ESR Kuongororwa kweropa

ESR ropa bvunzo aita kanenge kamwe mumwe munhu. Chii kukosha ongororo iyi? ESR - chidimbu zvichireva erythrocyte sedimentation zvazvingava, inova chokukomborerwa kuparadzana nokukurumidza ezvokunambira kunze kwomuviri waamai ropa ane anticoagulant yakawedzerwa kwazviri. kuparadzana kwakadaro kunoitika muna akaturikidzana maviri: a läpinäkyvä plasma (chapamusoro) uye akagadzirisa masero matsvuku (pasi rukoko). ESR dzinoongororwa kuchinja yeplasma rukoko kuumbwa pamusoro 1 awa, uye akayera mu millimeters (mm). Erythrocytes vane dzakananga guru riri saka yepamusoro zvikuru yeplasma gobvu pachena ezvokunambira kunze kwomuviri waamai anticoagulant (sodium citrate) achifuridzirwa regiravhiti kusvikira pasi kwakanyanya erythrocytes tigadzirise. Process erythrocyte sedimentation kwoita zvikamu zvitatu, achitora nzvimbo panguva aimhanya siyana. Zvikurukuru erythrocytes zvishoma nezvishoma rakachengetedzwa sezvo masero kuroora. Zvadaro pane inotungamirwa aggregates (rouleaux). Izvi ndizvo nokukurumidza zvikuru kupfuura kutanga danho. Munguva wechitatu chokutambudzika, vakawanda dzakabatana. Vakazopinda navo pamusoro kuderera, uye nokukurumidza kunoguma zvachose.

Total ropa ESR chinoratidza shanduko iri ESR somunhu Zvaiitwa siyana pathological uye vasiri zvinhu. Kazhinji ESR netsika nevanhu zviri zvishoma kuvatumwa rwavakadzi. Kushandura puroteni Zvinoumba mukanyiwa ropa vakadzi vane pamuviri kunoita kuti kuwedzera chakarurama ichi. Kuderedza uwandu masero matsvuku eropa (kupererwa neropa) inotungamirira kumhanyisa ropa pakugwamba, uye kuwedzera kugutsikana kwavo, nekusiyana, retards mwero sedimentation. Kana pamuviri mukati mazuva ESR ropa bvunzo zvinoratidza zvishomanana nokufamba. The kunonyanyisa pamwero chakarurama iri kuchengetwa masikati.

The chikuru chinoita kuti paumbwe aggregates panguva erythrocyte sedimentation zvazvingava, ndiye puroteni Zvinoumba plasma. Adsorbed pamusoro erythrocytes, rikwanise danho mapuroteni uye kuderedza kugona kwavo kubhadharisa kuti vadzivise nomumwe kumadhindindi. Izvi anokurudzira paumbwe aggregates uye Inowedzera erythrocyte sedimentation. In chenjera inflammations uye zvirwere vawedzere puroteni iri rikwanise chokutambudzika kunotungamirira kuwedzera kweropa. kuchinja izvi pakugadzirisa zvazvingava vakachengeta maawa 24 pashure kuwedzera muviri tembiricha uye nokuwedzera kwenhamba leukocytes. Munguva chisingaperi kuzvimba vakawedzera ESR anokonzerwa kuwedzera wevasungwa pamusoro immunoglobulins uye fibrinogen. Kutsunga coagulation ropa velocity pamusoro nguva, pamwe nemimwe miedzo inoshandiswa Pakusarudza efficacy munhu yokurapwa zvirwere zvakasiyana-siyana.

ESR Kuongororwa ropa rine zvairatidza kuti: zvirwere, namamota, anogumbura zvirwere, achivhara nemiedzo panguva prophylactic bvunzo. Ongororo iyi yakavakirwa venous ropa wakatorwa kubva murwere usina chawadya.

A bvunzo ropa ESR chinhu nonspecific chokukomborerwa kuzvimba. Uchibatsirwa ayo anoratidza kunaka pezvakaitwa kuitika mumuviri.

Kuongororwa mwero ESR ropa (mm / h):

- Varume - kusvika 12;

- Women - 15.

ESR kumhanyisa zvinogona sesaline: kukwegura, pamuviri, puerperium uye pathological: toxicity, kuzvimba, utachiona, chenjera uye chisingaperi osteomyelitis, mabayo, njovhera, tiibhii), collagen (autoimmune chirwere), mapfupa mitswe, kunotevera, myocardial infarction, kupererwa neropa, zvirwere itsvo (nephritis, nephritic chirwere), anodawo kupindira, kuvhunduka rinoti, akaipa bundu, ari dose mishonga (glucocorticoids, estrogens) paraproteinemia, hyperfibrinogenemia.

Tava kuderera ESR zvinogona kukonzerwa nenzara, akaderedza kwetsandanyama, 1-2 trimester pamuviri, miriwo, kushandiswa corticosteroids, midistrofiya, hyperhydration.