Cov txheej txheem:

Vim li cas ESR nce siab thiab seb nws puas yuav tsum tau kho
Vim li cas ESR nce siab thiab seb nws puas yuav tsum tau kho
Anonim

Yog tias muaj qhov txawv txav hauv kev kuaj ntshav, qhov no tsis yog ib txwm qhia tias muaj kab mob.

Vim li cas ESR nce siab thiab seb nws puas yuav tsum tau kho
Vim li cas ESR nce siab thiab seb nws puas yuav tsum tau kho

ESR yog dab tsi

erythrocyte sedimentation rate (ESR) yog ib feem ntawm cov ntshav suav. Qhov taw qhia nyob ntawm lub xeev ntawm erythrocyte daim nyias nyias thiab muaj ntau yam proteins hauv cov ntshav. ESR tuaj yeem hloov pauv rau qhov laj thawj ntuj lossis qhia txog cov txheej txheem inflammatory hauv lub cev.

ESR tus nqi yog dab tsi thiab nws yuav txiav txim li cas, peb twb tau qhia ntawm no. Thiab nyob rau hauv tsab xov xwm no peb yuav xam seb yog vim li cas nws nce thiab thaum twg nws yog txaus ntshai.

Thaum nce ESR tsis txaus ntshai

ESR nyob ntawm tus yam ntxwv ntawm erythrocyte daim nyias nyias thiab cov concentration ntawm qee cov proteins hauv cov ntshav. Qee zaum lawv cov lej hloov pauv, tab sis qhov no tsis cuam tshuam nrog tus kab mob, tab sis yog tus qauv. Piv txwv li, cov neeg hauv qab no tuaj yeem muaj txiaj ntsig ntau dua:

  • Hauv cov poj niam cev xeeb tub Kev xeeb tub thiab cov erythrocyte sedimentation tus nqi. Lub sijhawm ntev dua, ESR siab dua. Hauv thawj ib nrab, qhov taw qhia tuaj yeem nce mus rau 18-48 mm / h, thiab tom qab lub sijhawm - mus txog 30-70 mm / h. Yog hais tias ib tug poj niam raug kev txom nyem los ntawm anemia, qhov tshwm sim yuav ntau dua - mus txog 95 mm / h.
  • Hauv cov neeg laus, Erythrocyte sedimentation tus nqi thiab kab mob hauv cov neeg laus. ESR nce nrog lub hnub nyoog. Txawm tias cov neeg noj qab haus huv tom qab 60 xyoo, erythrocyte sedimentation tus nqi tuaj yeem yog 35-40 mm / h.
  • Cov neeg uas nyiam noj cov rog rog. Clinical ntsuam xyuas cov kev kuaj kuaj. Vim tias cov khoom noj khoom haus zoo li no, muaj lipids ntau dua hauv cov ntshav, ESR kuj loj hlob.

Qhov no tsis tau txhais hais tias koj tsis tas yuav tsum xyuam xim rau qhov nce ESR. Qee zaum, qhov no yog ib qho kev qhia ntawm tus kab mob, yog li nws yog qhov zoo dua los tso siab rau qhov kev txiav txim siab ntawm kev tshuaj ntsuam rau tus kws kho mob.

Cov kab mob dab tsi tuaj yeem nce ESR hais txog?

Feem ntau, qhov nce ntawm erythrocyte sedimentation tus nqi yog txuam nrog ntau yam txheej txheem inflammatory. Tab sis nco ntsoov: qhov ntsuas tsis pab txiav txim siab seb tus neeg muaj kab mob dab tsi. ESR tsuas yog xav tau los saib xyuas tus mob. Thiab nws qhov nce tuaj yeem qhia tau qee pawg ntawm pathologies.

Kab mob

ESR nce kev saib xyuas neeg mob hauv kev kho mob rau txhua yam kab mob sib kis. Nws tuaj yeem yog ARVI yooj yim, cov txheej txheem mob hnyav hauv cov kab mob genitourinary lossis cov hnyuv. Tom qab rov qab los, tus nqi no feem ntau txo qis. Tab sis nyob rau hauv cov neeg uas muaj mob ntev los yog mob hnyav, qhov txawv txav tuaj yeem nyob mus ntev. Piv txwv li, nrog mononucleosis, qhov chaw kho mob thiab kuaj cov yam ntxwv ntawm kis kab mob mononucleosis, nyob ntawm seb qhov etiological yam hauv cov menyuam yaus, tuberculosis.

Aseptic mob

Hauv qee cov kab mob, cov ntaub so ntswg raug puas tsuaj thiab mob, tab sis qhov no tsis cuam tshuam nrog kev ua ntawm cov kab mob. Xws li pathologies muaj xws li:

  • plawv nres;
  • mob stroke Lub erythrocyte sedimentation tus nqi: qub thiab tshiab cov ntaub ntawv kho mob;
  • cirrhosis Nta ntawm hemogram tsis nyob rau hauv daim siab cirrhosis;
  • Nonspecific Analysis of Laboratory Parameters nyob rau hauv cov neeg mob ulcerative colitis ulcerative colitis.

