Phakathi kweemvavanyo zokuQala eziMiselweyo xa iArthritis ixhaswa
Isilinganiselo se-sed, esifutshane nesantya se-erythrocytes, sinokuhlolwa kwegazi okufumanisa ukuvuvukala okungapheliyo emzimbeni. I-intanethi ithetha ukuba uvavanyo lwezinga lomhlaba alubonakali umthombo wengxaki okanye ukugula okubangela ukuvuvukala. Isilinganiselo esiphakamileyo (esingaqhelekanga) esicacileyo sichaza ukuba kukho inkqubo yokuvuvukala eqhubekayo, kodwa kungenjalo nokuba kutheni.
Ukuba udibana nogqirha kuba ufumana intlungu edibeneyo , ugqirha uya kwenza uvavanyo olwenziwe kwaye ulandelelanise iimvavanyo zokuxilonga . Umele ulindele ugqirha wakho ukuba alayise i-x-ray yamalungu amaninzi, kunye nokuhlolwa kwegazi ezithile. Isilinganiselo se-sed ngokuqhelekileyo phakathi kweemvavanyo zokuqala zegazi eziyalelwe xa i-arthritis ikhunjulwa . Isilinganiselo se-sed sinokuphakanyiswa kwakhona xa isifo okanye isisu sekhona. Izifo ezinxulumene nokuphuka okanye ukunciphisa umsebenzi weethambo okanye izitho zingenza iqondo eliphakamileyo liphezulu. Ukukhulelwa kungenye imeko edibene nezinga eliphakamileyo.
Ngaphandle kweenjongo zokuxilongwa, i-sed rate isoloko iyalwa ngezikhathi ukuhlola umsebenzi wesifo. Njengoko isifo sakho se-arthritic siphucula kwaye siba nzima, kulindeleke ukuba isantya senu sinciphise kwaye sisondele kwibanga eliqhelekileyo. Isantya seSed ngokwenene siyinxalenye yesilinganiselo se- DAS28 yesenzo somzimba.
Nangona kukho iinguqu ezininzi ze-DAS28, zonke zilinganisa umsebenzi wesifo usebenzisa ukuhlolwa koxilongo, ukubalwa kwamathenda kunye nokubala okubhaliweyo (ukuya ku-28), kunye ne-sed sed okanye i- CRP (uvavanyo lwe-pro-protein) . Kuyathakazelisa ukuba uphando lubonise ukuba kwakukho ukungafani phakathi kweziphumo zesilinganiselo se sed esekelwe kwi-DAS28 kunye ne-CRP esekelwe kwi-DAS28.
Isilinganiselo se-sed esekelwe kwi-DAS28 kaninzi sibonisa umsebenzi ophezulu wesifo kune-CRP esekelwe kwi-DAS28. Ukukhathazeka kukuba iimiphumo ezahlukileyo zinokuchaphazela izigqibo zonyango.
I-Sed Rate yenziwe njani?
Xa isantya sed isenziwa, isampuli yegazi ifakwe kwisibonda esinde, esincinci, esicacileyo. Uvavanyo lubonisa ukuba i-erythrocyte (iiseli ezibomvu) zikhawuleza zihleli ngeyure enye. Isiphumo sichazwa njengeimitha zamitha ngeyure-oko kukuthi, i-millimeters ye-plasma ngaphezulu kwe-sediment yamaseli obomvu.
Kwiimeko eziqhelekileyo, xa kungekho inkqubo yokuvuvukala okanye ukugula, amaseli obomvu awela kancane. Amanqanaba okwandisa ama-proténti angavamile kwigazi okanye kwezinye iiprotheni ezibizwa ngokuba ngama-reactant phase reactioners, ezifana ne-fibrinogen okanye i-immunoglobulins enyuka ukuvuvukala, kubangela ukuba iiseli ezibomvu ziwe ngokukhawuleza.
IiRanges eziqhelekileyo zoLungiso lweShed Rate
Indlela eqhelekileyo esetyenziselwa isilinganiselo se-sed iyaziwa njengendlela ye-Westergren. Njengoko kuchaziwe ngasentla, iziphumo zichazwe kwi-mm / hr (ii-millimeters ngeyure). Ngokuqhelekileyo, isantya sed sanda ngokukhula kwaye siphezulu kwabesetyhini. Ama-laboratories amaninzi alungelelanisi ngesini okanye ubudala kwaye acinge ukuba isilinganiselo esivamile sokuthi:
- Amadoda: 0-15 mm / hr
- Abafazi: 0-20 mm / hr
Xa uhlengahlengele iminyaka yobudala kunye nesini, isalathisi esisetyenzisiweyo sokwenza uvavanyo:
Abantu abadala (indlela yeWestergren):
- Amadoda angaphantsi kweminyaka engama-50 ubudala: ngaphantsi kwe-15 mm / hr
- Amadoda angaphezu kweminyaka engama-50 ubudala: ngaphantsi kwama-20 mm / hr
- Abafazi abaneminyaka engama-50 ubudala: ngaphantsi kwe-20 mm / hr
- Abafazi abangaphezu kweminyaka engama-50 ubudala: ngaphantsi kwama-30 mm / hr
Abantwana (indlela yeWestergren):
- Usana olutsha: 0 ukuya kwi-2 mm / hr
- Usana olusandul 'ukuzalwa: 3 ukuya kwi-13 mm / hr
Ngaphantsi
Nangona kungekho vavanyo olulodwa luyakwazi ukuxilonga i-arthritis, isantya sed esinceda ukuqinisekisa iintlobo zokuvuvukala kwe-arthritis , njenge- arthritis ye-rheumatoid , i- lupus , i- ancylosing spondylitis kunye ne- psoriatic arthritis . Ngakolunye uhlangothi, i- osteoarthritis ihlotshaniswa nesiphumo esiphakamileyo okanye esithobekileyo sokwezinga lokunciphisa.
I-sed rate isoloko iyalwe ngokubambisana novavanyo lwe-CRP olufumanisa ukutshaya okungafani.
> Imithombo:
> ESR. MedlinePlus. Uhlaziywe nge- 5/3/2015.
> Ingqungquthela K MD Ukuhlolwa koMguli. Uvavanyo lweLebhu. I-Primer ye-Rheumatic Diseases. Uluhlu lweSithathu.
> I-Erythrocyte yeShedimentation Rate (ESR). Uvavanyo lweLeb kwi-Intanethi. Matshi 21, 2017.
> Tamhane A. Ukuqhathaniswa nomgangatho wokusebenza kwesifo usebenzisa i-sedimentation ye-erythrocyte kunye neprotheyini e-C esebenzayo kwi-Afrika yaseMerika ene-rheumatoid arthritis. Journal of Rheumatology. NgoNovemba 2013. 40 (11): 1812-22.