ESR yi Westergren - ntoni na?

Ukuza kuthi ga ngoku, le ndlela yokulinganisa erythrocyte izinga Intlenge Westergren nguye ireferensi. Le ndlela yasetyenziswa okokuqala ngo-1926, yaye sisetyenziswa ngokubanzi amayeza zalamaxesha lokufunyaniswa izifo ezithile, ingakumbi ekufumanekeni ukudumba ifihliwe.

Yintoni na le erythrocyte rate neentlenge (ESR)?

Ukuziqhelisa yezonyango mihla, indlela ngesantya womlinganiselo of erythrocyte neentlenge kwityhubhu nkqo yeyona ndlela kakhulu ilula kwaye zifikeleleka diagnostic. Uphando olunjalo kunceda igazi ukufumanisa ubukho ukudumba, kodwa kufanele kuphawulwe ukuba eli nani non-ngqo kwaye zisenokwahluka ngokuxhomekeke nemiphumela yeemeko ezahlukeneyo.

Ukulungisa iiseli ezibomvu oluqhutywa ngamanqanaba amathathu. Okokuqala, erythrocytes zivunyelwe ukuya ezantsi ityhubhu yovavanyo ngokucotha nizahlule omnye komnye. Kulo lesibini inqanaba iiseli ezibomvu egazini uhlanganise kwaye enze ebizwa ngokuba "kwiikholam ngqekembe" - ngoku ukuzinza ngokukhawuleza. Kwinqanaba lokugqibela ukhandwa inani elikhulu leeyunithi - nokufumba wabo wokuqala lingancipha, aze eme kwaphela.

Ngenxa yoko, in vitro kwakhiwa maleko ezimbini - zilungiswe kwi emazantsi iiseli zecebo ezibomvu, yaye inxalenye ephezulu plasma eziqokelelwe leukocytes. Westergren ESR on ukuyiqikelela ngokulinganisa ukuphakama wabumba ngaphaya umaleko phezulu plasma. Kulinganiswa izinga mm / h.

Njani na ESR ngu Westergren?

Njengoko kukhankanyiwe, le nkqubo ekhoyo kwaye kulula ukubamba. Okokuqala kufuneka ukucofa zezindlu tube ezikhethekileyo 0.5 ml sodium citrate (it lisebenza njenge-arhente anticoagulant) kunye 2 ml egazini lwemithambo. Ngoku ityhubhu kuzaliswa yabekwa wabheka nesakhelo nilinike kangangeyure. Emva kwexesha elabelwe, kufuneka umlinganiselo kubude umaleko akhiwa plasma.

ESR ngu Westergren: apho izikhombisi zithathwa eqhelekileyo?

Enyanisweni, isantya neentlenge iiseli ezibomvu ixhomekeke yobudala kunye nesini isigulane. Umzekelo, igazi olusanda eliphantsi iiproteni globulin, kodwa neentlenge Velocity kunye deceleration imalunga-2 mm ngeyure nganye. Iminyaka emibini eli nani lanyuka ukuya 4-17 mm.

Amadoda kunye neminyaka amakhwenkwe 10 ESR yahluka ukusuka-2 ukuya kwi-10 mm. figure Women iphezulu - 2-15 mm ngeyure nganye. Ukuba sithethe malunga neziphumo zeemvavanyo igazi labantu abadala, abasetyhini ESR uvela mm-2 ukuya 53, yaye abameli wesini eyomeleleyo - 2-38 mm / ngeyure.

Kutheni nehomere ESR ngokwe Westergren ziphuculwe?

Ukwandisa izinga neentlenge iiseli ezibomvu, ngokuqhelekileyo ezinxulumene ne ukwanda molekyuli protein igazi, xa lwefibrinogen ethile, amaqela athile kunye paraproteins globulin. Ngako oko, nasiphi na isifo ebangela utshintsho ezinjalo egazini kunokubangela utshintsho kwi ESR. Kaninzi oku kwenzeka ngenxa yomsebenzi yosulelo okanye ukudumba. Izizathu kungaquka ukuyilwa kwezakhiwo yingozi, ianemia, ubuthi ethile ityhefu. ESR kwandisa ne pneumonia, infarctions, izifo wesibindi nezintso, ukwenzakala kwethambo, isifo seswekile kunye nezinye izifo kwinkqubo yonyango.

ESR ngu Westergren zehliselwa: Oonobangela

Ngokuqhelekileyo, unciphiso isantya lu dityanisiwe ukuqina igazi, kunye nezinye izifo ezininzi. Ingakumbi, le meko ngokuqhelekileyo waphawula kwizigulane kunye spherocytosis, isifo cell irhengqa kunye polycythemia. Ezi zizathu zibandakanya nozilo elide, ukwehla okukhulu mass kwezihlunu, ukusilela kwegazi. On rate azinze ezinokuchaphazela ulwamkelo amachiza steroid.