Fɛn ɔut bɔt yu blɔd we de klɔt wit di D-Dimer tɛst!

Yu go mɔs dɔn yɛri bɔt dis tɛst we dɛn kɔl D-Dimer. Ɔ sɔntɛm yu dɔktɔ dɔn tɛl yu fɔ du am. So, wetin na D-Dimer? Wetin mek dis tɛst rili impɔtant? Lɛ wi tɔk bɔt ɔl dis ditayli, rili simpul wan, tide. A go ɛksplen am di we we yu go ɔndastand.

Wetin na D-Dimer? Fɔ tɔk am simpul wan...

Tink bɔt am dis we: D-Dimer na smɔl pat pan di prɔtin we kin mek we blɔd klɔt sɔlv na yu bɔdi. Nɔmal wan, if yu nɔ gɛt bɔku blɔd we de fɔm na yu bɔdi, ɔ if di blɔd we de fɔm nɔ de sɔlv, i go bi se i nɔ go gɛt D-Dimer na yu blɔd. Ɔ i kin de insay smɔl smɔl tin dɛn.

Naw, if yu D-Dimer tɛst rizɔlt na pɔsitiv ɔ if yu D-Dimer lɛvɛl go ɔp , i kin sho se yu gɛt blɔd we de klɔt. Bɔt i nɔ min se yu gɛt da sik de . Dɔn bak, D-Dimer tɛst nɔmɔ nɔ go ebul fɔ tɛl yu uskayn kayn blɔd klɔt kɔndishɔn yu gɛt ɔ usay di blɔd klɔt de na yu bɔdi. Dɛn nid fɔ du mɔ tɛst fɔ no dat.

Aw blɔd kin rili apin?

Lɛ wi ɔndastand fɔs wetin na di nɔmal tin we de mek blɔd klɔt. Infakt, fɔ mek blɔd klɔt na sɔntin we rili impɔtant ɛn we rili impɔtant. We yu gɛt injury, dis prɔses kin ɛp fɔ stɔp bɔku blɔd. Imajin, we yu gεt injuri na bכdi כ tisu εn bigin fכ bכn, yu bכdi de stat wan prכsεs we dεn kכl ``hεmostasis``. Dis na wetin kin mek di blɔd nɔ bɔku ɛn leta i kin mek blɔd klɔt fɔ stɔp am.

insay dis prכsεs fכ ``hεmostasis,`` yu bכdi de mek strεn dεm fכ wan protin we dεn kכl ``fibrin,`` we de fכm mεsh. dis mεsh, wit wan kayn sεl we dεn kכl ``pletlet,`` de εp fכ kip di bכdi kכlכt in ples te di wund hεl. Sɔntɛnde, dɛn klɔt ya kin apia lɛk krɔst na yu skin ɔ lɛk lump ɔnda yu skin.

afta yu wund dכn hεl, εn yu bכdi nכ nid di kכlכt igen, yu bכdi de mek wan εnzym we dεn kכl ``plasmin'' fכ brok di kכlכt to sכm sכm sכm pat dεm εn pul dεm. dεn kכl dεn pis dεm ya ``fibrin dεgradashכn prodakt'' כ ``fibrin split-prכdukt''. Wan pan dɛn pat dɛn de, dɛn kɔl am D-Dimer.

Bɔt if yu gɛt prɔblɛm we de mek yu blɔd klɔt, yu kin gɛt blɔd klɔt ivin if yu nɔ wund. Ɔ, di klot dɛn we dɔn fɔm nɔ kin sɔlv we dɛn fɔ sɔlv. Fɔ tɔk am simpul wan, di we aw yu bɔdi de blɔd nɔ de wok fayn. Dɛn kayn blɔd ya kin denja ɛn ivin kin mek pɔsin in layf de pan denja.

So, if di D-Dimer de go ɔp na yu blɔd, dat kin bi sayn fɔ se yu bɔdi de mek ɛn sɔlv di blɔd klɔt dɛn bad bad wan. Na dat mek na sayn fɔ se blɔd nɔ de klɔt.

Wetin na di D-Dimer tɛst we dɛn kin yuz fɔ no?

