Kuyeza kwa erythrocyte sedimentation rate ndi kuchuluka kwa cholesterol mu plasma kumatilola kukayikira kukhalapo kwa matenda munthawi yake, kuzindikira chomwe chimayambitsa, ndikuyamba chithandizo chanthawi yake.
Mulingo wa ESR ndi imodzi mwazofunikira kwambiri zomwe katswiri angayang'anire thanzi la munthu.
Mlingo wa erythrocyte sedimentation uyenera kuonedwa ngati chisonyezo chomwe chitha kuwerengeka pakuyesedwa kwa biochemical magazi. Pochita kuwunikaku, muyeso wa kayendedwe ka erythrocyte misa womwe umayikidwa mu machitidwe enaake umachitika.
Amayeza m'chiwerengero cha mamilimita omwe amayenderedwa ndi maselo ola limodzi.
Pa kusanthula, zotsatira zake zimawerengeredwa ndi kuchuluka kwa madzi a m'magazi ofiira, omwe ndi gawo lofunikira kwambiri la magazi.
Imakhala pamwamba pa chotengera chomwe zida zofufuzira zimayikidwa. Kuti mupeze zotsatira zodalirika, ndikofunikira kupanga zinthu zotere zomwe mphamvu yokoka yokha imagwira maselo ofiira amwazi. Maanticoagulants amagwiritsidwa ntchito pochita zachipatala kupewa kupewa magazi.
Njira yonse ya erythrocyte misa sedimentation imagawidwa m'magawo angapo:
- Nthawi yochepetsetsa pang'onopang'ono, maselo atayamba kutsika;
- Kupititsa patsogolo kwa subsidence. Zimachitika chifukwa cha kupangika kwa maselo ofiira a m'magazi. Amapangidwa chifukwa cholumikizana ndi maselo ofiira a magazi;
- Kutsika pang'onopang'ono kwa subsidence ndikuyimitsa njirayi.
Kufunika kwakukulu kumalumikizidwa ndi gawo loyamba, koma nthawi zina ndikofunikira kuti muwunike zotsatirazi patatha maola 24 mutatha kutolera kwa plasma. Izi zikuchitika kale mu gawo lachiwiri ndi lachitatu.
Mlingo wa erythrocyte misa sedimentation, pamodzi ndi mayeso ena a labotale, ndi amtundu wofunikira kwambiri wazidziwitso.
Chowerengera ichi chimakonda kuchuluka m'matenda ambiri, ndipo zomwe zimachokera zimasiyana kwambiri.
Kukula kwa chizindikirochi kumatengera zinthu zingapo, zazikulu zomwe ndi zaka komanso chibadwa cha munthu. Kwa ana aang'ono, ESR ndi 1 kapena 2 mm / ola. Izi zimadziwika ndi hematocrit yayikulu, mapuloteni otsika, makamaka, kachigawo kakang'ono ka globulin, hypercholesterolemia, acidosis. Mwa ana okulirapo, kusokera kumakhala kofanana ndipo kumakhala 1-8 mm / h, womwe ndi wofanana ndi chikhalidwe cha munthu wamkulu.
Kwa amuna, chizolowezi chimadziwika ngati chisonyezo cha 0,5 mm / ola.
Chikhalidwe kwa akazi ndi 2-15 mm / ola. Mitundu yosiyanasiyana yotereyi imachitika chifukwa cha mphamvu ya mahomoni androgen. Kuphatikiza apo, pamasiku osiyanasiyana, ESR mwa akazi amatha kusintha. Kukula ndi chikhalidwe cha 2 trimesters a mimba.
Imafika pachimake pa nthawi yobadwa (mpaka 55 mm / h, yomwe imawerengedwa kuti ndi yabwinobwino).
Akuluakulu sedimentation amakhala amtundu wamatenda osiyanasiyana ndi kusintha kwamatenda m'thupi.
