Iyini i-Sed Rate (Izinga Lokuhlala Kwama-Erythrocyte)? Inhloso, Amazinga, Inqubo & Imiphumela

I-sed rate, noma izinga lokuhlala kwama-erythrocyte (ESR), liyisivivinyo segazi esilula esilinganisa ukuthi amaseli akho abomvu egazi ahlala ngokushesha kangakanani phansi kweshubhu lokuhlola. Lolu vivinyo lusiza udokotela wakho ukuthi athole ukuvuvukala emzimbeni wakho, nakuba lungasho ngqo ukuthi ukuvuvukala kuvela kuphi.

Cabanga ngakho njengokubuka isihlabathi sihlala emanzini - uma kukhona ukuvuvukala emzimbeni wakho, amaprotheni athile enza amaseli akho abomvu egazi ahlanganisane futhi awe ngokushesha kunokujwayelekile. I-sed rate ibilithuluzi elithembekile emithini cishe iminyaka eyikhulu, futhi ngenkathi kukhona izivivinyo ezintsha, lihlala linenzuzo ekuhloleni izimo eziningi zempilo.

Iyini i-sed rate?

I-sed rate ilinganisa ukuthi amaseli akho abomvu egazi awe kangakanani eshubhini elide, elincane phakathi nehora elilodwa. Amaseli abomvu egazi ajwayelekile awe kancane futhi ngokuqinile, kodwa uma ukuvuvukala kukhona, athambekele ekunamatheleni ndawonye futhi awe ngokushesha ngaphansi.

Uvivinyo lithola igama lalo kule nqubo uqobo -

Lolu vivinyo lusebenza izinhloso eziningi ezibalulekile ekunakekelweni kwezempilo. Okokuqala, lusiza ekuhloleni izifo ezivuvukalayo njenge-rheumatoid arthritis, i-lupus, noma isifo samathumbu esivuvukalayo. Okwesibili, luqapha ukuthi ukwelashwa kusebenza kahle kangakanani ezimweni ezivuvukalayo ezikhona.

Udokotela wakho angase futhi asebenzise izinga le-sed ukulandelela ukuqhubeka kokutheleleka, ikakhulukazi okubucayi njenge-endocarditis (ukutheleleka kwenhliziyo) noma i-osteomyelitis (ukutheleleka kwamathambo). Kodwa-ke, lolu vivinyo aluqondile ngokwanele ukuxilonga noma yisiphi isimo esithile ngokwalo.

Ngezinye izikhathi izinga le-sed li-odwa njengengxenye yokuhlolwa okuvamile, ikakhulukazi kubantu abadala, njengoba izinga lithambekele ekukhuphukeni ngokwemvelo ngokuya ngeminyaka. Kungasiza futhi ukuhlukanisa phakathi kwezinhlobo ezahlukene ze-arthritis noma ukuqapha impendulo yokwelashwa komdlavuza.

Yini inqubo ye-sed rate?

Uvivinyo lwe-sed rate ludinga kuphela ukudonswa kwegazi okulula, ngokuvamile emthanjeni engalweni yakho. Inqubo yonke ithatha imizuzu embalwa nje futhi izizwa ifana nanoma yiluphi olunye uhlobo lokuhlolwa kwegazi olwake lwaba nalo.

Nakhu okwenzekayo ngesikhathi sokuhlolwa:

1. Umsebenzi wokunakekelwa kwezempilo uhlanza ingalo yakho nge-antiseptic
2. Babopha i-tourniquet engalweni yakho engenhla ukuze benze imithambo ibonakale kakhulu
3. Inaliti encane ifakwa emthanjeni ukuze idonse igazi
4. Igazi liqoqwa ethubeni elikhethekile
5. Inaliti iyasuswa futhi kufakwa ibhandishi

Ngemuva kokuqoqwa, isampula lakho legazi liya elabhorethri lapho libekwa khona ethubeni elide, elincane elibizwa nge-Westergren tube. Uchwepheshe waselabhorethri ulinganisa kahle ukuthi amaseli abomvu egazi awele kude kangakanani ngehora elilodwa.

Indlela evame kakhulu esetshenziswa namuhla yi-Westergren method, esebenzisa ithumbu elingu-200mm futhi ihlanza igazi lakho nge-sodium citrate ukuvimbela ukujiya. Amanye amalabhorethri asebenzisa izindlela ezizenzakalelayo ezinganikeza imiphumela ngokushesha.

Ungalungiselela kanjani ukuhlolwa kwakho kwe-sed rate?

