Amfani da D-Dimer na Gargajiya a Asibiti


Marubuci: Magaji   

1. Gano matsalar VTE:
Ana iya amfani da gano D-Dimer tare da kayan aikin tantance haɗarin asibiti yadda ya kamata don gano cututtukan thrombosis na jijiyoyin jini masu zurfi (DVT) da embolism na huhu (PE). Lokacin da ake amfani da shi don cire thrombus, akwai wasu buƙatu don reagents na D-Dimer, hanyoyin aiki, da sauransu. Dangane da ma'aunin masana'antar D-Dimer, tare da yuwuwar da ta gabata, ana buƙatar ƙimar hasashen mara kyau ta zama ≥ 97%, kuma ana buƙatar jin daɗin ya zama ≥ 95%.
2. Gano ƙarin bayani game da yadda coagulation ke yaɗuwa a cikin jijiyoyin jini (DIC):
Babban abin da ke nuna alamun DIC shine hyperfibrinolysis, kuma gano hyperfibrinolysis yana taka muhimmiyar rawa a tsarin maki na DIC. A asibiti, an nuna cewa D-Dimer a cikin marasa lafiya na DIC yana ƙaruwa sosai (fiye da sau 10). A cikin jagororin ganewar asali ko yarjejeniya ga DIC a cikin gida da na duniya, ana ɗaukar D-Dimer a matsayin ɗaya daga cikin alamun dakin gwaje-gwaje don gano DIC, kuma ana ba da shawarar yin FDP tare don inganta ingancin ganewar DIC yadda ya kamata. Ganewar DIC ba zai iya dogara kawai akan alamar dakin gwaje-gwaje guda ɗaya da sakamakon gwaji guda ɗaya don yanke hukunci ba. Yana buƙatar a yi nazari sosai kuma a sa ido sosai tare da alamun asibiti na majiyyaci da sauran alamun dakin gwaje-gwaje don yanke hukunci.