Masithi uya kugqirha aze akunike iphepha elikucela ukuba wenze uvavanyo lwegazi. Xa ubona igama elithi "ESR" libhalwe ngoonobumba abakhulu kulo, usenokuziva usoyika kwaye unomdla. Usenokucinga, "Luhlobo luni lovavanyo olu? Ngaba ndinesifo esinzima?" Kodwa ungoyiki konke konke. Olu vavanyo lwe-ESR luvavanyo lwegazi olulula kakhulu oluhlala lwenziwa, kwaye lukwabonelela ngolwazi olubalulekileyo. Namhlanje, siza kuthetha ngolu vavanyo lwe-ESR ngendlela elula kakhulu.
Yintoni uvavanyo lwe-ESR ngokulula?
Igama elipheleleyo le-ESR yi -Erythrocyte Sedimentation Rate . Ngoku, musani ukothuka ngala magama makhulu. Masiwahlalutye size siqonde.
- I-Erythrocyte (ebizwa ngokuba yi-erythrocyte) ligama lezonyango leeseli ezibomvu zegazi egazini lethu.
- Isantya sokutyibilika kwetyuwa sisantya apho into ingena khona kulwelo ize ifikelele ezantsi.
Ngoko ke, ngokufutshane nje, uvavanyo lwe-ESR lulinganisa ukuba iiseli ezibomvu zegazi kwisampulu yegazi lakho ezifakwe kwityhubhu yovavanyo eyenzelwe ngokukodwa zihlala ngokukhawuleza kangakanani ezantsi kwityhubhu.
Cinga ngale ndlela. Ukuba sifaka amanzi kwiglasi size songeze isanti kuyo, iinkozo zesanti ziya kutshona kancinci ziye ezantsi kweglasi. Kwenzeka into efanayo kuvavanyo lwe-ESR. Kodwa apha, endaweni yesanti, sineeseli zakho ezibomvu zegazi. Indlela ezitshona ngayo ngokukhawuleza ezi seli ezibomvu ziye ezantsi ilinganiswa ngaphezu kweyure. Elo santya lirekhodwa kwingxelo njengexabiso lakho le-ESR.
Kutheni ugqirha ekucela ukuba wenze olu vavanyo lwe-ESR?
Ngoku usenokuba ucinga, "Singafunda ntoni ngokulinganisa isantya iiseli ezibomvu zegazi ezitshona ngaso ezantsi?" Enyanisweni, oku kunokukunika umbono ngento ebaluleke kakhulu. Oko kukuthi, nokuba kukho ukudumba na emzimbeni wakho.
Yintoni "Ukudumba"? Masiyiqonde ngokulula. Khawuthelekelele ukuba unenxeba elincinci esandleni sakho. Inxeba libomvu kancinci, lidumbile, kwaye livakala lishushu. Yiloo nto ukudumba kuyiyo. Oko kuthetha ukuba inkqubo yomzimba wakho yokuzikhusela, oko kukuthi, "umkhosi" womzimba, ulwa neentsholongwane ezizama ukungena ngenxeba. Olu dabi lubangela ukuba indawo ibe bomvu kwaye idumbe.
Ngokufanayo, ukudumba kungenzeka kwizitho zomzimba ngaphakathi emzimbeni ngezizathu ezahlukeneyo. Umzekelo, kunokubangelwa lusulelo lwebhaktheriya, usulelo lwentsholongwane, okanye enye imeko yezonyango.
Into ebalulekileyo kukuba, uvavanyo lwe-ESR lufana ne-alamu yomsi endlwini. Luyakhala ukuba kukho umsi naphi na endlwini. Kodwa alukuxeleli ukuba umlilo usekhitshini, kwigumbi lokuhlala, okanye yintoni etshayo. Kuya kufuneka ujonge ngokwahlukileyo ukuze ufumane oko. I-ESR iyafana.Inika nje 'uphawu' lokuba kukho ukudumba kwindawo ethile emzimbeni. Ayikuxeleli ngqo ukuba sisifo sini.
Ugqirha wakho usebenzisa olu vavanyo lwe-ESR kunye neempawu zakho ukuze afumane umfanekiso obanzi. Lungakunika izikhokelo malunga neemeko ezifana nezi zilandelayo:
- Iintsholongwane: Iintsholongwane ezahlukeneyo okanye iintsholongwane emzimbeni.
