ESR ndi Westergren - ndichiyani?

Pakali pano, njira kuyeza erythrocyte sedimentation mlingo wa Westergren ndi Buku. Njira imeneyi anagwiritsidwa ntchito koyamba mu 1926, ndipo chimagwiritsidwa ntchito mankhwala amakono ku matenda a matenda ena, makamaka kwa kudziwika kutupa kubisika.

Kodi pa erythrocyte sedimentation mlingo (ESR)?

Zochita ano madokotala, njira ya liwiro muyeso wa erythrocyte sedimentation mu chubu ofukula ndi matenda njira kwambiri ophweka ndi Kufikika. kafukufuku amenewa amathandiza magazi kuti adziwe kupezeka kwa kutupa, koma tisaiwale kuti chithunzi izi si yeniyeni ndi zingasiyane malingana ndi mmene zinthu zosiyanasiyana.

Kuthetsa maselo ofiira ikuchitika mu magawo atatu. Choyamba, erythrocytes ndi adatchithisira pansi mayeso chubu ndi pang'onopang'ono kupatukana Chrixitu. Mu gawo lachiwiri maselo ofiira akaphatikiza ndi kupanga otchedwa "ndalama mizati" - tsopano atakhala mofulumira. Pa chomaliza aumbike mwa ambiri mayunitsi - mafunsidwe wawo woyamba kubweza, kenako kuima pa onse.

Choncho, m'galasi anapanga zigawo ziwiri - anakonza pa pansi pa aggregated maselo ofiira, ndi kumtunda kwa plasma asonkha leukocytes. Westergren ESR pa akhoza akuti ndi kuyeza kutalika kwa anapanga wosanjikiza mandala pamwamba pa madzi. Kuwayeza mlingo mu mamilimita / h.

Kodi ESR ndi Westergren?

Monga tanenera, njirayi ndi kupezeka ndi zosavuta kugwira. Choyamba tiyenera oyimba apadera cylindrical chubu 0.5 ml ya citrate ndi sodium (iwo ukuchita monga nthumwi anticoagulant) ndi 2 ml magazi venous. Tsopano kudzazidwa chubu anaikidwa vertically mu pachithandara ndi kusiya kwa ola limodzi. Patapita nthawi yoikidwayo, muyenera kuyeza kutalika kwa wosanjikiza popangidwa ndi madzi a m'magazi a.

ESR ndi Westergren: zizindikiro amaonedwa zabwinobwino?

Ndipotu liwiro sedimentation maselo a magazi zimadalira msinkhu ndi kugonana wodwala. Mwachitsanzo, magazi akhanda ndi nkhawa mapuloteni globulin, Koma sedimentation mathamangidwe ndi deceleration ndi za 2 mm paola. Kwa zaka ziwiri chithunzi ichi kuchuluka kwa 4-17 mm.

Abambo ndi anyamata zaka zoposa 10 ESR zimasiyanasiyana 2 10 mm. Akazi n'chokwera - 2-15 mamilimita paola. Ngati ife kulankhula za zotsatira za mayesero magazi a anthu okalamba, akazi ESR ndi ku mamilimita 2 53, ndi nthumwi za kugonana mphamvu - 2-38 mamilimita / ola.

Chifukwa muyeso ESR malinga Westergren akweza?

Kuwonjezeka mlingo sedimentation maselo a magazi, amaonera ndi kuwonjezeka mu mamolekyulu magazi mapuloteni, makamaka fibrinogen, magulu ena ndi paraproteins globulins. Choncho, matenda alionse amene amachititsa kusintha ngati magazi kungayambitse kusintha mu ESR. Nthawi zambiri izi zimachitika chifukwa cha ntchito za matenda kapena kutupa. zifukwa monga mapangidwe nyumba zilonda, magazi m'thupi, poizoni ena poizoni. ESR kumawonjezera ndi chibayo, infarctions, matenda a chiwindi ndi impso, kuvulala fupa, matenda a shuga ndi matenda ena a dongosolo endocrine.

ESR ndi Westergren downgraded: Zoyambitsa

Childs, kuchepetsa liwiro amagwirizana ndi thickening wa magazi, komanso matenda ena. Makamaka, zodabwitsazi kaŵirikaŵiri anati odwala ndi spherocytosis, matenda zenga selo ndi polycythemia. zifukwa komanso kusala kudya nthawi yaitali, kuchepa lakuthwa mu minofu misa, magazi kulephera. Pankhani yothetsa mlingo zingakhudze phwando mankhwala steroid.