D-dimer ekukhulelwe

Ukuze kwenziwe njalo ukuqapha isimo sowesifazane, odokotela nyangazonke banikeza izivivinyo eziningana - ezinye izifundo zenziwa kanye kuphela, ezinye zihlelelwe ukudiliva njalo ngenyanga. Esinye isifundo esinjalo ukuhlolwa kwegazi ku-D-dimer ekukhulelweni, okusiza ekunqumeni izinga laso nokukhomba ukutholakala noma ukungabikho kwamakhemikhali egazi ukuze kuvinjelwe i-thrombosis, futhi ngenxa yalokho, ukuvalwa kwezimvini. Ngomphumela omubi wokuhlolwa, udokotela akafaki ukucindezeleka. Uma umphumela ulungile, izifundo ezengeziwe zenziwa ukuze uthole isizathu esithile. Ukuxilongwa ngesikhathi kanye nokuvimbela i-thromboembolism ne-DIC (syndrome ye-vascular coagulation), kubalulekile ukuhlola uD-dimer owesifazane ngamunye ngesikhathi sokukhulelwa.

Iyini i-D-dimer?

Abesifazane abaningi abazi ngisho nokuthi i-D-dimer ivelaphi noma ukuthi iyini. Odokotela bachaza: ukuze kuvinjelwe izifo ezinjengokubonakala kwe-thrombosis ye-vein, isifo sezinso, isifo sikashukela kanye ne-pulmonary embolism, kubalulekile ukuhlaziya izinga likaD-dimer ekukhulelwe.

Ngaphansi kwethonya lokuthinta i-coagulation ye-fibrin yegazi, eyakhiwa eplasma, ibopha ezindongeni zezinto. Lapho i-fibrin ixhunyiwe, ama-D-dimers akhiwa ngabesifazane abakhulelwe. Ukuhlaziywa kweD-dimer ekukhulelwe kuhlale kusetshenziselwa ukutadisha i-coagulogram, ngoba yenziwa emzimbeni kuphela ngaphansi kwesimo semvelaphi yalezi zinqubo ezimbili.

I-D-dimer ekukhulelweni yi-protein enzyme eyenza ngesikhathi kuhlakazwa i-blood clot eyenzeka lapho igazi livinjelwe. Lezi zingcezu ze-fibrin cleavage, ngokusho kwemiphumela yokuhlolwa kwegazi, zinganquma ingozi ye-thrombosis. Ukuphila kukaD-dimers akuwona amahora angaphezu kwama-6.

Ukuhlaziywa kweD-dimer ekukhulelwe

Ukutholakala kwamazinga e-D-dimer ekuhleleni kokukhulelwa kubaluleke kakhulu, ngoba ukuphambuka kwawo okuvamile kuyingozi kumfazi okhulelwe kanye nesisu futhi ugcwele izifo ezifana ne-preeclampsia ne- gestosis . Uma isibonakaliso sakhe egazini lomama esizayo sanda - kusho ukuthi igazi lilukhuni, futhi likwazi ukwakha i-microthrombi, ukugqoka ama-capillaries, okubangelwa ukujikeleza kwegazi okungaphelele esibelethweni. Ekuqaleni ukuphambuka kuyatholakala, kuzoba lula ukugwema izinkinga.

I-Immunoturbidimetry iyindlela yokuthola ukulinganisa kwe-D-dimer. Ukuze ulungiselele kahle isifundo odingayo:

Ungadli ukudla okunamafutha amahora angu-24 ngaphambi kokuhlolwa;
Ukukhipha okungaphezu kwesigamu sehora ngaphambi kokuhlaziywa;
ungabhemi ngaphambi kokunikeza igazi imizuzu engu-30.

D-dimer - yini ejwayelekile phakathi nokukhulelwa?

Isimiso se-D-dimer index egazini ngesikhathi sokukhulelwa akufanele sibe ngaphezulu kuka-248 ng / ml. Phakathi nesikhundla "esithakazelisayo" sowesifazane, lesi sibonakaliso singakhuphuka ngezikhathi ezintathu noma ezine ngokujwayelekile. I-index ephezulu ka-D-dimer ekukhulelweni ivunyelwe. Lokhu kungenxa yokuthi izinguquko ezibalulekile zenzeka ohlelweni lwe-hemostatic ngenxa yokusebenza komzimba kwenqubo yokuvala.

Kukholelwa ukuthi ku-trimester yokuqala, izinga lika-D-dimer landa ngokuphindwe izikhathi nesigamu, ku-trimester yesibili, njengengxenye yesithathu yesithathu - izikhathi ezintathu (ezingaphezu kuka-1500 ng / ml), uma kuqhathaniswa nezinga elivamile. Sikhombisa amanani aphezulu, ngakho-ke uma ama-indidi e-D-dimer (d-dimer) ephansi noma ephansi ekukhupheni, okungajwayelekile, ungakhathazeki.