Intee in le'eg ayuu yahay D-dimer sare?


Qore: Guulwade   

D-dimer waa wax-soo-saarka fibrin, kaas oo inta badan loo isticmaalo tijaabooyinka shaqada xinjirowga.Heerkeeda caadiga ah waa 0-0.5mg/L.Korodhka D-dimer waxa laga yaabaa inuu la xidhiidho arrimo nafsiyeed sida uurka, ama Waxay la xidhiidhaa arrimo pathological sida cudurrada thrombotic, cudurrada faafa, iyo burooyinka halista ah.Waxaa lagu talinayaa in bukaanku u aadaan qaybta dhiigbaxa ee isbitaalka si loogu daweeyo waqtiga.

1. Arrimaha jidhka:
Xilliga uurka, heerarka hoormoonka ee jirka ayaa isbedeli doona, taas oo kicin karta hoos u dhaca fibrin si uu u soo saaro D-dimer, taas oo keeni karta korodhka D-dimer ee dhiigga, laakiin guud ahaan waa mid ku dhex jira heerka caadiga ah ama waxoogaa kordhay , taas waa dhacdo nafsiyeed caadi ah oo guud ahaan uma baahna daaweyn gaar ah.

2. Qodobbada cudurrada:
1. Cudurka xinjirowga (Trombotic disease): Hadii uu jirku ku jiro xanuunada xinjirowga (Trombotic disease) sida xinjirowga xididka qoto dheer, sambabada sambabada iwm, waxa ay keentaa in uu shaqeeyo dhiiga oo aan caadi ahayn, waxa aanu dhiiga ka dhigaa xaalad xinjir-urur ah, waxa aanu kiciyaa hab-dhiska fibrinolytic-ka. taas oo keentay in D-dimerization uu bato wax soo saarka fibriinka sida jidhka iyo fibriinka kale, taas oo keenta in dhiiga D-dimer uu ku bato.Waqtigaan, iyada oo la raacayo hagida dhakhtarka, recombinant streptokinase ee duritaanka, urokinase ee duritaanka iyo daroogooyinka kale ayaa loo isticmaali karaa daaweynta si loo joojiyo samaynta thrombus;

2. Cudurada faafa: Haddii uu jiro caabuq halis ah oo ku dhaca jidhka, sida sepsis, bakteeriyada pathogenic microorganisms ee ku jirta dhiigga ayaa si degdeg ah ugu soo badiya jidhka, waxayna ku dhacaan unugyada iyo xubnaha jirka oo dhan, waxay burburiyaan nidaamka microvascular, waxayna sameeyaan thrombosis capillary. jirka oo dhan.Waxay u horseedi doontaa faafinta xinjirowga xididdada dhiigga ee jirka oo dhan, waxay kicisaa kor u qaadista shaqada fibrinolytic ee jirka, waxayna sababtaa kororka D-dimer ee dhiigga.Waqtigan xaadirka ah, bukaanku wuxuu isticmaali karaa daawooyinka ka hortagga caabuqa sida cefoperazone sodium iyo sulbactam sodium si loo duro sida uu dhakhtarku ku amray.;

3. Burooyinka malignantiga ah: Unugyada buro-xumada waxay soo dayn doonaan walaxda procoagulant, waxay kiciyaan samaynta thrombus ee xididdada dhiigga, ka dibna waxay hawlgeliyaan habka fibrinolytic, taasoo keenta kororka D-dimer ee dhiigga.Waqtigaan, cirbadeynta paclitaxel, Chemotherapy oo leh cirbadaha daawooyinka sida cisplatin.Isla mar ahaantaana, waxaad sidoo kale samayn kartaa qalliin si looga saaro burada sida ku cad talada dhakhtarka, taas oo waxtar u leh soo kabashada cudurka.