Ukusetshenziswa kwe-D-Dimer ezigulini ze-COVID-19:

I-COVID-19 iyisifo esibangela ukuvuvukala okubangelwa izifo zokuzivikela komzimba, esibangela ukusabela kokuvuvukala okusabalalayo kanye nokuncipha kwe-thrombosis emaphashini. Kubikwe ukuthi iziguli ezingaphezu kuka-20% ze-COVID-19 ezilaliswe esibhedlela zibhekana ne-VTE.

1. Izinga le-D-Dimer lapho umuntu elamukelwa lingabikezela ngokuzimela izinga lokufa kweziguli esibhedlela futhi lihlole iziguli ezingaba sengozini enkulu. Njengamanje, i-D-dimer isibe ngesinye sezinhlelo ezibalulekile zokuhlola iziguli ze-COVID19 ezilaliswa emhlabeni jikelele.

I-2.D-Dimer ingasetshenziswa ukuqondisa iziguli ze-COVID-19 ngokuthi ziyisebenzise yini i-heparin anticoagulant therapy. Ngokusho kwemibiko, ukuqala i-heparin anticoagulation kungathuthukisa kakhulu ukubikezela kweziguli ezinomkhawulo ophezulu wezikhathi ezingu-6-7 kune-D-Dimer2.

3. Ukuqapha okunamandla kwe-D-Dimer kungasetshenziswa ukuhlola ukuvela kwe-VTE ezigulini ze-COVID-19.

Ukuqapha kwe-4.D-Dimer kungasetshenziswa ukuhlola ukubikezela kwe-COVID-19.

5. Ukuqapha i-D-Dimer, ingabe i-D-Dimer inganikeza ulwazi oluthile olubhekiselayo lapho ubhekene nokukhetha ukwelashwa kwesifo? Kunezivivinyo eziningi zemitholampilo ezibhekwa kwamanye amazwe.

Ngamafuphi, ukutholwa kwe-D-Dimer akusagcini nje ngokusetshenziswa kwendabuko njengokuxilongwa kokukhishwa kwe-VTE kanye nokutholwa kwe-DIC. I-D-Dimer idlala indima ebalulekile ekubikezeleni isifo, ukubikezela, ukusetshenziswa komlomo kwe-anticoagulant, kanye ne-COVID-19. Ngokuqhubeka kocwaningo, ukusetshenziswa kwe-D-Dimer kuzosabalala kakhulu futhi kuzovula esinye isahluko ekusetshenzisweni kwayo.

Izinkomba
UZhang Litao, uZhang Zhenlu D-dimer 2.0: Ukuvula Isahluko Esisha Ezicelweni Zemitholampilo [J]. I-Clinical Laboratory, 2022 Ishumi Nesithupha (1): 51-57