ʻAʻole kamaʻāina ka hapa nui o ka poʻe me ka D-Dimer, a ʻaʻole maopopo i kāna hana. He aha nā hopena o ka D-Dimer kiʻekiʻe i ka ʻōpū i ka wā hāpai? I kēia manawa, e ʻike pū kākou i nā mea a pau.

He aha ka D-Dimer?
He ʻōkuhi nānā koʻikoʻi ka D-Dimer no ka coagulation koko maʻamau i ka hana lapaʻau. He hōʻailona ia o ke kaʻina hana fibrinolysis kikoʻī. ʻO ka pae kiʻekiʻe o ka D-Dimer e hōʻike pinepine ana i ka hiki ʻana mai o nā maʻi thrombotic, e like me ka thrombosis vein hohonu o ka ʻaoʻao haʻahaʻa a me ka embolism pulmonary. Hoʻohana ʻia ʻo D-dimer no ka ʻike ʻana a me ka mālama ʻana i nā maʻi ʻōnaehana fibrinolytic, e like me nā maʻi coagulation nui o ka thrombus, nā mea coagulation maʻamau ʻole, a pēlā aku. I kekahi mau maʻi kūikawā e like me nā tumors, ka maʻi hāpai, he mea nui loa ka nānā ʻana i ka wā o ka thrombolytic therapy.

He aha nā hopena o ke kiʻekiʻe o ka D-Dimer i ka fetus?
Hiki i ke kiʻekiʻe o ka D-Dimer ke paʻakikī i ka hānau ʻana, kahi e alakaʻi ai i ka hypoxia fetal, a ʻo ke kiʻekiʻe o ka D-Dimer i nā wahine hāpai e hoʻonui pū i ka hiki ke kahe koko a i ʻole ka embolism wai amniotic i ka wā hānau, e hoʻoweliweli ana i nā wahine hāpai i ka hānau ʻana. I ka manawa like, hiki i ke kiʻekiʻe o ka D-Dimer ke hoʻoulu i nā wahine hāpai e lilo i mea hoʻoluhi naʻau a loaʻa nā hōʻailona e like me ka ʻoluʻolu ʻole o ke kino. I ka wā hāpai, ma muli o ka piʻi ʻana o ke kaomi o ka uterine, e hoʻonui ʻia ke aʻa pelvic, kahi e hoʻoulu ai i ka thrombosis.

He aha ke koʻikoʻi o ka nānā ʻana i ka D-Dimer i ka wā hāpai?
ʻOi aku ka maʻamau o ke kiʻekiʻe o ka D-Dimer i nā wahine hāpai, kahi e hōʻike ana i ke kūlana hypercoagulable a me ke kūlana hoʻonui ʻia o ka fibrinolysis lua o nā wahine hāpai. Ma lalo o nā kūlana maʻamau, ʻoi aku ka kiʻekiʻe o ka D-Dimer o nā wahine hāpai ma mua o nā wahine hāpai ʻole, a e hoʻomau ka piʻi ʻana o ka waiwai me ka hoʻolōʻihi ʻana o nā pule gestational. . Eia nō naʻe, i kekahi mau kūlana pathological, ʻo ka hoʻonui maʻamau ʻole o ka polymer D-Dimer, e like me ke koko kiʻekiʻe i hoʻoulu ʻia e ka hāpai ʻana, he hopena hōʻailona kekahi, no ka mea, ʻoi aku ka maʻalahi o nā maʻi me ke koko kiʻekiʻe gestational i ka thrombosis a me DIC. Ma ke ʻano kūikawā, he mea nui ka nānā ʻana i kēia hōʻailona prenatal no ka nānā ʻana i nā maʻi a me ka mālama ʻana.

Ua ʻike nā kānaka a pau he mea nui loa ka hoʻokolokolo ʻana i ka wā hāpai no ka ʻike pololei ʻana i nā kūlana ʻē o nā wahine hāpai a me nā keiki i loko o ka ʻōpū. Makemake ka nui o nā makuahine hāpai e ʻike i ka mea e hana ai inā kiʻekiʻe ka D-Dimer i ka wā hāpai. Inā kiʻekiʻe loa ka D-Dimer, pono ka wahine hāpai e hoʻoheheʻe pono i ka mānoanoa o ke koko a makaʻala i ka pale ʻana i ka hoʻokumu ʻia ʻana o ka thrombosis.

No laila, he mea nui loa nā hoʻokolohua obstetric maʻamau i ka wā hāpai e pale aku i nā pilikia i ka pēpē a me nā wahine hāpai.