Èse ʋudodokpɔ aɖe si woyɔna be ‘D-Dimer’ ŋu nya kpɔa? Ðewohĩ wò ɖɔkta bia tso asiwò be nàwɔ dodokpɔ sia, alo ɖewohĩ ame aɖe si nènyae wɔe. Ŋkɔa ate ŋu aɖi nya sesẽ vie. Gake nuka tututue nye D-Dimer? Nukatae wòle vevie nenema gbegbe ɖo? Egbea, míaƒo nu tso eŋu le mɔ bɔbɔe aɖe ŋutɔ si gɔme nàte ŋu ase nu.
Mina míakpɔe ɖa gbã be, nukae nye D-Dimer?
Kpuie ko la, D-Dimer nye protein sue aɖe si dzɔna ne ʋu ƒe sisi le míaƒe ŋutilã me. Zi geɖe la, ele be D-Dimer ƒe agbɔsɔsɔ si le ame si le lãmesẽ me ƒe ʋu me naɖiɖi ŋutɔ, alo womate ŋu ade dzesii gɔ̃ hã o.
Bu eŋu kpɔ, aleke wò asi dzudzɔa ʋudodo ne ètsoe? Ʋu ƒe sisi le afima, alo? Enye míaƒe ŋutilã ƒe ametakpɔnu. Ʋu ƒe sisi sia le abe lãgbalẽ sue aɖe ene. Protein ka siwo woyɔna be fibrin ye wotsɔ wɔa lãgbalẽ sia . Mesh siae xea abi la eye wòdzudzɔa ʋu si dona le eme.
Ne abi la haya vɔ la, mehiã be ʋuʋudedia nanɔ afima o. Eyata míaƒe ŋutilã zãa enzyme aɖe si woyɔna be Plasmin tsɔ gbãa ʋuka si me ʋu sina tona la, tsɔae ƒua gbe, eye wòɖenɛ ɖa. Ne elɔ la, protein ƒe ʋuʋudedi ƒe akpa suesuesuewo gakpɔtɔ nɔa anyi. Woyɔa kakɛ mawo dometɔ ɖeka be D-Dimer.
Ema fia be ne wò ʋu me D-Dimer ƒe agbɔsɔsɔ dzi ɖe edzi la, efia be ʋu ƒe sisi ɖedzesi aɖe va le wò ŋutilã ƒe akpa aɖe eye wòle ʋuʋum fifia.
Gake ɣeaɖewoɣi la, ne womexɔ abi aɖeke o gɔ̃ hã la, ʋukawo ate ŋu ado ɖe ʋuka siwo le ŋutilãa me la me. Esiawoe nye nusiwo me afɔku le. D-Dimer dodokpɔa dia ʋu ƒe sisi ƒomevi siawo siwo womedi o koŋ.
Nukatae ɖɔkta aɖo aɖaŋu be woawɔ D-Dimer dodokpɔ?
Ðɔktawo zãa dodokpɔ sia koŋ ne wosusu be nɔnɔme geɖe siwo do ƒome kple ʋu ƒe sisi.
- Deep Vein Thrombosis (DVT): Esia nye ne ʋu ƒe sisi le ʋuka aɖe si le ŋutilãa ƒe gogloƒe, vevietɔ le afɔ me.
- Aklã me Ʋuʋudedi (PE): Esia nye nɔnɔme si me afɔku le ŋutɔ. Edzɔna ne ʋu si ƒo ɖe afɔa me, abe DVT ene, vuvu hezɔ mɔ kple ʋua eye wòva ge ɖe ʋuka aɖe me le lãkusi me.
- Disseminated Intravascular Coagulation (DIC): Esia nye nɔnɔme sesẽ aɖe si me ʋu suesuesue geɖe dzɔna le teƒe aɖewo le ŋutilã bliboa me.
- Ʋusɔgbɔdɔ: Dodokpɔ sia kpena ɖe ame ŋu ɣeaɖewoɣi le lãmetutudɔ si ʋu ƒe sisi si xe mɔ na ʋuka aɖe si tsɔa ʋu yia ahɔhɔ̃a me gbɔ la didi me.
Dzesi kawo tae wòle be mawɔ dodokpɔ sia ɖo?
Zi geɖe la, wowɔa dodokpɔ sia le xɔ si me wowɔa dɔ kpata le (ETU) me elabena ele vevie be woawɔ nu kaba ne ʋu ƒe sisi ƒe dzesiwo dze. Ne dzesi siwo le ete dometɔ aɖe le ŋuwò la, wò ɖɔkta ate ŋu atso nya me be yeawɔ D-Dimer dodokpɔ.
| Atikewɔwɔ ƒe nɔnɔme | Dzesi siwo bɔ |
|---|---|
| Vein Deep Thrombosis (DVT) ƒe Dɔléle . |
|
| Aklã me Ʋuʋudedi (PE) . |
|
Vevietɔ wu la! Ne Pulmonary Embolism (PE) alo Stroke ƒe dzesiwo le ŋuwò (e.g. akɔtave kpata, gbɔgbɔ sesẽ, mo/abɔ/afɔ ƒe ʋuʋu, nuƒoƒo sesẽ), yi kɔdzi si te ɖe ŋuwò ƒe Dɔwɔƒe si Kpɔa Nudzɔdzɔ Kpatawo Gbɔ (ETU) enumake. Esiawo nye nudzɔdzɔ kpata siwo ate ŋu ade ame ƒe agbe afɔku me. Ne DVT ƒe dzesiwo le ŋuwò la, yi ɖɔkta gbɔ kaba ale si nàte ŋui.
Nukae dodokpɔa ƒe nyatakakaa gblɔ?
Afi siae ame geɖe wɔa vodada le. Ele vevie ŋutɔ be míase D-Dimer ƒe nyatakakaa gɔme.