Kev tiv thaiv kab mob

Yog hais tias ib tug neeg muaj ib tug mob nyob rau hauv uas lub cev tiv thaiv kab mob tua lawv tus kheej cov ntaub so ntswg los yog txawv teb chaws proteins, qhov no ua rau lub cev tsis muaj zog thiab ua rau muaj kev nce hauv ESR. Vim lub pathology, muaj ntau immunoglobulins nyob rau hauv cov ntshav, ib tug protein ntawm fibrinogen, uas yog koom nyob rau hauv inflammatory kev tshwm sim thiab ua rau kom erythrocyte sedimentation.

ESR tuaj yeem ua rau cov piam thaj nce ntxiv, Kev hloov pauv hauv lub xeev kev ua haujlwm ntawm lub cev tiv thaiv kab mob hauv cov neeg mob uas muaj ntau hom ntshav qab zib mellitus, kev ua xua. IV HOM NTAWM ALLERGIC REACTIONS PART I thiab cov hauv qab no autoimmune pathologies:

  • systemic lupus erythematosus Ib rooj plaub ntawm cutaneous lupus erythematosus induced los ntawm kev siv golimumab;
  • rheumatoid mob caj dab Erythrocyte aggregation nyob rau hauv rheumatoid mob caj dab: Cell thiab plasma factor lub luag hauj lwm;
  • giant cell arteritis Sed tus nqi (erythrocyte sedimentation tus nqi);
  • polymyalgia rheumatica;
  • glomerulonephritis Kev soj ntsuam kev soj ntsuam ntawm kev kuaj pom.

Kab mob ntawm cov ntshav

Kev hloov pauv hauv cov ntshav muaj pes tsawg leeg, cov duab lossis cov concentration ntawm cov hlwb tuaj yeem ua rau kom nrawm ntawm ESR. Puas yog qhov tshwm sim Ntshav sedimentation-ib qho kev sim yooj yim thiab muaj txiaj ntsig? nyob rau hauv xws li mob:

  • nrog cov hlau deficiency anemia, thaum theem ntawm hemoglobin txo qis;
  • nrog mob qog ntshav ntshav, thaum erythrocytes coj cov duab ntawm lub crescent;
  • rau macrocytosis Ntshav sedimentation-ib qho kev sim yooj yim thiab muaj txiaj ntsig? - kab mob uas lub ntim ntawm erythrocyte cell nce.

Oncology

Nrog rau cov qog nqaij hlav, ntau cov tshuaj tiv thaiv kab mob, cov kab mob inflammatory, cov tshuaj lom neeg tshwm sim hauv cov ntshav, uas yog tshwm sim los ntawm kev tawg ntawm cov qog. Lawv ua kom nrawm ESR. Kev hloov pauv hauv kev kuaj ntshav yuav tshwm sim nrog myeloma Sed rate (erythrocyte sedimentation rate) kab mob, mob leukemia, lymphoma. Qhov erythrocyte sedimentation rate. Tseem yog ib qho kev sim pab tau thaum siv judiciously, prostate cancer Lub erythrocyte sedimentation tus nqi: qub thiab tshiab kho mob daim ntaub ntawv los yog lwm yam kabmob.

Tsis tshua muaj kab mob thiab tej yam kev mob

Tus nqi erythrocyte sedimentation tuaj yeem nce ntxiv rau lwm yam. Qee lub sij hawm qhov no tshwm sim nrog cov roj cholesterol siab, hyper- lossis hypothyroidism, tsis muaj protein ntau. Rau qee tus neeg, qhov nce hauv ESR yog qhov tshwm sim ntawm qee yam tshuaj. Piv txwv li, morphine, tshuaj vitamin A, tshuaj ntshav siab.

Yuav ua li cas nrog nce ESR

Yog tias ib tug neeg, thaum lub sijhawm kuaj mob niaj hnub, kuaj ntshav thiab pom qhov nce ESR hauv nws, thiab tsis muaj lwm qhov sib txawv ntawm cov qauv, feem ntau qhov no tsis txaus ntshai. Txhawm rau kom tshem tawm cov kev tsis ntseeg, tus kws kho mob yuav tsum tau sau tus nqi erythrocyte sedimentation. Tseem yog ib qho kev sim pab tau thaum siv judiciously retest tom qab ob peb lub hlis.

Tab sis cov neeg uas muaj lwm yam kev hloov hauv cov ntshav yuav xav tau kev kuaj ntxiv. Dab tsi - yuav txiav txim siab los ntawm tus kws tshaj lij uas pom qhov nce ESR.

Pom zoo: