Ukwandisa izinga neentlenge erythrocyte umntwana. Kuthetha ntoni oku, yintoni unobangela, ukuba benze ntoni?

Funda umfanekiso oluneenkcukacha isimo impilo nomntwana kwi uvavanyo lwegazi. Enye into ebalulekileyo kwisalathiso ESR yayo (iiseli neentlenge rate erythrocyte). Le parameter non-ezithile has a uvakalelo oluphezulu ukumisela ezimbi endalo esosulelayo kunye oncological. Ukususela mathiriyeli kweli nqaku uza kufunda kutheni abanye abantwana ESR ngaphezu mmiselo, oko kuthetha ntoni, ngawaphi amanyathelo ekufuneka athathwe ngabazali.

ulwazi jikelele

ESR - enye parameters ziphambili uvavanyo lwegazi. Phantsi igazi ezibomvu iiseli ziyaqondwa le corpuscles ebomvu, nto leyo phantsi kwempembelelo anticoagulation ukuba umthamo othile ixesha ezantsi tube zonyango.

A inkqubo efanayo lwenzeka ebantwini. Kangangexesha elithile iiseli ezibomvu begazi siphantsi kwenkqubo sintering yaye ngokuthe ngcembe efakwe kwi ezindongeni imithambo yegazi. ESR eyesibini iparameter engakhange abe nokuvavanywa yaxobuka, okt bahlukile kwabanye. It sibonisa uvakalelo oluphezulu. Utshintsho le parameter kubonisa uphuhliso izifo ezithile emzimbeni de umfanekiso kakhulu lwezonyango.

Iindlela yokumisela ukuxabiseka ESR

Namhlanje iinketho ezimbini ukufumanisa isixa neentlenge leeseli ezisetyenziswa yezonyango: indlela kunye Panchenkova Westergren.

Owokuqala uquka ebeka ulwelo zebhayoloji kwi iglasi, nto leyo imvelaphi inyuselwa khona nkqo. Elesibini ithathwa ngokuba ifundise nje ngeyona ndlela inenzuzo enkulu ukuvelisa imiqathango inkqubo efanayo ebantwini. Ngokwesiqhelo, zombini iziphumo zovavanyo kufuneka twatse.

indlela Westergren unalo uvakalelo kakhulu, ngenxa yokuba lo ntlanganiso kuphela igazi deoxygenated. Xa iziphumo zohlalutyo ukubonisa izinga erythrocyte neentlenge ophakamileyo emntwaneni, ukunikezelwa ngokuphindaphindiweyo ingafuneki.

imigangatho Performance kubantwana

Emva kokuba ugqirha wathabatha igazi usana, kufuneka ayifake kwityhubhu ekhethekileyo. Phantsi kwempembelelo imikhosi omxhuzulane iiseli ezibomvu ukuncipha kancinci. Lo msebenzi ongena laboratory Velocity womlinganiselo, awanyakazela ngayo inkqubo esebenzayo.

Iimpawu Standard ESR uluhlu abantwana kunye nabantu abadala, yaye ziyohluka ngokuxhomekeka besini umntwana. Nangona kunjalo, kukho imida ethile evumela ukuba ukuchonga ubukho yenkqubo zophendlo lwezifo emzimbeni.

Ummiselo ithathwa ngokuba izikhombisi ezinjalo:

• Grudnichki: 2 ukuya kwi-4 mm / h.
• Abasafunda ukuhamba ukuya ku-6: 5 ukuya kwi-11 mm / h.
• Abafikisayo phantsi kwiminyaka eli-14, ukusuka ku-5 ukuya kwi-13 mm / h.
• Abantu abatsha kwiminyaka 14: 1 ukuya kwi-10 mm / h.
• Abasetyhini emva kweminyaka 14: 2 ukuya kwi-15 mm / h.

