I-D-dimer yimveliso yokuwohloka kwe-fibrin, edla ngokusetyenziswa kwiimvavanyo zokusebenza kokujiya. Inqanaba layo eliqhelekileyo yi-0-0.5mg/L. Ukunyuka kwe-D-dimer kunokunxulunyaniswa nezinto zomzimba ezifana nokukhulelwa, okanye Kunxulunyaniswa nezinto ezibangela izifo ezifana nezifo ze-thrombotic, izifo ezosulelayo, kunye neethumba ezinobungozi. Kucetyiswa ukuba izigulana ziye kwicandelo le-hematology lesibhedlele ukuze zifumane unyango kwangethuba.

1. Izinto zebhayoloji:
Ngexesha lokukhulelwa, amanqanaba eehomoni emzimbeni aya kutshintsha, nto leyo enokukhuthaza ukuwohloka kwe-fibrin ukuze kuveliswe i-D-dimer, nto leyo enokubangela ukwanda kwe-D-dimer egazini, kodwa ngokubanzi ingaphakathi komlinganiselo oqhelekileyo okanye inyuke kancinci, nto leyo eqhelekileyo kwi-physiological kwaye ngokubanzi ayifuni unyango olukhethekileyo.

2. Izinto ezibangela isifo:
1. Isifo se-Thrombotic: Ukuba kukho isifo se-thrombotic emzimbeni, esifana ne-deep vein thrombosis, i-pulmonary embolism, njl.njl., sinokukhokelela ekusebenzeni kwegazi okungaqhelekanga, senze igazi libe kwimeko yokuxinana kwegazi kakhulu, kwaye sikhuthaze inkqubo ye-fibrinolytic hyperactivity, okubangela ukwanda kwe-D-dimerization kweemveliso zokuwohloka kwe-fibrin ezifana nomzimba kunye nezinye i-fibrin, nto leyo ekhokelela ekwandeni kwe-D-dimer egazini. Ngeli xesha, phantsi kwesikhokelo sikagqirha, i-recombinant streptokinase yokujova, i-urokinase yokujova kunye nezinye iziyobisi zingasetyenziselwa unyango ukuthintela ukwakheka kwe-thrombus;

2. Izifo ezosulelayo: Ukuba kukho usulelo olukhulu emzimbeni, olufana ne-sepsis, iintsholongwane ezibangela izifo egazini ziyanda ngokukhawuleza emzimbeni, zingene kwizicubu kunye namalungu omzimba wonke, zitshabalalise inkqubo ye-microvascular, kwaye zenze i-capillary thrombosis emzimbeni wonke. Oku kuya kukhokelela ekuqhekekeni kwe-intravascular emzimbeni wonke, kukhuthaze ukuphuculwa komsebenzi we-fibrinolytic emzimbeni, kwaye kubangele ukwanda kwe-D-dimer egazini. Ngeli xesha, isigulana singasebenzisa amayeza okulwa nosulelo anjenge-cefoperazone sodium kunye ne-sulbactam sodium ukuze ijojwe njengoko kuyalelwe ngugqirha.

3. Iithumba ezinobungozi: Iiseli zethumba ezinobungozi ziya kukhupha into ebangela ukugabha kwegazi, zivuselele ukwakheka kwe-thrombus kwimithambo yegazi, zize emva koko zivuselele inkqubo ye-fibrinolytic, nto leyo ebangela ukwanda kwe-D-dimer egazini. Ngeli xesha, inaliti ye-paclitaxel, i-Chemotherapy enezitofu zamayeza anjenge-cisplatin. Kwangaxeshanye, ungenza utyando lokususa ithumba ngokwengcebiso kagqirha, nto leyo enceda ekubuyiseleni isifo.