ใช่ ESR รึเปล่าคะ หรือว่าคนละตัวกัน แล้วค่า 40% ไม่ทราบว่าจัดเป็นสูงหรือป่าวนะคะ
Moderately elevated ESR occurs with inflammation, but also with anemia, infection, pregnancy, and old age.
A very high ESR usually has an obvious cause, such as a marked increase in globulins that can be due to a severe infection. The doctor will use other follow-up tests, such as cultures, depending on the patients symptoms. Persons with multiple myeloma or Waldenstroms macroglobulinemia (tumors that make large amounts of immunoglobulins) typically have very high ESRs even if they don't have inflammation. As noted before, polymyalgia rheumatica and temporal arteritis may also have very high ESRs.
A rising ESR can mean an increase in inflammation or a poor response to a therapy; a decreasing ESR can mean a good response.
Although a low ESR is not usually important, it can be seen with polycythemia (a condition where a patient makes too many red blood cells), with extreme leukocytosis (patient has too many white blood cells), and with some protein abnormalities. Some changes in red cell shape (such as sickle cells in sickle cell anemia) also lower the ESR.
30 ม.ค. 50 15:34:51