Ke eng e bakang D-dimer e ntle?


Mongoli: Mohlahlami   

D-dimer e tsoa ho lesela la fibrin le kopantsoeng le sefapano le qhibilihang ke plasmin.Haholo-holo e bonahatsa mosebetsi oa lytic oa fibrin.E sebelisoa haholo ho hlahlojoa ha venous thromboembolism, deep vein thrombosis le pulmonary embolism litloaelong tsa bongaka.Teko ea boleng ba D-dimer ha e mpe, haeba tlhahlobo ea bongata e lokela ho ba ka tlase ho 200μg/L.

Ho eketseha ha D-dimer kapa liphetho tse ntle tsa liteko hangata li bonoa mafung a amanang le hyperfibrinolysis ea bobeli, joalo ka hypercoagulable state, dissemblinated intravascular coagulation, lefu la renal, ho hana ho fetisoa ha setho, le kalafo ea thrombolytic.Ho phaella moo, ha ho na le thrombosis e sebetsang methapong ea mali ea 'mele, kapa mafu a tsamaeang le mosebetsi oa fibrinolytic, D-dimer le eona e tla eketseha haholo.Mafu a tloaelehileng a kang lefu la myocardial infarction, pulmonary embolism, thrombosis e tebileng ea methapo e tlaase, lefu la cerebral infarction joalo-joalo;mafu a mang, ho buuoa, mafu a hlahala, le necrosis ea lisele le tsona li lebisa ho eketseha ha D-dimer;Ho feta moo, mafu a mang a autoimmune a kang rheumatic endocarditis, ramatiki ea ramatiki, systemic Lupus erythematosus, joalo-joalo, a ka boela a baka ho eketseha ha D-dimer.

Ntle le ho hlahloba mafu, tlhahlobo ea bongata ba D-dimer le eona e ka bonts'a ka bongata phello ea thrombolytic ea lithethefatsi ts'ebetsong ea bongaka.Likarolo tsa mafu, joalo-joalo, kaofela li thusa.

Tabeng ea D-dimer e phahameng, 'mele o kotsing e kholo ea thrombosis.Nakong ena, lefu le ka sehloohong le lokela ho fumanoa kapele kamoo ho ka khonehang, 'me lenaneo la thibelo ea thrombosis le lokela ho qalisoa ho latela palo ea DVT.Lithethefatsi tse ling li ka khethoa bakeng sa kalafo ea anticoagulation, joalo ka ente ea subcutaneous ea boima bo tlase ba limolek'hule tsa heparin kapa rivaroxaban, tse nang le phello e itseng ea thibelo ho thehoeng ha thrombosis.Ba nang le liso tsa thrombotic lokela ho thrombolytic hlahala kapele kamoo ho ka khonehang ka hare ho nako ea khauta, 'me Nako le nako hlahloba D-dimer.