Pehea ke koʻikoʻi o ka D-dimer kiʻekiʻe?


Mea kākau: Hope   

ʻO D-dimer kahi huahana degradation o fibrin, i hoʻohana pinepine ʻia i nā hoʻokolohua hana coagulation.ʻO kona pae maʻamau he 0-0.5mg/L.ʻO ka piʻi ʻana o D-dimer e pili ana i nā mea physiological e like me ka hāpai ʻana, a i ʻole E pili ana i nā mea pathological e like me nā maʻi thrombotic, nā maʻi infectious, a me nā maʻi maʻi maʻi.Manaʻo ʻia e hele nā ​​mea maʻi i ke keʻena hematology o ka haukapila no ka mālama ʻana i ka manawa.

1. Nā mea pili kino:
I ka wā hāpai, e loli ke kiʻekiʻe o ka hormone i loko o ke kino, hiki ke hoʻoulu i ka hoʻohaʻahaʻa ʻana o ka fibrin e hana i ka D-dimer, hiki ke hoʻonui i ka D-dimer i loko o ke koko, akā ma ka laulā maʻamau a hoʻonui iki paha. he hanana physiological maʻamau a maʻamau ʻaʻole pono ka mālama kūikawā.

2. Nā kumu pathological:
1. Thrombotic maʻi: Ina he thrombotic maʻi i loko o ke kino, e like me ka hohonu vein thrombosis, pulmonary embolism, etc., hiki ke alakaʻi i ka abnormal blood function, hana i ke koko i ka hypercoagulable mokuʻāina, a hoʻoulu i ka fibrinolytic pūnaewele hyperactivity, ka hopena i ka D-dimerization ʻO ka hoʻonui ʻana i nā huahana hoʻohaʻahaʻa fibrin e like me ke kino a me nā fibrin ʻē aʻe, ʻo ia ka mea e alakaʻi ai i ka piʻi ʻana o D-dimer i loko o ke koko.I kēia manawa, ma lalo o ke alakaʻi ʻana o ke kauka, hiki ke hoʻohana ʻia ka streptokinase recombinant no ka injection, urokinase no ka injection a me nā lāʻau lapaʻau ʻē aʻe no ka mālama ʻana e kāohi i ka hoʻokumu ʻana o ka thrombus;

2. ʻO nā maʻi maʻi: Inā loaʻa kahi maʻi koʻikoʻi i ke kino, e like me ka sepsis, ʻo nā microorganism pathogenic i loko o ke koko e hoʻonui wikiwiki i ke kino, e hoʻouka i nā ʻiʻo a me nā ʻāpana o ke kino holoʻokoʻa, luku i ka ʻōnaehana microvascular, a hana i ka thrombosis capillary. ma ke kino holookoa.E alakaʻi ia i ka hoʻolaha ʻana o ka coagulation intravascular a puni ke kino, e hoʻoulu i ka hoʻonui ʻana i ka hana fibrinolytic i loko o ke kino, a hoʻonui i ka D-dimer i ke koko.I kēia manawa, hiki i ka mea maʻi ke hoʻohana i nā lāʻau anti-infective e like me ka cefoperazone sodium a me ka sodium sulbactam no ka injection e like me ke kuhikuhi a ke kauka.;

3. ʻO nā maʻi maʻi maʻi: E hoʻokuʻu nā pūnaewele maʻi maʻi i kahi mea procoagulant, e hoʻoulu i ka hanaʻana o ka thrombus i loko o nā kīʻaha koko, a laila e ho'āla i ka pūnaewele fibrinolytic, e hopena i ka piʻiʻana o D-dimer i loko o ke koko.I kēia manawa, paclitaxel injection, Chemotherapy me nā injections o nā lāʻau lapaʻau e like me cisplatin.I ka manawa like, hiki iā ʻoe ke hana i ke ʻoki e wehe i ke koko e like me ka ʻōlelo aʻo a ke kauka, ʻo ia ka mea e hoʻōla ai i ka maʻi.