Koj puas tau hnov txog kev kuaj ntshav hu ua 'D-Dimer'? Tej zaum koj tus kws kho mob tau hais kom koj ua qhov kev kuaj no, lossis tej zaum ib tus neeg koj paub tau ua nws. Lub npe yuav zoo li nyuaj me ntsis. Tab sis D-Dimer yog dab tsi tiag? Vim li cas nws thiaj tseem ceeb ua luaj? Hnub no, peb yuav tham txog nws hauv txoj kev yooj yim heev uas koj tuaj yeem nkag siab.
Cia peb xub kawm saib, D-Dimer yog dab tsi?
Hais yooj yim xwb, D-Dimer yog ib daim protein me me uas tsim los thaum cov ntshav txhaws yaj hauv peb lub cev. Feem ntau, cov D-Dimer hauv cov ntshav ntawm ib tus neeg noj qab haus huv yuav tsum qis heev, lossis tsis pom.
Xav txog nws, koj txhais tes ua li cas thiaj tsis los ntshav thaum koj txiav nws? Ib qho ntshav txhaws tsim nyob ntawd, puas yog? Nws yog peb lub cev txoj kev tiv thaiv. Cov ntshav txhaws no zoo li ib daim ntaub me me. Daim ntaub no yog ua los ntawm cov xov protein hu ua fibrin . Daim ntaub no yog qhov kaw qhov txhab thiab tiv thaiv kom tsis txhob los ntshav.
Tom qab qhov txhab zoo lawm, cov ntshav txhaws tsis tas yuav nyob ntawd. Yog li ntawd, peb lub cev siv ib qho enzyme hu ua Plasmin los rhuav cov ntshav txhaws, yaj nws, thiab tshem nws tawm. Thaum nws yaj, cov protein clot me me tseem nyob. Ib qho ntawm cov khoom ntawd hu ua D-Dimer.
Qhov ntawd txhais tau tias, yog tias koj cov ntshav D-Dimer nce siab, nws txhais tau tias cov ntshav txhaws loj tau tsim nyob rau hauv koj lub cev thiab tam sim no yaj.
Txawm li cas los xij, qee zaum, txawm tias tsis muaj kev raug mob los xij, cov ntshav txhaws tuaj yeem tsim nyob rau hauv cov leeg ntshav hauv lub cev. Cov no yog cov uas txaus ntshai. Kev kuaj D-Dimer feem ntau nrhiav cov hom ntshav txhaws tsis xav tau no.
Vim li cas tus kws kho mob thiaj li pom zoo kom kuaj D-Dimer?
Cov kws kho mob siv qhov kev kuaj no feem ntau thaum lawv xav tias muaj ntau yam mob ntsig txog kev ntshav txhaws.
- Kev Mob Ntshav Hauv Cov Hlab Ntshav (Deep Vein Thrombosis - DVT): Qhov no yog thaum cov ntshav txhaws hauv cov hlab ntshav tob hauv lub cev, tshwj xeeb tshaj yog hauv ceg.
- Kab mob ntsws txhaws (PE): Qhov no yog ib qho mob txaus ntshai heev. Nws tshwm sim thaum cov ntshav txhaws uas tau tsim nyob rau hauv ceg, zoo li DVT, tawg thiab mus nrog cov ntshav thiab nkag mus rau hauv cov leeg ntshav hauv lub ntsws.
- Kev Sib Kis Hauv Cov Ntshav (Disseminated Intravascular Coagulation - DIC): Qhov no yog ib qho mob hnyav uas muaj ntau cov ntshav me me tsim nyob rau hauv qhov chaw thoob plaws lub cev.
- Mob Stroke: Qhov kev kuaj no qee zaum pab tau rau kev kuaj pom kev tuag tes tuag taw uas tshwm sim los ntawm cov ntshav txhaws thaiv cov hlab ntsha uas nqa cov ntshav mus rau lub hlwb.
Kuv yuav tsum kuaj qhov no rau cov tsos mob twg?
Qhov kev kuaj no feem ntau ua nyob rau hauv chav kho mob ceev (ETU) vim tias nws yog ib qho tseem ceeb uas yuav tsum ua sai sai thaum cov tsos mob ntawm cov ntshav txhaws tshwm sim. Yog tias koj muaj ib qho ntawm cov tsos mob hauv qab no, koj tus kws kho mob yuav txiav txim siab ua qhov kev kuaj D-Dimer.
| Mob nkeeg | Cov tsos mob feem ntau |
|---|---|
| Kev Mob Thrombosis Ntawm Cov Hlab Ntsha (DVT) |
|
| Kev Mob Ntsws Plawv (PE) |
|
Qhov tseem ceeb tshaj plaws! Yog tias koj muaj cov tsos mob ntawm Pulmonary Embolism (PE) lossis Stroke (piv txwv li mob hauv siab tam sim ntawd, ua pa nyuaj, loog ntawm lub ntsej muag/caj npab/ceg, hais lus tsis tau), mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) ntawm lub tsev kho mob ze tshaj plaws tam sim ntawd. Cov no yog cov xwm txheej ceev uas hem txoj sia. Yog tias koj muaj cov tsos mob ntawm DVT, mus ntsib koj tus kws kho mob sai li sai tau.
