Anthu ambiri sadziwa D-Dimer, ndipo sakudziwa zomwe amachita.Kodi zotsatira za mkulu wa D-Dimer pa mwana wosabadwayo pa nthawi ya mimba ndi chiyani?Tsopano tiyeni tidziwe aliyense pamodzi.

Kodi D-Dimer ndi chiyani?
D-Dimer ndiwofunikira kwambiri pakuwunika momwe magazi amagwirira ntchito nthawi zonse.Ndi chizindikiro cha ndondomeko yeniyeni ya fibrinolysis.Kuchuluka kwa D-Dimer nthawi zambiri kumasonyeza kupezeka kwa matenda a thrombotic, monga thrombosis ya m'munsi mwa mtsempha wozama ndi pulmonary embolism.D-dimer amagwiritsidwanso ntchito pa matenda ndi kuchiza matenda fibrinolytic dongosolo, monga thrombus kwambiri coagulation matenda, abnormal coagulation zinthu, etc. Mu matenda ena apadera monga zotupa, mimba syndrome, kuwunika pa thrombolytic mankhwala amathandizanso kwambiri.

Kodi zotsatira za high D-Dimer pa mwana wosabadwayo ndi ziti?
Kuchulukitsidwa kwa D-Dimer kungapangitse kubereka kukhala kovuta, zomwe zingayambitse hypoxia ya fetal, komanso kuchuluka kwa D-Dimer mwa amayi apakati kungapangitsenso mwayi wotuluka magazi kapena amniotic fluid embolism panthawi yobereka, kuyika amayi apakati pachiwopsezo chobala.Panthawi imodzimodziyo, D-Dimer yapamwamba imathanso kuchititsa amayi apakati kukhala okhumudwa komanso kukhala ndi zizindikiro monga kusapeza bwino.Pakati pa mimba, chifukwa cha kuwonjezeka kwa uterine kupanikizika, mitsempha ya m'chiuno imawonjezeka, yomwe imayambitsa thrombosis.

Kodi kuyang'anira D-Dimer pa nthawi ya mimba ndi chiyani?
High D-Dimer ndi yofala kwambiri mwa amayi apakati, zomwe zimasonyeza hypercoagulable state ndi secondary fibrinolysis-enhanced state of the pregnancy.Nthawi zonse, amayi apakati ali ndi D-Dimer yapamwamba kuposa amayi omwe alibe mimba, ndipo mtengowo udzapitirira kuwonjezeka ndi kutalika kwa masabata oyembekezera..Komabe, m'mikhalidwe ina ya pathological, kuwonjezereka kwachilendo kwa polima ya D-Dimer, monga matenda oopsa a mimba, kumakhala ndi zizindikiro zina, chifukwa odwala omwe ali ndi matenda oopsa kwambiri amatha kudwala thrombosis ndi DIC.Makamaka, kuyezetsa asanabadwe kwa chizindikiro ichi ndikofunikira kwambiri pakuwunika ndi kuchiza matenda.

Aliyense akudziwa kuti kuyezetsa pa mimba n'kofunika kwambiri kuti molondola kudziwa matenda a amayi apakati ndi fetus.Amayi ambiri oyembekezera amafuna kudziwa zoyenera kuchita ngati D-Dimer ali ndi pakati.Ngati D-Dimer ndi yokwera kwambiri, mayi wapakati ayenera kuchepetsa kukhuthala kwa magazi ndikusamalira kupewa mapangidwe a thrombosis.

Choncho, kuyezetsa nthawi zonse za mimba pa nthawi ya mimba n'kofunika kwambiri kuti tipewe ngozi kwa mwana wosabadwayo ndi amayi apakati.