Ingabe kukhona okungahambi kahle emzimbeni wakho? Ingabe kufanele sihlole ngokuhlolwa kwe-ESR (Sedimentation Rate)?

Ingabe ngezinye izikhathi uzizwa ungaphilile, njengokungathi kukhona okungahambi kahle, kodwa awukwazi ukuthola kahle ukuthi kuyini? Ngezikhathi ezinjalo, odokotela bethu basicela ukuba senze ukuhlolwa kwegazi. Okunye ukuhlolwa kwegazi okunjalo ukuhlolwa kwe-ESR. Namuhla, sizokhuluma ngalokhu kalula, ngendlela ongayiqonda. Kufana nokukhuluma nomngane.

Kusho ukuthini ngempela ukuhlolwa kwe-ESR?

Kalula nje, lolu vivinyo olubizwa nge-ESR lusetshenziselwa ukuhlola ukuthi kukhona yini ukuvuvukala (`(Ukuvuvukala)`) endaweni ethile emzimbeni wakho. Manje ubuza, "Kuyini lokhu kuvuvukala?" Cabanga, uma unenxeba elincane, indawo iba bomvu, ivuvuke, futhi izwakale ishisa kancane. Yilokho ukuvuvukala okuyikho. Empeleni uhlelo lokuzivikela lomzimba wethu, uhlelo lokuzivikela , olulwa nento engaphandle (njengegciwane, amagciwane).

Ngakho-ke, odokotela bakubiza lokhu ngokuthi ukuhlolwa kwe-ESR, noma abanye abantu bakubiza ngokuthi "ukuhlolwa kwesilinganiso se-Sed," futhi bakusebenzisa ukuthola ukuthi unaleso simo emzimbeni wakho.

Yiziphi izifo eziboniswa ukuhlolwa kwe-ESR?

Lokhu kuhlolwa kwe-ESR kukodwa akukwazi ukuhlonza isifo, futhi kudinga ukukhunjulwa kahle. Kodwa-ke, lokhu kunikeza udokotela wethu inkomba ebalulekile yokuthi kukhona okungahambi kahle emzimbeni. Kulapho-ke kuphela lapho ezokwenza khona ezinye izivivinyo, izimpawu zakho, akuhlole, futhi akuhlanganise konke lokhu ukuze anqume ukuthi siyini ngempela lesi sifo.

Uma inani le-ESR liphakanyisiwe, lokhu kungenzeka ngenxa yezimo ezifana nalezi:

• Izifo ezithinta amasosha omzimba: Lezi yizifo lapho amasosha omzimba wethu ehlasela khona amaseli ethu ngephutha. Isibonelo, isifo samathambo esibizwa ngokuthi i-rheumatoid arthritis.
• Izinkinga zegazi: Ezinye izimo zezokwelapha ezihlobene negazi.
• Ukutheleleka: Ukutheleleka emzimbeni okubangelwa izinto ezifana namagciwane namagciwane. Cabanga ngakho njengomkhuhlane noma umkhuhlane.
• I-arthritis yokuvuvukala: Ezinye izimo ezibangela ukuvuvukala nobuhlungu emalungeni.
• Ezinye izinhlobo zomdlavuza: Akuzona zonke izinhlobo zomdlavuza, kodwa ezinye izinhlobo zomdlavuza zingabangela i-ESR ephezulu.

Into ebaluleke kakhulu: Ukuhlolwa kwe-ESR akukwazi ukuqinisekisa noma ukuqeda isifo. Kunikeza umbono wokuthi kukhona yini ukuvuvukala emzimbeni.

Ukuhlolwa kwe-ESR kusebenza kanjani? Kulula kakhulu!

Lokhu ukuhlolwa kwegazi okulula kakhulu. Isampula encane yegazi ithathwa emthanjeni osengalweni yakho. Lokhu kuvame ukwenziwa udokotela we-phlebotomist noma udokotela.

