Ake sithi uya kudokotela bese ekunika iphepha elikucela ukuthi uhlole igazi. Uma ubona igama elithi "ESR" libhalwe ngamagama amakhulu kulo, ungase uzizwe wesaba futhi unelukuluku. Ungase ucabange, "Luhlobo luni lokuhlolwa lolu? Ingabe nginesifo esibi?" Kodwa ungesabi nhlobo. Lokhu kuhlolwa kwe-ESR kuwukuhlolwa kwegazi okulula kakhulu okwenziwa njalo, futhi kunikeza nolwazi olubaluleke kakhulu. Namuhla, sizoxoxa ngalokhu kuhlolwa kwe-ESR ngendlela elula kakhulu.
Kuyini ukuhlolwa kwe-ESR kalula?
Igama eliphelele le-ESR yi -Erythrocyte Sedimentation Rate . Manje, ungakhathazeki ngala magama amakhulu. Ake siwahlaziye futhi siqonde.
- I-Erythrocyte (ebizwa ngokuthi i-erythrocyte) igama lezokwelapha lamaseli abomvu egazini lethu.
- Izinga lokuthuthwa kwamanzi yizinga lapho into ingena khona oketshezini bese ifinyelela phansi.
Ngakho-ke, kafushane nje, ukuhlolwa kwe-ESR kulinganisa ukuthi amangqamuzana abomvu egazi kusampula yegazi lakho afakwe kuthubhu yokuhlola eklanyelwe ngokukhethekile ahlala ngokushesha kangakanani phansi kwethubhu.
Cabanga ngale ndlela. Uma sifaka amanzi engilazini bese sifaka isihlabathi kuyo, izinhlayiya zesihlabathi zizocwila kancane kancane ziye phansi kwengilazi. Kwenzeka into efanayo ekuhlolweni kwe-ESR. Kodwa lapha, esikhundleni sesihlabathi, sinamaseli akho abomvu egazi. Ukuthi la maseli abomvu egazi acwila ngokushesha kangakanani phansi kulinganiswa ngaphezu kwehora. Leso sivinini siqoshwe embikweni njengenani lakho le-ESR.
Kungani udokotela ekucela ukuthi wenze lolu vivinyo lwe-ESR?
Manje ungase ucabange, "Yini esingayifunda ngokulinganisa isivinini lapho amangqamuzana abomvu egazi eshona khona phansi?" Empeleni, lokhu kungakunikeza umbono ngento ebaluleke kakhulu. Okungukuthi, ngabe kukhona yini ukuvuvukala endaweni ethile emzimbeni wakho.
Kuyini "Ukuvuvukala"? Ake sikuqonde kalula. Ake uzicabange unesilonda esincane esandleni sakho. Isilonda sibomvu kancane, sivuvukile, futhi sizwakala sishisa. Yilokho ukuvuvukala okuyikho. Lokho kusho ukuthi amasosha omzimba wakho, okungukuthi, "ibutho" lomzimba, lilwa namagciwane azama ukungena ngenxeba. Lokhu kulwa yikho okubangela ukuba indawo ibe bomvu futhi ivuvuke.
Ngokufanayo, ukuvuvukala kungenzeka ezithweni zomzimba ngezizathu ezahlukahlukene. Isibonelo, kungaba ngenxa yokutheleleka ngamagciwane, ukutheleleka ngegciwane, noma esinye isimo sezokwelapha.
Into ebalulekile ukuthi, ukuhlolwa kwe-ESR kufana ne-alamu yentuthu endlini. Iyakhala uma kukhona intuthu noma kuphi endlini. Kodwa ayikutsheli ukuthi umlilo usekhishini, egumbini lokuphumula, noma yini evuthayo. Kufanele ubheke ngokwehlukana ukuze uthole lokho. I-ESR iyafana.Kunikeza kuphela 'isibonakaliso' sokuthi kukhona ukuvuvukala endaweni ethile emzimbeni. Akukutsheli ngqo ukuthi siyini lesi sifo.
Udokotela wakho usebenzisa lolu vivinyo lwe-ESR kanye nezimpawu zakho ukuze athole isithombe esikhulu. Lungakunikeza izinkomba mayelana nezimo ezifana nalezi ezilandelayo:
- Ukutheleleka: Ukutheleleka okuhlukahlukene kwamagciwane noma amagciwane emzimbeni.
