ESR - chii here? ESR parameter: inopangidza

ESR - chii here? Mhinduro dzoga kuti mubvunzo uchaona zvinhu inopiwa nyaya. We achakuudza chii mwero chinoratidza ichi muropa, raakanga kwatemwa, pane hosha chii ipapo, uye zvichingodaro.

General ruzivo pamusoro indekisi uye inopangidza

Chokwadi mumwe murwere akanga vakapa ropa miedzo kuonekwa migumisiro Acronym ESR. Achiongorora zvaive akauya mubatanidzwa tsamba riri sezvinotevera: erythrocyte sedimentation unodiwa.

In okurapa, shoko rinotaurwa mune ichi murabhoritari nonspecific chokukomborerwa ropa, izvo zvinoreva nhamba mapuroteni zvikamu zviduku kuti plasma.

History tsvakurudzo nzira

ESR - chii here? Rinhiko indekisi iri kucherechedzwa iri kudzidza murwere zvinhu? Fani iyi yave kuzivikanwa kubva muGirisi yekare, asi haisati kushandiswa kurapwa tsika kusvikira muzana remakore rechimakumi maviri.

Muna 1918, yakanga vakawana kuti erythrocyte sedimentation mwero dzinosiyana yekudyidzana pakati pavakadzi pamuviri uye vanhuwo zvavo. Naizvozvo, masayendisiti kuziva chokwadi nhamba iri kukanganiswa nevamwe zvirwere. Saka, munguva kubvira 1926 kusvika 1935 nayo yakatanga akawanda tsvakurudzo nzira, izvo zvichiri kushandiswa chaizvo kurapwa tsika kuona kukosha ESR.

The musimboti tsvakurudzo nzira

ESR - chii, uye sei mufananidzo tsunga? Kuziva kukosha erythrocyte sedimentation zvazvingava, murwere anoda bvunzo ropa. Somugumisiro wake tsvakurudzo yezvirwere vashandi kuona dzakananga giravhiti masero matsvuku eropa. Kana ivo kusapfuudza dzakananga kurema plasma, masero matsvuku eropa vanotanga zvishoma nezvishoma kugadzirisa kuti pasi chubhu. Zvinonyatsozivikanwa kunotsanangurwa mwero uye ukuru aggregation (kukwanisa kuramba pamwe) matsvuku masero.

Chemical zvinokonzera kuwedzera uye kuderera kwezvinhu erythrocyte sedimentation exchange

ESR parameter kunobva mwero platelet aggregation. Saka rwuchiwanzwa, kana kuwedzera wevasungwa kuti yeplasma rikwanise kutotanga mapuroteni uye anogumbura zvezvinangwa. Kusiyana neizvi, ESR ukoshi zvinoderedza kana yakawanda sealbumin.

ESR ongororo: zvazvingava chakarurama

Sezvataurwa pamusoro apa, kuona erythrocyte sedimentation zvazvingava, murwere anoda bvunzo ropa. Pashure pokunge mashoko acho anopinda yezvirwere, riri pasi tichinyatsoongorora. Nyanzvi kuongorora chirongwa erythrocyte sedimentation pasi giravhiti, vachiramba chero ropa pakugwamba nezvaanogona.

Saka, chii chinofanira kuva chakaipa mwero ESR? Sedimentation zvazvingava masero matsvuku eropa vakadzi hwakanaka 2-15 mm paawa. Kana akasimba pabonde, mutengo vane zvishoma yakaderera uye akaenzana 110 mm paawa.

ESR chechetere chakarurama

In okurapa, zvarakasiya kubva ndozvakajairwa okusiyanisa inosiyana:

• By wa1 dhigirii vari zviratidzo zvakasiyana pane zvidzidzo zvishomanana kubva avo kusimbiswa. Pashure decoding ongororo kwatemwa kuti tsvuku corpuscles muropa vari inogamuchirika chechetere.
• Pakazosvika 2nd kirasi ndivo varwere vane erythrocyte sedimentation mwero mukuru 15-30 dzakabatana. Izvi zvinoratidza kuzvimba mumuviri (somuenzaniso, nokuti chikosoro kana zvirwere, paunogona kubvisa mazuva asingasviki 30). Munguva yose iyi, Zvinokurudzirwa kuongorora kukosha ESR.
• By dhigirii wechitatu ndivo zviratidzi kuti kusapfuudza wokuyera 30-60 dzakabatana. Muchiitiko chino, unofanira kukoshesa kufunga utano hwavo. Pashure pezvose, tsika idzi dzinoratidza kuvapo anogumbura siyana kana kudhaka, izvo kuitika nokuda yemhando kenza kana disintegration kuti tishu.
• Pakazosvika 4th dhigirii zvinosanganisira kwakawedzera erythrocyte sedimentation yevanhu vanopfuura 60 dzakabatana. kutsauka akadaro haagoni kutora nzvimbo zvachose. Kazhinji, murwere anoziva pamberi chirwere, sezvo pamuviri wake, pane akajeka pyo septic kuita.

Possible zvinokonzera zvarakasiya kubva ndozvakajairwa

Zvino imi munoziva ruzivo pamusoro erythrocyte sedimentation mwero - chii. Kazhinji, kuwedzera indekisi iri chokuita chirwere kana rikwanise chirwere, infarct nhengo dzomukati, uye immunological zvirwere.

Pasinei nokuti anogumbura mhinduro mumuviri ndivo vakawanda zvinokonzera kumhanyisa kuti erythrocyte sedimentation zvazvingava, kutsauka ichi zvingava zvakafanira nevamwe uye kwete nguva dzose pathological mananara.

A kuwedzera ESR kuchengetwa nyanyisa namamota, kuderedza uwandu masero matsvuku eropa panguva pamuviri, uye panguva kurapwa chero mishonga (semuenzaniso, salicylates).

A mwero yakawedzera nhamba ESR munogona hypoproteinemia (anenge 20-30 mm paawa), kupererwa neropa, pamuviri, uye vakadzi panguva yekutevera.

Hosha vane yakawedzera kana ungaderedza ESR

A unopinza uye nouchapupu kuwedzera sedimentation mwero masero matsvuku (anopfuura 60 mm paawa) iri pamwe ezvinhu akadai autoimmune zvirwere, sepsis uye nyanyisa namamota, inozivikanwa nokuda disintegration kuti munyama.

A ukoshi chakarurama ichi repasi zvinogoneka chete nokuchinja chimiro masero matsvuku eropa, hyperproteinemia, leukocytosis, erythrocytosis, uyewo nehepatitis uye DIC.

Nei zvichikosha kuti kuitisa kutsvakurudza ropa sedimentation zvazvingava?

Pasinei non-chaiyo Kutsunga ESR, muchidzidza achiri kupfuura akakurumbira uye kukosha rabhoritari bvunzo. Pamusana kwaari, nyanzvi anogona kukurumidza runako kumisa kuvapo uye kusimba kushoma.

Kufanana neropa murwere yokutsvakurudza kazhinji kunoratidza akaipa neoplasm, izvo anobvumira nguva kutanga kuhupedza uye kuponesa upenyu murwere. Ndokusaka tsanangudzo ESR inzira inokosha chaizvo tsvakurudzo, iro pachena kuti ropa dzinenge nomumwe, kukumbira kubatsirwa mune zvokurapa jeri.