Wakambokumbirwa here kuti uite bvunzo yeESR? Usazvidya moyo, ngatitaurei nezvazvo zviri nyore! (ESR - Erythrocyte Sedimentation Rate)

Ngatitii waenda kunoona chiremba uye anokupa bepa rinokukumbira kuti uongororwe ropa. Paunoona izwi rekuti "ESR" rakanyorwa nemabhii makuru pariri, unganzwa kutya uye kuda kuziva. Ungafunga kuti, "Ndeipi bvunzo iyi? Ndine chirwere chakakomba here?" Asi usatye zvachose. Kuongororwa kweESR uku kuongororwa kweropa kuri nyore kwazvo kunowanzoitwa, uye kunopawo ruzivo rwakakosha. Nhasi, tichataura nezve bvunzo iyi yeESR nenzira iri nyore.

Chii chinonzi bvunzo yeESR?

Zita rakazara reESR rinonzi Erythrocyte Sedimentation Rate . Zvino, musavhundutswa nemashoko aya makuru. Ngatizvitsanangure tinzwisise.

• Erythrocyte (inodudzwa: erythrocyte) izita rekurapa remasero matsvuku eropa ari muropa redu.
• Mwero wekusvibiswa kwemvura (sedimentation rate) zvinoreva mwero wekuti chimwe chinhu chinonyura mumvura yosvika pasi.

Saka, muchidimbu, bvunzo yeESR inoyera kuti masero matsvuku eropa ari muropa rako akaiswa muchubhu yekuyedza yakagadzirwa zvakanaka anokurumidza sei kugara pasi pechubhu.

Funga nezvazvo nenzira iyi. Kana tikaisa mvura mugirazi towedzera jecha mariri, tsanga dzejecha dzichanyura zvishoma nezvishoma pasi pegirazi. Chinhu chimwe chete chinoitika pakuongororwa kweESR. Asi pano, panzvimbo pejecha, tine masero matsvuku eropa rako. Kuti masero matsvuku aya anonyura nekukurumidza sei pasi kunoyerwa kweawa imwe chete. Kumhanya ikoko kwakanyorwa mumushumo seESR yako.

Sei chiremba ari kukukumbira kuti uite bvunzo iyi yeESR?

Zvino ungave uchifunga kuti, "Chii chatingadzidza kubva pakuyera kumhanya kunoita masero matsvuku eropa kusvika pasi?" Kutaura zvazviri, izvi zvinogona kukupa ruzivo nezvechimwe chinhu chakakosha. Kureva kuti, kana paine kuzvimba mumuviri wako.

Chii chinonzi "Kuzvimba"? Ngatizvinzwisise zviri nyore. Fungidzira uine ronda diki paruoko rwako. Ronda racho rakatsvuka zvishoma, rakazvimba, uye rinonzwa kupisa. Ndizvo zvinoreva kuzvimba. Izvi zvinoreva kuti masoja emuviri wako, kureva kuti, "uto" remuviri, ari kurwisa utachiona huri kuedza kupinda neparonda. Kurwa uku ndiko kunoita kuti nzvimbo yacho ive tsvuku uye izvimbe.

Saizvozvowo, kuzvimba kunogona kuitika munhengo dziri mukati memuviri nekuda kwezvikonzero zvakasiyana-siyana. Semuenzaniso, kunogona kukonzerwa nehutachiona hwebhakitiriya, hutachiona hwehutachiona, kana chimwe chirwere.

Chiremba wako anoshandisa bvunzo iyi yeESR pamwe chete nezviratidzo zvako kuti awane mufananidzo mukuru. Inogona kukupa ruzivo nezvezvirwere zvakaita sezvinotevera:

• Utachiona: Utachiona hwakasiyana-siyana hwemabhakitiriya kana mavhairasi mumuviri.
• Zvirwere zve autoimmune: Apa ndipo apo masoja emuviri anorwisa masero emuviri ane hutano. Semuenzaniso, zvirwere zvakaita se rheumatoid arthritis ne lupus.
• Arthritis yekuzvimba: Matambudziko anokonzera kuzvimba nekurwadziwa mumajoini.
• Mamwe marudzi ekenza: Haasi ese magomarara, asi mamwe marudzi egomarara anogona kukonzera ESR yakakwira.
• Zvirwere zveropa

Ndinofanira kugadzirira sei bvunzo iyi?

Ichi ndicho chikamu chakanakisa. Hamufanirwe kuita chero chinhu chakakosha pakuongororwa kweESR.

• Hamufanirwe kutsanya kwemaawa akawanda sezvinoitwa nedzimwe nzira dzekuyedza ropa.
• Unogona kudya nekunwa zvakajairika.
• Kana uine mishonga yaunonwa zuva nezuva, unogona kuinwa sezvawagara uchiita.

Zvisinei, zvakakosha zvikuru kuudza chiremba wako nezvemishonga yauri kutora, sezvo mimwe mishonga inogona kukanganisa zvishoma kukosha kweESR.

Chii chinoitika panguva yebvunzo?

Izvi zvakafanana nedzimwe nzira dzekuongororwa ropa dzaunowanzoitwa.

