ʻO ka hoʻohana hou ʻana i ka lāʻau lapaʻau o D-Dimer Mahele ʻElua


Mea kākau: Hope   

ʻO D-Dimer ma ke ʻano he hōʻailona prognostic no nā maʻi like ʻole:

Ma muli o ka pilina pili ma waena o ka ʻōnaehana coagulation a me ka mumū, ka pōʻino endothelial, a me nā maʻi non-thrombotic ʻē aʻe e like me ka maʻi, ka ʻokiʻoki a i ʻole ka trauma, ka puʻuwai puʻuwai, a me nā maʻi maʻi ʻino, ʻike pinepine ʻia ka piʻi ʻana o D-Dimer.Ma ka noiʻi ʻana, ua ʻike ʻia ʻo ka thrombosis maʻamau loa no kēia mau maʻi, ʻo DIC, a me nā mea ʻē aʻe.No laila hiki ke hoʻohana ʻia ʻo D-Dimer ma ke ʻano he hōʻailona loiloi ākea a koʻikoʻi no nā maʻi.

1. No nā maʻi maʻi maʻi maʻi, ua ʻike nā haʻawina he nui ka haʻahaʻa haʻahaʻa o ka 1-3 makahiki ola o nā maʻi maʻi maʻi me ka D-Dimer kiʻekiʻe ma mua o ka poʻe me D-Dimer maʻamau.Hiki ke hoʻohana ʻia ʻo D-Dimer ma ke ʻano he hōʻailona no ka loiloi ʻana i ka prognosis o nā maʻi maʻi maʻi maʻi.

2. No nā poʻe maʻi VTE, ua hōʻoia nā haʻawina he nui i nā maʻi maikaʻi D-Dimer i ka wā anticoagulation he 2-3 paʻi kiʻekiʻe o ka hoʻi hou ʻana o ka thrombotic i hoʻohālikelike ʻia me nā maʻi maikaʻi ʻole.ʻO kekahi meta-analysis o 1818 i komo i loko o 7 mau haʻawina i hōʻike ʻia ʻo D-Dimer maʻamau kekahi o nā wānana nui o ka hoʻi hou ʻana o ka thrombotic i nā maʻi VTE, a ua hoʻokomo ʻia ʻo D-Dimer i loko o nā hiʻohiʻona wanana hoʻi hou VTE.

3. No nā poʻe maʻi e hoʻololi ana i ka valve mechanical (MHVR), ua hōʻike kahi haʻawina lōʻihi o ka poʻe 618 i nā poʻe maʻi me nā pae D-Dimer maʻamau i ka wā warfarin ma hope o ka MHVR i loaʻa i nā hanana ʻino e pili ana i 5 mau manawa kiʻekiʻe ma mua o kēlā. me nā pae maʻamau.Ua hōʻoia ka loiloi correlation multivariate he mau wānana kūʻokoʻa nā pae D-Dimer no ka thrombosis a i ʻole nā ​​hanana cardiovascular i ka wā anticoagulation.

4. No nā poʻe maʻi me ka fibrillation atrial (AF), hiki iā D-Dimer ke wānana i nā hanana thrombotic a me ka cardiovascular i ka wā anticoagulation waha.He 269 mau mea maʻi me ka fibrillation atrial i ukali ʻia ma kahi o 2 mau makahiki i hōʻike ʻia i ka wā o ka anticoagulation waha, ma kahi o 23% o nā maʻi i hālāwai i ka maʻamau INR i hōʻike i nā pae D-Dimer ʻano ʻē, aʻo nā mea maʻi me nā pae D-Dimer ʻano ʻole he 15.8 a. ʻO 7.64 mau manawa ke kiʻekiʻe o ka thrombotic a me nā hanana cardiovascular concomitant i hoʻohālikelike ʻia i nā maʻi me nā pae D-Dimer maʻamau, kēlā me kēia.
No kēia mau maʻi kūikawā a i ʻole nā ​​​​maʻi, ʻo D-Dimer kiʻekiʻe a paʻa mau paha e hōʻike pinepine i ka wānana maikaʻi ʻole a i ʻole ka piʻi ʻana o ke ʻano.