He aha te Reiti Sed (Reiti Tauhau Erythrocyte)? Te Whāinga, Ngā Taumata, Te Tikanga & Ngā Hua

Ko te reiti sed, te reiti tauhau erythrocyte (ESR), he whakamātautau toto ngawari e ine ana i te tere o te noho o ō pūtau toto whero ki te raro o te ngongo whakamātautau. Mā tēnei whakamātautau e āwhina tō tākuta ki te kite i te mumura i tō tinana, ahakoa kāore e tohu tika ana i te wāhi i ahu mai ai te mumura.

Whakaarohia me te mātakitaki i te kirikiri e noho ana i roto i te wai - i te wā e mumura ana i tō tinana, ka hanga e ētahi pūmua ō pūtau toto whero kia piri tahi, kia tere te hinga i te tikanga. Ko te reiti sed he taputapu whirinaki i roto i te rongoā mō te tata ki te rau tau, ā, ahakoa he whakamātautau hou ake, kei te whai hua tonu mō te aroturuki i te maha o ngā āhuatanga hauora.

He aha te reiti sed?

E ine ana te reiti sed i te tawhiti e hinga ana ō pūtau toto whero i roto i te ngongo roroa, angiangi i roto i te haora kotahi. Ka hinga pōturi, ā, ka tū tonu ngā pūtau toto whero noa, engari i te wā e puta ana te mumura, ka piri tahi rātou, ka tere te hinga ki te raro.

Ka puta te ingoa o te whakamātautau mai i te tukanga tonu - ko te

He maha ngā whāinga nui o te whakamātautau i roto i te manaakitanga hauora. Tuatahi, ka āwhina i te tātari mō ngā mate mumura pēnei i te rūmātiki, te lupus, te mate mumura o te puku. Tuarua, ka aroturuki i te pai o te rongoā mō ngā āhuatanga mumura e noho ana.

Ka whakamahi pea tō tākuta i te reiti sed hei aroturuki i te haere o ngā mate, ina koa ngā mea nui pēnei i te endocarditis (mate ngākau) me te osteomyelitis (mate wheua). Heoi anō, kāore te whakamātautau i te tino whai kiko ki te tātai i tētahi āhuatanga motuhake anake.

I ētahi wā ka tonoa te reiti sed hei wāhanga o te tātari auau, ina koa i ngā pakeke, nā te mea ka piki te reiti i te wā e pakeke ana. Ka āwhina hoki i te wehe i waenga i ngā momo rūmātiki rerekē, i te aroturuki rānei i te urupare rongoā mate pukupuku.

He aha te tikanga mō te reiti sed?

Me tango toto noa te whakamātautau reiti sed, te tikanga mai i te uaua i tō ringa. E hia meneti noa te katoa o te tukanga, ā, he rite tonu te ahua ki ētahi atu whakamātautau toto i a koe.

Koinei te mea ka tū i te wā o te whakamātautau:

1. Ka horoi tō ringa te kaimahi hauora ki te rongoā patu huakita
2. Ka herea e rātou tētahi tourniquet ki tō ringa o runga kia kitea ngā uaua
3. Ka kuhuna tētahi ngira iti ki roto i te uaua hei tango toto
4. Ka kohia te toto ki roto i tētahi ngongo motuhake
5. Ka tangohia te ngira, ka whakapirihia tētahi takai

I muri i te kohinga, ka haere tō tauira toto ki te taiwhanga, ka whakatakotoria ki roto i tētahi ngongo roroa, whāiti e kīia ana ko te ngongo Westergren. Ka ine te tohunga taiwhanga i te tawhiti e taka ana ngā pūtau toto whero i roto i te hāora kotahi.

Ko te tikanga tino noa e whakamahia ana i tēnei rā ko te tikanga Westergren, e whakamahi ana i te ngongo 200mm me te waimeha i tō toto ki te konutai citrate hei aukati i te pūtoi. E whakamahi ana ētahi taiwhanga i ngā tikanga aunoa ka taea te tuku hua tere.

