Kusarudza kweER mumishonga pasi rose kunomiririra kuongororwa ropa re laboratory. Ichi chiratidzo chinokosha pakuongororwa kwezvirwere zvakawanda, kuongorora kushanda kwemaitiro avo uye kubudirira kwehutano hwakarongwa. Nokuti pane imwe tsika ye ESR inowanikwa nevakadzi nezera, tafura yevhidhiyo zviratidzo zvichabatsira kuziva kusakanganiswa.
Chii chinonzi ESR?
Iyo erythrocyte sedimentation rate (ESR), iyo dzimwe nguva inonzi inonzi erythrocyte sedimentation (ESR), inoratidza chiyero che plasma mapuroteni zvikamu. Erythrocytes masero matsvuku eropa anotakura okisijeni kuburikidza nemuviri. Iyo ndiyo inonyanya kukosha ye plasma, uye iri pasi pesimba rekusimudzira mune sarudzo yakasarudzwa yeropa inowanikwa mumutambo wekuedza, erythrocytes nenzira yechikamu chiduku cheruvara rweruvara ruvara kubva pasi, pasi. Muyero iwoyo majekiseni eropa anogadzirisa anonyanya kuvimba nehuwandu hwekubatana kwavo, i E. kukwanisa kubatana pamwechete.
Ichi chiratidzo chepanyama chinowanzoongororwa panguva yeropa rekuongorora. Zvichienderana nedzimwe nzira dzinoshandiswa, sampu yeropa inogona kusarudzwa:
- kubva kune-vein-nenzira yeVestergrena;
- kubva pamunwe - paanoita kuongorora nenzira yePanchenkov.
Kuti uwane mhinduro yakavimbika, inofadza kutevedzera mitemo inotevera:
- usadya maawa matanhatu nemaviri asati atora ropa;
- kurega mafuta, zvakaoma-ku-digest zvokudya newaini zuva risati rasvika;
- Kuchengeta kubvuma kwemishonga kwezuva risati rasvika (kana zvichidiwa kuti uone chiremba).
Mutengo we erythrocyte sedimentation maererano naWestergren
Kusarudza kweE ESR naWestergren inzira inowanikwa munyika yose yezvokurapa, inoratidzwa nehukuru hwekunzwisisa, kururamisa nekukurumidza kwekushandiswa. Izvozvo zvakasarudzwa zvinoshandiswa kuongororwa zvinosanganiswa mune chimwe chikamu nechirwere cheanticoagulant chiito ne sodium citrate mune imwe bhuruu ine chiyero chakapedza muna 200 mm. Zvadaro samuenzaniso inosara ichienda kune imwe nguva (1 awa) iyo erythrocyte sedimentation inowanikwa. ESR inotsanangurwa mumami kweawa imwe kuti iyanise hupamhi hwepamusoro-soro yepamusoro-soro yeropa risingafungi nezvechidimbu.
Mutengo we erythrocyte sedimentation maererano nePanchenkov
Kushandiswa kwePanchenkov nzira yekuverenga kweEuro muropa kunofungidzirwa sechinhu chisina nguva, asi tsika inoramba ichinyanya kuwanikwa muma laboratori mazhinji enyika yedu. Ropa rakasarudzwa rinosanganiswa ne anticoagulant sodium citrate uye yakaiswa mune imwe nyanzvi yemapilisa, yakapedzerwa nemapato zana. Pashure peawa, kuparadzaniswa kwepamusoro pe plasma yakatarwa. Chiyero che erythrocyte sedimentation chichava mugumisiro nechiyero chekuyera "mm".
Mutengo we ESR muropa revakadzi
Iyo yakasimbiswa kuti muyero we ESR muropa unosiyana zvichienderana nezvimwe zvikonzero:
- huro hwemunhu;
- age;
- kuvapo kwehutano hwehutano;
- mumwe munhu unhu hwemhuka;
- hormonal change, nezvimwewo.
Kazhinji, kana chiyero che erythrocyte sedimentation chiri kuongororwa, chimiro chevakadzi chinodarika tsika dzinowanikwa mumarume. Nhamba iyi inopesana zvishoma panguva yemasikati, maitiro ayo akasiyana anoonekwa pane isina chinhu mudumbu uye mushure mekudya. Mumuviri wevakadzi, muyero we ESR unofananidzwa zvikuru nehutachiona hwakasiyana, hunopesana nezera uye nehutano hwakasiyana-siyana (kuenda kumwedzi, pamuviri, kumwedzi).
