I-Traditional Clinical Isicelo se-D-Dimer


Umbhali: Olandelayo   

1.VTE ukuxilongwa kokuxazulula inkinga:
Ukutholwa kwe-D-Dimer kuhlanganiswe namathuluzi okuhlola ingozi yomtholampilo kungasetshenziswa ngokuphumelelayo ekuxilongeni ukukhishwa kwe-deep vein thrombosis (DVT) kanye ne-pulmonary embolism (PE).Uma kusetshenziselwa ukukhishwa kwe-thrombus, kunezidingo ezithile zama-reagents e-D-Dimer, indlela yokusebenza, njll. Ngokwezinga lemboni ye-D-Dimer, kuhlanganiswe namathuba angaphambilini, izinga lokuqagela elibi liyadingeka ukuthi libe ngu-≥ 97%, futhi ukuzwela kuyadingeka ukuthi kube ≥ 95%.
2. Ukuxilongwa kwe-axiliary kwe-dissemination intravascular coagulation (DIC):
Ukubonakaliswa okuvamile kwe-DIC i-hyperfibrinolysis, futhi ukutholwa kwe-hyperfibrinolysis kudlala indima ebalulekile ohlelweni lwamagoli lwe-DIC.Ngokomtholampilo, kuboniswe ukuthi i-D-Dimer ezigulini ze-DIC ikhula kakhulu (ngaphezu kwezikhathi ze-10).Eziqondisweni zokuxilonga noma ukuvumelana kwe-DIC kokubili ngaphakathi nangaphandle, i-D-Dimer ibhekwa njengenye yezinkomba zaselabhorethri zokuxilonga i-DIC, futhi kunconywa ukuba kwenziwe i-FDP ngokuhlanganyela ukuze kuthuthukiswe ngempumelelo ukusebenza kahle kokuxilonga kwe-DIC.Ukuxilongwa kwe-DIC akukwazi ukuncika kuphela esibonisini selabhorethri eyodwa kanye nomphumela wokuhlolwa owodwa ukuze kufinyelelwe esiphethweni.Kudingeka ukuthi ihlaziywe ngokuphelele futhi iqashwe ngamandla ngokuhambisana nokubonakala komtholampilo kwesiguli nezinye izinkomba zaselabhorethri ukuze kwenziwe isinqumo.