthawi zambiri, pakapita nthawi, maselo ofiira awa amakhazikika pansi pa chubucho. Komabe, ngati pali kutupa kwinakwake m'thupi lanu, mapuloteni apadera m'magazi amachititsa maselo ofiira awa kumamatirana ndikupanga timagulu tating'onoting'ono. Chifukwa timaguluti ndi tolemera, timamira pansi pa chubucho mofulumira kuposa maselo amodzi wamba.
Kuyeza kwa ESR kumayesa liwiro limene maselo ofiira a magazi amamira pansi. Maselo akamamira pansi mofulumira, kutupa kumawonjezeka m'thupi.
Kodi dokotala amalamula mayeso a ESR nthawi yanji?
Ngati muli ndi chimodzi kapena zingapo mwa zizindikiro zotsatirazi, dokotala wanu angakulangizeni mayesowa kuti athandize kupeza chomwe chikuyambitsa.
- Mutu wopweteka nthawi zonse
- Kutupa, kuuma, ndi kupweteka m'malo olumikizirana mafupa
- Ululu m'khosi, m'mapewa, kapena m'chiuno
- Chilakolako cha chakudya
- Kuchepetsa thupi popanda chifukwa chenicheni
Ngakhale kuti mayeso a ESR okha sangazindikire matenda, amapereka chidziwitso chofunikira choyang'anira matenda awa:
| Mkhalidwe | Kufotokozera Kosavuta |
|---|---|
| Matenda m'thupi | Makamaka zinthu monga matenda a mafupa. |
| Khansa | Mitundu ina ya khansa imatha kuonjezera kutupa m'thupi. |
| Matenda a Nyamakazi | Chomwe chimachitika pankhaniyi ndichakuti chitetezo chathu cha mthupi chimaukira mafupa athu. |
| Lupus | Vutoli ndi lomwe limabwera chifukwa cha chitetezo chamthupi. Likhoza kuwononga khungu, mafupa, ndi ziwalo zina. |
| Matenda ena otupa | Mwachitsanzo, matenda monga kutupa kwa mitsempha yamagazi (Systemic Vasculitis) kapena kuuma kwa minofu ndi kupweteka (Polymyalgia Rheumatica). |
Komanso, ngati mukulandira kale chithandizo cha matenda ngati awa, madokotala amagwiritsa ntchito mayeso a ESR kuti aone momwe chithandizocho chikugwirira ntchito kwa inu . Chithandizo chikayenda bwino, ESR iyenera kutsika pang'onopang'ono.
Kodi ndingakonzekere bwanji mayeso a magazi awa?
Palibe chifukwa chochitira chilichonse chapadera pokonzekera izi, monga kusadya kapena kumwa. Komabe, pali zinthu zingapo zomwe muyenera kuuza dokotala wanu musanayesedwe.
- Mankhwala aliwonse omwe mukumwa (kuphatikizapo mavitamini kapena zowonjezera).
- Izi zili choncho ngati muli ndi pakati.
- Ndiko kuti, masiku amene muli ndi nthawi yanu ya msambo.
Chifukwa zinthuzi zingakhudze kuchuluka kwa ESR. Ku labu, namwino adzatenga magazi pang'ono kuchokera mumtsempha womwe uli m'dzanja lanu. Mungamve kupweteka pang'ono singano ikalowetsedwa, koma imatha pakatha mphindi zochepa. Kenako pulasitala yaying'ono idzapakidwa pamalopo.
Kodi lipoti la ESR limatanthauza chiyani?
Nthawi zambiri mumatha kupeza lipotilo mu ola limodzi kapena awiri. Mtengo wa lipotilo uli mu mamilimita pa ola limodzi (mm/ola). Izi zikutanthauza kuti maselo ofiira a magazi afika pati pansi pa chubu mu ola limodzi.
Ma ESR abwinobwino amasiyana malinga ndi munthu, kutengera zaka ndi jenda.
| Gulu | Kuchuluka kwa ESR mu mm/ola |
|---|---|
| Amuna osakwana zaka 50 | 0 - 15 |
| Amuna opitirira zaka 50 | 0 - 20 |
| Azimayi osakwana zaka 50 | 0 - 20 |
| Azimayi opitirira zaka 50 | 0 - 30 |
| Ana | 0 - 10 |
Zifukwa zina zomwe zimapangitsa kuti ESR ikwere:
Kuchuluka kwa ESR si chizindikiro cha matenda oopsa nthawi zonse. Zifukwa zotsatirazi zingayambitsenso kuchuluka kwa ESR:
- Kuchepa kwa magazi m'thupi
- Kukalamba
- Mavuto a impso
- Matenda a chithokomiro
- Mimba kapena kusamba
- Mafuta ambiri m'thupi
- Mankhwala ena, monga mapiritsi oletsa kubereka ndi vitamini A
Kodi ESR yokha ndi yokwanira kuzindikira matenda?
Ichi ndiye chinthu chofunikira kwambiri. Ayi, kuchuluka kwa ESR kokha sikokwanira kuzindikira matenda.
Kumbukirani, mayeso a ESR amangokuuzani ngati pali kutupa m'thupi. Sangakudziwitseni komwe kuli kapena chomwe chinayambitsa. Zili ngati kuona utsi koma osatha kudziwa komwe kuli moto.
Chifukwa chake, dokotala wanu akhoza kuyitanitsa mayeso ena angapo kuwonjezera pa ESR.
- Kuyesa kwa CRP (C-reactive protein): Uku ndi kuyesa kwina kofunikira kwa magazi komwe kumayang'ana kutupa.
- Mayeso ena a magazi: Mayeso ena enieni kutengera zizindikiro.
- Mayeso Ojambula: Mayeso monga X-ray ndi scan.
- Kufufuza za thupi:Nthawi zina, chidutswa chaching'ono cha minofu yokhudzidwa chimatengedwa ndikuyesedwa.
Choncho, ndikofunikira kukambirana za lipoti lanu la ESR ndi mayeso ena aliwonse omwe muyenera kuchita ndi dokotala wanu. Iye ndiye amene adzatenga zonsezi pamodzi, kudziwa momwe mulili, ndikukupatsani chithandizo chofunikira.
Uthenga Wopita Nawo Kunyumba
- ESR ndi mayeso osavuta a magazi omwe amafufuza kutupa m'thupi.
- Kukwera kwa ESR ndi chizindikiro chochenjeza cha matenda, koma si matenda okha.
- Ma ESR amathanso kusintha chifukwa cha zifukwa zina zomwe si zachipatala monga mimba, ukalamba, ndi mankhwala.
- Nthawi zonse funsani dokotala wanu kuti mumvetse tanthauzo la lipoti lanu la ESR komanso zomwe mungachite kenako.
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