Ukuhlolwa kwegazi okujwayelekile kwegazi kuyinkqubo enqunywe udokotela ukuxilonga isifo nokukhomba amandla okuthuthukiswa kwayo. Izinto ezitholakala ocingweni zihlolwe ukucacisa:
- izinga lama-erythrocyte nama-leukocyte;
- izinga lokudabuka kwe-erythrocytes.
Ngokuvamile iziguli zibuzwa emva kokufunda imiphumela yokuhlolwa kwegazi jikelele: izinga le-sedimentation ye-erythrocyte landa - lokhu kusho ukuthini?
Kuthiwani inani le-sedimentation lokukhula kwe-erythrocyte?
Isilinganiso se-erythrocyte sedimentation (ESR) yindlela yokuhlonza ehloswe ekutholeni khona (ukungabikho) kwenqubo yokuvuvukala nokuqina kwayo. Emzimbeni womuntu onempilo, i-erythrocyte ngayinye inecala elithile kagesi, futhi lokhu kuvumela amangqamuzana egazi ukuba ahlukane lapho ehamba futhi engena ngaphandle kobunzima ngisho nakuma-capillari amancane. Ukushintsha ukukhokha kuholela eqinisweni lokuthi amaseli aqala ukugoqa futhi 'ahlangane ndawonye' komunye nomunye. Khona-ke emkhunjini we-laboratory ngegazi okwenziwe ukuhlaziywa, kusungulwa isimo sezulu futhi izinga lokukhuphuka kwe-erythrocyte sedimentation egazini.
I-ESR evamile ibhekwa emadodeni ka-1-10 mm / h, nakwabesifazane - 2-15 mm / h. Uma ushintsha lezi zikhombisi, kuvame ukuqinisekiswa ukuthi izinga lokunyuka kwe-erythrocyte landa, futhi ukwehla kwesilinganiso se-sedimentation kubonakala njalo njalo.
Ukunakwa sicela! Ngemuva kweminyaka engama-60, isimiso se-ESR singama-15-20 mm / h, njengoba ukuguga komzimba nakho kushintsha ukubunjwa kwegazi.
Isilinganiso se-sedimentation ye-erythrocyte sanda - izimbangela
Izimbangela zesifo
Uma ukuhlaziywa kwegazi kwembula ukuthi izinga le-erythrocyte sedimentation landa, ngakho-ke, njengombuso, likhombisa ukuthuthukiswa kwesifo. Izimbangela ezivame kakhulu zokwanda kwe-ESR yizi:
- izinqubo ezingapheli noma eziyingozi ezibangelwa amagciwane, amabhaktheriya;
- helminthiases nezifo zamathumbu ezinambuzane, isibonelo, giardiasis ;
- izifo ezihambisana nokuvuvukala (angina, otitis, bronchitis, cystitis, njll);
- ama-purulent formations (furuncles, erysipelas, phlegmon, njll);
- izinqubo ze-autoimmune kanye nezifo (i-rheumatism, i-atopic dermatitis, i-lupus erythematosus);
- amafomu amabi;
- isifo segazi (i-anemia, leukopenia, i-leukemia);
- ukudakwa;
- ukulimala okukhulu;
- isifo sezinso (pyelonephritis, glomerulonephritis, njll);
- isikhathi se-postinfarction.
Ngemva kokungenelela kokuhlinzwa, ushintsho ngesilinganiso se-sedimentation ye-erythrocyte nayo iyaqaphela.
Kubalulekile! Izinguquko ezimbi kakhulu zomzimba emzimbeni, ama-erythrocyte amaningi athola izakhiwo ezingavamile, ephakeme, ngokulandelana, ukusabela kwesidumbu se-erythrocyte.
Izimbangela zemvelo
Kodwa hhayi njalo ukwanda kwe-ESR kuyinkomba yokugula. Kwezinye izimo, izinga lokucwiliswa kwe-erythrocyte egazini landa ngenxa yenguquko kumzimba wezokwelapha. Inani le-ESR lithonywe ngu:
- ukukhulelwa kanye nokulahlwa kwabesifazane;
- ukwamukela izitho zokwelapha ze-hormonal;
- i-anemia;
- izinga elikhulu lokukhuluphala ;
- ukwamukela amavithamini neminye imithi;
- Ukugonywa kwakamuva;
- ukuchitheka ngesisekelo sezifo.
Ngokuvamile ukwanda kwesilinganiso se-erythrocyte sedimentation kuhlotshaniswa nokuthobela ukudla okuqinile noma ukuzila okuqinile.
Kunoma yikuphi, imiphumela kuphela yokuhlaziywa komtholampilo wegazi ukuxilongwa ayanele. Ukuze unqume ukuthi ukuphambene nalokho okujwayelekile kwesilinganiso se-erythrocyte sedimentation rate, kunconywa ukuhlolwa okunzulu okwengeziwe, kunconywa udokotela oya khona kanye nokwelashwa kwesifo esiyisisekelo ngaphansi kokuqondiswa kochwepheshe. Ukuze uthole ucwaningo oluningiliziwe, ipharamitha "ububanzi bokusabalalisa kwama-erythrocytes egazini" (SHRE) kungacatshangwa.