ESR da Westergren - abin da yake da shi?

Don kwanan wata, da hanyar aunawa da erythrocyte sedimentation kudi na Westergren ne reference. Wannan dabara da aka farko amfani a 1926, da kuma an yi amfani da ko'ina a cikin zamani magani a cikin ganewar asali da wasu cututtuka, musamman ga ganewa na boye kumburi.

Mene ne erythrocyte sedimentation kudi (ESR)?

A zamani likita yi, da hanyar da gudu ji na erythrocyte sedimentation a tsaye tube shi ne mafi sauki da kuma m bincike Hanyar. Irin wannan bincike ya taimaka da jini domin sanin gaban kumburi, amma ya kamata a lura da cewa wannan adadi ne da ba-takamaiman da kuma za su iya bambanta dangane da tasiri na daban-daban dalilai.

A magance da ja da maikacin jini ne da za'ayi a cikin uku, saukarwa. Da farko, erythrocytes aka saukar zuwa kasa na gwajin bututu da kuma sannu a hankali ware daga juna. A cikin mataki na biyu da ja jini Kwayoyin tara da kuma samar da wani da ake kira "tsabar kudin ginshikan" - yanzu sun shirya sauri. A karshe mataki ne kafa ta a manyan yawan raka'a - su na farko shaida slows, sa'an nan ya tsaya a duk.

Saboda haka, a cikin vitro kafa biyu yadudduka - shirya a kasa na tara wasu alƙalima da ja da maikacin jini, da kuma a cikin sama na jini tattara daga leukocytes. Westergren ESR a kan za a iya kiyasta ta aunawa da tsawo na kafa m saman Layer na jini. Auna da kudi a mm / h.

Ta yaya ne ESR da Westergren?

Kamar yadda aka ambata, wannan hanya ne samuwa da kuma sauki rike. Da farko muna bukatar gwada musamman cylindrical tube 0.5 ml na sodium citrate (shi abubuwa a matsayin anticoagulant wakili) da kuma 2 ml na venous jini. Yanzu cika tube da aka sanya tsaye a tara da barin for awa. Bayan da majalisa ta zauna lokaci, kana bukatar ka auna tsawo daga cikin Layer kafa ta jini.

ESR da Westergren: wanda Manuniya an dauke al'ada?

A gaskiya ma, cikin sauri na sedimentation na ja da maikacin jini ya dogara da shekaru da kuma jima'i da haƙuri. Alal misali, jariri jini ne low a globulin sunadarai, duk da haka sedimentation gudu da deceleration ne game da 2 mm awa. Domin shekaru biyu da wannan adadi ya karu zuwa 4-17 mm.

Maza da yara maza sama da 10 shekara ESR dabam daga 2 zuwa 10 mm. Mata adadi ne mafi girma - 2-15 mm awa. Idan muka magana game da sakamakon jini gwaje-gwaje na tsofaffi mutane, mata ESR ne daga 2 zuwa 53 mm, da kuma wakilan da karfi jima'i - 2-38 mm / hour.

Me awo ESR bisa ga Westergren kyautata?

Kara sedimentation kudi na ja da maikacin jini, yawanci hade tare da karuwa a cikin jini sunadarai na gina jiki, musamman fibrinogen, wasu kungiyoyin da paraproteins globulins. Haka kuma, wani cuta da cewa yana sa irin canje-canje a cikin jini zai iya sa canje-canje a cikin ESR. Mafi sau da yawa wannan yakan faru saboda aiki na kamuwa da cuta, ko kumburi. A dalilan iya hada samuwar m Tsarin, anemia, guba da wasu gubobi. ESR qara da ciwon huhu, infarctions, cututtuka na hanta da kuma kodan, kashi raunin, da ciwon sukari da kuma wasu sauran cututtuka na endocrine tsarin.

ESR da Westergren downgraded: Sanadin

Yawanci, gudun rage da ake dangantawa da thickening na jini, kamar yadda da dama wasu cuta. A musamman, wannan sabon abu ne akai-akai lura a marasa lafiya tare da spherocytosis, sickle cell cutar da kuma polycythemia. A dalilai sun hada da dogon azumi, da kaifi dakushe tsoka taro, Sistem gazawar. A magance kudi na iya shafar liyafar na steroid kwayoyi.