I-D-dimer iwumkhiqizo wokonakala kwe-fibrin, evame ukusetshenziswa ekuhlolweni kokusebenza kokuqina kwegazi. Izinga layo elijwayelekile lingu-0-0.5mg/L. Ukwanda kwe-D-dimer kungahlotshaniswa nezici zomzimba njengokukhulelwa, noma kuhlobene nezici ze-pathological ezifana nezifo ze-thrombotic, izifo ezithelelanayo, kanye nezimila ezibulalayo. Kunconywa ukuthi iziguli ziye emnyangweni we-hematology wesibhedlela ukuze zithole ukwelashwa ngesikhathi.

1. Izici zomzimba:
Ngesikhathi sokukhulelwa, amazinga ama-hormone emzimbeni azoshintsha, okungakhuthaza ukuwohloka kwe-fibrin ukuze kukhiqizwe i-D-dimer, okungabangela ukwanda kwe-D-dimer egazini, kodwa ngokuvamile kungaphakathi kwesilinganiso esijwayelekile noma kukhuphuke kancane, okuyinto evamile yomzimba futhi ngokuvamile ayidingi ukwelashwa okukhethekile.

2. Izici zesifo:
1. Isifo se-Thrombotic: Uma kukhona isifo se-thrombotic emzimbeni, njenge-deep vein thrombosis, i-pulmonary embolism, njll., kungaholela ekusebenzeni kwegazi okungajwayelekile, kwenze igazi libe sesimweni sokujiya kakhulu, futhi kuvuselele ukusebenza ngokweqile kohlelo lwe-fibrinolytic, okuholela ekwandeni kwemikhiqizo yokuwohloka kwe-fibrin efana nomzimba kanye nenye i-fibrin, okuholela ekwandeni kwe-D-dimer egazini. Ngalesi sikhathi, ngaphansi kwesiqondiso sikadokotela, i-recombinant streptokinase yokujova, i-urokinase yokujova kanye neminye imithi ingasetshenziswa ekwelapheni ukuvimbela ukwakheka kwe-thrombus;

2. Izifo ezithathelwanayo: Uma kukhona ukutheleleka okukhulu emzimbeni, njenge-sepsis, amagciwane abangela izifo egazini anda ngokushesha emzimbeni, angene ezicutshini nasezithweni zomzimba wonke, abhubhise uhlelo lwe-microvascular, futhi akhe i-capillary thrombosis emzimbeni wonke. Kuzoholela ekuqhekekeni kwemithambo yegazi emzimbeni wonke, kukhuthaze ukuthuthukiswa komsebenzi we-fibrinolytic emzimbeni, futhi kubangele ukwanda kwe-D-dimer egazini. Ngalesi sikhathi, isiguli singasebenzisa imithi yokulwa nokutheleleka njenge-cefoperazone sodium kanye ne-sulbactam sodium ukuze kujovwe njengoba kuqondiswe udokotela.

3. Izimila eziyingozi: Amaseli ezimila eziyingozi azokhipha into ebangela ukugayeka kwegazi, avuselele ukwakheka kwe-thrombus emithanjeni yegazi, bese evuselela uhlelo lwe-fibrinolytic, okuholela ekwandeni kwe-D-dimer egazini. Ngalesi sikhathi, umjovo we-paclitaxel, i-Chemotherapy ngemijovo yemithi efana ne-cisplatin. Ngesikhathi esifanayo, ungenza nokuhlinzwa ukuze ususe isimila ngokweseluleko sikadokotela, okusiza ekululameni kwesifo.