D-dimer mukuzvitakura - zvinowanzoitika kwemavhiki

Mhedziso yakadaro, saD-dimer, mumishonga inowanzonzwisiswa sezvidimbu zve fiber fibrin muropa, kuwedzerwa kwechiwandu chechimwe chinoratidza dambudziko rekuvhara ropa. Zvidimbu zvacho pachazvo hazvisi izvo asi zvinogadzirwa zve fibrin cleavage. Nguva yeupenyu hwavo haina kudarika maawa matanhatu. Ndicho chikonzero kukanganisa kwavo muropa kunoramba kuchichinja.

Kunyatsotarirwa kunobhadharwa kurudziro D-dimer panguva yekuzvitakura, nguva dzose, vhiki nevhiki, nekuenzanisa nemiganhu yayo muropa. Funga nezvechiratidzo ichi zvakadzama, uye edza kurondedzera zvakajeka kuti inofanira kuchinja sei pakubereka kwechecheche.

D-dimer mitemo ye trimester yekuzvitakura

Chokutanga pane zvose, ndingada kuziva kuti uyu mucherecheri pachayo haagoni kuratidza kuve nekurwisana kupi nekupi. Nokudaro, kuchinja muhutakadzi muropa rezvimedu zve fibrin fibers zvinogona kungotaridzirwa sechiratidzo. Ndicho chikonzero vanachiremba nguva dzose mushure mokunge vawana mugumisiro wekuongorora D-dimer mukuzvimba, izvo zvisingaenderani nemirairo, zvinogadza zvidzidzo zvakare. Zvichipa izvi, mukadzi ane pamuviri haafaniri kunge akaedza kujekesa chiitiko chacho pachavo, tk. inogona kuvimba nezvinhu zvakawanda (kubata pamuviri munhoroondo, chimwe chibereko kana zvimwe, nezvimwewo).

Kana tichitaura nezvechimiro cheD-dimer pakuzvitakura, uyo maitiro ake anoratidzirwa mune ng / ml, saka kutanga pane zvose zvinofanira kunzi kuti panguva ino kune kuwedzera kwechiratidzo ichi. Izvi zvinowirirana zvakananga nechokwadi kuti nekutanga kwegadziriro yekubata, kushandiswa kwekuvhara maitiro kunoitika mumutumbi wemukadzi - saka, rinonyevera pamusoro pezvinobvira kubuda ropa mukati.

Kubvira kubva kumavhiki ekutanga ekuberekera mwana, kuiswa kweD-dimer muropa remai vane pamuviri kuri kuwedzera. Munyaya iyi, inofungidzirwa kuti mumutatu wekutanga, maitiro ayo anowedzera nechimwe che 1.5. Saka, pakutanga kwekutakura mwana, haasi pasi pe 500 ng / ml, uye pakuguma kwekutanga kwekutanga-750.

Muchikamu chechipiri chepamuviri, chiratidzo ichi chinoramba chichikura. Pakazopera nguva ino, kukwirira kwayo kunosvika 900 ng / ml. Zvisinei, inogona kudarika 1000 ng / ml.

Muchikamu chechitatu chepamuviri musingabvumirwi kukanganisa, i.e. muchimiro, kuiswa kweD-dimer muropa kusvika kusvika 1500 ng / ml. Nokudaro, sezvo zviri nyore kuverenga, huwandu hwechirwere ichi muropa hunoda kusvika katatu kupfuura huwandu hwaionekwa pakutanga kwekuzvimba.

Iko kuongorora kunoitwa sei?

Sezvambotaurwa pamusoro apa, chiratidzo ichi hachibvumi kuti tinyatsoongorora mamiriro acho ezvinhu, uye kakawanda inoshandiswa sechimwe chidzidzo mune coagulogram.

Chinhu chacho ndechokuti mhuka imwe neimwe inomunhu mumwe nomumwe uye zvinokonzerwa nehupenyu hwehupenyu hunoitwa pane zvakasiyana. Ndicho chikonzero zvataurwa pamusoro apa D-dimer zvinoshandiswa uye zvinowanzopfuura nemiganhu yakasimbiswa.

Mukuwedzera, kuongorora zviratidzo, vanachiremba vanogara vachicherechedza nguva yekuita gestation, kuvapo kwenhoroondo yeropa coagulation system zvirwere. Semuenzaniso, munharaunda yekubata pamuviri, uwandu hweD-dimer hahuenderani nehutsika, uye hunonyanya kudarika . Tsanangudzo yechiitiko ichi inogona kushandura sechinoshandiswa muhomoni yemuviri.

Saka, sezvinogona kuonekwa kubva munyaya yacho, chiratidzo chinonzi D-dimer chinoshandiswa sechimwe chidzidzo. Panoongorora zvigumisiro, munhu haagoni kuenzanisa kuisa pfungwa dzake kune zvakatemwa, zvisingafungi nezvemamiriro ekudzivirira.