Chii chinokonzera D-dimer yakanaka?


Munyori: Mutsivi   

D-dimer inotorwa kubva muchinjika-yakabatana fibrin clot yakanyungudutswa neplasmin.Iyo inonyanya kuratidza lytic basa re fibrin.Inonyanya kushandiswa mukuongororwa kwevenous thromboembolism, deep vein thrombosis uye pulmonary embolism mumakiriniki maitiro.D-dimer qualitative bvunzo haina kunaka, kana chiyero chehuwandu chichifanira kunge chiri pasi pe200μg/L.

Kuwedzera D-dimer kana mhinduro yakanaka yebvunzo inowanzoonekwa muzvirwere zvine chekuita neyechipiri hyperfibrinolysis, senge hypercoagulable state, yakaparadzirwa intravascular coagulation, renal chirwere, organ transplant kurambwa, uye thrombolytic therapy.Uye zvakare, kana paine activated thrombosis mutsinga yeropa, kana zvirwere zvinoperekedzwa nebasa refibrinolytic, D-dimer ichawedzerawo zvakanyanya.Zvirwere zvakajairika zvakadai semyocardial infarction, pulmonary embolism, kumucheto kwakadzika mutsinga thrombosis, cerebral infarction Etc.;zvimwe zvirwere, kuvhiyiwa, zvirwere zvebundu, uye tishu necrosis zvinotungamirirawo kuwedzera D-dimer;uyezve, zvimwe zvirwere zve autoimmune zvevanhu, senge rheumatic endocarditis, rheumatoid arthritis, systemic Lupus erythematosus, nezvimwewo, zvinogona kukonzera kuwedzera D-dimer.

Pamusoro pekuongororwa kwezvirwere, kuwanda kwekuona kweD-dimer kunogona zvakare kuratidza huwandu hweiyo thrombolytic mhedzisiro yemishonga mukuita kwekiriniki.Zvimiro zvezvirwere, nezvimwewo, zvose zvinobatsira.

Munyaya yeD-dimer yakakwirira, muviri uri pangozi yakakura ye thrombosis.Panguva ino, chirwere chekutanga chinofanirwa kuongororwa nekukurumidza sezvinobvira, uye chirongwa chekudzivirira thrombosis chinofanira kutangwa maererano nehuwandu hweDVT.Mimwe mishonga inogona kusarudzirwa anticoagulation therapy, senge subcutaneous jekiseni repasi molecular uremu heparin kalsiyamu kana rivaroxaban, ine imwe yekudzivirira mugumisiro pakuumbwa kwethrombosis.Avo vane thrombotic maronda vanoda thrombolytic bundu nokukurumidza sezvinobvira mukati megoridhe nguva, uye Nguva nenguva ongorora D-dimer.