Kutheka kwawerengeka kwadziwika, pogwiritsa ntchito zomwe adokotala angadziwitse njira yofufuza matendawa. Mu 40% ya milandu, zomwe zimapangitsa kuti ziwonjezeke. Mu 23% ya milandu, ESR yowonjezereka imawonetsa kupezeka kwa zotupa zamitundu mitundu mwa wodwala. Kuwonjezeka kwa 20% kumawonetsa kukhalapo kwa matenda amisempha kapena kuledzera kwa thupi.
Kuti tidziwe bwinobwino matenda omwe anayambitsa kusintha kwa ESR, zifukwa zonse zomwe zingachitike ziyenera kuganiziridwa:
- Kupezeka kwa matenda osiyanasiyana mthupi la munthu. Ikhoza kukhala matenda opatsirana, chimfine, cystitis, chibayo, hepatitis, bronchitis. Amathandizira kutulutsidwa kwa zinthu zapadera m'magazi zomwe zimakhudza ma membrane a khungu ndi ubora wa plasma;
- Kukula kwa purulent kutupa kumawonjezera mlingo. Nthawi zambiri, zoterezi zimatha kupezeka popanda kuyezetsa magazi. Mitundu yosiyanasiyana yothandizira, zithupsa, zotupa za kapamba zimatha kupezeka mosavuta;
- Kukula kwa mitundu yosiyanasiyana ya neoplasms m'thupi, matenda a oncological amakhudza kuwonjezeka kwa erythrocyte sedimentation rate;
- Kukhalapo kwa matenda a autoimmune kumabweretsa kusintha kwa plasma. Ichi chimakhala chifukwa chomwe chimataya katundu wina ndikuyamba kukhala wotsika;
- Matenda a impso ndi ziwalo za kwamikodzo dongosolo;
- Poizoni woopsa wa thupi ndi chakudya, kuledzera chifukwa cha matenda am'mimba, limodzi ndi kusanza ndi m'mimba;
- Matenda osiyanasiyana amwazi;
- Matenda omwe minofu necrosis imawonedwa (kugunda kwa mtima, chifuwa chachikulu) imayambitsa kukwera kwakukulu kwa ESR patapita nthawi yowonongeka kwa maselo.
Zinthu zotsatirazi zingathenso kukhudzanso kuchuluka kwa njira zolimbirana: kuthamanga kwa ESR kumawonedwa ndi njira zakulera zamkamwa, kukweza mafuta m'thupi ndi kunenepa kwambiri, kuchepa thupi mwadzidzidzi, kuchepa magazi, kuchepa; kuchuluka kwa masisitere kumachepa pamaso pa zinthu za chibadwa cha kapangidwe ka maselo, kugwiritsa ntchito ma nongeseroidal analgesics, zovuta zama metabolic.
Cholesterol okwera angasonyeze kukhalapo kwa cholesterol plaques mu kayendedwe kazinthu ka anthu. Izi zimabweretsa kukula kwa atherosulinosis, komwe, kumathandizira kuti pakhale matenda a mtima. Kuchulukitsa kuzama m'magazi a anthu kungatanthauzenso kuti pali kuphwanya kachitidwe ka mtima ndi mitsempha yamagazi.
Odwala omwe ali ndi angina pectoris kapena myocardial infarction, yomwe nthawi zambiri imayamba chifukwa cha cholesterol yokwanira, ESR imagwiritsidwa ntchito ngati chisonyezo chowonjezereka cha matenda a mtima. Chifukwa chake, ndizotheka kuwona ubale womwe ulipo pakati pa cholesterol yayikulu ndi ESR.
