Kimihia te mōhiotanga mō te toto totoka mā te whakamātautau D-Dimer!

Kua rongo pea koe i tēnei whakamātautau e kiia nei ko te D-Dimer. Tērā pea kua kī atu tō tākuta kia mahia e koe. Nā, he aha te D-Dimer? He aha te hiranga o tēnei whakamātautau? Me kōrero tātou mō ēnei mea katoa i roto i ngā taipitopito, i roto i ngā kōrero māmā noa iho, i tēnei rā. Ka whakamāramahia e au i roto i tētahi huarahi e mārama ai koe.

He aha te D-Dimer? He māmā noa iho...

Whakaarohia pēnei: ​​Ko te D-Dimer he wahi iti o te pūmua ka hangaia ina memeha te toto toto i roto i tō tinana. I te nuinga o te wā, ki te kore e nui ngā toto toto e puta mai ana i roto i tō tinana, ki te kore rānei e memeha ngā toto toto e puta mai ana, tata kore rawa he D-Dimer i roto i ō toto. He iti noa iho rānei te nui o te toto e kitea ana.

Nā, ki te pai te hua o tō whakamātautau D-Dimer, ki te teitei rānei te taumata o tō D-Dimer, tera pea he tohu kei a koe he mate toto totoka. Heoi, ehara i te mea kei a koe taua mate . Waihoki, kāore e taea e te whakamātautau D-Dimer anake te kī atu ki a koe he aha te momo mate totoka kei a koe, kei hea rānei te toto totoka i roto i tō tinana. Me whai whakamātautau anō hei whakatau i tēnā.

Me pēhea te tupu o te toto totoka?

Kia mārama tātou ki te tukanga noa o te toto totoka. Inaa, he mea tino nui, he mea nui hoki te toto totoka. Ina whara koe, ka āwhina tēnei tukanga ki te aukati i te nui o te toto. Whakaarohia, ina whara tetahi oko toto, tetahi kiko rānei, ā, ka tīmata te toto, ka tīmata tō tinana i tētahi tukanga e kiia nei ko te "hemostasis". Koinei te mea e whakawhāiti ana i te toto, ā, i te mutunga ka hanga he toto totoka hei aukati.

I roto i tēnei tukanga o te "hemostasis", ka hangaia e tō tinana he miro o te pūmua e kiia nei ko te "fibrin," e hanga ana i tētahi mata. Ka āwhina tēnei mata, me tētahi momo pūtau e kiia nei ko te "platelet," ki te pupuri i te toto totoka kia mau tonu ki tōna tūranga tae noa ki te wā e ora ai te patunga. I ētahi wā ka puta ēnei toto totoka hei kirinuku i runga i tō kiri, hei puku rānei i raro i tō kiri.

I muri i te ora o tō patunga, ā, kāore tō tinana e hiahia ana ki te toto totoka, ka whakaputa tō tinana i tētahi whākōkī e kiia nei ko te "plasmin" hei wawahi i te toto totoka kia ririki, hei tango atu hoki. Ka kiia ēnei wahi ko ngā "hua whakararuraru fibrin" ko ngā "hua wehewehe fibrin" rānei. Ko tētahi o aua wahi ko te D-Dimer.

Heoi, ki te mea he mate toto totoka tōu, tera pea ka puta he toto totoka ahakoa kāore he whara. Tērā pea kāore ngā totoka kua puta e memeha i te wā e tika ana. He māmā noa iho, kāore te tukanga totoka o tō tinana e mahi tika ana. Ka taea e ēnei momo totoka te morearea, ā, ka mate pea koe.

Nō reira, ko te nui haere o te D-Dimer i roto i tō toto he tohu pea kei te hanga toto totoka, kei te whakarewahia hoki e tō tinana. Koia te take he tohu tēnei mō te mate totoka.

He aha te whakamātautau D-Dimer e whakamahia ana hei tautuhi?

