Ni iki cyitwa Sed Rate (Igipimo cyo kugabanuka kwa Erythrocyte)? Intego, Urwego, Uburyo & Ibisubizo

Sed rate, cyangwa igipimo cyo kugabanuka kwa erythrocyte (ESR), ni isuzuma ry'amaraso ryoroshye rigipima uko uturemangingo tw'amaraso yawe dutinda kuva hasi mu icupa rigeragezwa. Iri suzuma rifasha muganga wawe kumenya ububyimbirwe mu mubiri wawe, nubwo ntirigaragaza neza aho ububyimbirwe buturuka.

Bitekereze nk'uko ureba umucanga umanuka mu mazi - iyo ububyimbirwe buri mu mubiri wawe, poroteyine zimwe na zimwe zituma uturemangingo tw'amaraso yawe twegerana maze tukamanuka vuba kuruta uko bisanzwe. Sed rate yabaye igikoresho cyizewe mu buvuzi hafi y'ikinyejana, kandi nubwo hariho ibizamini bishya, biracyakoreshwa mugukurikirana ibibazo byinshi by'ubuzima.

Ni iki cyitwa sed rate?

Sed rate igipima intera uturemangingo tw'amaraso yawe tugenda mu icupa rirerire kandi rito mu gihe cy'isaha imwe. Uturemangingo tw'amaraso bisanzwe tugenda gahoro gahoro, ariko iyo ububyimbirwe buriho, biba bigaragara ko bigomba kwegerana no kumanuka vuba.

Isuzuma ryahawe izina ryaryo kuva muri ubu buryo ubwabwo - "kugabanuka" bisobanura gusa kumanuka cyangwa kurohama. Uturemangingo tw'amaraso yawe (erythrocytes) bisanzwe bifite imiterere yo kumanuka kubera imbaraga za rukuruzi, ariko ububyimbirwe buhindura uko ibi bibaho vuba.

Mugihe cy'ububyimbirwe, umwijima wawe ukora poroteyine nyinshi zitwa fibrinogen na immunoglobulins. Izi poroteyine zituma uturemangingo tw'amaraso yawe twegerana mu gishushanyo kimeze nk'ifaranga, gifite uburemere kandi kigamanuka vuba kuruta uturemangingo twa buri muntu.

Kuki sed rate ikorwa?

Muganga wawe ategeka isuzuma rya sed rate cyane cyane kugirango amenye no gukurikirana ububyimbirwe mu mubiri wawe. Bifite akamaro cyane iyo ufite ibimenyetso bigaragaza ikibazo cy'ububyimbirwe ariko impamvu ntigaragara ako kanya.

Icyo kizamini gifite akamaro gakomeye mu buvuzi. Icya mbere, gifasha mu gupima indwara zifitanye isano n'uburwayi bw'imitsi nk'indwara ya rheumatoid arthritis, lupus, cyangwa indwara zifata amara. Icya kabiri, kigenzura uko imiti ikora ku ndwara zifitanye isano n'uburwayi bw'imitsi.

Muganga wawe ashobora kandi gukoresha icyo kizamini kugira ngo akurikirane uko indwara zandura zikura, cyane cyane izikomeye nka endocarditis (indwara y'umutima) cyangwa osteomyelitis (indwara y'amagufa). Ariko, icyo kizamini ntigishobora kumenya neza indwara runaka ku giti cyacyo.

Rimwe na rimwe, icyo kizamini gitegekwa nk'igice cyo gupima buri gihe, cyane cyane ku bantu bakuze, kuko umuvuduko ukunda kwiyongera uko umuntu asaza. Gishobora kandi gufasha gutandukanya ubwoko butandukanye bwa arthritis cyangwa gukurikirana uko imiti ivura kanseri ikora.

Ni iki gikorerwa icyo kizamini?

Icyo kizamini gisaba gusa gufata amaraso make, akenshi biva mu urugingo rw'umuboko wawe. Icyo gikorwa cyose gifata iminota mike gusa kandi kimeze nk'ibindi bizamini by'amaraso wigeze gukora.

Ibi nibyo bibaho mugihe cyo gukora icyo kizamini:

1. Umuvuzi asukura urugingo rwawe rwo mu kuboko akoresheje umuti wica udukoko
2. Bashyira agapira ku kuboko kwawe kugira ngo imitsi igaragarire neza
3. Urushinge ruto rushyirwa mu urugingo kugira ngo bakuremo amaraso
4. Amaraso akusanyirizwa mu giti cyihariye
5. Urushinge ruvanwaho hanyuma bagashyiraho agapamba

Nyuma yo gukusanya, icyitegererezo cy'amaraso yawe gishyirwa muri laboratori aho gishyirwa mu giti kirekire kandi gifite umwanya muto cyane cyitwa Westergren tube. Umuvuzi wo muri laboratori apima neza intera za selile zitukura z'amaraso zigwa mu isaha imwe.

