Ule D-Dimer

Ndinaya

• Kedu ihe bụ ule D-dimer?
• Kedu ihe eji ya?
• Kedu ihe kpatara m ji chọọ nyocha D-dimer?
• Kedu ihe na-eme n'oge ule D-dimer?
• Ọ dị m mkpa ime ihe ọ bụla iji kwadebe maka ule ahụ?
• Onwere ihe egwu di na nnwale D-dimer?
• Kedu ihe nsonaazụ ahụ pụtara?
• Onwere ihe ozo ichoro ima banyere D-dimer test?
• Ntughari

Kedu ihe bụ ule D-dimer?

Ule D-dimer na-achọ D-dimer n’ime ọbara. D-dimer bụ mpekere protein (obere mpempe) emere mgbe ọbara ọgbụgba gbazere n’ahụ gị.

Clotmịnye ọbara bụ usoro dị mkpa nke na - egbochi gị ịhapụ ọbara gabiga oke mgbe ị merụrụ ahụ. Dị ka ọ dị, ahụ gị ga-agbaze eriri ahụ ozugbo mmerụ ahụ gwọọ gị. Site na nsogbu ọgbụgba ọbara, mkpụkọ nwere ike ịmalite mgbe ịnweghị mmerụ doro anya ma ọ bụ ghara igbari mgbe ha kwesịrị. Ọnọdụ ndị a nwere ike ịdị oke njọ ma ọbụnadị na-eyi ndụ egwu. Nnwale D-dimer nwere ike igosi ma ị nwere otu n'ime ọnọdụ ndị a.

Aha ndị ọzọ: pisiisi D-dimer, iberibe mpempe fibrin

Kedu ihe eji ya?

A na-ejikarị ule D-dimer achọpụta ma ị nwere nsogbu ọgbụgba ọbara. Nsogbu ndị a gụnyere:

• Mkpụrụ obi miri emi (DVT), eriri ọbara nke dị n'ime ime. Mgbochi ndị a na-emetụtakarị ụkwụ ala, mana ha nwekwara ike ime n'akụkụ ndị ọzọ.
• Akpa ume embolism (Pee), mkpọchi na akwara na ngụgụ. Ọ na - apụtakarị mgbe ọnya ọbara n’akụkụ ọzọ nke anụ ahụ mebiri wee gaa ngụgụ. Ihe nkedo DVT bu ihe na-akpata PE.
• Gbasaa coagulation intravascular (DIC), ọ bụ ọnọdụ na-eme ka ọbara mkpụkọ ọtụtụ mmadụ nwee. Ha nwere ike na-etolite n'ime ahụ dum, na-ebute mmebi ahụ na nsogbu ndị ọzọ siri ike. DIC nwere ike bute ọnyá ọnya ma ọ bụ ụfọdụ ụdị ọrịa ma ọ bụ kansa.
• Ọkụ, ihe mgbochi n'ọbara inye ụbụrụ.

Kedu ihe kpatara m ji chọọ nyocha D-dimer?

Nwere ike ịnwale ule a ma ọ bụrụ na ị nwere mgbaàmà nke ọgbụgba ọbara ọgbụgba, dị ka thrombosis miri emi (DVT) ma ọ bụ akpa ume akpa ume (PE).

Mgbaàmà nke DVT gụnyere:

• Painkwụ ụfụ ma ọ bụ nro
• Ọzịza ụkwụ
• Na-acha ọbara ọbara ma ọ bụ na-acha uhie uhie na ụkwụ

Mgbaàmà nke PE gụnyere:

• Nsogbu iku ume
• .Kwara
• Obi mgbu
• Otito otiti

Ule a na-emekarị n'ime ụlọ mberede ma ọ bụ ọnọdụ nlekọta ahụike ọzọ. Ọ bụrụ na ị nwere mgbaàmà DVT ma ịnọghị n'ọnọdụ nlekọta ahụike, kpọọ onye nlekọta ahụike gị. Ọ bụrụ na ị nwere mgbaàmà nke PE, kpọọ 911 ma ọ bụ chọọ nlekọta ahụike ozugbo.

