Kpɔ wò ʋu ƒe sisi ŋu nya to D-Dimer dodokpɔa dzi!

Ðewohĩ èse dodokpɔ sia si woyɔna be D-Dimer ŋkɔ kpɔ. Alo ɖewohĩ wò ɖɔkta gblɔ na wò be nàwɔe. Eyata nukae nye D-Dimer? Nukatae dodokpɔ sia le vevie nenema gbegbe ɖo? Mina míaƒo nu tso esiawo katã ŋu tsitotsito, bɔbɔe ŋutɔ, egbea. Maɖe eme le mɔ si gɔme nàte ŋu ase nu.

Nukae nye D-Dimer? Kpuie ko la,...

Bu eŋu ale: D-Dimer nye protein sue aɖe si dzɔna ne ʋu ƒe sisi le wò ŋutilã me. Zi geɖe la, ne ʋumenugbagbeviɣi geɖe mele wò ŋutilã me o, alo ne ʋuka siwo ƒona la melɔ̃na o la, D-Dimer aɖeke kloe mele wò ʋu me o. Alo enɔa eme le agbɔsɔsɔ sue aɖe ko me.

Fifia, ne wò D-Dimer dodokpɔa me tsonu nyui alo ne wò D-Dimer ƒe agbɔsɔsɔ dzi ɖe edzi , ate ŋu afia be ʋu ƒe sisi ƒe nɔnɔme aɖe le ŋuwò. Gake mefia kokoko be nɔnɔme ma le ŋuwò o . Azɔ hã, D-Dimer dodokpɔ ɖeɖe mate ŋu agblɔ ʋu ƒe sisi ƒe nɔnɔme si tututu le ŋuwò alo afisi ʋu ƒe sisi le wò ŋutilã me o. Dodokpɔ bubuwo hiã be woatsɔ anya ema.

Aleke ʋu ƒe sisi dzɔna ŋutɔŋutɔe?

Mina míase nusi ʋu ƒe sisi ƒe ɖoɖo si sɔ nye gɔme gbã. Le nyateƒe me la, ʋu ƒe sisi nye nu vevi aɖe ŋutɔ eye wòle vevie ŋutɔ. Ne èxɔ abi la, nuwɔna sia kpena ɖe ŋuwò be ʋu geɖe dona le ŋuwò. Bu eŋu kpɔ, ne èxɔ abi le ʋuka alo lãkusi aɖe ŋu eye nèdze ʋu dodo gɔme la, wò ŋutilã dzea ɖoɖo aɖe si woyɔna be ``hemostasis`` gɔme. Esiae xea mɔ na ʋu si dona le lãme na ame eye mlɔeba wònana ʋu sina be wòatɔ te.

Le ``ʋu ƒe sisi nutsitsi`` ƒe ɖoɖo sia me la, wò ŋutilã wɔa protein si woyɔna be ``fibrin,`` ƒe ka siwo wɔa lãgbalẽ. Mesh sia, kpakple lãmenugbagbevi ƒomevi aɖe si woyɔna be ``platelet,`` kpena ɖe ʋu ƒe sisi ŋu be wòanɔ teƒea vaseɖe esime abi la nahaya. Ɣeaɖewoɣi la, ʋumenugbagbeviɣi siawo ate ŋu adze abe ƒunukpeƒetetedɔ ene le wò ŋutigbalẽ ŋu alo abe ƒunukpeƒetetedɔ ene le wò ŋutigbalẽ te.

Ne wò abi la haya, eye wò ŋutilã megahiã na abi la o la, wò ŋutilã wɔa enzyme aɖe si woyɔna be ``plasmin'' be wòagbã abi la ɖe akpa suewo me eye wòaɖe wo ɖa. Woyɔa kakɛ siawo be ``fibrin ƒe gbegblẽ ƒe nuwɔna'' alo ``fibrin ƒe mama-nuwɔna''. Woyɔa kakɛ mawo dometɔ ɖeka be D-Dimer.

