Teko ea D-dimer

Liteko tsa D-dimer li sebelisetsoa ho lekola mathata a ho koala mali. Ho koala mali ho ka baka mathata a bophelo bo botle, joalo ka:

• Tharo ea methapo e tebileng (DVT)
• Embolism ea pulmonary (PE)
• Leqeba
• E phatlalalitse coagulation ea methapo ea methapo (DIC)

Teko ea D-dimer ke teko ea mali. O tla hloka ho huloa sampole ea mali.

Ha ho litokisetso tse khethehileng tse hlokahalang.

Ha nale e kentsoe ho hula mali, batho ba bang ba utloa bohloko bo itekanetseng. Ba bang ba utloa feela ho hlaba kapa ho hlaba habohloko. Kamora moo, ho ka ba le ho phatloha kapa ho longoa hanyane.

Mofani oa hao oa tlhokomelo ea bophelo a ka laela tlhahlobo ea D-dimer haeba u bontša matšoao a mali, joalo ka:

• Ho ruruha, bohloko, mofuthu le liphetoho mmala oa letlalo la leoto la hau
• Ho opeloa ke sefuba, ho hema ka thata, ho khohlela mali le ho otla ha pelo kapele
• Ho tsoa mali marenene, ho nyekeloa ke pelo le ho hlatsa, ho akheha, bohloko bo boholo ba mpa le mesifa le ho fokotseha ha moroto

Mofani oa hau a ka sebelisa tlhahlobo ea D-dimer ho bona hore na kalafo ea DIC ea sebetsa.

Teko e tloaelehileng e fosahetse. Sena se bolela hore mohlomong ha o na mathata ka ho koala mali.

Haeba o fumana tlhahlobo ea D-dimer ho bona hore na kalafo e sebeletsa DIC, boemo bo tloaelehileng kapa bo fokotsehang ba D-dimer bo bolela hore kalafo ea sebetsa.

Teko e nepahetseng e bolela hore o kanna oa etsa clots ea mali. Teko ha e bolele hore na matšoafo a hokae kapa hore na ke hobaneng ha o etsa mahloele. Mofani oa hau a ka laela liteko tse ling ho bona hore na maqeba a fumaneha kae.

Teko e ntle e ka bakoa ke lintlha tse ling, 'me u kanna oa se ke oa ba le liphahlo. Methati ea D-dimer e ka ba ntle ka lebaka la:

• Boimana
• Lefu la sebete
• Ho buuoa kapa ho sithabela maikutlo haufinyane
• Maemo a phahameng a lipid kapa triglyceride
• Lefu la pelo
• Ho ba lilemo tse fetang 80

Sena se etsa hore tlhahlobo e be ea bohlokoa haholo ha e le mpe, ha lisosa tse ngata tse kaholimo li ka qheleloa ka thoko.

Methapo e fapana ka boholo ho tloha ho motho e mong ho ea ho o mong le ho tloha lehlakoreng le leng la 'mele ho ea ho le leng. Ho fumana sampole ea mali ho batho ba bang ho ka ba thata ho feta ho ba bang.

Likotsi tsa ho huloa mali li nyane, empa li ka kenyelletsa:

• Ho tsoa mali a mangata
• Li-punctures tse ngata ho fumana methapo
• Ho akheha kapa ho ikutloa o le hlooho e boima
• Mali a bokellanang ka tlasa letlalo (hematoma)
• Tšoaetso (kotsi e nyane neng kapa neng ha letlalo le robehile)

Sekhechana D-dimer; Sekhechana sa ho senyeha ha Fibrin; DVT - D-lefapha; PE - D-bophara; Thrombosis e tebileng ea methapo - D-dimer; Embolism ea pulmonary - D-dimer; Tšelo ea mali ho ea matšoafong - D-dimer

Khauta ea SZ. Embolism ea pulmonary. Ka: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Lefu la pelo la Braunwald: Buka ea bongaka ea meriana ea pelo. 11th ed. Philadelphia, PA: Elsevier; 2019: khaolo ea 84.

Kline JA. Embolism ea pulmonary le thrombosis e tebileng ea methapo. Ka: Marako RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Likhopolo le Tloaelo ea Kliniki. La 9th. Philadelphia, PA: Elsevier; 2018: khaolo ea 78.

Lim W, Le Gal G, Bates SM, le al. American Society of Hematology 2018 tataiso ea taolo ea venous thromboembolism: tlhahlobo ea venous thromboembolism. Adv ea mali. 2018; 2 (22): 3226-3256. PMID: 30482764 e fetotsoe.ncbi.nlm.nih.gov/30482764/.

Siegal D, Lim W. Venous thromboembolism. Ka: Hoffman R, Benz EJ, Silberstein LE, et al, eds. Hematology: Melao-motheo le Tloaelo ea Motheo. La 7th. Philadelphia, PA: Elsevier; 2018: khaolo ea 142.