Manje ake sibone ukuthi lokhu kusho ukuthini. I-ESR igama elifushane elithi 'Izinga Lokuthuthwa Kwegazi Elibomvu' . I-'Erythrocyte' amaseli abomvu egazini lethu.Igama lezokwelapha elisho ukuthuthwa kwendle. 'Izinga lokuthuthwa kwendle' yisikhathi esithathayo ukuthi into ethile ihlale phansi kwesitsha esinoketshezi. Ngakho-ke, 'Izinga lokuthuthwa kwendle le-Erythrocyte' (ESR) lisho ukuthi kuthatha isikhathi esingakanani ukuthi amaseli akho abomvu egazi ahlale phansi kwepayipi eliqukethe isampula yegazi.

Cabanga nje, uke wasibona isibani se-lava? Ijeli elingaphakathi liyakhuphuka futhi lehle uma lishiswa ukukhanya bese liyacima. Ngakho-ke, kulokhu, isibani sifana nepayipi lokuhlola elinegazi lakho elithile kulo. Kodwa akukho lutho olushiswayo. Udokotela ubheka ukuthi kuthatha isikhathi esingakanani ukuthi amangqamuzana akho abomvu egazi acwile phansi kwepayipi lokuhlola.

Uma amangqamuzana akho abomvu eshona phansi ngokushesha kunokujwayelekile, kungasho ukuthi unohlobo oluthile lokuvuvukala emzimbeni wakho. Ngoba uma unokuvuvukala, amaprotheni athile egazini lakho ayanda. Lawa maprotheni abangela ukuthi amangqamuzana abomvu egazi ahlangane ndawonye, ​​abe nzima, futhi ashone phansi ngokushesha. Uyaqonda?

Ingabe kukhona okudingeka ngikwenze ngaphambi kokwenza isivivinyo se-ESR?

Cha, awudingi ukwenza noma yini ekhethekile. Ungadla ngendlela evamile, uphuze amanzi, futhi uphuze imithi yakho njengenjwayelo. Udokotela uzokutshela ngalokho.

Kwenzekani ngesikhathi sokuhlolwa?

Umuntu othatha igazi uzoqala ahlanze indawo engalweni yakho lapho kuzokhishwa khona igazi ngesibulali-magciwane . Ngemuva kwalokho, uzofaka inalithi encane emthanjeni bese ethatha igazi elincane. Ngezinye izikhathi, bazokucela ukuthi ucindezele ingalo yakho, okuzosiza igazi liphume kalula.

Uzozwa ubuhlungu obuncane uma uthola inaliti. Uma wesaba izinaliti noma ukubona igazi, ungabi namahloni okusho lokho. Zizokusiza uhlale uzolile.

Ingabe zikhona izingozi ngalolu vivinyo lwe-ESR?

Lokhu kuhlolwa okuphephile kakhulu. Azikho izingozi ezinkulu. Azikho imiphumela emibi.

Ngemva kokukhipha igazi, ingalo yakho ingase ibe buhlungu kancane amahora ambalwa. Bazofaka ibhandishi noma okuthile endaweni lapho igazi likhishwe khona. Kuvamile ukuthi kuphume igazi elincane noma liphenduke libe luhlaza okwesibhakabhaka kancane. Ungakhathazeki ngalokho.

Imiphumela yokuhlolwa kwe-ESR isitshelani?

Ukuhlolwa kwe-ESR kulinganisa ukuthi amangqamuzana akho abomvu egazi acwila ngokushesha kangakanani phansi kwesampula yegazi. Odokotela bavame ukusebenzisa ukuhlolwa okubizwa ngokuthi indlela ye-Westergren . Bafaka isampula yegazi lakho epayipini elikhethekile (ipayipi le-Westergren) bese belinganisa isikhathi esithathwayo ukuze amangqamuzana abomvu egazi acwile phansi.

Udokotela wakho ulinganisa izinga amangqamuzana abomvu egazi ahlala ngalo ngamamilimitha ngehora (mm/hr) , njenge-speedometer emotweni yakho.

Kufanele libe yini inani elijwayelekile le-ESR lobudala bami?

Inani elijwayelekile le-ESR liyahlukahluka kuye ngeminyaka yakho nokuthi ungowesilisa noma owesifazane.