Kedu ihe na-eme n'oge ule D-dimer?

Onye ọkachamara ahụike ga-ewere ihe nyocha ọbara site na akwara aka gị, jiri obere agịga. Mgbe etinyere agịga ahụ, a ga-achịkọta obere ọbara n'ime ule nyocha ma ọ bụ vial. Nwere ike na-eche ntakịrị ihe mgbe agịga na-abanye ma ọ bụ na-apụta. Nke a na-ewe ihe na-erughị nkeji ise.

Ọ dị m mkpa ime ihe ọ bụla iji kwadebe maka ule ahụ?

Kwesighi nkwadebe ọ bụla pụrụ iche maka ule D-dimer.

Onwere ihe egwu di na nnwale D-dimer?

O nwechaghị ihe egwu dị n’inyocha ọbara. May nwere ike ịnwe obere ihe mgbu ma ọ bụ mmerụ ahụ ebe etinyere agịga ahụ, mana ọtụtụ mgbaàmà na-apụ ngwa ngwa.

Kedu ihe nsonaazụ ahụ pụtara?

Ọ bụrụ na nsonaazụ gị na-egosi ọkwa D-dimer dị ala ma ọ bụ nke nkịtị na ọbara, ọ pụtara na ikekwe ị gaghị enwe nsogbu ọgbụgba.

Ọ bụrụ na nsonaazụ gị gosipụtara ọkwa dị elu karịa D-dimer, ọ nwere ike ịpụta na ị nwere nsogbu ọgbụgba. Mana o nweghi ike igosi ebe ebe mkpo di na onodu ya ma obu udiri udi nsogbu nmekuta i nwere. Ọzọkwa, ọ bụghị mgbe niile ka nsogbu dị mkpụkọ na-akpata dị elu D-dimer. Ọnọdụ ndị ọzọ nwere ike ibute ọkwa D-dimer dị elu gụnyere afọ ime, ọrịa obi, na ịwa ahụ n'oge na-adịbeghị anya. Ọ bụrụ na nsonaazụ D-dimer abụghị ihe nkịtị, onye na-eweta gị nwere ike ịtụkwuo ule ka ịme nyocha.

Ọ bụrụ na ị nwere ajụjụ gbasara nsonaazụ gị, gwa ndị ọrụ ahụike gị okwu.

Mụtakwuo maka ule nyocha ụlọ, akara ngosi, na nghọta nsonaazụ.

Onwere ihe ozo ichoro ima banyere D-dimer test?

Ọ bụrụ na nsonaazụ D-dimer adịghị mma, onye na-eweta ọrụ gị nwere ike ịtụ otu nyocha ma ọ bụ karịa iji chọpụta ma ị nwere nsogbu ọgbụgba. Ndị a gụnyere:

• Doppler ultrasound, ule nke na-eji ebili mmiri mee ihe oyiyi nke veins gị.
• CT angiography. N'ime ule a, a na-agba gị ọgwụ pụrụ iche nke na-enyere arịa ọbara gị aka igosi na ụdị igwe x-ray pụrụ iche.
• Ventilashion-perfusion (V / Q) nyocha. Ndị a bụ ule abụọ nwere ike ịme iche iche ma ọ bụ ọnụ. Ha abụọ na-eji obere ihe eji arụ ọrụ redio iji nyere igwe nyocha aka ịhụ etu ikuku na ọbara si agafe ngụgụ gị.

Ntughari

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9. Schutte T, Thijs A, Na-emerụ YM. Elegharala ogo D-dimer dị elu nke ukwuu; ha kwuru kpọmkwem maka ọrịa siri ike. Neth J Med [Intanet]. 2016 Dec [akpọrọ 2020 Jan 8]; 74 (10): 443-448. E Nweta site na: https://www.ncbi.nlm.nih.gov/pubmed/27966438
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Ejila ozi dị na saịtị a dị ka onye dochie anya nlekọta ahụike ọkachamara ma ọ bụ ndụmọdụ. Kpọtụrụ onye na-ahụ maka ahụike ma ọ bụrụ na ị nwere ajụjụ gbasara ahụike gị.