Izindaba ezinhle ukuthi ukuhlolwa kwe-sed rate akudingi ukulungiselela okukhethekile ngakho. Ungadla ngokujwayelekile, uthathe imithi yakho ejwayelekile, futhi uqhubeke nemisebenzi yakho ejwayelekile ngaphambi kokuhlolwa.

Ngokungafani nokuhlolwa kwegazi okudinga ukuzila ukudla, i-sed rate ilinganisa okuthile okungathinteki ukudla noma isiphuzo. Akudingeki ukuthi ugweme ikhofi, weqe isidlo sasekuseni, noma ushintshe umkhuba wakho nganoma iyiphi indlela.

Nokho, kuyasiza ukugqoka ihembe elinemikhono engagxunyekwa kalula noma isuswe eceleni. Lokhu kwenza kube lula ngabasebenzi bezempilo ukufinyelela ingalo yakho ukuze bathathe igazi.

Uma uthatha imithi ethile, qhubeka nokuyithatha njengoba kunqunywe ngaphandle uma udokotela wakho ekutshela ngokuqondile ngenye indlela. Eminye imithi ingathinta imiphumela ye-sed rate, kodwa ukuyeka ngaphandle kwesiqondiso sezokwelapha kungaba yingozi enkulu kunanoma yikuphi ukuphazamiseka kokuhlolwa.

Ungayifunda kanjani imiphumela yakho ye-sed rate?

Imiphumela ye-sed rate ibikwa ngama-millimeter ngehora (mm/hr), okukutshela ukuthi amaseli akho abomvu egazi awe kangakanani ethubhu lokuhlola ngesikhathi sehora elilodwa. Ububanzi obujwayelekile buyahlukahluka ngokuya ngeminyaka yakho nobulili, ngabesifazane ngokuvamile benamanani ajwayelekile aphakeme kancane kunamadoda.

Emadodeni angaphansi kweminyaka engama-50, i-sed rate ejwayelekile ivame ukuba yi-0-15 mm/hr, kuyilapho amadoda angaphezu kweminyaka engama-50 enamanani ajwayelekile angama-0-20 mm/hr. Abesifazane abangaphansi kweminyaka engama-50 bavame ukuba namanani ajwayelekile angama-0-20 mm/hr, futhi abesifazane abangaphezu kweminyaka engama-50 bangase babe namanani ajwayelekile afika ku-30 mm/hr.

I-sed rate ephezulu iphakamisa ukuvuvukala endaweni ethile emzimbeni wakho, kodwa akukutsheli ukuthi kuphi noma yini ekubangela. Amanani angaphezu kuka-100 mm/hr avame ukukhombisa izimo ezinzima njengezifo ezinzima, izifo ze-autoimmune, noma iminye imikhuhlane yomdlavuza.

Khumbula ukuthi i-sed rate iyanda ngokwemvelo ngeminyaka, ngakho-ke okuthathwa njengokuphezulu kumuntu oneminyaka engama-30 ubudala kungase kujwayelekile kumuntu oneminyaka engama-70 ubudala. Udokotela wakho uzochaza imiphumela yakho ngokuya ngeminyaka yakho, izimpawu, neminye imiphumela yokuhlolwa.

Yini ebangela i-sed rate ephezulu?

Izinga eliphezulu le-sed lingavela ezimweni eziningi ezahlukene, kusukela ezingxenyeni ezincane kuya ezifweni ezingathi sína ze-autoimmune. Ukuqonda izimbangela ezingaba khona kungakusiza ukuba ube nezingxoxo ezinolwazi olwengeziwe nomhlinzeki wakho wezempilo.

Izimbangela ezivamile zokukhuphuka kwezinga le-sed zihlanganisa:

• Ukutheleleka ngamagciwane njenge-pneumonia noma ukutheleleka emgudwini womchamo
• Ukutheleleka ngamabhayirusi, nakuba lokhu kuvame ukubangela ukwanda okuncane
• Izimo ze-Autoimmune njenge-rheumatoid arthritis noma i-lupus
• Izifo zamathumbu ezivuthayo njenge-Crohn's disease noma i-ulcerative colitis
• Ezinye izinhlobo zomdlavuza, ikakhulukazi imidlavuza yegazi njenge-lymphoma
• Isifo sezinso noma izinkinga zesibindi
• Izifo ze-thyroid

Izimbangela ezingavamile kodwa ezingathi sína zihlanganisa i-giant cell arteritis (ukuqubuka kwemithambo yegazi), i-polymyalgia rheumatica (ubuhlungu bemisipha nokuqina), kanye nezimo ezithile zenhliziyo. Eminye imithi nayo ingakhuphula izinga le-sed.