ESR - chimiro chevakadzi nezera
Kuti uwane hunhu chaihwo hwe ESR kuvakadzi vane hutano hwehutano hwakanaka, miongororo yakawanda yakaitwa, zvichienderana neshandanisi yematauriro akawanikwa. ESR - iyo inowanikwa nevakadzi nezera, tafura inoratidza nguva dzinotevera dzehupenyu:
- mwana wechidiki;
- kubereka;
- nguva yekuenda kumwedzi.
Zera remukadzi | Mhedzisiro yemugariro we ESR, mm / h |
kusvika makore 13 | 4-12 |
13-18 ane makore | 3-18 |
18-30 wemakore | 2-15 |
30-40 wemakore | 2-20 |
40-60 wemakore | 0-26 |
mushure memakore makumi matanhatu | 2-55 |
ESR mukudzivirira
Munguva yekubereka mwana, muyero we erythrocyte sedimentation chiratidzo chekukosha chekuongorora kweyerythrocyte sedimentation rate, iyo inowanzo iyo vakadzi vane pamuviri nemitemo yakasiyana maererano nekushanduka kwehutachiona hwemahomoni anokonzera kuumbwa kweropa kunopesana. Mukuwedzera, ukama hwechiratidzo ichi mumadzimai ane pamuviri ane mutemo wemuviri wakaratidzwa. Nokudaro, tafura iri pasi apa inoratidza chiyero che ESR kuvakadzi hachisi maererano nezera, asi zvichienderana nemakore ekugadzirisa uye muviri werudzi:
Mutumbi wemhando yemukadzi ane pamuviri | ESR chidimbu muhafu yekutanga yekuzvitakura, mm / h | ESR chidimbu muhafu yepiri yekuzvitakura, mm / h |
| complete | 18-48 | 30-70 |
thin | 21-62 | 40-65 |
Mutengo we erythrocyte sedimentation unowedzerwa - izvi zvinorevei?
Kuwedzerwa kwekugadzirisa eerythrocytes uye ESR kunowedzera nekuwedzera kweropa reprotein zvinokonzera, zvichiita kuwedzera kwekubatanidzwa kwezvikamu izvi. Kazhinji, mapuroteni aya ane zviratidzo zvekuvhiringidza kunoonekwa muropa: fibrinogen, immunoglobulin, peruloplasmin, nezvimwe. Tinofanira kucherechedza kuti kuongorora kweE ES hakusi yakananga uye hazvibviri kugadzirisa rudzi uye nzvimbo yezvokuvhiringidza mumuviri. Mukuwedzera, ESR pamusoro pezvigadzirwa zvinowanikwa kune dzimwe zvirwere zvisiri izvo zvinopisa.
ESR inowedzera - zvikonzero
Paanenge achidudzira mhinduro kana chirongwa che erythrocyte sedimentation chiwedzerwa, mamwe ropa anoverengeka uye mamwe maitiro ekuongororwa anotorwa kuti ave nechokwadi chekuongororwa inotorwa. Mutengo we erythrocyte sedimentation naWestergren yakakwirira pane yakasarudzwa mumatambudziko makuru anotevera:
- zvirwere zvinotapukira uye zvinoputika zvebhakitiriya, hutachiona, fungal nature (ARVI, pneumonia, tuberculosis, sepsis, urinary tract infections, etc.);
- zvirwere zvinodzivirira ( vasculitis , systemic lupus, scleroderma);
- maronda anonyangadza;
- chirwere chechiropa, bile ducts, pancreas;
- endocrine zvirwere (thyrotoxicosis, chirwere cheshuga cheshuga );
- kushungurudzika, kuputika, mamiriro mushure mekuvhiyiwa;
- myocardial infarction ;
- kudhakwa nezvinhu zvinokuvadza;
- zvinopisa;
- anemia nedzimwe zvirwere zveropa;
- diarrhea;
- kubuda ropa;
- zvinokonzera kugadzirisa;
- kutora mimwe mishonga, nezvimwewo.
ESR inowedzera - chii chaunofanira kuita?
Sezvo kuwedzera kwe ESR hakusi pane zvose zvinokonzerwa nehutano hunokonzera, zvinotanga kudiwa kuongorora zvose zvinokonzerwa nekugumbusa kwepanyama, kusabvisa zvikanganiso zvingangodaro mukuongorora. Apo kutsvaga chirwere chinokonzera kuwandisa kwemaitiro akaenzana, zvakakosha kugovera huwandu hwezvidzidzo, kuongororwa kwevanyori vezvokurapa vemapurogiramu akasiyana. Mishonga inogadziriswa maererano nezvinoonekwa nechirwere.