ESR

ESR waxay u taagan tahay heerka daadka erythrocyte. Waxaa badanaa loo yaqaan "sed sed".

Waa baaritaan si aan toos ahayn u cabiraya inta jirku ku jiro jirka.

Sambal dhiig ayaa loo baahan yahay. Inta badan, dhiig ayaa laga soo qaataa xididka ku yaal gudaha xusulka ama dhabarka gacanta. Tijaabada dhiigga waxaa loo diraa shaybaarka.

Tijaabadu waxay cabbiraysaa sida unugyada dhiigga cas cas ee degdegga ah (oo loo yaqaan 'erythrocytes') ay ugu dhacaan gunta hoose ee dhuun dhuuban.

Ma jiraan talaabooyin gaar ah oo loo baahan yahay si loogu diyaariyo imtixaankan.

Waxaa laga yaabaa inaad dareento xanuun yar ama qaniinyo markii cirbadda la gelinayo. Waxa kale oo laga yaabaa inaad dareento xoogaa jug ah goobta ka dib markii dhiigga lagaa qaado.

Sababaha "qiyaasta sed" loo samayn karo waxaa ka mid ah:

• Qandhooyinka aan la garanayn
• Noocyada qaar ee kalagoysyada xanuunka ama arthritis
• Calaamadaha muruqyada
• Calaamadaha kale ee aan caddayn ee aan la sharixi karin

Tijaabadani sidoo kale waxaa loo isticmaali karaa in lagu kormeero in jirro ay ka jawaabeyso daaweynta.

Tijaabadan waxaa loo isticmaali karaa in lagula socdo cudurada caabuqa ama kansarka. Looma isticmaalo in lagu ogaado cillad gaar ah.

Si kastaba ha noqotee, imtixaanku wuxuu faa'iido u leeyahay baaritaanka iyo kormeerka:

• Ciladaha iswada
• Caabuqyada lafaha
• Noocyada qaarkood ee arthritis
• Cudurrada caabuqa

Dadka waaweyn (habka Westergren):

• Ragga da'doodu ka yar tahay 50 sano: in ka yar 15 mm / saac
• Ragga ka weyn 50 sano: in ka yar 20 mm / saac
• Haweenka ka yar 50 sano: in ka yar 20 mm / saac
• Haweenka ka weyn 50 sano: in ka yar 30 mm / saac

Carruurta (habka Westergren):

• Ilmaha dhashay: 0 ilaa 2 mm / saac
• Dhallaanka cusub ee qaangaarka ah: 3 illaa 13 mm / saac

Xusuusin: mm / hr = millimitir saacaddii

Heerarka qiimaha caadiga ahi way ku kala duwanaan karaan shaybaarada kala duwan. Kala hadal bixiyahaaga daryeelka caafimaadka macnaha natiijooyinkaaga gaarka ah ee baaritaanka.

ESR aan caadi ahayn ayaa laga yaabaa inuu ku caawiyo ogaanshaha cudurka, laakiin ma cadeyneyso inaad xaalad gaar ah qabtid. Tijaabooyin kale ayaa had iyo jeer loo baahan yahay.

Heerka 'ESR' ee kordhay wuxuu ku dhici karaa dadka qaba:

• Dhiig yaraan
• Kansarrada sida lymphoma ama myeloma badan
• Cudurka kilyaha
• Uurka
• Cudurka qanjirka 'thyroid'

Nidaamka difaaca jirka wuxuu jirka ka ilaaliyaa walxaha waxyeelada leh. Ciladda isdifaaca jirka waa marka nidaamka difaaca jirka uu si qalad ah u weeraro una baabi'iyo unugyada jirka ee caafimaadka qaba. ESR badanaa way ka sarreysaa sida caadiga ah dadka qaba cillad isdifaac ah.

Xanuunada iswada jirka ee caadiga ah waxaa ka mid ah:

• Lupus
• Polymyalgia rheumatica
• Rheumatoid arthritis-ka dadka waaweyn ama carruurta

Heerarka aadka u sarreeya ee ESR waxay ku dhacaan isdifaaca jirka ama cilladaha kale, ee ay ka mid yihiin:

• Vasculitis xasaasiyadeed
• Cudurka weyn ee 'arteritis'
• Hyperfibrinogenemia (heerarka fibrinogen ee dhiigga ku jira)
• Macroglobulinemia - aasaasiga
• Necrotizing vaskulitis

Heerka 'ESR' ee kordhay waxaa laga yaabaa inuu ugu wacan yahay infakshannada qaarkood, oo ay ka mid yihiin:

• Infekshinka jirka oo dhan (nidaamsan)
• Caabuqyada lafaha
• Caabuqa wadnaha ama qalabka wadnaha
• Xumad xanuun
• Infekshannada maqaarka ee daran, sida erysipelas
• Qaaxada

Heerarka caadiga ka hooseeya waxay ku dhacaan:

• Wadnaha oo hawl gab ah
• Hyperviscosity-ga
• Hypofibrinogenemia (heerarka fibrinogen oo hoos u dhacay)
• Leukemia
• Barootiinka plasma oo hooseeya (cudurka beerka ama kilyaha awgood)
• Polycythemia
• Sickle cell dhiig yaraan

Qiyaasta qanjidhada 'erythrocyte'; Sed heerka; Heerka dajinta

Pisetsky DS. Tijaabada shaybaarka ee cudurada lafaha. Gudaha: Goldman L, Schafer AI, eds. Daawada Goldman-Cecil. 25aad. Philadelphia, PA: Elsevier Saunders; 2016: cutubka 257.

Vajpayee N, Graham SS, Bem S. Baaritaanka aasaasiga ah ee dhiigga iyo dhuuxa lafta. Gudaha: McPherson RA, Pincus MR, eds. Henry's Clinical Diagnosis iyo Maareynta Hababka Shaybaarka. 23aad ed. St Louis, MO: Elsevier; 2017: cutubka 30.