Gake ne ʋu ƒe sisi ƒe kuxi aɖe le ŋuwò la, ʋu ƒe sisi ate ŋu adze dziwò evɔ mèxɔ abi o gɔ̃ hã. Alo, ɖewohĩ ʋuka siwo ƒo ƒu la maʋuʋu le ɣeyiɣi si wòle be woalɔ̃ o. Kpuie ko la, wò ŋutilã ƒe ʋu ƒe sisi ƒe ɖoɖoa mele dɔ wɔm nyuie o. Ʋu ƒe sisi ƒomevi siawo ate ŋu anye afɔku eye woate ŋu ade ame ƒe agbe afɔku me gɔ̃ hã.

Eyata D-Dimer ƒe agbɔsɔsɔ si dzi ɖe edzi le wò ʋu me ate ŋu anye dzesi be wò ŋutilã le ʋumenugbagbeviɣiwo wɔm hele wo ƒom vevie. Esia tae wònye ʋu ƒe sisi ƒe dɔléle ƒe dzesi ɖo.

Nukae nye D-Dimer dodokpɔ si wozãna tsɔ dea dzesii?

Zi geɖe la, ɖɔktawo zãa D-Dimer dodokpɔ tsɔ kpena ɖe ame ŋu wòkpɔa ʋu ƒe sisi ƒe dɔléle aɖe. Nɔnɔme veviawo dometɔ aɖewoe nye:

• Deep Vein Thrombosis (DVT) alo Venous Thrombosis: Esia nye ne ʋu ƒe sisi le ʋuka aɖe si le wò ŋutilã me goglo la me. Ʋu ƒe sisi sia ate ŋu axe mɔ na ʋu ƒe sisi to ʋukaa me keŋkeŋ alo eƒe akpa aɖe. DVT dzɔna zi geɖe le afɔ ƒe akpa si le anyime, ata, alo akɔta. Gake ate ŋu adzɔ le ŋutilã ƒe akpa bubuwo hã, abe abɔ, ahɔhɔ̃, dɔgbo, aklã, alo ayiku ene.
• Pulmonary Embolism (PE): Esia nye ne ʋu si ƒo ƒu ɖe ŋutilã ƒe akpa bubu (zi geɖe le afɔ alo alɔnu) zɔ mɔ to ʋukawo me eye wòva ge ɖe ʋuka aɖe me le lãkusi me. Esia nye nɔnɔme si me afɔku le ŋutɔ.
• Disseminated Intravascular Coagulation (DIC): Le nɔnɔme sia me la, ʋu ƒe sisi sɔ gbɔ akpa le wò ŋutilã me . Esia ate ŋu agblẽ nu le ŋutinuwo ŋu eye wòahe kuxi sesẽ bubuwo vɛ. Menye ɖeko wozãa D-Dimer dodokpɔa tsɔ dea dzesi DIC ko o, ke wozãnɛ tsɔ kpɔa alesi DIC dada le dɔ wɔm nyuie hã.
• Ʋusɔgbɔdɔ: Le nɔnɔme sia si míeyɔna hã be "ʋu ƒe sisi le ahɔhɔ̃a me" me la, ʋuka aɖe si le ahɔhɔ̃a me xena alo wògbãna.

Nukatae wòhiã be woawɔ D-Dimer dodokpɔ?

Ne ʋu ƒe sisi ƒe dzesiwo le ŋuwò la, wò ɖɔkta ate ŋu abia be woawɔ D-Dimer dodokpɔ. Esiawo nye nɔnɔmewo abe `(DVT)`, `(PE)`, `(DIC)`, `(Stroke)` siwo míeyɔ ɖe etame ƒe dzesiwo.

Zi geɖe la, wowɔa D-Dimer dodokpɔwo le xɔ si me wowɔa dɔ kpata le alo kɔdzi.

Nukae nye ʋuka siwo me ʋu sina tona (DVT) ƒe dzesiwo?

Zi geɖe la, DVT dzɔna le wò afɔ alo alɔnu. Menye amesiamee dzena le eŋu o. Gake àte ŋu akpɔ dzesiwo abe:

• Afɔ alo alɔ ƒe vuvu (ɣeaɖewoɣi kpata).
• Afɔ ƒe vevesese alo vevesese (ne wole tsitre alo le zɔzɔm ko hafi woate ŋu asee).
• Seselelãme si vuvu, si le veve sem le afɔ alo alɔnu.
• Ŋutilã ƒe biã alo eƒe amadede ƒe tɔtrɔ.
• Ʋuka siwo le ŋutigbalẽa te la dzena lolo wu alesi wòle dzɔdzɔmee.

