D-dimer chinhu chinokonzereswa nefibrin, iyo inowanzoshandiswa mukuyedzwa kwekushanda kweropa. Huremu hwayo hwenguva dzose i0-0.5mg/L. Kuwedzera kweD-dimer kunogona kunge kwakabatana nezvinhu zvemuviri zvakaita sepamuviri, kana kuti zvine chekuita nezvinhu zvinokonzera pathological zvakaita sezvirwere zvethrombotic, zvirwere zvinotapukira, uye bundu rakaipa. Zvinokurudzirwa kuti varwere vaende kuchipatara kunorapwa nenguva.

1. Zvinhu zvemuviri:
Munguva yekuzvitakura, huwandu hwemahormone mumuviri hunochinja, izvo zvinogona kukurudzira kudzikira kwefibrin kuti igadzire D-dimer, izvo zvinogona kukonzera kuwedzera kweD-dimer muropa, asi kazhinji zviri mukati mehuwandu hwakajairika kana kuwedzera zvishoma, inova chiitiko chemuviri chakajairika uye kazhinji hachidi kurapwa kwakakosha.

2. Zvinhu zvinokonzera chirwere:
1. Chirwere cheThrombotic: Kana paine chirwere cheThrombotic mumuviri, chakadai se deep vein thrombosis, pulmonary embolism, nezvimwewo, zvinogona kutungamira kukushanda kweropa kusina kunaka, kuita kuti ropa rive mumamiriro ekuonda zvakanyanya, uye kukurudzira fibrinolytic system hyperactivity, zvichikonzera kuwedzera kweD-dimerization kwezvigadzirwa zvekuora kwefibrin zvakaita semuviri nezvimwe fibrin, izvo zvinozotungamira kuwedzera kweD-dimer muropa. Panguva ino, pasi pekutungamirirwa nachiremba, recombinant streptokinase yejekiseni, urokinase yejekiseni nemimwe mishonga inogona kushandiswa kurapa kudzivirira kuumbwa kwethrombus;

2. Zvirwere Zvinotapukira: Kana paine hutachiona hwakakomba mumuviri, hwakadai sesepsis, tupukanana tunokonzera zvirwere muropa tunopararira nekukurumidza mumuviri, tunopinda mumatishu nenhengo dzemuviri wese, tunoparadza microvascular system, uye tunoumba capillary thrombosis mumuviri wese. Izvi zvinotungamira mukupararira kweropa mumuviri wese, kukurudzira kuwedzera kwebasa re fibrinolytic mumuviri, uye kukonzera kuwedzera kweD-dimer muropa. Panguva ino, murwere anogona kushandisa mishonga inorwisa hutachiona yakadai se cefoperazone sodium ne sulbactam sodium kuti ibayiwe sezvakataurwa nachiremba. ;

3. Matumbu anokuvadza: Masero etumbu anokuvadza anoburitsa chinhu chinonzi procoagulant, okurudzira kuumbwa kwethrombus mutsinga dzeropa, uye obva amutsa fibrinolytic system, zvichikonzera kuwedzera kweD-dimer muropa. Panguva ino, jekiseni repaclitaxel, Chemotherapy nemajekiseni emishonga yakaita secisplatin. Panguva imwe chete, unogona zvakare kuita oparesheni yekubvisa bundu zvichienderana nezano rachiremba, izvo zvinobatsira kuti chirwere chidzoke.