Sabuwar Aikace-aikacen Clinical na D-Dimer Kashi Na Biyu


Marubuci: Magaji   

D-Dimer a matsayin prognostic nuna alama ga daban-daban cututtuka:

Saboda kusancin dangantaka tsakanin tsarin coagulation da kumburi, lalacewar endothelial, da sauran cututtukan da ba na thrombotic ba kamar kamuwa da cuta, tiyata ko rauni, rashin ciwon zuciya, da ciwon daji, ana samun karuwa a cikin D-Dimer sau da yawa.A cikin bincike, an gano cewa mafi yawan bayyanar cututtuka na waɗannan cututtuka har yanzu shine thrombosis, DIC, da dai sauransu. Yawancin waɗannan rikice-rikicen su ne ainihin cututtuka masu alaka da su ko jihohin da ke haifar da hawan D-Dimer.Don haka ana iya amfani da D-Dimer azaman babban ma'aunin ƙima mai fa'ida ga cututtuka.

1.Don marasa lafiya na ciwon daji, binciken da yawa sun gano cewa 1-3 shekaru na rayuwa na marasa lafiya marasa lafiya tare da D-Dimer mai girma yana da mahimmanci fiye da wadanda ke da D-Dimer na al'ada.Za a iya amfani da D-Dimer a matsayin mai nuna alama don ƙididdige ƙididdiga na marasa lafiya na ciwon daji.

2.Ga marasa lafiya na VTE, binciken da yawa sun tabbatar da cewa marasa lafiya na D-Dimer a lokacin anticoagulation suna da haɗarin 2-3 mafi girma na sake dawowar thrombotic na gaba idan aka kwatanta da marasa lafiya marasa lafiya.Wani bincike-bincike na mahalarta 1818 a cikin binciken 7 ya nuna cewa D-Dimer mara kyau shine ɗayan manyan abubuwan da ke haifar da sake dawowar thrombotic a cikin marasa lafiya na VTE, kuma D-Dimer an haɗa shi a cikin nau'o'in haɗarin haɗari na sake dawowa VTE.

3.Ga marasa lafiya da ke fama da maye gurbin na'ura mai kwakwalwa (MHVR), binciken bincike na tsawon lokaci na masu halartar 618 sun nuna cewa marasa lafiya tare da matakan D-Dimer mara kyau a lokacin lokacin warfarin bayan MHVR suna da hadarin rashin lafiya game da 5 sau fiye da wadanda tare da matakan al'ada.Binciken daidaitawa da yawa ya tabbatar da cewa matakan D-Dimer sun kasance masu tsinkaya masu zaman kansu na thrombosis ko abubuwan da ke faruwa na zuciya da jijiyoyin jini a lokacin maganin rigakafi.

4.Don marasa lafiya tare da fibrillation na atrial (AF), D-Dimer na iya yin la'akari da abubuwan thrombotic da na zuciya da jijiyoyin jini a lokacin maganin maganin maganin jini.Wani bincike mai yiwuwa na marasa lafiya 269 tare da fibrillation na wucin gadi da aka biyo baya na kimanin shekaru 2 ya nuna cewa yayin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin ƙwararru 15.8 da 15.8. 7.64 sau mafi girma hadarin thrombotic da cututtukan zuciya na zuciya idan aka kwatanta da marasa lafiya tare da matakan D-Dimer na al'ada, bi da bi.
Ga waɗannan ƙayyadaddun cututtuka ko marasa lafiya, D-Dimer mai ɗaukaka ko dagewa sau da yawa yana nuna rashin hasashe ko muni na yanayin.