Ne `(DVT)` ƒe dzesi siawo le ŋuwò la, ne mèle kɔdzi fifia o hã la, yi wò ɖɔkta gbɔ kaba ale si nàte ŋui.

Nukae nye aklã me ʋu ƒe sisi (PE) ƒe dzesiwo?

Esia nye nudzɔdzɔ kpata aɖe. `(PE)` ƒe nɔnɔmewoe nye:

• Yagbɔgbɔ sesẽ kpata (gbɔgbɔtsixetsixe) alo gbɔgbɔ kabakaba.
• Akɔtave sesẽ (zi geɖe la, evɔ̃na wu ne wole kɔdzi alo le ʋuʋum).
• Akɔtave.
• Kɔdzi (ɣeaɖewoɣi la, ʋuʋudedi si ƒe amadede nye ʋu).
• Fifia wu alesi wònɔna ɖaa.
• Dzi ƒe tsotso kabakaba (tachycardia).
• Taɖuame alo alɔ̃madɔmadɔ.

Vevietɔ: Ne `(PE)` ƒe dzesi siawo le ŋuwò la, ele be nàƒo ka na 911 alo ayi xɔ si te ɖe ŋuwò kpata me enumake. Mele be woahe esia ɖe megbe o.

Nukae nye ʋukawo me ʋu ƒe sisi si kaka (DIC) ƒe dzesiwo?

DIC ƒe dzesiwo ate ŋu anye:

• Ʋu si le dodom le aɖuɖɔtoewo me.
• Aɖuɖɔtoe kple/alo ʋuʋudedi.
• Lãmetsiwo ƒe vevesese sesẽ kple dɔgbo ƒe vevesese.
• Ʋuʋudedi.
• Aɖuɖɔ si dona le lãme mesɔ gbɔ o wu alesi wòle dzɔdzɔmee.

Ne wokpɔ DIC le ŋuwò xoxo eye wole atike wɔm na wò la, wò ɖɔkta ate ŋu abia be woawɔ D-Dimer dodokpɔwo edziedzi atsɔ akpɔe ɖa be wò atikewɔwɔa le dɔ wɔm nyuie hã.

Nukawoe nye ʋusɔgbɔdɔ ƒe dzesiwo?

Lãmetsiŋusẽ hã nye nusi dzɔna kpata. Dzesiawoe nye:

• Mo, alɔ, alo afɔ (vevietɔ le ŋutilã ƒe akpa ɖeka) ƒe ʋuʋu alo gbɔdzɔgbɔdzɔ kpata.
• Tɔtɔ kpata, nuƒoƒo sesẽ, alo nya si gblɔm ame aɖe le gɔmesese sesẽ.
• Nukpɔkpɔ sesẽ kpata le ŋku ɖeka alo evea siaa me.
• Azɔlizɔzɔ sesẽ kpata.
• Taɖuame kpata, dadasɔ, alo nuwɔwɔ aduadu ƒe anyimanɔmanɔ.
• Taɖuame sesẽ si vaa ame dzi kpata le susu aɖeke manɔmee.

Vevietɔ ŋutɔ: Ne wò alo ame bubu aɖe kpɔ ʋusɔgbɔdɔ ƒe dzesi siawo la, ele be nàƒo ka na 911 alo ayi kɔdzi si te ɖe ŋuwò enumake. Ɣeyiɣi nye nu vevitɔ.

Amekae wɔa D-Dimer dodokpɔa? Aleke wowɔnɛ?

Zi geɖe la, ʋumenugbagbeviɣidɔdala aɖee ɖea ʋua, si me D-Dimer dodokpɔ hã le. Gake lãmesẽdɔwɔla ɖesiaɖe si wona hehee be wòaɖe ʋu ate ŋu awɔe. Emegbe woɖoa wò ʋu ɖe nudokpɔƒe. Afimae atikewɔƒe ƒe dzɔdzɔmeŋutinunyala aɖe dzraa kpɔɖeŋua ɖo hedonɛ kpɔna le mɔ̃ siwo woyɔna be analyzers dzi.

