Ngamanye amaxesha xa uye kugqirha, ubhala uvavanyo lwegazi, akunjalo? Umele ukuba ubonile oonobumba abathathu 'ESR' kuyo. Abantu abaninzi bacinga ukuba, 'Yintoni le ESR?' xa beyibona. Inika ingcaciso ebalulekileyo malunga nengxaki ethile emizimbeni yethu. Ngoko ke namhlanje, masithethe ngokuba yintoni le ESR, kutheni yenziwa, kunye nokuba ingxelo ithini.
Yintoni i-ESR ngokulula?
I-ESR sisifinyezo samagama amade athi 'Isantya se-Erythrocyte Sedimentation'. NgesiSinhala, lithetha isantya se-sedimentation yegazi. Kodwa akukho namnye kuthi osebenzisa elo gama lide, sidla ngokuthi i-ESR.
Olu luvavanyo lwegazi olulula kakhulu. Lujonga ukuba "unokudumba" naphi na emzimbeni wakho. Ukudumba, ngokufutshane, kukudumba kwindawo ethile emzimbeni wethu okubangelwa lusulelo, ukwenzakala, okanye enye imeko yezonyango.
Cinga ngale ndlela. Uthatha inani elincinci legazi lakho, ufake iiseli ezibomvu zegazi kwityhubhu yeglasi ebhityileyo, ende (ityhubhu yovavanyo) uze uzishiye apho kangangeyure. Ngokwesiqhelo, ngokuhamba kwexesha, ezi seli zibomvu zegazi ziya kuhlala ezantsi kwityhubhu. Nangona kunjalo, ukuba kukho ukudumba kwindawo ethile emzimbeni wakho, iiproteni ezikhethekileyo egazini zibangela ukuba ezi seli zibomvu zegazi zinamathele kunye kwaye zenze iingqungquthela ezincinci. Ngenxa yokuba ezi ngqungquthela zinzima, zitshona ezantsi kwityhubhu ngokukhawuleza kuneeseli eziqhelekileyo ezizodwa.
Uvavanyo lwe-ESR lulinganisa isantya apho iiseli ezibomvu zegazi zitshona khona ziye ezantsi. Okukhona iiseli zitshona ngokukhawuleza ziye ezantsi, kokukhona kukho ukudumba okungakumbi emzimbeni.
Ugqirha uyalela nini uvavanyo lwe-ESR?
Ukuba unenye okanye ngaphezulu kwezi mpawu zingezantsi, ugqirha wakho unokucebisa olu vavanyo ukuze ancede ekufumaneni unobangela.
- Intloko ebuhlungu engapheliyo
- Ukudumba, ukuqina, kunye nentlungu emalungeni
- Intlungu entanyeni, emagxeni, okanye esinqeni
- Umnqweno wokutya
- Ukunciphisa umzimba ngaphandle kwesizathu esithile
Nangona uvavanyo lwe-ESR lodwa lungenakukwazi ukufumanisa isifo, lubonelela ngesikhokelo esibalulekileyo sokujonga ezi meko zilandelayo zonyango:
| Imeko | Ingcaciso elula |
|---|---|
| Iintsholongwane emzimbeni | Ingakumbi izinto ezifana nosulelo lwamathambo. |
| Umhlaza | Ezinye iintlobo zomhlaza zinokunyusa ukudumba emzimbeni. |
| Irheumatoid arthritis | Okwenzekayo kule meko kukuba inkqubo yethu yokuzikhusela komzimba ihlasela amalungu ethu. |
| I-Lupus | Oku kukwayingxaki nakwinkqubo yomzimba yokuzikhusela. Kungonakalisa ulusu, amalungu, kunye nezinye izitho zomzimba. |
| Ezinye iimeko zokudumba | Umzekelo, iimeko ezinje ngokudumba kwemithambo yegazi (iSystemic Vasculitis) okanye ukuqina kwemisipha kunye nentlungu (iPolymyalgia Rheumatica). |
Kwakhona, ukuba sele ufumana unyango lwemeko efana nale, oogqirha basebenzisa olu vavanyo lwe-ESR ukubona ukuba unyango lusebenza kakuhle kangakanani kuwe . Xa unyango luphumelele, ixabiso le-ESR kufuneka lehle kancinci kancinci.
Ndingazilungiselela njani ezi ziphumo zovavanyo lwegazi?
Akukho mfuneko yokwenza nantoni na ekhethekileyo ukulungiselela oku, njengokungatyi okanye ukungaseli. Nangona kunjalo, kukho izinto ezimbalwa ekufuneka uzixelele ugqirha wakho ngaphambi kovavanyo.
