Nānā VHS: he aha ia, he aha ia a me nā helu kuhi

Anter

• No ke aha ia
• 1. VHS kiʻekiʻe
• 2. haʻahaʻa ESR
• Pehea e hana ai
• Nā manaʻo kūmole

ʻO ka hoʻāʻo ESR, a i ʻole ke kaʻina sedimentation erythrocyte a i ʻole ke kaʻina sedimentation erythrocyte, kahi hōʻike koko e hoʻohana ākea e ʻike ai i nā mumū a i ʻole nā ​​maʻi i loko o ke kino, e kuhikuhi ʻia mai kahi anuanu maʻamau, nā maʻi koʻohune, i nā maʻi inflammatory e like me ka arthritis a i ʻole pancreatitis koʻikoʻi, o kahi laʻana.

Ana kēia hōʻike i ka wikiwiki o ka hoʻokaʻawale ma waena o nā hunaola ʻulaʻula a me ka plasma, ʻo ia ka ʻāpana wai o ke koko, e ka hana umekaumaha. No laila, ke loaʻa kahi hana hoʻohaunaele i ke kahe o ke koko, hana ʻia nā protein e hoʻoliʻiliʻi i ka viscosity o ke koko a hoʻonui i ka helu sedryation erythrocyte, e hopena ana i kahi ESR kiʻekiʻe, ʻo ia ka maʻa mau ma luna. 15 mm i loko o ke kāne a 20 mm i nā wahine.

I kēia ala, he hōʻike maʻalahi loa ka ESR, no ka mea hiki ke ʻike maʻalahi i ka mumū, akā ʻaʻole kikoʻī loa ia, ʻo ia hoʻi, ʻaʻole hiki ke hōʻike i ke ʻano, ka wahi a me ke koʻikoʻi o ka mumū a i ʻole ka maʻi i hiki i ke kino. . No laila, pono e loiloi i nā pae o ESR e ke kauka, nāna e hoʻomaopopo i ke kumu e like me ka loiloi loiloi a me ka hana o nā hoʻokolohua ʻē aʻe, e like me ka CRP, kahi e hōʻike ai i ka mumū a i ʻole ka helu o ke koko, no ka laʻana.

No ke aha ia

Hoʻohana ʻia ka hōʻike VHS e ʻike ai a loiloi paha i kekahi ʻano o ka lī a me ka maʻi i loko o ke kino. Hiki i kāu hopena ke ʻike:

1. VHS kiʻekiʻe

ʻO nā kūlana e hoʻonui maʻamau i ka ESR he viral a i ʻole nā ​​maʻi bacterial, e like me ka maʻi palū, sinusitis, tonsillitis, pulumonia, maʻi maʻi urinary a i ʻole ka palahī, ʻo kahi laʻana. Eia nō naʻe, hoʻohana ākea ia e loiloi a kāohi i ka ulu ʻana o kekahi mau maʻi e hoʻololi i kona hopena ma ke ʻano nui, e like me:

• ʻO Polymyalgia rheumatica kahi maʻi maʻi o nā mākala;
• ʻO ka arteritis kūlohelohe kahi maʻi maʻi o nā kīʻaha koko;
• Rheumatoid arthritis he maʻi hōʻeha ia o nā hono;
• Vasculitis, ʻo ia nā inflammations o ka pā o ke kīʻaha koko;
• ʻO Osteomyelitis kahi maʻi o nā iwi;
• Tuberculosis, he maʻi lele ia;
• Kanesa.

Eia hou, he mea nui e hoʻomanaʻo i kēlā me kēia kūlana e hoʻololi i ka dilution o ke koko a i ʻole ka hoʻohui hiki ke hoʻololi i ka hopena hōʻike. ʻO kekahi mau laʻana he hāpai keiki, mimikō, momona, puʻuwai puʻuwai, kōpaʻa ʻole, ʻalekohola, maʻi thyroid a anemia paha.

2. haʻahaʻa ESR

ʻAʻole hōʻike ka hōʻike ESR haʻahaʻa i nā loli. Eia nō naʻe, mea nui e hoʻomanaʻo aia kekahi mau hanana i hiki ke mālama i ka ESR haʻahaʻa haʻahaʻa, a huikau i ka ʻike ʻana o ka mumū a i ʻole ka maʻi. ʻO kekahi o kēia mau kūlana he:

• ʻO Polycythemia, ka mea e hoʻonui ai i nā huna koko;
• Leukositosis nui loa, ʻo ia ka hoʻonui ʻia o nā hunaola keokeo i ke koko;
• Hoʻohana o nā corticosteroids;
• Hypofibrinogenesis, ʻo ia kahi maʻi o ke kāpili ʻana o ke koko;
• ʻO ka heredher spherocytosis kahi ʻano anemia e hele aʻe mai nā mākua a i nā keiki.

No laila, pono mau ke kauka e ʻike i ka waiwai o ka hōʻike ESR a kālailai iā ia e like me ka mōʻaukala olakino o kēlā kanaka, no ka mea ʻaʻole kūlike ka hopena me ke kūlana olakino o ke kanaka i loiloi ʻia. Hiki paha i ke kauka ke hoʻohana i nā hoʻokolohua hou aʻe a kikoʻī hoʻi, e like me PCR, e hōʻike pinepine nei i nā kūlana e like me ka maʻi i kahi ala kikoʻī. E ʻike he aha ka hōʻike PCR a pehea e hana ai.

Pehea e hana ai

No ka hoʻokō ʻana i ka hōʻike VHS, e hōʻiliʻili ke keʻena hoʻokolohua i kahi laʻana koko, i waiho ʻia i loko o kahi ipu paʻa, a laila e loiloi ʻia pehea ka lōʻihi o ka hoʻokaʻawale ʻana o nā ʻulaʻula i nā plasma a kū i ka lalo o ka ipu. .

No laila, ma hope o 1 hola a i ʻole 2 mau hola, e ana ʻia kēia waiho ʻana, i ka millimeter, no laila hāʻawi ʻia ka hopena i mm / h. No ka hoʻokō ʻana i ka hōʻike VHS, ʻaʻole pono kahi hoʻomākaukau, ʻaʻole pono ka hoʻokē ʻai.

Nā manaʻo kūmole

ʻOkoʻa nā kumukūʻai kūmole o ka hōʻike VHS no nā kāne, wahine a keiki paha.

• I nā kāne:

  • i 1h - a i 15 mm;
  • i ka 2h - a i 20 mm.
• I nā wahine:
  • i ka 1h - a i 20 mm;
  • i ka 2h - a i 25 mm.
• I nā keiki:
  • nā waiwai ma waena o 3 - 13 mm.

I kēia manawa, ʻo nā waiwai o ka hōʻike VHS i ka hola mua ka mea nui, no laila ʻo ia ka mea i hoʻohana nui ʻia.

ʻO ka nui o ka mumū, ʻo ka nui o ka ESR hiki ke ala aʻe, a hiki i nā maʻi rheumatological a me ka maʻi ʻaʻai ke hoʻoulu i ka mumū a hiki i ka hoʻonui ʻana i ka ESR ma luna o 100 mm / h.