Daim ntawv qhia txog kev xeem hais li cas?
Qhov no yog qhov uas ntau tus neeg ua yuam kev. Nws yog ib qho tseem ceeb heev uas yuav tsum nkag siab txog daim ntawv qhia D-Dimer.
Yog tias D-Dimer theem yog 'Ib txwm' lossis 'Tsis zoo'
Qhov no yog xov xwm zoo heev. Yog tias koj qib D-Dimer yog qhov qub, nws txhais tau tias koj tsis muaj kev tsim cov ntshav txhaws thiab yaj hauv koj lub cev. Qhov no txhais tau tias koj yuav tsis muaj mob zoo li DVT lossis PE.Cov kws kho mob siv qhov kev kuaj no los paub tseeb tias cov mob no tsis muaj.
Yog tias D-Dimer theem yog 'Siab' lossis 'Zoo'
Qhov no yog qhov uas ntau tus neeg ntshai. Tab sis qhov tseem ceeb tshaj plaws uas koj yuav tsum nkag siab ntawm no yog tias muaj D-Dimer theem siab tsis tas txhais tau tias koj muaj cov ntshav txhaws txaus ntshai.
Muaj ntau yam ua rau D-Dimer ntau ntxiv. Piv txwv li:
- Cev Xeeb Tub: Cov theem D-Dimer ntuj tsim nce ntxiv thaum cev xeeb tub.
- Kev phais mob tsis ntev los no: D-Dimer yuav nce ntxiv ua ib feem ntawm txoj kev kho mob ntawm lub cev tom qab phais mob.
- Kev raug mob: Tus mob no kuj tuaj yeem tshwm sim tom qab muaj xwm txheej.
- Kev kis kab mob: Cov theem D-Dimer kuj nce ntxiv rau qee yam mob sib kis.
- Kab mob plawv: Hauv qee yam mob plawv.
- Cov mob qog noj ntshav: Hauv qee hom mob qog noj ntshav.
- Hnub nyoog laus dua: Cov theem D-Dimer ntuj tsim me ntsis thaum peb laus zuj zus.
Yog li, yog tias koj qib D-Dimer siab, tus kws kho mob yuav tsis ntshai. Qhov tom ntej uas nws yuav ua yog khiav ob peb qhov kev kuaj ntxiv raws li koj cov tsos mob kom paub tseeb tias koj puas muaj ntshav txhaws.
Yog tias D-Dimer siab, yuav ua li cas tom ntej no?
Yog tias daim ntawv qhia txog D-Dimer yog qhov zoo, koj tus kws kho mob yuav xa koj mus rau kev kuaj duab (scans) kom nrhiav tau cov ntshav txhaws.
- Doppler Ultrasound: Qhov no siv cov suab nthwv dej los xyuas seb cov ntshav ntws thiab cov ntshav txhaws, tshwj xeeb tshaj yog nyob rau hauv cov leeg ntawm ob txhais ceg.
- CT Angiography: Qhov no yog ib hom kev luam theej duab CT tshwj xeeb. Ib qho xim tshwj xeeb raug txhaj rau hauv lub cev thiab luam theej duab thaum cov xim hla dhau cov hlab ntsha kom nrhiav cov kev thaiv, xws li cov ntshav txhaws. Qhov no feem ntau yog siv los nrhiav cov ntshav txhaws (PE) hauv lub ntsws.
- Kev Ntsuas Pa Ntsws-Perfusion (V/Q): Qhov no yog lwm qhov kev ntsuas tshwj xeeb uas saib seb cua thiab ntshav mus rau hauv lub ntsws zoo li cas.
Tsuas yog tom qab cov kev kuaj no xwb tus kws kho mob mam li txiav txim siab seb koj puas muaj ntshav txhaws los tsis muaj, thiab yog tias muaj, yuav kho nws li cas.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- D-Dimer yog ib daim protein uas tsim thaum cov ntshav txhaws tawg. Qhov no yog ib qho kev kuaj yooj yim uas ntsuas nws hauv cov ntshav.
- Cov txiaj ntsig ntawm kev kuaj D-Dimer yog 'Ib txwm' lossis 'Tsis zoo'Yog tias yog li ntawd, qhov ntawd txhais tau tias koj yuav tsis muaj feem yuav muaj cov ntshav txhaws txaus ntshai xws li DVT lossis PE. Qhov no yog qhov kev pab loj heev.
- Tsis txhob ntshai yog tias koj qhov txiaj ntsig D-Dimer yog 'Siab' lossis 'Zoo' . Nws tsis tas txhais tau tias koj muaj cov ntshav txhaws. D-Dimer kuj tseem tuaj yeem siab dua vim ntau lwm yam, xws li cev xeeb tub, phais, thiab kev kis kab mob.
- Yog tias D-Dimer siab, koj tus kws kho mob yuav txiav txim siab seb yuav ua li cas tom ntej. Nws yuav xa koj mus kuaj ntxiv.
- Tsis txhob tso tseg cov tsos mob xws li o ntawm ob txhais ceg, mob hauv siab, lossis ua pa nyuaj. Nrhiav kev pab kho mob tam sim ntawd.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus