Mayeso a D-Dimer

Zamkati

• Kodi kuyesa kwa D-dimer ndi chiyani?
• Amagwiritsidwa ntchito yanji?
• Chifukwa chiyani ndikufunika kuyesa kwa D-dimer?
• Kodi chimachitika ndi chiani pakuyesa kwa D-dimer?
• Kodi ndiyenera kuchita chilichonse kukonzekera mayeso?
• Kodi pali zoopsa zilizonse pakuyesedwa kwa D-dimer?
• Kodi zotsatirazi zikutanthauza chiyani?
• Kodi pali china chilichonse chomwe ndikufunika kudziwa pamayeso a D-dimer?
• Zolemba

Kodi kuyesa kwa D-dimer ndi chiyani?

Kuyesa kwa D-dimer kumayang'ana D-dimer m'magazi. D-dimer ndi kachidutswa ka protein (kachidutswa kakang'ono) kamene kamapangidwa magazi atasungunuka mthupi lanu.

Kutseka magazi ndichinthu chofunikira chomwe chimakutetezani kuti musataye magazi ochulukirapo mukavulala. Nthawi zambiri, thupi lanu limasungunula chovalachovulala lanu litachira. Ndi vuto la magazi kuundana, kuundana kumatha kupangika ngati simukuvulala koonekera kapena osasungunuka nthawi yoyenera. Izi zitha kukhala zowopsa kwambiri ndipo zimawopseza moyo. Kuyesa kwa D-dimer kumatha kuwonetsa ngati muli ndi chimodzi mwazomwezi.

Mayina ena: Chidutswa cha D-dimer, chidutswa chowonongera cha fibrin

Amagwiritsidwa ntchito yanji?

Chiyeso cha D-dimer chimagwiritsidwa ntchito nthawi zambiri kuti mudziwe ngati muli ndi vuto lakutseka magazi. Matendawa ndi awa:

• Mitsempha yakuya (DVT), magazi oundana omwe ali mkatikati mwa mtsempha. Kuundana kumeneku kumakhudza miyendo yakumunsi, koma kumatha kuchitika mbali zina za thupi.
• Embolism ya pulmonary (PE), kutsekeka pamtsempha m'mapapu. Nthawi zambiri zimachitika magazi akaundana mbali ina ya thupi amatuluka ndikumapita kumapapu. Kuundana kwa DVT ndi komwe kumayambitsa PE.
• Kufalitsa kugunda kwamitsempha yamagazi (DIC), vuto lomwe limapangisa magazi kuundana kwambiri. Amatha kupangidwa mthupi lonse, ndikupangitsa kuwonongeka kwa ziwalo komanso zovuta zina zazikulu. DIC itha kuyambitsidwa ndi kuvulala koopsa kapena mitundu ina ya matenda kapena khansa.
• Sitiroko, kutsekeka kwa magazi muubongo.

Chifukwa chiyani ndikufunika kuyesa kwa D-dimer?

Mungafunike kuyesaku ngati mungakhale ndi zodwala zotseka magazi, monga deep vein thrombosis (DVT) kapena pulmonary embolism (PE).

Zizindikiro za DVT ndizo:

• Kupweteka kwa mwendo kapena kukoma
• Kutupa kwamiyendo
• Kufiira kapena kofiira kofiira pamiyendo

Zizindikiro za PE ndizo:

• Kuvuta kupuma
• Tsokomola
• Kupweteka pachifuwa
• Kugunda kwamtima mwachangu

Kuyesaku kumachitika nthawi zambiri mchipinda chadzidzidzi kapena malo ena azaumoyo. Ngati muli ndi zizindikiro za DVT ndipo simukukhala ndi chithandizo chamankhwala, itanani omwe akukuthandizani. Ngati muli ndi zizindikiro za PE, imbani 911 kapena pitani kuchipatala mwachangu.

Kodi chimachitika ndi chiani pakuyesa kwa D-dimer?

Katswiri wa zamankhwala adzatenga magazi kuchokera mumtsinje uli m'manja mwanu, pogwiritsa ntchito singano yaying'ono. Singanoyo italowetsedwa, magazi ang'onoang'ono amatengedwa mu chubu choyesera. Mutha kumva kuluma pang'ono singano ikamalowa kapena kutuluka. Izi nthawi zambiri zimatenga mphindi zosakwana zisanu.

Kodi ndiyenera kuchita chilichonse kukonzekera mayeso?

Simukusowa kukonzekera kulikonse kwa kuyesa kwa D-dimer.

Kodi pali zoopsa zilizonse pakuyesedwa kwa D-dimer?

Pali chiopsezo chochepa kwambiri choyesedwa magazi. Mutha kukhala ndi ululu pang'ono kapena kuvulala pamalo pomwe singano idayikidwapo, koma zizindikiro zambiri zimatha msanga.

Kodi zotsatirazi zikutanthauza chiyani?

Ngati zotsatira zanu zikuwonetsa milingo yotsika kapena yodziwika bwino ya D-dimer m'magazi, zikutanthauza kuti mwina mulibe vuto la clotting.

Ngati zotsatira zanu zikuwonetsa kuposa D-dimer yokhazikika, zitha kutanthauza kuti muli ndi vuto la clotting. Koma sizingakuwonetseni komwe khungu limadalira kapena mtundu wanji wa matenda oundana omwe muli nawo. Komanso, milingo yayikulu ya D-dimer siimayambitsidwa nthawi zonse ndi mavuto otseka magazi. Zina zomwe zingayambitse kuchuluka kwa D-dimer zimaphatikizapo kutenga pakati, matenda amtima, ndi opaleshoni yaposachedwa. Ngati zotsatira zanu za D-dimer sizinali zachilendo, omwe amakupatsani mwayi atha kuyitanitsa mayeso kuti mupeze matenda.

Ngati muli ndi mafunso pazotsatira zanu, lankhulani ndi omwe amakuthandizani.

Dziwani zambiri zamayeso a labotale, magawo owerengera, ndi zotsatira zakumvetsetsa.

Kodi pali china chilichonse chomwe ndikufunika kudziwa pamayeso a D-dimer?

Ngati zotsatira zanu zoyeserera za D-dimer sizinali zachilendo, omwe amakupatsani mwayi atha kuyitanitsa mayeso amodzi kapena angapo kuti azindikire ngati muli ndi vuto la clotting. Izi zikuphatikiza:

• Doppler akupanga, mayeso omwe amagwiritsa ntchito mafunde amawu kuti apange zithunzi zamitsempha yanu.
• CT zojambula. Pachiyesochi, mumabayidwa ndi utoto wapadera womwe umathandizira mitsempha yanu yamagazi kuwonekera pamtundu wina wa makina a x-ray.
• Ventilation-perfusion (V / Q). Izi ndi mayeso awiri omwe atha kuchitidwa padera kapena limodzi. Onsewa amagwiritsa ntchito zinthu zazing'ono zamagetsi kuti athandize makina owunikira kuti awone momwe mpweya ndi magazi zimadutsira m'mapapu anu.

Zolemba

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Zomwe zili patsamba lino siziyenera kugwiritsidwa ntchito m'malo mwa chithandizo chamankhwala kapena upangiri. Lumikizanani ndi othandizira azaumoyo ngati muli ndi mafunso okhudzana ndi thanzi lanu.