Bɔku tɛm, dɔktɔ dɛn kin yuz D-Dimer tɛst fɔ ɛp fɔ no if pɔsin gɛt di sik we de mek pɔsin blɔd klɔt. Di men kɔndishɔn dɛn na:

• Dip Vein Thrombosis (DVT) ɔ Venous Thrombosis: Dis na we blɔd klɔt de fɔm insay wan vein dip insay yu bɔdi. dis klot kin blok di bכdi fכ fכlכ tru di vein kכmplit כ pat. DVT kin apin mɔ na di ɔda pat na di leg, di shɔl, ɔ di hip. Bɔt i kin apin bak na ɔda pat dɛn na di bɔdi lɛk di an, di bren, di intestinal, di liva, ɔ di kidni.
• Pulmonary Embolism (PE): Dis na we blɔd we dɔn fɔm ɔdasay na di bɔdi (bɔku tɛm na di leg ɔ an) de travul tru di blɔd ɛn go lod insay wan blɔd vesel na di lɔng. Dis na tin we rili denja.
• Disseminated Intravascular Coagulation (DIC): Insay dis kɔndishɔn, tumɔs blɔd kin klɔt na yu bɔdi . Dis kin pwɛl di ɔgan dɛn ɛn mek ɔda siriɔs prɔblɛm dɛn. Dɛn nɔ de yuz di D-Dimer tɛst nɔmɔ fɔ no DIC, bɔt dɛn de yuz am bak fɔ si aw di tritmɛnt fɔ DIC de wok fayn fayn wan.
• Strɔk: Insay dis kɔndishɔn, we wi kin kɔl bak "blɔd we de klɔt na di bren," wan blɔd vesel na di bren kin blo ɔ bɔs.

Wetin mek a nid fɔ du D-Dimer tɛst?

If yu gɛt sayn dɛn we de sho se yu blɔd de klɔt, yu dɔktɔ kin ɔda fɔ mek dɛn du D-Dimer tɛst. Dis na di simptom dɛm fɔ di kɔndishɔn dɛm lɛk `(DVT)`, `(PE)`, `(DIC)`, `(Stroke)` we wi bin dɔn tɔk bɔt.

Bɔku tɛm, dɛn kin du D-Dimer tɛst na imejensi rum ɔ ɔspitul.

Wetin na di sayn dɛm fɔ dip vein thrombosis (DVT)?

Bɔku tɛm, DVT kin apin na yu leg ɔ yu an. Nɔto ɔlman gɛt sɔm sayn dɛn. Bɔt yu kin gɛt sɔm sayn dɛn lɛk:

• Di leg ɔ an kin swel (sɔntɛnde i kin apin wantɛm wantɛm).
• Leg pen ɔ tεnd (dεn kin fil am nɔmɔ we yu tinap ɔr de waka).
• Wan tin we de swel, we de mek yu fil pen na di leg ɔ an.
• Skin kin rɛd ɔ di kɔlɔ kin chenj.
• Di blɔd vesel dɛn we de ɔnda di skin kin tan lɛk se dɛn big pas aw i kin bi.

If yu gɛt dɛn sayn ya fɔ `(DVT)`, ivin if yu nɔ de na ɔspitul naw, go to yu dɔktɔ kwik kwik wan.

Wetin na di sayn dɛm fɔ pulmonary embolism (PE)?

Dis na imejensi. Di kwaliti dɛn we wan `(PE)` gɛt na:

• I nɔ kin izi fɔ yu fɔ blo wantɛm wantɛm (dyspnea) ɔ fɔ blo kwik kwik wan.
• Shap chɛst pen (bɔku tɛm i kin wɔs we yu de kɔf ɔ muv).
• Bak pen.
• Kɔf (sɔntɛnde, i kin gɛt blɔd-tinged phlegm).
• Swet pas aw i kin swet.
• At bit kwik kwik wan (tachycardia).
• Diziz ɔ fɔdɔm.

Impɔtant: If yu gɛt dɛn `(PE)` simptom ya, yu fɔ kɔl 911 ɔ go na di imejensi rum we de nia yu wantɛm wantɛm. Dis nɔ fɔ delay.

Wetin na di simptom dɛm fɔ disseminated intravascular coagulation (DIC)?

