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

ESR sawv rau erythrocyte tus nqi kev loog. Nws yog feem ntau hu ua "tus nqi sed."

Nws yog ib qho kev sim tawm uas ntsuas txog kev mob ntau npaum li cas hauv lub cev.

Xav tau cov ntshav ntxiv. Feem ntau, cov ntshav tau kos tawm los ntawm cov hlab ntsha uas nyob ntawm sab hauv ntawm lub luj tshib lossis sab caj npab. Cov ntshav ntsuas raug xa mus rau chav kuaj ntshav.

Qhov ntsuas yuav ntsuas sai npaum li cas cov qe ntshav liab (hu ua erythrocytes) poob rau hauv qab siab, lub raj me.

Nws tsis muaj cov kauj ruam tshwj xeeb los npaj rau qhov kev ntsuas no.

Tej zaum koj yuav hnov ​​mob me ntsis lossis plev thaum koob tau ntxig. Koj tuaj yeem hnov ​​zoo ib yam li mob ncus ntawm qhov chaw tom qab kos cov ntshav.

Cov laj thawj uas vim li cas "tus nqi sed" yuav ua tiav nrog rau:

  • Kev npaj tsis muaj kev kub taub hau
  • Qee yam mob txha los yog mob caj dab
  • Cov tsos mob nqaij
  • Lwm cov tsos mob tsis meej uas tsis tuaj yeem piav qhia

Kuaj no kuj tseem siv tau los saib xyuas seb puas muaj kev mob tshwm sim rau kev kho mob.

Kev kuaj ntshav no tuaj yeem siv los saib xyuas cov mob los yog mob qog ntshav. Nws tsis yog siv los kuaj xyuas qee yam kev ntshawv siab.


Txawm li cas los xij, kev ntsuas yuav pab tau rau kev kuaj thiab saib xyuas:

  • Autoimmune ntshawv siab
  • Cov kab mob pob txha
  • Tej hom mob caj dab
  • Cov mob o

Rau cov neeg laus (Westergren txujci):

  • Cov txiv neej hnub nyoog qis dua 50 xyoo: qis dua 15 hli / teev
  • Cov txiv neej hnub nyoog tshaj 50 xyoo: qis dua 20 hli / teev
  • Cov poj niam hnub nyoog qis dua 50 xyoo: qis dua 20 hli / teev
  • Cov poj niam laus dua 50 xyoo: tsawg dua 30 hli / teev

Rau cov menyuam yaus (txujci Westergren):

  • Tus me nyuam mos: 0 txog 2 hli / teev
  • Tus menyuam mos yug tshiab: 3 txog 13 hli / teev

Lus Cim: mm / hr = millimeters ib teev

Cov kab ke tus nqi yuav txawv me ntsis ntawm ntau lub chaw soj nstuam. Tham nrog koj tus kws kho mob txog cov ntsiab lus ntawm koj cov kev kuaj sim.

ESR txawv txav yuav pab nrog ntsuas mob, tab sis nws tsis ua pov thawj tias koj muaj qee yam mob. Lwm yam kev kuaj yuav luag txhua lub sijhawm.

Nce tus nqi ESR yuav tshwm sim hauv cov neeg nrog:

  • Mob Kev Plab
  • Cov qog nqaij hlav xws li mob qog ua kua lossis ntau yam mob myeloma
  • Mob raum
  • Cev xeeb tub
  • Mob qog noj ntshav

Lub cev tiv thaiv kab mob pab tiv thaiv lub cev tiv thaiv cov mob phem. Lub tshuab ua rau lub cev ua kom tsis haum lub siab thaum lub cev tiv thaiv kab mob tsis raug thiab ua rau lub cev noj qab haus huv. ESR feem ntau ntau dua li ib txwm muaj rau cov neeg uas muaj lub cev tsis ncaj.


Hom mob autoimmune tsis xws li:

  • Lupus
  • Polymyalgia rheumatica
  • Kev mob caj dab mob hauv cov neeg laus lossis menyuam yaus

ESR ntau ntau tshwm sim muaj tsawg dua autoimmune lossis lwm yam kev cuam tshuam, suav nrog:

  • Kev ua xua vasculitis
  • Lub cev ntshav siab heev
  • Hyperfibrinogenemia (nce siab fibrinogen theem hauv cov ntshav)
  • Macroglobulinemia - thawj
  • Necrotizing vasculitis

Tus nqi ESR nce ntxiv tuaj yeem yog vim muaj qee kis mob, suav nrog:

  • Kev kis thoob lub cev (kab ke)
  • Cov kab mob pob txha
  • Kev kis mob ntawm lub plawv lossis lub plawv dhia
  • Rheumatic ua npaws
  • Kev kis mob ntawm daim tawv nqaij hnyav, xws li erysipelas
  • Tub Ntshaw

Cov qib qis-dua-li cov teeb meem tshwm sim nrog:

  • Congestive lub plawv tsis ua haujlwm
  • Ntshav siab ceev
  • Hypofibrinogenemia (txo qis fibrinogen)
  • Mob ntshav siab
  • Plasma protein tsawg (vim yog mob siab lossis mob raum)
  • Polycythemia
  • Sickle cell anemia

Erythrocyte cov kev ziab; Sed tus nqi; Sedimentation tus nqi


Pisetsky DS. Kev kuaj ntsuas hauv kab mob rheumatic. Hauv: Goldman L, Schafer AI, eds. Goldman-Cecil TshuajCov. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 257.

Vajpayee N, Graham SS, Bem S. Kev tshuaj xyuas cov ntshav thiab pob txha pob txha. Hauv: McPherson RA, Pincus MR, eds. Henry's Kev Kuaj Mob thiab Kev Tswj Xyuas los ntawm Laboratory Txoj KevCov. 23rd ed. St Louis, MO: Elsevier; 2017: chap 30.

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