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Erythrocyte Sedimentation Rate (ESR); What Does This Lab Test Really Mean?
Video: Erythrocyte Sedimentation Rate (ESR); What Does This Lab Test Really Mean?

ESR e emetse sekhahla sa sedimentation ea erythrocyte. E tloaetse ho bitsoa "sed rate."

Ke teko e lekanyang ka tsela e sa tobang hore na ho ruruha ho kae 'meleng.

Ho hlokahala sampole ea mali. Boholo ba nako, mali a huloa mothapong o kahare ho setsoe kapa ka morao ho letsoho. Sampole ea mali e romeloa labong.

Teko e lekanyetsa hore na lisele tse khubelu tsa mali (tse bitsoang li-erythrocyte) li oela ka tlase ho mothapo o molelele, o mosesane.

Ha ho na mehato e ikhethileng e hlokahalang ho itokisetsa tlhahlobo ena.

U ka utloa bohloko bo bonyenyane kapa motsu ha nale e kentsoe. U kanna oa utloa ho phatloha hampe setšeng kamora hore mali a huloe.

Mabaka a hobaneng "sed rate" e ka etsoa a kenyelletsa:

  • Feberu e sa hlaloseheng
  • Mefuta e meng ea bohloko bo kopantsoeng kapa ramatiki
  • Matšoao a mesifa
  • Matšoao a mang a sa hlakang a ke keng a hlalosoa

Teko ena e kanna ea sebelisoa ho lekola hore na lefu le arabela kalafong.

Teko ena e ka sebelisoa ho lekola mafu a ts'oaetso kapa mofetše. Ha e sebelisetsoe ho fumana lefu le itseng.


Leha ho le joalo, tlhahlobo e na le thuso bakeng sa ho fumana le ho lekola:

  • Mathata a ho itšireletsa mafung
  • Tšoaetso ea masapo
  • Mefuta e meng ea ramatiki
  • Maloetse a tšoaetsang

Bakeng sa batho ba baholo (mokhoa oa Westergren):

  • Banna ba ka tlase ho lilemo tse 50: ka tlase ho 15 mm / hr
  • Banna ba fetang lilemo tse 50: e ka tlase ho 20 mm / hr
  • Basali ba ka tlase ho lilemo tse 50: ka tlase ho 20 mm / hr
  • Basali ba fetang lilemo tse 50: e ka tlase ho 30 mm / hr

Bakeng sa bana (mokhoa oa Westergren):

  • Lesea: 0 ho 2 mm / hr
  • Ho sa tsoa tsoaloa ho kena bohlankaneng: 3 ho isa ho 13 mm / hr

Tlhokomeliso: mm / hr = millimeters ka hora

Mekhahlelo e tloaelehileng ea boleng e ka fapana hanyane hara lilaboratori tse fapaneng. Bua le mofani oa tlhokomelo ea bophelo mabapi le moelelo oa sephetho sa hau sa liteko.

ESR e sa tloaelehang e ka thusa ka ho hlahlojoa, empa ha e pake hore u na le boemo bo itseng. Hangata liteko tse ling lia hlokahala.

Sekhahla se eketsehang sa ESR se ka etsahala ho batho ba nang le:

  • Khaello ea mali
  • Kankere e kang lymphoma kapa multiple myeloma
  • Lefu la liphio
  • Boimana
  • Boloetse ba qoqotho

Masole a mmele a thusa ho sireletsa mmele kgahlanong le dintho tse kotsi. Bothata ba ho itšireletsa mafung ke ha sesole sa 'mele se hlasela ka phoso le ho senya lisele tsa' mele tse phetseng hantle. ESR hangata e phahame ho feta e tloaelehileng ho batho ba nang le bothata ba ho itšireletsa mafung.


Mathata a tloaelehileng a ho itšireletsa mafung a kenyeletsa:

  • Lupus
  • Polymyalgia rheumatica
  • Ramatiki ea batho ba baholo kapa bana

Maemo a phahameng haholo a ESR a hlaha ka mathata a sa tloaelehang a autoimmune kapa mathata a mang, ho kenyeletsoa:

  • Allergic vasculitis
  • Selemo se seholo sa arteritis
  • Hyperfibrinogenemia (e eketsehile maemo a fibrinogen maling)
  • Macroglobulinemia - ea mantlha
  • Necrotizing vasculitis

Sekhahla se eketsehang sa ESR se ka bakoa ke mafu a mang, ho kenyeletsoa:

  • Tšoaetso ea 'mele (systemic)
  • Tšoaetso ea masapo
  • Tšoaetso ea lipelo kapa lipelo tsa pelo
  • Rheumatic fever
  • Tšoaetso e matla ea letlalo, joalo ka erysipelas
  • Lefuba

Maemo a tlase ho feta a tloaelehileng a etsahala ka:

  • Ho hloleha ha pelo ha pelo
  • Hyperviscosity
  • Hypofibrinogenemia (fokotseha maemo a fibrinogen)
  • Lefuemia
  • Protheine e tlaase ea plasma (ka lebaka la sebete kapa lefu la liphio)
  • Polycythemia
  • Phokolo ea mali ea sele

Sekhahla sa sedimentation ea erythrocyte; Sekhahla sa Sed; Sekhahla sa sedimentation


Pisetsky DS. Liteko tsa laboratori ho mafu a rheumatic. Ka: Goldman L, Schafer AI, li-eds. Phekolo ea Goldman-Cecil. La 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: khaolo ea 257.

Vajpayee N, Graham SS, Bem S. Tlhahlobo ea mantlha ea mali le moko oa masapo. Ka: McPherson RA, Pincus MR, bahlophisi. Henry's Clinical Diagnosis le Tsamaiso ka Mekhoa ea Laboraro. La bo23 la ed. St Louis, MO: Elsevier; 2017: khaolo ea 30.

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