Ukuhlolwa kwe-D-Dimer

-Delile

• Kuyini ukuhlolwa kwe-D-dimer?
• Kusetshenziselwa ini?
• Kungani ngidinga ukuhlolwa kwe-D-dimer?
• Kwenzekani ngesikhathi sokuhlolwa kwe-D-dimer?
• Ngabe kukhona engizodinga ukukwenza ukulungiselela isivivinyo?
• Ingabe zikhona izingozi esivivinyweni se-D-dimer?
• Isho ukuthini imiphumela?
• Ngabe kukhona okunye engidinga ukukwazi mayelana nokuhlolwa kwe-D-dimer?
• Izinkomba

Kuyini ukuhlolwa kwe-D-dimer?

Ukuhlolwa kwe-D-dimer kubheka i-D-dimer egazini. I-D-dimer ucezwana lwamaprotheni (ucezu oluncane) olwenziwa lapho iqabunga legazi licibilika emzimbeni wakho.

Ukujiya kwegazi kuyindlela ebalulekile ekuvimbela ekulahlekelweni yigazi eliningi uma ulimele. Ngokuvamile, umzimba wakho uzoncibilika ihlwili uma ukulimala kwakho seluphilile. Ngokuphazamiseka kwegazi, amahlule angakheka lapho ungenakho ukulimala okusobala noma ungancibiliki lapho kufanele. Lezi zimo zingaba zimbi kakhulu futhi zisongele nokuphila. Ukuhlolwa kwe-D-dimer kungakhombisa uma unenye yalezi zimo.

Amanye amagama: isiqeshana se-D-dimer, isiqephu se-fibrin degradation

Kusetshenziselwa ini?

Ukuhlolwa kwe-D-dimer kuvame ukusetshenziselwa ukuthola ukuthi unenkinga yokuvala igazi. Lezi zinkinga zifaka:

• I-vein thrombosis ejulile (i-DVT), ihlule legazi elijulile ngaphakathi emthanjeni. Lawa mahlule avamise ukuthinta imilenze engezansi, kepha kungenzeka nakwezinye izingxenye zomzimba.
• I-pulmonary embolism (i-PE), ukuvinjelwa emthanjeni emaphashini. Imvamisa kwenzeka lapho ihlule legazi kwenye ingxenye yomzimba liphuma lize liye emaphashini. Amahlule we-DVT ayimbangela ejwayelekile ye-PE.
• Kusatshalaliswe i-coagulation ye-intravascular (DIC), isimo esidala ukuba amahlule amaningi egazi akheke. Zingakhiwa emzimbeni wonke, zidale ukulimala komzimba nezinye izinkinga ezinkulu. I-DIC ingabangelwa ukulimala okubuhlungu noma izinhlobo ezithile zezifo noma umdlavuza.
• Unhlangothi, ukuvinjelwa kokunikezwa kwegazi kuya ebuchosheni.

Kungani ngidinga ukuhlolwa kwe-D-dimer?

Ungasidinga lesi sivivinyo uma unezimpawu zesifo sokuvala igazi, njenge-vein thrombosis (DVT) noma i-pulmonary embolism (PE).

Izimpawu ze-DVT zifaka:

• Ubuhlungu bomlenze noma isisa
• Ukuvuvukala kwemilenze
• Ubomvu noma izintambo ezibomvu emilenzeni

Izimpawu ze-PE zifaka:

• Ukuphefumula kanzima
• Khwehlela
• Ubuhlungu besifuba
• Ukushaya kwenhliziyo okusheshayo

Lokhu kuhlolwa kuvame ukwenziwa egumbini lezimo eziphuthumayo noma kwenye indawo yokunakekelwa kwezempilo. Uma unezimpawu ze-DVT futhi ungekho esimweni sokunakekelwa kwezempilo, shayela umhlinzeki wakho wokunakekelwa kwezempilo. Uma unezimpawu ze-PE, shayela ku-911 noma ufune usizo lwezokwelapha ngokushesha.

Kwenzekani ngesikhathi sokuhlolwa kwe-D-dimer?

Uchwepheshe wezempilo uzothatha isampula yegazi emthanjeni osengalweni yakho, esebenzisa inaliti encane. Ngemuva kokuthi kufakwe inaliti, kuzoqoqwa inani elincane legazi kufakwe ithubhu yokuhlola noma isitsha. Ungase uzizwe uluma kancane lapho inaliti ingena noma iphuma. Lokhu ngokuvamile kuthatha imizuzu engaphansi kwemihlanu.

Ngabe kukhona engizodinga ukukwenza ukulungiselela isivivinyo?

Awudingi amalungiselelo akhethekile wokuhlolwa kwe-D-dimer.

Ingabe zikhona izingozi esivivinyweni se-D-dimer?

Kunengozi encane kakhulu yokuhlolwa kwegazi. Ungaba nobuhlungu obuncane noma ukulimaza lapho kufakwe khona inaliti, kepha izimpawu eziningi ziyaphela ngokushesha.

Isho ukuthini imiphumela?

Uma imiphumela yakho ikhombisa amazinga aphansi noma ajwayelekile we-D-dimer egazini, kusho ukuthi mhlawumbe awunakho ukuphazamiseka kokujiya.

Uma imiphumela yakho ikhombisa ukuphakama kunamazinga ajwayelekile we-D-dimer, kungasho ukuthi unenkinga yokujiya. Kepha ayikwazi ukukhombisa ukuthi i-clot ikuphi nokuthi unhloboni yokuphazamiseka kokuqina kwezakhi. Futhi, amazinga aphezulu we-D-dimer awabangelwa njalo izinkinga zokuvala. Ezinye izimo ezingadala amazinga aphezulu we-D-dimer afaka phakathi ukukhulelwa, isifo senhliziyo, kanye nokuhlinzwa kwamuva. Uma imiphumela yakho ye-D-dimer ibingajwayelekile, umhlinzeki wakho kungenzeka a-oda ezinye izivivinyo ukwenza ukuxilongwa.

Uma unemibuzo ngemiphumela yakho, khuluma nomhlinzeki wakho wezokunakekelwa kwempilo.

Funda kabanzi mayelana nokuhlolwa kwelabhorethri, ububanzi bezinkomba, nemiphumela yokuqonda.

Ngabe kukhona okunye engidinga ukukwazi mayelana nokuhlolwa kwe-D-dimer?

Uma imiphumela yakho yokuhlolwa kwe-D-dimer ibingajwayelekile, umhlinzeki wakho anga-oda ukuhlolwa okukodwa noma okuningi ukuthola ukuthi unenkinga yokujiya. Lokhu kufaka phakathi:

• I-Doppler ultrasound, isivivinyo esisebenzisa amagagasi omsindo ukudala izithombe zemithambo yakho.
• I-CT angiography. Kulesi sivivinyo, ujovwe ngodayi okhethekile osiza imithambo yegazi yakho ibonakale ohlotsheni olukhethekile lomshini we-x-ray.
• Ukuskena komoya (i-V / Q). Lezi izivivinyo ezimbili ezingenziwa ngokwehlukana noma ndawonye. Bobabili basebenzisa inani elincane lezinto ezinomsakazo ukusiza umshini wokuskena ukuthi ubone ukuthi umoya negazi kuhamba kanjani emaphashini akho.

Izinkomba

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Imininingwane ekulesi siza akufanele isetshenziswe esikhundleni sezokunakekelwa kwezokwelapha noma iseluleko. Xhumana nomhlinzeki wezempilo uma unemibuzo ngempilo yakho.