Kedu ka D-dimer dị elu siri dị njọ?


Onye edemede: Onye nọchiri   

D-dimer bụ ngwaahịa fibrin na-emebi emebi, nke a na-ejikarị na nyocha ọrụ coagulation.Ọkwa ya bụ 0-0.5mg / L.Mmụba nke D-dimer nwere ike jikọta ya na ihe gbasara physiological dị ka ime ime, ma ọ bụ Ọ na-emetụta ihe ndị na-akpata ọrịa dịka ọrịa thrombotic, ọrịa na-efe efe, na ụbụrụ ọjọọ.A na-atụ aro ka ndị ọrịa gaa na ngalaba hematology nke ụlọ ọgwụ maka ọgwụgwọ n'oge.

1. Ihe gbasara anụ ahụ:
N'oge ime ime, ọkwa hormone dị n'ime ahụ ga-agbanwe, nke nwere ike ime ka mmebi nke fibrin na-emepụta D-dimer, nke nwere ike ime ka D-dimer na-abawanye n'ọbara, ma ọ na-adịkarị n'ime oke nkịtị ma ọ bụ dị ntakịrị ụba , nke. bụ ihe nkịtị physiological onu na n'ozuzu ọ dịghị achọ pụrụ iche ọgwụgwọ.

2. Ihe na-akpata ọrịa:
1. Ọrịa Thrombotic: Ọ bụrụ na ọrịa thrombotic dị n'ime ahụ, dị ka thrombosis miri emi, pulmonary embolism, wdg, ọ nwere ike ibute ọrụ ọbara na-adịghị mma, mee ka ọbara dị n'ọnọdụ hypercoagulable, ma kpalie fibrinolytic system hyperactivity. na-akpata D-dimerization Mmụba nke ngwaahịa mmebi fibrin dị ka ahụ na fibrin ndị ọzọ, nke na-eduga n'ịbawanye D-dimer n'ime ọbara.N'oge a, n'okpuru nduzi nke dọkịta, recombinant streptokinase maka injection, urokinase maka injection na ọgwụ ndị ọzọ nwere ike iji maka ọgwụgwọ igbochi thrombus guzobe;

2. Ọrịa na-efe efe: Ọ bụrụ na ọrịa dị njọ dị n'ime ahụ, dị ka sepsis, microorganisms pathogenic microorganisms dị n'ọbara na-amụba ngwa ngwa n'ime ahụ, na-awakpo anụ ahụ na akụkụ ahụ dum, na-ebibi usoro microvascular, na-etolite thrombosis capillary. n'ime ahụ dum.Ọ ga-eduga na ịgbasa coagulation intravascular n'ime ahụ dum, na-akpali nkwalite ọrụ fibrinolytic n'ime ahụ, ma mee ka mmụba nke D-dimer dị n'ọbara.N'oge a, onye ọrịa ahụ nwere ike iji ọgwụ mgbochi ọrịa dịka cefoperazone sodium na sulbactam sodium maka ịgba ntụtụ dị ka dọkịta gwara ya.;

3. Ụbụrụ na-adịghị mma: Mkpụrụ ndụ ụbụrụ na-adịghị mma ga-ahapụ ihe na-emepụta ihe na-emepụta ihe, na-akpali mmepụta nke thrombus n'ime arịa ọbara, wee mee ka usoro fibrinolytic rụọ ọrụ, na-ebute mmụba nke D-dimer n'ime ọbara.N'oge a, paclitaxel injection, Chemotherapy na injections nke ọgwụ ndị dị ka cisplatin.N'otu oge ahụ, ị ​​nwekwara ike ịwa ahụ iji wepụ etuto ahụ dị ka ndụmọdụ dọkịta si kwuo, nke na-enyere aka mgbake nke ọrịa ahụ.