Uburyo bukoreshwa cyane uyu munsi ni uburyo bwa Westergren, bukoresha agati ka 200mm kandi bugashyira amaraso yawe muri sodium citrate kugira ngo birinde gupfundika. Amwe muri laboratori akoresha uburyo bwikora bushobora gutanga ibisubizo byihuse.

Ni gute wakitegura icyo kizamini?

Inkuru nziza ni uko kugenzura urugero rwa sed ntakindi ugomba kwitegura. Urashobora kurya uko bisanzwe, gufata imiti yawe isanzwe, no gukora ibikorwa byawe bisanzwe mbere yo gupimwa.

Bitandukanye no gupima amaraso amwe asaba kwiyiriza, urugero rwa sed rupima ikintu kitagira icyo gihindurwaho n'ibiryo cyangwa ibinyobwa. Ntabwo ukeneye kwirinda ikawa, kureka ifunguro rya mugitondo, cyangwa guhindura gahunda yawe mu buryo ubwo aribwo bwose.

Ariko, ni byiza kwambara ishati ifite amaboko ashobora kuzunguruka cyangwa gushyirwa ku ruhande. Ibi byoroshya umukozi w'ubuzima kugera ku kuboko kwawe kugirango akuremo amaraso.

Niba ufata imiti iyo ariyo yose, komeza kuyifata nkuko byategetswe keretse muganga wawe akubwiye ibindi. Imiti imwe irashobora kugira ingaruka ku ngaruka za sed, ariko kuyihagarika udafite ubuyobozi bw'abaganga byaba bibi kurusha intere iyo ariyo yose yo gupimwa.

Ni gute usoma ibisubizo byawe bya sed?

Ibisubizo bya sed bitangazwa muri milimetero ku isaha (mm/hr), bikubwira intera selile zawe zitukura zahanutse muri tube yo gupimisha mu isaha imwe. Urugero rusanzwe rutandukanye bitewe n'imyaka yawe n'igitsina, abagore basanzwe bafite agaciro gasanzwe gasumba abagabo.

Ku bagabo bari munsi y'imyaka 50, urugero rusanzwe rwa sed ni 0-15 mm/hr, mugihe abagabo barengeje imyaka 50 bafite agaciro gasanzwe ka 0-20 mm/hr. Abagore bari munsi y'imyaka 50 basanzwe bafite agaciro gasanzwe ka 0-20 mm/hr, naho abagore barengeje imyaka 50 bashobora kugira agaciro gasanzwe kugeza kuri 30 mm/hr.

Urugero rwa sed rwo hejuru rutanga igitekerezo cyo kubyimba ahantu runaka mu mubiri wawe, ariko ntirukubwira aho cyangwa icyo kibitera. Agaciro kurenze 100 mm/hr akenshi kerekana ibibazo bikomeye nk'indwara zikomeye, indwara ziterwa n'umubiri, cyangwa kanseri zimwe na zimwe.

Wibuke ko urugero rwa sed ruzamuka mu buryo busanzwe uko umuntu asaza, bityo icyo gifatwa nkicyo hejuru ku muntu w'imyaka 30 gishobora kuba gisanzwe ku muntu w'imyaka 70. Muganga wawe azasobanura ibisubizo byawe mu rwego rw'imyaka yawe, ibimenyetso, n'ibindi bisubizo byo gupimwa.

Ni iki gitera urugero rwa sed rwo hejuru?

Umuvuduko mwinshi w'amaraso ushobora guterwa n'indwara nyinshi zitandukanye, kuva ku ndwara nto kugeza ku ndwara zikomeye ziterwa n'ubwirinzi bw'umubiri. Kumva impamvu zishobora gutera ibi bishobora kugufasha kugirana ibiganiro bifite amakuru menshi n'umuganga wawe.

