Frequent questions He asks the doctor Beginning  
SPEED OF GLOBULAR SEDIMENTATION AVERAGE (VSG)
DENOMINATION DEFINITION ELEVATION TECHNICAL MEASUREMENT RISKS PROVED VALUES TO SEE TO CONSULT

OTHER NAMES

  • Measurement of the speed,
  • VSG,
  • Sedimentation speed eritrocitaria.

DEFINITION

It is the precipitation of the eritrocitos (red globules) in a certain time (1-2 hours), which is related straight to the tendency of the red globules towards the formation of accumulations (batteries of coins) as well as to the plasmatic concentration of proteins (globulins and fibrinógeno).

The capacity and the speed of forming these accumulations depends on the attraction of the surface of the red globules.

The analysis of the VSG is realized normally in a finished hematimetría study.

WHEN DOES IT RISE?

If the proteins of the group of the globulins are raised by it with regard to the albumin the speed rises. Also a high fibrinógeno proportion can provoke this elevation.

WHY DOES IT MEASURE ITSELF?

The principal uses of the measurement of the VSG are:

  1. To detect inflammatory or infectious processes. As discriminator or reactant of presence of illness.
  2. As control of the evolution of certain chronic illnesses ó infectious.
  3. To detect secret inflammatory chronic processes or tumors.

The value of the skill is not very sensitive and also slightly specific, herself it has value small and it is necessary to associate to other studies to be able to face a diagnosis.

In the first months of pregnancy it can turn out to be high without much ado aftereffects.

PROCEDURE OF SECURING

To realize this analysis to be on an empty stomach is not needed. It is possible to realize the capture in an appropriate place (consultation, clinic, hospital) but sometimes it is realized in the proper domicile of the patient.

To realize the capture it is needed of locating an appropriate vein and in general there are used the veins placed in the flexura of the elbow. The person entrusted to take the sample will use sanitary gloves, a needle (with a syringe or pipe of extraction).

It will put a tortor (tape of gum - latex) in the arm so that the veins retain more blood and turn out to be more visible and accessible. It will clean the area of the prick with an antiseptic one and by means of a palpación it will locate the appropriate vein and will gain access to her with the needle. They will release the tortor.

When the blood flows for the needle the sanitary one will realize an aspiration (by means of the syringe or by means of the application of a pipe with gap).

If several samples are needed for different types of analysis blood will be extracted to him more or less or different gap pipes will be applied. On having finished the capture, it extracts the needle to itself and the area is pressed with a cotton or similar torunda to favor the coagulation and it will indicate him to itself that flexione the arm and the area pressed with a Band-Aid supports for some hours.

PROBLEMS AND POSBLES RISKS

  1. The securing by means of a prick of the vein can produce certain pain.
  2. The possible difficulty in finding the appropriate vein can give place to several pricks.
  3. Appearance of a haematoma (bruise or cardinal) in the extraction area, is due usually to the fact that the vein has not closed well after the later pressure and blood has kept on going out producing this problem. Type Hirudoid can apply an ointment to itself ® or Trombocid ® in the area.
  4. Inflammation of the vein (phlebitis), sometimes the vein turns out to be shaken, well be for a cause merely physically or why it has become infected. It will have to support the relaxed area a few days and type Hirudoid can apply an ointment to itself ® or Trombocid ® in the area. If the problem persists or appears fever will have to consult it with his doctor.
NORMAL VALUES

In the normal blood the eritrosedimentación speed is practically void, inclusive if the cholesterol or other lípidos are very high it can diminish the aptitude to form accumulations and to diminish more the VSG.

Newborn babies up to 2
Nursing up to 10
Students up to 11
Young men up to 10
Adult men up to 12
Major men up to 14
Young women up to 10
Adult women up to 19
Major women up to 20

More discriminatory utility:

If his value is major than 100 mm / hour it is necessary to think that a problem of cancer exists, colagenosis, rheumatic illnesses, and other chronic infectious illnesses.

ABNORMAL RESULTS

The VSG rises in:

  • Intense anemia
  • Rheumatoid arthritis
  • Renal illnesses
  • Autoimmune illnesses (Lupus eritematoso)
  • Thyroid illnesses
  • Pregnancy
  • Rheumatic fever
  • Sharp infections
  • Macroglobulinemia
  • Multiple Mieloma
  • Rheumatic polymyalgia
  • Syphilis
  • Tuberculosis
  • Vasculitis

The VSG can turn out to be diminished in:

  • Proteins descent in the plasma (for hepatic problems ó renal)
  • Decrease of the fibrinógeno
  • Cardiac mistakes
  • Policitemia

TO SEE ALSO

WHAT DOCTOR CAN TREAT ME?

To look a specialist Service offered for
Writing: Medical equipment   Update: June, 2009


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