Ukusetshenziswa Okusha Komtholampilo kwe-D-Dimer Ingxenye Yesine


Umbhali: Olandelayo   

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

I-COVID-19 yisifo se-thrombotic esibangelwa ukuphazamiseka kwamasosha omzimba, esinemiphumela ehlukahlukene yokuvuvukala kanye ne-microthrombosis emaphashini.Kubikwe ukuthi ngaphezu kwama-20% eziguli ezilalisiwe ze-COVID-19 zithola i-VTE.

1.Izinga le-D-Dimer ekungenisweni lingabikezela ngokuzimela izinga lokufa kweziguli esibhedlela futhi lihlole iziguli ezingaba sengozini enkulu.Njengamanje, i-D-dimer isibe ngolunye lwezinhlelo ezibalulekile zokuhlola iziguli ze-COVID19 ezamukelwa emhlabeni jikelele.

I-2.D-Dimer ingasetshenziswa ukuqondisa iziguli ze-COVID-19 ukuthi zisebenzise yini i-heparin anticoagulant therapy.Ngokwemibiko, ukuqalisa i-heparin anticoagulation kungathuthukisa kakhulu ukubikezelwa kweziguli ezinomkhawulo ophezulu izikhathi ezingu-6-7 kunereferensi ye-D-Dimer2.

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

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

Ukuqapha kwe-5.D-Dimer, ingabe i-D-Dimer inganikeza ulwazi oluthile oluyisethenjwa lapho ubhekene nokukhetha ukwelashwa kwesifo?Kunezinhlolo eziningi zokwelashwa ezibhekwa phesheya.

Kafushane, ukutholwa kwe-D-Dimer akusakhawulelwe ezinhlelweni ezivamile ezifana nokuxilonga ukukhishwa kwe-VTE nokutholwa kwe-DIC.I-D-Dimer idlala indima ebalulekile ekubikezelweni kwezifo, ekubikezelweni, ekusetshenzisweni kwe-anticoagulant yomlomo, kanye ne-COVID-19.Ngokujula okuqhubekayo kocwaningo, ukusetshenziswa kwe-D-Dimer kuzokwanda futhi kuzovula esinye isahluko ekusebenziseni kwayo.

Izithenjwa
U-Zhang Litao, u-Zhang Zhenlu D-dimer 2.0: Ukuvula Isahluko Esisha Kuzicelo Zomtholampilo [J].Ilabhorethri Yomtholampilo, 2022 Ishumi Nesithupha (1): 51-57