- Izifo ezizenzakalelayo: Lokhu kwenzeka lapho amasosha omzimba ehlasela amangqamuzana omzimba aphilile. Isibonelo, izifo ezifana ne-rheumatoid arthritis kanye ne-lupus.
- I-arthritis yokuvuvukala: Izimo ezibangela ukuvuvukala nobuhlungu emalungeni.
- Ezinye izinhlobo zomdlavuza: Akuzona zonke izinhlobo zomdlavuza, kodwa ezinye izinhlobo zomdlavuza zingabangela i-ESR ephezulu.
- Izinkinga zegazi
Ngingalungiselela kanjani lolu vivinyo?
Lena yingxenye engcono kakhulu. Awudingi ukwenza lutho olukhethekile ngokuhlolwa kwe-ESR.
- Akudingeki uzile ukudla amahora amaningi njengezinye izivivinyo zegazi.
- Ungadla futhi uphuze ngendlela evamile.
- Uma unemithi oyiphuza nsuku zonke, ungayiphuza njengenjwayelo.
Kodwa-ke, kubaluleke kakhulu ukutshela udokotela wakho ngemithi oyiphuzayo, njengoba eminye imithi ingaba nomthelela omncane enanini le-ESR.
Kwenzekani ngesikhathi sokuhlolwa?
Lokhu kufana nanoma yikuphi ukuhlolwa kwegazi okuvamile ukukwenza.
Udokotela, umhlengikazi, noma uchwepheshe webhubhu uzothatha igazi elincane elivela emthanjeni ongalweni yakho alifake kwisirinji. Okokuqala, bazohlanza indawo ngento efana notshwala. Ngemuva kwalokho, njengoba inaliti ifakwa emthanjeni, ungase uzizwe ushaqekile kancane ngogesi. Lokhu kuzophela ngemizuzwana embalwa.
Abanye abantu bayesaba kancane izinaliti nokubona igazi. Akuyona into yokuhlazeka noma yokufihla. Uma unokwesaba noma ukungakhululeki okufanayo, tshela umuntu othatha igazi. Bazokusiza uhlale uzolile.
Ngemva kokukhipha igazi, uzocelwa ukuthi ubeke iplasta encane noma ucezu lukakotini phezu kwendawo yenaliti bese uyibamba endaweni yayo. Indawo ingase ibe nemihuzuko kancane, ibe luhlaza okwesibhakabhaka, noma ibe buhlungu kancane amahora ambalwa. Lokhu kuvamile.
Ungawuchaza kanjani umbiko we-ESR? (Yiziphi izindinganiso ezijwayelekile?)
Inani elisembikweni wakho we-ESR liqoshwa ngama -mm/hr . Lokho kusho ukuthi "amamilimitha ngehora." Njengoba nje ijubane lemoto lilinganiswa ngamakhilomitha ngehora.
Amanani ajwayelekile e-ESR ayahlukahluka kuye ngobudala nobulili bomuntu. Kodwa khumbula, lawa ngamanani ajwayelekile nje. Kungase kube nokwehluka okuncane phakathi kwama-laboratory. Ngakho-ke, udokotela wakho kuphela ongakunikeza incazelo engcono kakhulu yombiko wakho.
Nasi ithebula lamanani amukelwa ngokuvamile.
| Ubudala nobulili | Inani elijwayelekile le-ESR (mm/hr) |
|---|---|
| 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 ezincane | 0 - 10 mm/ihora |
Kusho ukuthini ukuthi i-ESR 'iphezulu'? Ingabe kufanele ngikhathazeke?
Uma i-ESR yakho iphakeme kunokujwayelekile, kusho ukuthi kukhona ukuvuvukala endaweni ethile emzimbeni wakho. Uma kukhona ukuvuvukala emzimbeni, amaprotheni athile egazini ayanda. Lawa maprotheni abangela ukuba amangqamuzana abomvu egazi anamathele ndawonye, akhe amaqoqo amancane, akhuluphale, futhi acwile ngokushesha phansi kwepayipi lokuhlola. Yingakho i-ESR iphezulu.
