Ngezinye izikhathi uma uya kudokotela, ubhala ukuhlolwa kwegazi, akunjalo? Kumelwe ukuthi ubonile izinhlamvu ezintathu ezithi 'ESR' kuyo. Abantu abaningi bacabanga ukuthi, 'Kuyini lokhu kwe-ESR?' uma bekubona. Empeleni kunikeza inkomba ebalulekile ngenkinga ethile emizimbeni yethu. Ngakho-ke namuhla, ake sixoxe ngokuthi iyini le ESR, ukuthi kungani yenziwa, nokuthi umbiko uthini.
Kuyini i-ESR kalula?
I-ESR isifinyezo samagama amade athi 'Izinga Lokuthuthwa Kwegazi Elibomvu'. NgesiSinhala, lisho ijubane lokuthuthwa kwegazi. Kodwa akekho kithi osebenzisa lelo gama elide, sivame ukuthi nje i-ESR.
Lokhu ukuhlolwa kwegazi okulula kakhulu. Kuhlola ngokuyisisekelo ukuthi "unokuvuvukala" noma kuphi emzimbeni wakho. Ukuvuvukala, kalula nje, ukuvuvuka endaweni ethile emzimbeni wethu okubangelwa ukutheleleka, ukulimala, noma esinye isimo sezokwelapha.
Cabanga ngale ndlela. Uthatha inani elincane legazi lakho, ufake amangqamuzana abomvu epayipini elincane, elide lengilazi (ipayipi lokuhlola) bese uwashiya lapho cishe ihora. Ngokuvamile, ngokuhamba kwesikhathi, lawa maseli abomvu egazi azohlala phansi kwepayipi. Kodwa-ke, uma kukhona ukuvuvukala endaweni ethile emzimbeni wakho, amaprotheni akhethekile egazini abangela ukuthi lawa maseli abomvu egazi anamathele ndawonye futhi akhe amaqoqo amancane. Ngenxa yokuthi lawa maqoqo asindayo, acwila phansi kwepayipi ngokushesha kunamaseli avamile angawodwa.
Ukuhlolwa kwe-ESR kulinganisa isivinini lapho amangqamuzana abomvu ecwila khona phansi. Lapho amangqamuzana ecwila ngokushesha phansi, kulapho kuba nokuvuvukala okukhulu emzimbeni.
Kunini lapho udokotela eyalela khona ukuhlolwa kwe-ESR?
Uma unesinye noma ngaphezulu kwalezi zimpawu ezingezansi, udokotela wakho angase ancome lolu vivinyo ukuze asize ekutholeni imbangela.
- Ikhanda elibuhlungu eliqhubekayo
- Ukuvuvukala, ukuqina, kanye nobuhlungu emalungeni
- Ubuhlungu entanyeni, emahlombe, noma ethangeni
- Isifiso sokudla
- Ukwehlisa isisindo ngaphandle kwesizathu esithile
Nakuba ukuhlolwa kwe-ESR kukodwa kungakwazi ukuxilonga isifo, kunikeza inkomba ebalulekile yokubheka izimo zezokwelapha ezilandelayo:
| Isimo | Incazelo Elula |
|---|---|
| Ukutheleleka emzimbeni | Ikakhulukazi izinto ezifana nokutheleleka kwamathambo. |
| Umdlavuza | Ezinye izinhlobo zomdlavuza zingandisa ukuvuvukala emzimbeni. |
| Isifo Samathambo Esibangelwa Yi-Rheumatoid | Okwenzekayo kulokhu ukuthi amasosha ethu omzimba ahlasela amalunga ethu. |
| I-Lupus | Lokhu kuyinkinga futhi ngohlelo lokuzivikela komzimba. Kungalimaza isikhumba, amalunga, kanye nezinye izitho zomzimba. |
| Ezinye izimo zokuvuvukala | Isibonelo, izimo ezinjengokuvuvukala kwemithambo yegazi (i-Systemic Vasculitis) noma ukuqina kwemisipha nobuhlungu (i-Polymyalgia Rheumatica). |
Futhi, uma usuvele uthola ukwelashwa kwesimo esifana nalesi, odokotela basebenzisa lolu vivinyo lwe-ESR ukuze babone ukuthi ukwelashwa kusebenza kahle kangakanani kuwe . Uma ukwelashwa kuphumelele, inani le-ESR kufanele lehle kancane kancane.
Ngizilungiselela kanjani lokhu kuhlolwa kwegazi?