He maha ngā wā ka whakamahia e ngā tākuta te whakamātautau D-Dimer hei āwhina i te tautuhi i te mate toto totoka. Ko ngā āhuatanga matua ko:

• Te Thrombosis Utauta Hōhonu (DVT) te Thrombosis Uaua rānei: Koinei te wā e puta ai he toto totoka i roto i te uaua i roto rawa i tō tinana. Ka taea e tēnei totoka te aukati katoa, te aukati rānei i te rere o te toto i roto i te uaua. Ko te nuinga o te wā ka puta te DVT i te waewae o raro, te huha, te hope rānei. Heoi, ka taea hoki te puta i ētahi atu wāhanga o te tinana, pērā i te ringa, te roro, ngā whekau, te ate, ngā whatukuhu rānei.
• Te Puku Pūkahukahu (PE): Koinei te wā e haere ai te toto kua puea ake i tētahi atu wāhi o te tinana (i te waewae, i te ringa rānei) mā roto i te toto, ka noho ki roto i tētahi oko toto i roto i ngā pūkahukahu. He tino morearea tēnei āhuatanga.
• Te Whakapūngao Toto i roto i ngā Āhuatanga Toto (DIC): I roto i tēnei āhuatanga, he nui rawa ngā toto e pupū ake ana i roto i tō tinana . Ka taea e tēnei te kino i ngā okana me te puta mai i ētahi atu raruraru nui. E whakamahia ana te whakamātautau D-Dimer ehara i te mea hei tātaritanga i te DIC anake, engari hei tirotiro hoki i te pai o te mahi a te maimoatanga mō te DIC.
• Whiu: I roto i tēnei āhuatanga, e kīia ana hoki e tātou ko te "toto toto i roto i te roro," ka aukatia, ka pakū rānei tētahi oko toto i roto i te roro.

He aha ahau ka hiahia ai ki te whakamātautau D-Dimer?

Mena kei a koe ngā tohu o te toto totoka, ka taea e tō tākuta te tono i tētahi whakamātautau D-Dimer. Koinei ngā tohu o ngā mate pēnei i te `(DVT)`, `(PE)`, `(DIC)`, `(Stroke)` kua whakahuatia ake nei.

I te nuinga o te wā, ka whakahaerehia ngā whakamātautau D-Dimer i roto i te rūma whawhati tata, i te hōhipera rānei.

He aha ngā tohu o te toto toto hohonu (DVT)?

I te nuinga o te wā ka puta te DVT i tō waewae, i tō ringa rānei. Kāore e pāngia te katoa e ngā tohu. Heoi, ka pāngia pea koe e ngā tohu pēnei i:

• Te pupuhi o te waewae, o te ringa rānei (he ohorere i ētahi wā).
• Te mamae, te ngawari rānei o te waewae (tērā pea ka kitea i te wā e tū ana, e hikoi ana rānei).
• He wāhi pupuhi, mamae hoki i te waewae, i te ringa rānei, e mahana ana.
• Te whero o te kiri, te rerekē rānei o te tae.
• He nui ake te āhua o ngā uaua toto i raro i te kiri i te mea noa.

Mena kei a koe ēnei tohu o te `(DVT)`, ahakoa kāore koe i te hōhipera i tēnei wā, me toro atu ki tō tākuta i te wā e taea ai.

He aha ngā tohu o te pulmonary embolism (PE)?

He āhuatanga ohorere tēnei. Ko ngā āhuatanga o te `(PE)` ko:

• Te uaua ohorere ki te manawa (dyspnea) te tere rānei o te manawa.
• Te mamae nui o te uma (he maha ngā wā ka kino ake i te wā e maremare ana, e neke ana rānei).
• Mamae tuara.
• Maremare (i ētahi wā he huware toto).
• Nui atu te werawera i te mea noa.
• Te tere o te manawa o te ngakau (tachycardia).
• Pōuriuri, ngoikore rānei.

He mea nui: Ki te pāngia koe e ēnei tohu `(PE)`, me waea atu koe ki te 911, me haere rānei ki te rūma whawhati tata tonu. Kaua e whakaroahia tēnei.