Impamvu zisanzwe ziteza umuvuduko mwinshi w'amaraso zirimo:

• Udukoko dutera indwara nka nyumoniya cyangwa indwara z'inkari
• Indwara ziterwa na virusi, nubwo izi zikunda gutera izamuka rito
• Indwara ziterwa n'ubwirinzi bw'umubiri nka rumeatoyide arutiritisi cyangwa lupusi
• Indwara zifata amara nka Crohn's disease cyangwa kolitisi ya ulcerative
• Udukanwa tumwe na tumwe, cyane cyane kanseri z'amaraso nka limfoma
• Indwara z'impyiko cyangwa ibibazo by'umwijima
• Indwara zifata imisemburo ya tirohide

Impamvu zitavugwa cyane ariko zikomeye zirimo arteritisi ya selile nini (uburibwe bw'imitsi), polymyalgia rheumatica (uburibwe bw'imitsi no gukakara), n'indwara zimwe na zimwe z'umutima. Imiti imwe na none irashobora kuzamura umuvuduko w'amaraso.

Gusama bitera umuvuduko w'amaraso kwiyongera, cyane cyane mu gihembwe cya kabiri n'icya gatatu. Ibi ni ibisanzwe kandi ntibigaragaza ibibazo by'ubuzima kuri wowe cyangwa umwana wawe.

Ni iki gitera umuvuduko muto w'amaraso?

Umuvuduko muto w'amaraso ntusanzwe kandi akenshi ntugira icyo uteye impungenge kurusha agaciro kenshi. Rimwe na rimwe, igisubizo gito ni ibisanzwe kuri wowe, cyane cyane niba ukiri muto kandi ufite ubuzima bwiza.

Ibyiciro bitandukanye bishobora gutera agaciro gato k'umuvuduko w'amaraso:

• Indwara ya selile ya sikeri, aho uturemangingo tw'amaraso duteye nabi ntidusanzwe
• Polisitemiya (uturemangingo tw'amaraso menshi cyane), bituma amaraso akomera
• Kunanirwa gukomeye k'umutima, bishobora kugira ingaruka ku mikorere y'amaraso
• Imiti imwe na none nka aspirine cyangwa kortikosteroyide
• Leukositose ikabije (umubare mwinshi cyane w'uturemangingo tw'amaraso twera)

Ibyiciro bimwe na bimwe bidasanzwe nka sindromu ya hyperviscosity cyangwa ibitagenda neza bya poroteyine birashobora gutera umuvuduko muto w'amaraso. Ariko, ibi byiciro akenshi bifite ibindi bimenyetso bigaragara.

Mu bihe byinshi, igipimo gito cya sed rate ni ikimenyetso cyiza, kigaragaza ko nta kubyimbirwa gukomeye ufite mu mubiri wawe. Muganga wawe azatekereza kuri iki gipimo hamwe n'ibimenyetso byawe n'ibindi bizami.

Ni ibihe bintu byongera ibyago byo kugira sed rate idasanzwe?

Ibintu byinshi bishobora kongera amahirwe yawe yo kugira sed rate idasanzwe, nubwo byinshi muri ibi bifitanye isano n'uburwayi bw'ibanze kurusha ikizamini ubwacyo.

Imyaka ni ikintu cy'ingenzi cyane kigira ingaruka ku gipimo cya sed rate. Uko ushaje, igipimo cyawe gisanzwe cya sed rate kizamuka buhoro buhoro, niyo mpamvu ibipimo bisanzwe bitandukanye ku byiciro by'imyaka bitandukanye.

Kuba umugore nabyo bituma agira agaciro gasanzwe gasumba gato, cyane cyane mu gihe cyo mu mihango, gutwita, na nyuma yo gucura. Impinduka za hormone mu buzima bw'umugore zishobora kugira uruhare mu ngaruka za sed rate.

Izindi mpamvu zongera ibyago zirimo:

• Kugira indwara ya autoimmune nka lupus cyangwa rheumatoid arthritis
• Udukoko tw'igihe kirekire cyangwa indwara zikunze kubaho
• Ubukana, cyane cyane kanseri z'amaraso
• Indwara y'impyiko cyangwa umwijima
• Indwara y'amara yo kubyimbirwa
• Kunywa imiti imwe na rimwe

Abantu bamwe bafite sed rate isumba cyangwa ikabije nta ndwara yihishe. Iyi niyo mpamvu muganga wawe areba ibyabayeho mu gihe runaka kurusha kwishingikiriza ku gipimo kimwe.

Ni byiza kugira sed rate ndende cyangwa nto?

Muri rusange, igipimo gisanzwe cyangwa gito cya sed rate ni cyiza kurusha igipimo kirekire, kuko agaciro kiyongereye akenshi kerekana kubyimbirwa cyangwa izindi ndwara. Ariko, sed rate "nziza" kuri wewe biterwa n'imimerere yawe bwite.

