Uvavanyo lweD-Dimer

Umxholo

• Yintoni uvavanyo lwe-D-dimer?
• Isetyenziselwa ntoni?
• Kutheni ndifuna uvavanyo lwe-D-dimer?
• Kwenzeka ntoni ngexesha lovavanyo lwe-D-dimer?
• Ngaba kuya kufuneka ndenze nantoni na ukulungiselela uvavanyo?
• Ngaba bukhona ubungozi kuvavanyo lwe-D-dimer?
• Zithetha ntoni iziphumo?
• Ngaba ikhona enye into endifuna ukuyazi malunga novavanyo lwe-D-dimer?
• Izalathiso

Yintoni uvavanyo lwe-D-dimer?

Uvavanyo lwe-D-dimer lujonga i-D-dimer egazini. I-D-dimer sisiqwengana seprotein (isiqwenga esincinci) esenziwe xa iqokobhe legazi lichithwa emzimbeni wakho.

Ukujiya kwegazi yinkqubo ebalulekileyo ekuthintela ekulahlekelweni ligazi elininzi xa wenzakeleyo. Ngokwesiqhelo, umzimba wakho uya kulinyibilikisa iqabaka wakube upholile umonzakalo wakho. Ngengxaki yokunqanda igazi, amahlwili anokuvela xa ungenakwenzakala ngokucacileyo okanye unganyibiliki xa kufanelekile. Ezi meko zinokuba mandundu kakhulu kwaye zisongela nobomi. Uvavanyo lwe-D-dimer lunokubonisa ukuba unayo enye yezi meko.

Amanye amagama: isiqwenga se-D-dimer, iqhekeza lokuwohloka kwefibrin

Isetyenziselwa ntoni?

Uvavanyo lwe-D-dimer luhlala lusetyenziselwa ukufumanisa ukuba ngaba une-blood clotting disorder. Ezi ngxaki zibandakanya:

• I-vein thrombosis enzulu (DVT), ihlwili legazi elingene nzulu ngaphakathi emthanjeni. Ezi zihlwili zihlala zichaphazela iinyawo ezisezantsi, kodwa zinokwenzeka nakwamanye amalungu omzimba.
• I-pulmonary embolism (i-PE), ukuvaleka komthambo emiphungeni. Ihlala yenzeka xa iqabunga legazi elikwelinye ilungu lomzimba liphuma lisiya kwimiphunga. Amahlwili e-DVT ngunobangela oqhelekileyo we-PE.
• Isasazwe i-intravascular coagulation (DIC), imeko ebangela amahlwili egazi amaninzi ukuba abe khona. Banokwenza umzimba wonke, babangele ukonakala komzimba kunye nezinye iingxaki ezinzulu. I-DIC inokubangelwa kukulimala kabuhlungu okanye iintlobo ezithile zosulelo okanye umhlaza.
• Ukubetha, ukuvaleka kwegazi kwingqondo.

Kutheni ndifuna uvavanyo lwe-D-dimer?

Unokulufuna olu vavanyo ukuba uneempawu zesifo sokunqanda igazi, njenge-vein thrombosis (DVT) okanye i-pulmonary embolism (PE).

Iimpawu ze-DVT zibandakanya:

• Intlungu yomlenze okanye ukuthamba
• Ukudumba kwemilenze
• Ubomvu okanye imigca ebomvu emilenzeni

Iimpawu ze-PE zibandakanya:

• Ingxaki yokuphefumla
• Khohlela
• Iintlungu zesifuba
• Ukubetha kwentliziyo okukhawulezayo

Olu vavanyo luhlala lwenziwa kwigumbi likaxakeka okanye kolunye ukhathalelo lwempilo. Ukuba uneempawu ze-DVT kwaye awukho kwimeko yezempilo, tsalela umnikezeli wakho wezempilo. Ukuba uneempawu ze-PE, tsalela umnxeba ku-911 okanye ufune unyango kwangoko.

Kwenzeka ntoni ngexesha lovavanyo lwe-D-dimer?

Ingcali yokhathalelo lwempilo iyakuthatha isampulu yegazi kumthambo engalweni yakho, isebenzisa inaliti encinci. Emva kokuba inaliti ifakiwe, inani elincinci legazi liya kuqokelelwa kwityhubhu yovavanyo okanye igutyana. Unokuziva uluma kancinci xa inaliti ingena okanye iphuma. Oku kuhlala kuthatha imizuzu engaphantsi kwesihlanu.

Ngaba kuya kufuneka ndenze nantoni na ukulungiselela uvavanyo?

Awudingi naluphi na ulungiselelo olukhethekileyo lovavanyo lwe-D-dimer.

Ngaba bukhona ubungozi kuvavanyo lwe-D-dimer?

Mncinci kakhulu umngcipheko wokuvavanywa kwegazi. Unokuba nentlungu encinci okanye ukrakra kwindawo apho inaliti yafakwa khona, kodwa uninzi lweempawu zihamba ngokukhawuleza.

Zithetha ntoni iziphumo?

