Ukusetyenziswa kweKlinikhi yesiNtu ye-D-Dimer


Umbhali: Ophumeleleyo   

1.VTE ukuxilongwa kwengxaki:
Ukufumanisa i-D-Dimer kudibaniswa nezixhobo zokuhlola umngcipheko wekliniki zingasetyenziselwa ngokufanelekileyo ukuxilongwa kokungabikho kwe-vein thrombosis (DVT) kunye ne-pulmonary embolism (PE) .Xa isetyenziselwa ukukhutshwa kwe-thrombus, kukho iimfuno ezithile ze-D-Dimer reagents, indlela yokusebenza, njl. Ngokomgangatho wemboniselo ye-D-Dimer, idibaniswe nokunokwenzeka kwangaphambili, izinga lokubikezela elibi lifuneka ukuba libe ngu-≥ 97%, kwaye uvakalelo kufuneka lube ≥ 95%.
2. Ukuxilongwa kwe-Axiliary of disseminated intravascular coagulation (DIC):
Ukubonakaliswa okuqhelekileyo kwe-DIC yi-hyperfibrinolysis, kwaye ukufunyanwa kwe-hyperfibrinolysis kudlala indima ebalulekileyo kwinkqubo yokufaka amanqaku e-DIC.Ngokweklinikhi, kuye kwaboniswa ukuba i-D-Dimer kwizigulane ze-DIC yanda kakhulu (ngaphezu kwamaxesha e-10).Kwizikhokelo zokuxilonga okanye ukuvumelana kwe-DIC ngaphakathi nangaphandle, i-D-Dimer ithathwa njengenye yezibonakaliso zebhubhoratri zokuxilongwa kwe-DIC, kwaye kucetyiswa ukuba kuqhutywe i-FDP ngokubambisana nokuphucula ngokufanelekileyo ukuxilongwa kwe-DIC.Ukuxilongwa kwe-DIC akukwazi ukuxhomekeka kuphela kwisalathisi esinye selabhoratri kunye nesiphumo soviwo olunye ukwenza izigqibo.Kufuneka ihlalutywe ngokubanzi kwaye ihlolwe ngamandla ngokubambisana nokubonakaliswa kweklinikhi yesigulane kunye nezinye izibonakaliso zebhubhoratri ukwenzela ukuba wenze isigwebo.