Ukubaluleka kokufumanisa i-D-dimer kubasetyhini abakhulelweyo


Umbhali: Ophumeleleyo   

Uninzi lwabantu aluyazi i-D-Dimer, kwaye abayazi into eyenzayo.Ziziphi iziphumo ze-D-Dimer ephezulu kwi-fetus ngexesha lokukhulelwa?Ngoku makhe sazane sonke kunye.

Yintoni iD-Dimer?
I-D-Dimer isalathiso esibalulekileyo sokubeka iliso kwi-coagulation yegazi yesiqhelo ekusebenzeni kweklinikhi.Luphawu lwenkqubo ethile ye-fibrinolysis.Inqanaba eliphezulu le-D-Dimer lihlala libonisa ukwenzeka kwezifo ze-thrombotic, ezifana ne-thrombosis ye-vein ephantsi kunye ne-pulmonary embolism.I-D-dimer ikwasetyenziselwa ukuxilongwa kunye nokunyangwa kwezifo zenkqubo ye-fibrinolytic, ezifana ne-thrombus ebanzi yokuphazamiseka kwe-coagulation, imiba engaqhelekanga yokudibanisa, njl. Kwezinye izifo ezikhethekileyo ezifana namathumba, isifo sokukhulelwa, ukubeka iliso ngexesha lonyango lwe-thrombolytic nalo lunentsingiselo kakhulu.

Ziziphi iziphumo ze-D-Dimer ephezulu kwi-fetus?
Ukuphakama kwe-D-Dimer kunokwenza kube nzima ukubeleka, nto leyo enokukhokelela kwi-fetal hypoxia, kwaye i-D-Dimer ephezulu kubasetyhini abakhulelweyo inokunyusa ukopha okanye i-amniotic fluid embolism ngexesha lokubeleka, ibeke abasetyhini abakhulelweyo emngciphekweni wokubeleka.Kwangaxeshanye, i-D-Dimer ephezulu inokubangela ukuba abafazi abakhulelweyo baxinezeleke ngokweemvakalelo kwaye babe neempawu ezinjengokungonwabi ngokwasemzimbeni.Ngethuba lokukhulelwa, ngenxa yokunyuka kwengcinezelo yesibeleko, umthambo we-pelvic uya kwanda, oya kubangela i-thrombosis.

Yintoni intsingiselo yokubeka iliso kwi-D-Dimer ngexesha lokukhulelwa?
I-D-Dimer ephakamileyo ixhaphake kakhulu kubasetyhini abakhulelweyo, ebonisa imeko ye-hypercoagulable kunye ne-fibrinolysis-ephuculweyo ye-secondary state yabasetyhini abakhulelweyo.Kwiimeko eziqhelekileyo, abafazi abakhulelweyo bane-D-Dimer ephezulu kunabasetyhini abangakhulelweyo, kwaye ixabiso liya kuqhubeka nokunyuka kunye nokwandiswa kweeveki zokukhulelwa..Nangona kunjalo, kwezinye iimeko ze-pathological, ukunyuka okungaqhelekanga kwe-D-Dimer polymer, efana ne-pregnancy-induced hypertension, kunempembelelo ethile yokubonisa, kuba izigulane ezine-gestational hypertension zithandwa kakhulu kwi-thrombosis kunye ne-DIC.Ngokukodwa, ukuhlolwa kwangaphambi kokubeletha kwesi salathisi kubaluleke kakhulu ekubekweni kweliso kunye nonyango lwesifo.

Wonke umntu uyazi ukuba uviwo ngexesha lokukhulelwa kubaluleke kakhulu ukufumanisa ngokuchanekileyo iimeko ezingaqhelekanga zabasetyhini abakhulelweyo kunye nabantwana.Oomama abaninzi abakhulelweyo bafuna ukwazi ukuba benze ntoni ukuba i-D-Dimer iphezulu ekukhulelweni.Ukuba i-D-Dimer iphezulu kakhulu, umfazi okhulelweyo kufuneka ahlaziye ngokucophelela i-viscosity yegazi kwaye anikele ingqalelo ekukhuseleni ukubunjwa kwe-thrombosis.

Ngoko ke, iimviwo zokubeleka rhoqo ngexesha lokukhulelwa ziyimfuneko kakhulu ukukhusela imingcipheko kumntwana kunye nabasetyhini abakhulelweyo.