Ukuba iziphumo zakho zibonisa amanqanaba asezantsi okanye aqhelekileyo e-D-dimer egazini, oko kuthetha ukuba ngekhe ube nengxaki yokunqanda igazi.

Ukuba iziphumo zakho zibonisa ngaphezulu kwamanqanaba aqhelekileyo e-D-dimer, oko kunokuthetha ukuba une-clotting disorder. Kodwa ayinakubonisa ukuba ikuphi i-clot okanye loluphi uhlobo lwe-clotting disorder onayo. Kwakhona, amanqanaba aphezulu e-D-dimer awasoloko ebangelwa ziingxaki zokuqina. Ezinye iimeko ezinokubangela amanqanaba aphezulu e-D-dimer kubandakanya ukukhulelwa, isifo sentliziyo, kunye notyando lwamva nje. Ukuba iziphumo zakho ze-D-dimer bezingaqhelekanga, umboneleli wakho uya kuthi acwangcise iimvavanyo ezingaphezulu ukuze enze isifo.

Ukuba unemibuzo malunga neziphumo zakho, thetha nomboneleli wakho wezempilo.

Funda ngakumbi malunga novavanyo lwelabhoratri, uluhlu lweereferensi, kunye neziphumo zokuqonda.

Ngaba ikhona enye into endifuna ukuyazi malunga novavanyo lwe-D-dimer?

Ukuba iziphumo zakho zovavanyo lwe-D-dimer bezingaqhelekanga, umboneleli wakho unoku-odola uvavanyo olunye okanye nangaphezulu ukuze afumanise ukuba unengxaki yokujiya. Oku kubandakanya:

• I-Doppler ultrasoundUvavanyo olusebenzisa amaza esandi ukwenza imifanekiso yemithambo yakho.
• I-CT angiography. Kolu vavanyo, ufakelwe idayi ekhethekileyo enceda imithambo yegazi yakho ibonakale kuhlobo oluthile lomatshini we-x-ray.
• Isandi sokungenisa umoya (V / Q). Ezi ziimvavanyo ezimbini ezinokwenziwa ngokwahlukeneyo okanye ngokudibeneyo. Zombini zisebenzisa isixa esincinci sezinto ezinemitha yokusasaza ukunceda umatshini wokuskena ubone ukuba uhamba njani umoya negazi kwimiphunga yakho.

