Iyo Yechinyakare Clinical Kushandiswa kweD-Dimer


Munyori: Mutsivi   

1.VTE kugadzirisa dambudziko rekuongorora:
D-Dimer yekuona pamwe chete nekliniki yekuongorora njodzi yezvishandiso inogona kushandiswa zvinobudirira pakusabatanidzwa kuongororwa kwedeep vein thrombosis (DVT) uye pulmonary embolism (PE) .Kana yakashandiswa pakubvisa thrombus, pane zvimwe zvinodiwa zveD-Dimer reagents, methodology. etc. Maererano neD-Dimer industry standard, yakabatanidzwa nekubvira kwekare, chiyero chisina kunaka chekufungidzira chinodiwa kuva ≥ 97%, uye kunzwa kunodiwa kuva ≥ 95%.
2. Kuongororwa kwekubatsira kwekuparadzira intravascular coagulation (DIC):
Iyo yakajairika kuratidzwa kweDIC ndeye hyperfibrinolysis, uye kuonekwa kwe hyperfibrinolysis kunoita basa rakakosha muDIC scoring system.Kuchipatara, zvakaratidzwa kuti D-Dimer muDIC varwere inowedzera zvakanyanya (kupfuura 10 nguva).Mumirayiridzo yekuongorora kana kubvumirana kweDIC mukati memunyika nekunze kwenyika, D-Dimer inoonekwa seimwe yezviratidzo zvemurabhoritari yekuongorora DIC, uye zvinokurudzirwa kuita FDP pamwe chete kuti inyatso kuvandudza mashandiro eDIC.Kuongororwa kweDIC hakugone kuvimba chete nechiratidzo cherabhoritari imwe chete uye mhedzisiro yebvunzo imwe chete kutora mhedzisiro.Inoda kuongororwa zvakadzama uye kutariswa zvine simba pamwe chete nekuratidzwa kwekiriniki yemurwere uye zvimwe zviratidzo zvemurabhoritari kuitira kuti pave nemutongo.