Hauv kev kuaj ntshav dav dav, tsis yog qhov chaw kawg yog coj los ntawm ESR (modern version - ROE). Hauv cov ntshav, nws cov qauv yog txiav txim siab los kuaj xyuas ntau yam kab mob. Qhov ntsuas no ua rau nws muaj peev xwm xav tias muaj ntshav qab zib, malignant neoplasms, kab mob siab, immunopathology, thiab lwm yam.
ROE: yog dab tsi?
Cov tshuaj tiv thaiv (lossis tus nqi) ntawm erythrocyte sedimentation - qhov no yog li cas cov ntawv luv ROE sawv cev rau. Qhov tshwj xeeb lub ntiajteb txawj nqus ntawm cov qe ntshav liab yog ntau dua li cov ntshav plasma, yog li ntawd, nyob rau hauv lub zog ntawm gravitational zog, cov ntshav tau muab faib ua txheej. Qhov qis dua, tsaus ib qho yuav tsum tau saturated liab, thiab erythrocytes tau sau rau hauv nws. Cov txheej saum toj kawg nkaus yog pob tshab thiab feem ntau muaj cov ntshav plasma. Txhawm rau xam cov tshuaj tiv thaiv, lub sij hawm chav tsev thaum lub sij hawm qhov chaw nyob (feem ntau yog 1 teev) raug coj mus rau hauv tus account, nrog rau qhov ntev ntawm kab (ntsuas hauv mm). Yuav kom tau txais cov ntaub ntawv txhim khu kev qha, nws yog qhov zoo dua los kuaj ntshav thaum sawv ntxov. ESR, tus qauv ntawm qhov ntau tshaj, yuav qhia tau tias muaj kev nce ntxiv hauv lub ntiajteb txawj nqus ntawm erythrocytes vim lawv gluing sai. Thiab qhov no qhia tias muaj kab mob.
NormaROE
Raws li cov kws kho mob tau sau tseg, cov poj niam thiab txiv neej muaj qhov sib txawv ESR hauv cov ntshav. Cov qauv rau cov txiv neej yog 2-8 hli hauv ib teev. Nrog hnub nyoog, daim duab no yuav hloov, tom qab 60 xyoo nws tuaj yeem ncav cuag 15 hli. Rau cov poj niam, tus qauv yog ib qho kev nce rau hauv cov tshuaj tiv thaiv rau 15 hli ib teev nyob rau hauv cov neeg laus thiab mus txog 20 hli nyob rau hauv cov laus. Koj tsis tuaj yeem ua yam tsis muaj qhov ntsuas no thaum kuaj xyuas menyuam yaus. 2-12 hli ib teev - qhov no yuav tsum yog cov ntaub ntawv ntawm cov menyuam yaus uas muaj ESR hauv cov ntshav. Cov qauv rau cov menyuam yug tshiab feem ntau yog ob peb zaug tsawg dua, nws yog 0-2 hli ib teev. Tab sis tsis txhob ntshai yog tias daim duab no nce me ntsis. ESR hloov pauv ntau zaus hauv cov menyuam yaus. Tus nqi tseem ceeb hauv kev ntsuam xyuas ntshav yog qhov piv ntawm qhov ntsuas no rau tag nrho cov erythrocytes, lymphocytes.
Tus nqi nce
nce ESR hauv cov ntshav feem ntau pom nyob rau hauv cov kab mob inflammatory tshwm sim los ntawm fungi lossis kab mob. Qhov tseeb yog tias thaum "tus neeg tawm tsam" nkag mus rau hauv lub cev, "tus tiv thaiv" tam sim ntawd pib tshwm sim - globulins (cov protein loj). Qhov muaj zog ntawm cov txheej txheem inflammatory, ntau cov tshuaj tiv thaiv zoo li no, yog li ntawd, qhov piv ntawm cov proteins hauv plasma ntau dua. Tias yog vim li cas nrog tonsillitis, mob ntsws, tuberculosis, mob caj dab, syphilis, thiab lwm yam. teb yog ib txwm siab. Lwm qhov laj thawj rau qhov nce hauv qhov ntsuas yog qhov pom ntawm cov kab mob uas ua rau muaj kev nce hauv cov qe ntshav liab. Nws tuaj yeem yog erythrocythemia lossis erythrocythemia. Tsis tas li ntawd, qhov nce ntawm qhov ntsuas kuj tuaj yeem tshwm sim nrog cov kab mob xws li:
- ntshav qab zib;
- myocardial infarction;
- tumors;
- sepsis;
- leukemia;
- kab mob autoimmune.
Tsis tas li, qhov nce hauv ESR tuaj yeem ua rau qaug cawv, nquag tso ntshav, kab mob ntawm endocrine system, thaum cev xeeb tub thiab thaum cev xeeb tub, tom qab noj qee yam tshuaj (piv txwv li, tom qab siv tshuaj "Aspirin").
Txo ESR
Muaj cov xwm txheej thaum ESR hauv cov ntshav txo qis. Tus qauv raug ua txhaum downwards nyob rau hauv rooj plaub ntawm:
- nce ntshav viscosity;
- xeeb tub;
- hloov cov qe ntshav liab;
- qis ntshav pH;
- nthuav tawm ntau cov kua tsib xim;
- siv qee yam tshuaj uas txo tus nqi (cov tshuaj mercury).
ROE ua ke nrog rau lwm qhov tseem ceeb ntawm kev kuaj ntshav pab tus kws kho mob sai txaus, yog tias tsis tsim kom muaj kev kuaj mob, tsawg kawg yog xav tias muaj kab mob tshwj xeeb, thiab tom qab ntawd sau ntawv kho mob txaus lossis xa tus neeg mob rau kev kuaj mob ntxiv.
