Kua rongo koe i tētahi whakamātautau toto e kīia ana ko 'D-Dimer'? Tērā pea kua tono tō tākuta kia mahia tēnei whakamātautau, kua mahia rānei e tētahi e mōhio ana koe. Tērā pea he ahua uaua te ingoa. Engari he aha rawa te D-Dimer? He aha te hiranga? I tēnei rā, ka kōrerohia e tātou i roto i tētahi huarahi tino māmā ka taea e koe te mārama.
Kia titiro tuatahi tātou, he aha te D-Dimer?
He kupu whakarāpopoto, he wahi iti te D-Dimer o te pūmua ka hangaia ina memeha te toto totoka i roto i te tinana. I te nuinga o te wā, me tino iti te taumata o te D-Dimer i roto i te toto o te tangata hauora, me kore rānei e kitea.
Whakaarohia, me pēhea te mutu o te toto o tō ringaringa ina tapahia e koe? Ka puta he toto totoka i reira, tika? Ko te tikanga tiaki tēnei a tō tātou tinana. He rite tēnei toto totoka ki tētahi mata iti. He mea hanga tēnei mata ki ngā miro pūmua e kiia nei ko te fibrin . Ko tēnei mata te mea e kati ana i te patunga, e whakamutu ana hoki i te toto.
I muri i te ora o te patunga, kāore e hiahiatia te noho tonu o te toto totoka ki reira. Nō reira, ka whakamahia e tō tātou tinana he whākōkī e kiia nei ko Plasmin hei wawahi i te toto totoka, hei whakarewa, hei tango atu hoki. Ina rewa, ka toe tonu ngā wahi ririki o te toto totoka pūmua. Ko tētahi o aua wahi e kiia nei ko te D-Dimer.
Arā, ki te teitei ake ngā taumata D-Dimer o tō toto, ko te tikanga kua puta he toto totoka nui i roto i tō tinana, ā, kei te memeha haere.
Heoi, i ētahi wā, ahakoa kāore he whara, ka taea e ngā toto totoka te hanga i roto i ngā uaua o roto i te tinana. Koinei ngā mea morearea. Ko te whakamātautau D-Dimer te nuinga o te wā e rapu ana i ēnei momo toto totoka kāore e hiahiatia.
He aha te take e taunaki ai te tākuta i te whakamātautau D-Dimer?
Ka whakamahia tēnei whakamātautau e ngā tākuta ina whakapae rātou i ētahi āhuatanga e pā ana ki te toto totoka.
- Te Thrombosis Utauta Hōhonu (DVT): Koinei te wā ka puta he toto totoka i roto i te uaua hohonu o te tinana, inā koa i te waewae.
- Te Puku Pūkahukahu (PE): He āhuatanga tino morearea tēnei. Ka puta mai ina pakaru te toto kua puta i te waewae, pērā i te DVT, ka haere tahi me te toto, ka mau ki roto i te uaua o ngā pūkahukahu.
- Te Pupuhitanga o ngā Toto i roto i ngā Āhuatanga Toto (DIC): He āhuatanga kino tēnei e puta ai he maha ngā toto iti i roto i te tinana.
- Whiu: He āwhina tēnei whakamātautau i ētahi wā ki te kite i te pararutiki i puta mai i te toto totoka e aukati ana i te uaua e kawe ana i te toto ki te roro.
He aha ngā tohu e tika ana kia tirohia tēnei whakamātautau?
I te nuinga o te wā ka mahia tēnei whakamātautau i roto i te rūma whawhati tata (ETU) nā te mea he mea nui kia tere te mahi ina puta mai ngā tohu o te toto totoka. Mena kei a koe tētahi o ngā tohu i raro nei, ka whakatau pea tō tākuta ki te mahi i tētahi whakamātautau D-Dimer.
| Āhuatanga hauora | Ngā tohu noa |
|---|---|
| Te Thrombosis o te Uaua Hōhonu (DVT) |
|
| Te Pukupuku Pūkahukahu (PE) |
|
Ko te mea nui! Mena kei a koe ngā tohu o te Pulmonary Embolism (PE) me te Stroke rānei (hei tauira, te mamae ohorere o te uma, te uaua ki te manawa, te ngoikore o te mata/ringa/waewae, te uaua ki te kōrero), haere tonu ki te Tari Ohotata (ETU) o te hōhipera tata. He ohotata morearea ēnei. Mena kei a koe ngā tohu o te DVT, toro atu ki tō tākuta i te wā e taea ai.
He aha te mea e kīia ana i roto i te pūrongo whakamātautau?