- Izifo ezizikhusela ngokwazo: Oku kwenzeka xa inkqubo yomzimba yokuzikhusela ihlasela iiseli zomzimba ezisempilweni. Umzekelo, izifo ezifana ne-rheumatoid arthritis kunye ne-lupus.
- I-inflammatory arthritis: Iimeko ezibangela ukudumba kunye nentlungu emalungeni.
- Ezinye iintlobo zomhlaza: Ayizizo zonke iintlobo zomhlaza, kodwa ezinye iintlobo zomhlaza zinokubangela i-ESR ephezulu.
- Izifo zegazi
Ndingazilungiselela njani ezi vavanyo?
Le yeyona nxalenye ilungileyo. Akunyanzelekanga ukuba wenze nantoni na ekhethekileyo kuvavanyo lwe-ESR.
- Akunyanzelekanga ukuba uzile ukutya iiyure ezininzi njengezinye iimvavanyo zegazi.
- Ungatya kwaye usele ngokwesiqhelo.
- Ukuba unamayeza owasela yonke imihla, ungawasela njengesiqhelo.
Nangona kunjalo, kubaluleke kakhulu ukuxelela ugqirha wakho ngamayeza owasebenzisayo, njengoko amanye amayeza enokuba nefuthe elincinci kwixabiso le-ESR.
Kwenzeka ntoni ngexesha lovavanyo?
Oku kufana nolunye uvavanyo lwegazi oqhele ukulwenza.
Ugqirha, umongikazi, okanye ingcali yelabhoratri iza kuthatha igazi elincinci elivela kumthambo osengalweni yakho ilifake kwisirinji. Okokuqala, baza kucoca indawo ngento efana notywala. Emva koko, njengoko inaliti ifakwa kumthambo, ungaziva uthukile kancinci ngombane. Oku kuya kuphela kwimizuzwana embalwa.
Abanye abantu bayoyika kancinci iinaliti nokubona igazi. Akuyonto ifanelekileyo ukuba neentloni okanye ukufihla. Ukuba nawe unoloyiko okanye ukungakhululeki okufanayo, xelela umntu othatha igazi. Baza kukunceda uhlale uzolile.
Emva kokuba igazi litsaliwe, uza kucelwa ukuba ubeke iplasta encinci okanye iqhekeza lekotoni phezu kwendawo yenaliti uze uyibambe endaweni yayo. Indawo isenokuba nemivumbo emincinci, eluhlaza okwesibhakabhaka, okanye ibe buhlungu kancinci kangangeeyure ezimbalwa. Oku kuqhelekile.
Ungayitolika njani ingxelo ye-ESR? (Zithini ixabiso eliqhelekileyo?)
Ixabiso elikwingxelo yakho ye-ESR lirekhodwa nge- mm/hr . Oko kuthetha "iimilimitha ngeyure." Njengokuba isantya sesithuthi silinganiswa "ngeekhilomitha ngeyure."
Amaxabiso e-ESR aqhelekileyo ayahluka ngokuxhomekeke kubudala kunye nesini somntu. Kodwa khumbula, la ngamaxabiso aqhelekileyo. Kunokubakho umahluko omncinci phakathi kweelabhoratri. Ke ngoko, ngugqirha wakho kuphela onokukunika ingcaciso engcono yengxelo yakho.
Nantsi itheyibhile yamaxabiso amkelweyo ngokubanzi.
| Ubudala kunye nesini | Ixabiso eliqhelekileyo le-ESR (mm/hr) |
|---|---|
| Amadoda angaphantsi kweminyaka engama-50 ubudala | 0 - 15 mm/iyure |
| Amadoda angaphezu kweminyaka engama-50 ubudala | 0 - 20 mm/iyure |
| Abafazi abangaphantsi kweminyaka engama-50 ubudala | 0 - 20 mm/iyure |
| Abafazi abangaphezu kweminyaka engama-50 ubudala | 0 - 30 mm/iyure |
| Abantwana abancinci | 0 - 10 mm/iyure |
Kuthetha ukuthini ukuba ne-ESR ephezulu? Ngaba kufuneka ndikhathazeke?
Ukuba i-ESR yakho iphezulu kunesiqhelo, oko kuthetha ukuba kukho ukudumba kwindawo ethile emzimbeni wakho. Xa kukho ukudumba emzimbeni, iiproteni ezithile egazini ziyanda. Ezi proteni zibangela ukuba iiseli ezibomvu zegazi zinamathelene, zenze amaqhekeza amancinci, zityebe, kwaye zitshone ngokukhawuleza ziye ezantsi kwityhubhu yovavanyo. Yiyo loo nto i-ESR iphezulu.
