Ukuhlolwa kwe-VHS: kuyini, kuyini kanye namanani ayizethenjwa
-Delile
Ukuhlolwa kwe-ESR, noma isilinganiso se-erythrocyte sedimentation noma isilinganiso se-erythrocyte sedimentation, ukuhlolwa kwegazi okusetshenziswa kabanzi ukuthola noma yikuphi ukuvuvukala noma ukutheleleka emzimbeni, okungakhombisa kusuka kumakhaza alula, ukutheleleka kwamagciwane, ezifweni zokuvuvukala ezifana ne-arthritis noma i-acute pancreatitis, Ngokwesibonelo.
Lokhu kuhlolwa kukala ijubane lokwehlukanisa phakathi kwamangqamuzana abomvu egazi ne-plasma, okuyingxenye engamanzi yegazi, ngesenzo samandla adonsela phansi. Ngakho-ke, lapho kunenqubo yokuvuvukala egazini, kwakheka amaprotheni anciphisa i-viscosity yegazi futhi asheshise isilinganiso se-erythrocyte sedimentation, okuholela ku-ESR ephezulu, evame ukuba ngaphezulu 15 mm kumuntu futhi 20 mm kwabesifazane.
Ngale ndlela, i-ESR isivivinyo esibucayi kakhulu, ngoba ingathola kalula ukuvuvukala, kepha ayicaciswanga, okungukuthi, ayikwazi ukukhombisa uhlobo, indawo noma ukuqina kokuvuvukala noma ukutheleleka okwenzeka emzimbeni . Ngakho-ke, amazinga e-ESR kufanele ahlolwe ngudokotela, ozokhomba imbangela ngokuya ngokuhlolwa komtholampilo kanye nokusebenza kwezinye izivivinyo, njengeCRP, ekhombisa ukuvuvukala noma ukubalwa kwegazi, ngokwesibonelo.
Yenzelwe ini
Ukuhlolwa kwe-VHS kusetshenziselwa ukukhomba noma ukuhlola noma yiluphi uhlobo lokuvuvukala noma lokutheleleka emzimbeni. Umphumela wakho ungakhomba:
1. VHS ephezulu
Izimo ezivame ukwanda kwe-ESR ukutheleleka ngegciwane noma amagciwane, njengomkhuhlane, i-sinusitis, i-tonsillitis, i-pneumonia, ukutheleleka kwe-urinary tract noma isifo sohudo, isibonelo. Kodwa-ke, isetshenziselwa kabanzi ukuhlola nokulawula ukuvela kwezinye izifo eziguqula umphumela wazo ngendlela ebaluleke kakhulu, njenge:
- I-Polymyalgia rheumatica okuyisifo sokuvuvukala semisipha;
- I-arteritis yesikhashana okuyisifo sokuvuvukala kwemithambo yegazi;
- I-rheumatoid arthritis eyisifo sokuvuvukala kwamalunga;
- I-Vasculitis, okuwukuvuvukala kodonga lomthambo wegazi;
- I-Osteomyelitis okuyisifo samathambo;
- Isifo sofuba, okuyisifo esithathelwanayo;
- Umdlavuza.
Ngaphezu kwalokho, kubalulekile ukukhumbula ukuthi noma isiphi isimo esishintsha ukuxubeka kwegazi noma ukwakheka kungashintsha imiphumela yokuhlolwa. Ezinye izibonelo ukukhulelwa, isifo sikashukela, ukukhuluphala ngokweqile, ukwehluleka kwenhliziyo, ukwehluleka kwezinso, ukuba umlutha wotshwala, ukuphazamiseka kwegilo noma ukushoda kwegazi.
2. ESR ephansi
Ukuhlolwa okuphansi kwe-ESR ngokuvamile akubonisi izinguquko. Kodwa-ke, kubalulekile ukukhumbula ukuthi kunezimo ezingagcina i-ESR iphansi ngokungavamile, futhi idide ukutholwa kokuvuvukala noma ukutheleleka. Ezinye zalezi zimo yilezi:
- I-Polycythemia, okungukunyuka kwamaseli egazi;
- I-leukocytosis enamandla, okungukunyuka kwamaseli amhlophe egazi egazini;
- Ukusetshenziswa kwama-corticosteroids;
- I-Hypofibrinogenesis, okuyisifo sokunqanda igazi;
- I-Hereditary spherocytosis okuwuhlobo lwe-anemia olusuka kubazali luye ezinganeni.
Ngakho-ke, udokotela kufanele ngaso sonke isikhathi abone ukubaluleka kokuhlolwa kwe-ESR futhi akuhlaziye ngokuya ngomlando womtholampilo womuntu, ngoba umphumela wawo awuhambisani ngaso sonke isikhathi nesimo sezempilo somuntu ohlolwayo. Udokotela futhi angasebenzisa izivivinyo ezintsha nezicacisiwe, njenge-PCR, okuvame ukukhombisa izimo ezinjengokutheleleka ngendlela ethize. Thola ukuthi yini ukuhlolwa kwe-PCR nokuthi kwenziwa kanjani.
Kwenziwa kanjani
Ukwenza isivivinyo se-VHS, ilabhorethri izolanda isampula yegazi, efakwa esitsheni esivaliwe, bese kubhekwa ukuthi kuthatha isikhathi esingakanani ukuthi amangqamuzana abomvu egazi ahlukane ne-plasma bese ehlala phansi kwesitsha .
Ngakho-ke, ngemuva kwehora eli-1 noma amahora amabili, lokhu kufakwa kuzokalwa, ngamamilimitha, ngakho-ke umphumela unikezwa ngo-mm / h. Ukwenza ukuhlolwa kwe-VHS, akukho ukulungiselela okudingekayo, futhi ukuzila ukudla akuphoqelekile.
Amanani ayizethenjwa
Amanani esithenjwa esivivinyo se-VHS ahlukile kwabesilisa, abesifazane noma izingane.
Emadodeni:
- ngo-1h - kufika ku-15 mm;
- 2h - 20 mm.
- Kwabesifazane:
- ngo-1h - kufika ku-20 mm;
- 2h - kufika ku-25 mm.
- Ezinganeni:
- amanani aphakathi kuka-3 - 13 mm.
Njengamanje, amanani wokuhlolwa kwe-VHS ehoreni lokuqala abaluleke kakhulu, ngakho-ke asetshenziswa kakhulu.
Lapho ukuvuvukala kukhula kakhulu, i-ESR ingakhuphuka kakhulu, futhi izifo ze-rheumatological kanye nomdlavuza kungadala ukuvuvukala okukhulu kangangokuba kukwazi ukukhulisa i-ESR ngaphezu kwe-100 mm / h.
-Yintshisekelo