I-ESR ephezulu akusho ukuthi unesifo esibi kakhulu. Kunezinto ezilula ezingasibangela, kanye nezinto ezidinga ukunakekelwa.
Izimbangela ezivame kakhulu ze-ESR ephezulu:
- Ukutheleleka: Ukutheleleka okwenzeka noma kuphi emzimbeni, njenge-pneumonia, i-appendicitis, kanye nesifo sofuba.
- Izifo ezizenzakalelayo: Izimo ezifana ne-rheumatoid arthritis kanye ne-lupus.
- Ukulimala kwezicubu: Ngemva kokulimala okukhulu noma ukuhlinzwa.
- Ezinye izinhlobo zomdlavuza: njenge-lymphoma noma i-multiple myeloma. (Nalapha futhi, i-ESR ephezulu akusho ukuthi umdlavuza.)
- Ezinye izimo: ukukhulelwa, i-anemia (ukuntuleka kwegazi), ukuguga, isifo se-thyroid, isifo sezinso.
Udokotela uzofinyelela esiphethweni ngokuqhathanisa inani lakho le-ESR nezimpawu zakho (njengomkhuhlane, izinhlungu zomzimba, ukwehla kwesisindo), ukuhlolwa ngokomzimba, kanye nezinye izivivinyo uma kudingeka (njenge-CRP, i-Full Blood Count).
Kuthiwani uma inani le-ESR 'liphansi'?
I-ESR ephansi kunejwayelekile ngokuvamile ayiyona inkinga. Abantu abaphilile bavame ukuba ne-ESR ephansi. Ngakho-ke asikho isizathu sokukhathazeka nge-ESR ephansi.
Kodwa-ke, akuvamile kakhulu, ezinye izimo zezokwelapha ezithile zingabangela i-ESR ephansi ngendlela engavamile. Isibonelo, izimo ezifana ne-polycythemia, isifo lapho amangqamuzana abomvu egazi ekhiqizwa khona ngokweqile, noma i-sickle cell anemia. Kodwa lezi azivamile kakhulu. Uma udokotela wakho esola lokhu, uzokwenza izivivinyo ezidingekayo.
Uyini umehluko phakathi kwendlela ye-Westergren nezinye izindlela?
Umbiko wakho ungase ukhulume "ngendlela ye-Westergren." Lena yindlela ejwayelekile esetshenziswa kakhulu yokwenza isivivinyo se-ESR emhlabeni jikelele. Ihilela ukufaka igazi epayipini lokuhlola elikhethekile, ukulishiya ihora, nokukala ibanga elihlala amaseli abomvu egazi.
Ngaphezu kwalokho, kunezindlela ezibizwa ngokuthi "izindlela ze-Westergren eziguquliwe". Ezinye zidinga igazi elincane, ezinye zisebenzisa imishini (ama-centrifuge) futhi zinikeza imiphumela ngokushesha. Kodwa indlela ye-Westergren okukhulunywe ngayo ekuqaleni iseyindlela ethembeke kakhulu futhi esetshenziswa kakhulu. Akunandaba kuwe ukuthi iyiphi indlela esetshenziswa yilabhorethri yakho. Okubalulekile umphumela owutholayo nokuthi udokotela uwuchaza kanjani.
Umlayezo Wokuya Nawe Ekhaya
- I-ESR ukuhlolwa kwegazi okulula okuhlola ukuvuvukala emzimbeni.
- Lokhu akukwazi ukuxilonga noma yisiphi isifo ngokuqinisekisiwe. Kufana ne-alamu yentuthu, kunikeza inkomba yokuthi kunenkinga.
- Kunezizathu eziningi zokuthi kungani inani le-ESR lingakhuphuka, njengokutheleleka, izifo zamalunga, nokukhulelwa. Ngakho-ke, ungesabi ukugula okungathi sína ngoba nje inani lakho le-ESR liphezulu.
- Inani eliphansi le-ESR ngokuvamile aliyona inkinga.
- Udokotela wakho ungumuntu ongcono kakhulu ukuthola incazelo ephelele yamanani embikweni wakho nokuthi asho ukuthini. Ungenzi izinqumo ngokusekelwe olwazini oluku-inthanethi. Khuluma nodokotela wakho njalo.
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