Ðe wòhiã be mawɔ nane hafi adoe kpɔa?

Ao, mehiã be nàwɔ nu tɔxɛ aɖeke hafi awɔ D-Dimer dodokpɔ o. Àte ŋu anɔ agbe abe alesi nèle ene.

Nukae dzɔna le dodokpɔa wɔɣi?

D-Dimer nye ʋudodokpɔ. Eyata ne èɖe ʋu la, nu siawoe dzɔna:

• Ànɔ zikpui dzi alo mlɔ aba dzi. Emegbe lãmesẽdɔwɔla la alé ŋku ɖe wò abɔwo ŋu eye wòake ɖe ʋuka si me ʋu le bɔbɔe ŋu. Zi geɖe la, enɔa wò alɔnu ƒe akpa si le eme, le wò abɔta megbe tututu.
• Ne wokpɔ ʋuka aɖe la, wokɔa eŋu hewua dɔlékuiwo.
• Emegbe wotsɔa aŋe sue aɖe dea wò ʋuka me eye woɖea ʋu. Esia ase le eɖokui me abe anyidi sue aɖe ƒe ɖuɖu ene.
• Ne wotsɔ aŋea de eme vɔ la, ʋu vi aɖe aƒo ƒu ɖe dodokpɔmɔ̃ aɖe me.
• Ne woɖe ʋu si sɔ hena dodokpɔa vɔ la, woɖea aŋea ɖa eye wotsɔa kotoku alo gaze kakɛ aɖe dana ɖe teƒea dzi be ʋua natɔ te.
• Emegbe wotsɔa aŋɔ ƒoa teƒea eye wowua dɔa nu.

Zi geɖe la, dɔ sia katã mexɔa aɖabaƒoƒo atɔ̃ o. Ewɔa dɔ kabakaba ŋutɔ.

Nukae dzɔna le dodokpɔa megbe?

Ne woɖe wò ʋu vɔ la, woɖonɛ ɖe nudokpɔƒe. Ne wonya ɖo dodokpɔa me tsonu ko la, wò ɖɔkta agblɔ dodokpɔa me tsonu na wò.

Ðe afɔku aɖewo le D-Dimer dodokpɔa mea?

Ʋudodokpɔ nye atikewɔwɔ me dodokpɔ si bɔ ŋutɔ eye wòhiã. Afɔku siwo le ʋudodokpɔ me la le sue ŋutɔ. Àte ŋu ase veve vie alo abi le afisi woɖe ʋua le. Gake ema nu ayi kaba. Eyata naneke meli si ŋu woatsi dzi ɖo o.

Nukae D-Dimer dodokpɔa me tsonu fia?

Zi geɖe la, nyatakaka siwo le abe esia ene nɔa ʋudodokpɔ ƒe nyatakaka, D-Dimer dodokpɔ ƒe nyatakaka gɔ̃ hã me:

• Ʋudodokpɔa ƒe ŋkɔ, alo nusi wodzidze le wò ʋu me.
• Wò ʋudodokpɔ me tsonu ƒe xexlẽme alo dzidzenu.
• Dodokpɔ ma ƒe didime si sɔ.
• Nyatakaka siwo fia nenye be wò emetsonua sɔ, mesɔ o, ekɔ, bɔbɔ, enyo, alo menyo o.

Nukae nye D-Dimer ƒe emetsonu si sɔ?

Mɔ vovovowo li siwo dzi nàto ado wò D-Dimer ƒe agbɔsɔsɔ kpɔ le wò ʋu me. Eyata, xexeame katã ƒe didime aɖeke meli si gblɔ be "esiae nye dzidzenu si sɔ." Nyatakaka siwo afia ne wò D-Dimer ƒe agbɔsɔsɔ le dzɔdzɔme nu, ebɔbɔ, esɔ gbɔ, enyo, alo menyo o la anɔ wò dodokpɔxɔ ƒe nyatakaka me.

Ne wò dodokpɔxɔ ƒe nyatakaka gblɔ be wò D-Dimer ƒe agbɔsɔsɔ le sue, menyo o, alo esɔ la , ke anɔ eme godoo be efia be ʋu ƒe sisi ƒe dɔléle aɖeke mele ŋuwò o .