Ukukhulelwa ngokwemvelo kwandisa izinga le-sed, ikakhulukazi ezinyangeni zesibili nezesithathu. Lokhu kujwayelekile ngokuphelele futhi akubonisi noma yiziphi izinkinga zempilo kuwe noma kumntwana wakho.

Yini ebangela izinga eliphansi le-sed?

Izinga eliphansi le-sed alivamile futhi ngokuvamile alikhathazi kangako kunamanani aphezulu. Ngezinye izikhathi umphumela ophansi ujwayelekile kuwe, ikakhulukazi uma usemncane futhi unempilo.

Izimo eziningana zingabangela amanani ezinga le-sed aphansi ngokungavamile:

• Isifo se-Sickle cell, lapho amaseli egazi abomvu angajwayelekile engahlali ngendlela ejwayelekile
• I-Polycythemia (amaseli amaningi egazi abomvu), okwenza igazi libe mnyinyane
• Ukwehluleka kwenhliziyo okukhulu, okungathinta ukugeleza kwegazi
• Eminye imithi efana ne-aspirin noma ama-corticosteroids
• I-Leukocytosis eyeqisayo (inani eliphezulu kakhulu lamaseli egazi amhlophe)

Ezinye izimo ezingavamile njenge-hyperviscosity syndrome noma ukungajwayeleki kwamaprotheni kungabangela izinga eliphansi le-sed. Kodwa-ke, lezi zimo zivame ukuba nezinye izimpawu ezisobala.

Ezimweni eziningi, izinga eliphansi le-sed empeleni liyisibonakaliso esihle, okusikisela ukuthi awunawo ukuvuvukala okukhulu emzimbeni wakho. Udokotela wakho uzocabangela lo mphumela kanye nezimpawu zakho kanye nezinye izivivinyo.

Yiziphi izici eziyingozi ze-sed rate engajwayelekile?

Izici eziningana zingakhuphula amathuba akho okuba ne-sed rate engajwayelekile, nakuba eziningi zalezi zihlobene nezimo zempilo ezingaphansi kunokuba ukuhlolwa ngokwako.

Ubudala buyisici esibaluleke kakhulu esithinta i-sed rate. Njengoba ukhula, i-sed rate yakho ejwayelekile iyanda kancane kancane, yingakho ububanzi bokubhekisela buhlukile kumaqembu ahlukene obudala.

Ukuba ngowesifazane futhi kuvame ukuholela emalini ejwayelekile ephakeme kancane, ikakhulukazi ngesikhathi sokuya esikhathini, ukukhulelwa, nangemva kokuyeka ukuya esikhathini. Ushintsho lwamahomoni kuyo yonke impilo yowesifazane lungathonya imiphumela ye-sed rate.

Ezinye izici eziyingozi zihlanganisa:

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• Ukuba nesifo se-autoimmune njenge-lupus noma i-rheumatoid arthritis
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• Ukutheleleka okungapheli noma ukugula njalo
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• Umkhuhlane, ikakhulukazi imikhuhlane yegazi
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• Isifo sezinso noma sesibindi
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• Isifo samathumbu esivuvukalayo
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• Ukuthatha imithi ethile
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Abanye abantu bane-sed rates ephezulu noma ephansi ngokwemvelo ngaphandle kwanoma yisiphi isifo esingaphansi. Yingakho udokotela wakho ebheka izitayela ngokuhamba kwesikhathi kunokuba athembele emiphumeleni yokuhlolwa okukodwa.

Kungcono yini ukuba ne-sed rate ephezulu noma ephansi?

Ngokuvamile, i-sed rate ejwayelekile noma ephansi ingcono kuneyodwa ephezulu, njengoba amanani aphakeme ngokuvamile abonisa ukuvuvukala noma ezinye izinkinga zempilo. Kodwa-ke, i-sed rate

Izinga eliphezulu le-sed akusona ngaso sonke isikhathi izindaba ezimbi, nokho. Ngezikhathi ezithile lisiza odokotela ukuthi bathole izimo eziphathwayo ngokushesha, okuholela emiphumeleni engcono. Okubalulekile ukuqonda ukuthi yini ebangela ukukhuphuka nokuyibhekana ngendlela efanele.

Udkt wakho unakekela kakhulu izinguquko ezingeni lakho le-sed ngokuhamba kwesikhathi kunanoma yimuphi umphumela owodwa. Uma izinga lakho le-sed belizinzile iminyaka, ngisho noma likhuphuke kancane, lokho kungase kube okujwayelekile kuwe.