Me pēhea te whakarite mō tō whakamātautau reiti sed?

Ko te rongo pai, kāore he whakarite motuhake e hiahiatia ana e te whakamātautau reiti sed. Ka taea e koe te kai noa, te tango i ō rongoā o mua, me te haere tonu i ō mahi o mua i mua i te whakamātautau.

Kāore i rite ki ētahi whakamātautau toto e hiahia ana kia nohopuku, e ine ana te reiti sed i tētahi mea kāore e pā ana ki te kai, te inu rānei. Kāore koe e hiahia ki te karo i te kawhe, te whakawātea i te parakuihi, ki te huri rānei i ō mahi i tētahi ara.

Heoi, he pai ki te mau i tētahi kākahu me ngā rīngi ka taea te huri ake, te pana rānei ki te taha. Mā tēnei ka māmā ake te uru atu o te kaimahi hauora ki tō ringa mō te tango toto.

Mēnā kei te tango koe i ētahi rongoā, me tango tonu kia rite ki te tohutohu, ki te kore te tākuta e kī atu ki a koe. Ka taea e ētahi rongoā te pā ki ngā hua o te reiti sed, engari ko te whakamutu i a rātou me te kore tohutohu hauora ka nui ake te kino i ngā raruraru whakamātautau.

Me pēhea te pānui i ō hua reiti sed?

Ka pūrongohia ngā hua reiti sed i roto i te mirimita mō ia hāora (mm/hr), e whakaatu ana ki a koe te tawhiti i hinga ai ō pūtau toto whero i roto i te ngongo whakamātautau i roto i te hāora kotahi. He rerekē ngā awhe noa i runga i tō tau me tō ira tangata, ko ngā wāhine te nuinga he uara noa teitei ake i ngā tāne.

Mō ngā tāne kei raro i te 50, ko te reiti sed noa ko te 0-15 mm/hr, i te wā e whai ana ngā tāne neke atu i te 50 i ngā uara noa o te 0-20 mm/hr. Ko ngā wāhine kei raro i te 50 te nuinga he uara noa o te 0-20 mm/hr, ā, ko ngā wāhine neke atu i te 50 pea he uara noa ki te 30 mm/hr.

E whakaatu ana te reiti sed tiketike i te mumura i tētahi wāhi i tō tinana, engari kāore e whakaatu ana ki a koe kei hea, he aha rānei te take. Ko ngā uara i runga ake i te 100 mm/hr te nuinga e whakaatu ana i ngā āhuatanga nui pēnei i ngā mate kino, ngā mate autoimmune, ētahi momo mate pukupuku rānei.

Kia mahara ka piki noa te reiti sed i te tau, nō reira ko te mea e kiia ana he tiketike mō te 30-tau-tau te pakeke pea he noa mō te 70-tau-tau te pakeke. Ka whakamāori tō tākuta i ō hua i roto i te horopaki o tō tau, ō tohu, me ētahi atu hua whakamātautau.

He aha ngā take o te reiti sed tiketike?

Ka puta te reiti sed teitei mai i ngā momo āhuatanga rerekē, mai i ngā mate iti ki ngā mate ā-ārai-tinana nui. Mā te māramatanga ki ngā take ka taea e koe te kōrero whai mōhio ki tō kaiwhakarato hauora.

Ngā take noa o te reiti sed teitei ko:

• Ngā mate huakita pēnei i te pūkahukahu, i ngā mate ara mimi rānei
• Ngā mate huaketo, ahakoa he iti noa iho te pikinga
• Ngā āhuatanga ā-ārai-tinana pēnei i te rūmātiki, i te lūpas rānei
• Ngā mate whekau mumura pēnei i te mate a Crohn, i te kōrite mumura rānei
• Ētahi momo mate pukupuku, ina koa ngā mate pukupuku toto pēnei i te lymphoma
• Te mate tākihi, ngā raruraru ate rānei
• Ngā raruraru taiaki

Ngā take onge engari nui ko te giant cell arteritis (te mumura o ngā oko toto), te polymyalgia rheumatica (te mamae me te mārō o ngā uaua), me ētahi āhuatanga ngākau. Ka taea hoki e ētahi rongoā te whakanui i te reiti sed.