Ne wokpɔ dɔléle si nye Disseminated Intravascular Coagulation (DIC) le ŋuwò eye wole atike wɔm na wò la, D-Dimer ƒe agbɔsɔsɔ si sɔ alo esi mede nenema o le wò ʋu me fia be anɔ eme be wò atikewɔwɔa le dɔ wɔm nyuie wu.

Nukae D-Dimer ƒe dodokpɔ si sɔ gbɔ fia?

Ne wò numekukua me tsonu ɖee fia be D-Dimer ƒe agbɔsɔsɔ le wò ʋu me sɔ gbɔ wu alesi wòle , ate ŋu afia be ʋu ƒe sisi ƒe nɔnɔme aɖe le ŋuwò. Gake abe alesi megblɔe va yi ene la, D-Dimer dodokpɔ ɖeɖe mate ŋu agblɔ ʋu ƒe sisi ƒe nɔnɔme si tututu ate ŋu anɔ ŋuwò alo afisi ʋu ƒe sisi le wò ŋutilã me o.

Ne wokpɔ dɔléle si nye Disseminated Intravascular Coagulation (DIC) le ŋuwò eye wole atike wɔm na wò la, ne D-Dimer sɔ gbɔ ɖe wò ʋu me ate ŋu afia be wò atikewɔwɔ mele dɔ wɔm nyuie o.

Gake nɔnɔme aɖewo li siwo me woate ŋu adzi D-Dimer ƒe agbɔsɔsɔ ɖe edzi ne ʋu ƒe sisi ƒe kuxi aɖeke mele eŋu o gɔ̃ hã. Susu bubu siwo tae D-Dimer ƒe agbɔsɔsɔ ate ŋu asɔ gbɔ wu alesi wòle dzɔdzɔmee dometɔ aɖewoe nye:

• Fufɔfɔ.
• Dzidɔ.
• Amekoko aɖe si wowɔ nyitsɔ laa.
• Afɔku alo abixɔxɔ le ŋutilã ŋu (trauma).
• Dɔlékui aɖe.

Azɔ hã, D-Dimer ƒe agbɔsɔsɔ dzina ɖe edzi ne ame tsi. Ne dɔléle aɖe abe ƒunukpeƒetetedɔ ene le ŋuwò la, àte ŋu akpɔ alakpanyawo.

Eyata ne wò dɔwɔwɔ me tsonu ɖee fia be wò D-Dimer ƒe agbɔsɔsɔ mesɔ o la, anɔ eme be wò ɖɔkta aɖe gbe be woagawɔ ʋudodokpɔ kple/alo nɔnɔmetatawo dodokpɔ bubuwo atsɔ anya dɔlélea.

Ɣekaɣie manya D-Dimer dodokpɔa me tsonu?

Zi geɖe la, ɖɔktawo ɖea gbe be woado D-Dimer kpɔ le nɔnɔme kpatawo me, elabena ʋu ƒe sisi ate ŋu ade ame ƒe agbe afɔku me. Ne èna wowɔ dodokpɔ sia le nɔnɔme kpata aɖe me la, anɔ eme be wò ɖɔkta akpɔ dodokpɔa me tsonu le gaƒoƒo ʋɛ aɖewo megbe.

Ne wowɔ D-Dimer dodokpɔ na wò be nàkpɔ alesi wò atikewɔwɔa le dɔ wɔm nyuie esime wole ʋu ƒe sisi ƒe dɔléle aɖe dam na wò la, anɔ eme be àxɔ dodokpɔa me tsonu le dɔwɔŋkeke ɖeka alo eve me.

Nukae dzɔna emegbe? Ne emetsonuwo mesɔ o...

