Ukusetshenziswa Okusha Komtholampilo kwe-D-Dimer Ingxenye Yesithathu


Umbhali: Olandelayo   

Ukusetshenziswa kwe-D-Dimer ku-oral anticoagulant therapy:

I-1.D-Dimer inquma ngenkambo yokwelashwa kwe-oral anticoagulation

Umkhawulo wesikhathi olungile wokwelashwa kwe-anticoagulation ezigulini ze-VTE noma ezinye iziguli ezine-thrombotic awukaqiniseki.Kungakhathaliseki ukuthi i-NOAC noma i-VKA, iziqondiso zamazwe ngamazwe ziphakamisa ukuthi ngenyanga yesithathu yokwelashwa kwe-anticoagulation, isinqumo sokwelula i-anticoagulation kufanele sisekelwe engozini yokopha, futhi i-D-Dimer ingahlinzeka ngolwazi lomuntu siqu ngalokhu.

I-2.D-Dimer iqondisa ukulungiswa kwe-oral anticoagulant intensity

I-Warfarin kanye nama-anticoagulants omlomo amasha njengamanje ama-anticoagulants omlomo asetshenziswa kakhulu ekusebenzeni komtholampilo, kokubili okunganciphisa i-D Izinga le-Dimer libhekisela eqinisweni lokuthi umphumela we-anticoagulant womuthi unciphisa ukusebenza kwe-coagulation kanye nezinhlelo ze-fibrinolysis, eziholela ngokungaqondile. ukuze kwehle amazinga e-D-Dimer.Imiphumela yokuhlola ibonise ukuthi i-D-Dimer guided anticoagulation inciphisa ngempumelelo izehlakalo ezimbi ezigulini.