Ukwandisa izinga neentlenge erythrocyte kwi umntwana alusoloko kubonisa ubukho ukudumba emzimbeni. Ukuxilongwa lufuna uviwo eneenkcukacha kunye nokuzimisela ezahlukeneyo parameters egazini.

amazinga Ukwanda kwezinga neentlenge emntwaneni

Amaxesha amaninzi abazali bazi bezityholo ngexesha loviwo we a wabantwana. Ukuba le ngcali akaboni naziphi na izizathu eziya kukhokelela le ngxaki, iimvavanyo kwakhona kwenziwe unikwe indlela eyahlukileyo.

ESR High phantse lonke lubonisa ingcamango ukudumba emzimbeni. Nangona kunjalo, uluvo kufuneka ukuba ixhaswa ziziphumo zophando ngakumbi. Ngokufuthi, izinga count eliphezulu alatha igciwane lohlobo, kwaye neutrophils ukunyuka - igciwane lomlinganiswa. Ngaphandle data test ehamba ukuchonga sifo umntwana akwenzeki.

Ixabiso Intlenge iiseli ezibomvu ibe ngaphaya iqhelekile abantwana abaselula, ukuba azinayo iivithamini ngokwaneleyo okanye ngexesha ukunikezelwa analyses yaba inkqubo esebenzayo ezikhoyo kuba zisaqala. umzimba Izigulane ngaphezulu uyiphendula ukwanda kule parameter kwi uxinzelelo lwegazi okanye iimvakalelo ezinamandla.

Ziziphi izinto eziphembelela izalathisi ESR ebantwaneni?

Eyona nto ephambili oku kukhulisa icandelo yokulinda esebenzayo kukho impendulo yokukrala emzimbeni. Noko ke, oogqirha bodwa nezinye izizathu nokuncipha / kwande inkqubo neentlenge iiseli ezibomvu.

1. Ukutshintsha pH kunye viscosity yegazi.
2. Ukunciphisa inani iiseli ezibomvu zegazi.
3. Ubukho ziimpethu.
4. Ukuswela iivithamini emzimbeni.
5. Uxinezeleko.
6. nezingafezekanga.

Kubalulekile ukuqaphela ukuba izalathi si zokunikwa erythrocyte neentlenge ziphakathi parameters leyo kancinane kakhulu ibuyela esiqhelweni. Emva ukuhlupheka izifo ezihlasela zosulele ngokuphefumla wentsholongwane umntwana eliphezulu ESR ixesha elithile singabonakala. Emva kweenyanga malunga 1.5, ezi iparameters nganye ezinga malungu abantu.

Izizathu eziphambili ezibangela ukwenyuka ESR

Njengoko sele kukhankanyiwe ngaphambili kweli nqaku, inkoliso Izizathu zolu tshintsho kwi parameters egazini nizimele phambi ukudumba emzimbeni. Kwakhona, izenzakalo ezinjalo kungabangela i uxabane nawo, ubuthi, usulelo nakujoliso olutsha ngokwaneleyo ngayo.

Izifo ezingundoqo, nto leyo ibonisa ukunyuka nge ESR ebantwaneni ziquka oku kulandelayo:

1. iinkqubo komzimba (lupus zomzimba, scleroderma).
2. Izifo Ngegazi (anemia, leukemia).
3. Izifo Ezingokuqandusela (diabetes, hyperthyroidism).
4. Oncology.

Kwiintsana landa Uhlalutyo ESR ngokuqhelekileyo iinkathazo ezingenakunqandwa zamazinyo okanye ngenxa mafutha ophezulu ubisi lwebele. Ngamanye amaxesha le meko kakhulu zendalo, ngoko kukho norm ngamnye eziphilayo. Kwiimeko ezinjalo, oogqirha babantwana bacebisa baye nokuhlolwa rhoqo.

Kwenzeka ukuze zonke izalathisi eziqhelekileyo ngaphandle kokuba ixabiso erythrocyte neentlenge. False ukukhawulezisa HIV ezinokubangelwa ukutyeba umntwana, ukuthatha ezinye kwizakhiwo anikezela ngezakhi okanye sokugonya hepatitis B.