Ka whakanui noa te hapū i te reiti sed, ina koa i te wā tuarua me te tuatoru. He mea noa tēnei, ā, kāore e tohu ana i ngā raruraru hauora mōu, mō tō pēpi rānei.

He aha ngā take o te reiti sed iti?

He onge te reiti sed iti, ā, he iti noa iho te āwangawanga i ngā uara teitei. I ētahi wā he mea noa te hua iti mōu, ina koa he rangatahi koe, he hauora.

He maha ngā āhuatanga ka puta ai ngā uara reiti sed iti:

• Te mate pūtau kōpaka, kāore e noho noa ngā pūtau toto whakatika
• Polycythemia (he nui rawa ngā pūtau toto whero), ka matotoru te toto
• Te ngoikore ngākau nui, ka pā ki te rere o te toto
• Ētahi rongoā pēnei i te aspirini, i te corticosteroids rānei
• Te leukocytosis nui (teitei rawa te tatau pūtau toto mā)

Ētahi āhuatanga onge pēnei i te hyperviscosity syndrome, i ētahi rerekētanga pūmua rānei ka puta ai te reiti sed iti. Heoi, ko ēnei āhuatanga he tohu kitea.

I te nuinga o nga keehi, he tohu pai te reeti whakataunga iti, e kii ana karekau he mumura nui i roto i to tinana. Ka whakaarohia e to taakuta tenei hua me o tohu me etahi atu whakamatautau.

He aha nga mea morearea mo te reeti whakataunga rereke?

He maha nga mea ka piki ake te tupono ka rereke to reeti whakataunga, ahakoa he maha enei e pa ana ki nga ahuatanga hauora o raro, kaua ki te whakamatautau ake.

Ko te pakeke te mea nui e pa ana ki te reeti whakataunga. I a koe e pakeke haere ana, ka piki haere to reeti whakataunga noa, na reira he rereke nga awhe tohutoro mo nga roopu reanga rereke.

Ko te wahine ano hoki ka piki ake nga uara noa, ina koa i te wa o te paheketanga, te haputanga, me muri i te wa o te menopause. Ka taea e nga huringa homoni puta noa i te oranga o te wahine te awe i nga hua o te reeti whakataunga.

Ko etahi atu mea morearea ko:

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• He mate autoimmune penei i te lupus, te rumatiki ranei
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• Nga mate mau tonu, nga mate auau ranei
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• Te mate pukupuku, ina koa nga mate pukupuku toto
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• Te mate whatukuhu, te ate ranei
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• Te mate whekau mumura
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• Te tango i etahi rongoa
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Ko etahi tangata he reeti whakataunga teitei ake, iti iho ranei, kaore he mate o raro. Koinei te take e titiro ana to taakuta ki nga ahuatanga i roto i te waa, kaua ki te whakawhirinaki ki te hua whakamatautau kotahi.

He pai ake te reeti whakataunga teitei, iti ranei?

I te nuinga o te korero, he pai ake te reeti whakataunga noa, iti ranei i te mea teitei, na te mea ko nga uara teitei e tohu ana i te mumura, i etahi atu raruraru hauora ranei. Heoi, ko te

Ehara te reiti sed teitei i te rongo pai tonu, ahakoa. I etahi wa ka awhina i nga taakuta ki te tautuhi i nga ahuatanga e taea ana te rongoa i te wa wawe, e arahi ana ki nga hua pai ake. Ko te mea nui ko te mohio he aha te take i piki ai, me te whakatika tika.

He nui ake te whakaaro o to taakuta ki nga huringa o to reiti sed i te waa roa atu i nga hua kotahi. Mena kua pumau to reiti sed mo nga tau, ahakoa he paku teitei, tera pea he mea noa mo koe.

He aha nga raruraru ka puta mai i te reiti sed teitei?