Igipimo gisanzwe cya sed rate kigaragaza ko nta kubyimbirwa gukomeye ufite mu mubiri wawe, akaba ari ikimenyetso cyiza. Agaciro gato akenshi ni byiza kurushaho, kerekana ibikorwa bito byo kubyimbirwa.

Umubare mwinshi wa sed rate ntibisobanura ko ari inkuru mbi, nubwo bimeze bityo. Rimwe na rimwe bifasha abaganga kumenya indwara zivurwa hakiri kare, bigatuma habaho imikorere myiza. Ikintu cy'ingenzi ni ukumenya icyateye izamuka ryayo no kubikemura neza.

Umuganga wawe yita cyane ku mpinduka za sed rate yawe uko igihe kigenda, kurusha uko umubare umwe uhagaze. Niba sed rate yawe imaze imyaka ihagaze, nubwo yaba yarazamutseho gato, bishobora kuba bisanzwe kuri wowe.

Ni izihe ngaruka zishobora guterwa na sed rate yisumbuye?

Sed rate yisumbuye ubwayo ntigira ingaruka - ni ikimenyetso cy'uburwayi buri hasi kurusha indwara. Ariko, ibintu bitera izamuka rya sed rate bishobora gutera ibibazo bikomeye by'ubuzima niba bitavuwe.

Indwara zidakira ziterwa n'umubiri zishobora kwangiza ingingo, inyama z'imbere mu mubiri, n'izindi sisitemu z'umubiri uko igihe kigenda. Indwara nka rheumatoid arthritis ishobora gutera ubumuga buhoraho bw'ingingo, mugihe lupus ishobora kwangiza impyiko zawe, umutima, n'ubwonko.

Udukoko dukomeye dutera sed rate yisumbuye cyane dushobora guteza akaga iyo batavuwe vuba. Urugero, endocarditis (indwara y'umutima) ishobora kwangiza imitsi y'umutima, mugihe sepsis ishobora gutera kunanirwa kw'inyama z'imbere mu mubiri.

Zimwe muri kanseri zitera izamuka rya sed rate zishobora gukwirakwira niba zitamenyekanye kandi ntizivurwe hakiri kare. Kanseri z'amaraso nka multiple myeloma cyangwa lymphoma zishobora kwihuta cyane niba nta kuvurwa bikwiye.

Ikintu cy'ingenzi cyo kwibuka ni uko kumenya no kuvura hakiri kare ibi bintu bishobora gukumira ingaruka nyinshi. Ibi nibyo bituma umuganga wawe afata sed rate yisumbuye nk'ikintu gikomeye kandi akabikurikirana.

Ni izihe ngaruka zishobora guterwa na sed rate nto?

Sed rate nto ntigira ingaruka kuko akenshi yerekana ubuzima busanzwe cyangwa indwara zihariye z'amaraso zicungwa ukwazo. Igisubizo cy'ikizamini ubwacyo ntigiteza akaga.

Ariko, ibibazo bimwe na bimwe bitera urugero ruto rwa sedation bishobora kugira ibibazo byabyo. Urugero, indwara ya selile ya sickle cell, ishobora gutera ibibazo by'ububabare no kwangirika kw'ingingo, ariko ibi bibazo ntaho bihuriye n'urugero ruto rwa sedation ubwaryo.

Polycythemia (amaso menshi y'amaraso atukura) ashobora kongera ibyago bya gushyira amaraso, sitiroko, cyangwa umutima. Nanone, urugero ruto rwa sedation ni ikimenyetso cy'iki kibazo, ntabwo ari cyo gitera ibibazo.

Gahoro cyane, urugero ruto cyane rwa sedation rushobora guhisha umubyimbirwe urimo, rushobora gutinda kumenya indwara zikomeye. Ariko, ibi ntibisanzwe, kandi abaganga bakoresha ibizamini byinshi kugirango basuzume umubyimbirwe.

Mu bihe byinshi, kugira urugero ruto rwa sedation birashimisha kandi ntibisaba gukurikiranwa cyangwa kuvurwa byihariye uretse gukemura ibibazo byose bishobora kuba bihari.

Kuki nkwiriye kubona umuganga kubera urugero rwa sedation rudasanzwe?

Ukwiriye gukurikirana umuganga wawe niba ufite ibisubizo bitari bisanzwe byurugero rwa sedation, cyane cyane niba byazamutse cyane cyangwa niba ufite ibimenyetso bikubabaza.

Shaka ubufasha bw'ubuvuzi vuba niba ufite urugero rwo hejuru rwa sedation hamwe n'ibimenyetso nk'umuriro udashira, gutakaza ibiro bitasobanutse, umunaniro ukabije, kubabara no kubyimba kw'ingingo, cyangwa kubabara mu gituza. Izi mpuzandengo zirashobora kugaragaza ibibazo bikomeye bisaba isuzuma ryihuse.

