Uninzi lwabantu aluqhelananga ne-D-Dimer, kwaye abazi ukuba yenza ntoni. Zithini iziphumo ze-D-Dimer ephezulu kwimveku ngexesha lokukhulelwa? Ngoku masiqhelane sonke kunye.

Yintoni i-D-Dimer?
I-D-Dimer luphawu olubalulekileyo lokujonga ukujiya kwegazi rhoqo kwindlela yokusebenza kweklinikhi. Luphawu lwenkqubo ethile ye-fibrinolysis. Inqanaba eliphezulu le-D-Dimer lidla ngokubonisa ukubakho kwezifo ze-thrombotic, ezifana ne-deep vein thrombosis kunye ne-pulmonary embolism. I-D-dimer ikwasetyenziselwa ukuxilonga kunye nokunyanga izifo zenkqubo ye-fibrinolytic, ezifana ne-thrombus extensive coagulation disorders, izinto ezingaqhelekanga ze-coagulation, njl. Kwezinye izifo ezikhethekileyo ezifana neethumba, i-pregnancy syndrome, ukujonga ngexesha lonyango lwe-thrombolytic nako kunentsingiselo enkulu.

Zithini iziphumo ze-D-Dimer ephezulu kwimveku engekazalwa?
I-D-Dimer ephezulu inokwenza kube nzima ukuzala, nto leyo enokubangela i-hypoxia kwi-fetal, kwaye i-D-Dimer ephezulu kubasetyhini abakhulelweyo inokwandisa amathuba okopha okanye i-amniotic fluid embolism ngexesha lokubeleka, nto leyo ebeka abafazi abakhulelweyo emngciphekweni wokuzala. Kwangaxeshanye, i-D-Dimer ephezulu inokubangela ukuba abafazi abakhulelweyo babe noxinzelelo ngokweemvakalelo kwaye babe neempawu ezifana nokungonwabi emzimbeni. Ngexesha lokukhulelwa, ngenxa yokwanda koxinzelelo lwesibeleko, umthambo we-pelvic uya kwanda, nto leyo eya kubangela i-thrombosis.

Kubaluleke ngantoni ukujonga i-D-Dimer ngexesha lokukhulelwa?
I-D-Dimer ephezulu ixhaphake kakhulu kubafazi abakhulelweyo, nto leyo ebonisa imeko yokuxinana kwegazi kunye nemeko yokwandiswa kwe-fibrinolysis yesibini kubafazi abakhulelweyo. Kwiimeko eziqhelekileyo, abafazi abakhulelweyo bane-D-Dimer ephezulu kunabasetyhini abangakhulelwanga, kwaye ixabiso liya kuqhubeka likhula ngokwandiswa kweeveki zokukhulelwa. Nangona kunjalo, kwezinye iimeko ze-pathological, ukunyuka okungaqhelekanga kwe-D-Dimer polymer, njengoxinzelelo lwegazi olubangelwa kukukhulelwa, kunefuthe elithile elibonisa ukuba kukho i-thrombosis kunye ne-DIC. Ngokukodwa, uvavanyo lwangaphambi kokukhulelwa kwesi salathisi lubaluleke kakhulu ekujongeni nasekunyangweni kwesifo.

Wonke umntu uyazi ukuba uvavanyo ngexesha lokukhulelwa lubaluleke kakhulu ukuze kufunyanwe ngokuchanekileyo iimeko ezingaqhelekanga zabasetyhini abakhulelweyo kunye neemveku ezingekazalwa. Oomama abaninzi abakhulelweyo bafuna ukwazi ukuba benze ntoni ukuba i-D-Dimer iphezulu xa bekhulelwe. Ukuba i-D-Dimer iphezulu kakhulu, umfazi okhulelweyo kufuneka anciphise ngabom i-viscosity yegazi aze anikele ingqalelo ekuthinteleni ukwakheka kwe-thrombosis.

Ngoko ke, ukuvavanywa rhoqo ngexesha lokukhulelwa kubaluleke kakhulu ukuthintela iingozi kumntwana ongekazalwa nakubafazi abakhulelweyo.