Kugwiritsa ntchito D-Dimer mwa odwala COVID-19:

COVID-19 ndi matenda a thrombotic omwe amachititsidwa ndi kusokonezeka kwa chitetezo chamthupi, komwe kumakhala ndi zotupa komanso microthrombosis m'mapapu.Zanenedwa kuti opitilira 20% mwa odwala omwe ali ndi COVID-19 amadwala VTE.

1. Mulingo wa D-Dimer pakugonekedwa ungathe kudziwiratu mozama kuchuluka kwa odwala omwe amafera m'chipatala ndikuwunika odwala omwe ali pachiwopsezo chachikulu.Pakadali pano, D-dimer yakhala imodzi mwamapulogalamu owunikira odwala omwe ali ndi COVID19 padziko lonse lapansi.

2.D-Dimer itha kugwiritsidwa ntchito kuwongolera odwala a COVID-19 kuti agwiritse ntchito heparin anticoagulant therapy.Malinga ndi malipoti, kuyambitsa heparin anticoagulation kumatha kusintha kwambiri momwe odwala ali ndi malire apamwamba a 6-7 kuposa D-Dimer2.

3. Kuwunika kwamphamvu kwa D-Dimer kungagwiritsidwe ntchito kuwunika momwe VTE imachitika mwa odwala COVID-19.

Kuwunika kwa 4.D-Dimer kungagwiritsidwe ntchito kuwunika momwe COVID-19 ikuyendera.

Kuwunika kwa 5.D-Dimer, kodi D-Dimer angakupatseni chidziwitso posankha chithandizo cha matenda? Pali mayesero angapo azachipatala omwe akuwonedwa kunja.

Mwachidule, kuzindikira kwa D-Dimer sikulinso kuzinthu zachikhalidwe monga kuzindikiritsa kuchotsedwa kwa VTE ndi kuzindikira kwa DIC.D-Dimer imatenga gawo lofunikira pakulosera matenda, kuneneratu, kugwiritsa ntchito pakamwa anticoagulant, ndi COVID-19.Ndikukula kosalekeza kwa kafukufuku, kugwiritsa ntchito D-Dimer kudzafalikira kwambiri ndipo kudzatsegula mutu wina pakugwiritsa ntchito kwake.

Maumboni
Zhang Litao, Zhang Zhenlu D-dimer 2.0: Kutsegula Chaputala Chatsopano mu Clinical Applications [J].Clinical Laboratory, 2022 khumi ndi zisanu ndi chimodzi (1): 51-57