Yu dɔn ɛva yɛri bɔt blɔd tɛst we dɛn kɔl ‘D-Dimer’? Sɔntɛm yu dɔktɔ dɔn tɛl yu fɔ du dis tɛst, ɔ sɔntɛm sɔmbɔdi we yu sabi dɔn du am. Di nem kin tan lɛk se i kɔmplikt smɔl. Bɔt wetin rili na D-Dimer? Wetin mek i rili impɔtant? Tide, wi go tɔk bɔt am insay wan rili simpul we we yu go ɔndastand.
Mek wi si fos, wetin na D-Dimer?
Fɔ tɔk am simpul wan, D-Dimer na smɔl pat pan di prɔtin we kin mek we blɔd klɔt sɔlv na wi bɔdi. Nɔmal wan, di lɛvɛl fɔ D-Dimer na di blɔd fɔ pɔsin we gɛt wɛlbɔdi fɔ rili smɔl, ɔ ivin nɔ fɔ no.
Tink bɔt am, aw yu an kin stɔp fɔ blɔd we yu kɔt am? Blɔd klɔt kin fɔm de, nɔto so? Na di we aw wi bɔdi de fɛt. Dis blɔd we de klɔt tan lɛk smɔl mɛsh. Dɛn mek dis mɛsh wit prɔtin trɛd dɛn we dɛn kɔl fibrin . Dis mɛsh na in de lɔk di wund ɛn stɔp di blɔd.
Afta di wund dɔn wɛl, di klot nɔ nid fɔ de de. So wi bɔdi de yuz wan ɛnzaym we dɛn kɔl Plasmin fɔ brok di klot, sɔlv am, ɛn pul am. We i sɔlv, smɔl smɔl pat dɛn pan di prɔtin klɔt kin lɛf. Wan pan dɛn pat dɛn de, dɛn kɔl am D-Dimer.
Dat min se if yu blɔd D-Dimer lɛvɛl go ɔp, dat min se wan big blɔd klɔt dɔn fɔm sɔmsay na yu bɔdi ɛn naw i de sɔlv.
Bɔt sɔntɛnde, ivin if pɔsin nɔ wund am, blɔd kin klɔt na di vein dɛn we de insay di bɔdi. Na dɛn tin ya denja. di D-Dimer tεst de mεntal luk fכ dεn kayn bכdi we dεn nכ want.
Wetin mek dɔktɔ go tɛl yu fɔ du D-Dimer tɛst?
Dɔktɔ dɛn kin yuz dis tɛst mɔ we dɛn tink se sɔm tin dɛn de we gɛt fɔ du wit di blɔd we de klɔt.
- Dip Vein Thrombosis (DVT): Dis na we blɔd klɔt de fɔm insay wan vein we de dip insay di bɔdi, mɔ na di leg.
- Pulmonary Embolism (PE): Dis na wan sik we rili denja. I kin apin we wan blɔd we dɔn fɔm na di leg, lɛk DVT, brok ɛn travul wit di blɔd ɛn lod insay wan vein na di lɔng dɛn.
- Disseminated Intravascular Coagulation (DIC): Dis na siriɔs sik we bɔku smɔl smɔl blɔd klɔt dɛn kin fɔm na say dɛn ɔlsay na di bɔdi.
- Strɔk: Sɔntɛnde dis tɛst kin ɛp fɔ no if pɔsin gɛt paralayz we blɔd klɔt we de blok wan at we de kɛr blɔd go na di bren.
Us simptom dɛm a fɔ gɛt dis tɛst fɔ?
Dɛn kin du dis tɛst na imejensi rum (ETU) bikɔs i impɔtant fɔ du sɔntin kwik kwik wan we di sayn dɛn we de sho se blɔd dɔn klɔt. If yu gɛt ɛni wan pan di sayn dɛm we de dɔŋ ya, yu dɔktɔ kin disayd fɔ du D-Dimer tɛst.
| Mɛdikal kɔndishɔn | Di kɔmɔn sayn dɛm |
|---|---|
| Dip Vein Trombosis (DVT) we de mek pɔsin gɛt sik . |
|
| Pulmonari Ɛmbolizm (PE) . |
|
Di tin we impɔtant pas ɔl! If yu gɛt sayn dɛm fɔ Pulmonary Embolism (PE) ɔ Stroke (e.g., yu chɛst de pen wantɛm wantɛm, yu nɔ kin ebul fɔ blo, yu fes/an/leg kin swɛt, yu nɔ kin ebul fɔ tɔk), go na di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia yu wantɛm wantɛm. Dis na imejensi we kin mek pɔsin in layf de pan denja. If yu gɛt sayn dɛn fɔ DVT, go to yu dɔktɔ kwik kwik wan.
Wetin di tɛst ripɔt se?
