Mayeso a D-dimer

Mayeso a D-dimer amagwiritsidwa ntchito pofufuza mavuto a magazi. Kuundana kwamagazi kumatha kuyambitsa mavuto azaumoyo, monga:

• Mitsempha yakuya (DVT)
• Embolism ya pulmonary (PE)
• Sitiroko
• Kufalitsa kugunda kwamitsempha yamagazi (DIC)

Kuyezetsa kwa D-dimer ndikuyesa magazi. Muyenera kupeza zokopa zamagazi.

Palibe kukonzekera kwapadera kofunikira.

Pamene singano imayikidwa kuti ikoke magazi, anthu ena amamva kupweteka pang'ono. Ena amangomva kuluma kapena kuluma. Pambuyo pake, pakhoza kukhala kupunduka kapena kuvulala pang'ono.

Wothandizira zaumoyo wanu akhoza kuyitanitsa mayeso a D-dimer ngati mukuwonetsa zizindikiro zamagazi, monga:

• Kutupa, kupweteka, kutentha, ndi kusintha kwa khungu la mwendo wanu
• Kupweteka pachifuwa, kupuma movutikira, kutsokomola magazi, komanso kugunda kwamtima
• Kutuluka magazi m'kamwa, nseru ndi kusanza, khunyu, kupweteka m'mimba mwamphamvu ndi minofu, komanso kuchepa kwa mkodzo

Wothandizira anu amathanso kugwiritsa ntchito kuyesa kwa D-dimer kuti awone ngati chithandizo cha DIC chikugwira ntchito.

Mayeso abwinobwino alibe. Izi zikutanthauza kuti mwina mulibe vuto ndi kutseka magazi.

Ngati mukupeza mayeso a D-dimer kuti muwone ngati chithandizo chikugwirira ntchito DIC, mulingo wabwinobwino kapena wocheperako wa D-dimer kumatanthauza kuti mankhwalawa akugwira ntchito.

Kuyesedwa koyenera kumatanthauza kuti mwina mukumanga magazi. Kuyesaku sikuuza komwe kuundana kapena chifukwa chomwe mukupangira kuundana. Wothandizira anu amatha kuyitanitsa mayeso ena kuti awone komwe kuundana kuli.

Kuyesedwa koyenera kumatha kuyambitsidwa ndi zina, ndipo mwina simungakhale ndi kuundana kulikonse. Magawo a D-dimer atha kukhala abwino chifukwa cha:

• Mimba
• Matenda a chiwindi
• Opaleshoni yaposachedwa kapena zoopsa
• Mapiritsi apamwamba a lipid kapena triglyceride
• Matenda a mtima
• Kukhala wazaka zopitilira 80

Izi zimapangitsa mayesowa kukhala othandiza makamaka ngati ali olakwika, pomwe zifukwa zambiri zomwe zili pamwambazi zitha kuchotsedwa.

Mitsempha imasiyana mosiyanasiyana kuchokera pa munthu wina ndi mnzake komanso kuchokera mbali imodzi ya thupi kupita mbali inayo. Kupeza magazi kuchokera kwa anthu ena kumatha kukhala kovuta kuposa ena.

Zowopsa zokoka magazi ndizochepa, koma zingaphatikizepo:

• Kutaya magazi kwambiri
• Ma punctures angapo kuti mupeze mitsempha
• Kukomoka kapena kumva mopepuka
• Magazi omwe amadzikundikira pansi pa khungu (hematoma)
• Kutenga (chiopsezo chochepa nthawi iliyonse khungu likasweka)

Chidutswa cha D-dimer; Chidutswa chowononga cha Fibrin; DVT - D-gawo; Pe - D-gawo; Thrombosis yakuya - D-dimer; Embolism ya pulmonary - D-dimer; Kuundana kwamagazi m'mapapu - D-dimer

Goldhaber SZ. Embolism ya pulmonary. Mu: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, olemba. Matenda a Mtima a Braunwald: Buku Lophunzitsira la Mankhwala Amtima. 11th ed. Philadelphia, PA: Elsevier; 2019: mutu 84.

Kline JA. Kuphatikizika kwa pulmonary ndi thrombosis yakuya yamitsempha. Mu: Makoma RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: mutu 78.

Lim W, Le Gal G, Bates SM, ndi al. American Society of Hematology 2018 malangizo othandizira kasamalidwe ka venous thromboembolism: kuzindikira kwa venous thromboembolism. Advocate wamagazi. 2018; 2 (22): 3226-3256. PMID: 30482764 pubed.ncbi.nlm.nih.gov/30482764/.

Siegal D, Lim W. Venous thromboembolism. Mu: Hoffman R, Benz EJ, Silberstein LE, et al, olemba. Hematology: Mfundo Zoyambira ndi Zochita. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2018: mutu 142.