Chizindikiro chotsatsira chikugwiritsidwa ntchito pakafunika kuzindikira endocarditis. Endocarditis ndimatenda opatsirana amtima omwe amayamba mkati mwake. Kukula kwa endocarditis kumachitika motsutsana ndi chiyambi cha kayendedwe ka mabakiteriya kapena ma virus kuchokera mbali zosiyanasiyana za thupi kudzera m'magazi mpaka mtima. Ngati wodwalayo samvera kufunika kwa chizindikirocho kwa nthawi yayitali ndikuwanyalanyaza, matendawa amathanso kuwononga magwiridwe antchito a mtima ndikupangitsa kuti pakhale zovuta zomwe zingathe kubweretsa moyo. Kuti adziwe matenda a "endocarditis," dokotala wopezekapo amayenera kupereka magazi. Matendawa amadziwika osati ndi chiwopsezo chachikulu cha ESR, komanso ndi chiwerengero chochepetsedwa chamapulogalamu am'magazi. Munthu amene amapeza pafupipafupi matenda a magazi. Acute bacterial endocarditis amatha kuchulukitsa mobwerezabwereza erythrocyte sedimentation rate. Chizindikirocho chimawonjezeka kangapo, poyerekeza ndi chizolowezi, chimafika 75 mm pa ola limodzi.
Mlingo wokoka umaganiziridwa pofufuza kufooka kwa mtima. Pathology ndi matenda osachiritsika komanso opita patsogolo omwe amakhudza minofu yamtima ndikusokoneza magwiridwe antchito ake. Kusiyana pakati pa kugonja ndi mtima kwanthawi zonse ndikuti pakhale kudzikundikira kwamadzi kuzungulira mtima. Kuzindikira matenda amtunduwu kumaphatikizanso kuyesa mayeso olimbitsa thupi ndikuphunzira kafukufuku wamwazi.
Pokhala ndi myocardial infarction ndi matenda ashuga, ESR nthawi zonse imakhala yokwera kuposa yachilendo. Izi ndichifukwa choti mpweya kudzera m'mitsempha umaperekedwa kumtima. Ngati imodzi mwa mitsempha imeneyi yatsekedwa, mbali ina ya mtima imaperewera mpweya wabwino. Izi zimatengera chikhalidwe chotchedwa "myocardial ischemia", komwe ndi njira yotupa. Ngati zikupitilira kwanthawi yayitali, minofu ya mtima imayamba kufa ndikufa. Ndi vuto la mtima, ESR imatha kufika pamitengo yapamwamba - mpaka 70 mm / ola ndipo pambuyo pa sabata. Monga matenda ena a mtima, kufufuza kwa ma lipid mawonekedwe awonetsero kumawonjezera kuchuluka kwa magazi m'thupi, makamaka ma lipoprotein otsika komanso triglycerides, komanso kuwonjezeka kwa kusala kwatsoka.
Kuwonjezeka kwakukulu kwa kusala kwa chiwindi kumawonedwa motsutsana ndi maziko a pericarditis pachimake. Matendawa amatupa a pericardium. Amadziwika ndi pachimake komanso modzidzimutsa. Komanso, zigawo zamagazi monga fibrin, maselo ofiira am'magazi ndi maselo oyera amatha kulowa m'chigawo cha pericardial. Ndi matenda amtunduwu, pali kuwonjezeka kwa ESR (pamtunda wa 70 mm / h) ndikuwonjezereka kwa kuchuluka kwa urea m'magazi, zomwe zimachitika chifukwa cha kulephera kwa impso.
Mlingo wa kusanza umachulukana kwambiri pamaso pa aortic aneurysm wa thoracic kapena m'mimba. Pamodzi ndi mapangidwe apamwamba a ESR (pamtunda wa 70 mm / ola), ndimatendawa, kuthamanga kwa magazi kumapezeka, komanso matenda otchedwa "magazi akuda".
Popeza thupi la munthu ndi dongosolo komanso mgwirizano wonse, ziwalo zake zonse ndi zomwe zimachitika ndi izi zimalumikizana. Ndi zovuta m'matumbo a lipid, matenda nthawi zambiri amawoneka, omwe amadziwika ndi kusintha kwa erythrocyte sedimentation rate.
Kodi akatswiri a ESR ati anene chiyani mu kanema munkhaniyi.
