Pakati Pekuedzwa Kwekutanga Kutarirwa Apo Arthritis Inotongwa
A sed sed, yakapfupika neyerythrocyte sedimentation rate, ndiyo kuongororwa kweropa kunoona kusuruvara kusina muviri mumuviri. Nonspecific zvinoreva kuti sed sed test test haisati yaona kuti chii chinokonzera dambudziko kana chirwere chinokonzera kutuka. Rimwe rakakwirira (risinganzwisisiki rakakwirira) sed rinoratidza kuti kune chirwere chinopfuurira chokuputira, asi kwete sei kana sei.
Kana ukaenda kuna chiremba nokuti uri kutambura kurwadziwa kunorwadza , chiremba achaita chiitiko chekuongorora uye kurongedza kuongororwa kuongororwa . Iwe unofanirwa kutarisira chiremba wako kuti arayire x-rays yezvibatanidzwa zvakagadziriswa, uyewo kumwe kuongerwa ropa . A sed sed rate ndiyo inowanzo pakati pekutanga kuongororwa ropa kunorayirwa apo arthritis inofungidzirwa . A sed sed rate inogonawo kukwidziridzwa kana hutachiona kana chirwere chiripo. Kurwara kunobatanidza nekuputsika kana kuderera kwebasa rezviviri kana nhengo kunogona kukonzera kukwirira kwepamusoro. Kuberekera chimwezve chiitiko chakabatanidzwa nechepamusoro sed sed sed.
Kunze kwekuongorora zvirwere, sed sed sedare inowanzorayirwa nguva nenguva kuti iongorore chirwere chekuita. Sezvo arthritic yako ichivandudza uye inenge isisina kushanda, zvinotarisirwa kuti sed sed yako ingaderera uye inosvika pakatarisa yakatarisa. Sed rate ndiyo chikamu cheDAS28 chiyero chechirwere chekuita.
Kunyange zvazvo kune mazana emishanduro eDAS28, vose vanoyera chirwere chekushandisa vachishandisa kuzviratidza kwehutano, huwandu hwekubatanidza hutete uye huwandu hwekubatanidza huwandu (kusvika kusvika 28), pamwe chete neded sed kana CRP (C-reactive protein) . Zvinofadza kuti zvidzidzo zvakaratidza kuti kazhinji kacho kwaive nekusiyana pakati pemigumisiro ye sed sed based DAS28 ne CRP yakagadzirwa DAS28.
Izvo sed sedation yakagadzirirwa DAS28 kazhinji yakaratidza huwandu hwezvirwere zvakanyanya kudarika CRP yakagadzirirwa DAS28. Kunetseka kwaiva kuti migumisiro yakasiyana inogona kuchinja zvisarudzo zvokurapa.
Sed Sed Yakaita Sei?
Apo sed sed sediti inoshandiswa, sampu yeropa inowanikwa murefu, tsvuku, yakatenderera tube. Chiyero chinofananidza nekukurumidza kwe erythrocytes (matsvuku matsvuku) anogara muawa imwe chete. Mugumisiro unonzi huwandu hwemamiririmita neawa-kureva, mamita emaplasma pamusoro pemvura yakatsvuka masero.
Pasi pemamiriro ezvinhu akadai, kana pasina hupuka kana chirwere, masero matsvuku anowira zvishoma. Kuwedzerwa maitiro emapuroteni asina kukwana muropa kana mamwe mapuroteni anonzi acute phase reactants, zvakadai se fibrinogen kana kuti immunoglobulins inowedzera mukuputika, zvinoita kuti masero matsvuku akurumidze kuwira.
Kazhinji Dzokorora Ranges yeDed Rate
Iyo inowanzoshandiswa nzira ye sed sed inozivikanwa seWestergren nzira. Sezvambotaurwa pamusoro, zvigumisiro zvinonzi mum mm / hr (mamitaundi paawa). Kazhinji, sed sed inowedzera nezera uye inopfuura vakadzi. Ma laboratori akawanda haafaniri kugadzirisa zvepabonde kana makore uye funga kuti zvinowanzoitika ndezvokuti:
- Varume: 0-15 mm / hr
- Vakadzi: 0-20 mm / hr
Kana yakagadziriswa kwezera uye zvepabonde, iyo yakagamuchirwa ruzivo rwekuongorora ndiyo:
Vakuru (Westergren nzira):
- Varume vari pasi pemakore makumi mashanu ekuberekwa: pasi pe15 mm / hr
- Varume vanopfuura makore makumi mashanu ekuberekwa: pasi pe20 mm / hr
- Vakadzi pasi pemakore makumi mashanu ekuberekwa: pasi pe20 mm / hr
- Vakadzi vanopfuura makore makumi mashanu ekuberekwa: pasi pe30 mm / hr
Vana (Westergren nzira):
- Mucheche: 0 kusvika 2 mm / hr
- Kuberekwa kusvika pakuyaruka: 3 kusvika 13 mm / hr
The Bottom Line
Kunyange zvazvo pasina chiedzo chimwe chete chinogona kuziva chirwere cheArthritis, sed sediti inobatsira kuratidza kuvhiringidza marudzi eArthritis , zvakadai se rheumatoid arthritis , lupus , ankylosing spondylitis , uye psoriatic arthritis . Kune rumwe rutivi, osteoarthritis inowanzobatanidzwa nechigarire chakanaka kana chakanyorera chikonzero chekudzivirira kwemafuro.
Izvozvo zvinowanzotungamirirwa pamwe chete neRPP test iyo inoonawo kusuruvara kusina kunaka.
> Sources:
> ESR. MedlinePlus. Yakadzokororwa 5/3/2015.
> Morehead K MD Kuongorora kwevarwere. Kuongorora Kuraibhurari. Primer of the Rheumatic Diseases. Chinyorwa chegumi nemitatu.
> Erythrocyte Sedimentation Rate (ESR). Lab Test Tests Online. March 21, 2017.
> Tamhane A. Kuenzanisa kwechikamu chechiito chechirwere uchishandisa erythrocyte sedimentation rate uye C-reactive protein muAfrica America ne rheumatoid arthritis. Nyaya yeRheumatology. November 2013. 40 (11): 1812-22.