Ukubaluleka kokuthola i-D-dimer kwabesifazane abakhulelwe


Umbhali: Olandelayo   

Abantu abaningi abayazi i-D-Dimer, futhi abazi ukuthi yenzani.Iyini imiphumela ye-D-Dimer ephezulu ku-fetus ngesikhathi sokukhulelwa?Manje ake sazane wonke umuntu ndawonye.

Iyini i-D-Dimer?
I-D-Dimer iyinkomba ebalulekile yokuqapha ye-coagulation yegazi evamile ekusebenzeni komtholampilo.Kuwuphawu lwenqubo ethile ye-fibrinolysis.Izinga eliphezulu le-D-Dimer ngokuvamile libonisa ukuvela kwezifo ze-thrombotic, ezifana ne-thrombosis ye-vein deep endout kanye ne-pulmonary embolism.I-D-dimer iphinde isetshenziselwe ukuxilongwa nokwelashwa kwezifo zesistimu ye-fibrinolytic, njenge-thrombus extensive coagulation disorders, izici ezingavamile ze-coagulation, njll. Kwezinye izifo ezikhethekile ezifana nezimila, isifo sokukhulelwa, ukuqapha ngesikhathi sokwelashwa kwe-thrombolytic nakho kunenjongo kakhulu.

Iyini imiphumela ye-D-Dimer ephezulu ku-fetus?
I-D-Dimer ephakeme ingase yenze ukubeletha kube nzima, okungase kuholele ku-fetus hypoxia, kanti i-D-Dimer ephezulu kwabesifazane abakhulelwe ingase ikhulise amathuba okopha noma i-amniotic fluid embolism ngesikhathi sokubeletha, okubeke abesifazane abakhulelwe engozini yokubeletha.Ngesikhathi esifanayo, i-D-Dimer ephezulu ingabangela nabesifazane abakhulelwe ukuba bacindezeleke ngokomzwelo futhi babe nezimpawu ezifana nokungakhululeki ngokomzimba.Ngesikhathi sokukhulelwa, ngenxa yokwanda kwengcindezi yesibeletho, umthambo we-pelvic uzokwanda, okuzokwenza kube ne-thrombosis.

Kuyini ukubaluleka kokuqapha i-D-Dimer ngesikhathi sokukhulelwa?
I-D-Dimer ephezulu ivame kakhulu kwabesifazane abakhulelwe, okubonisa isimo se-hypercoagulable kanye nesimo sesibili sokuthuthukiswa kwe-fibrinolysis kwabesifazane abakhulelwe.Ngaphansi kwezimo ezijwayelekile, abesifazane abakhulelwe bane-D-Dimer ephakeme kunabesifazane abangakhulelwe, futhi inani lizoqhubeka nokukhula ngokwandiswa kwamasonto okukhulelwa..Kodwa-ke, kwezinye izimo ze-pathological, ukwanda okungavamile kwe-polymer ye-D-Dimer, njenge-hypertension ebangelwa ukukhulelwa, kunomphumela othile wokusikisela, ngoba iziguli ezinomfutho wegazi ophakeme wokukhulelwa zivame ukuba ne-thrombosis ne-DIC.Ikakhulukazi, ukuhlolwa kwangaphambi kokubeletha kwale nkomba kubaluleke kakhulu ekuqaphelweni nasekulashweni kwezifo.

Wonke umuntu uyazi ukuthi ukuhlolwa ngesikhathi sokukhulelwa kubaluleke kakhulu ukuthola ngokunembile izimo ezingavamile zabesifazane abakhulelwe kanye nezinsana.Omama abaningi abakhulelwe bafuna ukwazi ukuthi benzeni uma i-D-Dimer iphezulu ekukhulelweni.Uma i-D-Dimer iphakeme kakhulu, owesifazane okhulelwe kufanele ahlaziye ngokucophelela i-viscosity yegazi futhi anake ukuvimbela ukwakheka kwe-thrombosis.

Ngakho-ke, ukuhlolwa okujwayelekile kokubelethisa ngesikhathi sokukhulelwa kuyadingeka kakhulu ukuvimbela izingozi ku-fetus kanye nabesifazane abakhulelwe.