Di sayn dɛm fɔ DIC kin bi:

• Di blɔd we de kɔmɔt na di gɔm.
• Nɔs ɛn/ɔ vɔmit.
• Siriɔs mɔsul pen ɛn bɛlɛ pen.
• Kɔnvulshɔn we pɔsin kin gɛt.
• Les urine output pas aw i kin bi.

If dɛn dɔn ɔlrɛdi no se yu gɛt DIC ɛn yu de gɛt tritmɛnt, yu dɔktɔ kin ɔda fɔ du D-Dimer tɛst ɔltɛm fɔ chɛk if yu tritmɛnt de wok fayn.

Wetin na di sayn dɛm wae de sho se pɔrsin gɛt strok?

Paralayz na imejensi bak. Di sayn dɛm na:

• Di fes, an, ɔ leg kin swɛt ɔ wik wantɛm wantɛm (espɛshali na wan say na di bɔdi).
• Wantɛm we pɔsin kin kɔnfyus, i nɔ kin izi fɔ tɔk, ɔ i nɔ kin izi fɔ ɔndastand wetin pɔsin de tɔk.
• I nɔ kin izi fɔ si na wan ɔ ɔl tu yay wantɛm wantɛm.
• I nɔ izi fɔ waka wantɛm wantɛm.
• Diziz wantɛm wantɛm, yu nɔ go ebul fɔ balans, ɔ yu nɔ go ebul fɔ du tin fayn fayn wan.
• Wan bad bad ed we kin kam wantɛm wantɛm fɔ natin.

I rili impɔtant: If yu ɔ ɔda pɔsin gɛt dɛn sayn ya we de sho se yu gɛt strok , yu fɔ kɔl 911 ɔ go na di ɔspitul we de nia yu wantɛm wantɛm. Taym na di men tin.

Udat de du di D-Dimer tɛst? Aw dɛn kin du am?

Bɔku tɛm, pɔsin we de mɛn di blɔd kin du di blɔd we dɛn kin pul, ɛn dɛn kin du di D-Dimer tɛst. Bɔt ɛnibɔdi we de kia fɔ wɛlbɔdi biznɛs we dɛn tren fɔ pul blɔd kin du am. Dɔn dɛn kin sɛn yu blɔd sɛmpul to lɛbɔtri. Na de, wan sayɛnsman we de na di mɛdikal lɛbɔretri kin pripia di sɛmpul ɛn tɛst am pan mashin dɛn we dɛn kɔl analayza.

A nid fɔ du ɛnitin bifo di tɛst?

Nɔ, yu nɔ nid fɔ du ɛnitin we spɛshal bifo yu du D-Dimer tɛst. Yu kin liv nɔmal layf.

Wetin kin apin we dɛn de du di tɛst?

D-Dimer na blɔd tɛst. So we yu tek blɔd sɛmpul, na dɛn tin ya kin apin:

• Yu go sidɔm na chia ɔ ledɔm na bed. Dɔn di wɛlbɔdi wokman go luk yu an ɛn fɛn wan izi vein fɔ pul blɔd frɔm. Bɔku tɛm, i kin de insay yu an, jɔs biɛn yu ɛlb.
• We dɛn fɛn vein, dɛn kin klin am ɛn disinfɛkt am.
• Dɔn dɛn kin put smɔl nidul insay yu vein ɛn tek blɔd sɛmpul. Dis go fil lɛk se smɔl ant bit am.
• Afta dɛn dɔn put di nidul, smɔl blɔd go gɛda insay wan tɛst tyub.
• Afta dɛn dɔn tek bɔku blɔd fɔ di tɛst, dɛn kin pul di nidul ɛn put wan kɔtɔn ɔ goz oba di sayt fɔ mek di blɔd nɔ kɔmɔt.
• Dɔn dɛn kin put plasta na di say ɛn dɛn kin dɔn di wok.

Dis ɔl dis kin tek lɛk fayv minit. Rili kwik kwik wan.

Wetin kin apin afta di tɛst?

Afta dɛn dɔn tek yu blɔd sɛmpul, dɛn kin sɛn am na lɛbɔtri. We di tɛst rizɔlt dɔn kam, yu dɔktɔ go tɛl yu di rizɔlt.

Ɛni risk de wit di D-Dimer tɛst?

