Konke Okufanele Ukwazi Nge-Erythrocyte Sedimentation Rate (ESR)

Emkhakheni wokuxilongwa kwezokwelapha, ukuhlolwa kwe-Erythrocyte Sedimentation Rate (ESR) kugqama njengethuluzi elilula kodwa elinamandla. I-ESR isebenza njengenkomba engaqondile yokuvuvukala, idlala indima ebalulekile ekuhlolweni kokuqala kanye nokuqapha okuqhubekayo kwezimo ezihlukahlukene zezokwelapha. Ake sihlole ubunkimbinkimbi balokhu kuhlolwa futhi siqonde ukubaluleka kwakho ekunakekelweni kwezempilo kwesimanje.

Iyini i-ESR?

I-ESR iyisilinganiso sezinga lapho amangqamuzana egazi abomvu (ama-erythrocyte) ahlala khona ku-plasma egazini eline-anticoagulated. Lokhu kuhlolwa, okuvezwa nge-mm/hr, kunikeza imininingwane ebalulekile ngobukhona bokuvuvukala emzimbeni.

IMechanism Behind ESR

Ukuhlolwa kwe-ESR ngokuyisisekelo kusekelwe ekusebenzelaneni phakathi kwezinto ezikhuthazayo (i-fibrinogen) kanye nokumelana (negative charge of RBCs) sedimentation. Ngaphansi kwezimo ezijwayelekile, ama-RBC azinza kancane ngenxa yokushajwa kwawo okungekuhle, okubangela ukuthi axoshelane ngobumnene. Nokho, ezimweni ezithile, la maseli akha izitaki ezibizwa ngokuthi i-rouleaux, ezisindayo futhi ezihlala ngokushesha.

Amaprotheni e-plasma, ikakhulukazi i-fibrinogen, adlala indima ebalulekile kule nqubo. Anamathela kulwelwesi lwamangqamuzana abomvu, anciphise izindleko ezingezinhle futhi akhuthaze ukunamathela kwamaseli nokwakheka kwe-rouleaux. Kuyathakazelisa ukuthi i-ESR ilingana ngokuqondile nesisindo sama-cell aggregates futhi ilinganisa ngokuphambene nendawo.

Izigaba ze-Erythrocyte Sedimentation

Inqubo ye-sedimentation yenzeka ezigabeni ezintathu ezihlukene:

• Isiteji sokwakheka/ukuhlanganiswa kwe-rouleaux (imizuzu eyi-10)
• Isigaba se-sedimentation/setting (imizuzu engama-40)
• Isiteji sokupakisha (imizuzu eyi-10)

Izinto Ezithinta I-ESR

Izici ezahlukahlukene zingathonya imiphumela ye-ESR:

• Izici ezikhulisa i-ESR:
  • Ubudala, ubulili besifazane, ukukhulelwa
  • I-anemia, i-RBC engavamile
  • I-Macrocytosis
  • Amazinga aphezulu e-fibrinogen
  • Ukutheleleka, ukuvuvukala, ubulwelwe
• Izinto ezinciphisa i-ESR:
  • I-leukocytosis eyingozi kakhulu, i-polycythemia
  • Ukungajwayelekile kwe-RBC (isb, i-sickle cell anemia)
  • I-Spherocytosis
  • I-Acanthocytosis
  • I-Microcytosis
  • Izici zobuchwepheshe
  • Izinkinga ze-dilution
  • Igazi elijiyile Context
  • Ishubhu ye-ESR emfushane
  • Ukudlidliza ngesikhathi sokuhlolwa
  • Ukungajwayelekile kwamaprotheni
  • I-Hypofibrinogenemia
  • I-Hypogammaglobulinemia
  • I-Dysproteinemia

Ukubaluleka Komtholampilo kwe-ESR

Amanani e-ESR ahunyushwa ngokusekelwe kububanzi obuthile:

• Okuvamile: 51-54%
• Ukuphakama okuncane: 55-59%
• Ukuphakama okumaphakathi: 60-64%
• Ikhuphuke Ngokumangazayo:> 64%

Izinzuzo Nemikhawulo

Ukuhlolwa kwe-ESR kunikeza izinzuzo eziningi:

• Kulula ukwenza
• Akubizi
• Inikeza imiphumela esheshayo
• Iwusizo ekuhlolweni kokuqala kanye nokuqapha kokulandelela

Indlela Yokunciphisa I-ESR Ngokwemvelo

Izindlela zemvelo zokunciphisa amazinga e-ESR zihlanganisa ukuguqulwa kwendlela yokuphila, izinguquko zokudla, namakhambi esintu. Ucwaningo lukhombisa ukuthi lezi zindlela zingehlisa ngempumelelo izimpawu zokuvuvukala uma zisetshenziswa ngokungaguquki nangendlela efanele.

