Kukosha kwekuona D-dimer muvakadzi vane pamuviri


Munyori: Mutsivi   

Vanhu vazhinji havana kujairana neD-Dimer, uye havazive zvainoita.Ndeipi mhedzisiro yeD-Dimer yakakwira pafetus panguva yekuzvitakura?Zvino ngatizivei munhu wose pamwe chete.

Chii chinonzi D-Dimer?
D-Dimer indekisi yakakosha yekutarisa yekugara kweropa coagulation mumakiriniki maitiro.Icho chiratidzo cheiyo fibrinolysis process.Nhamba yepamusoro yeD-Dimer inowanzoratidza kuitika kwezvirwere zve-thrombotic, zvakadai sechepasi kumucheto kwakadzika mutsinga thrombosis uye pulmonary embolism.D-dimer inoshandiswawo pakuongororwa uye kurapwa kwezvirwere zvefibrinolytic system, senge thrombus yakakura coagulation kusagadzikana, abnormal coagulation factor, nezvimwe. Mune zvimwe zvirwere zvakakosha semamota, nhumbu syndrome, kutarisisa panguva yethrombolytic therapy kunorevawo zvakanyanya.

Ndeipi mhedzisiro yeD-Dimer yakakwira pane fetus?
Yakakwira D-Dimer inogona kuita kuti kuzvara kuome, izvo zvinogona kutungamirira kufetus hypoxia, uye yakakwirira D-Dimer muvakadzi vane pamuviri inogonawo kuwedzera mukana wekubuda ropa kana amniotic fluid embolism panguva yekusununguka, zvichiisa vakadzi vane pamuviri panjodzi yekuzvara.Panguva imwecheteyo, yakakwira D-Dimer inogonawo kukonzera vakadzi vane pamuviri kuti vave nekushushikana mupfungwa uye kuve nezviratidzo sekusagadzikana kwemuviri.Panguva yekuzvitakura, nekuda kwekuwedzera kwekumanikidzwa kwechibereko, mutsara wepelvic uchawedzera, izvo zvichaita kuti thrombosis iwedzere.

Chii chakakosha chekutarisa D-Dimer panguva yekuzvitakura?
High D-Dimer inowanzoitika muvakadzi vane pamuviri, iyo inoratidza hypercoagulable state uye yechipiri fibrinolysis-enhanced state yevakadzi vane pamuviri.Mumamiriro ezvinhu akajairika, vakadzi vane pamuviri vane D-Dimer yakakwirira kudarika vakadzi vasina pamuviri, uye kukosha kucharamba kuchiwedzera nekuwedzera kwemavhiki ekuberekwa..Nekudaro, mune mamwe mamiriro ekurwara, kuwedzera kusiri kujairika kweD-Dimer polymer, senge nhumbu-induced hypertension, ine imwe hinting mhedzisiro, nekuti varwere vane gestational hypertension vanowanzoita thrombosis uye DIC.Kunyanya, prenatal kuongororwa kwechiratidzo ichi kwakakosha zvikuru pakuongorora uye kurapwa kwechirwere.

Munhu wose anoziva kuti kuongorora panguva yekuzvitakura kunokosha zvikuru kuti unyatsoona mamiriro asina kunaka evakadzi vane pamuviri uye fetus.Vanaamai vakawanda vane pamuviri vanoda kuziva zvokuita kana D-Dimer yakakwirira pamuviri.Kana iyo D-Dimer yakanyanya kukwirira, mukadzi ane pamuviri anofanira kunyatsogadzirisa viscosity yeropa uye ateerere kudzivirira kuumbwa kwethrombosis.

Nokudaro, kuongororwa nguva dzose kwekudzivirira panguva yekuzvitakura kwakakosha zvikuru kudzivirira njodzi kune fetus uye vakadzi vane pamuviri.