Zina Zoyesedwa Zoyamba Pamene Arthritis Akudandaula
Mlingo wokhazikika, wosachepera msinkhu wa dothi la erythrocyte, ndiyeso la magazi lomwe limayang'ana kutupa kosafunikira kwenikweni m'thupi. Zosafunika kwenikweni zimatanthauza kuti kuyesa kwa mlingo wa sed sichidziwitseni magwero a vuto kapena matenda omwe akuyambitsa kutupa. Mtengo wapamwamba (wosadziwika bwino) umatanthawuza kuti pali zotupa zokhazikika, koma osati momwe kapena chifukwa.
Mukapempha dokotala chifukwa muli ndi ululu wopitilira, adokotala adzayesa kufufuza ndi kuyeretsa mayesero . Muyenera kuyembekezera dokotala wanu kuti azilamula ma x-ray a ziwalo zomenyedwa, komanso mayesero ena a magazi . Kafukufuku wamtunduwu amakhala pakati pa mayesero oyambirira a magazi omwe amalamulidwa ngati akuganiza kuti nyamakazi imakhala ikudziwika . Sitimayi imatha kukwera pamene matenda kapena chotupa chilipo. Matenda okhudzana ndi kuwonongeka kapena kuchepa kwa minofu kapena ziwalo zingayambitse kuchuluka kwake. Mimba ndi chikhalidwe china chogwirizana ndi chiwerengero chokwanira.
Kuwonjezera pa matenda opatsirana, kawirikawiri chitetezo choterechi chimayimbidwa kawirikawiri kuti ayang'ane zochitika za matenda. Pamene matenda anu a nyamakazi amakula ndipo sachitapo kanthu, zikuyembekezerani kuti mlingo wanu wotsika umachepa ndikuyandikira mwapadera. Kusiyana kwenikweni ndi gawo lenileni la DAS28 muyeso wa zochitika za matenda.
Ngakhale pali ma DAS28 ambiri, onse amayeza zochitika za matenda pogwiritsa ntchito kudziyesa wodwalayo, chiwerengero cha chiwerengero cha chiwerewere ndi chiwerengero cha kutupa (mpaka 28), komanso mlingo wa sed kapena CRP (C-reactive protein test) . N'zochititsa chidwi kuti kafukufuku wasonyeza kuti nthawi zambiri pamakhala kusiyana pakati pa zotsatira za sed sed yomwe imachokera ku DAS28 ndi CRP yochokera ku DAS28.
Desi ya sedAS28 yomwe nthawi zambiri imakhala yotchedwa DAS28 kawirikawiri inkawonetsa kuti matendawa ndi ovuta kuposa CRP yochokera ku DAS28. Chodetsa nkhawa chinali chakuti zotsatira zosiyana zingakhudze chisankho.
Kodi Kutha Kwadongosolo Kumatheka Bwanji?
Pamene mpweya wa sed ulichitidwa, mchere umayikidwa mu utali wamtali, woonda, wonyezimira. Chiyesocho chimakhala kuti erythrocytes (maselo ofiira) amakhala mofulumira mu ola limodzi. Zotsatira zake zimakhala ngati ma millimita pa ola, kapena, mamita ambiri a plasma pamwamba pa zidutswa za maselo ofiira.
Muzochitika zachilendo, palibe njira yotupa kapena matenda, maselo ofiira amatsika pang'onopang'ono. Kuwonjezeka kwa mapuloteni osadziwika m'magazi kapena mapuloteni ena otchedwa acute phase reactants, monga fibrinogen kapena immunoglobulins omwe akuwonjezeka mu kutupa, zimayambitsa maselo ofiira mofulumira.
Malire Otchulidwa Odziwika Okhazikika pa Zomwe Zilipo
Njira yachizolowezi yogwiritsira ntchito sed sed ikudziwika ngati njira ya Westergren. Monga tafotokozera pamwambapa, zotsatira zimapezeka mm mm / hr (millimita pa ora). Kawirikawiri, mlingo wa sed umawonjezeka ndi ukalamba ndipo uli woposa akazi. Ma laboratories ambiri samasinthira za kugonana kapena msinkhu ndipo amaganiza kuti chiwerengero chokhalira ndi:
- Amuna: 0-15 mm / hr
- Akazi: 0-20 mm / hr
Kusinthidwa kwa msinkhu ndi kugonana, mtundu wovomerezedwa wa mayeso ndi:
Okalamba (njira ya Westergren):
- Amuna osakwana zaka 50: osachepera 15 mm / hr
- Amuna oposa 50: osachepera 20 mm / hr
- Azimayi oposa zaka 50: osachepera 20 mm / hr
- Azimayi oposa zaka 50: osachepera 30 mm / hr
Ana (Westergren njira):
- Mwana wakhanda: 0 mpaka 2 mm / hr
- Mwana wakhanda atha msinkhu: 3 mpaka 13 mm / hr
Mfundo Yofunika Kwambiri
Ngakhale kuti palibe mayeso amodzi omwe angathenso kupeza matenda a nyamakazi, sed seditis imathandizira kutsimikizira mitundu yotupa ya nyamakazi , monga nyamakazi ya nyamakazi , lupus , ankylosing spondylitis , ndi psoriatic nyamakazi . Kumbali ina, osteoarthritis nthawi zambiri imagwirizanitsidwa ndi zotsatira zowonongeka kapena modzichepetsa chifukwa cha kuchepa kwa dothi.
Mlingo wa sedyo nthawi zambiri umalangizidwa mogwirizana ndi CRP yeseso yomwe imayambanso kuthamanga kwambiri.
> Zotsatira:
> ESR. MedlinePlus. Inakambiranso 5/3/2015.
> Morehead K MD Kuunika kwa Wodwala. Kufufuza kwa Laboratory. Primer of the Rheumatic Diseases. Gulu lachitatu.
> Erythrocyte Sedimentation Rate (ESR). Mayesero a Lab March 21, 2017.
> Tamhane A. Kuyerekeza kwa chiwerengero cha matendawa pogwiritsa ntchito mlingo wa erythrocyte ndi mapuloteni a C-reactive ku African American ndi nyamakazi ya nyamakazi. Journal of Rheumatology. November 2013. 40 (11): 1812-22.