Physiological erythrocyte sedimentation tus nqi nce
ESR yog ib qho kev kuaj tsis tshwj xeeb thiab tsis tuaj yeem siv ib leeg los kuaj xyuas cov kab mob.erythrocyte sedimentation tus nqi nce me ntsis thaum lub sij hawm cev xeeb tub ntawm cov poj niam, uas tej zaum yuav muaj feem xyuam rau endometrial rupture thiab los ntshav;erythrocyte sedimentation tus nqi maj mam nce tom qab 3 lub hlis ntawm cev xeeb tub, thiab rov qab mus rau qhov qub mus txog 3 lub lis piam tom qab yug me nyuam, uas tej zaum yuav muaj feem xyuam rau qhov nce ntawm cev xeeb tub anemia thiab fibrinogen cov ntsiab lus, thiab placental abruption., kev raug mob thaum yug los, thiab lwm yam. Cov neeg laus kuj tuaj yeem ua rau erythrocyte sedimentation npaum li cas vim tias cov ntsiab lus plasma fibrinogen nce zuj zus.
Pathologically nce erythrocyte sedimentation tus nqi
Cov kab mob ua rau mob xws li cov kab mob ua rau mob hnyav (xws li α1 trypsin α2 macroglobulin, C-reactive protein, transferrin, thiab fibrinogen nce nyob rau hauv cov theem mob reactants) tuaj yeem nce ESR 2 mus rau 3 hnub tom qab qhov tshwm sim.Rheumatic fever yog ib qho kev ua xua rau cov ntaub so ntswg o, thiab erythrocyte sedimentation tus nqi nce thaum lub sijhawm ua haujlwm.Nyob rau hauv lub active theem ntawm mob o xws li tuberculosis, erythrocyte sedimentation tus nqi nce ho.
Cov ntaub so ntswg puas thiab necrosis xws li kev phais mob myocardial infarction
Mob myocardial infarction thiab pulmonary infarction feem ntau nce erythrocyte sedimentation tus nqi 2 mus rau 3 hnub tom qab pib, thiab tuaj yeem kav li 1 mus rau 3 lub lis piam.Lub angina pectoris ESR yog qhov qub.
Cov qog nqaij hlav qog nqaij hlav erythrocyte sedimentation tus nqi ntawm ntau cov qog nqaij hlav qog nqaij hlav sai zuj zus, uas tej zaum yuav muaj feem cuam tshuam nrog rau yam xws li qog cell secretion ntawm glycoprotein (ib globulin), qog nqaij hlav necrosis, kab mob thib ob lossis ntshav ntshav, thaum benign qog erythrocyte sedimentation tus nqi yog. feem ntau li qub..Yog li ntawd, erythrocyte sedimentation tus nqi feem ntau yog siv los ua cov qog nqaij hlav thiab cov qog malignant uas tsis tuaj yeem kuaj pom los ntawm kev kuaj X-ray.Rau cov neeg mob uas mob qog nqaij hlav, qhov nce erythrocyte sedimentation tus nqi yuav maj mam dhau los ua ib txwm vim muaj kev phais kom zoo los yog siv tshuaj khomob thiab kev siv xov tooj cua, thiab nws yuav nce ntxiv thaum rov tshwm sim lossis metastasis tshwm sim.
Hyperglobulinemia vim muaj ntau yam ua rau xws li ntau yam myeloma, macroglobulinemia, malignant lymphoma, kab mob rheumatic (systemic lupus erythematosus, rheumatoid mob caj dab), subacute infectious endocardium Hyperglobulinemia tshwm sim los ntawm o feem ntau nce ESR;mob nephritis thiab cirrhosis ntawm daim siab ua rau lub globulin, thiab tib lub sij hawm txo cov albumin tuaj yeem ua rau ESR nce.
Ntshav Qab Zib Thaum Hb <90g / L, ESR tuaj yeem nce me ntsis, thiab nws yuav nce ntxiv nrog rau qhov hnyav ntawm cov ntshav ntshav, tab sis nws tsis yog proportional.Mob ntshav qab zib tsawg tsis cuam tshuam rau ESR.Yog tias hemoglobin qis dua 90g / L, ESR tuaj yeem nce ntxiv.Qhov hnyav dua qhov anemia, qhov pom tseeb dua ESR nce.Yog li ntawd, cov neeg mob uas muaj ntshav qab zib pom tseeb thiab rov qab yuav tsum tau kho rau cov yam ntxwv ntawm cov ntshav liab thaum ua erythrocyte sedimentation tus nqi kuaj, thiab cov txiaj ntsig kho yuav tsum tau tshaj tawm.Hypochromic anemia, uas ua rau qeeb qeeb vim qhov txo qis ntawm cov qe ntshav liab thiab cov ntsiab lus hemoglobin tsis txaus;Nyob rau hauv hereditary spherocytosis thiab sickle cell anemia, vim cov kev hloov morphological uas tsis haum rau tsub zuj zuj ntawm leukocytes, ESR tshwm sim feem ntau txo.
Hypercholesterolemia Ntshav Qab Zib, nephrotic syndrome, myxedema, atherosclerosis, thiab lwm yam. lossis thawj tsev neeg hypercholesterolemia tuaj yeem ua rau cov erythrocyte sedimentation tus nqi.
Kev txo qis ntawm erythrocyte sedimentation tus nqi yog tsawg dua, thiab tuaj yeem pom hauv lub cev qhuav dej hemoconcentration los ntawm ntau yam laj thawj vim muaj cov qe ntshav liab nce ntxiv thiab txo qis hauv cov ntsiab lus fibrinogen.Muaj tseeb lossis txheeb ze polycythemia, DIC consumptive hypocoagulable theem, theem nrab fibrinolytic theem, erythrocyte sedimentation tus nqi txo.
Post lub sij hawm: Aug-12-2022