- Nawaphi na amayeza owasebenzisayo (kuquka iivithamini okanye izongezo).
- Oko kukuthi ukuba ukhulelwe.
- Oko kukuthi, ngeentsuku oye waba sexesheni ngazo.
Kuba ezi zinto zinokuchaphazela ixabiso le-ESR. Kwilabhoratri, umongikazi uza kuthatha isampuli yegazi elincinci kumthambo osengalweni yakho. Usenokuziva iintlungu ezincinci xa inaliti ifakwa, kodwa iza kuphela emva kwemizuzu embalwa. Emva koko kuya kufakwa iplasta encinci kuloo ndawo.
Ithetha ukuthini ingxelo ye-ESR?
Ngokwesiqhelo ungayifumana ingxelo ngeyure enye okanye ezimbini. Ixabiso elikwingxelo likwiimilimitha ngeyure (mm/yure). Oku kuthetha ukuba iiseli ezibomvu zegazi ziwele kangakanani ezantsi kwetyhubhu ngeyure enye.
Amaxabiso e-ESR aqhelekileyo ayahluka kumntu nomntu, kuxhomekeke kwiminyaka nakwisini.
| Iqela | Ixabiso eliqhelekileyo le-ESR kwi-mm/yure |
|---|---|
| Amadoda angaphantsi kweminyaka engama-50 ubudala | 0 - 15 |
| Amadoda angaphezu kweminyaka engama-50 ubudala | 0 - 20 |
| Abafazi abangaphantsi kweminyaka engama-50 ubudala | 0 - 20 |
| Abafazi abangaphezu kweminyaka engama-50 ubudala | 0 - 30 |
| Abantwana | 0 - 10 |
Ezinye izizathu zexabiso eliphezulu le-ESR:
I-ESR ephezulu ayisoloko iluphawu lokugula okunzulu. Ezi zizathu zilandelayo zinokubangela i-ESR ephezulu:
- I-anemia
- Ukwaluphala
- Iingxaki zezintso
- Izifo ze-thyroid
- Ukukhulelwa okanye ukuya exesheni
- Amafutha omzimba agqithisileyo
- Amanye amayeza, anjengeepilisi zokulawula ukuzalwa kunye nevithamini A
Ngaba i-ESR yodwa yanele ukuxilongwa?
Le yeyona nto ibalulekileyo. Hayi, ixabiso le-ESR lodwa alanelanga ukufumanisa isifo.
Khumbula, uvavanyo lwe-ESR lukuxelela kuphela ukuba kukho ukudumba emzimbeni. Alunakukuxelela ngqo ukuba kukuphi okanye yintoni ebangele oko. Kufana nokubona umsi kodwa ungakwazi ukubona ngqo ukuba uphi na umlilo.
Ngoko ke, ugqirha wakho unokuyalela ezinye iimvavanyo ezininzi ukongeza kwixabiso le-ESR.
- Uvavanyo lwe-CRP (i-C-reactive protein): Olu lolunye uvavanyo lwegazi olubalulekileyo olujonga ukudumba.
- Ezinye iimvavanyo zegazi: Ezinye iimvavanyo ezithile ngokuxhomekeke kwiimpawu.
- Uvavanyo lweMifanekiso: Uvavanyo olufana nee-X-ray kunye neeskeni.
- Uvavanyo lwebhayoloji:Ngamanye amaxesha, kuthathwa iqhekeza elincinci lesicwili esichaphazelekileyo size sivavanywe.
Ngoko ke, kubalulekile ukuxoxa ngengxelo yakho ye-ESR kunye nazo naziphi na ezinye iimvavanyo ekufuneka zenziwe nogqirha wakho. Nguye oza kuthatha konke oku kunye, aqinisekise imeko yakho echanekileyo, aze akunike unyango olufunekayo.
Umyalezo Wokuya Ekhaya
- I-ESR luvavanyo olulula lwegazi olujonga ukudumba emzimbeni.
- I-ESR ephezulu luphawu olulumkisayo lwesifo esithile, kodwa ayisiyonto yokuxilonga ngokwaso.
- Amaxabiso e-ESR anokutshintsha ngenxa yezizathu ezingezizo ezonyango ezifana nokukhulelwa, ukwaluphala, kunye namayeza.
- Soloko uqhagamshelana nogqirha wakho ukuze uqonde intsingiselo yengxelo yakho ye-ESR kunye namanyathelo omawuwathathe ngokulandelayo.
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