Chiremba, nesi, kana nyanzvi yezvekurabhoritari vanotora ropa shoma kubva mutsinga iri muruoko rwako vachiisa musirinji. Kutanga, vanozochenesa nzvimbo yacho nechinhu chakaita sedoro. Zvadaro, tsono painopinzwa mutsinga, unogona kunzwa kuvhunduka kwemagetsi zvishoma. Izvi zvinopera mushure memasekonzi mashoma.

Mushure mekutorwa kweropa, muchakumbirwa kuisa plaster diki kana chidimbu chedonje panzvimbo yetsono moibata panzvimbo yacho. Nzvimbo yacho inogona kunge yakakuvara zvishoma, yebhuruu, kana kuti ichirwadza zvishoma kwemaawa mashoma. Izvi zvakajairika.

Nzira yekududzira mushumo weESR sei? (Ndezvipi zviratidzo zvakajairika?)

Kukosha kwemushumo wako weESR kunonyorwa mu mm/awa . Izvi zvinoreva "mamilimita paawa." Kungofanana nekumhanya kwemotokari kunoyerwa mu "makiromita paawa."

Maitiro eESR akajairika anosiyana zvichienderana nezera uye murume kana mukadzi wemunhu. Asi yeuka, aya ndiwo avhareji chete. Panogona kunge paine misiyano mishoma pakati pemarabhoritari. Saka, chiremba wako chete ndiye anogona kukupa tsananguro yakanakisisa yemushumo wako.

Heino tafura yemitengo inogamuchirwa nevakawanda.

Zvinorevei kuti 'high' ESR? Ndinofanira kunetseka here?

Kana ESR yako yakakwira kupfuura zvakajairika, zvinoreva kuti pane kuzvimba mumuviri wako. Kana paine kuzvimba mumuviri, mamwe mapuroteni muropa anowedzera. Mapuroteni aya anoita kuti masero matsvuku eropa anamatire pamwe chete, aumbe tumapundu tudiki, awedzere uremu, uye anyure nekukurumidza pasi pechubhu yekuyedza. Ndokusaka ESR yakakwira.

Kukwira kweESR hazvirevi hazvo kuti une chirwere chakakomba. Pane zvinhu zviri nyore zvinogona kukonzera chirwere ichi, pamwe nezvinhu zvinoda kutarisirwa.

Zvikonzero zvinowanzo kukonzera ESR yakakwira:

• Utachiona: Utachiona hunowanikwa chero kupi mumuviri, hwakadai sepneumonia, appendicitis, uye TB.
• Zvirwere zve autoimmune: Zvirwere zvakaita se rheumatoid arthritis ne lupus.
• Kukuvara kwenyama: Mushure mekukuvara kukuru kana kuvhiyiwa.
• Mamwe marudzi egomarara: akadai se lymphoma kana multiple myeloma. (Zvakare, ESR yakakwira hazvirevi kuti gomarara.)
• Zvimwe zvirwere: pamuviri, kupererwa neropa (kushomeka kweropa), kukwegura, chirwere chethyroid, chirwere cheitsvo.

Chiremba achasvika pamhedziso nekuenzanisa kukosha kweESR yako nezviratidzo zvako (zvakadai sefivha, kurwadziwa kwemuviri, kudzikira kwehuremu), kuongororwa kwemuviri, uye mimwe miedzo kana zvichidikanwa (yakadai seCRP, Full Blood Count).

Ko kana kukosha kweESR kuri 'Low'?

Kuderera kweESR pane zvakajairika hakuwanzoitiki. Vanhu vane hutano vanowanzova neESR yakaderera. Saka hapana chikonzero chekunetseka nezveESR yakaderera.

Zvisinei, kashoma, mamwe mamiriro ezvinhu chaiwo ehutano anogona kukonzera ESR yakaderera zvisingawanzoitiki. Semuenzaniso, mamiriro akadai sepolycythemia, chirwere umo masero matsvuku eropa anogadzirwa zvakanyanya, kana sickle cell anemia. Asi izvi hazviwanzoitiki. Kana chiremba wako achifungidzira izvi, achaita bvunzo dzinodiwa.

Ndeupi musiyano uripo pakati penzira yeWestergren nedzimwe nzira?

Mushumo wako ungataura nezve "Westergren method." Iyi ndiyo nzira inoshandiswa zvakanyanya pakuita bvunzo yeESR pasi rose. Inosanganisira kuisa ropa muchubhu yekuyedza yakakosha, kurisiya kweawa imwe, uye kuyera daro rinogadzika masero matsvuku eropa.

Pamusoro pezvo, kune nzira dzinonzi "Modified Westergren methods". Dzimwe dzinoda ropa shoma, dzimwe dzinoshandisa michina (centrifuges) uye dzinopa mhinduro nekukurumidza. Asi nzira yeWestergren yambotaurwa ndiyo ichiri kuvimbwa uye inoshandiswa zvakanyanya. Hazvina basa kwauri kuti nzira ipi inoshandiswa nerabhoritari yako. Chinokosha mhedzisiro yaunowana uye kuti chiremba anoitsanangura sei.