ʻO ke koʻikoʻi o ka ʻike ʻana i ka D-dimer i nā wahine hāpai


Mea kākau: Hope   

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

He aha ka D-Dimer?
ʻO D-Dimer kahi helu nānā nui no ka coagulation koko maʻamau i ka hana lapaʻau.He hōʻailona ia o ke kaʻina hana fibrinolysis.ʻO kahi kiʻekiʻe o D-Dimer e hōʻike pinepine i ka hiki ʻana o nā maʻi thrombotic, e like me ka thrombosis hohonu hohonu a me ka embolism pulmonary.Hoʻohana ʻia ʻo D-dimer no ka ʻike a me ka mālama ʻana i nā maʻi fibrinolytic system, e like me ka thrombus extensive coagulation disorders, abnormal coagulation factor, etc.

He aha nā hopena o ka D-Dimer kiʻekiʻe i ka pēpē?
Hiki i ka D-Dimer kiʻekiʻe ke paʻakikī i ka hānau ʻana, hiki ke alakaʻi i ka hypoxia fetal, a hiki i ka D-Dimer kiʻekiʻe i nā wahine hāpai ke hoʻonui i ke koko a i ʻole ka wai amniotic embolism i ka wā o ka hana, e waiho ana i nā wahine hāpai i ka pilikia o ka hānau ʻana.I ka manawa like, hiki i ka D-Dimer kiʻekiʻe ke hoʻoulu i nā wahine hāpai i ka naʻau a loaʻa nā hōʻailona e like me ka ʻeha kino.I ka wā o ka hāpai ʻana, ma muli o ka piʻi ʻana o ka puʻe o ka ʻōpū, e hoʻonui ʻia ka vein pelvic, kahi e hoʻoulu ai i ka thrombosis.

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

Ua ʻike nā kānaka a pau he mea koʻikoʻi ka hoʻokolokolo ʻana i ka wā hāpai e ʻike pono ai i nā kūlana kūlohelohe o nā wahine hāpai a me nā pēpē.Nui nā makuahine hāpai e makemake 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 i ka viscosity o ke koko a hoʻolohe i ka pale ʻana i ka thrombosis.

No laila, ʻo nā hoʻokolohua obstetric maʻamau i ka wā hāpai ʻana he mea pono loa ia e pale aku i nā pilikia i ka fetus a me nā wahine hāpai.