Dis na di say we bɔku pipul dɛn kin mek mistek. I rili impɔtant fɔ ɔndastand di D-Dimer ripɔt.
If di D-Dimer lεvεl na ‘Nכmal’ כ ‘Nεgεtiv’.
Dis na rili gud nyus. If yu D-Dimer lεvεl nכmal, dat min se yu nכ de εkspiriεns sכm bכku bכdi kכlכt fכmeshכn εn sכlushכn na yu bכdi. Dis min se yu nɔ go rili gɛt wan sik lɛk DVT ɔ PE.Dɔktɔ dɛn kin yuz dis tɛst fɔ no se dɛn sik ya nɔ de.
If di D-Dimer lɛvɛl na ‘High’ ɔ ‘Positive’.
Dis na di say we bɔku pipul dɛn kin fred. Bɔt di impɔtant tin we yu nid fɔ ɔndastand ya na dat fɔ gɛt ɛlevɛt D-Dimer lɛvɛl nɔ min se yu gɛt denja blɔd klɔt.
bכku כda rizin kin de fכ di εlevεt D-Dimer lεvεl. Fɔ ɛgzampul:
- bεlε: di D-Dimer lεvεl dεm nכmal wan de inkrεs we uman bεlε.
- Di ɔpreshɔn we dɛn jɔs du: D-Dimer kin bɔku as pat pan di bɔdi in wɛlbɔdi prɔses afta dɛn dɔn ɔpreshɔn am.
- Trauma: Dis sik kin apin bak afta aksidɛnt.
- Infεkshכn: di D-Dimer lεvεl dεm de inkrεs bak pan sכm infεkshכn kכndishכn dεm.
- At sik: Na sɔm hat sik dɛm.
- Di tin dɛn we kin apin to pɔsin we gɛt kansa: Insay sɔm kayn kansa.
- Ol ej: D-Dimer lεvεl dεm nכmal wan de inkrεs sכmtεm as wi de ol.
So, if yu D-Dimer lɛvɛl ay, di dɔktɔ nɔ go ala. Di nɛks tin we i go du na fɔ du sɔm ɔda tɛst dɛn bay di sayn dɛn we yu gɛt fɔ no if yu gɛt blɔd klɔt.
If D-Dimer ay, us tɛst dɛn kin du nɛks?
If di D-Dimer ripɔt na pɔsitiv, yu dɔktɔ kin rifer yu fɔ mek dɛn du imej tɛst (skan) fɔ luk fɔ blɔd we dɔn klɔt.
- Doppler Ultrasound: Dis de yuz sawnd wev fɔ chɛk if blɔd de flɔ ɛn blɔd klot, mɔ na di vein dɛn na di leg.
- CT Angiography: Dis na spɛshal kayn CT skan. Dɛn kin put spɛshal day insay di bɔdi ɛn skan am as di day de travul tru di blɔd vesel dɛn fɔ luk fɔ ɛnitin we dɔn blok, lɛk we blɔd dɔn klɔt. Bɔku tɛm dɛn kin yuz dis fɔ luk fɔ blɔd we de klɔt (PE) na di lɔng dɛn.
- Lung Ventilation-Perfusion (V/Q) Scan: Dis na ɔda spɛshal skan we de luk aw di briz ɛn blɔd we de go na di lɔng dɛn de.
Na afta dɛn tɛst ya nɔmɔ di dɔktɔ go no if yu rili gɛt blɔd klɔt ɔ yu nɔ gɛt blɔd, ɛn if na so, aw fɔ trit am.
Mɛsej we dɛn kin kɛr go na os
- D-Dimer na wan protin fragmεnt we de fכm we wan bכdi kכlכt brok dכn. Dis na simpul tɛst we dɛn kin mɛzhɔ am na blɔd.
- D-Dimer test rizulyt na ‘Nɔmal’ ɔ ‘Nɛgitiv’.If na so, dat min se yu nɔ go gɛt wan denja blɔd klɔt lɛk DVT ɔ PE. Dis na big big rilif.
- Nɔ ala if yu D-Dimer rizɔlt na ‘High’ ɔ ‘Positive’ . I nɔ min se yu gɛt blɔd we de klɔt. D-Dimer kin εlevεt bak fכ bכku כda rizin dεm, lεk bεlε, כpεrayshכn, εn infεkshכn.
- If di D-Dimer bɔku, yu dɔktɔ go disayd wetin fɔ du nɛks. I go rifer yu fɔ mek dɛn du ɔda tɛst.
- Nɔ ɛva ignore di sayn dɛm lɛk fɔ swel wantɛm wantɛm na yu leg, yu chɛst de pen, ɔr yu nɔr kin ebul fɔ blo fayn. Go to dɔktɔ wantɛm wantɛm.
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