Ukusetyenziswa Kwezonyango Kwemveli kwe-D-Dimer


Umbhali: Succeeder   

1.VTE ukuxilongwa kokusombulula iingxaki:
Ukufunyanwa kwe-D-Dimer kunye nezixhobo zovavanyo lomngcipheko weklinikhi kungasetyenziswa ngokufanelekileyo ekuxilongweni kokungabikho kwe-deep vein thrombosis (DVT) kunye ne-pulmonary embolism (PE). Xa kusetyenziswa ukukhutshwa kwe-thrombus, kukho iimfuno ezithile zee-reagents ze-D-Dimer, indlela yokusebenza, njl. Ngokomgangatho weshishini le-D-Dimer, kunye namathuba angaphambili, izinga lokuqikelela elibi kufuneka libe yi-≥ 97%, kwaye uvakalelo kufuneka lube yi-≥ 95%.
2. Ukuxilongwa okuncediswayo kwe-disseminated intravascular coagulation (DIC):
Ukubonakaliswa okuqhelekileyo kwe-DIC yi-hyperfibrinolysis, kwaye ukuchongwa kwe-hyperfibrinolysis kudlala indima ebalulekileyo kwinkqubo yokufumana amanqaku e-DIC. Ngokwezonyango, kubonisiwe ukuba i-D-Dimer kwizigulane ze-DIC iyanda kakhulu (ngaphezulu kwezihlandlo ezili-10). Kwizikhokelo zokuxilonga okanye ukuvumelana kwe-DIC ngaphakathi nangaphandle, i-D-Dimer ithathwa njengenye yezalathisi zelebhu zokuxilonga i-DIC, kwaye kuyacetyiswa ukuba kwenziwe i-FDP kunye nokuphucula ngempumelelo ukusebenza kakuhle kokuxilonga kwe-DIC. Ukuchongwa kwe-DIC akunakuxhomekeka kuphela kwisalathiso esinye selebhu kunye nesiphumo esinye sovavanyo ukuze kufikelelwe kwizigqibo. Kufuneka ihlalutywe ngokupheleleyo kwaye ijongwe ngokuguquguqukayo kunye neempawu zeklinikhi zesigulana kunye nezinye izalathisi zelebhu ukuze kwenziwe isigqibo.