Ka hoʻohana ʻana o D-Dimer i nā maʻi maʻi COVID-19:

ʻO COVID-19 kahi maʻi thrombotic i hoʻoulu ʻia e nā maʻi immune, me nā hopena inflammatory diffuse a me ka microthrombosis i loko o ka māmā.Ua hōʻike ʻia ma luna o 20% o nā maʻi maʻi COVID-19 i ʻike i ka VTE.

1. Hiki i ka pae D-Dimer ma ke komo ʻana ke wānana kūʻokoʻa i ka nui o ka make ma ka hale maʻi o nā maʻi a nānā i nā maʻi maʻi kiʻekiʻe.I kēia manawa, ua lilo ʻo D-dimer i kekahi o nā papahana screening koʻikoʻi no nā mea maʻi COVID19 ma ke komo ʻana i ka honua.

Hiki ke hoʻohana ʻia ʻo 2.D-Dimer e alakaʻi i nā mea maʻi COVID-19 i ka hoʻohana ʻana i ka lāʻau heparin anticoagulant.Wahi a nā hōʻike, ʻo ka hoʻomaka ʻana i ka heparin anticoagulation hiki ke hoʻomaikaʻi nui i ka wānana o nā mea maʻi me ka palena kiʻekiʻe o 6-7 mau manawa i ka pae kuhikuhi o D-Dimer2.

3. Hiki ke hoʻohana ʻia ka nānā ʻana o D-Dimer no ka loiloi i ka hiki ʻana mai o ka VTE i nā maʻi maʻi COVID-19.

Hiki ke hoʻohana ʻia ka nānā ʻana o 4.D-Dimer e loiloi i ka wānana o COVID-19.

5.D-Dimer nānā, hiki iā D-Dimer ke hāʻawi i kekahi mau ʻike kuhikuhi i ka wā e kū ana i nā koho lapaʻau maʻi?

I ka hōʻuluʻulu ʻana, ʻaʻole i kaupalena ʻia ka ʻike D-Dimer i nā noi kuʻuna e like me ka VTE exclusion diagnostic a me DIC detection.He kuleana koʻikoʻi ʻo D-Dimer i ka wānana maʻi, prognosis, hoʻohana anticoagulant waha, a me COVID-19.Me ka hoʻomau mau ʻana o ka noiʻi ʻana, e hoʻonui nui ʻia ka noi o D-Dimer a e wehe i kahi mokuna hou i kāna noi.

Nā kuhikuhi
Zhang Litao, Zhang Zhenlu D-dimer 2.0: Wehe ʻana i kahi Mokuna Hou i nā noi lapaʻau [J].Hale Hana Haukino, 2022 He ʻumikumamāono (1): 51-57