Izalathiso

1. Umbutho wentliziyo yaseMelika [kwi-Intanethi]. IDallas (TX): Umbutho wentliziyo yaseMelika Inc .; c2020. Iimpawu kunye nokuchongwa kweVenous Thromboembolism (VTE); [icatshulwe ngo-2020 uJan 8]; [malunga nezikrini ezi-3]. Ifumaneka kwi: https://www.heart.org/en/health-topics/venous-thromboembolism/symptoms-and-diagnosis-of-venous-thromboembolism-vte
2. Umbutho waseMelika weHematology [kwi-Intanethi]. IWashington DC: Umbutho waseMelika weHematology; c2020. Amahlwili egazi; [icatshulwe ngo-2020 uJan 8]; [malunga nezikrini ezi-3]. Ifumaneka kwi: https://www.hematology.org/Patients/Clots
3. Uncedo lwe-Clot kwi-Intanethi. [Intanethi]. ISan Antonio (TX): iCotCare; c2000–2018. Yintoni uvavanyo lwe-d-Dimer ?; [icatshulwe ngo-2020 uJan 8]; [malunga nezikrini ezi-4]. Ifumaneka kwi: http://www.clotcare.com/faq_ddimertest.aspx
4. Uvavanyo lweLebhu kwi-Intanethi [kwi-Intanethi]. IWashington DC: Umbutho waseMelika weKlinikhi yeKhemistry; c2001-2020. I-D-dimer; [ihlaziywe ngo-2019 ngo-Novemba 19; kucatshulwe ku-2020 kaJan 8]; [malunga nezikrini ezi-2]. Ifumaneka kwi: https://labtestsonline.org/tests/d-dimer
5. Uvavanyo lweLebhu kwi-Intanethi [kwi-Intanethi]. IWashington DC: Umbutho waseMelika weKlinikhi yeKhemistry; c2001-2020. Ukubetha; [ihlaziywe ngo-2019 ngo-Novemba 12; kucatshulwe ku-2020 kaJan 8]; [malunga nezikrini ezi-2]. Ifumaneka kwi: https://labtestsonline.org/conditions/stroke
6. Umanyano lweLizwe lweGazi eliHlangeneyo [kwi-Intanethi]. IGaithersburg (MD): Umanyano lweSizwe lweGazi eliHlangeneyo; Ichongwa njani i-DVT ?; [icatshulwe ngo-2020 uJan 8]; [malunga nezikrini ezi-3]. Ifumaneka kwi: https://www.stoptheclot.org/learn_more/signs-and-symptoms-of-blood-clots/how_dvt_is_diagnosed
7. Intliziyo kaZwelonke, iMiphunga, kunye neZiko leGazi [kwi-Intanethi]. I-Bethesda (MD): Isebe lezeMpilo laseMelika kunye neeNkonzo zoLuntu; Uvavanyo lwegazi; [icatshulwe ngo-2020 uJan 8]; [malunga nezikrini ezi-3]. Ifumaneka kwi: https://www.nhlbi.nih.gov/health-topics/blood-tests
8. RadiologyInfo.org [Intanethi]. Umbutho weRadiological woNyakatho Melika, Inc .; c2020. Amahlwili egazi; [icatshulwe ngo-2020 uJan 8]; [malunga nezikrini ezi-3]. Ifumaneka kwi: https://www.radiologyinfo.org/en/info.cfm?pg=bloodclot
9. I-Schutte T, ii-Thijs A, iiSmulders zeYM. Ungaze ungayihoyi amanqanaba aphezulu e-D-dimer; zichazwe ngokukodwa kwisifo esibi. UNeth J Med [Intanethi]. I-2016 Dec [icatshulwe ngo-2020 kaJan 8]; 74 (10): 443-448. Ifumaneka kwi: https://www.ncbi.nlm.nih.gov/pubmed/27966438
10. IYunivesithi yaseRochester Medical Centre [i-Intanethi]. URochester (NY): KwiYunivesithi yaseRochester Medical Centre; c2020. I-Health Encyclopedia: I-computed Tomography Angiography; [icatshulwe ngo-2020 uJan 8]; [malunga nezikrini ezi-2]. Ifumaneka kwi: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=135&contentid=15
11. IYunivesithi yaseRochester Medical Centre [i-Intanethi]. URochester (NY): KwiYunivesithi yaseRochester Medical Centre; c2020. I-Encyclopedia yezempilo: D-Dimer; [icatshulwe ngo-2020 uJan 8]; [malunga nezikrini ezi-2]. Ifumaneka kwi: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=167&contentid=d_dimer
12. Impilo ye-UF: iYunivesithi yaseFlorida yezeMpilo [i-Intanethi]. IGainesville (FL): yeYunivesithi yaseFlorida yezeMpilo; c2020. Uvavanyo lwe-D-dimer: Ubume; [ihlaziyiwe ngo-2020 Jan 8; kucatshulwe ku-2020 kaJan 8]; [malunga nezikrini ezi-2]. Ifumaneka kwi: https://ufhealth.org/d-dimer-test
13. Impilo ye-UF: iYunivesithi yaseFlorida yezeMpilo [i-Intanethi]. IGainesville (FL): yeYunivesithi yaseFlorida yezeMpilo; c2020. I-pulmonary embolus: Ubume; [ihlaziyiwe ngo-2020 Jan 8; kucatshulwe ku-2020 kaJan 8]; [malunga nezikrini ezi-2]. Ifumaneka kwi: https://ufhealth.org/pulmonary-embolus
14. Impilo ye-UF: iYunivesithi yaseFlorida yezeMpilo [i-Intanethi]. IGainesville (FL): yeYunivesithi yaseFlorida yezeMpilo; c2020. Ukungenisa umoya kwempumlo / ukuskena nge-perfusion: Ubume; [ihlaziyiwe ngo-2020 Jan 8; kucatshulwe ku-2020 kaJan 8]; [malunga nezikrini ezi-2]. Ifumaneka kwi: https://ufhealth.org/pulmonary-ventilationperfusion-scan
15. Ezempilo ze-UW [kwi-Intanethi]. Madison (WI): Izibhedlele zeYunivesithi yaseWisconsin kunye neGunya leKlinikhi; c2020. D-Dimer: Iziphumo; [ihlaziywe ngo-Epreli 2019; kucatshulwe ku-2020 kaJan 8]; [malunga nezikrini ezi-8]. Ifumaneka kwi: https://www.uwhealth.org/health/topic/medicaltest/d-dimer-test/abn2838.html#abn2845
16. Ezempilo ze-UW [kwi-Intanethi]. Madison (WI): Izibhedlele zeYunivesithi yaseWisconsin kunye neGunya leKlinikhi; c2020. I-D-Dimer: Uvavanyo ngokubanzi; [ihlaziywe ngo-Epreli 2019; kucatshulwe ku-2020 kaJan 8]; [malunga nezikrini ezi-2]. Ifumaneka kwi: https://www.uwhealth.org/health/topic/medicaltest/d-dimer-test/abn2838.html#abn2839
17. Ezempilo ze-UW [kwi-Intanethi]. Madison (WI): Izibhedlele zeYunivesithi yaseWisconsin kunye neGunya leKlinikhi; c2020. I-D-Dimer: Kutheni Yenziwe; [ihlaziywe ngo-Epreli 2019; kucatshulwe ku-2020 kaJan 8]; [malunga nezikrini ezi-3]. Ifumaneka kwi: https://www.uwhealth.org/health/topic/medicaltest/d-dimer-test/abn2838.html#abn2840

Ulwazi olukule ndawo akufuneki lusetyenziswe endaweni yonyango okanye iingcebiso. Nxibelelana nomboneleli wezempilo ukuba unemibuzo malunga nempilo yakho.