Physiological erythrocyte sedimentation mlingo wawonjezeka
ESR ndi mayeso omwe siachindunji ndipo sangathe kugwiritsidwa ntchito payekha kuti azindikire matenda aliwonse.Kuchuluka kwa erythrocyte sedimentation kunakula pang'ono pa nthawi ya kusamba kwa amayi, zomwe zingakhale zokhudzana ndi kuphulika kwa endometrial ndi magazi;erythrocyte sedimentation mlingo pang`onopang`ono chinawonjezeka pambuyo 3 miyezi mimba, ndipo anabwerera mwakale mpaka 3 milungu yobereka, zomwe zingakhale zokhudzana ndi kuwonjezeka mimba magazi m`thupi ndi fibrinogen okhutira, ndi latuluka mwadzidzidzi., kuvulala kwa kubadwa, ndi zina zotero. Okalamba angathenso kuonjezera mlingo wa erythrocyte sedimentation chifukwa cha kuwonjezeka kwapang'onopang'ono kwa plasma fibrinogen.
Pathologically kuchuluka kwa erythrocyte sedimentation rate
Matenda otupa monga kutukusira kwa bakiteriya (monga α1 trypsin α2 macroglobulin, mapuloteni a C-reactive, transferrin, ndi fibrinogen kuwonjezeka kwamagulu owopsa) amatha kuonjezera ESR 2 kwa masiku atatu pambuyo pochitika.Rheumatic fever ndi kutupa kwa minofu yolumikizana, ndipo kuchuluka kwa erythrocyte sedimentation kumawonjezeka panthawi yogwira ntchito.Mu yogwira siteji ya kutupa aakulu monga chifuwa chachikulu, ndi erythrocyte sedimentation mlingo ukuwonjezeka kwambiri.
Kuwonongeka kwa minofu ndi necrosis monga opaleshoni ya opaleshoni Myocardial infarction
Acute myocardial infarction ndi pulmonary infarction nthawi zambiri amachulukitsa kuchuluka kwa erythrocyte sedimentation patatha masiku 2 mpaka 3 chiyambireni, ndipo kumatha kwa masabata 1 mpaka 3.Angina pectoris ESR inali yachilendo.
Zotupa zoyipa Kuchuluka kwa erythrocyte sedimentation kwa zotupa zowopsa zomwe zimakula mwachangu zidakula kwambiri, zomwe zitha kukhala zokhudzana ndi zinthu monga chotupa cell secretion ya glycoprotein (globulin), chotupa minofu necrosis, matenda achiwiri kapena kuchepa kwa magazi m'thupi, pomwe chotupa choyipa cha erythrocyte sedimentation chinali. zambiri zabwinobwino..Chifukwa chake, kuchuluka kwa erythrocyte sedimentation nthawi zambiri kumagwiritsidwa ntchito ngati chotupa choyipa komanso chotupa choyipa chomwe sichingawonekere pakuwunika kwa X-ray.Kwa odwala omwe ali ndi zotupa zowopsa, kuchuluka kwa erythrocyte sedimentation kumatha pang'onopang'ono kukhala kwabwinobwino chifukwa cha kuchotsedwa bwino kwa opaleshoni kapena chithandizo chamankhwala chamankhwala ndi radiotherapy, ndipo kumawonjezekanso pakayambiranso kapena metastasis.
Hyperglobulinemia chifukwa cha zifukwa zosiyanasiyana monga angapo myeloma, macroglobulinemia, malignant lymphoma, rheumatic matenda (systemic lupus erythematosus, nyamakazi), subacute matenda endocardium Hyperglobulinemia chifukwa kutupa zambiri kumawonjezera ESR;aakulu nephritis ndi matenda enaake a chiwindi kuwonjezera globulin, ndipo nthawi yomweyo kuchepa albumin kuonjezera ESR.
Kuperewera kwa magazi m'thupi Pamene Hb<90g/L, ESR ikhoza kuwonjezeka pang'ono, ndipo idzawonjezeka kwambiri ndi kuwonjezereka kwa kuchepa kwa magazi m'thupi, koma sikuli kofanana.Kuchepa kwa magazi m'thupi kulibe mphamvu pa ESR.Ngati hemoglobin ndi yotsika kuposa 90g/L, ESR ikhoza kuwonjezeka motere.Kuchuluka kwa kuchepa kwa magazi m'thupi, ndikowonekera kwambiri ESR.Chifukwa chake, odwala omwe ali ndi vuto la kuchepa kwa magazi m'thupi komanso backlog ayenera kuwongolera chifukwa cha kuchepa kwa magazi m'thupi akamayesa kuchuluka kwa erythrocyte sedimentation, ndipo zotsatira zowongolera ziyenera kunenedwa.Hypochromic anemia, yomwe imamira pang'onopang'ono chifukwa cha kuchepa kwa maselo ofiira a magazi ndi kuchepa kwa hemoglobini;mu hereditary spherocytosis ndi sickle cell anemia, chifukwa cha kusintha kwa morphological komwe sikuthandiza kudzikundikira kwa leukocyte, zotsatira za ESR nthawi zambiri zimachepetsedwa.
Hypercholesterolemia Matenda a shuga, nephrotic syndrome, myxedema, atherosulinosis, etc. kapena primary family hypercholesterolemia imatha kuwonjezera kuchuluka kwa erythrocyte sedimentation.
Kutsika kwa erythrocyte sedimentation mlingo sikofunikira kwambiri, ndipo kumatha kuwonedwa mu kuchepa kwa madzi m'thupi chifukwa cha zifukwa zosiyanasiyana chifukwa cha kuwonjezeka kwakukulu kwa chiwerengero cha maselo ofiira a magazi ndi kuchepa kwakukulu kwa fibrinogen.Zoona kapena wachibale polycythemia, DIC consumptive hypocoagulable gawo, sekondale fibrinolytic gawo, erythrocyte sedimentation mlingo wachepa.
Nthawi yotumiza: Aug-12-2022