Yiziphi izinkinga ezingase zibe khona ze-sed rate ephezulu?

Izinga eliphezulu le-sed ngokwalo alibangeli izinkinga - liwuphawu lokuvuvukala okuyisisekelo kunokuba kube yisifo. Kodwa-ke, izimo ezibangela ukukhuphuka kwe-sed rate zingaholela ezinkingeni ezinkulu zempilo uma zingelashwa.

Izifo ezingelashwanga ze-autoimmune zingalimaza amalunga, izitho, nezinye izinhlelo zomzimba ngokuhamba kwesikhathi. Izimo ezinjengokuhlaselwa ngumzimba kungabangela ukukhubazeka kwamalunga unomphela, kuyilapho i-lupus ingathinta izinso zakho, inhliziyo, nobuchopho.

Izifo ezinzima ezibangela amazinga aphezulu kakhulu e-sed angaba yingozi ekuphileni ngaphandle kokwelashwa okusheshayo. Isibonelo, i-endocarditis (ukutheleleka kwenhliziyo) kungalimaza amavalvu enhliziyo, kuyilapho i-sepsis ingabangela ukuhluleka kwezitho.

Ezinye izinhlobo zomdlavuza eziphakamisa i-sed rate zingasakazeka uma zingatholwanga futhi zingelashwanga ngokushesha. Imidlaveza yegazi efana ne-multiple myeloma noma i-lymphoma ingahamba ngokushesha ngaphandle kokwelashwa okufanele.

Into ebaluleke kakhulu okufanele uyikhumbule ukuthi ukutholwa kwasekuqaleni nokwelashwa kwalezi zimo kungavimbela iningi lezinkinga. Yingakho udokotela wakho ethatha izinga eliphakeme le-sed ngokungathí sina futhi aphenye ngokuqhubekayo.

Yiziphi izinkinga ezingase zibe khona ze-sed rate ephansi?

I-sed rate ephansi ayivamile ukubangela izinkinga ngoba ngokuvamile ikhomba impilo ejwayelekile noma izimo ezithile zegazi eziphathwa ngokwehlukana. Umphumela wokuhlolwa ngokwawo awulimazi.

Noma kunjalo, ezinye izimo ezibangela izinga eliphansi le-sed zingaba nezinkinga zazo. Isifo samangqamuzana e-sickle, ngokwesibonelo, singabangela izinhlekelele ezibuhlungu kanye nomonakalo wezitho, kodwa lezi zinkinga azihlobene nezinga eliphansi le-sed ngokwalo.

I-Polycythemia (amaseli amaningi egazi abomvu) ingandisa ingozi yakho yama-clots egazi, ukushaywa unhlangothi, noma ukuhlaselwa yinhliziyo. Futhi, izinga eliphansi le-sed limane nje liyisibonisi salesi simo, hhayi imbangela yezinkinga.

Ngokuvamile, izinga eliphansi kakhulu le-sed lingase lifihle ukuvuvukala okukhona ngempela, okungase kubambezele ukuxilongwa kwezimo ezinzima. Noma kunjalo, lokhu akuvamile, futhi odokotela basebenzisa izivivinyo eziningi ukuhlola ukuvuvukala.

Ezimweni eziningi, ukuba nezinga eliphansi le-sed kuqinisekisa futhi akudingi ukuqapha okukhethekile noma ukwelashwa ngaphandle kokubhekana nanoma yiziphi izimo ezingase zibe khona.

Kufanele ngibone nini udokotela ngemiphumela engavamile ye-sed rate?

Kufanele nakanjani ulandelele nodokotela wakho uma unemiphumela engavamile ye-sed rate, ikakhulukazi uma iphakeme kakhulu noma uma uhlangabezana nezimpawu ezikukhathazayo.

Funana nosizo lwezokwelapha ngokushesha uma une-sed rate ephezulu kanye nezimpawu ezinjengomkhuhlane oqhubekayo, ukwehla kwesisindo okungachazeki, ukukhathala okukhulu, ubuhlungu emalungeni nokuvuvukala, noma ubuhlungu besifuba. Lezi zinhlanganisela zingabonisa izimo ezinzima ezidinga ukuhlolwa ngokushesha.

Noma ngaphandle kwezimpawu, amanani e-sed angaphezu kuka-100 mm/hr adinga ukunakekelwa kwezokwelapha ngokushesha ngoba avame ukubonisa izimo ezinzima ezingaphansi njengezifo ezinzima, izifo ze-autoimmune, noma umdlavuza.

