He pēhea te kino o te D-dimer teitei?


Kaituhi: Succeeder   

Ko te D-dimer he hua pakaru o te fibrin, e whakamahia ana i roto i ngā whakamātautau mahi toto toto. Ko tōna taumata noa ko te 0-0.5mg/L. Ko te pikinga o te D-dimer ka pā pea ki ngā āhuatanga ā-tinana pēnei i te hāputanga, i te mate rānei pēnei i ngā mate toto toto, ngā mate pāwera, me ngā pukupuku kino. E taunakihia ana kia haere ngā tūroro ki te tari toto toto o te hōhipera kia whiwhi maimoatanga i te wā tika.

1. Ngā āhuatanga ā-tinana:
I te wā e hapu ana, ka rerekē ngā taumata homoni i roto i te tinana, ka taea te whakaoho i te pakaru o te fibrin hei whakaputa i te D-dimer, ka taea ai te piki ake o te D-dimer i roto i te toto, engari i te nuinga o te wā kei roto i te awhe noa, i te paku piki rānei, he āhuatanga noa iho tēnei, ā, kāore e hiahiatia he maimoatanga motuhake.

2. Ngā āhuatanga mate pāwera:
1. Mate toto toto: Mena he mate toto toto kei roto i te tinana, pērā i te toto toto hohonu, te mate pūkahukahu, me ētahi atu, ka arahi pea ki te mahi toto rerekē, ka meinga te toto kia totoka rawa, ka whakaoho i te mahi nui o te pūnaha fibrinolytic, ka hua ake te D-dimerization. Ka piki ake ngā hua pirau fibrin pērā i te tinana me ētahi atu fibrin, ka hua ake ai te D-dimer i roto i te toto. I tēnei wā, i raro i te arataki a te tākuta, ka taea te whakamahi i te streptokinase recombinant mō te werohanga, te urokinase mō te werohanga me ētahi atu rongoā hei rongoā hei aukati i te hanganga thrombus;

2. Ngā mate pāwera: Mēnā he mate kino kei roto i te tinana, pērā i te sepsis, ka tere te horapa o ngā moroiti mate i roto i te toto i roto i te tinana, ka uru ki ngā kiko me ngā okana o te tinana katoa, ka whakangaro i te pūnaha toto iti, ka hanga he thrombosis capillary i roto i te tinana katoa. Ka arahi tēnei ki te horapa o te toto toto toto puta noa i te tinana, ka whakaoho i te whakarei ake i te mahi fibrinolytic i roto i te tinana, ā, ka piki ake te D-dimer i roto i te toto. I tēnei wā, ka taea e te tūroro te whakamahi i ngā rongoā ārai mate pērā i te cefoperazone sodium me te sulbactam sodium mō te werohanga e ai ki te tohutohu a te tākuta.

3. Ngā pukupuku kino: Ka tukuna e ngā pūtau pukupuku kino he matū procoagulant, ka whakaoho i te hanganga o ngā thrombus i roto i ngā oko toto, kātahi ka whakahohe i te pūnaha fibrinolytic, ka hua ake te pikinga o te D-dimer i roto i te toto. I tēnei wā, ka werohia te paclitaxel, te Chemotherapy me ngā werohanga rongoā pēnei i te cisplatin. I taua wā anō, ka taea hoki e koe te mahi pokanga hei tango i te pukupuku i runga i ngā tohutohu a te tākuta, he mea e āwhina ana ki te whakaora i te mate.