He aha ngā tohu o te dispersed intravascular coagulation (DIC)?

Ko ngā tohu o te DIC ka uru pea ki:

• Ngā kapia toto.
• Whakapairuaki me/ranei te ruaki.
• Te mamae nui o ngā uaua me te mamae o te puku.
• Ngā wiri.
• He iti iho te putanga mimi i te mea noa.

Mena kua tākutatia kētia koe kei te mate DIC, ā, kei te whiwhi maimoatanga koe, ka tonoa pea e tō tākuta he whakamātautau D-Dimer auau hei tirotiro mēnā kei te tika te mahi a tō maimoatanga.

He aha ngā tohu o te whiu?

He āhuatanga ohorere anō hoki te pararutiki. Ko ngā tohu:

• Te ngoikore ohorere, te ngoikore rānei o te mata, te ringa, te waewae rānei (ina koa i te taha kotahi o te tinana).
• Te pōhēhē ohorere, te uaua ki te kōrero, te uaua rānei ki te mārama ki tā te tangata e kōrero ana.
• Te uaua ohorere ki te kite i tētahi o ngā kanohi, i ngā kanohi e rua rānei.
• Te uaua ohorere ki te hikoi.
• Te whanoke ohorere, te ngaronga o te taurite, te ngaronga rānei o te taunga o ngā nekehanga.
• He mamae nui o te upoko e puta ohorere mai ana, kāore he take.

He mea tino nui: Ki te pāngia koe, tētahi atu rānei e ēnei tohu o te whiu , me waea atu koe ki te 911, me haere rānei ki te hōhipera tata tonu atu. He mea nui te wā.

Ko wai mā te whakamātautau D-Dimer? Me pēhea te mahi?

I te nuinga o te wā, ka tangohia te toto e te tohunga toto toto, tae atu ki te whakamātautau D-Dimer. Heoi, ka taea e tetahi tohunga hauora kua whakangungua ki te tango toto te mahi. Kātahi ka tukuna tō tauira toto ki te taiwhanga. I reira, ka whakaritea e te kaipūtaiao taiwhanga hauora te tauira ka whakamatautauria ki ngā mīhini e kiia nei ko ngā tātaritanga.

Me mahi ahau i tetahi mea i mua i te whakamātautau?

Kāo, kāore koe e hiahia ki te mahi i tētahi mea motuhake i mua i te whakamātautau D-Dimer. Ka taea e koe te noho noa.

He aha ngā mea ka tupu i te wā o te whakamātautau?

He whakamātautau toto te D-Dimer. Nō reira, ina tangohia he tauira toto, koinei ngā mea ka puta:

• Ka noho koe ki runga i tētahi tūru, ka takoto rānei i runga i tētahi moenga. Kātahi ka titiro te kaimahi hauora ki ō ringaringa, ka kimi i tētahi uaua ngāwari hei tango toto. I te nuinga o te wā, kei roto i tō ringaringa, i muri tonu i tō tuke.
• Ina kitea he uaua, ka horoia, ka patua hoki he huakita.
• Kātahi ka werohia he ngira iti ki roto i tō uaua, ā, ka tangohia he tauira toto. Ka rite te ahua ki te ngau a te pōpokorua iti.
• Whai muri i te werohanga o te ngira, ka kohia he iti toto ki roto i te ngongo whakamātautau.
• Kia oti te tango toto e ranea ana mō te whakamātautau, ka tangohia te ngira, ā, ka whakatakotoria he miro, he kākahu rānei ki te wāhi i werohia hei whakamutu i te toto.
• Kātahi ka pania he pāreti ki te wāhi, ā, ka oti te mahi.

E kore e neke atu i te rima meneti te roa o tēnei tukanga katoa. He tino tere.

He aha te mea ka tupu i muri i te whakamātautau?

Kia tangohia tō tauira toto, ka tukuna ki te taiwhanga. Kia puta mai ngā hua o te whakamātautau, ka whakamōhiotia e tō tākuta ngā hua.

