D-dimer ndi chinthu chomwe chimapezeka mu fibrin, chomwe nthawi zambiri chimagwiritsidwa ntchito poyesa magazi. Mlingo wake wabwinobwino ndi 0-0.5mg/L. Kuwonjezeka kwa D-dimer kungakhale kogwirizana ndi zinthu zakuthupi monga mimba, kapena kumakhudzana ndi zinthu zomwe zimayambitsa matenda monga matenda a thrombosis, matenda opatsirana, ndi zotupa zoyipa. Ndikofunikira kuti odwala apite ku dipatimenti ya hematology kuchipatala kuti akalandire chithandizo pakapita nthawi.

1. Zinthu zokhudza thupi:
Pa nthawi ya mimba, kuchuluka kwa mahomoni m'thupi kumasintha, zomwe zingayambitse kuwonongeka kwa fibrin kuti ipange D-dimer, zomwe zingayambitse kuchuluka kwa D-dimer m'magazi, koma nthawi zambiri zimakhala mkati mwa mulingo wabwinobwino kapena zimawonjezeka pang'ono, zomwe ndi zachilendo ndipo nthawi zambiri sizimafuna chithandizo chapadera.

2. Zinthu zomwe zimayambitsa matenda:
1. Matenda a Thrombotic: Ngati pali matenda a thrombotic m'thupi, monga deep vein thrombosis, pulmonary embolism, ndi zina zotero, zingayambitse kusagwira bwino ntchito kwa magazi, kupanga magazi kukhala olimba kwambiri, ndikulimbikitsa ntchito ya fibrinolytic system hyperactivity, zomwe zimapangitsa kuti D-dimerization ichuluke. Kuchuluka kwa zinthu zowononga fibrin monga thupi ndi fibrin zina, zomwe zimapangitsa kuti D-dimer ichuluke m'magazi. Pakadali pano, motsogozedwa ndi dokotala, recombinant streptokinase yobayira jakisoni, urokinase yobayira jakisoni ndi mankhwala ena angagwiritsidwe ntchito pochiza kuletsa mapangidwe a thrombus;

2. Matenda opatsirana: Ngati pali matenda oopsa m'thupi, monga sepsis, tizilombo toyambitsa matenda m'magazi timafalikira mofulumira m'thupi, kulowa m'thupi ndi ziwalo za thupi lonse, kuwononga dongosolo la mitsempha yamagazi, ndikupanga thrombosis m'thupi lonse. Zidzapangitsa kuti magazi azigawanika m'thupi lonse, kulimbikitsa ntchito ya fibrinolytic m'thupi, ndikupangitsa kuti D-dimer ichuluke m'magazi. Panthawiyi, wodwalayo angagwiritse ntchito mankhwala oletsa matenda monga cefoperazone sodium ndi sulbactam sodium kuti aperekedwe jakisoni monga momwe dokotala walangizira.

3. Ziphuphu Zoopsa: Maselo otupa oopsa adzatulutsa chinthu chotchedwa procoagulant, kuyambitsa mapangidwe a thrombus m'mitsempha yamagazi, kenako kuyambitsa dongosolo la fibrinolytic, zomwe zimapangitsa kuti D-dimer ichuluke m'magazi. Panthawiyi, jakisoni wa paclitaxel, Chemotherapy yokhala ndi jakisoni wa mankhwala monga cisplatin. Nthawi yomweyo, mutha kuchita opaleshoni kuti muchotse chotupacho motsatira upangiri wa dokotala, zomwe zimathandiza kuti matendawa achire.