ESR n'ime ọbara

Blood ESR (erythrocyte sedimentation ọnụego) akpọ ọnụego ruru na nke e nwere nkewa nke ọbara kwukwara na ihe anticoagulant na vitro abụọ n'ígwé: ala (biri red mkpụrụ ndụ) na elu (plasma). Na nke a na-eme atụmatụ elu plasma oyi akwa kpụrụ ke millimeters kwa awa. Na erythrocyte kpọmkwem nnukwu mpo elu karịa nke plasma, ya mere ha na-na ọnụnọ nke sodium citrate (anticoagulant) idozi na ala n'okpuru nduzi nke ike ndọda.

Gịnị bụ ESR na ọbara? The usoro nke sedimentation (edozi) ọkachamara na-ekewa atọ n'ụzọ, na-ewere ọnọdụ dị iche iche gbapụrụ ọsọ. Mbụ bụ na a ngwa ngwa ojuju na mkpụrụ ndụ ọbara uhie na ala nke onye mkpụrụ ndụ. Na a nzọụkwụ ọzọ kpụrụ "mkpụrụ ego ogidi" (nkeji) na ọbara ESR abawanye. The akụkụ ikpeazụ e ji guzobe nnukwu ichekwa erythrocyte aggregates. Ha ọdịda na-kwụsịlata na mgbe ahụ kwụsịrị.

ESR oke n'ime ọbara nwere ike na-emetụta dị iche iche enweghị nchịkwa na n'ahụ ihe. Women, dị ka ọgwụ na ahụ ike omume, ọ bụ na ụkpụrụ na-ubé elu karịa mmadụ ịrụ ọrụ.

N'oge ime, mụbara erythrocyte sedimentation ọnụego na ọbara n'ihi mgbanwe ndị na-protein mejupụtara mkpụrụ ndụ ọbara uhie. Belata ịta (anaemia) na-eme ka osooso nke sedimentation, ọmume nke ọdịnaya, na Kama nke ahụ, usoro slows ala. Nile ụbọchị eleghị anya ịkụ egosi. The kasị elu larịị bụ ihe e ji mara nke ehihie.

The protein mejupụtara nke plasma bụ isi mmetụta na guzobere a "rouleaux" na-akpata. N'okpuru nduzi nke nnukwu na-adọ na-edozi, a Mbelata na-elekọta erythrocytes na ha repulsion ọ bụla ọzọ. N'ihi ya, e guzobere "rouleaux" na accelerated sedimentation.

Ịba nnukwu-adọ na-edozi ndị dị otú ahụ dị ka haptoglobin, C-reactive protein, Alfa-1-antitrypsin, megide nnukwu mkpali eruba akpalite abawanye ESR. Ọzọkwa, nnukwu inflammations na-efe efe sedimentation index mgbanwe a hụrụ 24 awa mgbe na-amụba ịta nke leukocytes na-abawanye na okpomọkụ. Against ndabere nke-adịghị ala ala mbufụt accelerated sedimentation mere nza nke immunoglobulins na fibrinogen.

ESR n'ihe index a na-ewere dị ka a echetakwa ule, nke nwere dịghị specificity maka ihe ọ bụla akpan akpan daa ọrịa. Nke a na ụdị nke ọmụmụ, a na-eji na njikọ KLA (full ọbara).

Egosi maka ọmụmụ bụ mkpali Filiks, etuto ahụ, na-efe efe, na echetakwa ule na ndabere ele ahụ.

Blood nlele a rụrụ na ihe efu afo.

Na-abawanye na ọnụego nke n'ahụ ọdịdị nke ESR hụrụ ndị agadi, ụmụ nwaanyị dị ime mgbe na-amụ nwa na mgbe nanso.

Enweghị nchịkwa sedimentation osooso achọpụtara n'oge igbu egbu, mbufụt, adịghị ala ala na nnukwu na-efe efe (ụkwara nta, osteomyelitis, syphilis, oyi baa). Nhapụ na-hụrụ myocardial infarction, autoimmune ọrịa, fractures, ọkpụkpụ unan, mgbe arụmọrụ, na a ala nke ujo, anaemia, nakwa dị ka mgbe na-ewere ụfọdụ ọgwụ. sedimentation osooso nwere ike na-egosi a gbasara akụrụ ọrịa, hyperfibrinogenemia. Ọ kpughere elu ESR na oncology. Otú ọ dị, dị ka ọtụtụ ndị ọkachamara, na egosi ozugbo malignancy abụghị.

Ngwa ngwa ESR hụrụ na a ọnụ ke muscle uka, agụụ, n'oge n'ikuku nke corticosteroids, ndị mbụ na nke abụọ trimesters nke afọ ime, muscular dystrophy, overhydration, na anaghị eri anụ diets.