ESR ne Westergren - chii?

Pari, nzira kuyera mashoko erythrocyte sedimentation mwero Westergren ndiyo bhuku. nzira iyi yakatanga kushandiswa muna 1926, uye ari zvinowanzoshandiswa mushonga ano vari nechirwere zvimwe zvirwere, kunyanya nokuda kuziva miedzo chokutsva zvakavanzika.

Chii erythrocyte sedimentation mwero (ESR)?

Mazuva okurapa, nzira ine nokukurumidza kuyerwa kwezvinhu erythrocyte sedimentation mune wehunyambiri chubhu ndicho nyore uye nyore chirwere nzira. Kutsvakurudza kwakadaro kunobatsira ropa kuona pamberi kuzvimba, asi zvinofanira kucherechedzwa kuti nhamba iri non-zvakananga uye dzingasiyana zvichienderana matambudziko akasiyana zvinhu.

Nyaya yacho masero matsvuku eropa rinoitwa mumatanho matatu. Chokutanga, erythrocytes vari vazodzikisa kusvikira pasi bvunzo chubhu uye zvishoma nezvishoma kubva mumwe. Mune Danho rechipiri masero matsvuku eropa uwandu hwezvinhu zvose zvabatanidzwa. uye dzinoumba vanonzi "mari mbiru" - zvino agadzirise nokukurumidza. Panguva yokupedzisira chikuva inoumbwa vazhinji vezvikwata - deposition wavo wokutanga DZEMUNHU DZINODZORA, uye ipapo Anodzivisawo zvachose.

Saka, ezvokunambira kunze kwomuviri waamai akaumba zviviri akaturikidzana - akaronga mujinga pasi aggregated masero matsvuku eropa, uye yokumusoro chikamu plasma inounganidzwa kubva leukocytes. Westergren ESR pamusoro zvinogona zvinofungidzirwa nokuyera kukwirira aumba segirazi pamusoro paiva plasma. Akayera nokuda mwero mm / h.

Ko ESR kubudikidza Westergren?

Sezvambotaurwa, nzira iyi inowanika uye nyore kubata. Tinofanira kutanga dhayira rinokosha cylindrical chubhu 0.5 ml yavaibvisa citrate (nayo anoita somunhu anticoagulant mumiririri) uye 2 ml venous ropa. Zvino vakazadzwa chubhu raiiswa vertically ari pani uye siya kweawa. Mushure yakagoverwa nguva, unofanira kuyera kureba zvakaturikidzaniswa inoumbwa plasma.

ESR kubudikidza Westergren: izvo zviratidzi vanoonekwa chakaipa?

Kutaura zvazviri, kumhanya sedimentation masero matsvuku eropa anoenderana nezera uye kurara murwere. Somuenzaniso, achangoberekwa ropa yakaderera mune globulin, mapuroteni, zvisinei sedimentation velocity uye deceleration anenge 2 mm paawa. Kwemakore maviri mufananidzo uyu chakawedzera kusvika 4-17 mm.

Varume nevakomana anopfuura 10 makore ESR zvichisiyana 2 kusvika 10 mm. Women nhamba yakakwirira - 2-15 mm paawa. Kana isu kutaura migumisiro ropa miedzo vanhu vakwegura, vakadzi ESR inobva 2 kusvika 53 neMM, uye vamiririri akasimba pabonde - 2-38 mm / awa.

Sei chipimo maererano Westergren ESR upgraded?

Kuwedzera sedimentation mwero masero matsvuku eropa, kazhinji chokuita nokuwedzera ropa mapuroteni mamorekuru, kunyanya fibrinogen, mamwe mapoka uye paraproteins globulins. Saka, chero chirwere chinokonzera kuchinja kwakadaro muropa kungaita kuchinja ESR. Kakawanda izvi zvinoitika nokuda webasa chirwere kana kuzvimba. Zvikonzero zvingasanganisira paumbwe nyanyisa zvivako, kupererwa neropa, chepfu vamwe muchetura. ESR kunowedzera nemabayo, infarctions, zvirwere chiropa neitsvo, mapfupa kukuvara, chirwere cheshuga uye dzimwe hosha yacho kwemakemikari anobudiswa hurongwa.

ESR kubudikidza Westergren downgraded: Zvinokonzera

Kazhinji, nokukurumidza rutapudzo inobatanidzwa thickening ropa, uyewo nedzimwe hosha dzakawanda. Zvikurukuru, chiitiko ichi inogara kuchengetwa varwere spherocytosis, jeko sero chirwere uye polycythemia. Zvikonzero zvinosanganisira refu yokutsanya, unopinza kuderera kwetsandanyama, kweropa kukundikana. Pakugadzirisa zvazvingava zvingavhiringidza negashiro steroid zvinodhaka.