Cov neeg feem coob tsis paub txog D-Dimer, thiab tsis paub tias nws ua li cas.Dab tsi yog qhov cuam tshuam ntawm D-Dimer siab ntawm tus menyuam hauv plab thaum cev xeeb tub?Tam sim no cia peb paub txhua tus ua ke.
D-Dimer yog dab tsi?
D-Dimer yog ib qho tseem ceeb soj ntsuam ntsuas rau niaj hnub ntshav coagulation hauv kev kho mob.Nws yog ib qho cim ntawm cov txheej txheem fibrinolysis tshwj xeeb.Ib theem siab ntawm D-Dimer feem ntau qhia tau hais tias qhov tshwm sim ntawm cov kab mob thrombotic, xws li qis qis ntawm cov hlab ntsha sib sib zog nqus thrombosis thiab pulmonary embolism.D-dimer kuj tseem siv rau kev kuaj mob thiab kho cov kab mob fibrinolytic, xws li thrombus uas nws kim heev coagulation disorders, txawv txav coagulation yam, thiab lwm yam. Hauv qee cov kab mob tshwj xeeb xws li qog nqaij hlav, cev xeeb tub syndrome, kev saib xyuas thaum lub sij hawm kho thrombolytic kuj tseem muaj txiaj ntsig.
Dab tsi yog qhov cuam tshuam ntawm D-Dimer siab ntawm tus menyuam hauv plab?
Qhov siab D-Dimer tuaj yeem ua rau yug me nyuam tsis yooj yim, uas yuav ua rau fetal hypoxia, thiab siab D-Dimer hauv cov poj niam cev xeeb tub kuj tseem tuaj yeem ua rau muaj kev los ntshav lossis dej amniotic embolism thaum lub sijhawm ua haujlwm, ua rau cov poj niam cev xeeb tub muaj kev pheej hmoo ntawm kev yug menyuam.Nyob rau tib lub sijhawm, D-Dimer siab kuj tuaj yeem ua rau cov poj niam cev xeeb tub ua rau muaj kev ntxhov siab thiab muaj cov tsos mob xws li tsis xis nyob hauv lub cev.Thaum cev xeeb tub, vim qhov nce hauv uterine siab, pelvic leeg yuav nce, uas yuav ua rau thrombosis.
Dab tsi yog qhov tseem ceeb ntawm kev saib xyuas D-Dimer thaum cev xeeb tub?
High D-Dimer muaj ntau dua rau cov poj niam cev xeeb tub, uas qhia txog lub xeev hypercoagulable thiab theem nrab fibrinolysis-txhim kho lub xeev ntawm cov poj niam cev xeeb tub.Raws li qhov xwm txheej ib txwm muaj, cov poj niam cev xeeb tub muaj D-Dimer ntau dua li cov poj niam cev xeeb tub, thiab tus nqi yuav nce ntxiv nrog kev ncua sij hawm ntawm cev xeeb tub..Txawm li cas los xij, hauv qee qhov kev mob pathological, qhov txawv txav ntawm D-Dimer polymer, xws li cev xeeb tub vim mob ntshav siab, muaj qee yam kev pom zoo, vim tias cov neeg mob ntshav qab zib gestational muaj ntau yam mob thrombosis thiab DIC.Tshwj xeeb, kev kuaj ua ntej yug menyuam ntawm qhov ntsuas no yog qhov tseem ceeb rau kev saib xyuas kab mob thiab kev kho mob.
Txhua leej txhua tus paub tias kev kuaj mob thaum cev xeeb tub yog qhov tseem ceeb heev kom paub meej qhov txawv txav ntawm cov poj niam cev xeeb tub thiab fetuses.Ntau tus niam cev xeeb tub xav paub yuav ua li cas yog tias D-Dimer siab thaum cev xeeb tub.Yog tias D-Dimer siab dhau lawm, tus poj niam cev xeeb tub yuav tsum ua tib zoo dilute lub viscosity ntawm cov ntshav thiab ua tib zoo saib xyuas kev tiv thaiv kev tsim ntawm thrombosis.
Yog li ntawd, kev kuaj obstetric tsis tu ncua thaum cev xeeb tub yog qhov tsim nyog los tiv thaiv kev pheej hmoo rau tus menyuam hauv plab thiab cov poj niam cev xeeb tub.