Ko te reiti sed teitei ake nei karekau e puta he raruraru - he tohu mo te mumura kei raro iho, ehara i te mate. Heoi, ko nga ahuatanga e piki ai te reiti sed ka arahi ki nga raru hauora nui mena kaore i rongoatia.

Ko nga mate autoimmune kaore i rongoatia ka pakaru nga hononga, nga okana, me etahi atu punaha tinana i te waa. Ko nga ahuatanga penei i te rumatoid arthritis ka puta he rerekee tonu o nga hononga, i te wa e pa ana te lupus ki ou whatukuhu, ngakau, me te roro.

Ko nga mate kino e piki ai te reiti sed tino teitei ka mate pea me te kore e rongoatia wawe. Hei tauira, ka pakaru te endocarditis (te mate ngakau) i nga paera ngakau, i te wa e pa ana te sepsis ki te korenga o te okana.

Ko etahi mate pukupuku e piki ana te reiti sed ka horapa mena kaore i kitea, ka rongoatia wawe. Ko nga mate pukupuku toto penei i te myeloma maha, i te lymphoma ranei ka tere te haere me te kore he rongoa tika.

Ko te mea nui hei mahara ko te kitenga wawe me te rongoa i enei ahuatanga ka aukati i te nuinga o nga raruraru. Koinei te take e aro nui ana to taakuta ki te reiti sed teitei, me te tirotiro ano.

He aha nga raruraru ka puta mai i te reiti sed iti?

He uaua te reiti sed iti ki te puta he raruraru na te mea ko te tikanga e tohu ana i te hauora noa, i nga ahuatanga toto motuhake ranei e whakahaerehia ana i te wehe. Ko te hua whakamatautau ake nei karekau he kino.

Heoi anō, ko ētahi āhuatanga e pā ana ki te reiti taupū iti ka whai raruraru anō. Hei tauira, ka pā te mate pūtau kōpaka ki ngā raruraru mamae me te kino o ngā okana, engari kāore ēnei raruraru e pā ana ki te reiti taupū iti.

Ka taea e te polycythemia (he nui rawa ngā pūtau toto whero) te whakanui i tō tūponotanga ki ngā kōpaka toto, te whiu, te whakaeke ngākau rānei. Anō, ko te reiti taupū iti he tohu noa i tēnei āhuatanga, ehara i te take o ngā raruraru.

I te wāhi tino onge, ka taea e te reiti taupū tino iti te huna i te mumura e kitea ana, ka roa pea te tātaritanga o ngā āhuatanga nui. Heoi anō, he mea noa tēnei, ā, ka whakamahi ngā tākuta i ngā whakamātautau maha hei aromatawai i te mumura.

I te nuinga o ngā wā, he mea whakahihiri te whai reiti taupū iti, ā, kāore e hiahiatia he aroturuki motuhake, he rongoā rānei i tua atu i te whakatika i ngā āhuatanga e tū ana.

Āhea au e kite ai i te tākuta mō te reiti taupū rerekē?

Me whai tonu koe i tō tākuta mēnā he rerekē ngā hua o te reiti taupū, ina koa he nui rawa atu, mēnā kei te pā koe i ngā tohu e māharahara ana koe.

Rapua te āwhina hauora i te wā tonu mēnā he reiti taupū tiketike tōu me ngā tohu pēnei i te kirika tonu, te ngaronga taumaha kāore i whakamāramahia, te tino ngenge, te mamae me te pūhi o ngā hononga, te mamae rānei o te uma. Ka taea e ēnei huinga te tohu i ngā āhuatanga nui e hiahia ana kia arotakengia tonutia.

Ahakoa kāore he tohu, ko ngā uara reiti taupū i runga ake i te 100 mm/hr e tika ana kia āta tirohia te hauora i te wā tonu, nā te mea he maha tonu ngā āhuatanga nui e tū ana pēnei i ngā mate nui, ngā mate aunoa, te mate rānei.