Koinei te wāhi e hē ai te tini o te tangata. He mea tino nui kia mārama ki te pūrongo D-Dimer.
Mena he 'Noa', he 'Kino' rānei te taumata o te D-Dimer
He tino rongo pai tēnei. Mena he noa te taumata o tō D-Dimer, ko te tikanga kāore koe e kite ana i te hanganga me te memeha o te toto toto nui i roto i tō tinana. Ko te tikanga o tēnei, he iti rawa te tūponotanga ka pāngia koe e te mate pēnei i te DVT, te PE rānei.Ka whakamahia e ngā tākuta tēnei whakamātautau hei whakaū kāore ēnei āhuatanga e kitea ana.
Mena he 'Teitei' te taumata D-Dimer, he 'Pai' rānei
Koinei te wāhi e mataku ai te tini o te tangata. Engari ko te mea nui me mārama koe ki konei, ko te nui o te taumata D-Dimer ehara i te mea he toto totoka kino tōu.
He maha atu anō ngā take mō te pikinga o ngā taumata D-Dimer. Hei tauira:
- Te Hapūtanga: Ka piki ake ngā taumata o te D-Dimer i te wā e hapū ana.
- Pokanga tata nei: Tērā pea ka piki ake te D-Dimer hei wāhanga o te tukanga whakaora o te tinana i muri i te pokanga.
- Whara: Ka puta anō hoki tēnei āhuatanga i muri i tētahi aituā.
- Ngā Mate Pukupuku: Ka piki ake hoki ngā taumata D-Dimer i roto i ētahi mate pukupuku.
- Mate ngakau: I roto i ētahi mate ngakau.
- Ngā āhuatanga o te mate pukupuku: I roto i ētahi momo mate pukupuku.
- Kaumātuatanga: Ka piki haere ngā taumata D-Dimer i a tātou e kaumātuatanga ana.
Nō reira, ki te teitei tō taumata D-Dimer, kāore te tākuta e mataku. Ko tāna mahi whai muri ko te whakahaere i ētahi atu whakamātautau i runga i ō tohumate kia kitea ai mēnā he toto totoka tōu.
Mena he tiketike te D-Dimer, he aha ngā whakamātautau ka mahia i muri mai?
Mena he pai te hua o te pūrongo D-Dimer, ka tukuna pea koe e tō tākuta mō ngā whakamātautau whakaahua (matawai) hei rapu i te toto totoka.
- Doppler Ultrasound: Ka whakamahia ngā ngaru oro hei tirotiro i te rere o te toto me ngā toto kua totohu, inā koa i roto i ngā uaua o ngā waewae.
- CT Angiography: He momo motuhake tēnei o te matawai CT. Ka werohia he tae motuhake ki roto i te tinana, ka matawaihia i te wā e haere ana te tae i roto i ngā oko toto ki te rapu i ngā aukati, pērā i ngā toto totoka. He maha ngā wā ka whakamahia tēnei hei rapu i ngā totoka (PE) i roto i ngā pukahukahu.
- Matawai Whakahauora-Totoro o ngā Pūkahukahu (V/Q): He matawai motuhake tēnei e tirotiro ana i te rere o te hau me te toto ki ngā pūkahukahu.
I muri i ēnei whakamātautau ka whakatau tika te tākuta mēnā he toto totoka tōu, ā, mēnā he toto totoka, me pēhea te rongoā.
Karere Tangohia ki te Kāinga
- He kongakonga pūmua te D-Dimer ka puta mai i te wā e pakaru ai te toto totoka. He whakamātautau māmā tēnei e ine ana i roto i te toto.
- Ko te hua o te whakamātautau D-Dimer he 'Noa' he 'Kino' rāneiMena koinā, ko te tikanga he iti ake te tūponotanga ka pāngia koe e te toto totoka kino pēnei i te DVT, te PE rānei. He tino whakamarie tēnei.
- Kaua e mataku mēnā he 'Teitei', he 'Pai' rānei te hua o tō whakamātautau D-Dimer. Ehara i te mea he toto totoka tōu. Ka taea hoki te piki ake o te D-Dimer mō ētahi atu take, pērā i te haputanga, te pokanga, me te mate pāwera.
- Mena he teitei te D-Dimer, mā tō tākuta koe e whakatau i te mea hei mahi i muri mai. Māna koe e tuku kia whakamātauria anō.
- Kaua rawa e warewarehia ngā tohu pēnei i te pupuhi ohorere o ngā waewae, te mamae o te uma, te uaua rānei o te manawa. Rapua he tohutohu hauora tonu.
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