ESR
ESR inomirira erythrocyte sedimentation chiyero. Inowanzozivikanwa se "sed rate."
Iko bvunzo ino nongedza nenzira isina kunangana kuti kuzvimba kuri mumuviri zvakadii.
Muenzaniso weropa unodiwa. Kazhinji yenguva, ropa rinotorwa kubva mutsinga iri mukati megokora kana kumashure kweruoko. Muenzaniso weropa unoendeswa kubazi.
Muedzo unoyera masero matsvuku eropa (anonzi erythrocyte) anodonhera pasi pezasi kwetepu refu, yakaonda.
Iko hakuna nhanho dzakakosha dzinodiwa kugadzirira bvunzo iyi.
Unogona kunzwa kurwadziwa kushoma kana kurumwa kana tsono yaiswa. Iwe unogona zvakare kunzwa kumwe kurovera panzvimbo iyi mushure mekudhonzwa kweropa.
Zvikonzero nei "sed chiyero" chingaitwe dzinosanganisira:
- Mhepo isina kutsanangurwa
- Dzimwe mhando dzekutambudzika kwekubatana kana arthritis
- Tsvina zviratidzo
- Zvimwe zviratidzo zvisina kujeka izvo zvisingakwanise kutsanangurwa
Bvunzo iyi inogona zvakare kushandiswa kuongorora kana chirwere chiri kupindura kurapwa.
Muedzo uyu unogona kushandiswa kuongorora hutachiona hwehutachiona kana gomarara. Izvo hazvishandisirwe kuongorora yakatarwa kusagadzikana.
Nekudaro, iyo bvunzo inobatsira pakuona uye kuongorora:
- Autoimmune kusagadzikana
- Zvirwere zvepfupa
- Mamwe mafomu eArthritis
- Zvirwere zvinopisa
Zvevakuru (nzira yeWestergren):
- Varume vari pasi pemakore makumi mashanu ekuberekwa: asingasviki gumi nemashanu mm / hr
- Varume vanopfuura makore makumi mashanu ekuberekwa: asingasviki makumi maviri mm / hr
- Vakadzi vari pasi pemakore makumi mashanu ekuberekwa: asingasviki 20 mm / hr
- Vakadzi vanopfuura makore makumi mashanu ekuberekwa: asingasviki 30 mm / hr
Zvevana (nzira yeWestergren):
- Achangoberekwa: 0 kusvika 2 mm / hr
- Achangoberekwa pakuyaruka: 3 kusvika 13 mm / hr
Ongorora: mm / hr = mamilimita paawa
Zvakajairika kukosha masenduru anogona kusiyana zvishoma pakati pemarabhoritari akasiyana. Taura nemupi wako wezvehutano nezve zvinorehwa nemimwe miedzo yako.
ESR isina kujairika inogona kubatsira nekuongororwa, asi hazviratidze kuti une imwe mamiriro. Mimwe bvunzo inowanzo kuve inodiwa nguva dzose.
Kuwedzera ESR mwero kunogona kuitika kune vanhu vane:
- Anemia
- Gomarara senge lymphoma kana akawanda myeloma
- Chirwere cheitsvo
- Kubata pamuviri
- Utachiona chirwere
Ma immune immune anobatsira kudzivirira muviri kuzvinhu zvinokuvadza. Dambudziko rekuzvidzivirira mumuviri ndere apo immune system inorwisa zvisirizvo uye nekuparadza hutano hwemuviri. ESR inowanzo kuve yakakwira kupfuura zvakajairika mune vanhu vane autoimmune kusagadzikana.
Zvinowanzoitika autoimmune kusagadzikana zvinosanganisira:
- Lupus
- Polymyalgia rheumatica
- Rheumatoid arthritis muvakuru kana vana
Akakwirira kwazvo ESR mazinga anoitika aine mashoma zvakajairwa autoimmune kana zvimwe zvinetswa, zvinosanganisira
- Allergic vasculitis
- Giant cell arteritis
- Hyperfibrinogenemia (yakawedzera fibrinogen mazinga muropa)
- Macroglobulinemia - yekutanga
- Necrotizing vasculitis
Kuwedzera ESR mwero kunogona kunge kuri nekuda kwehumwe hutachiona, kusanganisira:
- Muviri wese (systemic) hutachiona
- Zvirwere zvepfupa
- Kutapukirwa kwemoyo kana mavharuvhu emwoyo
- Rheumatic fever
- Zvirwere zvakakomba zveganda, senge erysipelas
- Tiibhii
Kuderera-kupfuura-kwakajairwa mazinga anoitika ne:
- Kuunganidzwa kwemoyo kukundikana
- Hyperviscosity
- Hypofibrinogenemia (yakaderera mafirinogen mazinga)
- Leukemia
- Low plasma protein (nekuda kwechiropa kana chirwere cheitsvo)
- Polycythemia
- Sickle cell anemia
Erythrocyte sedimentation chiyero; Chiyero cheSed; Sedimentation mwero
Pisetsky DS. Kuongororwa kwerabhoritari muzvirwere zve rheumatic. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: chitsiko 257.
Vajpayee N, Graham SS, Bem S. Yekutanga kuongorora kweropa nemongo wemapfupa. Mune: McPherson RA, Pincus MR, eds. Henry's Clinical Diagnosis uye Management nemaLabhoritari Maitiro. 23rd ed. St Louis, MO: Elsevier; 2017: chits.