He aha te take o te pai o te D-dimer?


Kaituhi: Succeeder   

I ahu mai te D-dimer i te totoka fibrin honohono-whiti i whakarewaina e te plasmin. Ko te nuinga o tēnei e whakaata ana i te mahi lytic o te fibrin. Ko te nuinga o tēnei e whakamahia ana mō te tātaritanga o te venous thromboembolism, te deep vein thrombosis me te pulmonary embolism i roto i te mahi haumanu. Ka puta he hua kino i te whakamātautau kounga D-dimer, ki te iti iho i te 200μg/L te whakamātautau tauanga.

He maha ngā wā ka kitea te pikinga o te D-dimer, te pai rānei o ngā hua o te whakamātautau i roto i ngā mate e pā ana ki te hyperfibrinolysis tuarua, pērā i te āhua hypercoagulable, te dispersed intravascular coagulation, te mate tākihi, te whakakorenga o te whakawhitinga okana, me te rongoā thrombolytic. Hei tāpiri, ina he thrombosis whakahohe i roto i ngā oko toto o te tinana, i ngā mate rānei e haere tahi ana me te mahi fibrinolytic, ka tino piki ake hoki te D-dimer. Ko ngā mate noa pērā i te myocardial infarction, te pulmonary embolism, te deep vein thrombosis o ngā pito o raro, te cerebral infarction. Me ētahi atu; ko ētahi mate, te pokanga, ngā mate pukupuku, me te necrosis kiko ka arahi hoki ki te pikinga o te D-dimer; hei tāpiri, ko ētahi mate pūnaha ārai mate tangata, pērā i te rheumatic endocarditis, te rheumatoid arthritis, te systemic Lupus erythematosus, me ētahi atu, ka arahi pea ki te pikinga o te D-dimer.

Haunga te tautuhi i ngā mate, ka taea hoki e te kitenga tauanga o te D-dimer te whakaata i te pānga whakaheke toto o ngā rongoā i roto i te mahi haumanu. He āwhina katoa ngā āhuatanga o ngā mate, me ērā atu.

Mēnā he nui te D-dimer, he nui te tūponotanga o te tinana ki te pāngia e te totohu toto. I tēnei wā, me tātaritanga wawe tonu te mate tuatahi, ā, me tīmata te kaupapa ārai totohu toto i runga i te kaute DVT. Ka taea te whiriwhiri i ētahi rongoā mō te rongoā ārai totohu toto, pērā i te werohanga i raro i te kiri o te konupūmā heparin taumaha ngota iti, te rivaroxaban rānei, he pānga ārai tēnei ki te hanganga o te totohu toto. Ko te hunga he whara totohu ....