Nakhu ukuthi kuvame ukubukeka kanjani:

• Amadoda angaphansi kweminyaka engama-50 ubudala: 0 - 15 mm/ihora
• Amadoda angaphezu kweminyaka engama-50 ubudala: 0 - 20 mm/ihora
• Abesifazane abangaphansi kweminyaka engama-50 ubudala: 0 - 20 mm/ihora
• Abesifazane abangaphezu kweminyaka engama-50 ubudala: 0 - 30 mm/ihora
• Izingane:0 - 10 mm/ihora (ngezinye izikhathi kufika ku-13 mm/ihora kungaba okuvamile)

Kodwa-ke, la manani angahluka kancane kumuntu nomuntu. Amanye amalabhorethri angaba "nebanga elijwayelekile" elihlukile kancane. Ngakho-ke, udokotela wakho ozobuyekeza umbiko wakho futhi awuchaze ngokunembile.

Kuthiwani uma inani le-ESR liphakeme kunenani elibekiwe?

I-ESR ephezulu kunokuvamile isho ukuthi kungase kube nokuvuvukala endaweni ethile emzimbeni wakho. Uma kunjalo, udokotela wakho uzokutshela ukuthi yini okufanele uyenze ngokulandelayo, ukuthi kufanele wenze izivivinyo ezengeziwe, noma uqale imithi ethile.

Kuthiwani uma inani le-ESR liphansi kunenani elibekiwe?

I-ESR ephansi ngokuvamile ayiyona into okufanele ukhathazeke ngayo. Eqinisweni, abantu abaningi abanempilo bane-ESR engaphansi kwemingcele engenhla. Kodwa-ke, akuwona wonke umzimba ofanayo. I-ESR yabanye abantu ingase ibe phezulu noma iphansi kancane kuneyabanye.

Iyini le 'Modified Westergren Method'?

Odokotela abaningi benza ukuhlolwa kwe-ESR besebenzisa indlela ye-Westergren okukhulunywe ngayo ngaphambilini. Lokhu kuhilela ukufaka isampula yegazi epayipini elikhethekile nokukala isikhathi esithathwayo ukuze amangqamuzana abomvu ahlale phansi.

Kunezinye izindlela, ezivame ukubizwa ngokuthi "izindlela ze-Westergren eziguquliwe." Ezinye izindlela zidinga inani elincane legazi ukuze lithathwe kuwe, ngezinye izikhathi igazi lixutshwa nesisombululo esingenamagciwane, noma kusetshenziswa umshini obizwa ngokuthi i-centrifuge (ojikeleza isampula yegazi ngamandla ukuze uhlukanise izingxenye) ukuze uthole imiphumela esheshayo. Iyiphi indlela udokotela wakho ayisebenzisayo izoncika kulokho akuthandayo kanye nalokho acabanga ukuthi kuzonikeza imiphumela enembe kakhulu.

Odokotela abaningi basasebenzisa indlela ye-Westergren ngoba ifakazelwe ukuthi inikeza imiphumela enembile ngokuhamba kwesikhathi. Ochwepheshe basacwaninga izindlela ezintsha zokuthuthukisa isivinini nokunemba kwalolu vivinyo lwe-ESR.

Ngakho-ke, izinto ezimbalwa zokugcina okufanele uzikhumbule:

Ukuhlolwa kwe-ESR (Erythrocyte Sedimentation Rate) akulona ukuhlolwa okuqondile kokuxilonga - akukwazi ukuqinisekisa ukuthi unesifo noma cha. Kodwa-ke, kunganikeza udokotela wakho umbono osheshayo wokuthi yini ebangela izimpawu zakho. Kungase kudingeke ukuthi uphinde wenze lokhu kuhlolwa ngosuku olulandelayo ukuze ubone ukuthi umzimba wakho usabela kanjani ekwelashweni.

Abanye abantu besaba izinaliti nokubona igazi, futhi kuyahlazisa ukusho lokho. Ungabi njalo. Uma unokwesaba okunjalo, tshela udokotela wakho noma umuntu okhipha igazi lakho. Bazokusiza uhlale uzolile ngaphambi, ngesikhathi, nangemva kokuhlolwa kwe-ESR. Impilo yakho iyona nto ebaluleke kakhulu!

Ukuhlolwa kwe- ESR, ukuhlolwa kwegazi, ukuvuvukala, amaseli abomvu egazi, indlela ye-Westergren, ukuhlolwa kwezempilo, izimpawu