ESR (erythrocyte sedimentation rate) in the blood: normal for women by age (table)


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ESR in the blood during pregnancy

The body of a pregnant woman undergoes dramatic changes from the first days of implantation of a fertilized egg into the endometrium of the uterus. A woman may not yet suspect she is pregnant, but her ESR has already increased. The ESR norm in pregnant women ranges from 7-45 mm/h. At the same time, such a high ESR is not critical for a woman’s health and provides protection against bleeding.

Facts about ESR in pregnant women:

  1. ESR increases with fetal growth until approximately 6 months. pregnancy: in the first trimester the rate is lower than before childbirth. Only in exceptional cases does the rate decrease.
  2. The average rate in pregnant women is 20 mm/h.
  3. ESR in the blood is significantly increased during pregnancy shortly before birth: the level jumps 3 times. This is how the woman’s body protects itself from excessive blood loss during labor.
  4. After childbirth, the indicator returns to age norms only after some time, not instantly.

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  • Dangerous causes of increased ESR

    • The very pathology of the behavior of red blood cells may indicate a blood disease - leukemia, anemia, etc.
    • A malignant formation or purulent infectious accumulation (for example, an abscess) may also be detected in the body.
    • An increased ESR also indicates acute intestinal, bacterial infections, and inflammatory diseases of the gastrointestinal tract in general.
    • An increase in indicators also indicates an excess of toxins in the body or poisoning.

    The body could have suffered great blood loss under various circumstances, or suffered from tuberculosis or rheumatism. Then in the tests, in addition to an increased ESR, platelets may be observed.

    As you can see, there are many reasons for increased ESR, but this does not always mean the development of pathology or a serious disease. The main thing in this case is to find out the main problem with your doctor, and only then can you understand whether you need treatment or not.

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    Norm of ESR in the blood of women by age (table)

    The ESR parameter is relatively stable in healthy men, but in women the sedimentation rate may differ, depending on many factors:

    • age (after 50 the ESR level increases);
    • physique (in women who are overweight and have high cholesterol levels, ESR increases);
    • hormonal background;
    • pregnancy;
    • taking hormonal contraceptives.

    Also, physiological reasons for changes in the ESR parameter include diet: eating protein foods increases the ESR rate regardless of gender and age.

    Woman's age, yearsNorms according to the Panchenkov method, mm/hNorms according to the Westiergen method, mm/h
    Up to 174-112-10
    17-302-152-20
    30-502-202-25
    Over 502-252-30

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    When is it appointed?

    A general (biochemical) blood test with ESR measurement is prescribed in several cases:

    • during a preventive examination, as a method of determining the degree of health of the body;
    • for the diagnosis of diseases accompanied by inflammatory processes (infections, tumors, etc.), erythermia, acidosis, etc.

    The determination of ESR is fundamental for identifying pathological processes in the body during the diagnosis of infectious diseases of the respiratory tract, namely:

    • sinusitis, sinusitis;
    • angina;
    • inflammation of the pharynx, larynx and trachea;
    • bronchitis;
    • pneumonia;
    • ARVI;
    • flu.

    After drug treatment of these diseases, a control clinical blood test for ESR is performed, which returns to normal within 7-10 days after recovery.

    Determination methods

    Typically, red blood cells are negatively charged, so normally, when in plasma, they repel each other, following the laws of physics. If individual elements precipitate under the influence of gravity, then the rate of such a reaction is minimal. But as soon as the biochemical composition of the blood changes under the influence of pathological or physiological reasons, the imbalance of protein fractions will lead to neutralization of the charge of red blood cells, give some elements a positive charge, and they, like bridges, will begin to connect with each other - aggregate, stick together, forming columns resembling coins. This is what is used when performing a diagnostic ESR test.

    In modern medicine, there are several options for determining the rate of sedimentation reaction:

    • The simplest and most accessible is the Panchenkov method. The index finger is treated with alcohol, pierced, a drop of blood with epithelium is removed, and then the required milliliters are drawn into a special measuring pipette. After an hour, measure the thickness of the transparent, upper column.
    • The second diagnostic option is the Westergren method. It's more accurate. The bottom line is that blood is taken from a vein, diluted with an anticoagulant (in a ratio of 4:1) and placed either in a stand, where after an hour the height of not the plasma, but the lower layer of red blood cells is measured, or in an analyzer, which itself carries out all the necessary manipulations and issues a printout of the finished results.

    The most modern way to confirm the inflammatory process in the body is considered to be the European standard PSA - determination of C-reactive protein, excluding the human factor, but it is not yet available to everyone due to its high cost. Abroad, the method of Panchenkov and Westergren has not been used for a long time, as it has become outdated over time.

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