Te whakamahinga o te D-Dimer i roto i ngā tūroro COVID-19:

He mate toto toto te COVID-19 i puta mai i ngā mate pūnaha ārai mate, me ngā tauhohenga mumura horapa me te microthrombosis i roto i ngā pukahukahu. Kua pūrongohia neke atu i te 20% o ngā tūroro COVID-19 e pāngia ana e te VTE.

1. Ka taea e te taumata D-Dimer i te wā whakaurunga te matapae motuhake i te reiti mate o ngā tūroro i roto i te hōhipera, me te tirotiro i ngā tūroro mōrearea nui. I tēnei wā, kua noho ko te D-dimer tētahi o ngā kaupapa tirotiro matua mō ngā tūroro COVID19 i te wā whakaurunga puta noa i te ao.

Ka taea te whakamahi i te 2.D-Dimer hei ārahi i ngā tūroro COVID-19 mō te whakaaro me whakamahi rānei i te rongoā heparin anticoagulant. E ai ki ngā pūrongo, mā te tīmatanga o te heparin anticoagulant ka taea te whakapai ake i te matapae o ngā tūroro he 6-7 ngā wā te roa o te awhe tohutoro o te D-Dimer2.

3. Ka taea te whakamahi i te aroturukitanga hihiri o te D-Dimer hei aromatawai i te putanga mai o te VTE i roto i ngā tūroro COVID-19.

4. Ka taea te whakamahi i te aroturukitanga D-Dimer hei aromatawai i te matapae o te COVID-19.

5. Te aroturuki i te D-Dimer, ka taea e te D-Dimer te whakarato i ētahi mōhiohio tohutoro ina pa ana ki ngā kōwhiringa maimoatanga mate? He maha ngā whakamātautau haumanu e kitea ana i tāwāhi.

Hei whakarāpopototanga, kāore te kimi i te D-Dimer e herea noa ki ngā tono tuku iho pēnei i te tātaritanga aukati VTE me te kimi i te DIC. He mea nui te mahi a te D-Dimer ki te matapae i te mate, te matapae, te whakamahinga o te rongoā ārai toto ā-waha, me te COVID-19. Mā te hohonu haere tonu o te rangahau, ka horapa haere te whakamahinga o te D-Dimer, ā, ka whakatuwhera i tētahi atu upoko o tana whakamahinga.

Ngā Tohutoro
Zhang Litao, Zhang Zhenlu D-dimer 2.0: Te Whakatuwheratanga i tētahi Upoko Hou i roto i ngā Whakamahinga Hauora [J]. Taiwhanga Hauora, 2022 Tekau mā Ono (1): 51-57