I-D-dimer ekukhulelweni iphakanyisiwe

Owesifazane osesimweni uyakhathazeka kakhulu ngakho konke okuhlobene nengane yakhe yesikhathi esizayo. Uzama ukwenza konke udokotela akululekele, ukugcina umbuso ofanele lolo suku nokudla okunomsoco, uthathe izivivinyo ezidingekayo futhi ufunde izivivinyo ezidingekayo. Phakathi kwazo, kunakekelwa okuningi ekuhlaziyweni kwegazi, nokufunda izinkomba ze-d-dimer ngokukhulelwa ikakhulukazi. Leli nani lenza kucace ukuthi kukhona yini ingozi yezindwangu zegazi.

Kusho ukuthini i-D-dimer?

I-D-dimers ivame ukubizwa ngokuthi yizinhlayiya ze-fibrin fibers, enye yezingxenye zegazi, izinga elingabonisa ukuba khona kwe-thrombi. Indlela yokubukeka kwayo yile ndlela elandelayo: I-fibrin enesisindo ivela egazini lapho inqubo yokugcoba kwayo yenzeka, okwenzeka ngokuhlanganyela ngokuqondile kwamathrombins. Lapho i-fibrin iqala ukuchithwa, i-D-dimers ivela, engakwazi ukuxhuma ezindongeni zezitsha, ngaleyo ndlela ibangele ukuvinjelwa kwayo. Umjikelezo wokuphila kwalowo mkhiqizo wokubola uhlala amahora ayisithupha kuphela.

Yiziphi izinkomba ze-dimer zokukhulelwa?

Ukuhlola ukuhlolwa kwegazi ngenxa yokuba khona kwalesi sigaba, odokotela bangaqonda ukuthi owesifazane unengozi yokuba negazi kanye nokuthi i-thrombus iphathwa kanjani. Futhi, izindinganiso zikaD-dimer zibalulekile ekutadisheni i-coagulogram.

Umkhuba we-d-dimer ekukhulelwe

Phakathi nesikhathi sokubeletha, izinga le-indicator landa ngokwemvelo. Lokhu kwenzeka ngenxa yokuthi emzimbeni wesifazane kunezinguquko zomhlaba jikelele eziphathelene nezinqubo ze-hemostasis kanye ne-coagulability yegazi. Kodwa-ke, ekwenzeni usizo lwezokwelapha awekho imigomo eyinqunyiwe ngokucacile yenkomba yeD-dimer ngesikhathi sokukhulelwa. Ngenxa yomkhuba wezokwelapha, izinyathelo ezimbalwa ezinemibandela zithathwe ukwandisa idatha yalesi sigaba segazi, isibonelo:

1. Ku-trimester yokuqala yokubeletha, isibonakaliso singakhuphuka izikhathi eziphindwe kabili nengxenye.
2. Ngomunye wesithathu, ukukhuphuka kwayo kuphindwe kabili.
3. Ngokwemibandela yakamuva, ukwanda kwe-d-dimer ngesikhathi sokukhulelwa kungaba kathathu, uma kuqhathaniswa nezinkomba zokuqala.

Yimiphi imiphumela engaba khona yokwandisa uD-dimer ekukhulelwe?

Eqinisweni, ukwehlukana okuhle okushiwo yilokho, ngisho nokungaqondisi, imikhuba, kungathinta indlela ejwayelekile yokuzala ingane. Umama wesikhathi esizayo uzolulekwa kakhulu ukuba enze ucwaningo oluphelele futhi olujulile, njengoba kunengozi yokuvela noma ukutholakala kwe- gestosis , preeclampsia kanye nesifo sezinso. Zonke lezi zifo zingase zibonise ukulimala kwezicubu noma ama-hematoma yangaphakathi. Njengomthetho, izinyathelo ze-D-dimer ezinyuka ziwuphawu lokubeletha okungavamile, ngenxa yalokho okushiwo yinsimbi yesikhumba esiphundu noma isisu esisodwa.

Kuthiwani uma ngine-d-dimer ekukhulelwe?

Indlela evelele kakhulu yokuletha isibonakaliso ngendlela evamile, ejwayelekile esikhathini esikhona sokukhulelwa, ukuthatha imithi. Ukwelashwa kwenzeka endaweni yesibhedlela, njengoba ukulawulwa kwezokwelapha kudingekile. Njengomthetho, inkambo yezidakamizwa ayitholi ngaphezu kweviki, lapho owesifazane echazwe khona umjovo, ama-droppers namaphilisi. Isidakamizwa esinjalo njenge-Fraksiparin senziwa ngokweqile, okungukuthi esiswini esisodwa endaweni yendawo. Lokhu kuvumela ukuthi imithi isakaze masinyane emzimbeni futhi iqale isenzo sayo. Kungenzeka ukuthi lona wesifazane uzobe echazwe futhi i-droppers ene-Reopoglyukin, eyenziwa isikhathi eside ngokwanele, kodwa ayilethe izinzwa ezibuhlungu. Futhi, ukuletha izinga lika-D-dimer ngesikhathi sokukhulelwa, ukujozwa kwe-Actovegin kunconywa.