Daga cikin gwaje-gwaje na farko an umurce su lokacin da ake zargi da cututtukan Arthritis
Wani ƙananan ƙwayar cuta , gajeren gajeren ƙwayar erythrocyte, shi ne gwajin jini wanda ya gano ƙananan ƙonewa cikin jiki. Ƙasantaccen ma'anar shine gwajin gwajin bashi bai gano ainihin matsala ko rashin lafiya wanda ke haifar da ƙonewa ba. Ɗaukaka (mummunan haɗari) yana nuna cewa akwai mai ci gaba mai kumburi, amma ba yadda ko yasa ba.
Idan ka tuntubi likita saboda ana fuskantar ciwon haɗin gwiwa , likita zai yi gwajin gwajin jiki da tsari. Ya kamata ku yi tsammanin likitanku ya tsara rayukan hasken rayuka na tasoshin da aka shafa, da wasu gwaje-gwajen jini . Yayinda yawancin jini ya kasance a cikin jarabawan jini na farko da aka umarce su lokacin da ake zargi da maganin arthritis . Hakanan za'a iya tasowa a hankali lokacin da kamuwa da cuta ko ciwon sukari ba. Magunguna da aka haɗu da rashin lafiya ko raguwar aiki na nama ko gabobi zai iya haifar da ƙananan ƙananan sed. Tsarin ciki har yanzu wani yanayi ne wanda aka danganta da ƙananan ƙwararru.
Baya ga dalilai na bincike, yawancin lokuta ana yin umurni da lokaci lokaci don bincika cutar. Yayinda yanayin jininka ya inganta kuma ya zama mai aiki, ana sa ran cewa rashin lafiyarka zai rage kuma ya dace da al'ada. Sed rate shi ne ainihin ɓangare na DAS28 ma'auni don aikin cuta.
Duk da yake akwai nau'o'i daban-daban na DAS28, duk sun auna aikin cutar ta hanyar amfani da kwarewa mai haƙuri, ƙididdigar ƙaƙƙarfan ƙira da haɗakar haɗin kai (har zuwa 28), kazalika da gwaji ko CRP (C-reactive protein) gwajin . Abin sha'awa, binciken ya nuna cewa sau da yawa akwai bambanci tsakanin sakamakon SAS28 da CRP da aka kafa DAS28.
DAS28 da aka saba da shi a hankali yana nuna yawan cututtuka mafi girma fiye da DAS28 na CRP. Abin damuwa shi ne cewa sakamakon da ya bambanta zai iya shafar yanke shawara.
Ta Yaya An Yi Nisa Sed Rate?
Lokacin da aka yi raguwa, an saka samfurin jini a tsaka mai tsayi, mai zurfi, a tsaye. Jarajin gwajin yadda saurin erythrocytes (red cells) suka tashi a cikin sa'a daya. An bayar da rahoton sakamakon millimeters a kowace awa - wato, millimeters na plasma a saman suturar sel.
A karkashin yanayi na al'ada, lokacin da babu wata ƙwayar ƙwayar cuta ko rashin lafiya, kwayoyin jan kwayoyin sun fāɗi sannu a hankali. Ƙara yawan matakan ciwo masu gina jiki a cikin jini ko sauran sunadarai da ake kira haɗari mai ƙarfi na lokaci, irin su fibrinogen ko immunoglobulins wanda aka karu a cikin ƙonewa, haifar da kwayoyin jan jan raƙuman sauri.
Ƙididdiga na Yanayi na al'ada don Rate Sed
Hanyar da aka saba amfani dashi don rashin daidaituwa shine aka sani da hanyar Westergren. Kamar yadda aka ambata a sama, an bayar da rahoton a mm / hr (millimeters a kowace awa). Yawancin lokaci, ƙananan ƙananan ƙwayar yana ƙaruwa da shekaru kuma ya fi girma a cikin mata. Yawancin dakunan gwaje-gwaje basu daidaita don jinsi ko shekarun ba, kuma suna la'akari da cewa saurin yanayi shine:
- Maza: 0-15 mm / hr
- Mata: 0-20 mm / hr
Lokacin da aka daidaita shekaru da jinsi, wurin da aka yarda da ita don gwaji shine:
Manya (Hanyar Westergren):
- Maza a karkashin shekara 50: kasa da 15 mm / hr
- Mace fiye da shekaru 50: kasa da 20 mm / hr
- Mata a karkashin shekara 50: kasa da 20 mm / hr
- Mata fiye da shekara 50: kasa da 30 mm / hr
Yara (Hanyar Westergren):
- Yaran jariri: 0 zuwa 2 mm / hr
- Yarawa zuwa balaga: 3 zuwa 13 mm / hr
Layin Ƙasa
Duk da yake babu wata gwajin da za ta iya gano maganin arthritis, ƙananan za su taimaka wajen tabbatar da irin ƙwayoyin cututtukan ƙwayoyin cutar ƙwayoyin cuta , irin su maganin arthritis , lupus , spondylitis , da cututtuka na psoriatic . A gefe guda kuma, osteoarthritis yana da alaƙa da wani nau'i mai mahimmanci ko matsayi mai girman gaske don saurin sutura.
Ana yin umurni da saurin saurin sau da yawa tare da tare da gwajin CRP wanda ya gano ƙananan ƙonewa.
> Sources:
> ESR. MedlinePlus. Binciken 5/3/2015.
> Ƙarin MD na Ƙwararren Ƙwararruwa. Laboratory Assessment. Farko daga cututtuka na Rheumatic. Sha Uku na Uku Edition.
> Erythrocyte Sedimentation Rate (ESR). Labaran Labaran Lab. Maris 21, 2017.
> Tamhane A. Daidaita aikin ciwon cututtuka ta hanyar amfani da ƙwayar ƙwayar erythrocyte da kuma gina jiki C-reactive a cikin Afirka ta Amurkan tare da cututtuka na rheumatoid. Jaridar Rheumatology. Nuwamba 2013. 40 (11): 1812-22.