Mō ngā hua e piki ana (30-100 mm/hr), whakaritea he hui whai muri i roto i ngā wiki ruarua. Ka hiahia pea tō tākuta ki te whakahoki anō i te whakamātautau me te tono i ētahi atu whakamātautau hei whakatau i te take.

Mēnā he paku noa te pikinga o tō reiti taupū, ā, kei te pai koe, kaua e mataku. He maha ngā āhuatanga e piki ana te pikinga ngawari he ngāwari te rongoā, ā, i ētahi wā he wā poto noa te pikinga, ā, ka ngaro noa iho.

Ngā pātai auau mō te whakamātautau reiti sed

Q.1 He pai te whakamātautau reiti sed mō te kite i te mate pukupuku?

Ka piki ake te reiti sed i roto i ētahi mate pukupuku, engari ehara i te whakamātautau tātari mate pukupuku motuhake. He maha ngā mate pukupuku, ina koa ngā mate pukupuku toto pēnei i te lymphoma, te myeloma maha rānei, ka piki te reiti sed, engari ka piki hoki i roto i ngā āhuatanga kāore i te mate pukupuku.

He pai ake te whakamātautau mō te aroturuki i te urupare ki te rongoā mate pukupuku i te kitenga tuatahi. Ki te whai mate pukupuku koe, ka whakamahi pea tō tākuta i te reiti sed hei aroturuki i te pai o te rongoā e mahi ana i te wā.

Q.2 Ko te reiti sed tiketike te tikanga he mate nui tōku?

Kāore, ko te reiti sed tiketike kāore i te tohu i te mate nui i ngā wā katoa. He maha ngā āhuatanga rangitahi pēnei i ngā mate iti, te pēhanga, te wāhine rānei, ka piki ake te reiti. Ko te nui o te pikinga me ngā tohumate e haere tahi ana ka āwhina i te whakatau i te hiranga.

Ka whakaaro tō tākuta ki ngā hua o tō reiti sed me ō tohumate, hītori hauora, me ētahi atu whakamātautau hei whakatau mēnā e hiahiatia ana ētahi atu rangahau.

Q.3 Ka pā te pēhanga ki ngā hua o taku reiti sed?

Āe, ka piki ake te reiti sed i ētahi wā i te pēhanga tinana, arā rānei, arā rānei, te pēhanga aronganui. Ka pēnei tēnei nā te mea ka taea e te pēhanga te whakaoho i ngā urupare mumura i tō tinana, ahakoa he iti noa iho te pānga.

Heoi anō, ko te pēhanga anake kāore i te nuinga o te wā e piki nui ai te reiti sed. Ki te piki nui ō hua, ka rapu tō tākuta i ētahi atu take i tua atu i te pēhanga.

Q.4 Kia pēhea te auau o te tirotiro i te reiti sed?

Kei runga i tō āhuatanga hauora te auau o te whakamātautau reiti sed. Ki te whai āhuatanga mumura koe pēnei i te rūmātiki, ka tirotiro pea tō tākuta i tēnei ia marama torutoru hei aroturuki i te mahi o te mate.

Mō ngā tāngata hauora, kāore i te nuinga o te wā te reiti sed i roto i te tātari auau ki te kore koe e whai tohumate e tohu ana i te mumura. Mā tō tākuta e whakatau te hōtaka whakamātautau e tika ana i runga i ō hiahia takitahi.

Q.5 Ka pānga te kai, te whakakori tinana rānei ki ngā hua o te tere o te tauhohenga?

Kāore te kai me te whakakori tinana noa e pā nui ki ngā hua o te tere o te tauhohenga, koinei te take kāore he whakarite motuhake e hiahiatia ana mō te whakamātautau. Heoi anō, ka taea e te tino pēhanga ā-tinana, te mate rānei te whakanui i ngā hua mō te wā poto.

Ka pā pea ētahi taapiri, rongoā rānei i ngā pānga iti, engari kāore ēnei i te nuinga o te wā e whai pānga ana ki te rongoā. Me kōrero tonu ki tō tākuta mō ngā taapiri, rongoā rānei e tango ana koe.