He tohu rānei te teitei o te D-dimer he thrombosis?


Kaituhi: Succeeder   

1. Ko te whakamātautau D-dimer plasma he whakamātautau hei mārama ki te mahi fibrinolytic tuarua.

Mātāpono tirotiro: Ka pania te paturopi monoclonal anti-DD ki ngā matūriki rapa. Mena he D-dimer kei roto i te toto o te kaiwhiwhi, ka puta he tauhohenga antigen-antibody, ā, ka huihui ngā matūriki rapa. Heoi, ka taea e tēnei whakamātautau te whakaatu he pai mō tetahi toto toto me te hanganga toto totoka, nō reira he iti te motuhaketanga me te tino aro.

2. E rua ngā pūtake o te D-dimer i roto i te tinana ora

(1) Te āhua toto totoka nui me te hyperfibrinolysis tuarua;

(2) te whakapūpū toto;

Ko te D-dimer te nuinga e whakaata ana i te mahi fibrinolytic. Ka kitea te pikinga, te pai rānei i roto i te hyperfibrinolysis tuarua, pērā i te āhua hypercoagulable, te dispersed intravascular coagulation, te mate tākihi, te whakakorenga whakawhitinga okana, te rongoā thrombolytic, me ētahi atu.

3. I te mea kei te kaha tonu te toto toto me te mahi fibrinolytic i roto i ngā oko toto o te tinana, ka piki ake te D-dimer.

Hei tauira: ko te mate ngakau, te mate roro, te mate pūkahukahu, te toto toto i roto i ngā uaua, te pokanga, te pukupuku, te toto toto totoro, te mate me te pirau kiko ka piki ake te D-dimer. Ina koa mō ngā kaumātua me ngā tūroro kei te hōhipera, nā te mate huakita me ētahi atu mate, ka ngāwari te puta o te toto totoro koretake, ka piki ake te D-dimer.

4. Ko te motuhaketanga e whakaatahia ana e te D-dimer kāore e pā ana ki te mahi i roto i tētahi mate motuhake, engari ki ngā āhuatanga mate noa o tēnei rōpū nui o ngā mate me te toto totoka me te fibrinolysis.

I roto i te ariā, ko te hanganga o te fibrin honohono-whiti he thrombosis. Heoi, he maha ngā mate haumanu ka whakahohe i te pūnaha toto toto i te wā e puta mai ana, e whanake ana hoki te mate. Ina puta te fibrin honohono-whiti, ka whakahohehia te pūnaha fibrinolytic, ā, ka waikurahia te fibrin honohono-whiti hei ārai i tōna "kohikohi" nui (he thrombus nui haumanu), ka hua ake he D-dimer teitei rawa. Nō reira, ehara te D-dimer teitei i te mea he thrombosis nui haumanu. Mō ētahi mate, mō ētahi tāngata takitahi rānei, he tukanga mate pea.