Blɔd tɛst na wan tɛst we dɛn kin du fɔ mɛn pipul dɛn we rili kɔmɔn ɛn we nid fɔ de. Di prɔblɛm dɛn we kin apin we pɔsin du blɔd tɛst kin rili smɔl. Yu kin fil smɔl pen ɔ brus usay dɛn pul di blɔd. Bɔt dat go dɔn kwik kwik wan. So natin nɔ de fɔ wɔri bɔt.

Wetin di rizulyt fɔ di D-Dimer tɛst min?

Blɔd tɛst ripɔt, ivin D-Dimer tɛst ripɔt, kin gɛt infɔmeshɔn lɛk dis:

• Di nem fɔ di blɔd tɛst, ɔ wetin dɛn bin mɛzhɔ na yu blɔd.
• Di nɔmba ɔ di mɛzhɔmɛnt fɔ yu blɔd tɛst rizɔlt.
• Di nɔmal rɛnj fɔ da tɛst de.
• Infɔmeshɔn we de sho if yu rizɔlt nɔmal, abnɔmal, ay, lɔw, pɔsitiv, ɔ negatif.

Wetin na nɔmal D-Dimer rizɔlt?

Difrɛn we dɛn de fɔ tɛst yu D-Dimer lɛvɛl na yu blɔd. So, nכ yunivasal rεnj de we se "dis na di nכmal lεvεl." Yu lab ripɔt go gɛt infɔmeshɔn we de sho if yu D-Dimer lɛvɛl nɔmal, lɔw, ay, pɔsitiv, ɔ negatif.

If yu lab ripɔt se yu D-Dimer lɛvɛl smɔl, negatif, ɔ nɔmal , i go mɔs min se yu nɔ gɛt blɔd klɔt disɔda.

If dɛn dɔn no se yu gɛt Disseminated Intravascular Coagulation (DIC) ɛn yu de gɛt tritmɛnt, if yu gɛt nɔmal ɔ lɔw lɛvɛl na yu blɔd, dat min se yu tritmɛnt go mɔs wok fayn.

Wetin wan ay D-Dimer rizɔlt min?

If yu rizɔlt sho se yu blɔd D-Dimer lɛvɛl pas aw i fɔ bi , i kin min se yu gɛt blɔd klɔt kɔndishɔn. Bɔt, lɛk aw a bin dɔn tɔk, D-Dimer tɛst nɔmɔ nɔ go ebul fɔ tɛl yu ustɛm blɔd klɔt yu kin gɛt ɔ usay di blɔd klɔt de na yu bɔdi.

If dɛn dɔn no se yu gɛt Disseminated Intravascular Coagulation (DIC) ɛn yu de gɛt tritmɛnt, if yu gɛt bɔku D-Dimer na yu blɔd, dat kin min se yu tritmɛnt nɔ de wok fayn.

Bɔt sɔm kayn tin dɛn de we di D-Dimer lɛvɛl kin go ɔp ivin if yu nɔ gɛt blɔd klɔt disɔda. כda rizin dεm we mek di D-Dimer lεvεl kin hכy pas nכmal tin na:

• We uman gɛt bɛlɛ.
• At sik.
• Wan ɔpreshɔn we dɛn jɔs du.
• Aksidɛnt ɔ injuri na di bɔdi (trauma).
• Wan infɛkshɔn.

כlso, di D-Dimer lεvεl dεm kin tεnd fכ inkrεs wit di ej. If yu gɛt wan sik lɛk rεumatoid at, yu kin gɛt lay lay rεsult.

So, if yu rizɔlt sho se yu D-Dimer lɛvɛl nɔrmal, yu dɔktɔ go ɔda fɔ mek dɛn du ɔda blɔd tɛst ɛn/ɔ imej tɛst fɔ mek dɛn no if yu gɛt di sik.

Ustɛm a go no di rizɔlt fɔ di D-Dimer tɛst?

Bɔku tɛm, dɔktɔ dɛn kin ɔda fɔ mek dɛn du D-Dimer tɛst we ɛnitin apin, bikɔs blɔd we kin klɔt kin mek pɔsin in layf de pan denja. If yu mek dɛn du dis tɛst we yu gɛt ɛnitin fɔ du wit am, i go mɔs bi se yu dɔktɔ go gɛt di rizɔlt insay sɔm awa.

