Ingabe ukutheleleka kungabangela i-D-dimer ephezulu?


Umbhali: Olandelayo   

Izinga eliphezulu le-D-dimer lingase libangelwe yizici zomzimba, noma lingase lihlotshaniswe nokutheleleka, i-vein thrombosis ejulile, ukusabalalisa kwe-intravascular coagulation nezinye izizathu, futhi ukwelashwa kufanele kwenziwe ngokuvumelana nezizathu ezithile.
1. Izici ze-physiological:
Ngokukhula kweminyaka yobudala kanye nokushintsha kwamazinga e-estrogen ne-progesterone ngesikhathi sokukhulelwa, isimiso segazi singase sibe sesimweni sokuqina kwe-hypercoagulable, ngakho-ke ukuhlolwa komsebenzi we-blood coagulation kuthola ukuthi i-D-dimer iphezulu, okuyisimo esivamile sokuphila, futhi lapho. asikho isidingo sokukhathazeka kakhulu.ukubhekwa njalo kwezokwelapha;
2. Ukutheleleka:
Umsebenzi we-autoimmune wesiguli wonakalisiwe, umzimba utheleleka ngama-microorganisms we-pathogenic, futhi izifo ezivuthayo zenzeka.Ukusabela kokuvuvukala kungabangela i-hypercoagulation yegazi, futhi ukubonakaliswa okungenhla kuvela.Ungathatha amaphilisi e-amoxicillin, amaphilisi ahlakazekayo e-cefdinir nezinye izidakamizwa zokwelashwa ngaphansi kweseluleko sikadokotela;
3. I-Deep vein thrombosis:
Isibonelo, i-venous thrombosis emaphethelweni aphansi, uma ama-platelet emithanjeni yegazi yamaphethelo aphansi ehlangene noma izici ze-coagulation zishintsha, kuzobangela ukuthi imithambo ejulile yamaphethelo aphansi ivinjwe, okuholela ekubuyeni kwe-venous ukuphazamiseka.Ukushisa kwesikhumba okuphezulu, ubuhlungu nezinye izimpawu.
Ngaphansi kwezimo ezijwayelekile, izidakamizwa ze-anticoagulant ezifana ne-molecular weight heparin calcium injection kanye namaphilisi e-rivaroxaban kufanele zisetshenziswe ngaphansi kweseluleko sikadokotela, futhi i-urokinase yomjovo ingathathwa ukuze ikhulule ukungakhululeki ngokomzimba;
4. Ukuhlanganiswa kwe-intravascular coagulation:
Ngenxa yokuthi i-intravascular blood coagulation system emzimbeni iyasebenza, isizukulwane se-thrombin siyakhula, okwenza ukuhlangana kwegazi kuqine.Uma isimo esingenhla senzeka, futhi ezinye izitho zizokwanela, kuyadingeka ukusebenzisa umuthi wesisindo esiphansi ngaphansi kokuqondiswa udokotela.Umjovo we-heparin sodium, amaphilisi e-warfarin sodium nezinye izidakamizwa athuthukisiwe.
Ngaphezu kwezizathu ezingenhla, kungase futhi kuhlotshaniswe ne-tissue necrosis, i-myocardial infarction, i-pulmonary embolism, isimila esiyingozi, njll., kanye nokuxilongwa okuhlukile kufanele kunakwe.Ngaphezu kokubheka i-D-dimer, kuyadingeka futhi ukubheka izimpawu zangempela zomtholampilo zesiguli, kanye nezinkomba zaselabhorethri zendlela yegazi, i-lipids yegazi, noshukela wegazi.
Phuza amanzi amaningi ekuphileni kwakho kwansuku zonke, gwema ukudla ukudla okunamafutha amaningi ekudleni kwakho, futhi ugcine ukudla kwakho kulula.Ngesikhathi esifanayo, qinisekisa ukusebenza okuvamile nokuphumula, uzizwe ukhululekile, futhi wenze ukuvivinya umzimba okuvamile ukuze uthuthukise ukujikeleza kwegazi.