Ngemiphumela ephakeme ngokulinganisela (30-100 mm/hr), hlela i-aphoyintimenti yokulandela ngemva kwamasonto ambalwa. Udokotela wakho cishe uzofuna ukuphinda ukuhlolwa futhi mhlawumbe a-ode ezinye izivivinyo ukuze athole imbangela.

Uma i-sed rate yakho iphakeme kancane futhi uzizwa kahle, ungesabi. Izimo eziningi ezibangela ukuphakama okuncane kulula ukuzelapha, futhi ngezinye izikhathi ukuphakama kungokwesikhashana futhi kulungisa ngokwako.

Imibuzo evame ukubuzwa mayelana nesilinganiso se-sed

Umbuzo 1. Ingabe ukuhlolwa kwesilinganiso se-sed kulungile ekutholeni umdlavuza?

Isilinganiso se-sed singakhuphuka kwezinye izinhlobo zomdlavuza, kodwa akuyona ukuhlolwa okuthile komdlavuza. Imidlava eminingi, ikakhulukazi imidlava yegazi efana ne-lymphoma noma i-multiple myeloma, ingabangela amazinga aphezulu e-sed, kodwa kanjalo nezimo eziningi ezingezona zomdlavuza.

Ukwenziwa kwalesi sivivinyo kusiza kakhulu ekuqapheni impendulo yokwelashwa komdlavuza kunokutholwa kokuqala. Uma unomdlavuza, udokotela wakho angasebenzisa isilinganiso se-sed ukuze alandele ukuthi ukwelashwa kusebenza kahle kangakanani ngokuhamba kwesikhathi.

Umbuzo 2. Ingabe isilinganiso esiphezulu se-sed ngaso sonke isikhathi sisho ukuthi nginesifo esibi?

Cha, isilinganiso esiphezulu se-sed asisho ngaso sonke isikhathi ukuthi unesifo esibi. Izimo eziningi zesikhashana njengezifo ezincane, ukucindezeleka, noma ngisho nokuthomba kungabangela ukukhuphuka okuncane. Izinga lokukhuphuka kanye nezimpawu eziphelezelayo zisiza ekunqumeni ukubaluleka.

Udokotela wakho uzocabangela imiphumela yakho yesilinganiso se-sed kanye nezimpawu zakho, umlando wezokwelapha, nezinye izivivinyo ukuze anqume ukuthi ngabe kudingeka yini olunye uphenyo.

Umbuzo 3. Ingabe ukucindezeleka kungayithinta imiphumela yesilinganiso sami se-sed?

Yebo, ukucindezeleka ngokomzimba noma ngokomzwelo ngezinye izikhathi kungabangela ukukhuphuka okuncane esilinganisweni se-sed. Lokhu kwenzeka ngoba ukucindezeleka kungabangela izimpendulo zokuvuvukala emzimbeni wakho, nakuba umphumela uvame ukuba mncane.

Nokho, ukucindezeleka kuphela ngokuvamile akubangeli amazinga aphezulu kakhulu e-sed. Uma imiphumela yakho ikhuphuke kakhulu, udokotela wakho uzobheka ezinye izimbangela ngaphandle kokucindezeleka.

Umbuzo 4. Kufanele ngihlolwe kaningi kangakanani isilinganiso se-sed?

Ukuvama kokuhlolwa kwesilinganiso se-sed kuncike esimweni sakho sempilo esithile. Uma unesimo sokuvuvukala njenge-rheumatoid arthritis, udokotela wakho angase akuhlole njalo ezinyangeni ezimbalwa ukuze aqaphe umsebenzi wesifo.

Kubantu abanempilo, isilinganiso se-sed ngokuvamile asiyona ingxenye yokuhlolwa okuvamile ngaphandle kokuthi unezimpawu ezisikisela ukuvuvukala. Udokotela wakho uzonquma uhlelo olufanele lokuhlolwa olususelwe ezidingweni zakho zomuntu ngamunye.

Umbuzo 5. Ingabe ukudla noma ukuzivivinya kungawathinta imiphumela ye-sed rate?

Ukudla okuvamile nokuzivivinya akuthinti kakhulu imiphumela ye-sed rate, yingakho kungadingeki ukulungiselela okukhethekile ukuhlolwa. Kodwa-ke, ukucindezeleka okukhulu ngokomzimba noma ukugula kungakhuphula imiphumela okwesikhashana.

Ezinye izithasiselo noma imithi ingase ibe nemiphumela emincane, kodwa lezi ngokuvamile azibalulekile ngokomtholampilo. Hlala utshela udokotela wakho nganoma yiziphi izithasiselo noma imithi oyithathayo.