If yu gɛt D-Dimer tɛst fɔ si aw yu tritmɛnt de wok fayn we dɛn de trit yu fɔ wan sik we de mek yu blɔd klɔt, i go mɔs bi se yu go gɛt di rizɔlt insay wan ɔ tu biznɛs dez.

Wetin kin apin afta dat? If di rizulyt na abnɔmal...

If yu D-Dimer tɛst rizɔlt nɔrmal, yu dɔktɔ kin ɔda fɔ mek dɛn du wan ɔ mɔ imej tɛst fɔ no if yu gɛt prɔblɛm we de mek yu blɔd klɔt ɛn if na so i gɛt, usay di blɔd klɔt de. Dɛn tɛst ya na:

• Doppler ultrasound: Dis de yuz sawnd wev fכ mek imej fכ yu vein dεm (blכd vessel dεm).
• Computed tomography (CT) angiography: Insay dis tɛst, dɔktɔ kin injɛkt spɛshal day insay wan pan yu vein dɛn. Dis kin mek yu blɔd vesel dɛn si yu pan spɛshal ɛkstrem mashin.
• Lכng ventilashכn-pεrfyushכn (V/Q) skan: Dis involv ventilashכn (V) skan, we de mכsu aw di briz de fכlכ insay yu lכng, εn pεrfyushכn (Q) skan, we de luk usay blכd de fכlכ na yu lכng. Insay ɔl tu di skan dɛn, dɛn kin yuz smɔl smɔl sef redioaktiv tin fɔ ɛp di skan fɔ si aw di briz ɛn blɔd de muv fayn fayn wan na yu lɔng dɛn.

Ustɛm a fɔ go to dɔktɔ?

If yu gɛt sayn fɔ strok ɔ pulmonary embolism (PE), kɔl 911 wantɛm wantɛm ɔ go na di imejensi rum we de nia yu. Nɔ delay.

If yu gɛt sayn dɛm fɔ blɔd we de klɔt na dip vein (Deep Vein Thrombosis - DVT), go to yu dɔktɔ kwik kwik wan.

Wetin na di tin dɛn we kin mek pɔsin blɔd klɔt?

Risk factor dɛm wae kin mek blɔd klɔt nɔr fayn ɔr nɔrmal na:

• Fɔ gɛt big ɔpreshɔn ɔ big big injuri na yu bɔdi (trauma).
• Fɔ sidɔm na wan ples fɔ lɔng tɛm (fɔ ɛgzampul, fɔ sidɔm pan lɔng trip, ɔ fɔ de na bed fɔ lɔng tɛm).
• Fɔ tek bɔn kɔntrol pils ɔ ɔmon riplesmɛnt tɛrapi.
• Bɛlɛ ɔ we i jɔs bɔn pikin.
• Fɔ gɛt famili histri bɔt blɔd we de klɔt, ɔ fɔ gɛt wan patikyula mɛrɛsin lɛk Factor V Leiden sik, Antiphospholipid syndrome, ɔ Polycythemia vera.
• Fɔ gɛt wan patikyula kayn kansa.
• Di ɔtbrɛk fɔ Korona Vayrɔs Sik 2019 (COVID-19).
• Fɔ gɛt bɔdi we fat pasmak.
• Fɔ smok.

Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .

Na nɔmal tin fɔ fil fɔ fred ɛn wɔri we yu gɛt abnɔmal tɛst rizɔlt. Bɔt mɛmba se, if yu gɛt ɛlevɛt D-Dimer tɛst rizɔlt nɔ min se yu gɛt di sik we de mek yu blɔd klɔt. If yu rizɔlt sho se yu D-Dimer lɛvɛl ay, yu dɔktɔ go ɔda fɔ mek dɛn du ɔda tɛst fɔ no if yu gɛt di sik.

If yu gɛt ɛni kwɛstyɔn, nɔ fred fɔ aks yu dɔktɔ. Dɔktɔ dɛn de fɔ ɛp yu. Dɛn go ɛksplen ɔltin to yu.

A op se dis infɔmeshɔn go yusful to yu. Stay wit wɛlbɔdi!

` D-Dimer, blɔd we de klɔt, blɔd tɛst, DVT, PE, Strɔk, DIC, blɔd we de klɔt