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

I-COVID-19 sisifo se-thrombotic esibangelwa kukuphazamiseka kwe-immune, kunye neentshukumo zokuvuvukala kunye ne-microthrombosis emiphungeni.Kuye kwaxelwa ukuba ngaphezulu kwe-20% yabaguli abakwi-COVID-19 abafumana i-VTE.

I-1.Inqanaba le-D-Dimer ekwamkelweni linokuzimela ngokuzimeleyo izinga lokufa kwezigulana zezigulane kunye nokukhusela izigulane ezinomngcipheko ophezulu.Okwangoku, i-D-dimer iye yaba yenye yeenkqubo eziphambili zokuhlola izigulana ze-COVID19 ekumkelweyo kwihlabathi liphela.

I-2.D-Dimer inokusetyenziselwa ukukhokela izigulana ze-COVID-19 malunga nokuba zilusebenzise na unyango lwe-heparin anticoagulant.Ngokweengxelo, ukuqalisa i-heparin anticoagulation kunokuphucula kakhulu ukuxilonga kwezigulane ezinomda ophezulu we-6-7 amaxesha okubhekisela kwi-D-Dimer2.

3. Ukujongwa okunamandla kwe-D-Dimer kunokusetyenziselwa ukuvavanya ukwenzeka kwe-VTE kwizigulana ze-COVID-19.

Ukubek' esweni kwe-4.D-Dimer kunokusetyenziselwa ukuvavanya uqikelelo lwe-COVID-19.

5.D-Dimer esweni, ngaba i-D-Dimer ingabonelela ngolwazi lwereferensi xa ujongene nokukhetha unyango lwesifo? Kukho amalingo onyango amaninzi ajongwayo kumazwe aphesheya.

Isishwankathelo, ukufunyanwa kwe-D-Dimer akusekho kuphela kwizicelo zemveli ezifana nokuxilongwa kwe-VTE yokukhutshwa kunye nokufunyanwa kwe-DIC.I-D-Dimer idlala indima ebalulekileyo kuqikelelo lwesifo, ukuxela kwangaphambili, ukusetyenziswa komlomo kwe-anticoagulant, kunye ne-COVID-19.Ngokuqhubeka ngokunzulu kophando, ukusetyenziswa kwe-D-Dimer kuya kusasazeka ngokubanzi kwaye kuya kuvula esinye isahluko ekusebenziseni kwayo.

Iimbekiselo
UZhang Litao, uZhang Zhenlu D-dimer 2.0: Ukuvula iSahluko esitsha kwizicelo zeKlinikhi [J].ILebhu yeKlinikhi, i-2022 ishumi elinesithandathu (1): 51-57