I-ESR ephezulu ayithethi ukuba unesifo esinzima. Kukho izinto ezilula ezinokubangela esi sifo, kunye nezinto ezifuna ingqalelo.
Izizathu eziqhelekileyo zokuphakama kwe-ESR:
- Izifo: Izifo ezenzeka naphi na emzimbeni, ezifana ne-pneumonia, i-appendicitis, kunye nesifo sephepha.
- Izifo ezizikhusela ngokwazo: Iimeko ezifana ne-rheumatoid arthritis kunye ne-lupus.
- Ukulimala kwezicubu: Emva kokwenzakala okukhulu okanye utyando.
- Ezinye iintlobo zomhlaza: ezifana ne-lymphoma okanye i-multiple myeloma. (Kwakhona, i-ESR ephezulu ayithethi ukuba ngumhlaza.)
- Ezinye iimeko: ukukhulelwa, i-anemia (ukungabikho kwegazi), ukwaluphala, isifo se-thyroid, isifo sezintso.
Ugqirha uza kufikelela kwisigqibo ngokuthelekisa ixabiso lakho le-ESR kunye neempawu zakho (ezifana nomkhuhlane, iintlungu zomzimba, ukwehla kobunzima), uvavanyo lomzimba, kunye nezinye iimvavanyo ukuba kuyimfuneko (ezifana ne-CRP, i-Full Blood Count).
Kuthekani ukuba ixabiso le-ESR 'liphantsi'?
I-ESR engaphantsi kuneqhelekileyo ayisiyongxaki. Abantu abasempilweni badla ngokuba ne-ESR ephantsi. Ngoko ke akukho sizathu sokukhathazeka nge-ESR ephantsi.
Nangona kunjalo, kunqabile kakhulu, ezinye iimeko ezithile zonyango zinokubangela i-ESR ephantsi ngokungaqhelekanga. Umzekelo, iimeko ezifana ne-polycythemia, isifo apho iiseli ezibomvu zegazi ziveliswa kakhulu, okanye i-sickle cell anemia. Kodwa ezi aziqhelekanga kakhulu. Ukuba ugqirha wakho ukrokrela oku, uya kwenza uvavanyo olufunekayo.
Yintoni umahluko phakathi kwendlela yeWestergren kunye nezinye iindlela?
Ingxelo yakho ingakhankanya "indlela yeWestergren." Le yindlela eqhelekileyo esetyenziswa kakhulu ekwenzeni uvavanyo lwe-ESR kwihlabathi liphela. Ibandakanya ukubeka igazi kwityhubhu yovavanyo ekhethekileyo, ukulishiya iyure, kunye nokulinganisa umgama ohlala iiseli ezibomvu zegazi.
Ukongeza, kukho iindlela ezibizwa ngokuba yi "Modified Westergren methods". Ezinye azifuni gazi lininzi, ezinye zisebenzisa oomatshini (ii-centrifuges) kwaye zinika iziphumo ngokukhawuleza. Kodwa indlela yeWestergren ekhankanyiweyo ngaphambili iseyeyona ithembekileyo nesetyenziswayo. Akunamsebenzi kuwe ukuba yeyiphi indlela esetyenziswa yilebhu yakho. Okubalulekileyo sisiphumo osifumanayo kunye nendlela ugqirha asitolika ngayo.
Umyalezo Wokuya Ekhaya
- I-ESR luvavanyo olulula lwegazi olujonga ukudumba emzimbeni.
- Oku akunakukwazi ukuxilonga nasiphi na isifo ngokuqinisekileyo. Kufana nesilumkiso somsi, kunika nje uphawu lokuba kukho ingxaki.
- Zininzi izizathu zokuba ixabiso le-ESR linyuke, njengosulelo, izifo zamalungu, kunye nokukhulelwa. Ngoko ke, musa ukoyika isifo esinzima kuba ixabiso lakho le-ESR liphezulu.
- Ixabiso eliphantsi le-ESR alisoloko liyingxaki.
- Ugqirha wakho ngumntu ofanelekileyo ukufumana ingcaciso epheleleyo ngexabiso elikwingxelo yakho kunye nentsingiselo yalo. Musa ukwenza izigqibo ngokusekelwe kulwazi olukwi-intanethi. Soloko uthetha nogqirha wakho.
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