Asikho isidingo sokwenza noma yini ekhethekile ukuze ulungiselele lokhu, njengokungadli noma ukungaphuzi. Kodwa-ke, kunezinto ezimbalwa okufanele uzitshele udokotela wakho ngaphambi kokuhlolwa.
- Noma yimiphi imithi oyithathayo (kufaka phakathi amavithamini noma izithasiselo).
- Lokho kwenzeka uma ukhulelwe.
- Okusho ukuthi, ngezinsuku lapho uya esikhathini.
Ngoba lezi zinto zingathinta inani le-ESR. Elabhorethri, umhlengikazi uzothatha isampula yegazi elincane emthanjeni osengalweni yakho. Ungase uzwe ubuhlungu obuncane lapho inaliti ifakwa, kodwa buzophela ngemizuzu embalwa. Ngemuva kwalokho kuzofakwa iplasta encane endaweni.
Usho ukuthini umbiko we-ESR?
Ngokuvamile ungathola umbiko ngehora elilodwa noma amabili. Inani elisembikweni lingamamilimitha ngehora (mm/ihora). Lokhu kusho ukuthi amangqamuzana abomvu egazi asewele kangakanani phansi kwepayipi ngehora elilodwa.
Amanani ajwayelekile e-ESR ayahlukahluka kumuntu nomuntu, kuye ngobudala nobulili.
| Iqembu | Inani elijwayelekile le-ESR ku-mm/ihora |
|---|---|
| Amadoda angaphansi kweminyaka engama-50 ubudala | 0 - 15 |
| Amadoda angaphezu kweminyaka engama-50 ubudala | 0 - 20 |
| Abesifazane abangaphansi kweminyaka engama-50 ubudala | 0 - 20 |
| Abesifazane abangaphezu kweminyaka engama-50 ubudala | 0 - 30 |
| Izingane | 0 - 10 |
Ezinye izizathu zokwanda kwe-ESR:
I-ESR ephezulu akuyona njalo uphawu lokugula okukhulu. Izizathu ezilandelayo zingadala ne-ESR ephezulu:
- I-anemia
- Ukuguga
- Izinkinga zezinso
- Izifo ze-thyroid
- Ukukhulelwa noma ukuya esikhathini
- Amafutha amaningi emzimbeni
- Eminye imithi, njengamaphilisi okuvimbela inzalo kanye ne-vitamin A
Ingabe i-ESR yodwa yanele ukuxilongwa?
Lena yinto ebaluleke kakhulu. Cha, inani le-ESR lodwa alanele ukuxilonga isifo.
Khumbula, ukuhlolwa kwe-ESR kukutshela kuphela uma kukhona ukuvuvukala emzimbeni. Akukwazi ukukutshela ngqo ukuthi kukuphi noma ukuthi kubangelwa yini. Kufana nokubona intuthu kodwa ungakwazi ukubona ngqo ukuthi umlilo ukuphi.
Ngakho-ke, udokotela wakho angase acele ezinye izivivinyo eziningana ngaphezu kwenani le-ESR.
- Ukuhlolwa kwe-CRP (i-C-reactive protein): Lokhu okunye ukuhlolwa kwegazi okubalulekile okubheka ukuvuvukala.
- Okunye ukuhlolwa kwegazi: Okunye ukuhlolwa okuqondile kuye ngezimpawu.
- Ukuhlolwa Kwezithombe: Ukuhlolwa okufana ne-X-ray kanye nokuskena.
- Ukuhlolwa kwebhayoloji:Ngezinye izikhathi, kuthathwa ingxenye encane yezicubu ezithintekile bese ihlolwa.
Ngakho-ke, kubalulekile ukuxoxa ngombiko wakho we-ESR kanye nanoma yiziphi ezinye izivivinyo okudingeka zenziwe nodokotela wakho. Nguye ozohlanganisa konke lokhu, anqume isimo sakho esiqondile, futhi akunikeze ukwelashwa okudingekayo.
Umlayezo Wokuya Nawe Ekhaya
- I-ESR ukuhlolwa kwegazi okulula okuhlola ukuvuvukala emzimbeni.
- I-ESR ephezulu iyisibonakaliso esiyisixwayiso sesimo sezokwelapha, kodwa akuyona inkinga ngokwayo.
- Amanani e-ESR angashintsha ngenxa yezizathu ezingezona ezezokwelapha njengokukhulelwa, ukuguga, kanye nemithi.
- Hlala uthintana nodokotela wakho ukuze uqonde incazelo yombiko wakho we-ESR nokuthi yiziphi izinyathelo okufanele uzithathe ngokulandelayo.
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