Ndetse no hatariho ibimenyetso, agaciro ka sedation hejuru ya 100 mm / hr bigomba kwitabwaho vuba kuko akenshi bigaragaza ibibazo bikomeye byo hasi nk'indwara zikomeye, indwara z'ubwirinzi, cyangwa kanseri.

Kubisubizo byazamutse gato (30-100 mm / hr), shyiraho gahunda yo gusubira mu byumweru bike. Umuganga wawe ashobora gushaka gusubiramo ikizamini kandi ashobora gutumiza ibindi bizamini kugirango amenye icyateye.

Niba urugero rwawe rwa sedation ruzamutse gato gusa kandi wumva umeze neza, ntugire ubwoba. Ibintu byinshi bitera kuzamuka gake biravurwa byoroshye, kandi rimwe na rimwe kuzamuka ni ukw'agateganyo kandi bikemuka byonyine.

Ibibazo bikunze kwibazwa ku gipimo cya sed rate

Q.1 Ese igipimo cya sed rate ni cyiza mu kumenya kanseri?

Sed rate irashobora kuzamuka muri zimwe muri kanseri, ariko si igipimo cyihariye cyo gupima kanseri. Kanseri nyinshi, cyane cyane kanseri z'amaraso nka lymphoma cyangwa multiple myeloma, zishobora gutera sed rate ndende, ariko ibyo bishobora guterwa n'indwara nyinshi zitari kanseri.

Iki gipimo gifite akamaro kanini mu gukurikirana uko imiti ya kanseri ikora kurusha uko yamenya kanseri. Niba ufite kanseri, muganga wawe ashobora gukoresha sed rate kugirango akurikirane uko imiti ikora neza uko igihe kigenda.

Q.2 Ese sed rate ndende buri gihe bivuze ko mfite indwara ikomeye?

Oya, sed rate ndende ntibisobanura buri gihe indwara ikomeye. Ibihe byinshi by'agateganyo nk'indwara ntoya, umunaniro, cyangwa imihango bishobora gutera izamuka rito. Uburyo izamuka rihagaze n'ibimenyetso bijyana bifasha kumenya icyo bisobanuye.

Muganga wawe azatekereza ku ngaruka za sed rate hamwe n'ibimenyetso byawe, amateka yawe y'ubuvuzi, n'ibindi bipimo kugirango amenye niba hakenerwa izindi nyigo.

Q.3 Ese umunaniro ushobora kugira ingaruka ku ngaruka za sed rate yanjye?

Yego, umunaniro wo mu mubiri cyangwa mu mutwe rimwe na rimwe ushobora gutera izamuka rito muri sed rate. Ibi bibaho kuko umunaniro ushobora gutera ibisubizo byo mu mubiri byo kurwanya ibibazo, nubwo ingaruka zikunze kuba nto.

Ariko, umunaniro wenyine ntukunda gutera sed rate ndende cyane. Niba ibisubizo byawe bizamutse cyane, muganga wawe azashaka izindi mpamvu zitari umunaniro.

Q.4 Ni kangahe sed rate igomba gupimwa?

Uburyo bwo gupima sed rate buterwa n'ubuzima bwawe bwihariye. Niba ufite indwara yo mu mubiri irwanya ibibazo nka rheumatoid arthritis, muganga wawe ashobora kuyipima buri mezi make kugirango akurikirane imikorere y'indwara.

Ku bantu bafite ubuzima bwiza, sed rate ntikunze kuba mu isuzuma risanzwe keretse ufite ibimenyetso bishobora kwerekana ibibazo. Muganga wawe azagena gahunda ikwiye yo gupima ishingiye ku byo ukeneye.

Ibibazo 5. Ese imirire cyangwa imyitozo ngororamubiri bigira ingaruka ku bisubizo bya sed rate?

Kurya no gukora imyitozo ngororamubiri bisanzwe ntibigira ingaruka zigaragara ku bisubizo bya sed rate, niyo mpamvu nta myiteguro yihariye ikenewe kuri iki kizamini. Ariko, umunaniro ukabije cyangwa indwara birashobora kuzamura ibisubizo by'agateganyo.

Inyongera zimwe na zimwe cyangwa imiti birashobora kugira ingaruka nto, ariko ibi mubisanzwe ntibigaragara mu buvuzi. Buri gihe bwire umuganga wawe ku bijyanye n'inyongera cyangwa imiti urimo gufata.