D-Dimer test chungchang hi i hria em? (D-Dimer Test) Hemi chungchang hi awlsam takin han sawi ila.

Thisen test ‘D-Dimer’ tih hi i hre ngai em? I doctor-in he test hi ti turin a ti che a ni mai thei, i hriat mi pakhatin a lo ti tawh pawh a ni thei. A hming hi a buaithlak deuhin a lang thei. Mahse, D-Dimer hi eng nge ni tak tak? Engvangin nge a pawimawh em em? Vawiin hian i hriatthiam theih tur khawpa awlsam takin kan sawi dawn a ni.

I en hmasa ang u, D-Dimer chu eng nge ni?

A awlsam zawngin sawi ila, D-Dimer hi protein te tak te, kan taksaa thisen zam a lo hmin atanga lo piang a ni. A tlangpuiin mi hrisel thisenah D-Dimer level hi a hniam hle tur a ni a, a nih loh leh hriat theih loh pawh a ni tur a ni.

Ngaihtuah teh, engtin nge i kut i cut lai hian thisen a chhuah loh? Chutah chuan thisen zam a lo awm a ni lawm ni? Kan taksa invenna mechanism a ni. He thisen zam hi mesh tlemte ang mai a ni. He mesh hi protein thread fibrin an tih atanga siam a ni . He mesh hian hliam chu a khar a, thisen chhuahna a titawp bawk.

Hliam a dam hnuah chuan clot chu a awm reng a ngai tawh lo. Chuvangin kan taksa hian enzyme pakhat Plasmin tih hmangin clot chu a tichhia a, a tithianghlim a, a paih chhuak thin. A hmin chuan protein clot chi hrang hrang te te te chu a awm ta a ni. Chutiang piece pakhat chu D-Dimer tih a ni.

Chumi awmzia chu, i thisen D-Dimer level a san chuan i taksa hmun khatah thisen zam lian tak a lo awm tawh a, tunah chuan a lo hmin tawh tihna a ni.

Amaherawhchu, a chang chuan hliam tuar lo pawhin taksa chhunga thisen zam (veins)-ah thisen zam a lo awm thei a ni. Hengte hi a hlauhawm ber chu a ni. D-Dimer test hian heng thisen zam duh loh chi hrang hrangte hi a zawng ber a ni.

Engvangin nge doctor chuan D-Dimer test hi a rawt ang?

Doctor-te chuan thisen zam nena inzawm thil engemaw zat an rinhlelh hunah he test hi an hmang ber a ni.

• Deep Vein Thrombosis (DVT): Hei hi taksa chhung thuk tak, a bik takin kea thisen zam a lo awm hian a ni.
• Pulmonary Embolism (PE): Hei hi natna hlauhawm tak a ni. Kea thisen zam lo awm tawh, DVT ang maia a inthen a, thisen nen a kal a, lung chhunga vein pakhata a lo awm chuan a thleng thin.
• Disseminated Intravascular Coagulation (DIC): Hei hi natna khirh tak a ni a, taksa pum pui hmun hrang hrangah thisen zam te tak te tam tak a lo awm thin.
• Stroke: He test hi a chang chuan thisen zam in thluaka thisen phurtu thisen kalna kawngkhar a block avanga paralysis hmuhchhuah nan a pui thin.

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Eng symptoms nge he test hi ka neih ang?

He test hi emergency room (ETU)-ah tih a ni tlangpui a, a chhan chu thisen zam chhinchhiahna a lo lan hunah hmalak vat a pawimawh vang a ni. A hnuaia symptoms te hi i neih chuan i doctor chuan D-Dimer test tih a rel thei ang.

A pawimawh ber chu! Pulmonary Embolism (PE) emaw Stroke (e.g. rang taka rilru na, thawk harsa, hmai/kut/ke bengchheng, tawng harsa, tawng harsa) i neih chuan damdawi in hnai ber Emergency Department (ETU) pan nghal rawh. Hengte hi nunna atana hlauhawm emergency a ni. DVT symptoms i neih chuan a rang thei ang bera doctor pan tur a ni.

Test report hian eng nge a sawi?

Hei hi mi tam takin an tihsualna hmun a ni. D-Dimer report hi hriatthiam a pawimawh hle.

D-Dimer level chu ‘Normal’ emaw ‘Negative’ emaw a nih chuan.

Hei hi chanchin lawmawm tak a ni. I D-Dimer level a normal a nih chuan i taksaah thisen zam (blood clot formation and dissolution) lian tham i tawk lo tihna a ni. Hei hian DVT emaw PE ang chi natna i neih a rinawm loh hle tihna a ni.Doctor-te chuan he test hi hmangin heng natna te hi a awm lo tih finfiah nan an hmang thin.

D-Dimer level chu ‘High’ emaw ‘Positive’ emaw a nih chuan.

Hei hi mi tam takin an hlauhthawn na hmun a ni. Mahse hetah hian i hriatthiam tur pawimawh ber chu D-Dimer level sang tak neih hian thisen zam hlauhawm tak i nei tihna a ni hauh lo.

D-Dimer level sang chhan dang tam tak a awm thei bawk. Entir nan:

• Naupai: Naupai lai hian D-Dimer level hi a pianphungah a pung a.
• Tun hnaia surgery: Surgery hnua taksa damna kawngah D-Dimer a pung thei.
• Trauma: Hetiang dinhmun hi accident hnuah pawh a awm thei bawk.
• Infection: D-Dimer level hi hri kai thenkhatah pawh a sang chho bawk.
• Lung natna: Lung natna thenkhatah chuan.
• Cancer dinhmun: Cancer chi thenkhatah chuan.
• Kum upa zawk: D-Dimer level hi kan tar chhoh zel chuan a pianphungah a sang deuh deuh thin.

Chuvangin, i D-Dimer level a san chuan doctor chu a alarm lo ang. A dawt leh tur chu i symptoms a zirin test tlemte a run leh ang a, thisen zam i nei em tih chiang takin a hre thei ang.

D-Dimer a sang a nih chuan eng test nge tih leh tur?

D-Dimer report a positive a nih chuan i doctor chuan thisen zam zawng turin imaging test (scan) atan a refer thei che a ni.

• Doppler Ultrasound: Hei hian sound wave hmangin thisen kal leh thisen zam, a bik takin ke ruh (vein)-a thisen zam awm leh awm loh enfiah nan a hmang thin.
• CT Angiography: Hei hi CT scan chi khat bik a ni. Dye bik taksaah inject a ni a, thisen kalna kawng hrang hranga dye a kal laiin scan a ni a, thisen zam ang chi blockage awm leh awm loh zawng turin an scan thin. Hei hi lung chhunga thisen zam (PE) zawn nan an hmang fo thin.
• Lung Ventilation-Perfusion (V/Q) Scan: Hei hi scan bik dang a ni a, chu chuan lung chhunga boruak leh thisen kal dan tur a en a.

Heng test te hnuah chauh hian doctor chuan thisen zam i nei tak tak em tih chiang takin a hre thei ang a, a awm a nih chuan engtin nge i enkawl ang tih a hre thei bawk ang.