Phakathi kwezilingo zokuqala ezikhethiwe uma i-Arthritis ixeka
Izinga eliphansi, elifinyeleleka ekulingeni kwe-erythrocyte, ukuhlolwa kwegazi okuthola ukuvuvukala okungapheli emzimbeni. Okungaqondile ukuthi ukuhlolwa kwesilinganiso se-sed akukhomba umthombo wenkinga noma ukugula okubangela ukuvuvukala. Isilinganiso esiphakeme (esingavamile) esilinganiselwe siphakamisa ukuthi kunenqubo eqhubekayo yokuvuvukala, kodwa hhayi nokuthi kungani.
Uma uthintana nodokotela ngoba uhlangabezana nobuhlungu obuhlangene , udokotela uzohlola nokuhlola ukuhlolwa kokuhlola . Kufanele ulindele udokotela wakho ukuba alawule ama-x-ray wezingxenye ezithintekile, kanye nokuhlolwa kwegazi ezithile. Izinga lokuhlala livamile phakathi kokuhlolwa kwegazi lokuqala okuhanjiswe uma kutholakala ukuthi i-arthritis iyasolwa . Izinga eliphansi lingabuye liphakanyiswe uma ukutheleleka noma isisu kukhona. Izifo ezihambisana nokudilizwa noma ukwehla umsebenzi wezicubu noma izitho zingabangela izinga eliphakeme eliphakeme. Ukukhulelwa kungenye isimo esixhunyaniswe nesilinganiso esiphakeme.
Ngaphandle kwezinhloso zokuxilonga, izinga lokuhlala livame ukuyalulwa ngezikhathi ezithile ukuhlola umsebenzi wesifo. Njengoba isimo sakho se-arthritic sithuthuka futhi sisebenza kancane, kulindeleke ukuthi isilinganiso sakho sed singancipha futhi sibheke uhla olujwayelekile. Isilinganiso se-Sed ngempela yingxenye yesilinganiso se- DAS28 somsebenzi wesifo.
Ngenkathi kunezinguqulo eziningana ze-DAS28, zonke zilinganisa umsebenzi wesifo besebenzisa ukuhlolwa kwegulane, izibalo ezihlangene zethenda kanye nezibalo ezihlangene zokuvuvukala (kufika ku-28), kanye nesilinganiso sed noma i- CRP (ukuhlolwa kwamaprotheni asebenzayo) . Ngokuthakazelisayo, ucwaningo luye lwabonisa ukuthi kwakuvame ukungafani phakathi kwemiphumela yesilinganiso sed sed based based DAS28 and CRP esekelwe DAS28.
Isilinganiso sed sed based based DAS28 sivame ukubonisa umsebenzi ophezulu wesifo kune-CRP esekelwe i-DAS28. Ukukhathazeka ukuthi imiphumela ehlukile ingathinta izinqumo zokwelashwa.
I-Sed Rate yenziwe kanjani?
Uma kwenziwa isilinganiso se sed, isampula yegazi ifakwa esikhumbeni eside, esincane, esincane. Isivivinyo senza ukuthi i-erythrocytes (masinya amangqamuzana abomvu) ahlale ngokushesha kangakanani ihora elilodwa. Umphumela uba kubikwa njengama-millimetres ngehora-okungukuthi, ama-millimitha eplasma ngaphezulu kwesidumbu samaseli abomvu.
Ngaphansi kwezimo ezivamile, uma kungekho inqubo yokuvuvukala noma ukugula, amaseli abomvu awela kancane. Amazinga aneprotheni angavamile egazini noma amanye amaprotheni abizwa ngokuthi ama-reactant phase reaction, afana ne-fibrinogen noma i-immunoglobulins eyanda ukuvuvukala, okwenza ukuba amangqamuzana abomvu awe ngokushesha.
Ama-Ranges avamile we-Reference for Sed Rate
Indlela evamile esetshenziselwa izinga lokudoba iyaziwa ngokuthi indlela ye-Westergren. Njengoba kushiwo ngenhla, imiphumela ibikwa ngo-mm / hr (amamitha ngehora). Ngokuvamile, izinga lokukhula landa ngokukhula futhi liphakeme kakhulu kwabesifazane. Ama-laboratories amaningi awalungiseleli ubulili noma ubudala futhi acabange ukuthi isilinganiso esivamile sokuthi:
- Amadoda: 0-15 mm / hr
- Abesifazane: 0-20 mm / hr
Uma kulungiselelwe iminyaka yobudala nobulili, ibanga elibhekisiwe lokubhekisela kuloluhlolo yilo:
Abantu abadala (indlela ye-Westergren):
- Amadoda angaphansi kweminyaka engu-50 ubudala: ngaphansi kuka-15 mm / hr
- Amadoda angaphezu kweminyaka engu-50 ubudala: ngaphansi kuka-20 mm / hr
- Abesifazane abangaphansi kweminyaka engu-50 ubudala: ngaphansi kuka-20 mm / hr
- Abesifazane abangaphezu kweminyaka engu-50 ubudala: ngaphansi kuka-30 mm / hr
Izingane (indlela ye-Westergren):
- Usana olusha: 0 kuya ku 2 mm / hr
- Usana olusanda kuzalwa: 3 kuya ku-13 mm / hr
Okubalulekile
Ngenkathi kungekho isifo esisodwa esingakwazi ukuhlola i-arthritis, izinga le-sed lisiza ukuqinisekisa izinhlobo zokuvuvukala kwe-arthritis , njenge- arthritis ye-rheumatoid , i- lupus , i- ankylosing spondylitis , ne- psoriatic arthritis . Ngakolunye uhlangothi, i- osteoarthritis ngokuvamile ihlotshaniswa nomphumela ovuthiwe noma othobekile wezinga lokudlulela.
Izinga elide livame ukuyalulwa ngokubambisana nohlolo lwe-CRP oluthola ukuvuvukala okungavamile.
> Imithombo:
> ESR. I-MedlinePlus. Ibukeze ngomhla ka-5/3/5.
> Morehead K MD Ukuhlolwa kwesiguli. Ukuhlolwa koLwazi. Ukuqala kwezifo ze-Rheumatic. Umshicileli weshumi nantathu.
> I-Erythrocyte Sedimentation Rate (ESR). Ukuhlolwa kwebhu ku-intanethi. Mashi 21, 2017.
> Tamhane A. Ukuqhathaniswa kwesigaba somsebenzi wesifo usebenzisa isilinganiso se-erythrocyte sedimentation kanye namaprotheni asebenzayo ase-Afrika ase-Afrika aseMelika asebenzisa i-rheumatoid arthritis. Journal of Rheumatology. Novemba 2013. 40 (11): 1812-22.