Ukuhlolwa kwe-D-dimer

Ukuhlolwa kwe-D-dimer kusetshenziselwa ukuhlola izinkinga zokuvala igazi. Amahlule egazi angadala izinkinga zempilo, njenge:

• I-vein thrombosis ejulile (i-DVT)
• I-pulmonary embolism (i-PE)
• Unhlangothi
• Kusatshalaliswe i-coagulation ye-intravascular (DIC)

Ukuhlolwa kwe-D-dimer ukuhlolwa kwegazi. Uzodinga ukuthola isampula segazi.

Akukho ukulungiselela okukhethekile okudingekayo.

Lapho inaliti ifakwa ukudonsa igazi, abanye abantu bezwa ubuhlungu obulinganiselayo. Abanye bazizwa behlatshwa noma bezwa nje kuphela. Ngemuva kwalokho, kungahle kube nokushaywa okuthile noma ukulimazeka okuncane.

Umhlinzeki wakho wokunakekelwa kwezempilo anga-oda ukuhlolwa kwe-D-dimer uma ukhombisa izimpawu zamahlule egazi, njenge:

• Ukuvuvukala, ubuhlungu, ukufudumala, nezinguquko kumbala wesikhumba somlenze wakho
• Ubuhlungu besifuba obukhali, inkinga yokuphefumula, ukukhwehlela igazi, nokushaya kwenhliziyo okusheshayo
• Izinsini zokopha, isicanucanu nokuhlanza, ukuquleka, ubuhlungu obukhulu besisu kanye nemisipha, nokwehla komchamo

Umhlinzeki wakho futhi angasebenzisa ukuhlolwa kwe-D-dimer ukubona ukuthi ukwelashwa kwe-DIC kuyasebenza yini.

Ukuhlolwa okujwayelekile akulungile. Lokhu kusho ukuthi mhlawumbe awunankinga nokujiya kwegazi.

Uma uthola ukuhlolwa kwe-D-dimer ukubona ukuthi ukwelashwa kuyasebenzela i-DIC, izinga elijwayelekile noma elinciphayo le-D-dimer kusho ukuthi ukwelashwa kuyasebenza.

Ukuhlolwa okusho ukuthi kungenzeka ukuthi wenza amahlule egazi. Ukuhlolwa akusho ukuthi angaphi amahlule noma kungani wenza amahlule. Umhlinzeki wakho anga-oda ezinye izivivinyo ukuze abone lapho amahlule ekhona.

Ukuhlolwa okuvumayo kungabangelwa ezinye izinto, futhi ungahle ungabi namahlule. Amazinga we-D-dimer angaba mahle ngenxa ye:

• Ukukhulelwa
• Isifo sesibindi
• Ukuhlinzwa kwakamuva noma ukuhlukumezeka
• Izinga eliphezulu le-lipid noma le-triglyceride
• Isifo senhliziyo
• Ukuba ngaphezu kweminyaka engu-80 ubudala

Lokhu kwenza isivivinyo sisebenziseke kakhulu uma singekho, lapho izimbangela eziningi ezingenhla zingakhishwa ngaphandle.

Imithambo iyehluka ngobukhulu kusuka komunye umuntu iye komunye futhi kusukela kolunye uhlangothi lomzimba kuye kolunye. Ukuthola isampula yegazi kwabanye abantu kungaba nzima kakhulu ukwedlula kwabanye.

Izingozi zokudonswa igazi zincane, kepha zingafaka:

• Ukopha ngokweqile
• Ukubhoboza okuningi ukuthola imithambo
• Ukuquleka noma uzizwe unekhanda elincane
• Igazi elinqwabelana ngaphansi kwesikhumba (hematoma)
• Ukutheleleka (ingozi encane noma kunini lapho isikhumba siphukile)

Isiqephu se-D-dimer; Isiqephu sokucekelwa phansi kweFibrin; I-DVT - D-dimer; I-PE - D-dimer; I-vein thrombosis ejulile - i-D-dimer; I-embolism ye-pulmonary - i-D-dimer; Ukujiya kwegazi emaphashini - D-dimer

IGoldhaber SZ. I-embolism yamaphaphu. Ku: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, ama-eds. Isifo Senhliziyo SikaBraunwald: Incwadi Yemithi Yezinhliziyo Nemithambo. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2019: isahluko 84.

UKline JA. I-embolism ye-pulmonary kanye ne-vein thrombosis ejulile. Ku: Walls RM, Hockberger RS, Gausche-Hill M, ama-eds. Imithi Ephuthumayo yaseRosen: Imiqondo kanye Nokuzijwayeza Komtholampilo. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2018: isahluko 78.

ULim W, uLe Gal G, uBates SM, et al. Imikhombandlela ye-American Society of Hematology 2018 yokuphathwa kwe-venous thromboembolism: ukuxilongwa kwe-venous thromboembolism. Igazi Adv. 2018; 2 (22): 3226-3256. I-PMID: 30482764 pubmed.ncbi.nlm.nih.gov/30482764/.

ISiegal D, iLim W. Venous i-thromboembolism. Ku: Hoffman R, Benz EJ, Silberstein LE, et al, ama-eds. I-Hematology: Izimiso Eziyisisekelo Nokuzijwayeza. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2018: isahluko 142.