Ukuguqulwa Kwendlela Yokuphila

Ukuzivocavoca umzimba njalo kungabhekwa njengenye yezindlela zemvelo eziphumelela kakhulu zokunciphisa amazinga e-ESR. Ucwaningo lubonisa ukuthi abantu abazibandakanya emsebenzini womzimba wezinga eliphezulu babonisa amanani aphansi e-ESR kunalabo abaphila ngendlela enganyakazi. Ukuzivocavoca okungenani imizuzu engama-30, okwenziwa okungenani kathathu ngesonto, kungaba nomthelela omkhulu emazingeni okuvuvukala.

Izinguquko ezibalulekile zendlela yokuphila zihlanganisa:

• Ukugcina i-hydration efanele (1-2 amalitha nsuku zonke)
• Ukuthola amahora angu-7-8 wokulala kwekhwalithi
• Ukulawula ukucindezeleka ngokuzindla noma ukuphefumula okujulile
• Ukugcina i-BMI enempilo
• Ukugwema ukubhema kanye nokunciphisa ukusetshenziswa kotshwala

I-Anti-inflammatory Diet

Ukudla okunomsoco okunothe ngokudla okuqeda ukuvuvukala kudlala indima ebalulekile ekwehliseni amazinga e-ESR ngokwemvelo. Ukudla okuqeda ukuvuvukala okuphumelelayo kuhlanganisa:

• Izinhlanzi ezinamafutha (i-salmon, i-mackerel, i-sardine)
• Amajikijolo (ama-blueberries, ama-strawberries, ama-raspberries)
• Imifino enamaqabunga aluhlaza (isipinashi, i-kale)
• Amantongomane kanye nembewu (ama-walnuts, imbewu ye-chia)
• Amafutha e-Olive
• Ushokoledi omnyama
• amakhowe
• I-Bell pepper
• I-broccoli

Izixazululo Natural

I-Turmeric igqama njengekhambi lemvelo elinamandla lokunciphisa amazinga e-ESR. I-compound yayo esebenzayo, i-curcumin, isebenza njenge-ejenti ephumelelayo yokulwa nokuvuvukala. Ukuhlanganisa i-turmeric nobisi ngaphambi kokulala kungathuthukisa ukusebenza kwayo ekwehliseni ukuvuvukala.

Ukusetshenziswa kwetiye elihlaza kunikeza enye indlela yemvelo yokwehlisa amazinga e-ESR. Okuqukethwe kwayo okucebile kwe-antioxidant kusiza ukulwa nokuvuvukala kuwo wonke umzimba. 

Isiphetho

Naphezu kokulula kwako, ukuhlolwa kwe-Erythrocyte Sedimentation Rate kuseyithuluzi elibalulekile kwezokwelapha zanamuhla. Ikhono layo lokubona ukuvuvukala likwenza kube yingxenye ebalulekile yokuhlolwa kokuqala nokuqapha izifo. Kodwa-ke, njengakho konke ukuhlola kwezokwelapha, i-ESR kufanele ihunyushwe kanye nokunye okutholwe emitholampilo namathuluzi okuxilonga ukuze kuqondwe ngokuphelele isimo sempilo yesiguli.

Njengoba isayensi yezokwelapha ithuthuka, ukuhlolwa kwe-ESR kuyaqhubeka nokuvela, ngezindlela ezizenzakalelayo ezithuthukisa ukusebenza kahle nokuphepha kwayo. Ukuqonda ama-nuances alolu vivinyo kunikeza odokotela amandla okwenza izinqumo ezinolwazi, okuholela ekunakekelweni okungcono kwesiguli kanye nemiphumela.