ESR

Kū ʻo ESR no ka helu sedimentation erythrocyte. Kāhea ʻia ia he "sed rate."

He hōʻike ia e ana ana i ka nui o ka nui o ka mumū i loko o ke kino.

Pono kahi laʻana koko. ʻO ka hapanui o nā manawa, huki ʻia ke koko mai kahi aa i waiho ʻia ma loko o ka kuʻe lima a i ʻole ka hope o ka lima. Hoʻouna ʻia ka laʻana o ke koko i kahi lab.

Ana ke ana i ka wikiwiki o nā hunaola ʻulaʻula (i kapa ʻia nā erythrocytes) e hāʻule i ka lalo o kahi kiʻekiʻena, paipu lahilahi.

ʻAʻohe ʻanuʻu kūikawā e pono ai e hoʻomākaukau no kēia hōʻike.

Hiki paha iā ʻoe ke ʻeha iki a i ʻole ke kuʻi ke hoʻokomo ʻia o ka nila. Hiki paha iā ʻoe ke hāwele i kahi kani ma ka pūnaewele ma hope o ka huki ʻia ʻana o ke koko.

ʻO nā kumu e hana ʻia ai kahi "sed rate":

• Nā fiva i wehewehe ʻole ʻia
• Kekahi ʻano o ka ʻeha hui a i ʻole ka rumati
• Nā ʻōuli muscle
• Nā hōʻailona vague ʻē aʻe ʻaʻole hiki ke wehewehe ʻia

Hiki ke hoʻohana ʻia kēia hōʻike e nānā inā paha e pane ana kahi maʻi i ka lāʻau.

Hiki ke hoʻohana ʻia kēia hoʻāʻo e nānā i nā maʻi ʻōpala a i ʻole ke kanesa. ʻAʻole hoʻohana ʻia e kuhikuhi i kahi maʻi kikoʻī.

Eia nō naʻe, maikaʻi ka hōʻike no ka ʻike ʻana a me ka nānā ʻana:

• Nā maʻi Autoimmune
• Nā maʻi maʻi iwi
• Kekahi mau ʻano o ka maʻi ʻōpū
• Nā maʻi hoʻoweliweli

No nā mākua (Westergren method):

• Nā kāne ma lalo o 50 mau makahiki: ma lalo o 15 mm / hr
• ʻO nā kāne ma mua o 50 mau makahiki: ma lalo o 20 mm / hr
• Nā wahine ma lalo o 50 mau makahiki: ma lalo o 20 mm / hr
• Nā wahine ma mua o 50 mau makahiki: ma lalo o 30 mm / hr

No nā keiki (hana ʻo Westergren):

• Hānau hou: 0 a 2 mm / hr
• Hānau hou i ka wā ʻōpio: 3 a 13 mm / hr

Kaha: mm / hr = millimeter i kēlā me kēia hola

Hiki ke loli iki nā pae waiwai maʻamau i waena o nā hale hana ʻokoʻa. E kamaʻilio me kāu mea mālama ola e pili ana i ke ʻano o kāu mau hopena hōʻike kikoʻī.

Hiki paha i kahi ESR maʻamau ke kōkua me kahi hōʻailona, ​​akā ʻaʻole ia e hōʻoia he ʻano kāu kāu. ʻAneʻane makemake ʻia nā hoʻokolohua ʻē aʻe.

E hoʻonui ʻia ka helu ESR hoʻonui ʻia i ka poʻe me:

• Anemia
• Nā maʻi maʻi e like me lymphoma a i ʻole myeloma maha
• ʻO ka maʻi kīwī
• Hapai keiki
• Maʻi thyroid

Kōkua ka ʻōnaehana pale i ka pale ʻana i ke kino i nā lāʻau hōʻeha. ʻO kahi maʻi autoimmune ke hele kuhi hewa ka ʻōnaehana pale a hoʻopau i nā kino o ke kino olakino. ʻOi aku ka kiʻekiʻe o ka ESR ma mua o ka maʻamau i nā poʻe me ka maʻi autoimmune.

ʻO nā maʻi autoimmune maʻamau ka:

• Lupus
• Polymyalgia rheumatica
• Rheumatoid arthritis i nā mākua a mau keiki paha

Kū aʻe nā pae ESR kiʻekiʻe loa me ka autoimmune liʻiliʻi a i ʻole nā ​​maʻi ʻē aʻe, e like me:

• ʻO ka vasculitis Allergic
• Arteritis pūnana nui
• Hyperfibrinogenemia (hoʻonui nā pae fibrinogen i ke koko)
• Macroglobulinemia - kumu
• Necrotizing vasculitis

Loaʻa paha ka helu ESR hoʻonui ʻia ma muli o kekahi mau maʻi, me:

• ʻO ka maʻi maʻi kino (ʻōnaehana)
• Nā maʻi maʻi iwi
• ʻO ka maʻi o ka naʻau a i ʻole nā ​​puʻuwai puʻuwai
• Mū Rumatika
• ʻO nā maʻi ʻili koʻikoʻi, e like me erysipelas
• Maʻi puʻu

Kū aʻe nā pae haʻahaʻa ma mua o ka maʻamau me:

• Hoka puʻuwai Congestive
• ʻO Hyperviscosity
• Hypofibrinogenemia (hoʻemi i nā pae fibrinogen)
• Leukemia
• ʻO ka protein plasma haʻahaʻa (ma muli o ke akepaʻa a me nā maʻi pākī)
• ʻO Polycythemia
• Anemia maʻi maʻi maʻi

Ka helu sedimentation ʻErythrocyte; Sed rate; Helu sedimentation

ʻO Pisetsky DS. ʻO ka hoʻokolohua ʻana o ka hale hana ma nā maʻi rumatika. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 25th hua. Piladelapia, PA: Elsevier Saunders; 2016: chap 257.

ʻO Vajpayee N, Graham SS, Bem S. Nānā maʻamau o ke koko a me ka iwi iwi. I: McPherson RA, Pincus MR, hua. ʻO kā Henry's Clinical Diagnosis a me Management e nā Laboratory Methods. 23rd Ed. St Louis, MO: Elsevier; 2017: chap 30.