Teko ea D-Dimer

Litaba

• Teko ea D-dimer ke eng?
• E sebelisetsoa eng?
• Hobaneng ha ke hloka tlhahlobo ea D-dimer?
• Ho etsahalang nakong ea tlhahlobo ea D-dimer?
• Na ke tla hloka ho etsa eng kapa eng ho itokisetsa tlhahlobo?
• Na ho na le likotsi tsa tlhahlobo ea D-dimer?
• Liphetho li bolelang?
• Na ho na le eng kapa eng eo ke hlokang ho e tseba ka tlhahlobo ea D-dimer?
• Litšupiso

Teko ea D-dimer ke eng?

Teko ea D-dimer e sheba D-dimer maling. D-dimer ke sekhechana sa protheine (sengoathoana se nyane) se entsoeng ha leqhoa la mali le qhibiliha 'meleng oa hau.

Ho koala mali ke ts'ebetso ea bohlokoa eu thibelang ho lahleheloa ke mali a mangata ha u tsoa likotsi. Ka tloaelo, 'mele oa hau o tla qhala lesela hang ha leqeba la hau le folile. Ka bothata ba ho hoama ha mali, maqeba a ka hlaha ha o sena kotsi e totobetseng kapa ha o qhale ha a lokela. Maemo ana a ka ba kotsi haholo a ba a beha bophelo kotsing. Teko ea D-dimer e ka bonts'a haeba u na le e 'ngoe ea maemo ana.

Mabitso a mang: sekhechana sa D-dimer, sekhechana sa ts'enyeho ea fibrin

E sebelisetsoa eng?

Hangata ho sebelisoa teko ea D-dimer ho fumana hore na o na le lefu la ho koala mali. Mathata ana a kenyelletsa:

• Tharo ea methapo e tebileng (DVT), lekoala la mali le tebileng ka hare ho mothapo. Hangata maqeba ana a ama maoto a ka tlase, empa a ka etsahala le likarolong tse ling tsa 'mele.
• Embolism ea pulmonary (PE), ho thijoa ha mothapo matšoafong. Hangata ho etsahala ha leqeba la mali le karolong e 'ngoe ea' mele le robeha ebe le ea matšoafong. Liaparo tsa DVT ke sesosa se tloaelehileng sa PE.
• E phatlalalitse coagulation ea methapo ea methapo (DIC), boemo bo bakang hore mali a hoame haholo. Li ka hlaha 'meleng oohle, tsa baka tšenyo ea setho le mathata a mang a tebileng. DIC e ka bakoa ke likotsi tse bohloko kapa mefuta e meng ea tšoaetso kapa mofetše.
• Leqeba, ho thibeha ha phepelo ea mali bokong.

Hobaneng ha ke hloka tlhahlobo ea D-dimer?

U kanna ua hloka teko ena haeba u na le matšoao a lefu la ho koala mali, joalo ka vein thrombosis (DVT) kapa embolism ea pulmonary (PE).

Matšoao a DVT a kenyelletsa:

• Bohloko ba leoto kapa bonolo
• Ho ruruha ha leoto
• Bokhubelu kapa mela e khubelu maotong

Matšoao a PE a kenyelletsa:

• Ho hema ka thata
• Khohlela
• Bohloko ba sefuba
• Ho otla ha pelo kapele

Teko ena hangata e etsoa ka phapusing ea maemo a tšohanyetso kapa sebakeng se seng sa tlhokomelo ea bophelo. Haeba u na le matšoao a DVT 'me u se sebakeng sa tlhokomelo ea bophelo bo botle, letsetsa mofani oa tlhokomelo ea bophelo. Haeba u na le matšoao a PE, letsetsa 911 kapa u batle thuso ea bongaka kapele.

Ho etsahalang nakong ea tlhahlobo ea D-dimer?

Ngaka ea tlhokomelo ea bophelo e tla nka sampole ea mali mothapong o letsohong la hao, e sebelisa nale e nyane. Kamora hore nalete e kenngoe, ho tla bokelloa mali a manyane ka har'a pompo ea liteko. U ka ikutloa u hlaba hanyane ha nale e kena kapa e tsoa. Hangata hona ho nka nako e ka tlase ho metsotso e mehlano.

Na ke tla hloka ho etsa eng kapa eng ho itokisetsa tlhahlobo?

Ha o hloke litokisetso tse khethehileng bakeng sa tlhahlobo ea D-dimer.

Na ho na le likotsi tsa tlhahlobo ea D-dimer?

Ho na le kotsi e nyane haholo ea ho etsa tlhahlobo ea mali. U kanna oa ba le mahlaba a fokolang kapa ho longoa moo nale e kentsoeng teng, empa matšoao a mangata a fela kapele.

Liphetho li bolelang?

Haeba liphetho tsa hau li bontša maemo a tlase kapa a tloaelehileng a D-dimer maling, ho bolela hore mohlomong ha u na bothata ba ho hoama.

Haeba liphetho tsa hau li bonts'a holimo ho feta maemo a tloaelehileng a D-dimer, ho kanna ha bolela hore o na le bothata ba ho koala. Empa e ke ke ea bonts'a moo lehloeo le leng teng kapa hore na u na le mofuta ofe oa bothata ba ho hoama. Hape, maemo a phahameng a D-dimer ha a bakoe hangata ke mathata a ho koala. Maemo a mang a ka bakang maemo a phahameng a D-dimer a kenyelletsa ho ima, lefu la pelo le ho buuoa haufinyane. Haeba liphetho tsa hau tsa D-dimer li ne li sa tloaeleha, mofani oa hau o tla odara liteko tse ling ho etsa tlhahlobo.

Haeba u na le lipotso mabapi le liphetho tsa hau, bua le mofani oa tlhokomelo ea bophelo.

Ithute haholoanyane ka liteko tsa laboratori, libaka tsa litšupiso, le liphetho tsa kutloisiso.

Na ho na le eng kapa eng eo ke hlokang ho e tseba ka tlhahlobo ea D-dimer?

Haeba liphetho tsa hau tsa tlhahlobo ea D-dimer li ne li sa tloaeleha, mofani oa hau a ka laela tlhahlobo e le 'ngoe kapa tse' maloa tsa ho nka litšoantšo ho fumana hore na o na le bothata ba ho hoama. Tsena li kenyelletsa:

• Doppler ultrasound, teko e sebelisang maqhubu a molumo ho etsa litšoantšo tsa methapo ea hau.
• Litšoantšo tsa CT. Tekong ena, o entoa ka dae e khethehileng e thusang methapo ea hau ea mali ho hlaha mochining o khethehileng oa x-ray.
• Sesebelisoa sa phefumoloho ea moea (V / Q). Tsena ke liteko tse peli tse ka etsoang ka thoko kapa hammoho. Ka bobeli ba sebelisa lintho tse nyane tse ntšang mahlaseli a kotsi ho thusa mochini oa ho sekena ho bona hore na moea le mali li tsamaea joang matšoafong a hao.

Litšupiso

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Tlhahisoleseling e fumanehang sebakeng sena sa marang-rang ha ea lokela ho sebelisoa ho nka sebaka sa tlhokomelo ea bongaka le likeletso. Ikopanye le mofani oa tlhokomelo ea bophelo haeba u na le lipotso ka bophelo ba hau.