Monocytes and ESR lanyuka xa umntwana

Monocytes iiseli igazi akuqolanga. izinga kwakhona inokumiselwa uhlalutyo jikelele. Xa ufuna ulwazi oluneenkcukacha ekusebenzeni yomzimba komntwana, khangela ifomula leukocyte. Ukuphakamisa usehlisa umgangatho iiseli zegazi icebisa zonakale. Ukwanda umnxeba iparameters monocytosis. Ngokwesiqhelo, inani leeseli ubuntwana kufuneka ingadluli-11% inani leukocytes.

Ukwehlisa umgangatho monocytes ibonisa ukunyhashwa kumsebenzi kwamajoni omzimba. Oku kudla eyenzeka kwiimeko kwegazi, wegazi kunye nokugula radiation.

Ukwandisa of monocytes uyaqapheleka isifo sephepha, imalariya kunye nenkqubo nkovu. Ngenxa yoko, ukunyuka kwenani iiseli ubuntwana, kwakunye nokwanda ireyithi erythrocyte neentlenge kwi umntwana kufuneka lokwazisa abazali kunye wabantwana.

Yintoni unyango efunekayo?

Xa izinga neentlenge kwisalathisi iseli ebomvu ngaphezulu kancinane kunesiqhelo, imeko yomntwana uzinzile, akukho sizathu ukuba angakhathazeki. Kuba intuthuzelo yakho phezu ixesha elincinane ixesha, unako ukufumana uvavanyo kwakhona ukuqinisekisa ukuba usana ayikho ingozi.

Ukuba parameters ESR igqithe uphawu-15 mm / h, phantse lonke kuthetha ubukho ezinengqwalasela ezosulelayo emzimbeni. Xa eli nani uza malunga 30-40 mm / h, umqondiso ocacileyo sisifo esibi, umzabalazo nenokuthi kuthabatha iinyanga eziliqela.

Ukwandisa izinga neentlenge erythrocyte kwi umntwana kusoloko kuthetha kwaphula emzimbeni. Sezifo kwi inyathelo lokuqala ukumisela ingcambu unobangela, nto leyo eyabangela inguqulelo enjalo. Oku kungathatha uviwo ngaphezulu kakhulu. Emva kokuba ugqirha kufuneka amisele unyango lwe isifo esithile. Oku kudla ngokuquka antibiotics kunye arhente antiviral.

Ukuncipha izinga neentlenge erythrocyte emntwaneni

Ukwehla kwezinga lenzala neentlenge erythrocyte ngokuqhelekileyo ibonisa kwegazi, iclotting kakuhle okanye ithinasi igazi. Inani iiseli ezibomvu kwandisa, kodwa banxibelelane nabanye ngempumelelo.

Le meko uyaqapheleka abantwana abaye baphathwa kutshanje ityhefu okanye emzimbeni iingxaki ngesitulo. Kwezinye iimeko, amanani ephantsi ibonisa ntoni hepatitis wentsholongwane egazini.

sezifo kuphela ukubona isizathu sokuba esi sifo nokucebisa unyango olufanelekileyo.

isiphelo

Amaxesha amaninzi abazali bafuna ngengcebiso wabantwana xa umntwana ngentla eqhelekileyo ESR. Ntoni le nto, zithini izizathu ezi ukuphazamiseka emzimbeni, na onokumxelela ingcali kuphela ngokusekelwe isifo epheleleyo uphando encinane nomonde. Izinga neentlenge Erythrocyte - oku luphawu kakhulu, ngoko ixabiso layo ayikhuthazwa tu into yokuba ngoyaba. Kwimeko ukutenxa kumgaqo ingafuna unyango ixesha elide. Isiqalo unyango kwangoko, kokukhona amathuba khona ibuyambo ekhawulezileyo.