ESR tsom xam ntawm cov ntshav

ESR ntshav kuaj tsawg kawg ib zaug txhua tus neeg. Yuav ua li cas yog qhov tseem ceeb ntawm no tsom xam? ESR - tsiaj ntawv lub ntsiab lus erythrocyte sedimentation tus nqi, uas yog ib qho taw qhia ntawm qhov kev sib cais ceev nyob rau hauv vitro ntshav nrog ib tug anticoagulant ntxiv thereto. Tej kev sib cais tshwm sim nyob rau hauv ob khaubncaws sab nraud povtseg: ib pob tshab ntshav (sab sauv txheej) thiab lub tswm liab hlwb (hauv qab txheej). ESR soj ntsuam hloov ntshav txheej tsim dua 1 teev, thiab ntsuas nyob rau hauv millimeters (hli). Erythrocytes muaj ib txog kev loj uas yog ntau ntshav loj yog li ntawd raug nyob rau hauv vitro anticoagulant (sodium citrate) nyob rau hauv tus ntawm lub ntiajteb txawj nqus mus rau hauv qab ntawm lub cev ntas erythrocytes khom. Txheej txheem erythrocyte sedimentation sib cais rau hauv peb theem, noj qhov chaw nyob rau txawv speeds. Feem ntau erythrocytes maj mam tso ua ib hlwb. Ces muaj ib tug tsim ntawm aggregates (rouleaux). Qhov no tus txheej txheem yog sai npaum li cas zoo npaum li thawj theem. Thaum lub sij hawm peb theem, ib tug loj tus naj npawb ntawm chav nyob. Hauv lawv nyob rau hauv lub saum toj ntawm tseg cia, thiab tsis ntev ntaug zoo rau nws.

Tag nrho cov ntshav ESR qhia tau hais tias qhov kev hloov nyob rau hauv lub ESR raws li ib tug muaj nuj nqi ntawm ntau yam pathological thiab physiological yam. Feem ntau ESR qhov tseem ceeb nyob rau hauv cov txiv neej yog me ntsis qis dua hais tias ntawm cov poj niam. Hloov cov protein muaj pes tsawg leeg ntawm lub loj ntawm cov ntshav nyob rau hauv cev xeeb tub cov poj niam ua rau yus mus rau ib qho kev nce rau hauv qhov ntsuas no. Txo tus naj npawb ntawm cov ntshav liab (anemia) ua rau acceleration ntawm cov ntshav txhaws, thiab kom lawv cov ntsiab lus, on qhov tsis tooj, qeeb tus nqi ntawm sedimentation. Thaum uas cev xeeb tub tsis pub dhau hnub ntawm ESR ntshav kuaj qhia tau hais tias me ntsis hloov mus hloov los. Cov qib siab tshaj plaws ntawm qhov ntsuas no yog cai nyob rau hauv lub yav tav su.

Lub ntsiab zoo tshaj influencing tsim ntawm aggregates thaum lub sij hawm erythrocyte sedimentation tus nqi, yog cov protein muaj pes tsawg leeg ntawm cov ntshav ntshav. Adsorbed rau erythrocytes, mob theem cov nqaijrog thiab txo lawv muaj peev xwm them rau ua txhua buddies. Qhov no yeej txhawb lub tsim ntawm aggregates thiab accelerates erythrocyte sedimentation. Nyob rau hauv mob inflammations thiab kab mob ua rau kom cov protein nyob rau hauv lub mob theem ua rau ib qho kev nce rau hauv cov ntshav txhaws. Cov kev hloov no hauv tus nqi cai 24 teev tom qab qhov kev nce rau hauv lub cev kub thiab nce rau hauv tus naj npawb ntawm leukocytes. Thaum lub sij hawm mob mob nce ESR tshwm sim los ntawm nce lub concentration ntawm immunoglobulins thiab fibrinogen. Kev txiav txim ntawm coagulation ntawm cov ntshav tshaj tawm thaum lub sij hawm, nrog rau lwm yam kev xeem siv nyob rau hauv kev txiav txim miv nyuas siv zug ntawm ib tug kho kev kho mob ntawm ntau yam kab mob.

ESR tsom xam ntawm cov ntshav muaj lub indications rau: kab mob, hlav, inflammatory kab mob, soj ntsuam kuaj ntsuam xyuas nyob rau ntawm lub prophylactic xeem. Qhov no tsom xam yog raws li nyob rau hauv venous ntshav coj los ntawm ib tug neeg mob nyob rau ib npliag plab.

Ib tug ntshav kuaj ESR yog ib tug nonspecific qhia ntawm o. Nrog nws cov kev pab qhia tsis zoo dab tshwm sim nyob rau hauv lub cev.

Analysis ntawm tus nqi ntawm cov ntshav ESR (mm / h):

- cov txiv neej - txog li 12;

- cov poj niam - 15.

ESR acceleration yuav ua tau saline: advanced muaj hnub nyoog, cev xeeb tub, puerperium thiab pathological: toxicity, o, kab mob, mob thiab mob osteomyelitis, mob ntsws, mob syphilis, tuberculosis), collagen (autoimmune kab mob), pob txha lov, kev poob plig, heart attack myocardial infarction, anemia, cov kab mob ntawm ob lub raum (nephritis, nephritic syndrome), kev khiav hauj lwm pab, poob siab lub xeev, malignant qog, lub koob tshuaj ntawm cov tshuaj (glucocorticoids, estrogens) paraproteinemia, hyperfibrinogenemia.

Tseg ESR yuav tshwm sim los ntawm starvation, txo leeg loj, 1-2 peb lub hlis uas cev xeeb tub, ib tug neeg tsis noj nqaij noj cov zaub mov, siv cov corticosteroids, midistrofiya, hyperhydration.