Ne wò D-Dimer dodokpɔa me tsonu mesɔ o la, wò ɖɔkta ate ŋu aɖe gbe be woawɔ nɔnɔmetatawo dodokpɔ ɖeka alo esi wu nenema atsɔ anya ne ʋu ƒe sisi ƒe dɔléle aɖe le ŋuwò eye ne ele nenema la, afisi ʋu ƒe sisi le. Dodokpɔ siawo dometɔ aɖewoe nye:

• Doppler ultrasound: Esia zãa gbeɖiɖi ƒe ƒutsotsoewo tsɔ wɔa wò ʋukawo (ʋukawo) ƒe nɔnɔmetatawo.
• Computed tomography (CT) angiography: Le dodokpɔ sia me la, ɖɔkta doa amadede tɔxɛ aɖe wò ʋuka ɖeka me. Esia wɔnɛ be wò ʋukawo dzena le X-ray-mɔ̃ tɔxɛ aɖe dzi.
• Lung ventilation-perfusion (V/Q) scan: Esia bia be woawɔ yaƒoƒo (V) scan, si dzidzea alesi ya le sisim ɖe wò lãkusiwo me, kple perfusion (Q) scan, si léa ŋku ɖe afisi ʋu le sisim le wò lãkusiwo me ŋu. Le scan eveawo siaa me la, wozãa keklẽŋusẽ sue aɖe si le dedie tsɔ kpena ɖe scanner la ŋu wòkpɔa alesi ya kple ʋu le zɔzɔm to wò lãkusiwo me nyuie.

Ɣekaɣie wòle be makpɔ ɖɔkta?

Ne ʋusɔgbɔdɔ alo aklã me ʋu ƒe sisi (PE) ƒe dzesiwo le ŋuwò la, ƒo ka na 911 enumake alo yi xɔ si te ɖe ŋuwò si kpɔa nudzɔdzɔ kpatawo gbɔ. Mègahe ɖe megbe o.

Ne ʋu ƒe sisi le ʋuka si me goglo me ƒe dzesiwo le ŋuwò (Deep Vein Thrombosis - DVT) la, yi ɖɔkta gbɔ kaba ale si nàte ŋui.

Nukawoe nye nusiwo ate ŋu ana ʋu nado?

Afɔku siwo ate ŋu ana ʋu nado le mɔ si mesɔ o alo esi mesɔ o nu dometɔ aɖewoe nye:

• Amekoko gã aɖe alo abi gã aɖe si woxɔ le ŋutilã me (nuveviwɔame).
• Teƒe ɖeka nɔnɔ ɣeyiɣi didi (le kpɔɖeŋu me, anyinɔƒe le mɔzɔzɔ didiwo me, alo aba dzi nɔnɔ ɣeyiɣi didi).
• Vidzidzinutsitikewo alo lãmetsiŋusẽtikewo zazã.
• Fufɔfɔ alo vidzidzi nyitsɔ laa.
• Ʋu ƒe sisi le ƒomea me, alo atikewɔwɔ ƒe nɔnɔme aɖe koŋ abe Factor V Leiden dɔléle, Antiphospholipid syndrome, alo Polycythemia vera ene ƒe amesinɔnɔ.
• Kansa ƒomevi aɖe ƒe amesinɔnɔ.
• Coronavirus Dɔléle ƒe 2019 (COVID-19) ƒe dzɔdzɔ.
• Lolo akpa ƒe amesinɔnɔ.
• Sigaretnono.

Mlɔeba la, nusiwo dzi wòle be woaɖo ŋkui (Take-Home Message) .

Enye nusi sɔ be vɔvɔ̃ natsi eye nàtsi dzimaɖi ne dodokpɔ me tsonu si mesɔ o le ŋuwò. Gake ɖo ŋku edzi be D-Dimer dodokpɔ me tsonu si kɔ la mefia kokoko be ʋu ƒe sisi ƒe dɔléle le ŋuwò o. Ne wò numekukua me tsonu ɖee fia be wò D-Dimer ƒe agbɔsɔsɔ sɔ gbɔ la, anɔ eme be wò ɖɔkta aɖe gbe be woagawɔ dodokpɔ bubuwo atsɔ anya dɔlélea.

Ne nya aɖe le asiwò la, mègavɔ̃ be yeabia wò ɖɔkta o. Ðɔktawo li be yewoakpe ɖe ŋuwò. Woaɖe nu sia nu me na wò.

Mele mɔ kpɔm be nyatakaka sia aɖe vi na wò. Nɔ lãmesẽ me!

` D-Dimer, ʋu ƒe sisi, ʋudodokpɔ, DVT, PE, Stroke, DIC, ʋu ƒe sisi