He aha ngā tūponotanga o te whakamātautau D-Dimer?

He whakamātautau hauora tino noa, he mea nui hoki ngā whakamātautau toto. He iti noa iho ngā mōrearea o te whakamātautau toto. Tērā pea ka mamae, ka maru rānei te wāhi i tangohia ai te toto. Engari ka tere te memeha atu o tēnā. Nō reira, kāore he mea hei manukanuka.

He aha te tikanga o ngā hua o te whakamātautau D-Dimer?

Ko te nuinga o ngā wā kei roto i tētahi pūrongo whakamātautau toto, tae atu ki tētahi pūrongo whakamātautau D-Dimer, ngā mōhiohio pēnei:

• Te ingoa o te whakamātautau toto, te mea rānei i inehia i roto i tō toto.
• Te tau, te ine rānei o ngā hua o tō whakamātautau toto.
• Ko te awhe noa mō taua whakamātautau.
• Ngā mōhiotanga e whakaatu ana mēnā he noa, he rerekē rānei, he teitei, he iti, he pai, he kino rānei tō hua.

He aha te hua o te whakamātautau D-Dimer noa?

He maha ngā huarahi hei whakamātautau i ō taumata D-Dimer i roto i tō toto. Nō reira, kāore he awhe whānui e kī ana "koinei te taumata noa." Kei roto i tō pūrongo taiwhanga ngā mōhiohio e tohu ana mēnā he noa, he iti, he teitei, he pai, he kino rānei tō taumata D-Dimer.

Mena kei te whakaatuhia e tō pūrongo taiwhanga he iti, he kino, he noa rānei tō taumata D-Dimer, ko te tikanga pea kāore he mate totoka i a koe.

Mena kua tāpaetia koe kei te mate koe i te Disseminated Intravascular Coagulation (DIC) ā, kei te whiwhi maimoatanga koe, ko te tikanga mēnā he taumata noa, he iti rānei o te D-Dimer i roto i tō toto, he pai te haere o tō maimoatanga.

He aha te tikanga o te hua o te whakamātautau D-Dimer teitei?

Ki te whakaatu mai ō hua he nui ake ngā taumata o tō toto D-Dimer i te mea noa , tera pea he mate toto totoka tōu. Heoi, e ai ki taku kōrero i mua ake nei, kāore e taea e te whakamātautau D-Dimer anake te whakaatu tika i te mate totoka kei a koe, me te wāhi rānei o ngā toto totoka i roto i tō tinana.

Mena kua tāpaetia koe kei te mate koe i te Disseminated Intravascular Coagulation (DIC) ā, kei te whiwhi maimoatanga koe, ko te taumata tiketike o te D-Dimer i roto i tō toto he tohu pea kāore tō maimoatanga e mahi tika ana.

Heoi anō, kei reira ētahi wā ka taea te piki ake i ngā taumata D-Dimer ahakoa kāore he mate toto totoka. Ko ētahi atu take e teitei ake ai ngā taumata D-Dimer i te mea noa ko:

• Te haputanga.
• Mate ngakau.
• He pokanga tata nei.
• He aituā, he whara rānei ki te tinana (ngā whara).
• He mate urutā.

Waihoki, ka piki ake ngā taumata D-Dimer i te pakeketanga. Mena he mate tōu pērā i te rumatiki rheumatoid, tera pea ka puta he hua teka-pai.

Nō reira, ki te whakaatu mai ō hua he rerekē ngā taumata o tō D-Dimer, tera pea ka tonoa e tō tākuta ētahi atu whakamātautau toto me/ngā whakamātautau whakaahua rānei hei whakatau i te mate.

Āhea ahau ka mōhio ai ki ngā hua o te whakamātautau D-Dimer?

He maha ngā wā ka tonoa e ngā tākuta he whakamātautau D-Dimer i roto i ngā āhuatanga ohorere, nā te mea ka taea e ngā toto toto te whakararu i te ora. Mena ka mahia tēnei whakamātautau i roto i tētahi āhuatanga ohorere, tera pea ka puta ngā hua i roto i ētahi haora.