Ne D-Dimer ƒe agbɔsɔsɔme nye ‘Normal’ alo ‘Negative’.
Esia nye nya nyui aɖe ŋutɔ. Ne wò D-Dimer ƒe agbɔsɔsɔ sɔ la, efia be mèle ʋu ƒe sisi kple eƒe ʋuʋu ɖedzesi aɖeke kpɔm le wò ŋutilã me o. Esia fia be anɔ eme be nɔnɔme aɖe abe DVT alo PE ene manɔ ŋuwò kura o.Ðɔktawo zãa dodokpɔ sia tsɔ ɖoa kpe edzi be nɔnɔme siawo meli o.
Ne D-Dimer ƒe agbɔsɔsɔme nye ‘High’ alo ‘Positive’.
Afi siae ame geɖe vɔ̃na le. Gake nu vevitɔ kekeake si gɔme wòle be nàse le afisiae nye be ne D-Dimer ƒe agbɔsɔsɔ dzi ɖe edzi la, mefia kokoko be ʋu ƒe sisi si me afɔku le le ŋuwò o.
Susu bubu geɖewo ate ŋu anɔ anyi siwo tae D-Dimer ƒe agbɔsɔsɔ dzi ɖe edzi ɖo. Le kpɔɖeŋu me:
- Fufɔfɔ: D-Dimer ƒe agbɔsɔsɔ dzina ɖe edzi le dzɔdzɔme nu le fufɔɣi.
- Amekoko nyitsɔ laa: D-Dimer ate ŋu adzi ɖe edzi abe ŋutilã ƒe dɔyɔyɔ ƒe akpa aɖe ene le amekoko vɔ megbe.
- Nuveviwɔame: Nɔnɔme sia ate ŋu adzɔ le afɔku aɖe megbe hã.
- Dɔlékuiwo: D-Dimer ƒe agbɔsɔsɔ hã dzina ɖe edzi le dɔlékuiwo ƒe nɔnɔme aɖewo me.
- Dzidɔ: Le dzidɔ aɖewo me.
- Kansa ƒe nɔnɔmewo: Le kansa ƒomevi aɖewo me.
- Ƒe tsitsi: D-Dimer ƒe agbɔsɔsɔ dzina ɖe edzi vie le dzɔdzɔme nu ne míele tsitsim.
Eyata ne wò D-Dimer ƒe agbɔsɔsɔ sɔ gbɔ la, ɖɔktaa mavɔ̃ o. Nu si kplɔe ɖo si wòawɔe nye be wòagawɔ dodokpɔ ʋɛ aɖewo le wò dzesiwo nu be yeanya ne ʋu le dodom le ŋuwò tututu.
Ne D-Dimer sɔ gbɔ la, dodokpɔ kawoe wowɔna kplɔe ɖo?
Ne D-Dimer ƒe nyatakakaa ɖee fia be dɔlélea le ŋuwò la, wò ɖɔkta ate ŋu aɖo wò be woawɔ nɔnɔmetatawo dodokpɔ (scans) be woadi ʋu si le dodom.
- Doppler Ultrasound: Esia zãa gbeɖiɖi ƒe ƒutsotsoewo tsɔ léa ŋku ɖe ʋu ƒe sisi kple ʋu ƒe sisi ŋu, vevietɔ le afɔwo ƒe ʋukawo me.
- CT Angiography: Esia nye CT scan ƒomevi tɔxɛ aɖe. Wodoa amadede tɔxɛ aɖe ɖe ŋutilãa me heléa ŋku ɖe eŋu ne amadedea le zɔzɔm to ʋukawo me be yeadi nu siwo xe mɔ na ʋukawo, abe ʋu si le ƒoƒom ene. Zi geɖe la, wozãa esia tsɔ dia ʋu ƒe sisi (PE) le lãkusi me.
- Lung Ventilation-Perfusion (V/Q) Scan: Esia nye scan tɔxɛ bubu si léa ŋku ɖe alesi ya kple ʋu si yia lãkusiwo me le ŋu.
Le dodokpɔ siawo megbe hafi ɖɔktaa akpɔe ɖa be ʋu si le dodom le ŋuwò ŋutɔŋutɔ loo alo mele eŋu o, eye ne ele nenema la, alesi woawɔ adae.
Gbedasi si Wotsɔ Yi Aƒeme
- D-Dimer nye protein kakɛ aɖe si dzɔna ne ʋu ƒe sisi gblẽ. Esia nye dodokpɔ bɔbɔe aɖe si dzidzenɛ le ʋu me.
- D-Dimer dodokpɔ me tsonu nye ‘Normal’ alo ‘Negative’.Ne nenemae la, ekema efia be ʋu ƒe sisi si me afɔku le abe DVT alo PE ene manɔ ŋuwò kura o. Esia nye gbɔdzɔe gã aɖe.
- Mègatsi dzodzodzoe ne wò D-Dimer ƒe emetsonu nye ‘High’ alo ‘Positive’ . Mefia kokoko be ʋu le dodom le ŋuwò o. Woate ŋu ado D-Dimer ɖe dzi le susu bubu geɖewo hã ta, abe fufɔfɔ, amekoko, kple dɔlékuiwo xɔxɔ ene.
- Ne D-Dimer sɔ gbɔ la, wò ɖɔkta atso nya me le nusi nàwɔ azɔ ŋu. Aɖo wò ɖe ame bubuwo be woado wò kpɔ.
- Mègaŋe aɖaba ƒu dzesiwo abe afɔwo ƒe vuvu kpata, akɔtave, alo gbɔgbɔ sesẽ ene dzi gbeɖe o. Di atikewɔlawo ƒe aɖaŋuɖoɖo enumake.
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