Ukusetyenziswa kwe-D-Dimer kwizigulane ze-COVID-19:

I-COVID-19 sisifo esibangela ukuxinana kwegazi esibangelwa ziingxaki zomzimba, esineempembelelo ezisasazekayo zokudumba kunye ne-microthrombosis emiphungeni. Kuye kwaxelwa ukuba ngaphezulu kwama-20% ezigulane ezilaliswe kwi-COVID-19 zine-VTE.

1. Inqanaba le-D-Dimer xa ungeniswa linokuqikelela ngokuzimeleyo izinga lokufa kwabaguli esibhedlele kwaye lihlole abaguli abanokuba semngciphekweni omkhulu. Okwangoku, i-D-dimer ibe yenye yeenkqubo eziphambili zokuhlola abaguli be-COVID19 abangeniswa kwihlabathi liphela.

I-2.D-Dimer ingasetyenziselwa ukukhokela izigulane ze-COVID-19 malunga nokuba zisebenzise na unyango lwe-heparin anticoagulant. Ngokweengxelo, ukuqalisa i-heparin anticoagulation kunokuphucula kakhulu ukubikezela kwezigulane ezinomda ophezulu ophindwe ka-6-7 kunoluhlu lwereferensi ye-D-Dimer2.

3. Ukubeka esweni ngokunamandla i-D-Dimer kunokusetyenziswa ukuvavanya ukuvela kwe-VTE kwizigulane ze-COVID-19.

Ukubeka iliso kwi-4.D-Dimer kungasetyenziselwa ukuvavanya ukubikezela kwangaphambili kwe-COVID-19.

5. Ukubeka iliso kwi-D-Dimer, ngaba i-D-Dimer ingabonelela ngolwazi oluthile xa ujongene nokukhetha unyango lwesifo? Kukho iimvavanyo ezininzi zeklinikhi ezijongwayo kwamanye amazwe.

Ngamafutshane, ukufunyanwa kwe-D-Dimer akusekho kuphela kwizicelo zemveli ezifana nokuxilongwa kwe-VTE ngaphandle kunye nokufunyanwa kwe-DIC. I-D-Dimer idlala indima ebalulekileyo ekuxeleni kwangaphambili kwesifo, ukubikezela kwangaphambili, ukusetyenziswa kwe-anticoagulant yomlomo, kunye ne-COVID-19. Ngokuqhubeka kophando, ukusetyenziswa kwe-D-Dimer kuya kusasazeka ngakumbi kwaye kuya kuvula esinye isahluko ekusetyenzisweni kwayo.

Iireferensi
UZhang Litao, uZhang Zhenlu D-dimer 2.0: Ukuvula iSahluko esitsha kwizicelo zeKliniki [J]. ILebhu yeKliniki, 2022 Ishumi elinesithandathu (1): 51-57