Mena ka whakamātauria he whakamātautau D-Dimer hei tirotiro i te pai o te mahi a tō maimoatanga i a koe e rongoatia ana mō te mate toto totoka, tera pea ka whiwhi koe i ngā hua i roto i te kotahi, i ngā rā pakihi e rua rānei.

He aha te mea ka tupu i muri mai? Mena he rerekē ngā hua...

Mena he rerekē ngā hua o tō whakamātautau D-Dimer, ka tonoa pea e tō tākuta tētahi, neke atu rānei, o ngā whakamātautau whakaahua hei whakatau mena he mate toto totoka tōu, ā, ki te pērā, kei hea ngā totoka totoka. Kei roto i ēnei whakamātautau:

• Te whakamātautau oro Doppler: Ka whakamahia ngā ngaru oro hei hanga whakaahua o ō uaua (ngā oko toto).
• Te angiography tomography rorohiko (CT): I tēnei whakamātautau, ka werohia e te tākuta he tae motuhake ki roto i tētahi o ō uaua. Mā tēnei ka kitea ō uaua toto i runga i tētahi mīhini hihi-X motuhake.
• Matawai mō te hau me te toto (V/Q): Kei roto i tēnei he matawai hau (V), e ine ana i te rere o te hau ki roto i ō pūkahukahu, me te matawai toto (Q), e titiro ana ki te wāhi e rere ana te toto i roto i ō pūkahukahu. I ngā matawai e rua, ka whakamahia he iti noa o te matū irahiko haumaru hei āwhina i te matawai kia kite i te pai o te rere o te hau me te toto i roto i ō pūkahukahu.

Āhea ahau me toro atu ki te tākuta?

Mena kei a koe ngā tohu o te whiu, te pulmonary embolism (PE) rānei, waea atu ki te 911 tonu, haere rānei ki te rūma whawhati tata. Kaua e whakaroa.

Mena kei a koe ngā tohu o te toto totoka i roto i te uaua hohonu (Deep Vein Thrombosis - DVT), me toro atu ki tō tākuta i te wā e taea ai.

He aha ngā āhuatanga mōrearea mō te toto totoka?

Ko ngā āhuatanga mōrearea ka whai wāhi ki te hanganga toto toto koretake, koretake rānei:

• Kua pāngia e te pokanga nui, kua whara kino rānei.
• Te noho roa i te wāhi kotahi (hei tauira, te noho roa i runga i te moenga, te noho roa rānei i te moenga).
• Te tango i ngā pire ārai whānau, te rongoā whakakapinga homoni rānei.
• Te haputanga, te whānautanga tata nei rānei.
• He hītori whānau tō te toto totoka, he āhuatanga hauora motuhake rānei tō te tangata pērā i te mate Factor V Leiden, te mate Antiphospholipid, te Polycythemia vera rānei.
• Kei te pāngia koe e tētahi momo mate pukupuku.
• Te pakarutanga mai o te mate urutā Coronavirus 2019 (COVID-19).
• Te momona.
• Te momi hikareti.

Hei whakamutunga, ngā mea hei maumahara (Karere hei tango ki te kāinga)

He mea noa te mataku me te manukanuka ina whiwhi koe i tētahi hua whakamātautau rerekē. Engari kia maumahara, ko te hua whakamātautau D-Dimer teitei ehara i te mea he mate toto toto tōu. Mena ka whakaatuhia e ō hua he teitei tō taumata D-Dimer, tera pea ka whakahau tō tākuta i ētahi atu whakamātautau hei whakatau i te mate.

Ki te mea he pātai āu, kaua e wehi ki te pātai ki tō tākuta. Kei reira ngā tākuta hei āwhina i a koe. Mā rātou e whakamārama ngā mea katoa ki a koe.

Ko tāku tumanako ka whai hua ēnei kōrero ki a koe. Kia ora tonu!

` D-Dimer, toto totoka, whakamātautau toto, DVT, PE, Whiu, DIC, toto totoka